Joan๐ŸŒŠ๐ŸŒบ Profile picture
Jan 3, 2022 โ€ข 133 tweets โ€ข 38 min read โ€ข Read on X
Year 1 Residency: A Thread ๐Ÿ’™๐Ÿ’›
(Let's see if I can keep this going. โ˜บ๏ธ)
Happy New Year from our department!! ๐Ÿ‘ถ๐Ÿฃ ๐ŸŽ† New Year's wish po namin ay konting pediatric cases huhu 2022 ikalma natin plsss ๐Ÿฅฒ๐Ÿ˜… Image
First day as first year residents! We don't know what 2022 will bring us but we will do our best๐Ÿ’™๐Ÿ’› Image
No photo of the actual procedure but let the "โ˜๏ธ" pose there signify my biggest milestone today: LUMBAR TAP DONE IN ONE GO ๐Ÿ˜ญโœจ Thank you to my ward seniors who guided me huhu still not over this milestone ๐Ÿคฉ

๐Ÿ“ธ: @selinejellybean Image
Last f2f day na ng interns huhu mamimiss namin kayooo ๐Ÿ˜ญ Image
How I calmed down a baby today: sing Wheels on the Bus in slow mo & instrumental style ๐ŸŽค๐ŸšŒ Hehe we live for moments of short-lived calm. ๐Ÿ˜‚
Manila Zoo lights with Jana my batchie! ๐Ÿ’ก๐Ÿฅฐ ImageImage
Such an honor to have you as our FM rotator this January '22, @fonzyy_ !! ๐Ÿฅฐ Image
30 min into my first duty as an official PROD...

clerk:"Doc pirma ka po sa physician"
me: "ay ako nga pala yun"

Kaya today, self??? HAHAHAH
My brain 80% the time during the past day, literally:
it's square zero but i guess there is no way to go but up huhu ๐Ÿฅฒ
Joan in from mode at its peak: wrong sends, typos, brain freezes q15s. self huhuhu haaayst owell there we go ๐Ÿฅฒ๐Ÿ˜…
grabe lang talaga huhuhu ain't it fun ๐Ÿฅฒ๐ŸคŸ๐Ÿ˜… Image
s/p 1st mortality as an official PROD. Grabe ung clerkship pa lang may graveyard na ako of patients, at may idadagdag ulit ako na ipagdasal sa All Souls Day ๐Ÿ˜ญ
"Ayoko rin po ng sisihan Doc, si Lord lang po may alam kung bakit namin ito kailangang maranasan" --

the urge to hold back tears when you heard this from a grieving father after you had to explain morgue & swab protocols in your institution ๐Ÿ˜ญ๐Ÿ˜ญ
Day 1/7 of perpetual duty huhuhu Lord bahala ka na ๐Ÿ˜ญ guardian angels huhu laban tayooo (pati ung angels sa family ko laban din tayo)
New talent unlocked in this pandemic: SWABBING ๐ŸคŸ Apparently ung naturo sa aking technique ay mabagsik pala. ๐Ÿ˜…๐Ÿ˜‚
Day 1/7 in a nutshell: Paper works will forever be the bane of my existence. ๐Ÿ˜ฌ๐Ÿ˜ฌ But we're grateful for pockets of rest ๐Ÿ™
Day 2/7 with Joan as Pedia ER Main. Shaking off as much self doubt as I can. ๐Ÿฅบ Also guardian angels mas mapapasabak tayo today huhu laban po tayoooo ๐Ÿฅฒ๐ŸคŸ
Day 3/7: Himala talaga ung number of consults noong officially ER duty ako ๐Ÿ˜ญโ™ฅ๏ธ Sana talaga tuloy tuloy na ung pagbago ng kapalaran chrrr
Day 4/7: Starting today with this reminder from OneTouch+ devotional website ๐Ÿฅบ super sakto huhu thank you Lord Image
"Doc kung alam niyo lang marami po natutuwa sa inyo, sa amin. Kasi agad nyo po sinusubukan magawan ng aksyon tapos parang di kayo napapagod"

