Originally posted by thesaint258
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Originally posted by TexTechCoug View PostMy mom was anticoagulated on Coumadin and had a fall while hiking. Today she had a fasciotomy for anterior compartment syndrome in one of her legs.
Bummer."You interns are like swallows. You shit all over my patients for six weeks and then fly off."
"Don't be sorry, it's not your fault. It's my fault for overestimating your competence."
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Originally posted by hostile View PostMost of the time, for single compartment fasciotomy, I'm able to get the skin closed a few days down the road without requiring a skin graft. The defect in the fascia will be permanent and may result in a bulge on the affected leg, causing it to appear larger than the other side. This is rarely painful if the fascia has been adequately released. There is a slight chance of her experiencing weakness in the anterior compartment muscles due the loss of force by having the fascia released.
Next up is another ablation (#3) to try and take care of that pesky atrial fibrillation, which is really the source of all her health issues, including the compartment syndrome.
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Question, where my left shoulder meets my neck is hurting. Its always tight but it hurts tonight where I have taken two Naperson and I dont take stuff normally. I was lifting a fair amount last week so thats most likely the cause.
Any thoughts on how to get this part of the body to heal ?
Massage ? Thanks in advance.
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I thought the physicians might think this case was pretty cool, though it doesn't have a happy ending.
http://shellsonmybeach.blogspot.com/...-i-belong.html"Yeah, but never trust a Ph.D who has an MBA as well. The PhD symbolizes intelligence and discipline. The MBA symbolizes lust for power." -- Katy Lied
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Physician burnout study:
http://www.reuters.com/article/2012/...87J0RJ20120820
I knew we'd be one of the highest, but family medicine surprised me.
Lowest rates: dermatology and preventive medicine (whatever that means).At least the Big Ten went after a big-time addition in Nebraska; the Pac-10 wanted a game so badly, it added Utah
-Berry Trammel, 12/3/10
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Originally posted by wuapinmon View PostI thought the physicians might think this case was pretty cool, though it doesn't have a happy ending.
http://shellsonmybeach.blogspot.com/...-i-belong.html
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Originally posted by wuapinmon View PostI thought the physicians might think this case was pretty cool, though it doesn't have a happy ending.
http://shellsonmybeach.blogspot.com/...-i-belong.html
Once as the ICU intern, where a patient had several days of normal chest x-rays, and then a CT scan with the organs reversed (the x-ray techs were flipping the x-rays around to the "right" side thinking they were processed incorrectly).
Once where a patient had an appendicitis on the left side, the exact opposite mirror image of where the appendix should be. The mirror image laparoscopic appendectomy was successful."Sure, I fought. I had to fight all my life just to survive. They were all against me. Tried every dirty trick to cut me down, but I beat the bastards and left them in the ditch."
- Ty Cobb
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Originally posted by mtnbiker View PostThat's really crazy to have all the organs and major blood vessels reversed. I understand an ex-brother in law had a baby with that condition about a year or so ago. The docs really scrambled and did some major surgeries to correct the condition. I haven't heard anything for a while, but I think the baby's doing ok.I'm like LeBron James.
-mpfunk
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Originally posted by chrisrenrut View PostEvery time I see a med student, I think to myself "There is a future malpractice suit".
As terrible as it may be, having a suit filed against you is far better than joining the traumatic brain injury biker gang in our ICU."Sure, I fought. I had to fight all my life just to survive. They were all against me. Tried every dirty trick to cut me down, but I beat the bastards and left them in the ditch."
- Ty Cobb
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I never expected this, but the thing that keeps me up at night since becoming a real doctor (^_-) is trying to decide how to manage patients that have recommendations from specialists that I disagree with. I feel an absolute obligation to do what is right for the patient, but I totally worry about pissing off the specialist. So I end up doing this huge song and dance that takes me twice as long and I still worry. The patient walks out believing their specialist is amazing, so that is good. But the specialists probably don't appreciate it.
I didn't realize how controlling I am of my patients. Also, I am now recognizing the huge benefits, education-wise, of working at a teaching hospital. I miss residency.
So, my PCP colleagues, how do you deal with disagreements in management? More importantly, how do you keep a good relationship when you disagree? This is tough.
via a galaxy s3 far far away"Don't expect I'll see you 'till after the race"
"So where does the power come from to see the race to its end...from within"
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