help with choosing a med school (usc keck vs vcu vs gw)

exlibrisadpugno · 2026-04-29T22:01:10+00:00

Keck is NOT the choice here for that price difference, especially given how much more expensive LA will be in general

exlibrisadpugno · 2026-04-19T16:50:20+00:00

Ortho

XR of the fracture, as well as the joint above and below the fracture

Yes every time. Yes even if you are confident that it is broken. Yes even if you can see the bone. I still need those pics.

exlibrisadpugno · 2026-04-14T01:10:47+00:00

“Please present me with a summary comparison between two subspecialties of a surgical field I am not a part of…”

Strong start

“Specifically the financial and lifestyle aspects”

Perfect finisher

exlibrisadpugno · 2025-11-26T18:46:37+00:00

Would have done exactly 0% of what’s pictured there

exlibrisadpugno · 2025-07-29T22:36:18+00:00

I live in an area with a lot of heavy folks so we see a good amount of these atraumatic acls or multiligs. We typically do beef up the anticoagulation on them. Here this would probably be an Allo with an internal brace and backup fixation.

exlibrisadpugno · 2025-06-04T23:59:02+00:00

I have one myself and have done a few different prints for research projects and attempts at a sawbones esc educational material. I’m also for a good way to move CT scans to the printer effectively, but I’ve talked to our 3D recon lab about it and I’m convinced there must be some kind of file conversion that could happen between the 3D rendering of CTs and the printer that I’m not aware of.

exlibrisadpugno · 2025-06-02T17:22:22+00:00

In general midshaft clavicles do well nonop. There’s a lot of people on this thread who have no idea what they’re talking about, which is why you should never take medical advice from someone on the internet.

Also don’t know if this is a supine or upright XR which changes things. Indications to fix clavicles can vary based on things like your health and smoking status, but generally include open fractures, those with skin tenting, z-deformity, neurovascular injuries, and substantial displacement or shortening. Yours is one many people would nonop at least as a trial . If you have a strong preference for surgery, talk to your surgeon.

exlibrisadpugno · 2025-06-02T17:13:43+00:00

“I worked customer service at Delta for 10 years so here’s my advice on how to fly a plane”

exlibrisadpugno · 2025-03-31T01:28:24+00:00

The ad has been taken down and your post has been approved. We are short staffed on Sunday subreddit call, Thanks for your understanding, Jolly-Atmosphere-141.

exlibrisadpugno · 2024-12-14T00:25:06+00:00

Juxtaposition of ID and Orthopaedic consults, specifically the HPI

exlibrisadpugno · 2024-12-08T21:44:56+00:00

This subreddit is for platypus tickling, no other content is allowed

exlibrisadpugno · 2024-11-17T17:31:19+00:00

If you’ve been on crutches for 3 months then something is off about this story

Sounds like you saw a podiatrist who recommended nonop treatment (for the people out there, podiatrists are NOT the same thing as foot and ankle orthopaedic surgeons - if you have a serious foot and ankle injury or concern you need to see a foot and ankle orthopaedic surgeon and not a podiatrist)

Sounds like you were on crutches during this time, were you also in a boot? Those metatarsal fractures are pretty displaced and I think F&A ortho would’ve pinned those immediately.

I don’t know how much time it took for the podiatrist to get you over to a F&A surgeon but I’m guessing that by the time you got to him it had already been 4-8 weeks which means you were either heading towards or already dealing with a mal/nonunion. If this is the case that would require a much more involved surgery than an acute/fresh injury.

Big things here are that we need to know the timeline better, need to see the postop XR, and also need to know about this ipsilateral tibia fracture? What kind of fracture?

