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Unread 10-10-2011, 11:20 PM   #1
jrogers3350
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need some fresh input medical wise

So a little off the jeep subject and more medical military side. I've been currently undergoing some major wrist problems and now it has come to a standstill and all the options are on me, trying to look for some input from maybe people that have dealt with MEB's and such. I broke my wrist about 5+ years ago without knowing it, i just knew it hurt like hell for a long time... i went to the doctors every couple of months to try and figure out what was wrong, but they never found anything. About a year ago finally here at whiteman they took another x-ray and found out that my scaphoid bone was broke in half all this time (gota love military doctors) and that it had been just dying in my hand. I underwent surgery on it about 10 months ago and have had problems with it since even after the hand specialist said it was go-to-go. So I got a referal and they did a CT scan just to find out that its still broke, they called it a "persistant non-union"... the doc said no-good. He gave me three options. 1. just deal with the pain until you can't take it anymore then under go a "wrist transfusion". 2. re-do the surgery with the pin i already did and hope it fixes it which he doubted it would. 3. do the "wrist transfusion" thing now and get rid of the pain but loose 50%+ of the motion in my right wrist...... for a little further background info, i've also been dealing with cystic acne that has progressively gotten worse through out my time in the military and after seeing 10+ dermatologists they have now said they have no idea how to fix it, other then just deal with the cysts one by one as they come up.... i've been on accutane 3 times, and multiple other drugs with no luck.

If anyone that has dealt with an MEB or atleast knows the process of the VSRD codes and all the junk that would greatly be appreciated, like what kind of disability would i be looking at and would it be just better to try and hide all this **** and do my 20 and retire.... or hell atleast an outsiders opinion of what they would do with the 3 options, would you just deal with the pain and wait for it to get worse, or cut it off in its tracks now and get the surgery while your still ahead and see what the miltary will do.... thanks for any opinions!!! and if you got any extra questions about any info that i've left out feel free to ask... thanks again.

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Unread 10-11-2011, 01:26 AM   #2
kodiakwj
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I havent dealt with med boards but I have dealt with the VA. The VA has done wonders for me with my hip. Since you will( possibly) lose 50% mobility it becomes a quality of life issue with the VA. You'll get a good rating if you have the surgery and get out on a medical board. But don't just take my word on it. I would go see your VA rep in your area. Ask them about it.
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Unread 10-11-2011, 02:21 AM   #3
jrogers3350
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thanks man, yeah I definitely gota get with the VA, i've been trying to read up some about medical seperations/retirement and how you get each one and what it all encompasses.... its tough though cause theres like 15 different instructions that govern it.... but i still have the option of just dealing with it and see if i can just grin and bear my way through the next 14 years... the pains not too bad now, but there's no tellin what the future might hold
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Unread 10-11-2011, 08:51 AM   #4
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Do the surg now on the military's dime, recover and see where you are at that point. Do not settle for "good to go" if you feel you are not.
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Unread 10-11-2011, 09:59 AM   #5
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First, it irritates me to no end when people say crap like 'gotta love military doctors'. You obviously havent dealt with the civilian side for medicine.

This could have been missed by ANY doctor. Bones dont just die either btw, there is a process. I think you have your words mistaken as well, a 'wrist transfusion'? This is something you do with platelets and blood not ortho.....Do you have paperwork that you can check to see what he mentioned?

As far as a medbd, they put you on a medboard for 6 months at a time. During this time you are non deployable etc. They will re eval you after 6 months, if you are better then they clear you to return to full duty. If not they can request another 6 months. If at the end of that 6 months they find you still not fit, they can send the board papers up to the next level. That next level will decide if they are going to admin sep you, tdrl (temporary disabled retired list) or pdrl (permanent disabled retired list). Alot of that decision lays with how many years you currently have in service.

If you get out, you may qualify for VA benefits, but a wrist wont be as much as you think. It will be a percentage of your current pay, but it will be tax free. (could be as low as 10%, or they could find you not eligible, which happens but rarely)



*had to edit my post to fix my incomplete sentence*
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Originally Posted by RacerX View Post
WTF is Clockspring??? my Jeep has digital clock
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Unread 10-11-2011, 01:30 PM   #6
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Osteonecrosis is bone death caused by poor blood supply to the area.

