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Old 03-15-2001, 10:20 AM   #1
elitegroup
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I'm not sure what drainage of the leg is? Is his leg swollen and releasing pus out of a tube? Damn I hope it sounds worse on paper then it actually is because skin grafts don't sound like improvement to me. Well I hope he gets the cards we sent to him from here in Arizona. Keep the updates coming and GET WELL SOON SCOTT.



From All us riders here in Arizona.........
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Old 03-15-2001, 10:30 AM   #2
hindle
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That doesn't sound good. I was so looking forward to seeing if Scott could do anything on the Duck this year. 99 and 00 were such a waste of time on the HD. Hope you get better Scott. Hope you got some more riding left in you. If you do, I will be watching.
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Old 03-15-2001, 11:41 AM   #3
jea
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My prayers are with you Scott. Get well.



Jess Aldape
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Old 03-15-2001, 11:47 AM   #4
Dual__Exhaust
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A dream...

Scott Russell riding a Lime Green Muzzy Kawasaki at Daytona International Speedway. Coming out of the infield onto NASCAR Turn One, spinning a full race slick sideways three laps before his pit, Muzzy canister wobbling starboard, aft. A cloud of slightly unburned race fuel marks his territory. The fumes will be long gone by the time 2nd place arrives. The crowd watches as the ZX-7 Ninja accelerates around the tri-oval in a noticibly more rapid fashion than the remainder of the field. Backmarkers drift down the banking to let him by as the full-throttle, full-tuck, florescent yellow-and-feather Shoei, visible from the main stands, blurs by in a tremendous fury of sight and sound. The Lime missile passing like it had 4000 rpm hiding East of redline. Wheelieing out of the chicane, pipe flapping against its bracket, no mortal could touch the skills of this individual on this machine, on this day. We miss all that and more. 1992 was a special year for Kawasaki, Muzzy, Scott, and all of us.

The bike that flattened the field was for sale in the DuPont Registry when I was a college sophomore and if I had it all to do again, I'd still pass on the offer, but I would still get that same feeling of hopelessness as a hero's stallion was sold to someone less deserving.

We miss those days Scott, and we want nothing more than the confident, shy, Georgian back on the high banks, making everyone else look slow and clumsy. Get well.
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Old 03-15-2001, 01:11 PM   #5
bladehandler
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I'm a general surgeon trained in trauma management and can comment a bit on Mr. Russell's condition, my only information being what I've read on MO. Of course all of what I write is speculation; short of examining Mr. Russell myself or speaking to his physicians I can only really guess.



With a severe crush injury and open fracture to his leg (and arm?) the likelihood of Mr. Russell racing again this season is pretty much nil. From what I can gather from these updates he is not even "out of the woods" yet, (as he is still a resident of the ICU and in "critical" condition). Loss of a limb or even his life to complications must be considered in an individual with injuries this severe.



"Compartment syndrome" may develop in a severly damaged extremity, and it sounds like it did so in Mr. Russell's case. Extensive tissue damage (due to crush injury in this example) causes such marked swelling in the muscles and other soft tissues in the leg that the resultant pressure can actually impede blood flow, threatening the viability of the extremity. Part of the treatment consists of incising open the various muscle compartments allowing them to "bulge" and relieve some of the pressure to improve circulation.



The fluid which drains out of the open extremity is primarily serum which is no longer contained by the skin. Some ongoing bloodloss may also be occuring, but is probably fairly minimal by this point. It is actually too soon for "pus" to be draining from the injured leg, as it takes several days for the bacteria that have been introduced into the wound at the time of injury to multiply and lead to the development of pus. Infection of the extremity is actually one of the most significant risks for Mr. Russell right now; it threatens the limb itself, and upon spread to the bloodstream is lifethreatening also. Maintiaining the best circulation of blood to the extremity is among the highest priorities, along with powerful antibiotics, adequate nutrition, and local wound cleansing. Response to these treatments and healing will depend largely upon the viability of the tissue, and only a bit more time will tell how much tissue death has occured from the injury.



If surface tissue loss has left his extremity with significant areas missing skin, then grafting skin from elsewhere on the body, (or from cadavers), may speed the healing. A wound which would have taken 8 to 12 weeks to grow new skin over it may now heal over in 3 or 4 (or perhaps less).



Assuming all of the above goes well, a patient with injuries as described above will require considerable rehabilitation. Physical therapy will be arduous and extensive. In someone as young and otherwise healthy as Mr. Russell, assuming joint function is well preserved, a complete recovery with return of all mobility is possible. Limitations in the flexibility, strength, and sensation of the limb are also quite possible.



Only time will tell, and Mr. Russell's motivation to be well can not be underestimated as a significant variable. Support from his family, friends, and fans can make a big difference in maintaining that motivation, so keep the kind words heading his way!



James D. Bove III, D.O.

Associate Professor of Surgery

Ohio University
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Old 03-15-2001, 01:18 PM   #6
mark22
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hope you feel better soon, seen you at loudon last year in the pits. hang in there and god bless. were all pulling for you scott hang in there. hopefully its all up hill

now.
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Old 03-15-2001, 01:25 PM   #7
bjacques
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I believe they're speaking of blood drainage. In accidents such as this, veins are severed very easily, since they're close to the surface of the skin. Arteries are buried deep in the body, so they aren't severed nearly as easily.



What happens is blood can flow to the area, but not out of it. So, it builds up. They then have to drain the nasty old blood away, so fresh oxygen-rich blood can continue to flow.



BTW. This is the medical use for leeches. Instead of an incision, and a large drainage tube, leeches are placed on the area to be drained. They have to advantage of anti-coagulating that immediate spot, yet their bite wound is small, minimizing additional trauma.



-Brendan
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Old 03-15-2001, 02:47 PM   #8
guru_lou
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Thanks for your insight on the topic. I realize that, without examining the patient yourself, it would be diificult to assess the damage, but you input will answer a lot of unasked questions and put to rest a lot of rumors that would get started. Please don't hesitate to jump in with more information in the future.
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Old 03-16-2001, 02:45 AM   #9
msyverson
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What is the address I can send a card to. I saw it the other day and forgot to write it down. Can someone please post it again.

Much Thanks.



Cheers,

Mike
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Old 03-16-2001, 04:32 AM   #10
lexs
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This has been posted before but for anyone (see above) who missed it:



to send a card:

attn: Scott Russell / intensive care Halifax medical center

303 north Clyde Morris Blvd Daytona beach , Fla. 32114



Scott's web site:



http://www.screamingchief.com/
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