#Orthopaedics operation

[beecroft]

Orthopedic veterinary surgeons in Singapore specializing in fracture repair, TPLO surgery, spinal surgery, hip replacement, and orthopedic procedures for dogs and cats.

Web Page: https://beecroft.com.sg/beecroftsg/project-two-3amwl

[kanglimed]

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[drbhavyashah]

Best Orthopaedic Doctor in Ahmedabad – Dr. Bhavya Shah

Having been trained in few of the best institutes in the country, he has gained vast experience in all orthopaedic sub-specialities like Trauma( all kind of fractures and revision trauma surgeries), joint replacement, Spine, Sports injuries, bone and soft tissue tumours, revision joint replacement and joint preservation surgeries.

Navkar Orthopaedic Clinic In Ahmedabad

Navkar Orthopaedic Clinic is a multi- Subspecialty best Orthopedic Clinic in Ahmedabad treating the whole spectrum of Orthopaedic Ailments. The complete solution to all joint and bone problems is offered here & best Orthopaedic Doctor in Ahmedabad. All kinds of Orthopaedic Surgeries like Top Knee Replacement, Hip Replacement, Joint Replacement, accident fracture surgeries, arthroscopic keyhole surgery, spine surgery and other general Orthopaedic surgeries are done at our Centre located in Usmanpura, Ahmedabad. Dr Bhavya Shah, our lead Orthopaedic surgeon is a fellowship trained Joint replacement and Orthopaedic trauma. Navkar Orthopaedic Clinic is one of the best clinic for fracture & accident cases. Visit now & Book Doctor's meeting Online for Any Orthopaedic problems. At present also serves excellent medical care to Orthopaedic Patients.

OUR TREATMENT

1.Knee Replacement In Ahmedabad.

Total Knee Replacement is actually a misnomer. It should be called- Total Knee Re-surfacing. In this surgery, patients whole knee joint is not cut and replaced by a new joint Dr. Bhavya Shah is Founder of Navkar Orthopaedic Clinic one of the leading orthopaedic surgeon in Ahmedabad.

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2.Hip Replacement In Ahmedabad

Hip replacement surgery, also known as total hip arthroplasty, is surgery to replace a worn-out or damaged hip joint. The hip replacement surgeon replaces the old joint with an artificial joint (prosthesis). Dr. Bhavya Shah is Founder of Navkar Orthopaedic Clinic one of the leading orthopaedic surgeon in Ahmedabad.

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3. Shoulder Replacement In Ahmedabad

Shoulder arthritis is a condition in which the smooth cartilage that covers of the bones of the shoulder degenerate or disintegrate.Shoulder arthritis is characterised by the degeneration or disintegration of the smooth cartilage that covers the bones of the shoulder. Dr. Bhavya Shah, an orthopaedic spine surgeon from Navkar Orthopaedic Clinic, talks about what to think about before undergoing surgery.

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4.Foot & Ankle Fractures Treatment In Ahmedabad

A broken or fractured ankle is an injury to the bone. You may experience a broken ankle from a twisting injury from a simple misstep or fall, or from direct trauma during a car crash. Dr. Bhavya Shah, an orthopaedic spine surgeon from Navkar Orthopaedic Clinic, talks about what to think about before undergoing surgery.

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5.Spine Surgery In Ahmedabad

A painful back is cause of spine related problem.Dr. Bhavya Shah, an orthopaedic spine surgeon from Navkar Orthopaedic Clinic, talks about what to think about before undergoing spine surgery.

Dr. Bhavya Shah is Founder of Navkar Orthopaedic Clinic one of the leading orthopaedic surgeon in Ahmedabad.

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6 Peri Prosthetic Joint Infection In Ahmedabad

Peri-prosthetic infection and Musculoskeletal infection is a challenge to most Orthopaedic surgeons and the patient as well. Infection can occur in the bone or the joint or the newly placed joint or in the newly placed implant. Dr. Bhavya Shah, an orthopaedic spine surgeon from Navkar Orthopaedic Clinic, talks about what to think about before undergoing surgery.

