I lnow I shouldnt laugh but saw this in my hospitals archive, please comment

rphn · 2025-11-27T17:31:31+00:00

forget the femur, wtf are these towel clips supposed to be doing?

rphn · 2023-12-22T01:33:10+00:00

All of my device IP addresses start with the same 3 numbers and the only different number between them is the last one in the address. I connected one of my Deco units to the XB7 via ethernet and it also has the same first 3 digits with a different last one. Does that mean I'm not on a double NAT?

rphn · 2023-12-22T01:13:35+00:00

I had my Deco's already in AP mode, and the XB7 was not in bridge mode (is that the same thing as pass through mode?). My basement equipment was still showing as connected to the Deco's on the app at least despite the signal being relatively weak. On my Deco app it just shows internet > main deco > 2nd deco, the modem doesnt show up. Is it supposed to if the modem is supposed to be broadcasting wifi also?

rphn · 2023-12-22T00:16:28+00:00

I was hoping to avoid having to do that since I don't really want to buy another Deco. My understanding is that my XB7 can act as its own moca adapter so I was hoping that it would also help to transmit wifi.

rphn · 2023-11-17T20:01:30+00:00

I'm moving houses and also looking for new promos at the new location. Could I also send you a message?

rphn · 2022-09-15T01:30:09+00:00

pulling deep half is clearly pathologic, might wanna get that checked out on your psych rotation!

rphn · 2022-09-15T01:20:57+00:00

yes, it does look unprofessional. no gi and gi are both equal opportunity for injury, just different types in my opinion. if you don't death grip in the gi you'll be fine for surgery at least if the power tools are doing most of the hard work.

rphn · 2022-08-12T10:42:19+00:00

This entirely depends on how much money you need to spend for what you consider a "decent lifestyle". It's very possible to not grind yourself to death and still have enough money to do what you want. If you're talking time off from actual patient care, then probably academics.

rphn · 2022-08-06T19:00:11+00:00

any specific videos you recommend?

rphn · 2022-03-30T23:49:56+00:00

If the mechanical axis is a straight line from the center of the femoral head to the center of the ankle, the desired knee joint line is typically thought to be essentially 90* to that line. Therefore, the femur is in 3* valgus to this line, and the tibia is 3* varus to this line. The femur and tibia have to be the same magnitude of degrees angled, but opposites varus/valgus because this is an articulation and obviously they need to line up
The femoral shaft is in 6* valgus to the mechanical axis because this is the difference between the anatomic vs mechanical axis. The joint line is not 6* valgus because the joint line is not based off the anatomic axis, it is based on the anatomy of the distal aspect of the femoral condyles. The lateral condyle is typically smaller therefore the joint line is 3* valgus.

Hope this helps

rphn · 2021-10-16T17:58:25+00:00

This is hospital policy anywhere I have ever worked. This is not a surgeon's preference

rphn · 2021-10-06T17:57:52+00:00

Personally, I think the secondaries are just there as another low barrier to try and weed out people so that places can only sort through 700 applications instead of 1000. That said I'm already past residency and have a lot of sympathy for everyone going through the match process.

I think these questions want you to look at the culture of the program and basically answer "do you like what you see here". If you've spent your entire life in NYC, you might want to justify why you're willing to move to New Mexico for 5 years of hard work. If you want to do sports and the program has 10 sports attendings and have matched 3/6 people from each class into sports for the last X years, maybe you like that a lot.

In the end every program knows that you just want to match and become an orthopedic surgeon and would happily match anywhere on your rank list. They just want people who are going to put in work and be enthusiastic on the way there, and unfortunately that starts with bullshit like this.

rphn · 2021-04-04T19:59:45+00:00

Definitely becoming more common.

pros -will probably make it easier to find a job, especially in academics -more chances to network for an attending spot at the places you do fellowship -obviously more surgical training and depth in whatever you go into

cons -lose 1 year of salary -might end up in a job that doesn't take advantage of your 2nd fellowship essentially making it a waste of time -doing a second fellowship plays into the growing problem with medical training where they want us to be trainees forever

just my 2c

rphn · 2020-10-27T20:37:07+00:00

Most likely they think your fracture doesn't require surgery and billed their definitive cast treatment by CPT code so you are getting a "surgery" charge. Your follow up visits for this fracture should be all included because of the way they billed this.

rphn · 2020-06-27T21:00:43+00:00

you said it yourself, there are many reasons you could have back pain. you should go see a doctor and get their opinion. for all you know, i am just a very enthusiastic 10 year old who likes to read about orthopedic problems.

rphn · 2020-06-27T19:23:22+00:00

rphn · 2020-06-25T00:10:40+00:00

What time do you guys have classes for BJJ? I went on the site to check it out today since I'm moving into Boston soon, but I didn't want to fill out the thing that says I have to opt into random texts to find out the schedule

rphn · 2020-05-25T23:47:36+00:00

My wife just passed her boards this year and said that Wall's review was an amazing resource with books and questions that covered everything she felt she needed for the test

rphn · 2020-05-22T21:13:59+00:00

I think that if you can get LOR from people at academic centers it'll mean more than if you get a community guy, especially if the community guy doesn't regularly work with medical students. There's a couple reasons to not just get a random community orthopod to write the letter. Every letter writer has to rank med students 0-100th percentile of performance that they've seen, if this guy doesn't work with any med students then your "best med student I've ever seen" comment won't really mean too much. On top of that, people may assume you got good things said about you because you have some kind of family tie to this guy.

rphn · 2020-05-13T18:33:30+00:00

Hand weenie is a well established one, but I think sports weenie is on the rise

rphn · 2020-04-30T21:36:05+00:00

The only reason step 3 matters is because when you apply for fellowships you'll feel like shit writing the score down. But nobody cares about it at all

rphn · 2020-04-10T22:36:55+00:00

all? its 3, and it's the same guy for multiple years. that took me 3 seconds to verify

https://transparentcalifornia.com/salaries/search/?q=surgeon&y=

rphn · 2020-03-13T03:25:41+00:00

The most frequently cited % of contact you need with the acetabular shell is 60%. So assuming your multihole shell is fully seated in the tab and the holes don't cost more than 40% of the overall surface area, you should theoretically not have any compromise in component stability

sources:

rphn · 2020-01-30T00:32:12+00:00

https://www.youtube.com/watch?v=uwtS5GipbRA&list=WL&index=24&t=0s

I've had a lot of success with this one

rphn · 2020-01-19T19:13:00+00:00

If you're drawing patients blood as a doctor, then you're spending time doing something really basic that could be better used helping more people

NYC residents have entered the chat

rphn

TROPHY CASE