Kung alam lang ng relative na yun na iniisip ko na naman kung tama mga desisyon ko sa buhay. Huhu thank you Lord sa affirmation ๐Ÿฅบโค๏ธ
also mahirap mag-alaga ng iba pag mahal mo sa buhay ang may sakit ๐Ÿ˜ท
repeat after me, WALANG DUTY NA HINDI NATATAPOS ๐Ÿ˜ญ
lagi na lang ako napapaisip kung worth it pa ba :(
The fromness and the freshness HUHU Missed you, @jojojorem !!! ๐Ÿ˜ญโ™ฅ๏ธ Image
Day 6/7 yesterday at na-unleash ko na naman ung talent ko matulog habang nakatayo. ๐Ÿ˜ช Don't know if that's a good thing but mehh ahahahahah
Day 7/7 yesterday huhuhu WE MADE IT ๐Ÿ˜ญ Proof of life c/o Chini my batchieee. Goodbye for now (physically), OM!! ๐Ÿ‘‹๐Ÿ˜„ Image
Appreciation tweet for Chini my batchie huhu wouldn't have made it during this perpetual duty without her :(( Thank you Lord for not leaving me alone by giving me a reliable & stellar batchie huhuhu love loveeee ImageImage
off duty pero parang di rin sa dami ng online emz
Minsan talaga you just need to get things off your chest. Shout out to @_strawbeirry: I appreciate you, thank you for being one of the safest spaces during this time of our lives. labyu mwah ๐Ÿ’•
Masyado talaga ako umasa na forever yung #BenignJoan2022, parang dapat itaga ko sa utak ko na limited edition lang yun. ๐Ÿฅฒ Hayst Joan vs Telemed, let's go. ๐Ÿ”ฅ๐Ÿคฃ
Unexpected rant/chika sessions with friends who know you best are definitely most cathartic. Huhu. Thank you @ddanisumab ๐Ÿค—โค๏ธ
COVAX Screener today at the Manila Zoo! ๐Ÿ‘ฉโ€๐Ÿ’ป๐Ÿ’‰๐Ÿฆ’Not gonna deny, nakakamiss ang bahaging ito ng galawang internship. ๐Ÿ’™ ImageImageImageImage
So pinapanood ko ung ambush gig ko kahapon at ang dami ko palang hand gestures as a person hahaahhahahahaha this is noted po ๐Ÿ˜‚
splint making is my passion ๐ŸŒŸ HAHAHAHA Image
Perpetual duty ulit bukas & prayer ko talaga ay hindi na ulit magkasakit pamilya ko habang nasa ospital ako. Ang hirap ung magbbreakdown ka every now & then kasi natatawid mo nga ung mga pasyente mo pero sila di mo man lang nakakamusta. Lord pls ibigay mo na 'to sa amin ๐Ÿ˜ญ
Grabe ganito pala feeling pag may S2 ka na!! ๐Ÿ˜ฎ Super babaw pero the kilig is reaaal๐Ÿ’• ahahahaha Image
Today in the Radiology section:

staff: "dokie wala bang sasama na residente?"
me: "ako po ung residente..."

HAHAHAHAHAHAHAA
First time to witness an Upper GI series today! โš•๏ธ๐Ÿ˜Š Image
Today I had to make a referral to the doctor who almost made me quit medicine entirely. And while she was quick to point out my mishaps (as per usual), alam kong mas matatag na ako kasi nalagpasan ko na talaga ung paghihirap na iyon. You still have come so far, self. ๐Ÿ‘๐Ÿค—
First month of residency done & para bang wala akong ginawang tama, na kahit anong sakripisyo di pa rin sapat. But I guess in residency what matters is that you show up even if you feel inadequate, even if you'd rather choose another path. We live to fight another day.
Plot twist: Received "Good job" comments from both a consultant and two senior residents, for two different situations ๐Ÿ˜ญ๐Ÿ’• This is probably the go signal for me to acknowledge the progress I have made. And these comments don't come every day, so thank you Lord.๐Ÿ™ โ™ฅ๏ธ
~3.5 years ago: Denver Development Screening @ Aplaya, Baseco ๐Ÿ˜Š

Earlier today: Presented my first case report for DevPed Hour today โœจ๐Ÿ‘ฉโ€โš•๏ธ

