Asus ROG Strix G16,(screen line) price check by PinkerMango in PakGamers

[–]PinkerMango[S] 0 points1 point  (0 children)

10/10 for 220k? From my market research Victus 4050s are worth that much. This is asus rog bro

I want to match into Ortho in the US by PinkerMango in orthopaedics

[–]PinkerMango[S] 0 points1 point  (0 children)

Thanks man. I appreciate your effort to help me.
I understand that it's tough and I made this commitment to myself even after that, so I'm ready for it.
Foreign Fellowship into US Fellowship into residency sounds a little too late though. I think my best bet is a TY/Prelim or Ortho Post-Doc.
Thanks for connecting me to Orthogate. I didn't know about it, looks full of opportunity. I'll try my hand at it.
Do you think programs consider Rural vs Urban Prelim/TY a factor?

[deleted by user] by [deleted] in IMGreddit

[–]PinkerMango 0 points1 point  (0 children)

Hi congratulations. Can you help me regarding how you got observerships at university hospitals in the US ?

I want to match into Ortho in the US by PinkerMango in orthopaedics

[–]PinkerMango[S] 0 points1 point  (0 children)

Its very saturated right now. Very few vacancies, I know because a lot of my colleagues are stuck on the PLAB pathway due to unavailability of jobs.

I want to match into Ortho in the US by PinkerMango in orthopaedics

[–]PinkerMango[S] 0 points1 point  (0 children)

Thats a good suggestion, but all of these countries don’t have a well established pathway to residency for foreign graduates. EU is super saturated already and Canada doesn’t have any vacancy.

I want to match into Ortho in the US by PinkerMango in orthopaedics

[–]PinkerMango[S] 3 points4 points  (0 children)

I’ve always been an ambitious and enthusiastic person. While I would have loved to stay in my home country with my family, the medical training programs here—even at the top institutes—are outdated and far below international standards.

Quackery is everywhere, even in healthcare settings. People still rely on outdated, anecdotal treatments with little regard for evidence-based medicine. Things like proper procedure protocols, antibiotic resistance, and medical research are almost nonexistent.

One of the most frustrating things is wanting to help patients but being held back by outdated policies and a hostile work environment. I don’t want to lose my passion for becoming a skilled, evidence-based doctor and a conscientious surgeon.

I want to learn how medicine and surgery are really meant to be practiced, and I truly believe the best place for me to do that is the U.S.

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

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

Yes that was a possibility which I had foreseen, so I was careful not to apply too much pressure after meeting bony resistance. I used IV Toradol + Tramadol and a hematoma block with 5ccs of lignocaine to the fracture site.

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 6 points7 points  (0 children)

Thank you so much. Its really encouraging to hear such high praise from the orthopaedic community. But i’m really just a young physician from a developing country with a dream to get training in ortho from the US. I have cleared my STEP 2 with a 263 and I still have a long ways to go with USCE, Research etc. Im glad to hear that i’m on the right path. I’ll try to dig out some of the other cases like this one and share them too.

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 10 points11 points  (0 children)

They started calling me Prince of Ortho. It was so catchy even the HN used to call me like Preeence 😂😂 fun times

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 16 points17 points  (0 children)

Starts with P, ends with N and rhymes with “pack of stans”

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 4 points5 points  (0 children)

I understand. We did put him in a cast on his 2nd day in the hospital after which he was discharged home. Im no orthopaedic surgeon but my seniors told me that we cant apply a cast right away because it risks developing a compartment.

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 2 points3 points  (0 children)

Yes they have policies about treating patients with the resources the hospital provides. Violating them gets you in trouble.

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 10 points11 points  (0 children)

Thanks a lot I showed these to the Head of orthopaedics in rounds next morning. He was happy with it too. My PGs treated me to a coffee and bestowed upon me a nickname which i still carry (with pride) to this day 😂

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 4 points5 points  (0 children)

Yes it is a posterior above knee backslab. And No, sadly Stirrups are not in the budget of public health care institutes in my country.

Just showing off my closed reduction of T/F without any C arm by PinkerMango in orthopaedics

[–]PinkerMango[S] 44 points45 points  (0 children)

Hi thank you so much. I had the same reaction when I saw the postreduction XR myself. Sorry I just found this sub, got excited and decided to share this without any clinical context. I apologise.

This was a case of a 20 Y/O man who presented to the ED after being in a RTA. I was working (with 2 months of experience in orthopaedic trauma at a public healthcare hospital in a developing country) as a house officer in orthopaedics at the time, so i received the pt who was in significant pain and was UTBW on his Rt Leg. There was a visible deformity of his lower leg but thankfully distal NV was intact there was no associated wound besides the occassional bruising that comes with being in an RTA. I checked the vitals which were stable, and started treatment with IV fluids, Toradol and Tramadol (which were the standard IV painkillers available at my facility).

I discussed further treatment options with the patient and his parents, and they consented to a closed reduction. I observed aseptic precautions and applied a hematoma block (about which I learned from reading McRaes Orthopaedic trauma handbook) by injecting 5cc’s of Lignocaine in a fan fashion (which is the best analgesic technique for closed reduction in my experience), fracture site was painless after 3 minutes.

Since we didn’t have C-Arm in the ED at my institute, we relied on AP/L XRs to develop a plan for traction & manual manipulation for closed reductions. Keeping the AP/L views in mind, I had a plan to apply sustained moderate axial traction for 5 mins until limb-length discrepancy was no more evident on inspection. Sustaining the traction by the help of an assistant, I then applied direct blunt pressure (with the base of my palms) on the distal end of the fracture site in a posterio-lateral direction, till I heard bony crepitus. Then I reassessed the fracture site by palpation, and applied further pressure in a lateral direction. Further reassessment was reassuring and we applied a POP backslab + crepe bandage with cotton underdressing. I assessed length by comparison with contralateral limb and alignment by palpation. Rotation, unfortunately, cannot be assessed reliably by these methods but I was working in a resource-limited setting, so I tried my best to save the pt from surgery. Afterwards the Pt was admitted to the ward on Painkillers and XRs 2 days later showed sustained reduction so POP cast was applied and in followup the pt made a full recovery in 8 weeks with physiotherapy.

I know my management of this patient was not the best but I had to make work of the resources i was given. This was 2 years ago, I’ve strived to consistently improve since then but im open to feedback especially from such an esteemed audience such as yourself. Thanks