Kissena Forum Archive

Injury: Sprains, Strains, Breaks & Insurance

1422 comments · 11940 views
Here's hoping you get a tapeworm, Yaks.
Jeff has been casually "inquiring" about medical grade tapeworms for some time. Lisa still says "no" by the way...
how about bilharzia? I hear it makes you climb better.
If it will help me loose weight...I'm all in!  Disney & Christmas has me singing, "fat guy in a little kit".

http://www.youtube.com/watch?v=BYB3Fx0a8-4
Starting 10 days of penicillin.  Turns out I've been nursing strep throat for at least a week.

Last round of anti-biotics was for what looked like MRSA after busted ribs.  Couldn't ride hard, so its adverse effects weren't an issue in terms of training.  The previous round of a-b's was cipro after a case of e.coli.  Cipro killed that stuff, but also killed me.  I got worse on the bike every day I took the stuff.  

Questions.  What should I expect or not in terms of how penicillin kills the good stuff as well as the bad?  There's very little about this online,other than "yes, I worked out with no problem" and "reduce intensity and volume."
JP. You may remember that I was complaining about being on antibiotics last summer after returning from Hawaii with Lyme disease (an unhappy coincidence - there are no Lyme bearing ticks in Hawaii). I felt like crap for a couple of days and blamed the a-b's 
(by the way, my recent research into use of apostrophes indicated that they should only be used to indicate posessive and not to pluralize acronyms). 
Anyway, the treatment for lyme disease is 4 weeks, and based on the way I felt after the first week I reckoned I would be crawling by week 4. But things rebounded such that I wonder in retrospect whether my malaise wasn't due as much to prolonged jet lag as to the antibiotics.
I don't remember the particular a-b prescribed (not penicillin), but look up Lyme disease if you are interested; I took the  standard ointment.
And regard to my microbiota - which I was actually rather worried about given the long time course - I made it a habit of eating live yogurt, but was surprised to not have any gastrointestinal issues whatsoever.

dstokes said:
(by the way, my recent research into use of apostrophes indicated that they should only be used to indicate posessive and not to pluralize acronyms). 
NY Times citing Chicago Manual of Style says that you use the apostrophe if the acronym includes punctuation: multiple C.D.'s; multiple CDs. http://afterdeadline.blogs.nytimes.com/2010/04/13/faqs-on-style/?_r=0 

It's behind a paywall, but the relevant Chicago Manual provisions are 10.4 and 7.14.
AP Style forever.
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Saddle sores after this weekend are making riding difficult. Has never been a problem in the past. I'm assuming racing back to back days in the rain had something to do with
It. What should I do?
I'm sure others will add more wisdom, but I'd first say that you should keep it clean and dry. A light cortisone cream can sometimes help bring it down a little sooner. I'd reduce your riding for the next few days, especially hard riding in big gears. If you must ride with a sore, apply some Boil Ease and then apply chamois cream. If you haven't used chamois cream before, you may want to now. I've been using Chomper Body the last few years and it's been good to me (plus it's a local NYC product). As a general rule, to prevent sores, try to get out of your bibs as soon as you can after a ride/race and then clean and dry the area. There are a few reasons why they can occur: bacteria, ingrown hair, friction. If it keeps recurring, I'd guess it's an ingrown hair causing the problem. I leave it up to your imagination on how you'd deal with that. But make sure you deal with it as best you can. And take solace that you now have something in common with Boonen. http://inrng.com/2011/09/boonen-saddlesore/
clean and dry, clean and dry. but sometimes, I am just really chafed, in which case I keep it moist.
I don't mind riding on it if it doesn't hurt too much. also, for me anyway, I find bigger gears make it easier to float on the saddle.

JP, Marc, you've been at this a bit - what do you find works best?
Desitin is a miracle drug for rapid butt healing. That's why baby's use it. Just think what their butts have to contend with!

In the future, use some kind of chamois stuff pre-ride. I started used Chamois Butter after some post-Bear Mtn ride problems. Long rides with a wet chamois can definitely be problematic, either from rain or from sweat. I don't use it every day. Just for long rides or bad conditions.


