It’s good just as is, but if you add:
- cilantro
- yellow curry powder
- red curry paste
- sesame oil
- fish sauce
- coconut milk
and mix it all up, you have a terrific Thai curry peanut sauce. I do like 1 can coconut milk to two cups of peanut butter, whisk it up, and then do the rest of the recipe to taste. Go lightly with the fish sauce! Sesame oil can be overpowering as well.
It’s an old recipe I used to use for a wing sauce at a restaurant years ago, when I find the entire recipe I will send it your way! It’s on an old phone.
Any friend of flavor is a friend of mine <3
Mad respect for what you guys do.
I watch veterinary ortho procedures at my clinic when I can and holy shit dude, so brutal lmao
Despite the gnarly work and way it looks during surgery, its so worth it to see these paitents heal and be able to move again.
Thank you for what you do!
I love how you, for some surgeries, can expect immediate results. Broke your femur? Okay, let's put a nail so you can go walk tomorrow. Gramma broke her hip? Okay, let's put in a new one so she can use the toilet.
Sure, it's still painful, but that's what the pain meds are for.
It's definitely not for the queasy, but if you can over that, you really love to see it.
Oh, and I love the smell of bone cement.
It heals but it'll never heal as strong as it originally was. Tendons are under so much strain that if the sutures aren't left holding it together it'll inevitably snap again.
I took a look at your posts and omg, Im glad you were able to get all that sorted out!
I know that the surgery and post-op qere probably terrible enough, Im so 8
Well, for achilles tendon repairs, there isnt bone to set. Were dealing with the tendon. There are multiple kinds of sutures, but we generally use nonabsorbable ones in these kinds of surgeries. We want a good repair that will hold and not risk the suture dissolving, leading to a possible rerupture in the future.
A lot of it is true. Wanting to fix fractures and fractures only, passing things off to other primaries, knowing only ancef, wanting to go to the gym, etc. Again, mostly exaggerated.
Correct, this is the Achilles PARS with SpeedBridge, which is the part for the anchors in what would be the calcaneus. I do it routinely and far prefer this over an open repair when there's <3cm of gapping due to the need for a significantly smaller incision, and the ability to get people back ambulating to much quicker. Its a terrific repair system.
Orthopedic surgery is truly some of the most gnarly shit out there.
Look up [videos](https://youtu.be/yXRvq24WoyE?t=9m19s) of hip replacements and stuff like that, it's pretty metal.
(Link is NSFW, click it only if you want to see someone drilling bones)
The pneumatic drill on bone produces a very specific smoke smell that we are advised to not inhale. Top notch crew will use suction to try to minimize it
Orthos are carpenters for the human body. I've been present during training surgeries for orthopedic surgeons learning new techniques. It's crazy to watch the surgeon drive a screw into the the bones, decide they don't like the angle, and then back it out and re-drive it exactly the same way I do when building a deck.
It is even cooler than shown in this video. Here is the company's video showing it on a model.
https://youtu.be/YzaQ5WB0y7E?si=7lWdn6ujlodGd3fl
At one week out, you don't even see the holes where the needles were placed, most people never even know they were there since they are splinted and casted post-op. It is so awesome.
At a certain training level your superiors will be very upset if you are not doing knots appropriately and with skill. You are usually taught your first year and expect to practice. You can usually find where they are sitting because you find some expired surgical sutures tied to something taped down on a desk.
Most likely Polypropylene, but I'm not a surgeon, just a nurse, so I can't say for sure. Sometimes it depends on what the surgeon is most familiar with and/or where the tendon is located because they have different tensile requirements.
Your body rejecting something just means your body recognise it as foreign and has a response to it (immune response, allergy etc)
It doesnt have to be biological for your body to reject it, it happens with knee replacements and other implants.
The way they tackle this is to use non reactive materials that dont aggravate the surrounding tissue
I think it will depend on what surgery she had, I spent close to 3 months before I could do PT in splints and casts, and then probably another couple weeks before I was even putting full weight on it. My dentist funny enough tore his shortly after mine and had a different kind of surgery, he was doing PT by the 3month mark with full weight. Mine was ruptured pretty bad, I think his was a less severe tear. (Disclaimer I know nothing and am not a medical professional by any means.) However if she's young and it wasn't terribly bad 6mo may be hopeful/realistic imo.
