View Full Version : Fluid on knee..
kitty260
10-24-2007, 11:44 PM
Can't speak for her case because I don't know any details. But generally imaging such as CT or MRI get denied because there is not clearly documented justification for the test. In other words, the doctor either hasn't written down clearly enough in the patient's chart why the imaging is needed....... or the imaging just isn't indicated. Cameron mentioned that her doctor wants her to have a CT scan and a MRI. I'll tell you right now that if I requested a CT scan and a MRI of the brain, the insurance company would laugh the whole time while tearing up my request and then they'd throw it back at my face. There's almost no indications where it is necessary to get both, except for a sudden stroke. In that case, the insurance company figures that the doctor has no idea what he's looking for with the images.... and that the doc is just grasping at straws.. so they cancel it until they are given more justification.
And if she were in Canada, she'd have gotten both quickly and easily because she's clearly in a great deal of pain. I personally had a much less serious problem then her and I got both...within a week of my GP ordering them. That's the point!
So you can stop babbling now. If you want us to take you seriously (even though you're a long way from boxingdoc's status on here) you might want to start admitting when you have no clue what you're talking about. You're way too full of yourself, buddy.
Adrenaline
10-24-2007, 11:45 PM
Ah, now THERE'S a paradox: How come uninsured illegal immigrants can get treatment but an insured citizen can't?
I know how county hospitals are, though. They're a prime example of 'you get what you pay for.' You're not paying, so you're not getting much.
Actually, almost all county hospitals are affiliated with academic institutions so the care is top notch. In Los Angeles, the county hospitals are LA County USC (University of Southern California), Harbor-UCLA (University of California Los Angeles), and Olive View- UCLA. Each of these institutions also has many clinics in the community. For instance, in East LA, USC has 3 clinics, the biggest one is the Roybal Clinic.
As far as your paradox, I've never had an insured patient not be able to get treatment. yes, the insurance company may step in and throw in some provisions for the doctor in how to provide the care, but the insurance companies don't want to get sued either for withholding necessary care from their members.
Callyish
10-24-2007, 11:47 PM
Pfft Kitty no point trying.. hes going to defend his crappy system to the end. We know the truth and whats truly better and thats all that matters.
Its a known fact Canada is the best country. Hell thats why so many Americans come here for treatments.
BrunetteGoddess
10-24-2007, 11:48 PM
Of COURSE he will defend this country's shitty healthcare system, he's an American doctor, right?
Adrenaline
10-24-2007, 11:50 PM
And if she were in Canada, she'd have gotten both quickly and easily because she's clearly in a great deal of pain. I personally had a much less serious problem then her and I got both...within a week of my GP ordering them. That's the point!
So you can stop babbling now. If you want us to take you seriously (even though you're a long way from boxingdoc's status on here) you might want to start admitting when you have no clue what you're talking about. You're way too full of yourself, buddy.
I'm sure when Boxingdoc reads this thread, she'll back me up. Generally the only time a person needs a CT AND a MRI is if a person has stroke symptoms and the CT is negative. Then the MRI is more sensitive for picking up an area of the brain that was recently deprived of blood. For chronic headaches, you either get a CT OR a MRI. For joint pains (back, knees, ankles, shoulders, etc), you get the MRI without contrast unless a person has metal in their body or some other reason why they can't get a MRI. SOMETIMES you have to get a CT arthrogram, but that is rare. Doing both MRI and CT is just not necessary and exposes the patient to a lot of unnecessary radiation.
kitty260
10-24-2007, 11:51 PM
Of COURSE he will defend this country's shitty healthcare system, he's an American doctor, right?
IF he's a doctor. He's pretty dense.
Personally, the only one I trust is boxingdoc since there's been so many posers in the last while.
Adrenaline
10-24-2007, 11:52 PM
Of COURSE he will defend this country's shitty healthcare system, he's an American doctor, right?
If you've read my numerous posts on the previous page, you'll see that I've written SEVERAL times that I think the U.S. system is flawed, needs reform, and that we should have a universal healthcare system. I don't know how much clearer I can get than that. I hate our current system.
Adrenaline
10-24-2007, 11:58 PM
IF he's a doctor. He's pretty dense.
Personally, the only one I trust is boxingdoc since there's been so many posers in the last while.
And please realize, I've been here just as long as Boxingdoc has been... it's not like I just appeared. I've been answering many healthcare related questions for a couple years now. Boxingdoc is great... but I do know my clinical medicine as well, and she's never disagreed with any of my posts.
