tag:blogger.com,1999:blog-2610860749878266782024-02-06T19:10:33.432-08:00orthopedic residency. animated.An Orthopedic residency blog, about the (mis)adventures of orthopedic residency at an academic hospital. <br>
<br>Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.comBlogger659125tag:blogger.com,1999:blog-261086074987826678.post-57869514045531227392017-05-21T08:45:00.004-07:002017-07-23T18:06:14.825-07:00Friday afternoon last case.<br />
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Me: "You want me to help with the closure?"</div>
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Resident: "If you want to stay and help that'd be great but you don't have to if you don't wa--"</div>
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Me:</div>
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com11tag:blogger.com,1999:blog-261086074987826678.post-91581310459562829382017-05-21T08:41:00.000-07:002017-05-21T08:41:37.126-07:00One of the OR nurses asked: "How does it feel to know you have like 2 months left, and we still haven't made you your own customized helmet, but we made your co-fellow one like a month after he started?"<br />
Me:<br />
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</style>Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com1tag:blogger.com,1999:blog-261086074987826678.post-44244029077254981322017-05-15T05:46:00.001-07:002017-05-21T08:14:36.163-07:00What the calcar would see when I impacted the last femoral trial and a something suspicious for a crack appeared...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com1tag:blogger.com,1999:blog-261086074987826678.post-1169258474543106212017-05-15T04:22:00.001-07:002017-05-15T04:22:36.680-07:00When you look to see which attending templated your case for you, and you apparently had templated it yourself last week...<br />
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-45205808117648723282017-01-15T13:34:00.004-08:002017-01-15T13:34:39.858-08:00When you suddenly get really hot in your space suit, and you try to figure out if the fan in your helmet is still working...<div>
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com9tag:blogger.com,1999:blog-261086074987826678.post-17972938903718852532017-01-15T13:32:00.000-08:002017-01-15T13:32:28.122-08:00When the circulating nurse says I can't pop the scrub sticks in the package, because that makes them unsterile...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-35173479450955148952017-01-10T17:42:00.000-08:002017-01-10T17:42:59.707-08:00When you suggest a surgical move which your attending shoots down, but then after struggling, they end up doing that move...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-50656813238767569652017-01-02T15:15:00.000-08:002017-01-02T15:15:50.180-08:00When the complex case has gone well, and for some reason, the closure doesn't...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-85150030491897579342016-12-27T14:23:00.000-08:002016-12-27T14:23:14.254-08:00When you're in your surgical space suit and the nurse swaps out the battery thats been dead for a couple minutes...<div>
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-34920252245832617372016-12-03T07:19:00.000-08:002016-12-03T07:21:59.425-08:00Ask an orthopedic fellow (its pretty autobiographical)<b>Dear orthopedic adult reconstruction fellow:</b><br />
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<i>I had a twisting injury to my knee a couple weeks back. The doctor diagnosed me with an ACL tear, but said I may still get arthritis even if they reconstruct it, is that true?</i><br />
<i>-Unstable in Utah</i><br />
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<b>Dear unstable in Utah,</b><br />
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'hell…hello? Yeah, I guess I’m on emergency call while the residents take their yearly OITE… what time is it? 0240? Nice.<br />
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What do you got? A hand lac? Okay, what do the tendons look like? What you mean you haven’t off the dressing?! Is there arterial injury? Oh right.<br />
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What bout X-ra…nevermind, not even gonna ask. I mean, it sounds like a simple lac, you can sew it up right? What do you mean you can't. You went to med school right?<br />
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Uh huh.<br />
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Right. But you see, that’s a different can of worms, I KNOW how to treat hypertension, I just don’t want to.<br />
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<i>Siiiiiggghhhhh. </i><br />
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Fine. See you in a bit.<br />
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<b>Dear orthopedic adult reconstruction fellow:</b><br />
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<i>I have this knee pain that’s pretty bad, they say I need a knee replacement, but I’m hesitant, what’s our </i><i>thoughts on stem cell therapy for the knee?</i><br />
<i>-Platelet rich plasma fan in Portland</i><br />
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<b>Dear platelet rich plasma fan in Portland</b><br />
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Hi, I was hoping to apply for a new car loan.<br />
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Uh huh. Yeah, just something for my family to fit in, nothing fancy. Yeah, my income is... well it’s not a lot. I’ll making a lot next year though, does that count?<br />
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No? I see.<br />
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No, my wife stays home with the kids. Debt burden? well, that’s an interesting story… you don’t to hear the story? Okay, it’s about… (cough) hundred thousand.<br />
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Yeah,<br />
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Uh huh.<br />
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Assets? Oh I got some ASS-ets… no… no I don't, it was actually a bad joke. Does a white two door 2006 Hyundai accent that was donated to me with a 12 inch sub in the back count for anything? I see.<br />
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I see.<br />
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I see.<br />
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I qualify for that little huh? No, don’t worry about it, I’ll talk to my nursing friend about giving me a loan instead.<br />
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<i><b>Dear orthopedic adult reconstruction fellow:</b></i><br />
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<i>I sprained my ankle a couple weeks back, and its just taking a long time to heal, should I do some </i><i>physical therapy, or keep taking it easy.</i><br />
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<i>-Sprained in Cincinatti</i><br />
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<b>Dear Sprained in cincinatti: </b><o:p></o:p></div>
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<tr><td class="tr-caption" style="text-align: center;">Yeah, the one on the left knows more than me about reading EKGs....</td></tr>
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No honey, I’m not a real…
but it’s just that… fine. (walking)<o:p></o:p></div>
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Hi, you asked if there was a doctor onboard? Yeah, what’s
up. Okay. Uh uh.
