 Poster: A snowHead
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Hi all,
Currently on the 'Pre Season Bash' and have suffered quite a nasty injury.
The doctor said it was hard to see on the x-ray but I broken a bone in the inner knee.
I was a bit in shock at the time so didn't fully understand.
On the doctors notes it says:
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| Fracture arrachement du massif des epines tibialas deplacees. |
Not really sue what this means, does anyone understand?
And that I should see a surgeon on my return. I'll try and take a picture of the notes/x-rays if I can and attach them.
Going to try and fly home tomorrow. Should I go straight to A+E? Or see my doctor first. I have Private medical through work.
Quite concerned 
Thanks
Pete
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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Go see your Doctor and go through your private health. I had a bad shoulder injury at a bash a few years ago, quickest way to recovery.
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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@wingman, bad luck.
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You need to Login to know who's really who.
You need to Login to know who's really who.
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@wingman, ugh. Can't you get an appointment lined up with your Doc for when you get back?
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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Docs here would send you to A&E or the fracture clinic. Try ringing your surgery today and see what they say. Might speed things up a bit.
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You'll need to Register first of course.
You'll need to Register first of course.
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@wingman, Horrible luck. What a dreadful thing to happen first trip of the season and I hope you get better soon.
+1 for seeing a specialist as soon as possible.
PS. Google search suggests it could be the mounds/spines on the top of the tibia. Seems to be recoverable and might need surgery.
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Try ringing your surgery today and see what they say. Might speed things up a bit.
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that sounds like the best advice. Very sorry to hear about your injury, @wingman. Have you contacted your insurance company about getting emergency travel home?
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Or give NHS 111 a call, the docs are more likely to take notice if you say you've talked to them and they say go there if mine are anything to go by.
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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Sorry @wingman, just read on the other thread that you've got no insurance. Did you buy the Carré Neige insurance with your ski pass? If so, worth asking what help they will give you with repatriation.
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@pam w, Thanks and thanks for everyones kind words, not a great situation but would have been a lot worse.
I'll check with @admin later on.
And just to rub in it, have just had to do my own injection for thrombosis...
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snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
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@wingman, many years ago there was a case where someone had forgotten to renew their insurance (no idea of details) and a court became involved (nope, no details) which ruled that the vendor of the insurance (broker? Insurer? underwriter? - nope, no details) had a duty of care to the person that they'd previously insured to make sure that they had ongoing cover even if the policy hadn't been renewed with them.
It was a long and foggy time ago but maybe worth pursuing...
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And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
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You'll need a referral letter from your GP to the private consultant. Sort the GP appointment out first.
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@wingman, I'm not sure how the private medical works, but when I did my ACL on a bash a trip directly to A&E enabled me a score a very quick appointment at the fracture clinic and a hospital surgeon.
I suspect that going through the GP would have added quite a bit of extra time for me.
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You know it makes sense.
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Best check you are covered under your private medical too. As @Val Desire, says you will need to do that for your private medical company which will take time. You might be better off going to A+E first when you get back. I think you can always ask to go private at a later date if you need an op and there is a waiting list. Also some private insurances have a 6 week clause which means you may still be better going via NHS first. Again it depends on your private medical cover so hard to say
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Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
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Feel your pain, I broke my ankle a number of seasons ago first night in resort (was back on a snowboard by the end of the season).
I went straight to fracture clinic at my local NHS hospital the morning after I got back and saw the consultant there. Not sure how that appointment was organised tho, as soon as I knew when I was coming home, my mum was on the case for me. She could either have gone through the GP and got a referral or the hospital itself.
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Poster: A snowHead
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@wingman, unless the momentary pain of a little needle is insignificant compared with that of your knee you have absolutely nothing to worry about. 
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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@Pruman, he did mention having to inject himself somewhere.
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And just to rub in it, have just had to do my own injection for thrombosis...
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and as he has no insurer, he doesn't have anyone to give advice like this
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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@Hells Bells, sorry I deleted my post after I noticed his thrombosis injection comment and lack of insurer comment. Think if it were me or one of mine, I'd be thinking train rather than plane. DVT is a real risk.
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You need to Login to know who's really who.
You need to Login to know who's really who.
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Avulsion fracture would be my instinctive translation.
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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@Pruman, is DVT really such a risk for somebody who taking anti-thrombosis stuff, is mobile on crutches, and on a very short flight? The prophylactic injections seem to be a standard French response - I had the same after I fractured my pelvis. Seems a sensible precaution.
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You'll need to Register first of course.
You'll need to Register first of course.
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The self-injection seems to be the thing now for DVT, my MOL has just had one and had to do it.
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@tiffin, it's very easy; the needles are tiny. The complete wimps can probably find a friend.....
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@pam w, yeah the trickiest bit is setting the dosage correctly.
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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The injections seem to be standard in Austria too. I never had to set the dosage, I got however many pre-loaded, spring fired syringes. Grab the skin, push the button, job done.
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setting the dosage correctly
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Hmm. I don't remember that. I think I just had one little phial and a syringe for each day - so it was a case of drawing it all up.
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snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
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@wingman, ring your private health insurance company and ask for their advice. When I broke my femur skiing my insurance got me home and into the NHS then got referred to a BUPA hospital via my private health insurance, they also paid me a cash allowance for days in the NHS hospital!