Salamat Lord at nakarating tayo dito ๐Ÿ™๐Ÿ’™๐Ÿ’› ImageImage
ganito pala ung feeling na naalagaan mo sarili mo, nakakamiss din pala โค๏ธ
Late entry: THANK YOU LORD DI NA KAMI PERPETUAL DUTY HUHUHU ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ
The interns are back in the Pedia ER!!!! ๐ŸŽ‰ This first year resident is happyyy ๐Ÿฅฐ ImageImageImage
Ganun pala ang feeling na mag-orient ng clerks. I feel old!! HAHAHAHA
Late late late entry: Definitely enjoyed this Gastro Hour! Di ko ineexpect na may chole case pa rin ako ngayong residency ๐Ÿ˜‚ Pero I must say, gamit pa rin ang learnings from clerkship/internship ๐ŸŽ‰ + ganda rin ng Pedia POV nito! Hehehe. Thank you po, Doc Olay! ๐Ÿฅฐ Image
News flash: There are people who think I can't get mad at all ๐Ÿฅฒ Tao rin po ako huhuhu, ayoko lang talaga na nakikita ng iba ang tunay kong galit na mala-bulkan๐ŸŒ‹๐Ÿฅฒ
Last night: Batchies' spontaneous sesh #1 (next time with the duty girl Deanna)! ๐Ÿด๐Ÿ’• Grateful that I'm not going through residency alone ๐Ÿค—โค๏ธ Image
Today's proof of life: With my co-residents in OTG Scrubs - Fall hues! ๐Ÿ‚๐Ÿงก

Trivia: I won the set I'm wearing here, in OTG's Christmas 2021 giveaway. Sana manalo ulit! Hihihi chzz

If interested: otgclothing.ph๐Ÿ˜‰ ImageImage
Today, Doc Cha (my senior) and I visited our department's partner community, Barangay 724! ๐Ÿฅฐ With matching lugaw ๐Ÿฅฃ hihi. Sana mas makabisita ang aming department sa mga susunod na buwan โ˜บ๏ธ ImageImage
March is coming hahahahahuhuhuhu Image
Despite everything, I'm grateful for things that keep me human. ๐Ÿ’ฏ
Hanggang ngayong residency, nakakatulog pa rin ako sa exam. ๐Ÿ˜‚
Thank you Pedia fam for celebrating my 27th with me yesterday! ๐ŸŽ‚ ๐Ÿ’™๐Ÿ’› ImageImageImageImage
Magpapasalamat at magpapasalamat ka sa mga taong nagbibigay ng ayuda. huhu thank you Chezzka, Neil, Carlo, Cams. ๐Ÿค—โค๏ธ ImageImage
Yesterday: COVAX time with batchies @fonzyy_ @girlsipa ๐Ÿค—๐Ÿ’™ ImageImage
Another from day, another chance to remind myself: my worth does not equate to my work. My worth does not equate to my work. My worth does not equate to my work~

Repeat until fully believed. ๐Ÿฅบ
Meet and greet with our training officer, Dr. Valderrama!!! ๐Ÿคฉ๐Ÿ’œ ImageImage
Minsan talaga mas effective na maging autopilot machine mode. WOF lang pag short circuit na as a machine. ๐Ÿ’ฏ
COVAX morning, this time with @_strawbeirry ๐Ÿค—๐Ÿ’š God knows our departments don't interact much, so here we are hehe ๐Ÿฅฐ Image
Congratulations to our seniors who passed the PPS Specialty Board Examination, Part 1!! ๐ŸŽ‰๐Ÿ’ Love from your OMMC Pedia juniors ๐Ÿฅฐ๐Ÿ’™๐Ÿ’› ImageImage
When a workplace event meets food cooked from home, you know it deserves a separate tweet in itself ๐Ÿฅฐ PM us - fb.com/reeseyhg ;) ImageImageImageImage
Nephro Hour on Nephrolithiasis, with our consultant, Dr. Canapi!! ๐Ÿซ˜๐Ÿฅฐโœจ Ngayon, di na gaano nababato sa mga bato ๐Ÿ˜‚๐Ÿ˜‚ Image
Unti-unti nang bumabalik ung drive para matuto. Sana tuloy tuloy na 'to ๐Ÿ™โœจ
Babalik na pala clerks sa Monday!! :O
#RoadToCompensation with my batchies!! ๐Ÿ’™๐Ÿ’›

