Oddbean

In the movies when someone dislocates a shoulder someone either yanks on it or the injured slams their shoulder into something. What is the proper technique to relocate the arm back into the shoulder socket? Similarly with fractured bone protruding from the skin, do you just push it back in place? Working to improve my post-apocolypse field medic training.

😁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?

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

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 https://image.nostr.build/453eff8034dcbab9d0bbe1b16815b2c0551bdc3c221d2951892447780d872253.jpg

I'm not 100% sure yet. I know I'm here with like-minded people. I'd say we all crave for safeguarding our eroding freedom. And I know we're currently cooking something together. Not sure how yummy it will be, but we're on it, one way or another. LFG

What is something that you would like to say about your field that is taboo, and leaves you afraid that if you say it, you could be cancelled? Such as suspicions about say using opioids in injury recovery, or a surgical procedure that you generally think is over prescribed? Thanks for your participation here!

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.