Pulled a Mikey

What dosage are you guys at for long term use? I have what is called a starter pack that has me at 15 mg twice daily for 3 weeks then switching to 20 mg once daily for another week. Following up from there based on my PCP's determination of my need. So far I've had a bit of an issue with bleeding from my urethra due to a scrap caused by self'-cathing a few days before starting the "X" pills. Hope it resolves soon, it's a bit messy and ugly.
 
What dosage are you guys at for long term use? I have what is called a starter pack that has me at 15 mg twice daily for 3 weeks then switching to 20 mg once daily for another week. Following up from there based on my PCP's determination of my need. So far I've had a bit of an issue with bleeding from my urethra due to a scrap caused by self'-cathing a few days before starting the "X" pills. Hope it resolves soon, it's a bit messy and ugly.
'Self-cathing', LOL! You must really like pain! I'm on 20mg daily, and am continually amazed at how little I bleed when mtb scrapes happen (basically on every ride).
 
I like peeing. Cathing not so much. That's my lifetime thing. I carry somethings different from most when I am out on my all day mtb excursions. I see my primary dr. tomorrow and see what he has to say about all this mess.
 
I like peeing. Cathing not so much. That's my lifetime thing. I carry somethings different from most when I am out on my all day mtb excursions. I see my primary dr. tomorrow and see what he has to say about all this mess.
Not "like" per se, but "respect" your situation. Sounds dreadful, honestly.

I was on 20 mg Xarelto daily after my back surgery (and blood clot) in January 2022. Reduced back to 10 mg daily in a few months. I saw my vascular surgeon today and had a routine ultrasound. All is well. Stay with 10 mg / day. "Go ahead and keep playing hockey, surfing, mt. biking, snowboarding, etc. Activity is good for you."
 
I was told the standard course is 6 mo. for treatment resulting from a precipitating event like surgery. I had a clot in the same leg after my shoulder surgery in 2015 but it was shallow and only treated for 30 days. I wonder if I will be on this forever or a shorter period. With the low dose aspirin after surgery for 3 weeks I had bruises all over. It'll be nice if the Xarelto is different. I hope it chews through the clots and the swelling in leg and foot finally abates.

I understand and agree that "activity is good" for me, but I am having an existential crisis about whether or not I can realistically include mountain biking in the list going forward.
 
Heal up man. Blood clots are scary. I got a pulmonary embolism, 3 actually, after surgery on my collarbone. Was on Xarelto for six months. Needless to say if you have any pain in your lungs get yourself to the ER. When you're a bit more recovered you may also want to see a hematologist to be checked for any genetic conditions or other causes for the clotting just to be sure. In my case it was all negative.
 
Followed up with the surgeon yesterday. Healing coming along fine. Gradual work up to 50% weight bearing over the next 2 weeks then full weight (still with walker) until the next check-up at the end of this month. PT and probably switch to a cane at that point. So progress is being made however slowly.

The damage done...

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Brief update at the ~3 month mark since surgery: Cleared to put full weight on right leg, use cane instead of walker (started this morning-small victory), and have been prescribed PT which will begin shortly. Am able to drive and get out of the house, thankfully. Slow steady progress. Some pain, more so lately probably related to being more active and using the leg and hip, but been off any pain meds for a month and am doing OK with it. Still can't see the light at the end of the tunnel. Go back to see the surgeon in 3 months and hope to have made some more progress by then. Biking, still a distant thought, both in terms of physical and mental conditions.
 
Brief update at the ~3 month mark since surgery: Cleared to put full weight on right leg, use cane instead of walker (started this morning-small victory), and have been prescribed PT which will begin shortly. Am able to drive and get out of the house, thankfully. Slow steady progress. Some pain, more so lately probably related to being more active and using the leg and hip, but been off any pain meds for a month and am doing OK with it. Still can't see the light at the end of the tunnel. Go back to see the surgeon in 3 months and hope to have made some more progress by then. Biking, still a distant thought, both in terms of physical and mental conditions.
Thanks for the update. Stick with it, patience, this too shall pass. :thumbsup:
 
Followed up with the surgeon yesterday. Healing coming along fine. Gradual work up to 50% weight bearing over the next 2 weeks then full weight (still with walker) until the next check-up at the end of this month. PT and probably switch to a cane at that point. So progress is being made however slowly.

