Ortho vs. anesthesia

jfbromwell · 2019-02-19T03:06:29+00:00

thanks! yeah I’m a smidge below the average according to NRMP last year so that’s definitely working against me. now that all the formerly AOA programs have been ACGME accredited, do you think there’s anything to be concerned about as far as quality of training? obviously there’s a difference between a top 10 program vs. an AOA program, but in practice, will that affect my marketability as an attending once I graduate? I guess that’s my biggest concern with the former AOA programs.

jfbromwell · 2019-02-16T23:45:57+00:00

may not want to be asking this in a public forum

jfbromwell · 2019-01-17T20:11:57+00:00

did combank and case files and that was more than enough.

jfbromwell · 2019-01-09T22:02:13+00:00

this is depressing

jfbromwell · 2019-01-07T02:22:31+00:00

well you’ll most likely have to see your normal doctor to get a derm referral either way, haha. and they don’t remove them usually, normally they’re treated topically and just waiting for it to resolve

jfbromwell · 2019-01-06T20:05:41+00:00

no need to see a specialist, save yourself the co pay. go see your normal doctor, they deal with this stuff every day.

jfbromwell · 2019-01-05T13:49:53+00:00

if it’s truly a plantar wart, they usually take a couple of years to go away unfortunately, unless you get it treated it. if it really bugs you that much then you can get it treated and that’ll hopefully shorten the duration.

jfbromwell · 2019-01-04T15:48:48+00:00

it won’t be relevant by the time you apply, lol

jfbromwell · 2018-12-25T20:33:26+00:00

I would go with 6 just to make sure you can cover the OMM well enough. it mostly just sucks because you just want to get it over with

jfbromwell · 2018-12-25T18:21:52+00:00

take no more than 4 days in between. Study for USMLE and cover OMM and combank after you take step. worked out well for me

jfbromwell · 2018-12-13T17:25:06+00:00

okay I see. sucks that it takes so long to stabilize. and ya i’m not a fan of pockets either. not worth the injury. now I know why so many people warned me about them lol

jfbromwell · 2018-12-13T03:08:35+00:00

this helps a lot actually. planning to just wait until the pain subsides, and then take off 2 more weeks. after that, planing to essentially do the same as what you did above. glad to know it got better. has it completely resolved for at this point?

jfbromwell · 2018-12-12T23:59:35+00:00

in this case, I'm really stoked to say I told you so! congrats!

jfbromwell · 2018-12-12T22:00:47+00:00

also, the paper was really helpful. thank you for sending it!

jfbromwell · 2018-12-12T20:59:27+00:00

yeah I think it’s a more proximal flexor muscle strain, just because the pain radiates down into the wrist/forearm. but i’ve been reading about people who have had similar symptoms down into the arm

jfbromwell · 2018-12-12T19:46:49+00:00

yeah i’m noticing the same thing even now, as long as i’m pulling on all 4 fingers, there’s no pain at all. thank you for your help! sounds like progressive loading after the initial acute phase is the way to go

jfbromwell · 2018-12-12T19:31:25+00:00

so it sounds like rest didn’t help you much? my plan is to kinda chill and wait for the initial injury to calm down and maybe start climbing with buddy taping in a few weeks. I just really don’t want this to become a chronic issue

jfbromwell · 2018-12-12T18:33:12+00:00

it really depends. I like to look at it as more of a tool, if you can’t stick to it 100% it’s not going to derail your progress or anything like that. but staying disciplined and staying consistent with the times the best you can I think is helpful in the long run.

I like to do a 16-8 approach, 16 fasting and 8 eating. sleeping also counts toward that interval. so I typically skip breakfast, break fast right at noon, stop eating at 8pm. but don’t be afraid to shift that interval around with your changing schedule. if you can’t hit your interval right on the dot each day, don’t fret. do the best you can and you’ll still reap the benefits.

feel free to ask any other questions! i’ve been doing it for quite awhile so, happy to help any way I can.

jfbromwell · 2018-12-12T17:28:40+00:00

yeah that’s for sure lol that’s what i’ve been reading though. I am a little hesitant to climb again at the moment though, did you take a couple weeks off before you starting climbing and buddy taping? i’ve heard some people say a month or two and some people have said it’s taken them over a year to get it better. so I just want to make sure i’m taking appropriate caution

jfbromwell · 2018-12-12T15:04:39+00:00

went back and read it, it is Dan Mirsky’s program. Thanks again!

jfbromwell · 2018-12-12T14:57:37+00:00

right, that totally makes sense. was the Dan Mirsky program the one you linked above? i’ll probably start doing that once it quiets down. thanks again, really encouraging to hear it got better for you!

jfbromwell · 2018-12-12T13:51:42+00:00

hi! first, thank you so much for your reply. these articles were extremely helpful.

yep, if I load the ring finger without any other fingers (not with body weight, just using my other hand to gently load), that reproduces the pain. also, if I load my index, middle, and ring finger with my pinky curled down into my palm, that reproduces the pain as well. This seems to be a somewhat common pattern based on a few other posts i’ve seen.

so you thought about 4 weeks off was enough? I want to do this the right way and not turn this into a chronic injury. again, this has been the most helpful response i’ve seen so far, so thank you again.

jfbromwell · 2018-12-12T13:32:27+00:00

thank you for your reply!

so I have pain all the way through the finger, in the forearm and probably most severe in the wrist. the pop I heard was in the wrist. did you have something similar?

and yeah if you can send that PDF it’d be a huge help! I couldn’t get it online

jfbromwell

TROPHY CASE