5 TAKE AWAYS FROM NTH INTERNS ON WEEK 2

Nth Fam, please welcome the 2019 class of Nth Dimensions Summer Interns who are working hard at their respective internship locations as we speak.

 
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We had a blast during orientation at the OLC - AAOS headquarters with our 30 summer interns this year in orthopaedic surgery, radiology and physical therapy.

Here are some reflections from week 2 from our Nth Dimensions Summer Interns.


1. Knowledge

It started out with brunch with Dr. Kemp and Dr. Chambers who are the second and and soon-to-be third black female orthopedic surgery residents at Baylor. They shared wisdom from their journeys was so inspiring. Next, I received the topic for my case report and began becoming an expert on a rare cancer of the foot. Then Dr. Lewis taught me to scrub in to the OR where I assisted surgery! And after a tumor biopsy, I visited the pathology lab where I learned how to properly section of bladder and prostate with an invasive tumor. Ebony and I also participated in a cadaver surgical lab with the attendings and fellows at MD Anderson. We performed a reverse total, shoulder total humerus and a hemipelvectomy all while being grilled on the brachial plexus! Everywhere I turned, I was being taught and tested. It’s great to know that I am in a place where the best ortho docs want me to have the knowledge and skills to succeed.

 

 

 

 


2. Immersive

On Tuesday, I sprained my ankle (high sprain) after getting off a shift at the hospital, which required X-rays and a subsequent boot. Talk about getting a holistic perspective and an immersive experience of orthopedics this summer! I spent a lot of time in the lab, moving my genotyping project along with the bench-work and starting to devise my plan for writing my abstract. I made great progress! I was able to run about 20 plates on the PCR and record and sort the data (that's about 1 hour 36 minutes per PCR cycle, meaning I have run about 22 hours of PCR so far, not including all of the other lab work/prep)!

I was also able to shadow a pediatric hand surgeon in clinic, and she is utterly amazing! I saw cases including: symbrachydactyly, hypoplastic thumbs, brachial plexus injuries, and much more! In lecture on Friday, I learned about leg length discrepancies and treatment options! I'm looking forward to conducting a lot more of the research next week, as well as hopefully scrubbing into a couple more surgeries!


 

3. #Blessed

This week I am feeling #blessed because not only did I turn 26 yesterday but I also took my last test of M1 year! 🙌🥳🏆

Here is a *totally candid* photo of me reading up on surgical techniques in between seeing patients in clinic before presenting to my attending. S/o #pocketpimped. I have been been splitting my time between the OR (they call it the “theater”) and clinic and I love the variability.

Everybody make sure you become tight with your surge techs! They are the true MVPs in surgery. They gave me extra sutures so I can practice my skills at home. Here’s some simple interrupted sutures I put into a sponge. Any tips or resource suggestions for learning to suture are much appreciated.

Finally, an interesting case I saw in clinic- an 18yo male presented with spiral fracture mid humerus after throwing a football 🤔 x-ray pictured. Our assessment is a pathological fracture. Follow-up after further testing- MRI/CT, etc. Radiology was thinking possible lymphoma. What do y’all think? To be continued...

Happy to see everyone crushing it! Keep up the good work! You all inspire me! 🤩


 

4. Chaotic

How should I describe week #2 in comparison to week #1 in the Interventional Radiology department. I would describe it as chaotic. Week #2 was perfect 👌 for me because week #1 only displayed how everything’s going well. However week #2 showed the major challenges within the field of IR. This week I was at Grady hospital and one ☝️ of the two IR machines broke down for the majority of the week. As soon as that happened there were 4 trauma cases that took place the IR team fell behind. I began to see everyone working under pressure and allocating their time and resources to the most emergent cases and then addressing the least emergent cases. Here are some images, I was not able to scrub in today because Grady’s policy on observership but I have learned so much! I would not trade it for the world 🌎. I hope I did not hurt your eyes 👀 with this long post.


 

5. Fun

This week was even more fun! I was in the OR all day Monday and Tuesday. On Tuesday at the end of the last operation, some blood squirted onto my face-mask, eye wear and gown. It was a great reminder of why we need to wear protective gear at all times!

One of the best parts of working at U-Michigan has been getting to know so many great attending physicians, fellows and residents. Although the attending physicians have been a great source of inspiration, it is much easier to talk to the fellows and residents. I have been able to establish a friendship with some of them and they have been very encouraging in a different way relative to the attendings since they are not as far removed from med school.

This week, I have been in a sports, spine and hand clinic. I am not interested in Spine as much as I thought I was due to the lack of variety we saw in patients. It was predominately older population with chronic back pain, which I can see being frustrating since I'm sure the physicians want the patients get better.

My research project is finally underway because our IRB got approved on Thursday. I will be looking into patellar instability in pediatric patients ages 0-10.


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