Jiu Jitsu???

[Buck83]

Over the last few months I have seen multiple members of the site talk about participating in jiu jitsu after various heart surgeries. My kids do jiu jitsu and it’s something I have always wanted to do. I had an avr (on-x) and aneurysm repair in June 2022. I have battled a SLAP tear in my shoulder since before surgery and with the help of pt and peptides I am starting to feel like I can push the shoulder more. I have been swinging kettlebells and swimming and it’s responding fairly well. It’s giving me the itch to try jiu jitsu again. My biggest fear is the exposure to msra and staph and other bacteria. Are the rest of you guys doing jiu jitsu not worried about it? How many of you have mechanical valves? Any advice is appreciated. I’m sure many of you will say something along the lines of “there is always a risk” and it’s up to me. Endocarditis probably isn’t worth the risk.

 

[Chuck C]

Good question.
I've done BJJ for years. About 10 months after my surgery, I returned to training for about 18 months and earned my brown belt. I have a St Jude mechanical aortic valve

My biggest fear is the exposure to msra and staph and other bacteria. Are the rest of you guys doing jiu jitsu not worried about it?

That crossed my mind more than a few times. I took extra precautions, cleaning up right after class with anti-bacteria/anti-fungal soap. I also kept a few doses of amoxicillin handy just in case of a cut. I used it one time when a training partner put a decent sized cut on my head from his fingernail by accident.
I really don't know how much of a risk I was taking. I know several guys who have had staph. It is usually the MMA guys who come down with it, and it is usually because they had an open wound and kept training and likely picked something up from the mat or from a training partner.

I’m sure many of you will say something along the lines of “there is always a risk” and it’s up to me.

Yeah, sorry to be predictable, but that is really what it comes down to. We each need to decide how much risk we are willing to take on to do the things which we enjoy.

Although I stopped BJJ, I still box once per week. There is some risk of staph in boxing, but it is much less common compared to wrestling or BJJ, as there is less skin to skin contact and limited contact with the mat.
To mitigate risk, I never share equipment and will not train if I get a cut. I have yet to get a cut during boxing, but if it happens I plan to clean it immediately with anti-bacterial soap and take 2,000mg of amoxicillin.

 

[Buck83]

Good question.
I've done BJJ for years. About 10 months after my surgery, I returned to training for about 18 months and earned my brown belt.


That crossed my mind more than a few times. I took extra precautions, cleaning up right after class with anti-bacteria/anti-fungal soap. I also kept a few doses of amoxicillin handy just in case of a cut. I used it one time when a training partner put a decent sized cut on my head from his fingernail by accident.
I really don't know how much of a risk I was taking. I know several guys who have had staph. It is usually the MMA guys who come down with it, and it is usually because they had an open wound and kept training and likely picked something up from the mat or from a training partner.


Yeah, sorry to be predictable, but that is really what it comes down to. We each need to decide how much risk we are willing to take on to do the things which we enjoy.

Although I stopped BJJ, I still box once per week. There is some risk of staph in boxing, but it is much less common compared to wrestling or BJJ, as there is less skin to skin contact and limited contact with the mat.
To mitigate risk, I never share equipment and will not train if I get a cut. I have yet to get a cut during boxing, but if it happens I plan to clean it immediately with anti-bacterial soap and take 2,000mg of amoxicillin.

Thanks for the input. My kids gym also has kickboxing and I would love to jump into that occasionally also. BUT… with the anticoagulant forever, I’m afraid of sparring and obtaining an internal bleed that goes too far.

Feel like a shell of myself without being able to train and be better equipped to protect myself and family. Guess there’s always lethal means of protection…

 

[pellicle]

Hi Buck

BUT… with the anticoagulant forever, I’m afraid of sparring and obtaining an internal bleed that goes too far.

you may have seen some of these. All of them are taken after I've been on warfarin:







I do my best to make calculated risks and to calculate I need data. I'll circle back to that.

About me, I've ridden dirtbikes since before I had my first surgery (which was at 10yo)
I got this one within a couple of years of that (no earlier pictures exist now)

YZ80E

additionally I've always taken risks calculated in my life, my career, my relationships and my pathway. This has given me a rewarding life.

