Nerve firing confusion in Jaylon's recovery

waldoputty

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Cutting in any way shape or form is a type 4 injury. Type 3 is when there is no cutting but damage to the exterior support system and type 2 is a stretch or crush where the exterior remains intact. Type 1 is partial or short term palsy.

We know he had a type 2 and there is no way that it is 'similar' to cutting the nerve and suturing it back together. I'd have to go back and look but we are talking upwards of a 40% less chance of a complete or near complete recovery of strength and function.

If I remember correctly, in the study that compared different surgeries, suturing resulted about 75% of patients recovering while the chemical injection (kill bottom part of nerve) was about 88% patients recovering to useful function without noticeable issues. That is not a big gap. If I have to guess, the chemical injection is pretty close to stretching that caused the bottom part of the nerve dying.
 

waldoputty

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Cutting in any way shape or form is a type 4 injury. Type 3 is when there is no cutting but damage to the exterior support system and type 2 is a stretch or crush where the exterior remains intact. Type 1 is partial or short term palsy.

We know he had a type 2 and there is no way that it is 'similar' to cutting the nerve and suturing it back together. I'd have to go back and look but we are talking upwards of a 40% less chance of a complete or near complete recovery of strength and function.

Forgot to mention:

1. they were able to follow the growth of the nerve even 20 years ago using certain tracers.
2. may be tracers would be avoided in humans, but quite sure methods of regeneration should be available.
3. no way the doctors do not know how fast and how much the nerve has regenerated over the last 10 months.
4. if the nerve was not regenerating correctly, there is no way there was no surgical intervention by now.
5. the reports of starting to regenerate is just silly confusion with the term firing vs regenerating that the press is all mixed up about.
 
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