Uh huh. Sure, but you should
know… okay. <o:p></o:p></div>
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Sir? SIR! SIR!!! CAN YOU WAKE UP FOR ME?!....</div>
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You’re his wife? Okay.</div>
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Uh huh. </div>
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Uh huh. </div>
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When was the last time he had
something to eat or drink? Well, in case we have to go to the… yeah I guess
that’s not important. </div>
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SIR DOES THIS HURT?! CAN YOU WIGGLE YOUR TOES?! WIGGLE
YOUR TOES! MOVE YOUR FINGERS! GOOD!! </div>
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Well he can do that so everything checks
ou...--diabetes! Ma'am, does he have diabetes? No? Huh. ummmm…. That's kinda all i got....</div>
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Oh hi. You’re an emergency room tech? perfect. </div>
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(nodding) Right. Right…. Yeah that’s totally and exactly what I was thinking too. Great diagnosis.</div>
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Excuse me,
flight attendant? Yeah, do whatever this man says. He’s the most qualified
medical person here. </div>
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Thanks. </div>
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<o:p></o:p></div>
Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com1tag:blogger.com,1999:blog-261086074987826678.post-60755580781107200502016-12-02T13:56:00.002-08:002016-12-02T13:56:21.732-08:00When we uncovered the patient's 'man-bits' and there's a healthy cheese over said 'man-bits'...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-51441110182880141292016-11-27T09:30:00.000-08:002016-11-27T09:30:40.577-08:00When drive in early to template my case, but my attending has already done it...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-87118442393459767442016-11-27T09:27:00.001-08:002016-11-27T09:27:11.728-08:00When I see one of the residents about to use the saw singlehandedly...<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMbDsOZ4FuZ0dUrLirQWtnaqzqRfBqAaRYvcHJfxS2YXgh9lOGc6GxJYIxb62xACIJjAYuaXN8AWhsLdm-nITz4sdh5G39JN5GWUWtslS1LiXYU3A8iLf44Vz4GQ770WTVnteHLCk4QRFt/s1600/giphy+%25285%2529.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="299" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMbDsOZ4FuZ0dUrLirQWtnaqzqRfBqAaRYvcHJfxS2YXgh9lOGc6GxJYIxb62xACIJjAYuaXN8AWhsLdm-nITz4sdh5G39JN5GWUWtslS1LiXYU3A8iLf44Vz4GQ770WTVnteHLCk4QRFt/s400/giphy+%25285%2529.gif" width="400" /></a></div>
<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-88412426056209919052016-11-27T05:55:00.001-08:002016-11-27T05:55:47.838-08:00When you're trying to template a total knee, but there's no calibration ball and the 4th guess on the oversize is giving you an implant size that's still nowhere near correct...<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPF3A6CyrIZMLI7J5wzyYbBW3h27LX0tbOl3Q_nz2NlLRqb3xg81QCQ1P9IhdMEKfm8rubiMakG-yFJlvvQ_q10QMep4BfV_2gYo9jTHUX4cx_YrTbfBeelQVEiwm0yIuOx-Vlpsudjz3R/s1600/giphy+%25283%2529.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="268" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgPF3A6CyrIZMLI7J5wzyYbBW3h27LX0tbOl3Q_nz2NlLRqb3xg81QCQ1P9IhdMEKfm8rubiMakG-yFJlvvQ_q10QMep4BfV_2gYo9jTHUX4cx_YrTbfBeelQVEiwm0yIuOx-Vlpsudjz3R/s400/giphy+%25283%2529.gif" width="400" /></a></div>
<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-82238382774488807982016-11-27T05:43:00.001-08:002016-11-27T05:43:28.406-08:00What's that one procedure when you fill a gap in the posterior humeral head by anchoring the soft tissues into it with a suture anchor?<br />