I'd defer to doctor Roazen. But this how I'd approach it:
Really infected — as seen in the movie Alien — stab with an exacto (sterilized), then lot's of peroxide, then Neosporin as per below.

Moderately infected: Lots of Neosporin (check the expiry date) every 3-4 hours. Doctor recommended this regime and it really makes a difference to healing time.

It's definitely a chafed situation. Thanks guys.
First, wash shorts after each ride.

second, wash down there with soap. Dry.

third, apply some kind of ointment.  There are expensive ones from Assos and DZ nuts and some others, but the cheapies work find.  Desitin is good--but hard to get out of clothes.  

fourth, apply some kind of lube down there before riding when chafed.  Euros like to put it on the shorts, Americans seem to like to put it on the skin.

fifth, keep oil-based lubes away from your chamois--they're only for when you're wearing less-expensive undergarments.

sixth, now that you've identified a problem, remember to apply pre-ride if it's wet outside.  Or if you're expecting alot of grinding in the saddle--like during long time trials or mountainous days, perhaps cx.


I haven't had any problems since I started using DZ Nuts (worst name EVAR). Maybe it's the tea tree oil. Rub it in chamois and across the stitching area to where your body goes from crotch to legs in the groinal regions (yes, I took anatomy and physiology). I used to get sores in the fold areas where that section connects with the bottom of your butt cheeks. But then again my ass is huge and it kinda hangs over my hamstrings. TMI!!!!!
Ditto. DZ nuts, and never rewear a dirty chamois.
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It's the season for Racing, and "Rubbin's Racin" so it's time to buff up on your Road Rash treatment knowledge.

http://sportsmedicine.about.com/cs/injuries/a/abrasions.htm

DO: clean carefully with mild soap and tap water
DON'T: use hydrogen peroxide to clean
DO: get it professionally cleaned (ER or urgent care) if you cannot get all the dirt/chain lube out
DON'T: let it dry out
DO: keep it moist with Tegaderm or something similar
DON'T: ignore warning signs like a spreading red boundary around the wound (cellulitis is a serious problem)
DO: appreciate your skin is an organ and your body will be using a lot of energy in the first week or two to recover
DON'T: re-use a helmet that has been crashed on!  Time for new, Significant Others are very supportive of "new, safer" helmets as a rule.  Orange Floro has been shown by #science to be more impact resistant, fyi.

Stay safe out there!
Bag Balm
As the warn weather is coming upon us, everyone remember to be extra cautious when in the parks and crossing the bridges during the middle of the day. you don't want to ruin your season by crashing into a jogger or pedestrian.

I went down pretty hard today while going over the brooklyn bridge around 1pm. i was on the downhill headed into manhattan, and someone stepped right in front of me into the bike lane, hooked my arm, and i went over the bars.

my first though was "crap i hope me and my bike are not broken, because battenkill is in 4 days, ha"

the pedestrian was totally fine, and never actually went down, which was good. l walked away with a few nice bits of road rash, a mangled day old kit (so if anyone ordered an extra pair of small fleece arm warmers that they want to part with, I'm your guy, hahaha), a bent derailleur hanger, and a few bits in the cockpit that were able to fixed with some allen keys. 

now my ride to nyack will be replaced with some advil and watching 'cosmos.'


@JeffApruzzese-Sorry to hear that.  Heal well.
Bummer Jeff. That bridge is a menace but I guess it could happen anywhere. Heal up.
@Apruzzese - Sorry to hear, but glad you're able to walk away from it.


Shoot, that's bad news.  Heal fast.  Brooklyn bridge with crowds or the Manhattan bridge and Canal cross town, no easy way to do it.  We need a bike tunnel.
Feel better dude
That sucks Jeff, you need Vlad in front of you at the BB in order to police the crowds. Glad you're OK, it could have been much worse.
Torn kit = Punk as Fuck.   Heal up, man.

Yes, my commute over the hipster highroad (Williamsburg Bridge) and up 1st was a sign of what's coming: tons of people who haven't touched a bike since October! (or ever)

Just take it slow, shake your head, and cross your fingers.
Cosmos is great to watch.. but im glad youre ok otherwise @Jeff