Best Day Yet

Old Glory

I had a phenomenal day in clinical on my first day at a new rotation in an orthopedic office.  This semester, I have to log 300 procedures and complete 22 master comps in order to receive a grade of 100 in those sections.  It seemed daunting at first, but it was busy in the ortho office today.  I set a personal record by completing 39 procedures in a 7.5 hour day.  I have never completed more than about 14 or 15 procedures in a single day of clinical in the past.  We had a fairly steady stream of patients in the office today. 

Oddly enough, I knocked out two more master comps today on some exams that don’t require any pre-comps.  I picked up a tangential sesamoid comp and a bilateral weight-bearing knee.  Each of these exams was sorta ’special’ in a way.  The sesamoid exam turned up a three-sesamoid big toe, which I had never seen before.  I’m guessing it’s fairly rare since most adults only have two.  The bilateral knee exam taught me a new procedure that I had never seen, and it’s not in my textbook either.  It’s called the “Rosenberg View”.  It’s a PA projection where the patient stands facing the wall bucky with his knees slightly flexed.  The tube is angled about three degrees caudad.  I had never seen this view before but the x-ray is very nice.  I’m not actually 100% sure I’m going to be able to keep that comp though.  I emailed my instructor about it, because the comp manual describes the AP view on this procedure.  This ortho office doesn’t use the AP view on this exam…  We’ll see what happens. 

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