After my first surgery my mother (remember I was 10yo) tried to protect / shelter / cotton wool package and sanitise my life. Fortunately for me I was born in a time of having freedom to do as I wished.

Later one of the jobs I held saw me working with the elderly. That few years taught me a lot about how to die fast. It always seems to happen when the person talks themselves out of pushing their boundaries. Now, not real far, indeed perhaps not even as far as they've ever gone; but just a bit out of their comfort zone. Next thing you're confining yourself to a recliner.

I'm acutely aware of two things:

1. life involves risk
2. if you go backwards in your risk taking too early in your life you perform a sort of suicide to your spirit

Earlier you started on the idea of being afraid of getting an infection, but mat scrapes and abrasions are not how you get endo. Endo needs to come in close to the heart. Typically this is the mouth (via bad oral hygene) and the nasal mucosa (via untreated infections such as strrp throat and many others).

The body has an immune system (you didn't mention if you were immuno-compromised or not) and any bacteria starting at the extremities and fight its way through capillaries to eventually pass through to the heart.

In start contrast something in the mouth is on one of the most vascularised parts of the body with ready access to veins in close proximity to the heart

its literally just a hand-span away. So what I'm saying is that your concerns about infection from the mat are about as far removed from the real problem as it gets (the real problem is the mundane oral hygiene).

The problems of internal bleeds are covered well by proper ACT control and IC bleeds are avoided best by "not getting a punch in the head that knocks you out". To my mind this should be the case no matter what age group you are. Indeed if you refer to the above videos I reckon I'm at more significant risk riding my scooter or bicycle (or motorcycle).

All my life people have told me "I'm mad" ... its just (as Chuck put it) my risk tolerance may be higher and perhaps also my commitment to skills and training is higher too.

You need to understand that risk of bleeds is directly related to INR ... manage INR properly and you'll minimise risk of bleeds. Bleeds are NOT caused by warfarin, but being on warfarin exacerbates them. The risks are basically like this:

URL for study
http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/415179

Finally you mention (as I see it) the real nub of the problem:

Feel like a shell of myself without being able to train and be better equipped to protect myself and family.

This feels like the actual problem: pride and perhaps delusion. The reality is we (all of us) can always face overwhelming odds. We aren't Chuck Norris and in any fight there are way too many variables and unexpected things to make any deadly conflict in the wild even remotely predictable (its not the ring). I believe I understand how you feel about survival and preparedness and for me there was a brief moment where I lamented the move to warfarin because I knew that I would not be able to survive off the land as I once had (because without the drug I'll die). So in a SHTF mAd maX apocalypse I would be crippled and dead within a year I expect (due to no warfarin if nothing else).

I had to recognise what is (was) reality all along: I live in a society which is not the wild west and hand to hand combat is the so close to utterly the last resort in such a world you may as well accept "I'm already dead". Stand off weapons have been the route of choice since medieval times. The longbow defeated more French Knights than the sword did let alone grappling or punching. Having said that I've not been in a fight since school ... not in the wild, only on the tatame.

So I can't tell you what is best but I can say "you're looking into your navel and your looking at it the wrong way. Nobody is Nobody



Keep training, keep doing what you love doing and make sure you're doing it for the right reasons (fitness, training, discipline and enjoyment). Eventually I had to give up Aikido and Fencing for different reasons. Time has a way of eroding everything we built from childhood through adulthood. It can happen slowly or there can come events which cause that loss suddenly. But come it does.

Reach out if you want to chat

Best Wishes

 

[Buck83]

Hi Buck


you may have seen some of these. All of them are taken after I've been on warfarin:







I do my best to make calculated risks and to calculate I need data. I'll circle back to that.

About me, I've ridden dirtbikes since before I had my first surgery (which was at 10yo)
I got this one within a couple of years of that (no earlier pictures exist now)
View attachment 890706
YZ80E

additionally I've always taken risks calculated in my life, my career, my relationships and my pathway. This has given me a rewarding life.