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7 Dual Mobility Hip Replacement In Ahmedabad

Hip replacement surgery has offered many patients a new lease on life after agonising arthritis in a worn-out joint. It has been shown to be a highly effective technique for reducing pain and restoring movement. Dr. Bhavya Shah, an orthopaedic spine surgeon from Navkar Orthopaedic Clinic, talks about what to think about before undergoing surgery.

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8 .Bone & Soft Tissue Tumours In Ahmedabad

We treat the full range of orthopedic tumors and cancers, including sarcomas, chondrosarcomas, osteosarcomas, metastatic cancer of the bones, multiple myelomas, malignant bone tumors, benign bone tumors, and all types of soft-tissue tumors. Dr. Bhavya Shah, an orthopaedic spine surgeon from Navkar Orthopaedic Clinic, talks about what to think about before undergoing surgery.

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Treatment

Knee Replacement

Hip Replacement

Sports Injury

Infection And PJI

Shoulder Replacement

Revision Trauma Surgeries

Links

About Us

Dr. Bhavya Shah

patient Testimonials

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If you have any questions or need help, feel free to contact with our team.

+919825578520

3-A, Vikramnagar Society, Nr. State Bank of India, Usmanpura, Ahmedabad-380013.

[ghost-of-a-dream-girl]

as a doctor, where in the hospital staff would you place each of the bg3 companions? what would fit their characters the most?

Hahah oh this is great

Gonna keep this to doctors but let’s do different specialties

Ok so starting off strong: I think Karlach has big emergency medicine energy. She’s running the ED with an energy that nobody else can match, but especially that resus/trauma bay! Doesn’t shy away from the scary, gets stuck in. You know they don’t need security there to restrain the agitated when she’s on shift- all you need is Karlach and some ket.

Next I think Gale has the same aura as a senior ICM registrar (intensive care medicine resident). Probably dual training in renal or respiratory, likely has a PhD on the side. He has intensity when it matters but is an utter nerd. Likely the type who doesn’t like odd numbers on the vent settings. Precise, a little OCD, but fucking magical.

Wyll has to be a medical registrar (internal medicine senior resident). Probs in something acute like acute medicine or resp/gastro. Able to deal with vast quantities of shit and still put on a smile, graceful, caring, and properly holistic in the way he views patients. Quietly competent as the hells. Sacrifices himself for the good of the hospital.

Shadowheart is a tricky one. It would be too obvious to lean into the goth girl vibes and say pathology or whatever but actually I don’t think that fits. I think Shadowheart is an anaesthetist (anaesthesiologist to u Americans). Very very competent and always there exactly when you need her to save everyone else’s asses, but keen to retire to theatres after the fun is over and just crack on with a case by herself. Able to gossip like a pro. Likes taking the lead with her own problem solving. Would be catty as hell about her list overrunning or the surgeons doing something silly. probably overly reliant on caffeine.

Astarion. Cardiothoracics. Probably specifically cardiac surgery. No mortal human can stand for 12 hrs and perform like that. Also the most (justifiably) egotistical surgeons around. Would be bitching about his colleagues across the drapes with Shadowheart. Has had 200yrs to practice his techniques so the ego is probably really well placed. Those rogue hands were meant for complex cardiac surgery but that hair was made for the drama of it too. Easy access to blood products. Would do 30% NHS lists and 70% private practice to fund his lifestyle. Best dressed in the hospital.

Lae’zel is that really strange surgical registrar (general surgical senior resident) that you’re never quite sure if she’s joking or not when she makes threats toward you. Obviously very competent. Makes other surgeons cry but particularly the men. Has > 300 publications in major medical journals. Probably pioneered a revolutionary new technique that she came up with one rainy Saturday. Can get an appendix out in 5 mins max.

There is only one woman for trauma and orthopaedics and that is of course Minthara. A woman who dominates what is well known to be the most male dominated field in medicine. Lowest complication rate in the country. Every single one of her male juniors is terrified of her and for good reason. Will operate on things other surgeons would be too scared to touch. Complex poly-trauma patient with ‘unsurvivable’ injuries? Watch them walk out of hospital 3 months later.

