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- May 15, 2004
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Great case... did you get the C, or was it mostly done by vascular?
It was me and the pod attending. No vascular involved.
Great case... did you get the C, or was it mostly done by vascular?
My second day of residency and I got three ankle fractures. As a new first year! I think I picked the right program.
Are you guys at DMC?
I had two ankle fractures and one gunshot wound that night! I could barely keep my eyes open the next day in surgery, but it was definitely worth it. By the way Jon, did I tell you about the consult I got last Friday afternoon? I was consulted for bilat leg "ulcers". When I got there I removed the dressings and hundreds of maggots poured out onto the floor. I still can't eat rice.
That sucks, you guys are doing surgery all day? Losers!! I've been on medicine this month and just wish that I could do it my whole life. I never want to leave this rotation.
I had two ankle fractures and one gunshot wound that night! I could barely keep my eyes open the next day in surgery, but it was definitely worth it. By the way Jon, did I tell you about the consult I got last Friday afternoon? I was consulted for bilat leg "ulcers". When I got there I removed the dressings and hundreds of maggots poured out onto the floor. I still can't eat rice.
MAGGOTS??? Why were there maggots? I've never heard of a disease with them....
At least the wound should be clean since maggots technically eat away dead tissue.
just curious, how are your numbers? How many ortho trauma months do you do?
We do 3 months of ortho trauma our second year. I did nearly 400 C my first year.
I'll have 7 by the time I graduate (4 first year, 2 second, and 1 third).....did a little under 500 C cases first year....already got my numbers to graduate
I'll have 7 by the time I graduate (4 first year, 2 second, and 1 third).....did a little under 500 C cases first year....already got my numbers to graduate
its grueling but awesome-ours is a level I also. We have a pod resident rotate with one of the ortho teams every month, so all of the foot and ankle stuff come to us. We see tons of open and closed fractures and pull general ortho call as well. Fortunately, we don't have back-to-back months, we alternate every quarter or so. We've just upped our residents from 2 per year to 3 so it'll cut back the time the PGY-1's rotate on ortho, but 4 months is plenty! We also rotate with a pediatric ortho and a foot and ankle ortho for a couple of months each, so we get our share.
case volume rules. There are huge differences between programs that have minimal volume and those that have 3X the MAV...like my director, Dr. Ford, says: "There are doers and writers...those that are doing are too busy to write and those that are writing aren't doing."
i think learning by doing is the ONLY way to be good at surgery.....thats just something that you can't get good at by reading about it. Whats up with the other programs in Detroit? We just transferred a guy in from Kern? I've heard nothing but good about DMC. What about Bosford?
I just clerked at DMC and StJohn NS. I also visited Oakwood a few times while I was in town....Whats up with the other programs in Detroit? We just transferred a guy in from Kern? I've heard nothing but good about DMC. What about Bosford?
Today I assisted a hand surgeon in the pollicization of the index finger. That means that we took the index finger and made it into a thumb. I think this was the coolest procedure I have seen so far.
The other times I have worked with her she actually lets me do surgery on the hand. But this case was on an 11 month old and it is a very rare case so she did all the work. We closed the skin with chromic gut. I've seen the stuff on the suture wall but never seen it used until now.
Even since I had a state patrol officer come in and show pictures of a motorcycle vs. semi accident during drivers ed (yes that was 10 years ago) I haven't been as interested in motorcycles. Props to those that enjoy them...I am more of a fan of fast cars myself!
Exactly....yeah, **** happens to innocent drivers once in awhile, but 99% of the guys I've worked on have been speeding, drinking, or cutting up on their bikes, so I'm not convinced enough yet to give up mine!
I'm working with a foot and ankle ortho guy this month and so far we've done 2 total ankles, a few scopes, 4 ankle fusions, 3 sub-talar fusions.....not to mention the other forefoot stuff...and I still have 2 weeks left with him!
Hey, is my boy, JD your co-resident?
case volume rules. There are huge differences between programs that have minimal volume and those that have 3X the MAV...
...i think learning by doing is the ONLY way to be good at surgery...
"We are what we repeatedly do. Excellence, then, is not an act, but a habit. "I chose my program based on volume....
... I need to be in the OR doing it. Maybe you don't need to do 500 bunions to know how to do a bunion, but it sure does help!
So yesterday I was driving to the hospital to do an ankle fracture and I heard a news report on the radio about a guy who killed someone and stole their maseroti, got in a high speed car chase and totaled the car. I went to pre-op my patient at the hospital and he was handcuffed to the bed with two Detroit cops at his bedside. Turns out he was the guy I had just heard about and he was #5 on the list of Michigan's most wanted with an outstanding warrant for murder prior to his latest carjacking/murder. Ortho fixed his femur fracture and then I fixed the ankle. You can't make this stuff up. Just another day as a 1st year resident in Detroit.
So yesterday I was driving to the hospital to do an ankle fracture and I heard a news report on the radio about a guy who killed someone and stole their maseroti, got in a high speed car chase and totaled the car. I went to pre-op my patient at the hospital and he was handcuffed to the bed with two Detroit cops at his bedside. Turns out he was the guy I had just heard about and he was #5 on the list of Michigan's most wanted with an outstanding warrant for murder prior to his latest carjacking/murder. Ortho fixed his femur fracture and then I fixed the ankle. You can't make this stuff up. Just another day as a 1st year resident in Detroit.
I'd round on that guy as a team - or not at all - especially if he has any "visitors." Yikes.^So yesterday I was driving to the hospital to do an ankle fracture and I heard a news report on the radio about a guy who killed someone and stole their maseroti, got in a high speed car chase and totaled the car. I went to pre-op my patient at the hospital and he was handcuffed to the bed with two Detroit cops at his bedside. Turns out he was the guy I had just heard about and he was #5 on the list of Michigan's most wanted with an outstanding warrant for murder prior to his latest carjacking/murder. Ortho fixed his femur fracture and then I fixed the ankle. You can't make this stuff up. Just another day as a 1st year resident in Detroit.
I'd round on that guy as a team - or not at all - especially if he has any "visitors." Yikes.^
...Personally, I'm fairly sold on Det area for my residency training, but this kinda stuff does NOT make it an sell easy to the wife. While I was clerking at DMC, she saw that "48 Murder" TV show, called me, and guess what hospital was featured on it... yep, SGH. Maybe I will have to tell her that all the Detroit PMS36s provide fantastic life/disability insurance plans?
So yesterday I was driving to the hospital to do an ankle fracture and I heard a news report on the radio about a guy who killed someone and stole their maseroti, got in a high speed car chase and totaled the car. I went to pre-op my patient at the hospital and he was handcuffed to the bed with two Detroit cops at his bedside. Turns out he was the guy I had just heard about and he was #5 on the list of Michigan's most wanted with an outstanding warrant for murder prior to his latest carjacking/murder. Ortho fixed his femur fracture and then I fixed the ankle. You can't make this stuff up. Just another day as a 1st year resident in Detroit.
That is good advice^Yea, I always advise the married students that are considering DMC or other Mo-town programs to make sure they get their spouse up here for a visit. As soon as the spouse mentions to friends/family that you are considering residency up here, all the people (most of whom have never been to Detroit) start talking. That's why it's good to get them up here to show them that it's got plenty of safe, nice places to live...
That's crazy Gusty. Did you slap him around a bit after he was under the gas?