Callyish
10-25-2007, 12:00 AM
So how the hell did my thread about the pain im in from my knee turn into this?
Back to the point now... I think im going to have to bite the bullet and see a doctor in BC because the fluid is getting worse now instead of better even though im going between heat and cold and doing so between every show and before I go to bed. I've also been taking advil for it and no luck.
So yea now I need to find a doctor though its still going to be a few weeks because im in small towns for the next three weeks *sigh*
kitty260
10-25-2007, 12:02 AM
I'm sure when Boxingdoc reads this thread, she'll back me up. Generally the only time a person needs a CT AND a MRI is if a person has stroke symptoms and the CT is negative. Then the MRI is more sensitive for picking up an area of the brain that was recently deprived of blood. For chronic headaches, you either get a CT OR a MRI. For joint pains (back, knees, ankles, shoulders, etc), you get the MRI without contrast unless a person has metal in their body or some other reason why they can't get a MRI. SOMETIMES you have to get a CT arthrogram, but that is rare. Doing both MRI and CT is just not necessary and exposes the patient to a lot of unnecessary radiation.
BUDDY! STOP. Seriously. You're not "dazzling" us with your knowledge (believe me, you're far from having that kind of respect and trust here), you're embarassing yourself by babbling about a totally different fucking thing then we were talking about and messing up the thread. You dragged this whole thread WAY off topic. All we were doing was saying that you've been grossly misinformed about Canadians not being able to get tests and treatment. This other specific garbage is just you being a typical arrogant new grad. We don't care. It's got nothing to do with anything. So, in the future, you might want to refrain from posting inaccurate and unnecessary information in these kinds of threads. Of course, this could have avoided completely had you taken the time to see that the OP is Canadian.
TigersMilk
10-25-2007, 12:02 AM
Besides you want to be all better for all that sexin you're gonna get!
BrunetteGoddess
10-25-2007, 12:03 AM
If you've read my numerous posts on the previous page, you'll see that I've written SEVERAL times that I think the U.S. system is flawed, needs reform, and that we should have a universal healthcare system. I don't know how much clearer I can get than that. I hate our current system.
I think you misinterpreted Adrenaline. I didn't expect you to do anything but what you are doing right now, since you are a part of this system. I can't explain it, but it wasn't really an insult.
I guess I'm saying I kind of expect you to defend our system since you're a part of it.
Adrenaline
10-25-2007, 12:04 AM
Callyish - the significant thing in your case is whether the fluid is IN your knee or ON TOP of your knee. That's the difference between a knee joint effusion versus a prepatellar effusion. In your first post, you mentioned that the fluid is ON TOP of the knee. That is typically (note, typically) prepatellar bursitis. This is called "housemaid's knee" and happens to people who kneel frequently, especially repetitive kneeling for work.
kitty260
10-25-2007, 12:07 AM
And please realize, I've been here just as long as Boxingdoc has been... it's not like I just appeared. I've been answering many healthcare related questions for a couple years now. Boxingdoc is great... but I do know my clinical medicine as well, and she's never disagreed with any of my posts.
The length of time you've been a member is irrelevant. It's about trust, and sorry to say, but you need to earn it around here. I think you might've knocked yourself back a few notches with this one.
Adrenaline
10-25-2007, 12:11 AM
Callyish- prepatellar bursitis tends to look like.....
But anyways, whenever you have fluid in or on the knee that isn't going away, it needs to be seen by a physician. So, I think you're on the right path.
Callyish
10-25-2007, 12:12 AM
Eww thats what my knee looks like!
Adrenaline
10-25-2007, 12:13 AM
I think you misinterpreted Adrenaline. I didn't expect you to do anything but what you are doing right now, since you are a part of this system. I can't explain it, but it wasn't really an insult.
I guess I'm saying I kind of expect you to defend our system since you're a part of it.
No insult taken. I'll never defend the U.S. system. It is a mess, and it doesn't serve the purpose well. The insurance companies are out of control. They are a giant "middle man" ripping off the doctors and ripping off the patients.
kitty260
10-25-2007, 12:14 AM
So how the hell did my thread about the pain im in from my knee turn into this?
Because that's what happens when you encounter a young, arrogant male doctor. We had a whole thread discussing those types a couple days ago.