Honourable mentions:

Durge- you know what, it’s so tempting to put Durge as a surgeon or even a pathologist (people who do autopsies), but that’s just too obvious. I think the murdering would be kept on the side. One thing Durge would love though is blood and carnage, maybe even a little high octane drama. For that reason- obstetrics. A little poetry to a killer bringing new life into the world too.

Jaheira - that incredible Professor who only works part time clinically now but when she does everyone is reminded of how brilliant she is. Gives me the energy of a ‘seen it all’ medical consultant (internal medicine attending).

Minsc- he should be ortho. Everyone thinks it- he has big Ortho lad energy. But he’s not. Minsc is a paediatrician!!!! It shocks everyone when they first meet him, this massive guy with a hamster on his shoulder. The kids love Boo. He’d be obsessed with Prof Jaheira too.

Halsin- can see him as a psychiatry professor actually. Probs does dabble in a little of the cooler types of therapies on the side (and tries them for himself) eg LSD for PTSD. Mixes medicine with non medical therapies. Very soothing to listen to.

Withers- palliative care consultant that should have retired millennia ago.

Volo- ophthalmology. 👁️

—

[crybabybrando]

Season 1 Episode 2 Kushagara features an easter egg in the opening sequence of a Kushugara Curse victim reading a book titled "Cioccolata's Operative Orthopaedics"!

i love remembering the rohan live action series made cioccolata a published author

[enkvyu]

ask game — prompt from this request

“hit a leg so stanky it requires medical intervention”

your jaw unhinges and you gape at gojo and getou, both standing sheepishly in the morgue. “what are you doing here?”

gojo looks away, slumping into a seat and rattling the metal chair against the tiled floors. his left leg juts out awkwardly, a metal pole stabbed right through the muscle of his lower leg. the bleeding had stopped around the opening, but the sight was still a gruesome one to behold.

“i was hitting a leg so stinky it now requires medical intervention.”

getou makes a concerning noise, something between a chortle and a gasp that isn’t given the chance to reach its full potential as he slams a hand over his mouth. he coughs when you give him an incredulous look and shrugs away gojo’s pestering.

“you laughed!”

“we’re meant to be fighting.”

“that was twenty minutes ago. right now, we’re bonding over my shenanigans.”

the light atmosphere completely throws you off loop, especially as you struggle to pull your eyes away from the injury. though you've been trained in the way of medicine, flesh and blood was still difficult to digest.

you struggle to focus on your job as the boys begin bickering. as you slide on a pair of latex gloves, you mumble, “at least you’re aware.”

gojo eyes the shiny material and he hesitates when you gesture him over, patting the bed in front of you. “why do you need those on?”

“for medical inspection.”

“you cheated on your exam along with shoko, you can’t just use proper procedures whenever you want to. you're not even a real doctor!” he argues, edging backwards as you come forward. there's something satisfying with eliciting panic on gojo so you play around, pulling back the material so it snaps back in place against your wrist. "i'm serious, if you're operating on me just because i've got the pole of a trampoline stuck in my foot, i'm leaving."

"only you would think this is a minor wound." getou remarks drily.

"they say real friends are those that can sincerely clap for you when you do well." you say. "where's my thanks for cheating on my exam so i could heal you guys? without me, you would all be dead."

"i don't remember the last time you clapped for me." gojo mumbles.

you tilt your head at him. "when was the last time you did well?"

getou hides his smile behind his palm. "gagged."

it was easy to forget the two boys had been fighting only a few minutes ago, though gojo reminds you again by growling deeply at getou's statement, whipping around to level him with a glare.

"still haven't had enough? want to go for another round of eggs?"

"eggs?” you echo, picking up metallic tools from a clean tray.

getou answers you instead. "it's when one person curls up in a ball on a trampoline and the other person jumps around in hopes of cracking them."

gojo points to his leg. "getou might have cracked me too hard."

you finishing cleaning the tools necessary for the operation. nodding over to getou, he catches your message and lifts gojo up from under his arms. the white haired sorcerer lets him, though not without a frown.

the metal bed moves around a little as his weight is dumped on its surface, the wheels rolling around on the spot. when gojo doesn't immediately lie down, you push his shoulders and catch his head before it slams against the metal.

you slide the standing light across the floor and ready your hands.