After my first surgery my mother (remember I was 10yo) tried to protect / shelter / cotton wool package and sanitise my life. Fortunately for me I was born in a time of having freedom to do as I wished.

Later one of the jobs I held saw me working with the elderly. That few years taught me a lot about how to die fast. It always seems to happen when the person talks themselves out of pushing their boundaries. Now, not real far, indeed perhaps not even as far as they've ever gone; but just a bit out of their comfort zone. Next thing you're confining yourself to a recliner.

I'm acutely aware of two things:

1. life involves risk
2. if you go backwards in your risk taking too early in your life you perform a sort of suicide to your spirit

Earlier you started on the idea of being afraid of getting an infection, but mat scrapes and abrasions are not how you get endo. Endo needs to come in close to the heart. Typically this is the mouth (via bad oral hygene) and the nasal mucosa (via untreated infections such as strrp throat and many others).

The body has an immune system (you didn't mention if you were immuno-compromised or not) and any bacteria starting at the extremities and fight its way through capillaries to eventually pass through to the heart.

In start contrast something in the mouth is on one of the most vascularised parts of the body with ready access to veins in close proximity to the heart
View attachment 890707

its literally just a hand-span away. So what I'm saying is that your concerns about infection from the mat are about as far removed from the real problem as it gets (the real problem is the mundane oral hygiene).

The problems of internal bleeds are covered well by proper ACT control and IC bleeds are avoided best by "not getting a punch in the head that knocks you out". To my mind this should be the case no matter what age group you are. Indeed if you refer to the above videos I reckon I'm at more significant risk riding my scooter or bicycle (or motorcycle).

All my life people have told me "I'm mad" ... its just (as Chuck put it) my risk tolerance may be higher and perhaps also my commitment to skills and training is higher too.

You need to understand that risk of bleeds is directly related to INR ... manage INR properly and you'll minimise risk of bleeds. Bleeds are NOT caused by warfarin, but being on warfarin exacerbates them. The risks are basically like this:

View attachment 890708

URL for study
http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/415179

Finally you mention (as I see it) the real nub of the problem:



This feels like the actual problem: pride and perhaps delusion. The reality is we (all of us) can always face overwhelming odds. We aren't Chuck Norris and in any fight there are way too many variables and unexpected things to make any deadly conflict in the wild even remotely predictable (its not the ring). I believe I understand how you feel about survival and preparedness and for me there was a brief moment where I lamented the move to warfarin because I knew that I would not be able to survive off the land as I once had (because without the drug I'll die). So in a SHTF mAd maX apocalypse I would be crippled and dead within a year I expect (due to no warfarin if nothing else).

I had to recognise what is (was) reality all along: I live in a society which is not the wild west and hand to hand combat is the so close to utterly the last resort in such a world you may as well accept "I'm already dead". Stand off weapons have been the route of choice since medieval times. The longbow defeated more French Knights than the sword did let alone grappling or punching. Having said that I've not been in a fight since school ... not in the wild, only on the tatame.

So I can't tell you what is best but I can say "you're looking into your navel and your looking at it the wrong way. Nobody is Nobody



Keep training, keep doing what you love doing and make sure you're doing it for the right reasons (fitness, training, discipline and enjoyment). Eventually I had to give up Aikido and Fencing for different reasons. Time has a way of eroding everything we built from childhood through adulthood. It can happen slowly or there can come events which cause that loss suddenly. But come it does.

Reach out if you want to chat

Best Wishes

Wow man! Very well put and backed by solid data as always! I am not immunocompromised and have a very strong immune system. I attribute that to a predominantly healthy lifestyle and a daily dose of plenty of vitamins to include zinc and D3. I have a feeling after the first of the year as long as this shoulder is still holding up I may ease into training.

And I’m not depressed about being compromised and not as well equipped to protect my family. I can still handle most situations and by no means have a desire to let anything escalate that far. I agree, nobody should be taking shots to the head! And you are right, all of us depending on warfarin are on a short clock if things go south. I unfortunately, witnessed that first hand after a stroke in March 2023 because I was buying into the On-X lower INR marketing. I got lucky but once that INR goes low it’s only a matter of time.

