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Knees and NHS

At the CSW XML Sum­mer School, there was a rock night fea­tur­ing a num­ber of Sum­mer School speak­ers and attendees in the band. I decided dan­cing was more my style (I sing, but my voice is bet­ter suited to dif­fer­ent music). And then I man­aged, part-way through the even­ing, to dam­age my knee. It was still hurt­ing a lot in the morn­ing, so I decided that I should get it checked out.

So there we were in the sum­mer school office, me call­ing the travel insur­ance com­pany and Nata­sha call­ing local doc­tors, to find the appro­pri­ate place. They all ended up con­ver­ging on recom­mend­ing one of the local hos­pit­als with an ortho­paedic depart­ment, so off we went.

My impres­sion over­all was good. At 10 am on a Wed­nes­day morn­ing the hos­pital was almost empty so ser­vice was rel­at­ively fast; the form-filling sys­tem was extremely inef­fi­cient with lots of redund­ant inform­a­tion (e.g., name of the coun­try you come from as well as a code for the coun­try you come from which was looked up on a paper list). The care was free (which the travel insur­ance didn’t know; they were sur­prised when I called back later and said I didn’t need to pay any­thing). The hos­pital looked new with lots of nat­ural light and trees in pots and a photo-montage of the 11 moon phases dur­ing the lunar month. And then a pin­board with ads for the organ donor registry (it appears to have been “National Trans­plant Week”) and bro­chures with titles like “Buddhism and Organ Dona­tion” cov­er­ing the major reli­gious beliefs (Buddhism, Sikhism, Chris­tian­ity, Juda­ism, Hindu Dharma).

The knee was pro­nounced to be in need of time to heal but no sur­gery; a relief after my pre­vi­ous arth­ro­scopy exper­i­ence on the other knee. The inter­est­ing thing was that the res­id­ent told me to take max­imum doses of both paracetamol (the UK ver­sion of acet­aminophen) and ibupro­fen. Jenni Ten­nison (whose father is a doc­tor) told me this is com­mon in the UK as the two pain killers have dif­fer­ent effects and work on dif­fer­ent sched­ules, so tak­ing both helps in con­trolling the pain.

Almost 6 weeks later, after physio­ther­apy every week back home in Van­couver, the knee is almost com­pletely back to nor­mal. My physio told me, once the swell­ing had sub­sided enough to actu­ally be able to judge, that I’d sprained my knee rather than tear­ing car­til­age. So that was the good news. And going back to Pil­ates after their sum­mer break will help as well.

It’s funny, the way you learn things about the body only when you have some reason to. Like the fact that many women are knock-kneed (the root cause of my knee prob­lems) and tend to prona­tion, simply because of the way the legs are con­nec­ted to the hips. I guess in terms of evol­u­tion, hav­ing bad knees is not a great disadvantage.