"is that a hammer?" he inquires and you roll your eyes as if he was the stupid one.

"it's an orthopaedic mallet."

"what's the difference?"

"this is actually legal to use in surgery."

only now does gojo struggle. "you are not coming near me with that thing."

"scared?" getou taunts.

you crack a grin, handing getou the legal, medical hammer. "here, you can do the honors."

"he doesn't even have a medical license!"

you shrug. "neither do i. you mentioned that earlier, didn't you?"

gojo bites his lip, shrinking in on himself. "did i also mention how much i appreciate you?"

placing a hand on his shoulder, you deliver a heartfelt gaze. "no, maybe you should have done that sooner."

getou smiles over your shoulder, rolling up his sleeves. "this might hurt."

it’s only when getou begins using the mallet in it’s (definitely) intended purpose, that you realise you had forgotten to give gojo a dose of anaesthetics.

do i really think an orthopaedic mallet is used to remove a pole from a leg? no, absolutely not. was it the first surgical tool i thought of? yes. also, like gojo so kindly mentioned, you don't have a medical licence anyways so you probably just hammered the pole all the way through to the other end or smth. also google was not helping :(

[eirianerisdar]

As a supporter of Daniel and as a doctor, I'm gonna break this down for you guys

He broke his metacarpal. Not his wrist.

The metacarpals are the five long bones in your palm, an example of which has K wires as shown here:

2. I don't know which metacarpal he broke or how he broke it. The site, severity, and displacement of the break will all determine how best to handle it. But usually, there are two choices Daniel and the team can make.

Option A: he could opt for a closed reduction and EXTERNAL fixation, or CREF for short, which involves straightening the bone without any operation and securing the break with a splint. In this scenario he would be out of commission for at least 6-8 weeks while the fracture heals completely.

Option B: If he opted (or if it is necessary because the fracture is comminuted) for closed reduction and INTERNAL fixation (CRIF) with K wires (seen in the xray example above) which would go through the back of his hand and into the bone to hold it in place while it heals, this would negate the need for a splint and mobilisation of the hand could start immediately.

HOWEVER, it is important to note that mobilisation DOES NOT equal driving an F1 car.

As we saw with Lance over the summer, he had an operation immediately. This meant he didn't need to have a cast as the bone was fixed internally and not externally. However he still needed a solid week and a half of physio to be deemed fit to drive.

I don't know how bad Daniel's break is. Even if it was necessary or he was given the option for K wire fixation, the last thing anyone would want would be for him to be pushed to drive too early and for the break not to heal properly/there to be other complications.

TLDR: If he is given the option to splint and he chooses that, he's out for 6-8 weeks. If he choses to K wire, he may return sooner (even arguably next week in Monza) but he would need an orthopaedic doctor to SERIOUSLY commit that the K wire fixation will stand up to the stresses of driving an F1 car.

Edit 27/8/23: Follow up post here after Daniel's surgery

[slvt4em1lyprenti2s]

Protective

Originally posted on my Wattpad @MayaBishop_is_myWife

Jackson Avery x reader

Jackson POV:

Today was a slow day, crap. Never say it's a slow day when your covering the ER. 

Bailey - "Incoming trauma, multiple vehicle collision and cyclist vs vehicle multiple crush injuries everyone be ready!"

What did I tell you? Anyway I go to get a trauma gown on and y/n comes up next to me.

Y/n - "If there's any open breaks I call dibs." Jackson - "Hey! No fair, whoever gets to them first gets it, okay?" Y/n - "Pleaseee, I haven't been inside an OR for days and I think I'm going insane. I pissed off Derek by accident and now he's letting Lexie scrub in and not me." Jackson - "Fine." Y/n - "Thank you so much!"

She exclaimed and then walked off to go wait for the ambulance. See, if it was anyone else, I would've stood my ground but, it's not just anyone it's y/n/n (your nickname) and it's obvious to everyone but her that I like her. But, oh well, she'll get the hint eventually right?