But my stroke was 9 months after AVR. I have had people tell me that over time a mechanical valve will develop a “coating” from your blood and risk of clotting diminishing significantly. I have no evidence backing that. Just been a conversation piece a few times with others. I haven’t looked into it being a real thing or talked to my cardiologist about it. I just stay at my 3.0 INR goal!

 

[dornole]

Saw cardiologist for 8 week post surgery appt yesterday and he told me call us for an immediate echo if you have a period of low INR (asked him to quantify and he said under 2 for a period of weeks). My range is also 2.5 - 3.5 and I’m mostly around 2.2 or 2.3 which I am not thrilled about but understand we are still working on it and they don’t want to create chaos by adjusting too quickly. I just thought that “call for echo” directive was interesting as I don’t think I’ve seen that mentioned here before.

 

[ATHENS1964]

<<The cat will eat fish but won't get its feet wet.>>
https://en.wiktionary.org/wiki/the_cat_would_eat_fish_but_would_not_wet_her_feet
I occasionally do judo, the fellow athletes know my problem and are kind, they won't do anything dangerous for me, it's a training session, not a struggle for survival.

 

[pellicle]

And I’m not depressed about being compromised

That's good to hear. I know a few vets and I am aware of this being an issue.

I hoped as I wrote that my communication would not go wide if the mark, as its hard to aim directly into the bushes created by not being present across a table and having genuine face to face communication.

Life provides many challenges and as you know no plan meets reality without adaptations needed. Few of us actually meet fellow OHS patients face to face (despite there being millions of us) and fewer still meet younger patients

The less we actually talk about the things which concern us, and push them back inside ourselves the more they loom large to our minds eye and present themselves as "credible threats". The truth of the matter is that the most dangerous times of our lives are driving through intersections and on the highway.

Perhaps this older (slightly off topic) post may help inform about Endo
https://www.valvereplacement.org/th...rs-in-emergency-situations.889584/post-933368

doors always open here (well, not between 9pm and 7am UTC+10)

Best wishes

PS: in my above earlier message I wrote:

The body has an immune system (you didn't mention if you were immuno-compromised or not) and any bacteria starting at the extremities and fight its way through capillaries to eventually pass through to the heart.​

I forgot to clarify my assumption there, so I'll do it now. By being capillaries the passages are both narrowed and slower. This gives white blood cells (background) more time to bump into the enemy and destroy it before it reaches the main highway and pass through the heart. Keep in mind that nasty bacteria have two "stages" in their life cycle (with respect to us)

1. planktonic
2. sessile

(google those if needed)
In the sessile form they find their "plot of land" and "raise a family" and can form biofilms making them resistant to both the body and treatment.

This is actually rare (stats mentioned in the above post) but iff it happens then its serious and treatment needs to commence early. So don't dismiss those might sweats.

Myself I have handy in my house rubbing alcohol, which is my first line of defence. I treat all abrasions as a matter of priority and then go back to what I was doing (which led to the abrasion). I wear gloves when working now, more than I once did.

HTH

 

[pellicle]

<<The cat will eat fish but won't get its feet wet.>>
https://en.wiktionary.org/wiki/the_cat_would_eat_fish_but_would_not_wet_her_feet
I occasionally do judo, the fellow athletes know my problem and are kind, they won't do anything dangerous for me, it's a training session, not a struggle for survival.

LOL ... there is a number of sayings about cats, I like the Finnish one that says (something like): always take time out of your day to threaten the cat, you never know what its planning.

As noted by this famous Australian philosopher:


please note; Aussie man uses more frank Australian language than me ... so beware clicking that if you're easily offended.

 

[Bally-ho]

Over the last few months I have seen multiple members of the site talk about participating in jiu jitsu after various heart surgeries. My kids do jiu jitsu and it’s something I have always wanted to do. I had an avr (on-x) and aneurysm repair in June 2022. I have battled a SLAP tear in my shoulder since before surgery and with the help of pt and peptides I am starting to feel like I can push the shoulder more. I have been swinging kettlebells and swimming and it’s responding fairly well. It’s giving me the itch to try jiu jitsu again. My biggest fear is the exposure to msra and staph and other bacteria. Are the rest of you guys doing jiu jitsu not worried about it? How many of you have mechanical valves? Any advice is appreciated. I’m sure many of you will say something along the lines of “there is always a risk” and it’s up to me. Endocarditis probably isn’t worth the risk.

