3 most common deficiencies I see in Ortho patients are
Calcium, Vitamin D and Vitamin B12 , especially in vegetarians . I have listed some foods specifically for them .
These are by no means an exhaustive list but can be incorporated easily in your daily diet
Vitamin D
Milk products including curd , cheese , butter, soya milk , fortified foods, supplements if very deficient and of course sunshine around noon
#LifeLessons learnt in the last two decades as a surgeon
1. People trust you blindly or they don’t .There is no half way there. It takes time for that totality to come but,it’s worth it . The sad part about trust is once broken it hardly gets mended.The cracks remain for life
2. Your ability to convince people on anything is purely based on what they want to hear . They have made up their mind most of the times . It’s a little push they are looking for either ways . Understand this nuance
3. People have a need to blame someone if things go wrong . When it’s their mistake they blame destiny / God. But there are people who are harsh on themselves too. It’s very important that we take care of this group
Everyone knows the effects of alcohol on major organs but very few might know the damage it causes to bones & joints
When young people come with damaged hip joints as shown on X-ray due to chronic alcohol consumption, the treatment options are limited
Alcohol affects the bones with osteoporosis & hence fractures
In the joints, it reduces the blood supply leading to what is called as avascular necrosis. This in turn reduces nutrition to the cartilage & ultimately leads to arthritis .. classically seen in hip joints.
How does the blood supply reduce? There is alteration in circulating lipids leading to blockage of arteries & also increase in bone marrow fat cell size leading to blockage of venous flow.
So do you stop alcohol? 😀
Everything is good in moderation & limits are prescribed 🥂
1. #Coursera
It is the world premier learning platform for “MOOC”(Massive open online courses) which brings online educational contents from the best of universities. Online courses on clinical research,emergency care, bioinformatics,public health, data science etc are available
2. Electives:
are highly regarded experience customising learning experience. An alternative student centric curriculum in addition to the core curriculum.Dedicated research time & early clinical experience helps in stimulating student’s self-motivation. med.umn.edu/md-students/ac…
Sunday started as usual & I thought it would be a relaxing day .After the coffee (which I posted) ,I received a call from my brother in law that my mother is semi conscious & complaining of chest pain. The whole world stopped for a moment .
I did a video call to see her & I saw my dad,sis ,BIL panicking. I really had to calm them down,ask my sis to check my mom’s BP n pulse , & give a sublingual nifedipine . I quickly had to find my cardiology friend ,check the nearest hospital he visits & finally take her there .
By God’s grace she is alright now & back home with medications & plans for further monitoring.
The whole episode set me thinking as to what could have been done better today morning by the family & hence,have drawn up this 6 point tool kit for any medical emergency in a family.
The elbow is a quirky joint & sensitive to injury/immobilisation/ insult & responds by throwing extra new bone called heterotopic ossification(where normally bone shudnt be present)There are many theories explaining why it happens
One practice we see is patients approaching native bone setters for their injuries who massage the joint which leads to exuberant new bone & stiffness. Even at home people apply oil massage when there is injury which is not good for the joint
A recent case where patient had injury , underwent surgery & also underwent massage instead of physio who came with this massive heterotopic ossification . Took a long time to chip off all that new bone !
#orthotwitter #Amputation is a life changing experience, especially involving thumb/fingers.Most important step is to transport the amputated part in a correct way in order to suture back(Replantation)
We get queries from local practitioners & remote places as to how to send it
Often the part reaches in a bad state & is difficult to salvage it as the tiny blood vessels are not viable for restoring circulation.The most common mistake is dipping it in some solution (saline/ water/ Iodine) or putting it directly in ice which is to be avoided. #medtwitter
If there is lot of dirt, the amputated part is gently washed in water/ saline & wrapped in a clean cloth/gauze & put in a plastic cover. It is then kept in an ice container but never directly in any fluid or in direct contact with ice which injures the blood vessels