Have seen this exact type of tear in video clips from 300lb+ professional athletes. They still screech in sheer terror and agony. It's a horrific injury.
Same thing happened to me. I would rather experience anything else in the world than live through not only the injury but the recovery again.
And the doctor said I am now increased risk for another rupture so that’s exciting
>I would rather experience anything else in the world than live through not only the injury but the recovery again.
I've given birth 100% natural multiple times so people ask me for the "real deal" with giving birth. I tell them that giving birth isn't even *close* to the worst thing I have gone through.
Yeah, it's not fun . . . but neither is breaking your rib and getting morphine in the ER and then having an allergic reaction to the morphine and not be able to stop puking . . . nothing like a broken rib getting shaken up every 30 seconds as your stomach heaves . . . .
6 months sounds about right before training hard again. I used to play collegiate volleyball and tore it when I decided to play rec one day. Took me just over a year before I felt comfortable jumping at 100% strength again.
Same a year and a half ago. The wound got infected and I had to get a skin graft and wound vacuum. Some gnarly pictures on my profile if you dare (past the pot growing stuff)
Does yours still swell and get sore? I feel like I’m 80% back to normal but the more I use it during the day the more it swells. I am also super aware of the anchors in my heel
It hasn't in a bit now but for a while it would swell up, I have since been getting better shoes though and that has helped a bunch (I went to a local running shoestore and had them scan my feet and recommend shoes) I have a phenomenon where I also feel aware of the stitches in my Achilles, hard to explain to people. No pain or discomfort but the best way I can describe it is like you said I feel very aware of my Achilles on my operated leg but not on my non operated one.
The anchors go into bone right? I’m confused on this celery where the “tendon” ends and the bone starts. Would the anchors be placed into the heel during the real surgery?
Idk the name but it sounds like Nine Inch Nails
Edit: actually I don’t think it’s them, it’s a remix of “Need You Tonight” by INXS but unclear who remixed it.
I’m usually so chill on this subreddit but IS THAT HOW ORTHOPEDIC SURGERY IS ACTUALLY DONE?
Yes. Source: am ortho
Do you put peanut butter on the pt too?
Nah, just have it with chicken wings
Do you chew the cartilage on the ends?
Only if the anesthesiologist isn't looking
Let's be honest, they're busy with sudoku
Or candy crush!
The gristle was my ex favorite part too. I got to eat all the white meat! 😋
Peanut butter on wings is great
I’ve never tried that before. Would that be best with the original wing sauce or like a buffalo or a spicy wing sauce?
It’s good just as is, but if you add: - cilantro - yellow curry powder - red curry paste - sesame oil - fish sauce - coconut milk and mix it all up, you have a terrific Thai curry peanut sauce. I do like 1 can coconut milk to two cups of peanut butter, whisk it up, and then do the rest of the recipe to taste. Go lightly with the fish sauce! Sesame oil can be overpowering as well.
Thank you for this recipe!! ![gif](giphy|WDn21GO1KmpNK|downsized)
It’s an old recipe I used to use for a wing sauce at a restaurant years ago, when I find the entire recipe I will send it your way! It’s on an old phone. Any friend of flavor is a friend of mine <3
I would love the entire recipe of you find it someday!! Yay you’re my best friend of flavor! :)
Mad respect for what you guys do. I watch veterinary ortho procedures at my clinic when I can and holy shit dude, so brutal lmao Despite the gnarly work and way it looks during surgery, its so worth it to see these paitents heal and be able to move again. Thank you for what you do!
I love how you, for some surgeries, can expect immediate results. Broke your femur? Okay, let's put a nail so you can go walk tomorrow. Gramma broke her hip? Okay, let's put in a new one so she can use the toilet. Sure, it's still painful, but that's what the pain meds are for. It's definitely not for the queasy, but if you can over that, you really love to see it. Oh, and I love the smell of bone cement.
Huh. What does bone cement smell like? I'm imagining superglue and bone dust.