Hi , Part of the reason I needed an aortic valve replacement is because I practiced Jui Jitsu . I caught a staph infection from rolling with opponents , the infection entered my body through a graze on my elbow. The infection attacked my aortic valve and aorta causing a bulge which needed a repair aswell attacking joints and some muscles. After choosing a bio prosthetic valve and having this surgery I was told afterwards I was bicuspid and this is probably why the infection aggressively caused more damage to this area of my heart .
Surgery was the 10th July 2024 , I am back training jui jitsu obviously not full on with extra care and attention on any cuts or grazes . Sternum still needs time to heal so no crazy rolls . I always have some antibiotics to hand just in case , I work in construction too so two reasons for having antibiotics. I do sometimes think should I be continuing with jui jitsu considering the risks and I do realise I’m putting myself in the same environment that caused the infection in the first place . At the same time I wouldn’t have known I was bicuspid so has getting staph uncovered something in the future that would have caused me problems. While in hospital 36 days incidentally I met many people on the heart wards some who had surgery due to getting staph through tooth abscesses , guys who were much older than me just going about there daily business who were rushed to hospital and needed surgery but were considered too old or were at much more at risk because of there age .

Over the last few months I have seen multiple members of the site talk about participating in jiu jitsu after various heart surgeries. My kids do jiu jitsu and it’s something I have always wanted to do. I had an avr (on-x) and aneurysm repair in June 2022. I have battled a SLAP tear in my shoulder since before surgery and with the help of pt and peptides I am starting to feel like I can push the shoulder more. I have been swinging kettlebells and swimming and it’s responding fairly well. It’s giving me the itch to try jiu jitsu again. My biggest fear is the exposure to msra and staph and other bacteria. Are the rest of you guys doing jiu jitsu not worried about it? How many of you have mechanical valves? Any advice is appreciated. I’m sure many of you will say something along the lines of “there is always a risk” and it’s up to me. Endocarditis probably isn’t worth the risk.

 

[pellicle]

Good morning Bally-ho and thank you for this post ...

I caught a staph infection from rolling with opponents , the infection entered my body through a graze on my elbow. The infection attacked my aortic valve and aorta causing a bulge which needed a repair as well attacking joints and some muscles.

in the interests of understanding more about this situation would you mind telling me (us?)

• how long between scrape and treatment (like did you apply any disinfectant within hours?
• did you have any other symptoms (such as localised irritation on the site which persisted or got worse over the follwing days / week?
• the duration of time from when you had the scrape and when you were diagnosed of the bulge on the aorta (I assume somewhere on the aortic artery, I'd be interested to know more details

Personally I'd have thought this was quite unlikely but here you are presenting that just after I'd expressed that view.

Very interesting, I love to be wrong because that's an opportunity to learn.

while in hospital 36 days incidentally I met many people on the heart wards some who had surgery due to getting staph through tooth abscesses ,

This is the more usual route (and its not always staph

Thanks

Best Wishes

 

[pellicle]

PS @Bally-ho

in the interests of understanding more about this situation would you mind telling me (us?)

one more question: do you know what the mats were made from? Synthetic or Cotton canvas (it makes a significant difference for bacterial retention (as does storage and allowing to dry).

Thanks again

 

[Bally-ho]

Good morning Bally-ho and thank you for this post ...



in the interests of understanding more about this situation would you mind telling me (us?)

• how long between scrape and treatment (like did you apply any disinfectant within hours?
• did you have any other symptoms (such as localised irritation on the site which persisted or got worse over the follwing days / week?
• the duration of time from when you had the scrape and when you were diagnosed of the bulge on the aorta (I assume somewhere on the aortic artery, I'd be interested to know more details

Personally I'd have thought this was quite unlikely but here you are presenting that just after I'd expressed that view.

