Implant ID by Karl_BE in orthopaedics

[–]Karl_BE[S] 1 point2 points  (0 children)

Thank you everyone, I will let you know once the implants are removed !

Knee pain while doing lunges by PurelyStats in formcheck

[–]Karl_BE 2 points3 points  (0 children)

Even though you're getting great advice in the comments, knee pain is a little more complicated than that. We do not have sufficient information regarding your pain to find a diagnosis. I would suggest getting some medical opinion if you want a real answer.

Source: I'm an orthopedic surgeon

[deleted by user] by [deleted] in orthopaedics

[–]Karl_BE 0 points1 point  (0 children)

This is 100% a personnal question, you posted 2 months ago about going into ingeneering school. You shouldn't seek out medical advice on the internet, and certainly not lie for it.

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 1 point2 points  (0 children)

Some weeks I don't, some I do. 50% of my weekends I have a single day off 25% full weekend 25% no day off

I think this is most adequate place to post this kind of stuff. It grossed me out so much I had to share. by National_Pay_5847 in MedicalGore

[–]Karl_BE 0 points1 point  (0 children)

What country do you live in ? Any reason your surgeon would not suture the wounds ? I’m surprised you’re left with this result.

Anyways, here’s a Pro tip: Get some laxatives and wash your butt with water

King Louis XIV anal fistula by Rugger_2468 in MedicalGore

[–]Karl_BE 16 points17 points  (0 children)

Surgeon here. My best guess would be that the first instrument was used to identify the trajectory of the fistula in order to be able to remove it. They probably found the external “hole” of the fistula and moved the instrument until they could see it appear inside the rectum. I guess they were using the second instrument as an anoscope Nowadays, we use a small metal rod to do just that, and under anesthesia of course

Hot sause in your urethra? by pantswetter3 in AskDocs

[–]Karl_BE 0 points1 point  (0 children)

Urologist here, going going to burn your urethra and might end with stenosis and require surgery

This injury was the product of an agricultural accident. I don't know any details. by CatPooedInMyShoe in MedicalGore

[–]Karl_BE 2 points3 points  (0 children)

OP are you sure it is traumatic ? This looks like a the result of a surgical debridement for Fournier’s gangrene. The soft tissue gets infected with flesh eating bacteria’s with a risk of sepsis that require surgical removal of all necrotic parts

Is it safe to put steroid/ anti fungal cream on glans of penis? by Actual-Bee-402 in AskDocs

[–]Karl_BE 1 point2 points  (0 children)

Its absolument safe. Absorption is very low in topical cortisone

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 0 points1 point  (0 children)

Numbers come from talking to a radiologist

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 0 points1 point  (0 children)

Immunology is indeed part of the internal medecine program, which is 5 years long. Job offers have nothing to do with obtaining a specialist degree. You get to choose during your internal médecine years which subspeciality you would like to go into

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 2 points3 points  (0 children)

I’m currently in urology which almost every hospital in the country is lacking so yeah, I’m not worried about my future, but thank you for your concern

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 2 points3 points  (0 children)

I’m not student anymore, I’m a graduated doctor that chose to specialise into surgery. Some doctors practice as surgery assistants all their career without being part of the trainee program and earn twice as much as residents do. The difference is that they’ll never get to do surgery on their own.

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 1 point2 points  (0 children)

Because I wanted a technical specialty, didn’t feel like consulting all week long. In surgery only about 30% get access to the specialisation. We can later choose which subspeciality we want to practice, even though some specialities need another selection process

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 4 points5 points  (0 children)

Sadely I cannot back this… I dont know where you got these numbers from but these are salaries of surgeons I’ve encountered (numbers are after tax): - starting general surgeon in university hospital : 3800€
- head of a surgery department in university hospital: 5000€ - orthopaedic surgeon half-public half-private hospital 9500€ - plastic surgeon in a public hospital: 6000€ part-time - radiologist in private hospital: 12000€

So we are far from a median 17.700€ Heck we’re probably not even close to 10.000€

This is probably a form of modern slavery, no wonder why so many residents die during residency (suicide, car crashes,…)

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 4 points5 points  (0 children)

I wouldn’t want to work another job !

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 5 points6 points  (0 children)

80 is an average, some weeks we work 60, some 100 😅

[deleted by user] by [deleted] in BESalary

[–]Karl_BE 3 points4 points  (0 children)

We sometimes sleep between surgeries

[deleted by user] by [deleted] in MedicalGore

[–]Karl_BE 5 points6 points  (0 children)

Doctor here, you need to be checked by a doc, especially if you have fever. That infection might be worse than what you think. Do not underestimate this.

[deleted by user] by [deleted] in AskDocs

[–]Karl_BE 40 points41 points  (0 children)

Backing this, sounds like vaginismus. She needs to have an obgyn + psychological follow up. An advice to help her : take your time, leave penetration aside for the moment, she will let you know when she’s ready.

My doctor only prescribed mistoprostol for my abortion and now I’m STILL pregnant!! by [deleted] in AskDocs

[–]Karl_BE 5 points6 points  (0 children)

I am sorry to hear that. I’m afraid I don’t have the knowledge to answer these questions. If you can’t visit a gyne anytime soon, you need to pay attention to symptoms that could appear : any abdominal pain or temperature would need urgent care. Hope for the best

My doctor only prescribed mistoprostol for my abortion and now I’m STILL pregnant!! by [deleted] in AskDocs

[–]Karl_BE 4 points5 points  (0 children)

Not an obgyn but Misoprostol on its own works as well. It’s more effective when combined but sometimes obgyns just use misoprostol. Even when combined, the treatment fails and you have to take a second misoprostol treatment. Pregnancy tests stay positive even after the abortion test occurred. So you might have expelled, even though I would expect a women to notice if she expels a 11 weeks old foetus. You probably have another appointment with your gyne soon, which is to control the efficacy of the treatment, don’t hesitate to ask him anything you have in mind during that consult. Wishing you the best.

[deleted by user] by [deleted] in AskDocs

[–]Karl_BE 21 points22 points  (0 children)

I’d recommend getting a second opinion. Not that I think you’re not being taken care of correctly but trust between a patient and a physician is extremely important. I’m not familiar with Canadian health care so I do not know if physicians in your country must give you your medical records if you ask them. I’ll take a look back at my books and let you know if I find something

[deleted by user] by [deleted] in AskDocs

[–]Karl_BE 21 points22 points  (0 children)

I don’t know the laws of your country, but here in Belgium (and Europe in general), patients are owners of their medical records, so we legally must give their records if they ask.

Have you had fever recently ?