The damage done...

View attachment 90414
Holy Crash Shrapnel Batman!:eek: Tom, hang in there buddy.
 
Small victories along the way! Had a follow up ultrasound on the right leg and it came back clear of blood clots with normal circulation. Dr. said I'd be able to come off Xarelto if this was the case, so hopefully he'll approve that next week. Just a little over 3 months I think, which surely beats 6 or 12 or forever.

Also, have been doing PT for 3 weeks and seeing improvement in strength and flexibility. Am walking around the house w/o the cane. Still with a pronounced limp like Grandpa McCoy but hey it's progress. Finally a bit stoked this morning.
 
Small victories along the way! Had a follow up ultrasound on the right leg and it came back clear of blood clots with normal circulation. Dr. said I'd be able to come off Xarelto if this was the case, so hopefully he'll approve that next week. Just a little over 3 months I think, which surely beats 6 or 12 or forever.

Also, have been doing PT for 3 weeks and seeing improvement in strength and flexibility. Am walking around the house w/o the cane. Still with a pronounced limp like Grandpa McCoy but hey it's progress. Finally a bit stoked this morning.
Yes! Glad to hear!
I had a little incident yesterday to share. It tells me if we keep riding these mountain bike thingies we are never out of the woods. But thats what makes us who we are. Between us and the finish line it’s full of adventure most never get a glimpse of! Drive on buddy! Finish well! :inlove::thumbsup:
 
Small victories along the way! Had a follow up ultrasound on the right leg and it came back clear of blood clots with normal circulation. Dr. said I'd be able to come off Xarelto if this was the case, so hopefully he'll approve that next week. Just a little over 3 months I think, which surely beats 6 or 12 or forever.

Also, have been doing PT for 3 weeks and seeing improvement in strength and flexibility. Am walking around the house w/o the cane. Still with a pronounced limp like Grandpa McCoy but hey it's progress. Finally a bit stoked this morning.
Sounds great!

But I've been on Coumadin and now Xarelto forever. It's fine.
 
Small victories along the way! Had a follow up ultrasound on the right leg and it came back clear of blood clots with normal circulation. Dr. said I'd be able to come off Xarelto if this was the case, so hopefully he'll approve that next week. Just a little over 3 months I think, which surely beats 6 or 12 or forever.

Also, have been doing PT for 3 weeks and seeing improvement in strength and flexibility. Am walking around the house w/o the cane. Still with a pronounced limp like Grandpa McCoy but hey it's progress. Finally a bit stoked this morning.
Hey! Checking on you… How be YOU?
 
Fair to middlin'. Thanks for asking. Spent the week in Paso fooling around and drinking a variety of wines that I was unfamiliar with. First extended drive and time out of the house since the "event." Came home with two cases worth, so besides being an impulse wine buyer, it was really good.

4 months post-surgery and can't say I am more than 50% recovered. PT has helped the last 3 weeks, but seems to be hitting the point of diminishing returns. The feeling is one of doubt about ever getting back to walking normally much less being able to ride if I want to later (gone through WTF? disbelief, to anger, to depression all overlaid with enormous frustration. There is no acceptance other than it is what it is and I am screwed. How have you handled your hip surgery and now the new ankle problem? Have you ever fully recovered from the last smash up? I know you are a positive person. I think of myself as a realist with a negative overlay. Oh, and not patient in most things especially being "a" patient. Anyway, post-4 hr drive home today with a bum hip and just draining my first Cadillac margarita. The only medicine that helps with pain and attitude. :confused:
 
Sorry to hear about your slow healing and the frustration that comes with it. I believe you will get back to 80-90% - with that much hardware, 100% is probably a pipe dream.

Keep the faith Tom!
 
Fair to middlin'. Thanks for asking. Spent the week in Paso fooling around and drinking a variety of wines that I was unfamiliar with. First extended drive and time out of the house since the "event." Came home with two cases worth, so besides being an impulse wine buyer, it was really good.