Very interesting, I love to be wrong because that's an opportunity to learn.


This is the more usual route (and its not always staph

Thanks

Best Wishes

A week before I started to get high temperatures , low oxygen levels and swelling of right elbow , left ankle and right wrist . Before all above happened I noticed a red sore area on my left elbow which had a head that looked like it could be popped I’m 100% certain this was the catylist for the infection . Luckily a doctor GP who I met at jui jitsu and formed a good friendship with over the yrs of going to the club came to my house and looked at my oxygen levels and took temperature. He called an ambulance and suggested I go through triage at local hospital , they’re useless and sent me home with a supply of amoxicillin. Doc came again the next day again to my house and listened to my heart this time he said straight away I have endocarditis I was on a ward in the local hospital the next day . After spending 12 days in the local hospital and after having the ultrasound outside my chest then having the ultrasound down the throat the scan results were sent to Leeds which specialised heart surgery. Within 3 hours of scan results being seen by Leeds specialists I was in an ambulance on my way to Leeds . When at Leeds I had a CT scan within days and soon after scan I had the surgeon visit me bed side telllig me I had a bulge on my aorta so was being operated on in 3 days . It was a close call , no doubt my friend the doctor visiting me saved my life .

 

[pellicle]

Hi

thanks for that ... I'm sure that anyone else who's got a mind similar to mine will find this very interesting. Followed the pathway I'd expected. The statges of "infection" are: first colonisation then infection.

https://ldh.la.gov/assets/oph/Cente.../MDRO2017/handouts/ColonizationvInfection.pdf

Colonisation basically is when an infective bacteria (and your skin is naturally always covered in them) can actually take hold on the surface like forces besieging a city. From here they can eventually penetrate the outer defences; then its a battle for the body.

A couple of clarifications

A week before I started to get high temperatures ,

this is a week before hospital or what? Surely not a week before you had the scrape on the mat?

low oxygen levels and swelling of right elbow , left ankle and right wrist .

wow ..

Before all above happened I noticed a red sore area on my left elbow which had a head that looked like it could be popped I’m 100% certain this was the catylist for the infection .

so again, on time lines this is all directly following the scrape, right?

Luckily a doctor GP who I met at jui jitsu and formed a good friendship with over the yrs of going to the club came to my house and looked at my oxygen levels and took temperature. He called an ambulance and suggested I go through triage at local hospital ,

so glad of that ...

they’re useless and sent me home with a supply of amoxicillin.

they are indeed as you say "useless" ...

Doc came again the next day again to my house and listened to my heart this time he said straight away I have endocarditis I was on a ward in the local hospital the next day

fck ... close shave. What is the time line (in days) if you can even roughly remember it, from scrape to each of the milestones you've mentioned.

.... When at Leeds I had a CT scan within days and soon after scan I had the surgeon visit me bed side telllig me I had a bulge on my aorta so was being operated on in 3 days .

Another member here had a similar issue (at 25yo) and he actually had to wait till the infection burst an artery in his liver ... fckDat!!

It was a close call , no doubt my friend the doctor visiting me saved my life .

I'm so glad you're here with us now still

Personally (as I wrote above) I take fairly prompt action on any scrape in a dirty environment. Sweaty rolling mats that are kept indoors are not as sterile as outside (unless you're rolling in dog dodoo) because there is no UV to perform destruction of bacteria. Mats that smell manky are an infection hazzard. Same goes for indoor soccer "synthetic grass". I'll take mud and wet every time over those places.

Thanks for the details and I hope all is well now.

 

[Chuck C]

LOL ... there is a number of sayings about cats, I like the Finnish one that says (something like): always take time out of your day to threaten the cat, you never know what its planning.

As noted by this famous Australian philosopher:


please note; Aussie man uses more frank Australian language than me ... so beware clicking that if you're easily offended.

Apparently this guy was done being terrorized by Magpies

 

[pellicle]

Apparently this guy was done being terrorized by Magpies

I can relate to that ... I reckon that bird live though, and hopefully had a good sit down and rethink its life.

