Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Multiple broken ribs, collor bone, collapsed lungs. Treatment.

Resolved Question:

My friend, 71 yr old female in excellent condition, very active (e.g. horse, rock climbing, running) suffered 11 broken left ribs (some multiple), collapsed lung, broken left collarbone, and many bad bruises 4 weeks ago. Recovery very good thus far: Tylenol, gabapentin (low dose), and advil enough to control pain now, and we walked over an hour yesterday at a good pace. Left arm is working reasonably well, except left thumb still a little numb and less mobile than should be. The question is what to do about the collarbone.

It's a single break about two inches out from the inner end of the bone. At 3 weeks, the end-end overlap was about 3 bone diameters, and the gap a about one bone diam. Definitely looked more overlapped on xray on day 22 than at day 10. She feels it moving around. She is visibly misshapen, with that shoulder down and in, and one end of the bone making skin poke up. Appointment to discuss surgery Tuesday.

What do you think about screwed-on plate vs intermedullary vs skip the surgery? What are the questions she should ask the surgeon? Is this a sufficiently complicated situation that she should get a second opinion from an unrelated surgeon?

Category: Family Physician-GP

Ask Your Own Question

Category: HIV- AIDS Specialist
 21 Doctors Online

Thank you for your query at
I understand your concern, however i do need a few more details from you.
- Why exactly was the semen analysis done?
- Any past history of chronic medical problem ( hypertension/ diabetes/ asthma/ tuberculosis )?
- Any past history of hydrocele/ or any other genital infections?
Feel free to discuss further,

Patient replied :

Me and my wife trying to concieve a baby, is already 1 year we trying, we are both active in sex but im thinking that i have problem because im drinking and smoking.
i dont have past history of chronic medical problem
i donthave past history of hydrocele.
Thank you

Your semen analysis report is fine as well as your sperm count.
The only issue is the abnormal morphology, however your sperm count is adequate and hence conceiving baby should not be a problem.
Smoking and drinking does can lead to infertility, hence you should stop it.
Kindly get your wife evaluated too and consult an infertility expert for the same.
However as far as your semen analysis goes, the report is fine.
Feel free to discuss further,

Patient replied :

what ate the symptoms of infirtily for the woman?

There won't be much of evident symptoms it all depends on the Trans Vaginal Ultrasound, the FSH and LH levels, and ultrasound whole abdomen.
Sometimes inability to conceive is the only symptom warrating investigations.

Patient replied :

What are the cause of abnormal morphology?

Abnormal morphology can be due to a lot of factors such as previous testicular infections, viral orchitis, hydrocele, wearing tight fitting shorts, anything that increases the testicular temperature such as varicocele can lead to abnormal formation of sperms.
However you have 45 % normal spermatozoa, and that is adequate to cause pregnancy.
So please get your wife evaluated and treatment can be based on that.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news