TheSecretSurgeon - Ask me anything - go for it!
Discussion
TGCOTF-dewey said:
Can you explain what is going on here?
Apologies if you already have.
https://youtube.com/shorts/_6voIGaBa4U?feature=sha...
He didn't get his self assessment in on time. Apologies if you already have.
https://youtube.com/shorts/_6voIGaBa4U?feature=sha...
fourstardan said:
Do surgeons get involved in finger fractures?
Wondering how long you should actively do things on a finger fracture after an incident (lawn mower incident).
What happens if you don't follow advice?
Yes - my wife is a hand surgeon…Wondering how long you should actively do things on a finger fracture after an incident (lawn mower incident).
What happens if you don't follow advice?
There is no fixed time - it depends what you did and what was then done to fix it - you should have been given an indication of timescales…
If you don’t follow advice you are likely to end up with a worse outcome
there are clear parallels between those who do what they are told / don’t do as instructed and the eventual outcome / future performance of hand or finger… particularly noticeable when people don’t do physio…akirk said:
Yes - my wife is a hand surgeon…
There is no fixed time - it depends what you did and what was then done to fix it - you should have been given an indication of timescales…
If you don’t follow advice you are likely to end up with a worse outcome there are clear parallels between those who do what they are told / don’t do as instructed and the eventual outcome / future performance of hand or finger… particularly noticeable when people don’t do physio…
Tbh the injury is for an opponent I have in a golf match on Thursday next week. Report was on Monday this week they had fractured finger(s) in a lawnmower incident, oh and had stitches. There is no fixed time - it depends what you did and what was then done to fix it - you should have been given an indication of timescales…
If you don’t follow advice you are likely to end up with a worse outcome
there are clear parallels between those who do what they are told / don’t do as instructed and the eventual outcome / future performance of hand or finger… particularly noticeable when people don’t do physio…He's a bit of an idiot if you ask me to not follow advice.
fourstardan said:
akirk said:
Yes - my wife is a hand surgeon…
There is no fixed time - it depends what you did and what was then done to fix it - you should have been given an indication of timescales…
If you don’t follow advice you are likely to end up with a worse outcome there are clear parallels between those who do what they are told / don’t do as instructed and the eventual outcome / future performance of hand or finger… particularly noticeable when people don’t do physio…
Tbh the injury is for an opponent I have in a golf match on Thursday next week. Report was on Monday this week they had fractured finger(s) in a lawnmower incident, oh and had stitches. There is no fixed time - it depends what you did and what was then done to fix it - you should have been given an indication of timescales…
If you don’t follow advice you are likely to end up with a worse outcome
there are clear parallels between those who do what they are told / don’t do as instructed and the eventual outcome / future performance of hand or finger… particularly noticeable when people don’t do physio…He's a bit of an idiot if you ask me to not follow advice.
I guess he must feel that he can play golf though slightly surprising considering that he will be putting forces through his fingers with every shot!
akirk said:
I think anyone who doesn’t follow sensible medical advice probably falls into that category! Sounds as though he was possibly lucky to not have the fingers removed by the lawnmower - maybe he therefore sees it as a minor injury…
I guess he must feel that he can play golf though slightly surprising considering that he will be putting forces through his fingers with every shot!
I did think that he was lucky. A lot of google image pictures are gruesome!I guess he must feel that he can play golf though slightly surprising considering that he will be putting forces through his fingers with every shot!
Thanks for the input.
How often do you find out that there’s no bed for your patient and have to cancel at the point that they are already in theatre, connected to ECG, cuff, and saturation monitor and nervously awaiting the ministrations of the anaesthetist? Because I have to report that it’s not a great experience!
otolith said:
How often do you find out that there’s no bed for your patient and have to cancel at the point that they are already in theatre, connected to ECG, cuff, and saturation monitor and nervously awaiting the ministrations of the anaesthetist? Because I have to report that it’s not a great experience!
Dearest Otolith, I am very sorry to hear about this, it's such a massive waste of time and crushing of patient expectations and heightened emotions.Everyone else: hi and I hope you are all well.
The answer is, this happens every week of my life for various different reasons.
For an example, I did an extra list (for cash, and to make people better quicker) on Saturday.
Two ACLs and two knee replacements. The ACLs come in on the daycase unit, which shuts shop and turns the lights off at 8pm.
Only it's currently an overflow ward full of old people. Has been for a week.
So the ACLS were brought into the Ortho ward. A reasonable plan, but not very good.
But at 8am there weren't beds or the staff to get patients ready for theatre. So I was ready in theatre at 0830 for the team brief, but no sign of patients.
So we waited and sent staff to the ward (agency staff, did I mention that?) and tried every 20 mins to summon a patient.
And the patient arrived at 10:15, which automatically means I don't have enough time to do 4 cases.
