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2010-08-10 9:16 PM
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Subject: RE: Ghoulie August Assatar Challenge- Run or else
disturbed275 - 2010-08-10 8:06 PM
mndymond - 2010-08-10 9:02 PM
Sulcus - 2010-08-10 7:54 PM
disturbed275 - 2010-08-10 9:49 PM
Sulcus - 2010-08-10 8:44 PM

We interrupt this internet diagnosis and Las Vegas lascivious liaison scheduling to wish everyone a very good night.

Now back to your regularly scheduled conversations... 



Hi Shawn.  Hope my groin didn't interrupt your evening too bad...LOL


I've only been here a short time and I'm already quite used to talking about both your and Bill's groins.  It just seems to be a hazard of being a denizen of the land of Ghoul.

Even so, I do hope you can find out what is wrong and feel better soon.  I know from experience there's nothing more frustrating than not knowing when something is wrong!


Hi Shawn. I like the subject of Neal's groin right now...I am learning...


My groin is learning too.  Lots....


I think your groin needs a vacation...say somewhere like Vegas?


2010-08-10 9:33 PM
in reply to: #3035940

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
mndymond - 2010-08-10 8:14 PM
disturbed275 - 2010-08-10 8:03 PM
mndymond - 2010-08-10 8:59 PM Ok.

So. From what I have read and subsequently somehow deduced from ^^ up there...

The move ^^ that the woman is doing in the picture is called a "hip impingement test". It is 90% sensitive for femoroacetabular impingement (FAI) syndrome--meaning that 90% of people who have a positive test result (pain) have been confirmed during surgery or via radiology to have FAI or in other words there is a 10% chance according to the literature that if you have the pain you won't have FAI. However, this is only unilateral pain. The fact that you have the same pain when you lift either leg suggests that it could be an acute soft tissue injury that is quite inflammed right now and could be the reason it is a positive test? Or you could have both a soft tissue injury and FAI at the same time...(I'm sorry...I really want to give you a "its just a soft tissue pain"...)

I don't know if they saw anything on the x-ray. But FAI requires abnormal contact of the femoral head with acetabulum (socket of the hip joint). So it can either be abnormal bone formation on the femoral head/neck (which is more common in men your age) or abnormal "lipping" of the acetabulum. I think it is a consideration for you...but it is typically an uncommon source of groin pain.

Did you land more on your right side in the crash?



Thanks.  Yes I landed on the right side.  Quite harcdore actually...hip...head....shoulder.  The wierd thing about impingement that I read up on was that it wasn't brought on by acute injury in most cases.  Weird.  Maybe I aggravated something already there.....


It is actually uncertain. Many cases are insidious. I'm looking for traumatic etiology...give me a sec


So I can't find anything specific to traumatic injury and FAI...which technically makes sense because an x-ray has already come back negative for fracture...however, it could be that the injury is being masked and is something of a pseudo hip impingement. There are cartilagenous structures in the acetabulum that protect the joint surfaces...the labrum. Maybe something happened to it with the crash and that is causing the problems?? Could be because that is what happened with hip impingement and why you have pain.

I'm basically attempting to rationalized out a 90% sensitivity hip impingement test with the fact that you have no fracture and no prior history...

Just my thoughts. Hope they make sense.
2010-08-10 9:53 PM
in reply to: #3035974

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
mndymond - 2010-08-10 9:33 PM
mndymond - 2010-08-10 8:14 PM
disturbed275 - 2010-08-10 8:03 PM
mndymond - 2010-08-10 8:59 PM Ok.

So. From what I have read and subsequently somehow deduced from ^^ up there...

The move ^^ that the woman is doing in the picture is called a "hip impingement test". It is 90% sensitive for femoroacetabular impingement (FAI) syndrome--meaning that 90% of people who have a positive test result (pain) have been confirmed during surgery or via radiology to have FAI or in other words there is a 10% chance according to the literature that if you have the pain you won't have FAI. However, this is only unilateral pain. The fact that you have the same pain when you lift either leg suggests that it could be an acute soft tissue injury that is quite inflammed right now and could be the reason it is a positive test? Or you could have both a soft tissue injury and FAI at the same time...(I'm sorry...I really want to give you a "its just a soft tissue pain"...)

I don't know if they saw anything on the x-ray. But FAI requires abnormal contact of the femoral head with acetabulum (socket of the hip joint). So it can either be abnormal bone formation on the femoral head/neck (which is more common in men your age) or abnormal "lipping" of the acetabulum. I think it is a consideration for you...but it is typically an uncommon source of groin pain.

Did you land more on your right side in the crash?



Thanks.  Yes I landed on the right side.  Quite harcdore actually...hip...head....shoulder.  The wierd thing about impingement that I read up on was that it wasn't brought on by acute injury in most cases.  Weird.  Maybe I aggravated something already there.....