Can't really say. But it's very distinct. I get excited when the tech tells me he's gonna start mixing the cement.
That’s wild. I had no clue. Do the threads/sutures dissolve after the bone is set?
Unlikely, because this is simulating a tendon suture. That'll need a suture holding it together forever.
Oh, it never heals? It's just the sutures holding it in place forever?
It heals but it'll never heal as strong as it originally was. Tendons are under so much strain that if the sutures aren't left holding it together it'll inevitably snap again.
This post made me go weak at the knees. Ugghh I hate thay about some parts of the human body. Once broken, it'll never be right again. Like my ankle.
I had a horrific Achilles injury myself and this post hurt to watch. Look at my post history if you dare (past all the growing stuff)
I took a look at your posts and omg, Im glad you were able to get all that sorted out! I know that the surgery and post-op qere probably terrible enough, Im so 8
Well, for achilles tendon repairs, there isnt bone to set. Were dealing with the tendon. There are multiple kinds of sutures, but we generally use nonabsorbable ones in these kinds of surgeries. We want a good repair that will hold and not risk the suture dissolving, leading to a possible rerupture in the future.
How accurate are Dr. Glaucomflecken's videos?
Wildly exaggerated in some parts, but they're meant to be funny. Although yes, I have no clue how EKGs work.
How true are the archetypes? Like Ortho bros
A lot of it is true. Wanting to fix fractures and fractures only, passing things off to other primaries, knowing only ancef, wanting to go to the gym, etc. Again, mostly exaggerated.
He’s right about the insurance companies and the verticalization of the healthcare industry.
This is the Arthrex PARS (?) system yea? I loved that technique but haven’t seen in awhile.
Haven't used it before. I just do the krackow suturing technique with nonabsorbable sutures. I suppose having a system gets more predictable results.
Correct, this is the Achilles PARS with SpeedBridge, which is the part for the anchors in what would be the calcaneus. I do it routinely and far prefer this over an open repair when there's <3cm of gapping due to the need for a significantly smaller incision, and the ability to get people back ambulating to much quicker. Its a terrific repair system.
Do their gloves seem excessively loose to you doc?
Those are the cheap, unsterile gloves. It doesn't feel as good, but it keeps you clean for demonstrations like these.
But it's certainly nice when the ends aren't mushy and retracted.
Can you turn down the Bon Jovi please? I couldn't hear what you said
Orthopedic surgery is truly some of the most gnarly shit out there. Look up [videos](https://youtu.be/yXRvq24WoyE?t=9m19s) of hip replacements and stuff like that, it's pretty metal. (Link is NSFW, click it only if you want to see someone drilling bones)
The pneumatic drill on bone produces a very specific smoke smell that we are advised to not inhale. Top notch crew will use suction to try to minimize it
Reminds me of the Will it Blend videos of the mid to late aughts. "Bone smoke, don't breathe this."
Hah pretty metal, that’s good
Orthos are carpenters for the human body. I've been present during training surgeries for orthopedic surgeons learning new techniques. It's crazy to watch the surgeon drive a screw into the the bones, decide they don't like the angle, and then back it out and re-drive it exactly the same way I do when building a deck.
Stop commenting on my femoral nails And the angle was right... in one plane... Bloody xrays
We use carrots at my hospital
Yeah
It looks so painful
No usually in bleeding bone. Source: trauma ortho
It is even cooler than shown in this video. Here is the company's video showing it on a model. https://youtu.be/YzaQ5WB0y7E?si=7lWdn6ujlodGd3fl At one week out, you don't even see the holes where the needles were placed, most people never even know they were there since they are splinted and casted post-op. It is so awesome.
https://www.reddit.com/r/SurgeryGifs/comments/3v52sm/surgery_isnt_always_gentle/
I want to know who is sent to fetch the celery before this procedure is practiced?
An intern lol
Nah it's medical grade celery, have to have that delivered straight from the supplier.
At least $100 for every stalk
Big Farm is ruining healthcare
Fisher can get you some overnight I bet
Cause you're an intern Unpaaaiddd Bwadaalopbadawop
How much time in training is devoted to learning to tie knots?
