Osteomyelitis Puns

I know that some people do not like to boil pills but trust me, most opiates degrade at temperatures higher than 270 degrees so as long as you just let the solution reach a boil than remove the heat you will not destroy any of the opiates in solution. when I say let it boil and remove the heat what I mean is heating the solution for 3 to 5 minutes letting it reach a boil then lowering the heat slightly so that it does not continue to boil and moving the lighter around to another cooler are of the solution.

So why should you always boil? To kill any bacteria present in the solution. Some bacteria will inevitabley enter your blood stream if you are shooting up, but you can minimize the amount. Alcohol to disinfect the injection site before and after, clean needles, and boiling the solution, with the cotton in it!

For 6 years of my IV career I boiled my solutions and disinfected the areas I used at and never had an abscess. Then things in my life got hectic and I stopped boiling my solution because I wanted to be more discrete about cooking up my dope for IV.

After only A WEEK of shooting up daily without boiling I developed a sever bone infection of my spine, osteomyelitis. Luckily I survived but I know three other people from my highschool grade alone who died from IV acquired infections. I don't know any who have overdosed and died. Infections are by far the most deadly aspect of self-adminstered IV, so please be careful.

Luckily I'm back at 100% health-wise now and I exercise regularly and have no permanent side effects. If the infection had been higher up in my spinal column I could have ended up paralyzed for life. No longer using IV atm but on methadone.

EDIT 2: with pills you absolutely need to put it in the fridge and cool it down before injecting it or you could inject nasty pill fillers that are hot-water soluble. when you put it in the fridge and it cools down all of the pill filler should crash out of solution. but it is ABSOLUTELY a better idea is to get a kit with clean sterile water, and filters and try to handle the pill as little as possible and IV it using those supplies.

EDIT: WHEEL FILTERS AND BACTERIOSTATIC WATER ARE THE ABSOLUTE GOLD STANDARD IF YOU ARE REALLY WORRIED ABOUT YOUR HEALTH!

unfortunately most IV addicts are not in a position to afford it. also this post applies to H more than pills.

It's all in the title, can someone explain to me what the difference is please? I didn't think there was a difference but UW is tripping me the heck up!

Hey guys, I'm so confused as these two AnKing cards seem to be controversial.

Does osteomyelitis in adults arise in the vertebral column or in the epiphysis of long bones?

https://preview.redd.it/st5iprs410r61.png?width=478&format=png&auto=webp&s=1f91be158278f4a1074926be5c87268beebf3ca1

https://preview.redd.it/zjo645c710r61.png?width=730&format=png&auto=webp&s=cda9ddb3b69de51d50e92c51b8ff4750e89c769e

My partner and I recently took in a young (<3 years) male Domestic shorthair that showed up at our house with nasty wounds to his hindquarters and tail. We've been treating him for 8 weeks with various antibiotics and anesthetized wound cleanings (and had him neutered), but yesterday we noticed another open wound in the same general area. Our vet saw him again today and is recommending amputation of the tail.

During an earlier visit, the vet noticed that the tail appeared to have a break and took an x-ray. She noticed inflammation on the film and was concerned about the possibility of osteomyelitis, so she sent the films to a pathologist. The pathologist and my vet both agreed that it might just be a healing fracture, but we should keep an eye on it. Repeat film today showed no improvement, and that coupled with the continued wounds makes the vet confident that it was osteomyelitis. I don't regret that we tried the conservative option first, but it seems to me that with no improvement in two months it's time to be more aggressive. I wish he could keep his tail, but I'd rather have him healthy.

My partner is a bit frustrated because he doesn't understand how a broken bone and a bone infection could look similar on x-ray. He's also not sure if we should get any additional testing to confirm the osteomyelitis. He's not arguing against the amputation, but it would help him if he could understand a bit more about how we got to this decision. If anyone could explain the imaging uncertainty or comment on any other diagnostic procedures that might be used, that would be great.

• Species: Cat
• Age: 16
• Sex/Neuter status: Male
• Breed: No Idea
• Body weight: 10 pounds
• History: Osteomyelitis + Peridontal Disease + Stage 2 Kidney Disease
• Duration: about 2 weeks

My elderly cat was recently diagnosed with Osteomyelitis + Peridontal Disease + Stage 2 Kidney Disease. He's been healthy up until then. He has an abscess in his mouth caused by the Osteomyelitis. He was given some antibiotics, but now he's taken them all. The abscess has remained about the same (I think). And He's been in great spirits since changing his diet for Kidney disease.

My question is this: Surgery was recommended for him by the vet but I probably can't afford it and it's super risky with his Kidney Disease.

What should I do?

What would be ideal?

For now I'm monitoring his abscess, which he'll let me look at. But he has a hard time closing his mouth due to it. How do I know the abscess isn't getting worse?

Hello,

I am a 51 yo RN, who has worked for almost 30 years. Sorry for War and Peace. I had a microdiscectomy in Nov 2019 that became infected ultimately spreading to the L4-L5 Disc and L4, L5 vertebral bodies. This was done at the hospital where I have worked for the past 25 years. Three washout surgeries Nov, Dec, Jan, and the wound vac in mid Jan. I was on IV antibiotics for 3 months.