So I did the first case, quickly (legendary skillz, in fact the ACL took 35 mins) and the second case, but it was a little complicated.
And then I went to see patient number 4, who is doomed and looked him in the eye on the ward, he in a gown with a big arrow on his leg, and said "I'm sorry this hospital can't do your operation today" There are no managers or organisational people around to apologise to him, and its got nothing to do with me, but I'm the person sent to him, and it's honourable to sit with someone face to face.
So he went home.
The serious bit:
He's already been cancelled once before, which is why he was on an overtime Sat list.
I now need to get him in within 28 days.
I billed for my time, 0800 to 17:30 at £150/hour.
So they've paid me once to do him when he was cancelled first, then double on Sat and I didn't do him, and they'll pay me again to do him really this time in 28 days.
And out of all this money I give 45% back to the taxman immediately/
The operations are the easy bit.
Be kind to one another over Christmas, all.
TSS
RustyMX5 said:
A random query...
How difficult / involved is a hip replacement when the hip has essentially crumbled? I'm curious because my MiL is in that position at the moment.
The difficulty of the hip replacement is matched against the experience and skills of the hip surgeon.How difficult / involved is a hip replacement when the hip has essentially crumbled? I'm curious because my MiL is in that position at the moment.
There are some crazy good hip surgeons out there.
Anything is possible*
Sorry this isn't an answer, but its a technical consideration, Xrays, pt fitness etc.
* nearly anything
Look how crazy it can get
TheSecretSurgeon said:
And then I went to see patient number 4, who is doomed and looked him in the eye on the ward, he in a gown with a big arrow on his leg, and said "I'm sorry this hospital can't do your operation today" There are no managers or organisational people around to apologise to him, and its got nothing to do with me, but I'm the person sent to him, and it's honourable to sit with someone face to face.
So he went home.
The anaesthetist got the short straw there. They'd admitted me, gone through all of the paperwork and risks, drawn on me, taken me in, wired me up, and were waiting to begin. He came back in and said I needed to go back to the side room. Shortly afterwards he came in to give me a small cup of water, told me not to eat or drink anything else, but that there were no beds and I may as well get dressed and go for a walk. They'd know at 1pm whether any beds had become available. At 1pm they told me it wasn't going to happen. They were all very nice and apologetic, I wasn't angry, just very disappointed after going through the anxiety and the process of accepting what was about to happen and knowing I'd have to do it again.So he went home.
They recommended I contact PALS, but they called the next morning to offer me January 2nd so I'm not sure what it would achieve. I just hope it happens next time, because it's logistically very difficult for my partner to be at my house in Lancashire when her house/job/kids are in Surrey - getting up this week required a lot of swapping sessions and calling in favours and giving up holiday at Christmas. She's off that week anyway, and so are the kids, but if it gets delayed again I might have to be there on my own. They ask whether someone will be at home with you when you are discharged - what happens if the answer is "no"? It's a diagnostic hemithyroidectomy, so I won't exactly be an invalid.
They cancelled all the afternoon cases needing a bed (I was the only morning one), but did at least have some day surgery cases to do. I suspect that it was still an expensive exercise.
Arnold Cunningham said:
How come the screws always seem so long?
In my own shoulder, similar to the above x-rays, it looks like I have 3/4" screws that poke out the other side of my clavicle, when 1/2" looks like it would have been just right (comparatively - am sure that's not the actual length)?
I have no idea, sorry. We measure screws for depth and length....In my own shoulder, similar to the above x-rays, it looks like I have 3/4" screws that poke out the other side of my clavicle, when 1/2" looks like it would have been just right (comparatively - am sure that's not the actual length)?
Hi secret surgeon
What’s your thoughts on this? Do I need surgery? My physiotherapist stopped treatment as he thinks he can’t do anymore until I’ve had surgery, which I agree with.
My only concerns are recovery, 30 years old and very much into sports and keeping fit. Currently cant even do a squat in the gym and any sort of running or impact is painful. Would surgery on this get me back to a reasonable level that I could play sports again?
My other concern is how long it would take before getting back to work. A lot of work is sitting on my knees and with a 2 year old and a mortgage to pay I don’t think I could be out of action for too long.
Many thanks Dalzo
What’s your thoughts on this? Do I need surgery? My physiotherapist stopped treatment as he thinks he can’t do anymore until I’ve had surgery, which I agree with.
My only concerns are recovery, 30 years old and very much into sports and keeping fit. Currently cant even do a squat in the gym and any sort of running or impact is painful. Would surgery on this get me back to a reasonable level that I could play sports again?
My other concern is how long it would take before getting back to work. A lot of work is sitting on my knees and with a 2 year old and a mortgage to pay I don’t think I could be out of action for too long.
Many thanks Dalzo
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