- Joined
- Jul 11, 2005
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At the VA? Say "hi" to Nixon for me.
Nat
Nixon is no longer at the program. Dr. Dancho has taken over as program director. I never had the opportunity to meet Dr. Nixon but Dr. Dancho is great.
At the VA? Say "hi" to Nixon for me.
Nat
one of the students now, all the sudden looks at me and goes " I know who you are, your on SDN"
Jim Dancho runs the program now??? I never would've foreseen that. Any idea where Nixon went? Did he finally retire?Nixon is no longer at the program. Dr. Dancho has taken over as program director. I never had the opportunity to meet Dr. Nixon but Dr. Dancho is great.
I saw a 17 yr old patient today who had her foot mangled by a boat prop and another patient with the bone from a catfish fin in his heel that had been there for 10 months. Only in Minnesota.
I got called in this morning (5AM) for a gunshot wound to the right foot. It was accompanied by a nice calc fracture. And of course, he was minding his own business.
Sounds like you are getting some pretty good trauma. Do you DMC guys ever do any bunions up there or do the patients have to shatter something for you to operate?
When it rains, it poors. I was called to the ED at 12:30am this morning. A 14 year old boy was caught in a drive by and had a gun shot wound to the foot. It had lodged right in the tarsal sinus. Surprisingly, there were no broken bones. We took him to surgery at 4:30am and I pulled out a .38 slug.
What is a 14 y/o doing out at midnight?
When it rains, it poors. I was called to the ED at 12:30am this morning. A 14 year old boy was caught in a drive by and had a gun shot wound to the foot. It had lodged right in the tarsal sinus. Surprisingly, there were no broken bones. We took him to surgery at 4:30am and I pulled out a .38 slug.
Shoulda left in there and billed for an MBA implant.
Shoulda left in there and billed for an MBA implant.
No, but I did bill for a tarsal sinus evac!
Isn't that a pretty hefty dosage... even for an adult?I'm on anesthesia and did pian rounds today.
13 yo m on PCA w/ 0.3mg dilaudid every 10 or 12minutes, not to excede 1mg/hour...
Nat,
Nixon has gone to Atlanta, Village Podiatry Group, he's the head of research there.
SportPod
Isn't that a pretty hefty dosage... even for an adult?
What kind of pain did the patient have?
Were you still in the Twin Cities yesterday, or were you travelling to your next clerkship?Right now I am doing a one month externship at Mercy and Unity in Coon Rapids, MN. In september I will be at Regions in St Paul for a month.
Were you still in the Twin Cities yesterday, or were you travelling to your next clerkship?
$10 says almost anyone about to leave any area hospital at 7pm last night was told, "hey, I think we might need you to work a double,"
Weird (that they even paid attention to the nail). Since he was under anesthesia, did you just yank it out with a hemostat then walk out of the room, total time 15 seconds?best nail avulsion case ever.
Kid crashed on the way to pods office and sustained acetabular fracture. He was going to pod office for nail avulsion.
I got called to the OR to do a partial nail avulsion while the ortho trauma doc, resident and med student worked on the hip.
Saving lives one nail avulsion at a time.
best nail avulsion case ever.
Kid crashed on the way to pods office and sustained acetabular fracture. He was going to pod office for nail avulsion.
I got called to the OR to do a partial nail avulsion while the ortho trauma doc, resident and med student worked on the hip.
Saving lives one nail avulsion at a time.
Multiple foot GSW's? Shotgun wounds, or did someone get forced to dance like in the cowboy movies?That is HILARIOUS!!! Did you scrub in and have a surgical tech assist???
I got called to the ED this morning for multiple gunshot wounds to the foot.
Multiple foot GSW's? Shotgun wounds, or did someone get forced to dance like in the cowboy movies?
I wonder if the patient was driving 88 mph?I prefer Back to the Future III ...sort of a cowboy movie.
Multiple foot GSW's? Shotgun wounds, or did someone get forced to dance like in the cowboy movies?
His story was he was trying to break up a fight in the street. He was then assaulted and shot twice in the foot, one went straight through and the other lodged in the medial cuneiform - 1st Meta joint. True story? Not sure but what I do know is that his blood alcohol level was 0.178!!!
That is HILARIOUS!!! Did you scrub in and have a surgical tech assist???
I got called to the ED this morning for multiple gunshot wounds to the foot.
SO here are the details of the nail avulsion...
The orthopedics asked about infections - colds and the such. The parents remembered the toe was maybe infected.
The ortho paged the chief of podiatry (we do ortho trauma for 3 months in our 2nd year) and asked him to come down and take care of the nail. I was sent instead.
I had my own table, no scrub tech, and only avulsed the lateral border of the nail where pus was expressed. I told the ortho, who was up at the hip, that I saw some pus so he asked anesthesia if the patient was given ancef yet. Then he asked me if I wanted to cover for anything else. I replaied no. He said what about gram negatives. I replied no that the most common infecting organism is staph aureus. He then turned to anesthesia and asked for something to cover grma negatives. So much for confidence in the 1st year.
That is the story for the most part.
SO here are the details of the nail avulsion...
The orthopedics asked about infections - colds and the such. The parents remembered the toe was maybe infected.
The ortho paged the chief of podiatry (we do ortho trauma for 3 months in our 2nd year) and asked him to come down and take care of the nail. I was sent instead.
I had my own table, no scrub tech, and only avulsed the lateral border of the nail where pus was expressed. I told the ortho, who was up at the hip, that I saw some pus so he asked anesthesia if the patient was given ancef yet. Then he asked me if I wanted to cover for anything else. I replaied no. He said what about gram negatives. I replied no that the most common infecting organism is staph aureus. He then turned to anesthesia and asked for something to cover grma negatives. So much for confidence in the 1st year.
That is the story for the most part.
What med did Anesthesia end up giving?
I do not know. I did not ask. I suck at antibiotics so I did not want to ask and then get asked back "well what would you use" and look like a dumb sh_t for not knowing what to cover with.
3yo F vs. automobile - her foot got run over by the car. She had some abrasions and on x-ray no fractures but a foreign body at the same location as on of the abrasions. No laceration.
We cleaned her up bandaged her - she said thank you after screeming like a lunatic. Sent her on her way.
That is the exciting trauma so far at the Level one INOVA.
There is an orthopedic trauma team that gets most calls - we cover the cases though. I'd rather cover the cases than get called to the ER.
Man, Jon the trauma in Louisville might rival DMC. I have seen some extreme cases and I've only been on podiatry call for a week. A guy that was run over by a boat and is in critical condition from the mulitple lacterations (shoulder, abdomen, and heel), a guy in the ICU because a tree fell on him and he had an open skull fracture but the degloved his foot and ankle, motorcycle accident, car accidents, and the list goes on and on. It has been a very tiring week, thank goodness I'm off after Saturday. That means just two more nights for the drunks to get injured.
Sounds like you're having a good experience down there. I don't know a whole lot about the Louisville program but I've heard good things about it. My week has actually been pretty good. I've done a ton of elective stuff. I did have another GSW on Tuesday morning.
hey krabmas,
Just confused what "they get the calls, but we cover the cases" means.
Good day.
I did my 1st pilon fracture today. I put an ex-fix on it. Sweet! The guy jumped off a 3 story building and sustained a tri-malleolar right and a pilon left. My co-resident did the ORIF and I did the ex-fix.