In Feb 2020, my wound was nearly closed and antibiotics stopped. I experienced considerable worsening of pain during Feb and into March. My Neurosurgeon recommended restarting antibiotics, but did not recommend any further surgery. He referred me to pain clinic for management of my pain, which was a joke. They just wanted me to start cutting back and the pain was progressively getting worse. I was getting scared and a second opinion said I needed a different treatment plan with lots of surgery. My wife worked her magic and miraculously got me into a spine surgeon in a metro area nearest to my home. My new surgeon told me I needed staged ALIF/PLIF and about 2-4 weeks in the hospital or go home, become septic, and die. During my first posterior I&D, he found two retained wound vac sponges that were never retrieved from my back in Jan, festering for about 9 weeks.

In the end, I had eight back surgeries and lost half of L4 vertebral body, all of L5, and an L3 to S1 ant/posterior fusion with iliac anchoring. I have had a rough recovery. I blew through all of my FMLA and 500 hours of sick time, I went back to work mid May 2020 and was able to start working from home in July. I have had a big focus on trying to keep my job (desk job) working for the hospital that caused me harm, though it was not intentional. I have lost a majority of my job opportunities as a bedside nurse. Many tell me to get a lawyer and sue. This is hard for me as I live in a small community and they are the main provider. This was not intentional and they are working with me to pay my bills that have been denied.

I am in a situation where my employer covers me with STD internally and a 60% private LTD policy. I am so damn stubborn that I keep trying to work. I continue to have neuropathy in both my legs up to my hips, my back is tender and achy all the time. I have to alternate between sitting and standing at the desk. By lunch I am wiped out. I feel like the quality of my work suffers. As I type this I feel like an idiot for not going out

Have any of you dealt with discitis and/or osteomyelitis? I had a herniated L5-S1 disc back in November, and I was pretty well recovered by January. I had a cut on my foot that has seemed to be lowkey infected and that wouldn't heal, and since the end of January I've been spiraling with worsening back pain, to the point I couldn't stand or walk last week. Before last week, my PT and I just thought it was really bad inflammation of my back muscles. Saw the surgeon, started on muscle relaxers and steroids which have helped a little bit. Got an MRI with a note to rule out osteomyelitis, and now I'm gonna get a biopsy to check out L3-L4. Have any of you dealt with discitis after a herniated disc? What did recovery look like? What was it like getting a biopsy? It seems super weird, and this severe regression in my recovery sure was frustrating. Thanks for y'alls time!

My grandfather(88) is currently in the hospital with a severe case and the doctors have been trying various pain medication unfortunately he has been hallucinating on such medication such as Percocet and hydromorph and has been extremely unresponsive and has not been eating for a few days now. We are looking for alternative medication with the doctors because of the hallucinations. Having him present again would be such a blessing as its painful to see him like this. Has anyone had succes with CBD oils for pain/inflammation? not looking for a cure just an alternative.

Thanks!

So a diabetic patient with foot ulcer comes to you and we have suspicion of osteomyelitis? Bone to Probe Test could be positive or not! Do we go for Xray or straight for bone biopsy and culture?

What it says. Suspect that I have typhoid osteomyelitis caused by an infected flea bite due to a rodent infestation. In vertebra(e) of the upper back, so along with the pain I have neurological symptoms that are getting worse. First symptoms noticed 1-2 weeks ago, peripheral neuropathy and some mild transient weakness in lower legs. Yesterday progressed to upper back pain unresponsive to OTC painkillers and naroxen, though an opiod seemed to help. I'm debating whether to go to the ER immediately (it's a Sunday and I am not in my home country and cannot drive so expensive taxi) or to let it ride until tomorrow and visit a local GP for their opinion.

Hello,

I am a 51 yo RN, who has worked acute/critical care for almost 30 years. Sorry for War and Peace. I had a microdiscectomy in Nov 2019 that became infected ultimately spreading to the L4-L5 Disc and L4, L5 vertebral bodies. This was done at the hospital where I have worked for the past 25 years. Three washout surgeries Nov, Dec, Jan, and the wound vac in mid Jan. I was on IV antibiotics for 3 months.

In Feb 2020, my wound was nearly closed and antibiotics stopped. I experienced considerable worsening of pain during Feb and into March. My Neurosurgeon recommended restarting antibiotics, but did not recommend any further surgery. He referred me to pain clinic for management of my pain, which was a joke. They just wanted me to start cutting back and the pain was progressively getting worse. I was getting scared and a second opinion said I needed a different treatment plan with lots of surgery. My wife worked her magic and miraculously got me into a spine surgeon in a metro area nearest to my home. My new surgeon told me I needed staged ALIF/PLIF and about 2-4 weeks in the hospital or go home, become septic, and die. During my first posterior I&D, he found two retained wound vac sponges that were never retrieved from my back in Jan, festering for about 9 weeks.

In the end, I had eight back surgeries and lost half of L4 vertebral body, all of L5, and an L3 to S1 ant/posterior fusion with iliac anchoring. I have had a rough recovery. I blew through all of my FMLA and 500 hours of sick time, I went back to work mid May 2020 and was able to start working from home in July. I have had a big focus on trying to keep my job (desk job) working for the hospital that caused me harm, though it was not intentional. I have lost a majority of my job opportunities as a bedside nurse. Many tell me to get a lawyer and sue. This is hard for me as I live in a small community and they are the main provider. This was not intentional and they are working with me to pay my bills that have been denied.

I am in a situation where my employer covers me with STD internally and a 60% private LTD policy. I am so damn stubborn that I keep trying to work. I continue to have neuropathy in both my legs up to my hips, my back is tender and achy all the time. I have to alternate between sitting and standing at the desk. By lunch I am wiped out. I feel like the quality of my work suffers. As I type this I feel like an idiot for not going out on disability. I like my job and the te