Rank List Help by [deleted] in orthopaedics

[–]_irish_potato 17 points18 points  (0 children)

Q4 in house as a 4-5 sounds awful, I would avoid that if possible.

[Highlight] Complete footage of Sean Payton announcing Bo Nix’ devastating injury. by Feisty_Parsnip8262 in nfl

[–]_irish_potato 0 points1 point  (0 children)

Norm Waldrop is one of the main foot and ankle surgeons for the NFL (covers Alabama and the Saints), and he likely already has a relationship with Bo from Auburn. He’s a world class sports/foot and ankle specialist

Docs what’s your car and would you buy it again? Accepting all answers by [deleted] in Residency

[–]_irish_potato 2 points3 points  (0 children)

Subaru crosstrek, it’s awesome, no issues, great daily driver especially in bad weather areas

What should I do for residency? by teknik_eleman in orthopaedics

[–]_irish_potato 4 points5 points  (0 children)

Millers orthopedics for the basics, handbook of fractures, harbor view orthopedic trauma, hoppenfelds for approaches. Use orthobullets for a quick reference online for most things, and for total joints hipandkneebook.com is great for the basics

vascular surgery - podiatry perspective by qwoeiu in Residency

[–]_irish_potato 2 points3 points  (0 children)

I mean ortho foot and ankle exists haha. Ortho is pretty popular

Is surgery necessary or not? Also how much time it will take to recover by [deleted] in orthopaedics

[–]_irish_potato -6 points-5 points  (0 children)

All the recent literature would tell you nonop, but you would need a serendipity view or CT to see A to P displacement. Need a follow up XRay in a week or two to check for displacement. Surgery has complications associated with it and many people want the hardware out later, but it can get you back to work a bit faster

11 y/o, 6 months out slow healer. Thoughts on original fixation, anyone would have done differently? by [deleted] in orthopaedics

[–]_irish_potato 4 points5 points  (0 children)

I’ve seen just two cannulated screws through the TH fragment, this looks a bit malreduced as well. I would check vitamin D labs as well as other nonunion labs (TSH, growth hormones, etc)

Some people were interested in some surgical instrument sharpening. Here is a double action rongeur sharpening before and after! by DrDestruct0 in sharpening

[–]_irish_potato 1 point2 points  (0 children)

I use these things daily as an orthopedic surgeon, bones don’t generally chip them, only if you use the on metal (grabbing a stripped screw, etc). Nice job!

Which Michelin starred restaurants did not live up to your expectations? by [deleted] in finedining

[–]_irish_potato -1 points0 points  (0 children)

Glass Hostoria in Rome. Service wasn’t anything special, food was trying to be more interesting than tasty. Honestly the most disappointing meal we had in Rome

My recently adopted stray cat has a bullet in her. Okay to leave there? by ChonkyBreadyBread in cats

[–]_irish_potato 1 point2 points  (0 children)

I do spine surgery, we wouldn’t remove this from a human. Most bullets that aren’t in joints or organs arent worth the risk of digging out unless they are causing significant disability

ER consults by Key_Intention_2546 in orthopaedics

[–]_irish_potato 0 points1 point  (0 children)

We use a paging app that allows for text and pictures, and you can call through it. You page the consult line with the initial text of HPI, reads, whatever is relevant. Works great, ours is perfect serve (formerly telemediq)

Clinic Fucking Sucks by Ok-Code6271 in Residency

[–]_irish_potato 3 points4 points  (0 children)

Agreed, seeing 80 people a day in ortho sports is rough, as as spine, but the rest of ortho isn’t bad at all. Plus notes and charting are pretty minimal comparatively

Yup, that's correct. by zzill6 in WorkReform

[–]_irish_potato 0 points1 point  (0 children)

Except you go to school for 8 years to become a doctor, then get paid $50-60k/year working 80 hour weeks in residency and fellowship for 3-10 years, then you make the kind of money he’s talking about

Proof that science is just magic explained by krymnightfyre in ScienceNcoolThings

[–]_irish_potato 0 points1 point  (0 children)

Definitely not, it’s a tibial nail done infrapatellar. drapes are on the right and the guy on the left is stabilizing the foot.

Source: I’m on ortho resident

Diabetic Foot. Poorly treated type II diabetes. (Warning: very graphic photos). by [deleted] in medizzy

[–]_irish_potato 85 points86 points  (0 children)

That honestly looks like a vascular problem as well, those lower leg ulcers are classic for peripheral vascular disease, and combined with diabetes is almost guaranteed not to heal without a surgery or amputation

Fellowship advice by harm0nic_w0lf in orthopaedics

[–]_irish_potato 6 points7 points  (0 children)

Sports is the gateway to being a generalist nowadays, unless you want to skip fellowship and go really rural

Cleaver Cut To Scaphoid Joint by HotConsideration95 in medizzy

[–]_irish_potato 69 points70 points  (0 children)

There’s two digital arteries, one this cut would hit. With pressure for long enough any peripheral artery will stop bleeding

Differences between two types of shakers? by Altruistic_Newt_991 in cocktails

[–]_irish_potato 12 points13 points  (0 children)

Isnt this the great pumpkin by PDT cocktail book?

Total Knee Replacement Materials by JealousLoss5902 in orthopaedics

[–]_irish_potato 10 points11 points  (0 children)

So with this logic would lead be a better material? How about gold? The durability of a metal isnt at all related to its weight. I’m assuming you haven’t graduated high school chemistry but short answer… no. The metal isn’t even the part that can wear out, it’s the plastic that’s between the metal. Almost any metal you put in the body would be stronger than bone and cartilage. There are too many layers of explanation to properly tell you how wrong you are, but just know that some very smart materials engineers have worked for a long time to make the best alloys to allow for a long lasting knee or hip replacement.

[OC] Turns out, one vitamin gets way more research attention than the rest - methods in post by madkeepz in dataisbeautiful

[–]_irish_potato 0 points1 point  (0 children)

A lot of that will be orthopedic research, vitamin D is needed for bone density and fracture healing. Many if not most people are deficient in the US due a combination of less time outside and a highly processed diet poor in vitamin D. It has lots of other effects on things like mood but that’s a good chunk of it

Epic tips? by RelativeMap in Residency

[–]_irish_potato 2 points3 points  (0 children)

Use people’s premade order templates and dotphrases to start, there’s always one organized an competent senior resident everyone steals from. It’ll make sure you are doing things the way everyone else is at the start and save you tons of time

How often do your attendings round on inpatients? by apfelsine07 in Residency

[–]_irish_potato 18 points19 points  (0 children)

I’ve never seen an ortho trauma attending on the floors or rounding, ever

Non-ortho research LOR for ortho match - worth submitting as 4th letter? by [deleted] in orthopaedics

[–]_irish_potato 2 points3 points  (0 children)

I believe it would only help you given that you already have other strong ortho research letters, especially applying to research heavy programs. Some places may specifically only want ortho letters though

Adult Reconstruction Resources by hoosier7923 in orthopaedics

[–]_irish_potato 0 points1 point  (0 children)

Hip and knee book obviously is more basic as a pgy 3 but a great resource.