 

[Bally-ho]

Hi

thanks for that ... I'm sure that anyone else who's got a mind similar to mine will find this very interesting. Followed the pathway I'd expected. The statges of "infection" are: first colonisation then infection.

https://ldh.la.gov/assets/oph/Cente.../MDRO2017/handouts/ColonizationvInfection.pdf

Colonisation basically is when an infective bacteria (and your skin is naturally always covered in them) can actually take hold on the surface like forces besieging a city. From here they can eventually penetrate the outer defences; then its a battle for the body.

A couple of clarifications


this is a week before hospital or what? Surely not a week before you had the scrape on the mat?


wow ..

so again, on time lines this is all directly following the scrape, right?



so glad of that ...


they are indeed as you say "useless" ...



fck ... close shave. What is the time line (in days) if you can even roughly remember it, from scrape to each of the milestones you've mentioned.


Another member here had a similar issue (at 25yo) and he actually had to wait till the infection burst an artery in his liver ... fckDat!!


I'm so glad you're here with us now still

Personally (as I wrote above) I take fairly prompt action on any scrape in a dirty environment. Sweaty rolling mats that are kept indoors are not as sterile as outside (unless you're rolling in dog dodoo) because there is no UV to perform destruction of bacteria. Mats that smell manky are an infection hazzard. Same goes for indoor soccer "synthetic grass". I'll take mud and wet every time over those places.

Thanks for the details and I hope all is well now.

Thanks for the link you attached , that’s really scary regarding transmission from host and the process to being infected. If I read correctly staph can enter the body through the skin and without actually having a graze or cut ! Is that correct?
Your time line question I can’t answer I don’t know the time duration from getting a graze to actually noticing my elbow being inflamed. Doing jui jitsu causes a lot of bangs , knocks and grazes ! You only have to look at a jui jitsu guys ears if they’ve been doing it a while just how much grappling is involved . Plus I work in construction you tend not to dwell on bags and knocks you just get on with it ! Obviously my attention is totally focused on things like that to the extent of being paranoid and over the top with cleanilness .

 

[pellicle]

Hi

Thanks for the link you attached , that’s really scary regarding transmission from host and the process to being infected.

I don't think it should be scary, it should be informative. Like if you don't learn to roll with it some moves in Aikido will wreck your shoulder ... so understand the threat, learn how to react and react properly.

If I read correctly staph can enter the body through the skin and without actually having a graze or cut ! Is that correct?

no, its not correct. There must be exposure to the blood stream. This can happen with a graze.

Your time line question I can’t answer I don’t know the time duration from getting a graze to actually noticing my elbow being inflamed.

Strange, but there it is. I suggest that NOW you start paying attention to these things. You should after every grapple session take the time to rub down every graze (and cut) should be wiped down with some rubbing alcohol, then shower. This will kill anything on the skin at that point and when you shower you'll remove any other bacteria which may attempt to colonise the skin.

You'll soon know where every scrape is ... and its cheap.

Especially because you know you are at risk (because you got endo, if you didn't know it before).

Doing jui jitsu causes a lot of bangs , knocks and grazes !

therefore, clean properly ... all animals do that ... watch a cat.

You only have to look at a jui jitsu guys ears if they’ve been doing it a while just how much grappling is involved.

the ear injuries are (as you probably know) an entirely different injury and are a response to cartilage damage and not infection.

Plus I work in construction you tend not to dwell on bags and knocks you just get on with it !

me too ... I did construction work for a couple of years after I finished my biochem degree; it paid double what I could have got in the lab field. I noted that some guys were just filthy. Some would wear the same clothes all week, some were so filthy (you could smell they'd had "relations" with their wife/girlfriend the night before). So I have no idea where you sit on that spectrum; but let me just say this

Cleanliness is next to Godliness​

grooming is important, its not just to be attractive to women.

Obviously my attention is totally focused on things like that to the extent of being paranoid and over the top with cleanilness .

well I can't be sure you're even close to paranoid, unless you're walking around the house with wet-wipes and disenfectant ... that's over the top. Rational responses not panic responces. Take your cue from JJ ... don't panic and gas out soon. Keep calm and apply technique.

Anyway, I hope that helps.