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And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
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The ones she had came with something like 7mg of which she needed 5.5, no spring loaded.
I guess the NHS uses the cheaper option.
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I guess the NHS uses the cheaper option.
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yes, probably. Mine were prescribed in the French clinic and dispensed locally and no doubt top of the range! I also got some serious pain killers with morphine in, but didn't need them. I have them in my medicine chest "for a rainy day".
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You know it makes sense.
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I think it' a displaced tibial shaft fracture.
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Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
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| tiffin wrote: |
| @pam w, yeah the trickiest bit is setting the dosage correctly. |
That is dependent on which drug is chosen (as there are a few different ones), and the reason for needing it. For most following injury, you are preventing a clot and a fixed dose is fine, but others may need it tailored to their weight and kidney function which is where you need to select the dose.
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Poster: A snowHead
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| Sitter wrote: |
| The injections seem to be standard in Austria too. I never had to set the dosage, I got however many pre-loaded, spring fired syringes. Grab the skin, push the button, job done. |
Me too in Austria
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Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
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Thanks for the useful comments. Lots to take in.
I've spoken to my Private Medical Insurance (Bupa) and they have started to set up the pre-authorisation.
I'll see my GP tomorrow for a referral.
Having never done this before, will my GP be able to recommend anyone - does anyone here have any good recommendations? Am I better to ask Bupa to recommned?
I'm located between Solihull and Warwick. (Midlands)
Never gone though this before so it all a bit new. Thanks.
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Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
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Here's the google translated doctors report:
Dear colleague, I address you Mr Peter aged HILL (e) 34 years, I've seen following a (e) trauma left knee skiing accident OBSERVATION: 11/29/2015 crackling sensation when the accident instability Printing walking OSTEO JOINT REPORT AND REVIEW OF CLINICAL significant effusion KNEE LIGAMENT OF KNEE JOINT Jerk test impossible to achieve given the pain BALANCE RAY POST-TRAUMATIC radiographic Bilan left knee radiographic face profile Clichés (2 impacts) dose: 2 to 77 kv 42 mas internal and external obliques Radiographs (2 impacts) dose 2 times 77kv 42 mas radiograph intercondylar notch (1 incidence) tearing fracture massif e nes displaced tibial CONCLUSION andtreating Immobilization by knee extension for the return Must consult a surgeon dice was to fly back crutch pads Control twice a week (Ps and injection nurse) Pending read you, please accept, dear colleague, the expression of my fraternal saluta. Dr Cotti J.Fr
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You need to Login to know who's really who.
You need to Login to know who's really who.
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| pam w wrote: |
| @Pruman, is DVT really such a risk for somebody who taking anti-thrombosis stuff, is mobile on crutches, and on a very short flight? |
Less of a risk is still a risk. Personally, as there is an alternative to flying, I'd do that. And what happens when @Wingman turns up at the airport on crutches? First thing they'll ask for is a "fitness to fly" from a doctor (hopefully he has that sorted) and they may well insist on him having a row of 3 seats. Again, if it were me, I'd go down to the nearest state hospital (hopefully he has EHIC?) and go from there. I'm not sure what sounds like a virtually untreated injury is a good way to go even for a short period.
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Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
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Many people fly back following injury without getting a DVT. Insurers tend to advise people to fly straight home for treatment. I agree that he will probably need the extra seats though, and I hope he has sorted that out as well as airport assistance when he rebooked.
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You'll need to Register first of course.
You'll need to Register first of course.
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| wingman wrote: |
Having never done this before, will my GP be able to recommend anyone - does anyone here have any good recommendations? Am I better to ask Bupa to recommned?
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I've had a variety of private medical policies through work and it seems to vary. Some expect you to find a consultant, or for your doctor to refer you to a specific consultant (although I've found they're usually happy to provide a list of their authorised consultants in the area). Others expect your GP to provide an open referral, and they will pick the consultant (or offer you a limited choice). I think that when I was with Bupa they were the open referral type. That might be a feature of the specific policy but I suspect it is a general thing. As BUPA also run hospitals they can presumably keep their costs down / profit up by doing stuff in-house. That said, I had treatment through BUPA at a BMI hospital, mainly becasue it was local.
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Many people fly back following injury without getting a DVT. Insurers tend to advise people to fly straight home for treatment.
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@Hells Bells, how do you know? A DVT can occur a long time after the event. Being cynical for a sec, some insurers just want the patient out of the expensive clinic.
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@Pruman, 1000s of skiers injure themselves each winter and fly home for treatment. Most of them don't suffer DVT. Wingman is already taking anti-clotting agents. He's travelling in a taxi for a couple of hours and a plane for a couple more. A long journey by train could be just as risky if he is in pain and still unable to move around the train. It would also be far more troublesome journey for a person with reduced mobility who is needing to transport luggage.
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You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
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@Hells Bells, sounds like carnage. I guess the important thing then is making sure the airline are happy to take him.
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needing to transport luggage
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Somebody must be driving back at the end of the week so have it driven back.
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@wingman, Which airline are you using? Contact them asap to get priority through the airport. EJ in GVA were fantastic when it happened to me. They loaded me onto the plane using a lift and wheelchair and sorted out extra seats. By the way, the waiting area for wheelchairs in GVA is part of the pilots' lounge - a very different route through priority boarding.
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FAQ