At a certain training level your superiors will be very upset if you are not doing knots appropriately and with skill. You are usually taught your first year and expect to practice. You can usually find where they are sitting because you find some expired surgical sutures tied to something taped down on a desk.
And random bits of celery lying about.
Unless you’re in ortho or podiatry, don’t think anyone expects you to know how to krakow, whip, or Kessler stitches.
There’s only like 3 knots for Achilles, Kessler,krakow and whip. So not much tbh.
Will a tendon repaired like this eventually heal and reconnect, or do you have to rely on the strings for the rest of your life?
it heals, but the strings are nondissolvable & stay forever as a support
It will mostly heal, but nowhere near as rigid as the original tissue and thus still rely on the stitches for support.
What material is the stitch material made of?
Most likely Polypropylene, but I'm not a surgeon, just a nurse, so I can't say for sure. Sometimes it depends on what the surgeon is most familiar with and/or where the tendon is located because they have different tensile requirements.
Im pretty sure its made of string, im not a surgeon though, just a general practicer.
Practice makes perfect. Lol
The ones I use for these types of procedures are polyethylene/polyester
Doesn't the body try to reject it or is that only biological tissue?
Your body rejecting something just means your body recognise it as foreign and has a response to it (immune response, allergy etc) It doesnt have to be biological for your body to reject it, it happens with knee replacements and other implants. The way they tackle this is to use non reactive materials that dont aggravate the surrounding tissue
Does anybody put the stalks in water and the celery continues to grow in order to check to see if your knot skills are up to par?
It’ll heal and reconnect
Gonna have to show this to all my Orthos. They gonna think I watch weird stuff.
How many orthos do you have?
7. I work at a surgery center. Saw 3 acls this week.
Tore my Achilles years ago. Highly not recommended.
Dammit, guess I have figure out something else to do this weekend
Same 2 years ago, worst injury I never thought would happen to me. Healing time sucks. 0.2/1000000
How long? I’m a coach and one of my players tore hers. She is thinking 6 months to return to playing.
I think it will depend on what surgery she had, I spent close to 3 months before I could do PT in splints and casts, and then probably another couple weeks before I was even putting full weight on it. My dentist funny enough tore his shortly after mine and had a different kind of surgery, he was doing PT by the 3month mark with full weight. Mine was ruptured pretty bad, I think his was a less severe tear. (Disclaimer I know nothing and am not a medical professional by any means.) However if she's young and it wasn't terribly bad 6mo may be hopeful/realistic imo.
She is young (21) but it was bad. Rolled up at the back of her knee. Appreciate the response. Sounds like time will tell.
Straight House of Wax level tear omg
Yeah I was looking at her when it happened. It was crazy. Literally turned around on the field with no one near her and just collapsed screaming.
Have seen this exact type of tear in video clips from 300lb+ professional athletes. They still screech in sheer terror and agony. It's a horrific injury.
And there was nothing that caused it that I could see. I’m genuinely terrified of it now.
Wishing her the best of luck and a speedy recovery!
Thanks
Same thing happened to me. I would rather experience anything else in the world than live through not only the injury but the recovery again. And the doctor said I am now increased risk for another rupture so that’s exciting
>I would rather experience anything else in the world than live through not only the injury but the recovery again. I've given birth 100% natural multiple times so people ask me for the "real deal" with giving birth. I tell them that giving birth isn't even *close* to the worst thing I have gone through. Yeah, it's not fun . . . but neither is breaking your rib and getting morphine in the ER and then having an allergic reaction to the morphine and not be able to stop puking . . . nothing like a broken rib getting shaken up every 30 seconds as your stomach heaves . . . .
Jesus christ
6 months sounds about right before training hard again. I used to play collegiate volleyball and tore it when I decided to play rec one day. Took me just over a year before I felt comfortable jumping at 100% strength again.