I walked outside just as the first ambulance arrived.

Paramedic - "Male, 31, crush injuries to the chest and lower abdomen, broken right leg and lacerations to the upper left abdomen!"

I see y/n face light up at the mention of a broken limb, she wants to do ortho so, she's into that kinda stuff. It's adorable to say the least.

We wheel in the guy on the stretcher and transfer him to the gurney. We begin to look at the chest to see if there's any liquid in the cavity and thankfully there isn't but. the abdomen began to swell so we knew he had free flowing liquid in there so we went straight to the OR.

Time skip to when they're finished and the guy's in post-op:

Y/n POV:

I'm currently waiting for this guy we just operated on to wake up. Jackson is bedside me, we're leanig against the nurses station as his eyelids begin to flutter. We make a b-line for his room. 

Guy - "Where am I?" Y/n - "Sir you're in the hospital. You werew involved in an accident involving 3 cars and yourself, you were on your bike. Other than your broken leg, which means we will need to keep you in here for another couple weeks to monitor it and so Dr. Torres can look you over and plan your recovery, your other injuries were fixed in the OR. You had some crush injuries that ruptured your spleen but, because we got in there quick we managed to repair it. The other injuries were superficial. For the sutures we will get Dr. Sloan to come in and check up on them ever other day to make sure it's all healing properly. Forgot to mention, Dr. Sloan is a plastic surgeon and Dr. Torres is an orthopaedic surgeon. Any question?" Guy - "Not about the medical stuff but I do have a question for you sweetheart." Y/n - "Go for it." Guy - "You free tonight? Such a pretty girl like you shouldn't be without a boyfriend." Y/n - "Oh, that's very sweet of you but unfortunately I'm on call tonight." Guy - "That's fine, just come visit me sweetheart. A young thing like you could make any man feel better." Y/n - "We'll see, maybe I'll come see you maybe I won't. Goodbye sir." Guy - "Bye sweetheart!"

I walked out of the room with Jackson close behind me. That man is very flattering but kinda creepy. I'm going to put away his chart when Jackson stopped me. 

Jackson - "Hey, what the hell was that?" Y/n - "What do you mean?" Jackson - "Don't bullshit me y/n. In there with the patient." Y/n - "Oh my god Jackson, I was reciprocating emotions it's basic patient care." Jackson - "Yeah comforting them and sharing concerns. Not flirting with them!" Y/n - "Okay wh- Jackson.." My voice calmed down a lot at this point and I looked him directly in his mesmerising green eyes.  Jackson - "What?!" Y/n - "You're jealous." At this point I was giggling at him. His face contorted into a shocked almost offended face but I didn't care because the blush that covered his face made it obvious that I was right. Jackson - "Wha-what, no I am not." Y/n - "Yeah you are don't deny it." Jackson - "I am not."  Y/n - "Yeah you areeee"

At this point he had accepted defeat and took the chart out my hand and grabbed my hand. I didn't question his actions and just followed him like a lost puppy. We came to a stop outside an on-call room and he opened the door and pushed me inside.

Y/n - "Jackson wha-"

I was cut off by his lips on mine. His arms snaked their way around my waist and pulled me close. My hands were around his neck as his soft lips moved against mine. He turned us around and gently pushed me against the door and pulled away briefly to speak.

Jackson - "I was jealous. Okay? I really like you  y/n/n." I tried to speak but he cut me off. "Don't say anything unless you want me to stop."

He pulled me back in and locked the door. He walked me over to one of the beds and gently laid me down. 

Let's just say I didn't get to go back to the patients room that night.

[opencommunion]

"The Gaza Strip’s collapsing health system is under further strain after the Israeli army intensified bombing in Rafah’s Tal as-Sultan area and other parts of the enclave, a day after an attack on a camp in Rafah killed 45 Palestinians.

The Indonesian Field Hospital is the latest medical facility in Rafah to be hit with the attack on Monday causing damage to the hospital’s upper floors. Medical staff and patients are reportedly trapped inside the facility, where many Palestinian families are also taking shelter.