Osteonecrosis can be caused by disease, or a severe trauma, such as a break or dislocation, that affects the blood supply to the bone. Many times, no trauma or disease is present. This is called "idiopathic osteonecrosis" -- meaning it occurs without any known cause.

It is certainly rare but something you do not want to have happen.

see: http://www.nlm.nih.gov/medlineplus/e...cle/007260.htm

I think he would have a wrist fusion that would create a stable but less moble wrist joint.

see: http://www.eorthopod.com/content/wrist-fusion
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Unread 10-11-2011, 02:24 PM   #7
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I agree with the above, however if you read all of the research, this is visible on Xray (by the time the patient has symptoms) and this is an actual disease / disease process.

As far as the other question, thats why I asked if he had the document with the info on it, to clarify so I could point in the right direction.
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WTF is Clockspring??? my Jeep has digital clock
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Unread 10-11-2011, 02:40 PM   #8
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Do you have the option of replacing the bone with one from a donor?
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Unread 10-11-2011, 03:56 PM   #9
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Originally Posted by MONSooNmonkey View Post
Do you have the option of replacing the bone with one from a donor?
I'm thinking it depends on the bone. Cadaver bone can be used in some instances, but if the bone death is a result of irreparable circulatory damage, it would be useless.

FWIW-I'm no doctor, but medicine and anatomy has always been extremely interesting to me.
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Unread 10-11-2011, 06:46 PM   #10
jrogers3350
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they haven't said anything for a cadaver bone, never even brought up the option... and yes it does show now on an x-ray with how bad it has gotten. The procedure he talked about was a scaphoid excision with a 4 corner wrist fusion... otherwise known as a partial wrist fusion. They are noticing the necrosis because of a deformity near the break of the bone. this is the first time i've heard of the "six months then re-evaluate" thing. do you have any regs regarding this, because i'm wondering about 3 of my buddies that just got separated through medical board, and there was no re-evaluating. just wondering thanks!
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Unread 10-11-2011, 07:19 PM   #11
AmbuGrl
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There is a difference between a med board and a limdu board. Also request a second opinion.
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Quote:
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WTF is Clockspring??? my Jeep has digital clock
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Unread 10-12-2011, 11:33 AM   #12
MONSooNmonkey
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Quote:
Originally Posted by mgramann View Post
I'm thinking it depends on the bone. Cadaver bone can be used in some instances, but if the bone death is a result of irreparable circulatory damage, it would be useless.

FWIW-I'm no doctor, but medicine and anatomy has always been extremely interesting to me.
The little bone behind your thumb (dunno the name) is the one I cracked in highschool in PE I was a 'gymclass here'. Anywho, the doctor said that bone looses circulation around the age of 20 so if that's the one you're refering to then. . .

You could always have them try to put bone glue in there instead of a screw, made with real bone that is still 'alive' and capable of healing. Though I'm not a doctor.
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Unread 10-12-2011, 04:57 PM   #13
jrogers3350
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MONSooNmonkey - that would be the bone i'm talking about its called the scaphoid bone its the biggest carpal bone in your wrist.... the way the doc explained it to me was that most bones get two way blood supply and this one only gets one, so when it breaks its extremely hard to heal because one half of it can't get blood. My original surgery they put a bone graph of my hip bone in-between then screwed it together, and i also used a "bone stimulator" to excel healing, but to no help cause its still broke.... I just talked to the med board people this morning and got some of my questions answered... if this all goes down i'll try and take as many notes on the med board system and how it all works and post up in here so people will know.... its gonna be a fun road
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Unread 10-12-2011, 06:45 PM   #14
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Quote:
Originally Posted by jrogers3350
MONSooNmonkey - that would be the bone i'm talking about its called the scaphoid bone its the biggest carpal bone in your wrist.... the way the doc explained it to me was that most bones get two way blood supply and this one only gets one, so when it breaks its extremely hard to heal because one half of it can't get blood. My original surgery they put a bone graph of my hip bone in-between then screwed it together, and i also used a "bone stimulator" to excel healing, but to no help cause its still broke.... I just talked to the med board people this morning and got some of my questions answered... if this all goes down i'll try and take as many notes on the med board system and how it all works and post up in here so people will know.... its gonna be a fun road
Keep us posted! Good luck and thank you for serving!
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Unread 04-28-2012, 09:59 AM   #15
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Hey is you got questions I'm pretty versed in the military process and also the DAV FB page is great also ......

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