Let our response be, "Sweldo cutie" ๐Ÿ™โœจ๐Ÿ˜‚ ImageImage
Appreciation tweet for the March 2022 pink duty team! ๐ŸŒธ Thank you Doc Merl, Doc She and Doc Des for all the guidance. ๐Ÿ™Œ๐Ÿ’– And thank you to the ER kween, Deanna, for bearing with me throughout this month ๐Ÿฅบ ๐Ÿ’“ ImageImage
It feels nice to see interns appreciating and ruling in your chosen field of specialization. Somehow it reminds you of your own why, too. ๐ŸŒป๐Ÿ’–
New month, new post, new rotators! ๐ŸŽ‡ Hello to our incoming interns at the Pedia ER!! ๐Ÿ‘‹ โ˜บ๏ธ ImageImage
SWELDO CUTIE CAME THROUGH ๐Ÿ˜ญ๐Ÿ˜ญ
One-third of this grueling month has passed. Despite all my shortcomings & mishaps in being ER Main for the 1st time, thank you Lord for not leaving me alone, for sending help during the times I need it most, and for reminding me that this stormy wave shall eventually pass. ๐ŸŒŠโค๏ธ Image
Minsan lang ang ER na ganyan, kaya kumuha na ako ng litrato. ๐Ÿ˜‚ Image
POV: Nakauwi ang residente nang nasisinagan pa ang araw โ˜€๏ธ๐ŸŒด๐Ÿฅฐ Image
Easter wish: no more PICU admissions huhu pwede ba yon ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ
It feels so good to finally be able to ask your parents what they want for dinner HUHU ganito pala feeling ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ
โœจ New glasses! โœจ

Seeing the world a little more clearly now. ๐Ÿค“โค๏ธ ImageImage
ngayong dumating na ung tatlong buwan ng sahod, baka oks na no? hmmm
Grabe ung FOMO ko with missing #ArawNa10To huhu but I am proud to be part of #MgaDutyForLeni ๐Ÿฅบ๐Ÿ’— Image
The goal is to not beat myself up for my previous mistakes, but instead to learn from them and choose to do better. Unfortunately, this is easier said than done. ๐Ÿ˜ญ
Officially done with my first month of being Pedia ER Main!! ๐ŸŽ‰ Hindi naging madali ang adjustment, and I learned a lot of things the hard way, but I made it! Thank you Lord! And thank you to my seniors, Doc She and Doc Alex, for the guidance ๐Ÿฅบโค๏ธ Image
April ER interns' appreciation tweet (1/2)

Thank you sa mga interns namin ngayong April ๐Ÿ˜ญ Lagi ko kayo nilalalagay sa chart after my name kasi ang laki talaga ng naiaambag niyo sa management ng patients natin ๐Ÿฅบโค๏ธ ImageImage
April ER interns' appreciation tweet (2/2)

Sana may natutunan kayo sa tig-ten days niyo sa ER, kahit na ang daming mga ganap. Nakakaproud kasi nag-level up talaga kayo sa ER โœจ๐Ÿ’— See you around, may one month pa kayo sa amin! ๐Ÿ˜„ ImageImage
Yesterday, the third years had their first Pediatrics ward interview! โœจโš•๏ธ๐Ÿ‘ถ

Orienting them & assigning them to their patients made me realize that, despite everything, may progress pa rin ako sa career ko. @/my 3rd yr self, present Joan is trying to keep the fire alive.๐Ÿฅบ๐Ÿ’™๐Ÿ’› Image
me: *hands papers* "ayan na po ung mga reseta at resulta, maam, makakauwi na po"

relative: "ah, wala pong discharge bill?"

me: "po? wala pong bayad dito, maam"

relative: *in tears* "maraming salamat po sa inyo, doc"

huhuhu it's been a while since I've seen such gratitude ๐Ÿคง๐Ÿฅบ
How did I spend this pre-duty Saturday? By cramming for my case report while attending today's #LeniKikoMitingDeAvance ! ๐ŸŒธ๐ŸŒพ๐Ÿ’—๐Ÿ’š

Ang Presidente, LENI ROBREDO!
Bise Presidente, KIKO PANGILINAN!
#GobyernongTapatAngatBuhayLahat
#KulayRosasAngBukas ImageImageImageImage
@/NICU Duty Rounds

pt: -with decreasing oxygen levels-
me: "Sa gobyernong tapat, angat oxygen lahat!!" ๐ŸŒธ๐ŸŒพ๐Ÿ™

