What
a way to start the day! I got
a phone call this morning to
let me know that one of my clinic
patients got admitted to the
hospital last night. It is now 5:30 am, so I start to get ready.
Normally, clinic patients need
to be seen before 7:30 am, but
I am on Orthopedics right now,
and the orthopedist I am working
with has clinic at 7:00 am. I
need to get moving. After getting
ready and getting the dogs fed,
I head off to the hospital.
I find my patient and try to
figure out what is going on.
My patient was admitted for a
chest pain rule out, so this
should be a pretty routine admission.
Luckily, troponins are normal,
so pending some further tests
today the patient should be able
to go home this afternoon. Then
I head out to Ortho clinic.
Clinic with the orthopedist
I am working with is always crazy.
We normally see about 70 patients
a day, so it is very fast paced.
However as someone interested
in Sports Medicine, I love it.
Today is Friday, so there are
a lot of post-op visits. There
are some new patients to evaluate.
As always, there are a couple
of patients to perfect my joint
injection skills on. I have injected
a lot of shoulders and knees
this month, so this is nothing
new.
We finish with clinic around
11:30. That means a have just
a little bit of time before surgery
starts. I run and get something
to eat. I quickly check my clinic
messages, refill some prescriptions
before the weekend, and check
on my patient in the hospital.
All of the tests are negative,
so I discharge the patient home.
I run back to our outpatient
surgery center. We have few shoulder
scopes, a couple of rotator cuff
repairs, a decompression, and
one SLAP lesion. After that is
a medial meniscus tear. We finish
around 3:00 pm. This is good
timing because the orthopedist
I am working with is on Trauma
call this weekend, and there
are already two patients waiting
for us at the hospital.
We head over to the hospital.
One patient is an elderly lady
that was in a MVA and has an
open tibia fracture. We take
her to the OR to clean out the
wound and close it. It is not
displaced, so we place a splint.
The next case is a 15 y/o football
player with a displaced distal
radius fracture. We put the patient
to sleep, reduce, and splint.
While that patient was getting
ready for the OR, we go evaluate
another MVA patient. This patient
has completely ruptured his MCL.
Things quiet down with consults
after that.
Oh, did I mention it is Friday
night. It is time for high school
football. As a resident interested
in sports medicine, you can cover
high school sports. I cover John
Glenn High School, which is a
3A high school just south of
town. They are playing away tonight,
so I have to hustle to make it
to the game. The game goes off
without incident. John Glenn
wins with a resounding victory
and more importantly no major
injuries.
I finally get home around 11:00.
It has been a really long and
fast paced day. What a great
day!
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