Earlier on Monday, Rafah’s Kuwait Speciality Hospital was forced to shut down after an Israeli attack just outside the gates of the hospital killed two of its medical staff.

Witnesses said the victims were hit by fire from an Israeli aircraft. The hospital was treating most of the 249 wounded in Israel’s attack on Sunday night on a camp for displaced people.

The director of the hospital, Dr Suhaib al-Hams, said the facility was put out of service over 'Israeli occupation forces’ expansion of their military operation in Rafah and their repeated and deliberate attacks on the hospital and its vicinity.'

Dr Mohammed Tahir, an orthopaedic surgeon who volunteered to work in Rafah’s European Gaza Hospital, told Al Jazeera the closure of Kuwait Specialty Hospital puts the people in Rafah in severe danger. 'What we’re experiencing here is a multipronged attack unfortunately where not only are the people being attacked directly, they are also being blocked from receiving critical medical services,' Tahir said. 'The Kuwaiti Hospital was evacuated – that is the main hospital – and they are moving to al-Mawasi, where they have a field hospital, which is not quite ready. And in the meantime, quadcopters … are restricting the movements of ambulances, so those who are injured cannot even receive help,' he added.

In central Gaza, hundreds of Palestinians receiving care at Deir el-Balah’s Al-Aqsa Martyrs Hospital are also believed to be in imminent danger as the facility is on the verge of shutdown due to Israeli forces blocking its fuel supply.

Israeli forces have damaged, destroyed or occupied 24 hospitals in the Strip since October 7, leaving only six partially functioning facilities out of Gaza’s 36 hospitals. Israel has been blocking lifesaving supplies reaching health facilities across the Gaza Strip since the beginning of the war." 28 May 24

[brf-rumortrackinganon]

With the anon’s comment about no one wanting Charles’ medical information, I feel like a lot of the time when things happen in the Royal world anons and bloggers end up going into this in-depth analysis on things when really there’s not as much to it as they’re making it out to be. The theories discussed were about no one caring about Prince Philip’s details or Charles’ but obviously someone was tempted to see if they could find out what was going on with Kate simply because of the public interest and hysteria that’s going on. People have been made curious by the media hype. Plus, Charles made his condition public in the first place. Also, we could look at what happened with the Queen and there was little interest around her specific condition but that’s because the palace firmly went with the story all along (or implied) that it was just old age. Also the fact the Queen and Prince Philip were old so it was expected to see them deteriorating.

But why is there so much more public interest and hysteria about Kate in the first place, when Charles, Philip, and The Queen have gone through very similar things?

All Kate/KP did was make the same statement that they've all made: "The royal is in hospital X for surgery on {body part}. She will be in the hospital for X days. She is doing well."

The statement for the Queen's knee surgery:

The Queen this morning underwent a minor operation at the King Edward VII Hospital in London to remove a torn cartilage in her right knee. The 45-minute operation, which was performed by The Queen's orthopaedic surgeon Mr Roger Vickers, went very well and Her Majesty is expected to leave hospital tomorrow morning. Mr Vickers was assisted by Mr Adrian Fairbank. The anaesthetist was Dr Robert Linton and The Queen's physician, Dr Richard Thompson, was in attendance. The Queen is expected to be fully active again within a few weeks. Her Majesty will rest at Sandringham over the next two weeks and will then resume a limited programme of engagements until she has made a full recovery.

The statement for Philip's hip replacement:

"The Duke of Edinburgh has undergone a successful hip replacement operation. He is progressing satisfactorily at this early stage. His Royal Highness is likely to remain in hospital for several days. He is comfortable and in good spirits.”

The statement for Philip's abdomen surgery:

"His Royal Highness the duke of Edinburgh has been admitted to the London Clinic for an exploratory operation following abdominal investigations. He is expected to stay in hospital for up to two weeks. Further updates will be issued when appropriate. He is in very good health."