Pls lang #Ipana7oNa10ParaSaLahat para #KulayRosasAngBukas ๐Ÿ˜ญ๐Ÿ’—๐Ÿ’š
Let our from duty response be, "Na-bembang man, at least naligo naman." ๐Ÿ˜…๐Ÿ˜‚
Highlight of yesterday: #WhenInHD you can huddle with these stellar IM residents @vdpinlac @Lusecua !! โœจ๐Ÿ™ŒNamiss ko kayo ahahaha ๐Ÿ˜‚๐Ÿฅฐ ImageImage
May 2022 Wards Service with our Rheuma consultant, Dra. Carvajal!! โœจ๐Ÿ‘ฉโ€โš•๏ธ๐Ÿฅฐ Thank you so much for patiently guiding us, Doc!! โค๏ธ Image
As someone who doesn't dress up a lot at work, I think this outfit is OOTD photo-worthy ๐Ÿ“ธ ๐Ÿ˜… Also, s/p ER Audit!! โœ…๐Ÿ˜Š Image
Done with Booster #2! โœ…๐Ÿฅฐ Image
Almost five months into residency training & I just want to tell my Hospital Playlist fan self, real-life training is far different from what you've seen in Yulje HAHAHA haaay.
Buti na lang sinulit ko ung pahinga ko kahapon kasi jusko sinusubok na naman tayo sa trabahong itooo ๐Ÿ˜ตโ€๐Ÿ’ซ๐Ÿ˜ฌ๐Ÿ™ƒ
Currently in my from state & the most difficult carryout is to compartmentalize all my feelings as my favorite Hema teenager patient just passed away. Sobrang sobrang struggle magpatakbo ng wards ngayon.๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ
Acute resident failure, drained af, struggling to filter out thoughts of quitting this job altogether. Due for job replacement therapy.
Still grateful for kind consultants who gently point out how you can still improve. ๐Ÿฅบ Let our response be, "Sana all."
Minsan talaga ung dahilan ko na lang para magpatuloy ay, para makabawi sa best couple sa buhay ko. Happy anniversary sa mga magulang ko, mahal ko po kayo huhu ๐Ÿฅบ๐Ÿ’— ImageImage
Yesterday's grand duty with our outgoing Pedia PGIs! ๐ŸŽ‰๐Ÿฅฐ Salamat sa lahat ng tulong, at sana ay may natutunan kayo sa amin kahit papaano ๐Ÿค—๐Ÿ’›๐Ÿ’™ ImageImage
During our meeting with our ward consultant:

Me: -presents the 1st part of the ppt-
Doc: Bago ung kulay ng buhok mo

HAHAHAHAHAHA nakaka-caught off guard ๐Ÿ˜‚๐Ÿ˜‚
Sobrang babaw, pero: first successful intubation ๐Ÿ˜ญ๐Ÿ˜ญ Alam ng world kung gaano ako kahirap dito sa procedure na ito, so here's to growth huhuhu ๐Ÿ˜ญ๐Ÿ’–
Your junior Pedia residents on duty last night! ๐Ÿ˜Ž Matchy with my batchie, Chini! ๐Ÿฅฐ๐Ÿงก Image
stay strong bb gurl ๐Ÿฅบ๐Ÿ’œ Image
โœ…Learn how to read a CT Scan๐Ÿฅฒ๐Ÿ˜ญ

Pedia Neuro, rule in ka pa rin, kahit wala akong utak gaano ๐Ÿง ๐Ÿฅบ hehe mangarap lang tayo, siz. ahahahahhahaha Image
Nine admissions in one tour of duty. ER Main ka ghorl?? ๐Ÿฅฒ๐Ÿฅฒ HAHAHAHAHA haystt
Late appreciation entry for my residency girls @selinejellybean and Chiniii ๐Ÿค— Thank you for last week's spontaneous, yet much needed, catch-up ๐Ÿธ๐Ÿ’š Image
Dahil pa-kikay tayo today, secondary to case report dayy. hehehe chz ๐Ÿ˜‰๐Ÿ’™ Image
May mga araw na mas mabilis mag Omep kaysa kumain. Salamat po sa pag heplock, Ma'am Bianca & Ma'am Roch ๐Ÿค—๐Ÿ’• Image
Sa buhay, magkakamali at magkakamali ka. Pero ang mahalaga ay di ka titigil dahil lang nagkulang ka. Matuto na bumangon at subukan muli. ๐Ÿค˜ #NoteToSelf
s/p Applied Pediatrics lecture with our current clerks!! ๐Ÿ‘ฉโ€โš•๏ธ๐Ÿ‘จโ€โš•๏ธ โ˜บ๏ธ