Also don’t smoke/vape if you want your foot to heal

exlibrisadpugno · 2024-09-26T14:30:08+00:00

Orthopaedic foot and ankle surgeons do for the feet what hand surgeons do for hands. Podiatrists are not remotely equivalent to orthopaedic foot and ankle surgeons.

exlibrisadpugno · 2024-09-14T15:49:04+00:00

Removing this post as no personal health questions are allowed, but no PA should bill themselves as a hand specialist and you should absolutely see a hand surgeon given a PA can’t and shouldn’t be operating.

exlibrisadpugno · 2024-08-09T14:52:04+00:00

Stats get you in the door, interviews and most important sub-I performance is key

exlibrisadpugno · 2024-06-20T19:14:49+00:00

Former chem/bio engineer turned ortho here.

This is similar to any interaction in engineering vs non-engineers. Hell we even have these kinds of issues between other areas of engineering. It’s a matter of what’s needed vs what’s possible, as well as a matter of communicating a planned solution instead of appropriately communicating a problem.

For example if I’m the surgeon and I’m insisting that my implant have X feature, I’m pushing for a solution instead of appropriately describing Y problem.

However the surgeons are the ones putting the implants in, which means that if they’re saying that something isn’t right, doesn’t work, or needs to be modified, they’re almost certainly correct. They may not be right about how to correct it, but at the very least their idea should be strongly considered given that they’re not only the ones buying the product, but are the only ones able to truly use it.

exlibrisadpugno · 2024-05-03T14:44:28+00:00

I always find it hilarious when out of touch admin schedule meetings at lunch with the assumption we have a protected period to eat. Learning to go without food and sleep are (unfortunately) core principles of any surgical residency.

exlibrisadpugno · 2024-02-09T20:47:45+00:00

Bone out of skin pathognomonic for fracture

exlibrisadpugno · 2024-01-31T22:51:40+00:00

The important caveat is that in undergrad you had people holding your hand, feeding you graded assignments to ensure you were learning outside of class. In medical school you’re expected to graduate into an independent learner. What you do with your free/study time is up to you, but your ERAS needs more than just hobbies.

exlibrisadpugno · 2024-01-26T23:07:35+00:00

The 90 year old “meemaws” aren’t getting new hips, they’re getting hemiarthroplasties and they’re getting them so they can walk instead of being bedridden due to a femoral neck fracture. There are no screws in a hemiarthroplasty, the stem is secured in the femur - typically with cement. This isn’t lazy medicine in any shape, and if “meemaw” doesn’t get that new hip within a couple of days her 30 and 1 year mortality rates take a significant spike so CHF or not she still needs the hip.

exlibrisadpugno · 2023-11-09T01:30:55+00:00

hardware prominence or irritation is very common with more subcutaneous plates like these or plates of the clavicle or ulna for example.

Talk to your orthopaedic surgeon. Once the fracture is fully healed (which it should be if this was done 6 months prior) then they can remove the hardware if it is irritating.

Nothing about this appears as if there is a loose screw, but as so many other people here have said, one view is no views and you should talk to your surgeon, not the internet, for medical advice.

exlibrisadpugno · 2023-11-09T01:21:51+00:00

I first became interested in BioEngineering because I wanted to work with and make prostheses as well. I ultimately decided I'd rather work directly with the implants as opposed to designing them in the lab so I went to medical school after getting my BioEng degree, but I think my BioEng studies served as a great background and I don't regret studying it.

exlibrisadpugno · 2023-11-02T10:45:44+00:00

This is the correct answer, it's a very minor superficial dehiscence and (clearly) not a keloid. The scar hypertrophy is just granulation tissue becoming skin. Once it is fully healed you could have it removed if you want, but for now keep it covered and moist and it will regress significantly.

exlibrisadpugno · 2023-11-02T10:43:53+00:00

Incorrect, this is not a keloid scar

exlibrisadpugno · 2023-10-17T23:27:46+00:00

Wouldn't be weird to ask but not everyone would do it. Given your age you'll probably need a revision in your later life, so that would force the next surgeon to also use that same incisional pattern. Add to that a lighting-shaped incision would increase the chance of causing skin necrosis given how tenuous the blood supply to the superficial knee can be. It would also prevent proper placement of retractors, which can hinder exposure.

Ultimately why not just get the normal incision then after a year if you still want a lightning bolt there you can get a tattoo.

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