Anyways, you've got it made to find a doctor in a small town. There's usually only one clinic, so you only have to call one instead of, like, 12 to find someone who can take you. Personally, I think you've got the same type of thing I had when I was training for the cross-country running team. The whole water-on-the-knee, hurts like a bitch deal. It's probably just getting worse because you're still abusing it 'cuz mine went away as soon as I stopped training. Be careful with it because my joint is all buggered up now....like, it squeaks really loudly (WTF?!) and HURTS when it's cold outside.
Adrenaline
10-25-2007, 12:14 AM
Eww thats what my knee looks like!
If that is what your knee looks like, and it has been that way for a while, it's PROBABLY going to have to be drained.
BrunetteGoddess
10-25-2007, 12:14 AM
Eww thats what my knee looks like!
Eww!! Poor thing :(
kitty260
10-25-2007, 12:17 AM
http://www.qub.ac.uk/cskills/Knee_examination/prepatellar-bursitis.jpg
BAM! That's what happened to me...just not nearly that bad because I stopped training early into the injury. All the fluid re-absorbed on its own in a few weeks and now I can use my knee as a musical instrument.
Adrenaline
10-25-2007, 12:19 AM
BAM! That's what happened to me...just not nearly that bad because I stopped training early into the injury. All the fluid re-absorbed on its own in a few weeks and now I can use my knee as a musical instrument.
Actually, your description of swelling and now squeaking is more typical for chondromalacia patella. I ran cross country too.... and my knees squeak and pop. Go figure.
Callyish
10-25-2007, 12:23 AM
Mine isn't that bad thankfully but its still painful as hell and icky looking...
Heh yea they both look icky but the right is the worse..
Adrenaline
10-25-2007, 12:24 AM
Mine isn't that bad thankfully but its still painful as hell and icky looking...
Heh yea they both look icky but the right is the worse..
When you push that right knee with your finger..... do you feel kneecap and then the kneecap sinks against fluid........... or do you feel like you push through a pocket of fluid and then touch the kneecap?
kitty260
10-25-2007, 12:25 AM
Actually, your description of swelling and now squeaking is more typical for chondromalacia patella. I ran cross country too.... and my knees squeak and pop. Go figure.
Nope, I remember that bursitis word. I've abused it a few more times since then too, considering this was ten years ago. It's only started squeaking in the past few years, but whatever. I just tape it up when it bothers me and forget about it when it doesn't.
kitty260
10-25-2007, 12:27 AM
Mine isn't that bad thankfully but its still painful as hell and icky looking...
Heh yea they both look icky but the right is the worse..
GROSS!
Haha, joking.
(God, I wish I could take some sleeping pills right now. Ugh)
Callyish
10-25-2007, 12:28 AM
Hows this for fucked... I feel like I have to push through a bag of fluid then my kneecap sinks down....
BrunetteGoddess
10-25-2007, 12:29 AM
I need to get away from this thread now....
Adrenaline
10-25-2007, 12:32 AM
Hows this for fucked... I feel like I have to push through a bag of fluid then my kneecap sinks down....
Yeah, you need to see a doc pretty soon. Your main goal now is to see exactly where the fluid is collected, and whether it is just a collection of joint fluid or if there is pus in there from infection. Unfortunately, if this is prepatellar bursitis, it will continue to come back over and over again in your lifetime as long as you are doing work where you have to be on your knees. The treatment recommendation to prevent further occurence is generally wearing kneepads...... not fun.
Callyish
10-25-2007, 12:34 AM
Eek I can't do kneepads!! I already use a super fluffy blanket on stage for floor work. I know its from doing the splits but I can't stop doing them.... they're a big part of my floor show.
Adrenaline
10-25-2007, 12:36 AM
Eek I can't do kneepads!! I already use a super fluffy blanket on stage for floor work. I know its from doing the splits but I can't stop doing them.... they're a big part of my floor show.
In general, any repetitive knee to floor contact will cause prepatellar bursitis.
Adrenaline
10-25-2007, 01:02 AM
Well, I'm outta here. It is 4 AM here in D.C. and I need to get up at 8 AM to fly back to So Cal. Good luck with your knee Callyish. Kitty260.... it's been real :O :P ;)
Noneya
11-14-2007, 10:44 PM
Semi old thread - but Cally, how's your knee? I think I am having the same problem. :( It started swelling after my shift yesterday and hasn't gone down since. I've been icing it, but it only helps temporarily. I'm going to get it checked tomorrow.
Hope your knee is all better now.