Okay I really feel old now. HAHAHAHA Image
Days like these, I need to remember that getting sick is not a sin in any way
On my first day back to work, nalaman kong My Universe Piano cover ang background music ng Makati Med. HAHAHAHA good choice ๐Ÿ‘Œ๐ŸŽถ๐Ÿ˜‚
every duty na lang ako napapaisip na mag-asawa na lang hayst ano ba 'to ahahaahahaha
There are days when it gets more difficult to proceed, yet I hold on to the truth that all things have a place in the greater scheme of things. ๐Ÿ™ Image
So for yesterday's bidyooow: THE Doc Ruby Punongbayan goes to our ER!! ๐Ÿ˜ฎ It's an honor to have her as our Emergency Room consultant. โœจ๐Ÿ™Œ๐Ÿ˜ ImageImage
Ung pt ko na Moderate Lepto, whose sibling died due to Severe Lepto, uwi na tom ๐Ÿ˜ญ + sobrang natuwa ung tatay sa akin kasi tiniyaga ko turuan siya sa pagsusukat ng ihi. So nasalba ung kidneys ni bagets. tuwang tuwa si tatay ๐Ÿ˜ญ

(reminding myself that I'm not always a failure๐Ÿ˜ญ)
September Ward Residents with our Ward Consultant, Dr. Edquilag! ๐ŸŒนโœจ๐Ÿ™Œ Noon, prof; ngayon, boss. Time flies! โŒš๐Ÿคช๐Ÿ˜‚ ImageImage
As I accompanied my Neuro patient, a young lady entering adolescence, for her cranial MRI, I found out that her classmates passed the hat just so this procedure will push through. So sino ditong tinatry hindi maiyak ๐Ÿ™‹โ€โ™€๏ธ ๐Ÿ˜ญโ™ฅ๏ธ Image
s/p Normal Pediatric History and PE lecture with our 2nd batch of clerkies! ๐Ÿ‘ฉโ€๐Ÿซโš•๏ธโ˜บ๏ธ

โœ…Bridge theory and practice
โœ…Feel old (again) ahahahahhahaha Image
For this October, saying hello once again to being ER Main ๐Ÿš‘๐Ÿ˜ช๐Ÿ˜‚ with our new rotators! Welcome to Pedia, mga bhie! โ˜บ๏ธ ImageImageImageImage
s/p WISE 2022! ๐Ÿ’ฏ sana, Lord. ๐Ÿฅบ๐Ÿ™๐Ÿผ๐Ÿ˜… Image
Ngayon lang ako nakauwi half day from work ๐Ÿ˜ญ๐Ÿ˜ญ
s/p OSCE 2022 โš•๏ธ๐Ÿฉบ muliii: ๐Ÿ’ฏ please pleaseee Image
29 patients,
12 original admissions T_T

*plays Anti-Hero*
Timely reminder for the entry of our most of our pre-residents today โœจโค๏ธ Image
"Grabe doc ung growth mo po, iba na ung confidence mo doc!!"

"Bhie nako oo alam kong sumungit ako"

HAHAHAHHAHAHA
Weird pero siguro ung pinakamamaimiss ko sa pagiging first year ay ung pag-order ng food for seniors + paniningil ng utang sa mga food delivery thereafter. Hehe
"Anong breakfast bhie?"
"Equal naman bhie"
"Breakfast??"
"AH akala ko breath sounds"

AHAHAHHAHAHHA ang lala ๐Ÿ˜ฌ๐Ÿซ ๐Ÿ˜‚
May mga araw talaga na, ang pinakamahalaga ay, naiyak mo na.
d/t the inadequacy of updates recently, here are some highlights:
- impromptu songer/emcee mode comm for an event
- power pose mode w/the work fam
- first Christmas as a resident
- from clerk to clerks' monitor real quick

1st yr of training was a wild yet good run. Salamat Lord! ImageImageImageImage

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More from @jccrav

Oct 26, 2021
GUSTILO & ANDERSON CLASSIF: OPEN FRACTURES (1/3)
#PLE2021 #Surgery

Type I - < 1cm, c1ean wound

Type II - 1-10cm, moderate, MUSCLE damage

Type III > 10cm, Comminut111on
[See next tweet for Class III subtypes]
GUSTILO & ANDERSON CLASSIF: OPEN FRACTURES (2/3)
#PLE2021 #Surgery

Type III Subtypes - A, B, C
- IIIA: severe crushing w/ Adequate coverage
- IIIB: Buuin ulit (Required reconstruction)
- IIIC: CV structures affected (Vascular Injury)
GUSTILO & ANDERSON CLASSIF: OPEN FRACTURES (3/3): Antibiotic Tx
#PLE2021 #surgery

โœ…Goal: CAP the infection!!โœ…

Type I: C- Cephalosporin 1st gen (usu Cefazolin)

Type II: Cephalosporin + A! Aminoglycoside!!!

Type III: Ceph 1st gen + Aminoglycoside + P!! Penicillin!!
Read 4 tweets

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