It is actually uncertain. Many cases are insidious. I'm looking for traumatic etiology...give me a sec


So I can't find anything specific to traumatic injury and FAI...which technically makes sense because an x-ray has already come back negative for fracture...however, it could be that the injury is being masked and is something of a pseudo hip impingement. There are cartilagenous structures in the acetabulum that protect the joint surfaces...the labrum. Maybe something happened to it with the crash and that is causing the problems?? Could be because that is what happened with hip impingement and why you have pain.

I'm basically attempting to rationalized out a 90% sensitivity hip impingement test with the fact that you have no fracture and no prior history...

Just my thoughts. Hope they make sense.


I don't know.  Basically what I am getting out of this is that you want a closer look at my groin
2010-08-10 9:55 PM
in reply to: #3016372

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
Well...I feel useless...

I guess my only fall back excuse is that I am not MD, MD yet and am a lowly almost second year med student and I haven't done MSK yet...sorry Neal.

Well now I have to go onto the other computer (aka the computer I borrowed from the lab) and finish off my data analysis for tomorrow.

2010-08-10 9:58 PM
in reply to: #3035996

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
disturbed275 - 2010-08-10 8:53 PM
mndymond - 2010-08-10 9:33 PM
mndymond - 2010-08-10 8:14 PM
disturbed275 - 2010-08-10 8:03 PM
mndymond - 2010-08-10 8:59 PM Ok.

So. From what I have read and subsequently somehow deduced from ^^ up there...

The move ^^ that the woman is doing in the picture is called a "hip impingement test". It is 90% sensitive for femoroacetabular impingement (FAI) syndrome--meaning that 90% of people who have a positive test result (pain) have been confirmed during surgery or via radiology to have FAI or in other words there is a 10% chance according to the literature that if you have the pain you won't have FAI. However, this is only unilateral pain. The fact that you have the same pain when you lift either leg suggests that it could be an acute soft tissue injury that is quite inflammed right now and could be the reason it is a positive test? Or you could have both a soft tissue injury and FAI at the same time...(I'm sorry...I really want to give you a "its just a soft tissue pain"...)

I don't know if they saw anything on the x-ray. But FAI requires abnormal contact of the femoral head with acetabulum (socket of the hip joint). So it can either be abnormal bone formation on the femoral head/neck (which is more common in men your age) or abnormal "lipping" of the acetabulum. I think it is a consideration for you...but it is typically an uncommon source of groin pain.

Did you land more on your right side in the crash?



Thanks.  Yes I landed on the right side.  Quite harcdore actually...hip...head....shoulder.  The wierd thing about impingement that I read up on was that it wasn't brought on by acute injury in most cases.  Weird.  Maybe I aggravated something already there.....


It is actually uncertain. Many cases are insidious. I'm looking for traumatic etiology...give me a sec


So I can't find anything specific to traumatic injury and FAI...which technically makes sense because an x-ray has already come back negative for fracture...however, it could be that the injury is being masked and is something of a pseudo hip impingement. There are cartilagenous structures in the acetabulum that protect the joint surfaces...the labrum. Maybe something happened to it with the crash and that is causing the problems?? Could be because that is what happened with hip impingement and why you have pain.

I'm basically attempting to rationalized out a 90% sensitivity hip impingement test with the fact that you have no fracture and no prior history...

Just my thoughts. Hope they make sense.


I don't know.  Basically what I am getting out of this is that you want a closer look at my groin


Well of course I do Neal, and my reasons are entirely selfish as to why I want your groin to be better--okay...well not entirely...maybe 60-40%.

(Vegas)

Haha.



2010-08-10 9:59 PM
in reply to: #3035999

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
mndymond - 2010-08-10 9:55 PM Well...I feel useless...

I guess my only fall back excuse is that I am not MD, MD yet and am a lowly almost second year med student and I haven't done MSK yet...sorry Neal.

Well now I have to go onto the other computer (aka the computer I borrowed from the lab) and finish off my data analysis for tomorrow.



The effort was gallant, I'll give you that.  Barring an up close groin assertation next week in Vegas I will let it slide...


2010-08-10 10:01 PM
in reply to: #3016372

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
Vegas groin toppage?
2010-08-10 10:07 PM
in reply to: #3036008

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
disturbed275 - 2010-08-10 8:59 PM
mndymond - 2010-08-10 9:55 PM Well...I feel useless...

I guess my only fall back excuse is that I am not MD, MD yet and am a lowly almost second year med student and I haven't done MSK yet...sorry Neal.

Well now I have to go onto the other computer (aka the computer I borrowed from the lab) and finish off my data analysis for tomorrow.



