Involgograd:s diary. External ilizarov in russia, volgograd - Dr Barinov

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day 5
1.00 wake. pain, pin, biting 20% right ankle. ibupro 400mg.
dogs distant barking all night
9. two male nurses check in. do nothing. say nothing. morning mandatory check-in. right knee pin 10% biting feeling
physio.
9.30 olga . brings porridge.
11 heavy head
12 physio
13 same, physio
16 physio
96 hours postop
16.15 headache w.out pain all day. stand or sit 1min=heavy head

same as yesterday
no problems

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Def. best to wait 60 hours+ after surgery before doing anything extensive standing or walking with the legs. feels much more healthy now. stable etc. not recent operation/busted/broken/cut up

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day 6
5.30 wake up, discomfort, no problematic
7.18 tempcheck by nurse.
...heavy head.
physio
10.15 dr tsarkov checks in. says he will come back later...
10.45 walking feels almost smooth with crutches. good.
 dr tsarkov checks in.

same

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day 7
...no sleep
6.45 nurse kirill comes in rudely.  getting a heavy head...soreish legs discomfort
14 food delivered by larisa, ask for salt, she says niet salt
very annoyed today.
14.15 waiting for dr tsarkov
15. disgustingly bright sun until now. massaging thighs really helps with discomfort.
17.40 bandage nurse...tatiana comes to check rudely opening door.
18. group of doctors roam around the rooms..sigh.
19...standing ...walking... massaging ...all feels ok, the tightness around the pin /resistance in right knee inside loosens up all the way 180 degrees.
20.10 check in with irene online...irene gets home from work... she is too tired to talk.
20.50 tired from notsleeping.
22 bed
0.39 no sleep, weird legs

walking a lot today. stiffness and pain developed around inner pin on right knee.

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6.42 wake. yessssssssssss. got sleep.
8 physio. sitting makes the fluid collect immidiately in legs...verge on crampy pain is the feelng. disgusting.

same

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day 9
day of turning
7 wake up. sweaty. dehydrated. at least i slept kinda good. right upper inner calf still sore.
8:30 turn education by dr tsakov., turn again at 12, 16, only 3 times today
tomorrow turn at 7 11 15 19
9  antonina cleans room
10 tatiana, bandage nurse calls me to bandage room. comes back. says no. come in two days. no come 2 as in 14.00.
10.30 calf still swollen and sore on top.yellow skin. inflammation or infection...?
12 turn. confusing, did i turn one screw twice? hmm....crowded around upper screw on right leg
14 new bandages. walk is ok, tight right muscle. tsarkov says  very tight sore muscle is normal
15. getting  colder... window open at 2cm
16. turn.
17 dr barinov and tsarkov visit, hands out foot aligners, says walk 3/8 hours every day, the muscle soreness is probably a hematoma, collection of blood,
17.30 ankle toe physio,
18. food
20 ketarol injection. hmm...comes from brown hourglass bottle

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day 10
second day of turning
2 wake up. physio
3 dry eyes, no other problems though
sleep
6wake up second time. physio
7 turn.
crutchsupported calf stretch. yes.
8 stretch...
11turn
cleaning lady. messy floor
16 physio. i feel the pins bending now that there is space between bonepieces
19turning
20 stretching thighs while laying on bed
same

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when you say 'physio' are you dong it yourself or is the nurse doing it for you.

if i may ask do you think it would be possible to do the lengthening at home and hirgin a physiotherapist to come in each day.

it seems to me everything is going smoothly and I wonder if doing it at home would be a preferred option.

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- tibia externals
- no latn, no nail in beginning
- physio is selfdone. just rotating ankles, stretching by various methods so whole leg is straight. nothing difficult.
- doing this at home seems dangerous. pins break for most patients. you get new surprising pains regularly and get paranoid.

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Why did you decide not to go for LATN - it does reduce the time in frames significantly. Doesn't Dr. Barinov offer it?