shirtless for OMM?!

[NeuroLAX]

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My OMM professor would be disappoint in me.

Caption: You disappoint me, DrWily.

 

[TChapmanwvu1]

Try being a Nurse's Aide for a year

 

[Mbeas]

Manipualtiong someones pubic area? WTF. 😕

pubic symphysis palpation FTW

you know you'll be doing more "invasive" stuff than palpating bony landmarks, right?

 

[MedPR]

pubic symphysis palpation FTW

you know you'll be doing more "invasive" stuff than palpating bony landmarks, right?

Yea I would have more of a problem with someone practicing on me. I'm ticklish.

Sent from my SGH-T999 using SDN Mobile

 

[NeuroLAX]

Yea I would have more of a problem with someone practicing on me. I'm ticklish.

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If you get ticklish when someone palpates your pubic symphysis... there's something wrong with you. It's rather uncomfortable, especially if they are having trouble finding it.

 

[SLC]

If you get ticklish when someone palpates your pubic symphysis... there's something wrong with you. It's rather uncomfortable, especially if they are having trouble finding it.

So many stories that I probably shouldn't share here...😱

 

[MedPR]

If you get ticklish when someone palpates your pubic symphysis... there's something wrong with you. It's rather uncomfortable, especially if they are having trouble finding it.

Is it really that hard to find? I guess if the person is overweight.. Otherwise it seems pretty straight forward?

 

[SLC]

Is it really that hard to find? I guess if the person is overweight.. Otherwise it seems pretty straight forward?

So...many...stories...

 

[NeuroLAX]

So many stories that I probably shouldn't share here...😱

So...many...stories...

Is it really that hard to find? I guess if the person is overweight.. Otherwise it seems pretty straight forward?

No it's not hard to find. Fingers towards the face, work with you palms down until you feel a hard bump... you're on the pubic tubercles. It just feels like an uncomfortable pressure if they're trying to hard to find it.

 

[SLC]

No it's not hard to find. Fingers towards the face, work with you palms down until you feel a hard bump... you're on the pubic tubercles. It just feels like an uncomfortable pressure if they're trying to hard to find it.

It's always interesting when someone forgets this during a stressful practical exam or something and approaches with the fingers pointed the wrong way. It hasn't happened to me, but I've seen it happen before!

 

[Wilf]

you don't HAVE to do ****. hopefully by the time a man gets to medical school he has figured out that women grow leg hair and can get over it.

I can't.

 

[NeuroLAX]

It's always interesting when someone forgets this during a stressful practical exam or something and approaches with the fingers pointed the wrong way. It hasn't happened to me, but I've seen it happen before!

Oh geez I believe it! I've heard of similar stories of people totally blanking on sacral and pelvic diagnosis 😱. That's the easy part!

 

[corpsman33]

Is it really that hard to find? I guess if the person is overweight.. Otherwise it seems pretty straight forward?

Pubic symphysis is pretty easy. But try palpating the PSIS of a 300 pound patient. You'd have better luck finding the Lost City of Atlantis.

 

[NeuroLAX]

Pubic symphysis is pretty easy. But try palpating the PSIS of a 300 pound patient. You'd have better luck finding the Lost City of Atlantis.

I haven't had a partner of this size, but I imagine I would start by finding their iliac crests and then follow them medial and inferior til I find them.

 

[corpsman33]

I haven't had a partner of this size, but I imagine I would start by finding their iliac crests and then follow them medial and inferior til I find them.

When they have that much adipose it is difficult to even find the iliac crest, let alone follow it down to the PSIS. You can get a general idea, but actually feeling the defining characteristics of the region needed to make an accurate diagnosis is extremely difficult. It's like trying to feel a needle under a mattress and determine which direction it is rotated.

I still think you'd have better luck finding the City of Atlantis.

 

[WhovianDO]

When they have that much adipose it is difficult to even find the iliac crest, let alone follow it down to the PSIS. You can get a general idea, but actually feeling the defining characteristics of the region needed to make an accurate diagnosis is extremely difficult. It's like trying to feel a needle under a mattress and determine which direction it is rotated.

I still think you'd have better luck finding the City of Atlantis.

OMM should be fun! *in my best sarcastic voice.

I'm actually looking forward to learning OMM. I guess obese partners are just representative of the population. It's not like all of our patients will be thin and fit. :-/

And I'd better get into shape in he next 5 months. Lol. I don't want to be one of the obese partners!

 

[Bacchus]

When they have that much adipose it is difficult to even find the iliac crest, let alone follow it down to the PSIS. You can get a general idea, but actually feeling the defining characteristics of the region needed to make an accurate diagnosis is extremely difficult. It's like trying to feel a needle under a mattress and determine which direction it is rotated.

I still think you'd have better luck finding the City of Atlantis.

I'd have to agree, but in the real world I'd just diagnose the pelvic girdle with ASIS and medial maleoli. I'd then treat both sides accordingly.

Is it what the OMM specialists would want us to do? No, but its much easier to just treat the anterior rotation on one side and then the posterior rotation on the other. One of my mentors does this in <1 minute. Give her another minute and the T-spine is HVLA'd. Give her a total of three minutes and the cervicals are completed as well.

 

[NeuroLAX]

When they have that much adipose it is difficult to even find the iliac crest, let alone follow it down to the PSIS. You can get a general idea, but actually feeling the defining characteristics of the region needed to make an accurate diagnosis is extremely difficult. It's like trying to feel a needle under a mattress and determine which direction it is rotated.

I still think you'd have better luck finding the City of Atlantis.

Yikes! We're doing lumbar HVLA right now... After what you've said I can't imagine diagnosing a 300-lb patient's lumbars.

 

[corpsman33]

yikes! We're doing lumbar hvla right now... After what you've said i can't imagine diagnosing a 300-lb patient's lumbars.

+1

 

[corpsman33]

I'd have to agree, but in the real world I'd just diagnose the pelvic girdle with ASIS and medial maleoli. I'd then treat both sides accordingly.

Is it what the OMM specialists would want us to do? No, but its much easier to just treat the anterior rotation on one side and then the posterior rotation on the other. One of my mentors does this in <1 minute. Give her another minute and the T-spine is HVLA'd. Give her a total of three minutes and the cervicals are completed as well.

I wish I was this good at OMM. I am getting better because I have been practicing on my wife every night, but I still have a lot to learn.