The effort was gallant, I'll give you that.  Barring an up close groin assertation next week in Vegas I will let it slide...


It was a gallant effort...I threw every single resource I have access to at it...textbooks, evidence based medicine database, articles...

assertation=assessment??

Does this mean you will come to Vegas? Haha...I might even throw in a private swim consultation...you know...if I am feeling nice...
2010-08-10 10:12 PM
in reply to: #3036012

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
mndymond - 2010-08-10 10:07 PM
disturbed275 - 2010-08-10 8:59 PM
mndymond - 2010-08-10 9:55 PM Well...I feel useless...

I guess my only fall back excuse is that I am not MD, MD yet and am a lowly almost second year med student and I haven't done MSK yet...sorry Neal.

Well now I have to go onto the other computer (aka the computer I borrowed from the lab) and finish off my data analysis for tomorrow.



The effort was gallant, I'll give you that.  Barring an up close groin assertation next week in Vegas I will let it slide...


It was a gallant effort...I threw every single resource I have access to at it...textbooks, evidence based medicine database, articles...

assertation=assessment??

Does this mean you will come to Vegas? Haha...I might even throw in a private swim consultation...you know...if I am feeling nice...


Well, I do have a couple of days worth of vacation to use up.  And now I won't be having a couple of build weeks worked right in there.  I'm looking at resting till September.......
2010-08-10 10:24 PM
in reply to: #3036019

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Subject: RE: Ghoulie August Assatar Challenge- Run or else
disturbed275 - 2010-08-10 9:12 PM
mndymond - 2010-08-10 10:07 PM
disturbed275 - 2010-08-10 8:59 PM
mndymond - 2010-08-10 9:55 PM Well...I feel useless...

I guess my only fall back excuse is that I am not MD, MD yet and am a lowly almost second year med student and I haven't done MSK yet...sorry Neal.

Well now I have to go onto the other computer (aka the computer I borrowed from the lab) and finish off my data analysis for tomorrow.



The effort was gallant, I'll give you that.  Barring an up close groin assertation next week in Vegas I will let it slide...


It was a gallant effort...I threw every single resource I have access to at it...textbooks, evidence based medicine database, articles...

assertation=assessment??

Does this mean you will come to Vegas? Haha...I might even throw in a private swim consultation...you know...if I am feeling nice...


Well, I do have a couple of days worth of vacation to use up.  And now I won't be having a couple of build weeks worked right in there.  I'm looking at resting till September.......


Might as well make the best of it Neal...vacation days + rest time...in Vegas...

I'm just sayin...
2010-08-10 11:42 PM
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Well I have finished off graphing all my data sets...do I have any idea what is going on? Nope.

Oh well...that's why I'm the student I guess?

Still have some minor adjustments and cleaning up of the data to do...but that's pretty much my summer project done!!! Hurrrahhh!!! (Well until my supervisor comes in tomorrow and I did something wrong...)



2010-08-11 5:53 AM
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Good morning Ghoulies!
2010-08-11 5:54 AM
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Neal and Melindy your flirting was too cute!

Neal - I'm really sorry to hear you are still in pain. I hope you get it figured out soon.

Melindy - I applaud your attempt to help Neal with a diagnosis.

Both of you - have a drink in Vegas on me.

2010-08-11 6:17 AM
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Morning Ghoulies!

Hi Ann. Aren't Neal and Melindy cute?
2010-08-11 6:18 AM
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Neal, That doctors visit just rotted! Hope the PT goes better.
2010-08-11 6:19 AM
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ceilidh - 2010-08-11 7:17 AM Morning Ghoulies!

Hi Ann. Aren't Neal and Melindy cute?


I think they're adorable. I hope they have a FANTASTIC time in Vegas.


2010-08-11 6:21 AM
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Subject: RE: Ghoulie August Assatar Challenge- Run or else
Good morning ghoulies!
2010-08-11 6:26 AM
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Good morning Neal!

Good morning Robin!
2010-08-11 6:32 AM
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2010-08-11 6:33 AM
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What's going on today?
 I have to run but it is going to be 99degrees and 99% humidity today. It will be a tread mill run for sure.
2010-08-11 6:33 AM
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2010-08-11 6:33 AM
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wgraves7582 - 2010-08-11 7:32 AM Good Morning Ghoulies!



Heya Bill!
2010-08-11 6:33 AM
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Hi Bill!
2010-08-11 6:34 AM
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ceilidh - 2010-08-11 7:33 AM What's going on today?
 I have to run but it is going to be 99degrees and 99% humidity today. It will be a tread mill run for sure.


I have to run tonight and do my ab workout.

It is to be mid 90's today and a chance of thunderstorms. I will probably wait until 7 or so to go for my run.
2010-08-11 6:35 AM
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