4 months post-surgery and can't say I am more than 50% recovered. PT has helped the last 3 weeks, but seems to be hitting the point of diminishing returns. The feeling is one of doubt about ever getting back to walking normally much less being able to ride if I want to later (gone through WTF? disbelief, to anger, to depression all overlaid with enormous frustration. There is no acceptance other than it is what it is and I am screwed. How have you handled your hip surgery and now the new ankle problem? Have you ever fully recovered from the last smash up? I know you are a positive person. I think of myself as a realist with a negative overlay. Oh, and not patient in most things especially being "a" patient. Anyway, post-4 hr drive home today with a bum hip and just draining my first Cadillac margarita. The only medicine that helps with pain and attitude. :confused:

None of us will get back to what we use to be.
That trail has been overgrown and will disappear, so it's on to the next trail of life.
Hang in there, it may not be what we hope for, but it's still the journey and not the destination, that keeps me going.
 
Fair to middlin'. Thanks for asking. Spent the week in Paso fooling around and drinking a variety of wines that I was unfamiliar with. First extended drive and time out of the house since the "event." Came home with two cases worth, so besides being an impulse wine buyer, it was really good.

4 months post-surgery and can't say I am more than 50% recovered. PT has helped the last 3 weeks, but seems to be hitting the point of diminishing returns. The feeling is one of doubt about ever getting back to walking normally much less being able to ride if I want to later (gone through WTF? disbelief, to anger, to depression all overlaid with enormous frustration. There is no acceptance other than it is what it is and I am screwed. How have you handled your hip surgery and now the new ankle problem? Have you ever fully recovered from the last smash up? I know you are a positive person. I think of myself as a realist with a negative overlay. Oh, and not patient in most things especially being "a" patient. Anyway, post-4 hr drive home today with a bum hip and just draining my first Cadillac margarita. The only medicine that helps with pain and attitude. :confused:
Tom, not what I wanted to hear. My pelvis is Elvis, good to go. But it was only a compound fracture and did not require surgery.

The knees have performed better than anticipated on a bike, but there are areas I wish they performed better in. For example, I can’t get ON my knees. May not sound like a biggy, but imagine working on things like under the sink, or getting up off the floor without getting on your knees first. :unsure:

To be honest, this last one concerns me more than any of the others. Having a plate where my shoe goes does not sound comfortable. The ankle is where everything starts, walking, pedaling…

Here is an odd side of me… I am indeed an impatient patient. My drive of competition in everything I do motivates me to be the first for everything. Fastest healer, first to the top, first back to the trailhead. Outwardly a complainer behind closed doors, but optimistic and driven in front of others.

We have had so many inspiring people in the world who have done amazing things in spite of their situations. They should inspire us to be more like them and drive excellence in our lives.

As I was leaving the Orthopedic office Wednesday after hearing my news of another surgery, I was feeling that low. When I went through the door back to the waiting room, a man and his wife were sitting waiting their appointment. His left foot was bandaged and his other leg was missing.:gotnothing: You and I? We have it pretty good!

When I can’t inspire myself Tom… I do everything I can, to inspire others. Within that process I regain hope and courage for myself.

The last thing I want to have is a perfect body in my grave. I’m going to beat the Sh!t out of this body doing what I love to do. I’m going to wear out everything I got to the very last moment.

When I’m dead and gone, I want people to remember me as that crazy MF’er that lived life to the fullest and inspired others to do the same.

Let’s set course together Tom to be those crazy MoFo’s that others talk about.
Never give in, never give up!:)
 
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4 months post-surgery and can't say I am more than 50% recovered. I'm that always-positive weirdo. Not to be cruel, but 4 months post op is nothing. I can only refer to having two knees replaced. I'm now at 3 years post-op on one knee and 17 months on the other. I am STILL GETTING BETTER EVERY MONTH.

PT has helped the last 3 weeks, but seems to be hitting the point of diminishing returns. - Just like what happens when all of us started to get back into riding in our 40's. You hit a plateau, get frustrated and simmer. Then you grind out an extra 1500' one ride and feel great. Dude, you just drove for FOUR hours and lived to tell about it. I'd say congratulations!!

