#GM

Today I’m plating this distal femur fracture, among a few other simple cases. Image to the left you can see a fracture extending into the distal femur joint surface. I’ll put that piece together with screws, then use a large plate and screws to reduce the main fracture and finalize the construct.

For this work, the hospital will pay about 10,000 sats / minute.

Pretty good if you ask me. I may never retire if they figure out how to stream it in real time.

https://nostrcheck.me/media/134743ca8ad0203b3657c20a6869e64f160ce48ae6388dc1f5ca67f346019ee7/460e759dbd19fdbea0c43a52cea99bda0c70bf41bc7c7912d1235eff5edfc809.webp

Jesus, thank you for the excellent question!

I focus on trauma, which limits my exposure to the typical orthopaedic landscape. There isn’t much bureaucracy or room for debate when your limbs are mangled and you fail to provide basic functions of life for yourself.

“Bone broke, we fix.” The orangutans of the surgical world. I’m perfectly fine with this characterization.

If I could pass one general piece of advice from a surgical perspective: ALWAYS get second opinions before non-urgent surgical procedures.

You’d be surprised how often I’m asked to review medical plans from friends/family. Although they are often outside of my field of practice, I have immediate access via my physician group to about 500 physicians covering every subspecialty, and you’d be surprised how often I find conflicting opinions regarding the best plan of care. Sure, it’s to be expected in ‘grey areas’ where risks and benefits seem balanced; however, at least once a year I’m confronted with a case in which the proposed plan is obviously outside of the normal scope of practice.

As in all areas of life, incentives drive outcomes. Don’t be surprised to find that your private-practice surgeon is over prescribing surgical procedures to pad their bottom line. The only way you’ll really know is if you take the time to dig. Or, ask me of course.

Thank you!

Perform some sort of physical, strenuous activity daily. Keep your body strong

And dont ride your kid's hover boards

Yes; orthopaedic trauma. We do the typical broken bone stuff with a few more complex things unique to the subspecialty around the pelvis and joints

thats a meal for one 🥰

PRO TIP- torch a chunk of butter over your leaner cuts like filet right before you put em down.

#foodstr

This is HARD

Help me caption this epic storm track

what cut you have there jimmy? 😁

so many of the world's mysteries making sense these days.

its obvious we must question everything.

time to open your eyes.. we were all kids when they suggested sugars/carbs were part of a healthy diet.

just to pad their fucking wallets

fiat does ruin everything :/

sounds similar to fedimint protocol

Metabolic disease refers to a group of disorders that occur when any part of the body's metabolism is disrupted, often leading to abnormal breakdown or synthesis of nutrients, causing symptoms like weight gain, fatigue, and organ damage. Diabetes is a great example.

Its an exception to be healthy now that we start our kids on fiat food so early.

This is my kid's elementary school.. fucking shameful

Mining fiat, you?

straight to primal via nostr:npub1ex7mdykw786qxvmtuls208uyxmn0hse95rfwsarvfde5yg6wy7jq6qvyt9

whod want to wait for an ACH to clear

lets go

straight to primal via nostr:npub1ex7mdykw786qxvmtuls208uyxmn0hse95rfwsarvfde5yg6wy7jq6qvyt9

whod want to wait for an ACH to clear

lets go

Thank you!

Havent run into 'boosts' yet but you are the second to mention. Thank you!

it proposes some interesting game theory.

for instance, @odell may want to monitize his nostr following, but doing so at too low a rate will spame his followers, perhaps losing a few

also, functionality to only pay for reposts from npubs with a threshold level of followers. no point in paying bots without followers

sorry to hear

orthopaedists typically only do spine if fellowship trained in this.

Ill keep and eye out for nostrs first neurosurgeon for ya

so happy to have found you and look forward to collaborating and supporting your work

🙏🙏 this is powerful tech

thanks for pointing that out let me hit you directly here

wow. an honor sir! your work has inspired me.

Im an engineer at heart and see immense value being built here. Came for the censorship resistance, fell in love with zaps and Cashu

great question I may have multiple answers but currently Id say biggest self inflicted issue is metabolic disease/inactivity.

Ive seen 95 year olds dance after having a hip fracture surgery, and a 55 year old never walk again after the same procedure.

stay moving, its most important

😁epic questions.

shoulder dislocations are typically reduced or put back with light sedation in the ED, and sometimes under full anesthetic

there are maneuvers that work depending on whether the shoulder came out to the front or back.

in the apocalypse Id have em lay down and attempt to elevate the arm while someone else holds counter traction.

do I have to say this isnt medical advice if we assume the applicable scenario is a zombie apocalypse?