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(It was on the OITE 2008)<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-2031645808164302122016-11-27T05:38:00.001-08:002016-11-27T05:38:14.528-08:00When an attending that you don't really like gives you 'constructive criticism'...<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiy56vtme9LGu4FFgvNH1uETBQp6Tct9j_lCQ_m0iht_CBoNZDDWdms_WZ4z5Vc29edkWTKwmdDNwBIoDwlSprgmDVaxbl4PHgogX1q6KmcriMpJdYYtZvUfxAuPQh4WOpW3NQ-E6ngNxkq/s1600/DaringObviousDromedary.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="223" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiy56vtme9LGu4FFgvNH1uETBQp6Tct9j_lCQ_m0iht_CBoNZDDWdms_WZ4z5Vc29edkWTKwmdDNwBIoDwlSprgmDVaxbl4PHgogX1q6KmcriMpJdYYtZvUfxAuPQh4WOpW3NQ-E6ngNxkq/s400/DaringObviousDromedary.gif" width="400" /></a></div>
<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-86223851764924799182016-11-22T17:47:00.003-08:002016-11-22T17:47:47.473-08:00When my wife asked (after seeing the credit card statement) when I was going to tell her that I was out having a beer with my co-fellow instead of operating late a couple nights ago...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-70724166180005799562016-11-21T05:49:00.002-08:002016-11-22T17:20:30.881-08:00<div class="separator" style="clear: both; text-align: left;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgddFiQbNFk017ahNAEDaxJTyqyOnrU27Pda95FNtlrICkBY-DU7Od9xhSf9nAU-DOI6Eu-Tw7rSeicw24atsmxZJif3j_J-0pTuDJx_6ixy5HUuiD3SyOTvoXLKAQM6WAT5jlXoEIp57Yp/s1600/4297769.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="341" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgddFiQbNFk017ahNAEDaxJTyqyOnrU27Pda95FNtlrICkBY-DU7Od9xhSf9nAU-DOI6Eu-Tw7rSeicw24atsmxZJif3j_J-0pTuDJx_6ixy5HUuiD3SyOTvoXLKAQM6WAT5jlXoEIp57Yp/s400/4297769.jpg" width="400" /></a></div>
<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-20028810271571014872016-11-20T11:36:00.001-08:002016-11-20T11:36:32.644-08:00When I'm feeling super confident because my podium presentation is going awesome, and then an attending barges in and asks something I hadn't prepared for at all... (you kinda gotta wait for it)<br />
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-71709841013131153732016-11-20T06:06:00.003-08:002016-11-20T06:06:47.566-08:00<div class="" style="clear: both; text-align: left;">
Looking at a new patient's chart who's allergies are tylenol, motrin, and tramadol....</div>
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-17541594557689038802016-11-20T05:55:00.001-08:002016-11-20T05:55:09.737-08:00Whenever someone says the distal radius fracture happened after the patient experienced a "FOOSH"...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-18419993003683056752016-11-19T16:37:00.001-08:002016-11-19T16:37:02.391-08:00When my attending is reaming the resident for something I should have picked up on...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-10842391337856663002016-11-16T16:17:00.001-08:002016-11-16T16:17:15.208-08:00When I try and think 3 steps ahead of my attending...<br />
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<br />Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-5472762380256562162016-10-25T16:24:00.002-07:002016-10-25T16:24:37.738-07:00When the patient is still asleep 30 minutes after anesthesia says they turned everything off...<br />
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0tag:blogger.com,1999:blog-261086074987826678.post-37098803112974096742016-10-24T06:05:00.002-07:002016-10-24T06:05:33.217-07:00The intern texted me at 0452 about implant choices...<br />
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Doctor Bonyboneingtonhttp://www.blogger.com/profile/17118819103806197382noreply@blogger.com0