The statement for Margaret's lung surgery:

″Princess Margaret underwent an operation at the Brompton Hospital yesterday for the removal of a small area of her left lung which proved to be innocent. Her condition is satisfactory and it’s expected that she will leave hospital within the week.″

The statement for Sophie's emergency operation:

"Her Royal Highness the Countess of Wessex is currently recovering in the King Edward VII Hospital following an emergency operation. The Countess was taken to hospital by air ambulance after feeling unwell overnight. She is expected to stay in hospital for the next few days. The Earl of Wessex has been with the Countess following her operation. I cannot comment on the nature of the operation. Her condition is described as comfortable."

And yet, all this hysteria surrounding Kate. Why?

Misogyny.

It's nothing to do with Charles being more transparent about his condition. In fact, one would argue that Charles had to be more forthcoming because he's the head of state and there's an expectation of duty. Look at how much detail is in the statement about The Queen's knee operation compared to the rest. That's the same amount of detail provided in the first statement about Charles's health issue. He didn't need to provide further detail about the cancer diagnosis; the palace could've just deferred to the original statement that he had to postpone public engagements for recuperation since they never provided a timeline on what that recuperation was supposed to look like other than "short." But "short" can be subjective.

Edit: I fixed the {body party} typo. 🤦‍♀️

[miss-anthropyxx]

Abdomino-pelvic impalement x3 in a 17-year-old who somehow managed to not die

[Original medical journal case report] [Credit to how this was found]

A 17-year-old female fell from second floor directly over iron rods of an under-construction building at midnight. Although three iron rods penetrated inside her body, she was conscious and oriented but cried in pain. Neighbours cut the rods from the iron pillar with drilling machine and shifted the patient from accident site to the emergency department of our hospital which took 5 hours. During this interval, she was in sitting posture and could not lie down fearing additional trauma due to the penetrating rods. On examination, she was conversant and had a pulse rate of 126/minute and pallor. Two iron rods could be seen penetrating her abdomen and pelvis while the third one went through and through her gluteal region [Figure 1].

A part of her cloth also went inside the path of the iron rods. Blood clots could be seen at the entry and exit wounds. Abdomen was not distended, and child had passed clear urine once on her way to the emergency department. There was no evidence of any injury to the chest, head, neck, spine or the extremities. At arrival, along with the primary survey, an intravenous line was secured to start fluids, antibiotics and analgesics. Tetanus toxoid and tetanus immunoglobulin were administered. Simultaneously, samples were sent for routine blood investigations and cross match. Haemoglobin was 8.9 and haematocrit was 27. Chest, abdominal and pelvic skiagrams were taken to assess the passage of the rods and any bony injury. One of the rods could be seen penetrating through the right iliac bone. Another rod went through and through the ascending colon just distal to the ileo-caecal junction and also the right iliac bone. There were no major vascular or urinary injuries. All the solid organs were spared. Resection of the jejunal segment containing the two perforations was done followed by end-to-end jejuno-jejunostomy.

Patient was shifted to the operation theatre and was put in left lateral position between the operation table and shifting trolley, so that the rods came in between the trolley and the operation table. In this position, patient had induction of anaesthesia using 100% oxygen for 3 minutes followed by Etomidate (100 mg), Fentanyl (75 mcg) and Succinylcholine (75 mg) [Rapid sequence induction], followed by intubation using cuffed oro-endotracheal tube of size 7.0. Following this, patient was maintained on Oxygen, Air and Sevoflurane, then patient was shifted to operation table in sitting posture and surgical procedure was started. Rod in the gluteal region was removed first after increasing its entry and exit wounds slightly. It was seen to pierce only the gluteal muscles. The passage was washed with hydrogen peroxide and saline and packed with betadine-soaked gauze. She was then turned supine and laparotomy was done through midline incision. One of the rods was seen to pierce the jejunum twice at approximately 30 and 40 cm from the duodeno-jejunal junction [Figure 2].