For example, I can’t get ON my knees - Mikie, I was the same. About two months ago, I was practicing getting up off the floor using only one hand for assistance. I started another rep, knew I wasn't going to make it and simply lowered myself to my knees. It took me a few seconds to realize what I'd done. Hmmmm, it wasn't comfortable but it sure a hell wasn't that sharp knife-jab felling either. Now, I can use my foam floor pad for 30+ minutes and feel great later in the day.

Blixet, keep at it and plow thru the stalls. It WILL get better.
 
4 months post-surgery and can't say I am more than 50% recovered. I'm that always-positive weirdo. Not to be cruel, but 4 months post op is nothing. I can only refer to having two knees replaced. I'm now at 3 years post-op on one knee and 17 months on the other. I am STILL GETTING BETTER EVERY MONTH.

PT has helped the last 3 weeks, but seems to be hitting the point of diminishing returns. - Just like what happens when all of us started to get back into riding in our 40's. You hit a plateau, get frustrated and simmer. Then you grind out an extra 1500' one ride and feel great. Dude, you just drove for FOUR hours and lived to tell about it. I'd say congratulations!!

For example, I can’t get ON my knees - Mikie, I was the same. About two months ago, I was practicing getting up off the floor using only one hand for assistance. I started another rep, knew I wasn't going to make it and simply lowered myself to my knees. It took me a few seconds to realize what I'd done. Hmmmm, it wasn't comfortable but it sure a hell wasn't that sharp knife-jab felling either. Now, I can use my foam floor pad for 30+ minutes and feel great later in the day.

Blixet, keep at it and plow thru the stalls. It WILL get better.
Thanks Duke! Thanks for this encouragement! :thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup:
 
Thanks Duke! Thanks for this encouragement! :thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup::thumbsup:
I second this! I am going to mull things over a bit before I respond any more right now. Just got back from grocery shopping since we were low on supplies. Need to stop by the pharmacy for some reason, message that they are holding something for me, not sure what it would be. Then we are going out to lunch. So apparently I am too busy to sit around and moan about life. ;)
 
I second this! I am going to mull things over a bit before I respond any more right now. Just got back from grocery shopping since we were low on supplies. Need to stop by the pharmacy for some reason, message that they are holding something for me, not sure what it would be. Then we are going out to lunch. So apparently I am too busy to sit around and moan about life. ;)
You ROCK @blixet ! You rock!
 
4 months post-surgery and can't say I am more than 50% recovered. I'm that always-positive weirdo. Not to be cruel, but 4 months post op is nothing. I can only refer to having two knees replaced. I'm now at 3 years post-op on one knee and 17 months on the other. I am STILL GETTING BETTER EVERY MONTH.

Blixet, keep at it and plow thru the stalls. It WILL get better.

Agreed...while I luckily haven't been thru this, a buddy of mine was injured down in Baja this Spring in a dirt bike accident. He went OTB and had a severe back injury and was rushed back to the the US where surgery was done in a trauma hospital in San Diego. He was told to expect to be "uncomfortable" for at least a year and full recovery may take twice that. When I saw him in August, he seemed happy overall but was moving like he was 90 and was obviously uncomfortable.
 
Agreed...while I luckily haven't been thru this, a buddy of mine was injured down in Baja this Spring in a dirt bike accident. He went OTB and had a severe back injury and was rushed back to the the US where surgery was done in a trauma hospital in San Diego. He was told to expect to be "uncomfortable" for at least a year and full recovery may take twice that. When I saw him in August, he seemed happy overall but was moving like he was 90 and was obviously uncomfortable.
We’re not the ones retired in an old folks home playing card games…;)
 
However, there's always this...


Released about a month ago NEW Rolling Stones - as in, octogenarians Keith, Mick and Ron, with some Bill Wyman - drums by Steve Jordan, bass by Daryl Jones. Enjoy and marvel in what some people can do at 80!

PS: The video ain't bad either!
 
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