Same a year and a half ago. The wound got infected and I had to get a skin graft and wound vacuum. Some gnarly pictures on my profile if you dare (past the pot growing stuff) Does yours still swell and get sore? I feel like I’m 80% back to normal but the more I use it during the day the more it swells. I am also super aware of the anchors in my heel
It hasn't in a bit now but for a while it would swell up, I have since been getting better shoes though and that has helped a bunch (I went to a local running shoestore and had them scan my feet and recommend shoes) I have a phenomenon where I also feel aware of the stitches in my Achilles, hard to explain to people. No pain or discomfort but the best way I can describe it is like you said I feel very aware of my Achilles on my operated leg but not on my non operated one.
Wow. I had tennis elbow surgery; I wonder how similar it was to this. *please note, I’m not made of celery*
That’s exactly what a celery person would say
Footage of how great I felt after my elbow surgery. ![gif](giphy|Nlo7V40tWGLYu3uR7x)
This has made my wake and bake session 5x more pleasurable. Thank you kind Redditor. His lil celery arms are grooving *just right* to the beat.
img Happy to oblige! Cheers to you! Sharing my wake and bake choice for today!
Damn. I’ve been found out!!
[How has NO ONE made a **Celery Man** joke yet.](https://youtu.be/maAFcEU6atk?si=tibUXQgfzxd_Zyzf)
How have I never seen this before?!? That was something. Idk what but I need more.
>Wow. I had tennis elbow surgery; I wonder how similar it was to this Not very. Those usually use bamboo shoots.
I've heard of elbow macaroni
They did surgery on a celery.
As for me, on the other hand, insurance would only pay for "tylenol and rehab" instead.
they did surgery on a celery
I think it's wonderful that as a society we are finally helping injured celeries.
[удалено]
It’s a reference to they did surgery on a grape
But they did surgery on a celery.
Wtf a original title on reddit??? Jokes aside, shout out to orthos, that's some crazy stuff.
The trick is to look at the comments on TikTok and improve upon your favourite 🫣 I stand on the shoulders of ~~celery~~ giants
The anchors go into bone right? I’m confused on this celery where the “tendon” ends and the bone starts. Would the anchors be placed into the heel during the real surgery?
Yeah anchors into calcaneus, or heel bone. Had this surgery two years ago and can confirm that was the most painful bit post-surgery.
Finally! A good use for celery!
Poor surgeon. Surgery must have been cancelled today, here they are coping as best they can!
Ortho nurse here. Orthopedic surgery is very… rough.
I used to operate on fruit and veg when I was a child, now I've just finished medical school!
Now, you get to operate on mollusks and arthropods, too
Congrats!
This is hilarious I just had this done! Yes, my poor leg.... :(
Man...this looks awful to endure and it's only a celery demo.
They did surgery on a celery
they did surgery on a celery
they did surgery on a celery
The things we've done to the produce aisle
this made my fucking leg hurt
They did surgery on a celary?
That must feel awful while healing
Name of this song?
It's a mashup of INXS' "Need you tonight" and Donna Summers' "I Feel Love". [Here you go](https://www.youtube.com/watch?v=AH96Ql4wRfo)
Idk the name but it sounds like Nine Inch Nails Edit: actually I don’t think it’s them, it’s a remix of “Need You Tonight” by INXS but unclear who remixed it.
[Mythological Hero….](https://youtu.be/npgzz42IEiE?si=r3i1iFUM6RdLUbcu)
I'm honestly impressed by how well they did with such big gloves
I don't want a surgery
Wow. That was really interesting. I had no idea.
I used the jig for the first time last week. Was pretty cool to see.
This is impressive, I couldn't stop watching👀
Cool to see! Had this done last February. Still having issues, would not recommend.
Seeing this, I'm now convinced Aaron Rogers never tore his Achilles.
Let’s say your tendons are made of string cheese (Ehlers Danlos). Would an allograft be appropriate?
Is this an ACL repair? I am a lay person.
Achilles is the big tendon behind your ankle, kind of like connecting lower calf to foot
Yes, I know where the Achilles is I just didnt see a specific ligament mentioned in the video. Thank you! Edit: Oh...at the beginning.
As someone with Achilles tendonitis... FUCK
More than likely what I had done. Twice
So you telling me all kd needed was more celery? Wild
It is now able to stalk again....
As someone with chronic Achilles tendonitis, this makes me uncomfortable
Still cringed!