Ileo-ascending anastomosis was done after excision of the caecum along with the perforated ascending colon. No orthopaedic intervention was needed for the rod penetrating the right iliac bone. Tension suturing was done after insertion of drains in pelvis, right and left paracolic gutter. She received three units of packed cells in the peri-operative period. Patient was transferred to the Intensive Care Unit post-operatively and was there for 5 days following surgery for intensive monitoring and management. Antifungal agents were added when positive fungal blood culture was seen following fever on 3rd post-operative day. Patient passed flatus on 5th post-operative day and tolerated oral food from the next day. Drains were removed on the 5th post-operative day. Wounds over gluteal and iliac regions were conservatively managed on dressing and antibiotics. The total duration of hospitalization was 24 days and patient were discharged with advice of daily dressing of these wounds. First follow-up was after 15 days of discharge and subsequent two follow-ups were after one and three months of discharge. She has been asymptomatic on follow-ups. Figure [3] shows her scars after 3 months of discharge from hospital.

[femsolid]

I once had an appointment with my orthopaedic surgeon. Since I hadn't seen him in 10 years and we had both moved (to the same place, coincidently) I wasn't in his database anymore so he asked me my age, weight, height etc to enter me into the system.

I was complaining of remaining pain in my operated knee and suggested it might be the screws he put in during the surgery. His first response was that I should lose weight, as is often the case when an overweight person goes to see a medical professional. Of course weight impacts our knees but my pain wasn't related to that. He then agreed that it might be the screws and that removing them could help, he referred me for an x-ray to check on the screws and see if surgery was possible.

Then I got home and opened Instagram. I was mindlessly scrolling when an advert appeared. It was an ad for weight loss. The ad showed an overweight woman drawn, with numbers on the right side: her age, her height, her weight. Those were the exact numbers I had given to my surgeon that morning. My exact age, my exact height and my exact weight.

I still can't explain it. Are we really being listened to? Do they have access to our medical database? How the hell can this happen? I understand targeted advertisement, I understand that when I open Google on my phone it shows me articles about things I googled. But I didn't type those numbers. I had in fact guesstimated my weight. And I never look for dieting products nor talk about losing weight. So this had to be the result of my interaction with the surgeon that morning.

[mango-pup]

Final shoulder appointment done!

Nearly 12 months after first breaking my collarbone I have now been fully signed off by the orthopaedic team 🥳. After 3 months in a sling, being told I would never get full movement back, one operation and a whole lot of physio I am now back to near 100% function.

It hasn't been the only thing making the last 12 months suck, but it certainly hasn't helped. Getting the final seal of approval was a huge relief.

[lonelynpc]

I know playing music is quite common in the OR but I want to know, have you ever had any songs be 'banned'?. Yknow, it's maybe really fucking annoying or it's been played to many times ect. I was told by a friend's dad that copacobana was banned from their OR because it kept being played on the radio and they all hated it to an almost primal degree.

i always love your asks, they're so fun

oh yeah, we've got a few! it depends on the team! i'll put some below with the team they're banned by and why (if there's a reason).

i will also say, there was a time where my consultant and i were banned from controlled the music because we would go, "okay, i'll go to the next," then play never gonna give you up.

you've got a friend in me by randy newman: banned by the anaesthetics team because it's annoying and we all hate it but every surgeon had it on their playlist for some reason.

smooth operator by sade: banned by a neurosurgeon because "i hated it when it came out and i hate it now".

hey sexy lady by shaggy: banned by almost all teams because of the phase where my team and i would watch that one pedro pascal edit behind the drapes.

down with the sickness by disturbed: banned by trauma because it came on shuffle while we had a septic patient in.

so what'cha want by the beastie boys: banned in the 90s because of my consultant. i don't know what he did but it got banned and is still banned to this day. i saw him try to play it once and the surgeon said, "teddy, you know the rule."

wish by nine inch nails: banned by an orthopaedic surgeon after i put it on. he said, "i do not like this".

promiscuous by nelly furtado: banned by urology because my consultant and i would sing it together. we didn't take parts, we both just put on a different voice for each part.

rock me amadeus by falco: banned by my anaesthetics team because we just really hate it.

kiss from a rose by seal: banned by an ENT surgeon because "it's annoying" even though she always sang along.

funky cold medina by tone-loc: banned by a really grumpy cardiothoracic surgeon, no clue why because we all loved it.

[drsanjaygupta-1]

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