For those like me heading into work for a day of MSK triage, remember this. Most of what you will see is non specific, variable, and hard to slap a diagnostic label on. Your scan results will often be equivocal and you will not be able to provide certainty to your patients based purely on a pathoanatomical model. And you know what? That is ok.
It is real life, real people, real complexity. Not everything is knowable and your patients are not from a textbook. If it does not fit, do not try to make it fit. Be honest, communicate, and manage expectations. Do not feel you must always meet or exceed them.
You are human too and we do not have this stuff figured out. Not by a long shot.
Have a great day. Breathe. Drink coffee ☕
@valeriecafe extremely disappointed that my order is not being delivered today despite me choosing this as the delivery day specifically for my mothers birthday. No delivery update or email reply from you #poorcustomerservice
😍So here it is. Your chance to WIN a meal here at The Raj Kinara. This freebee chance comes along just once a year so don't miss out!😍
1. FOLLOW this page✅
2. RE-POST this image🔄
Winner drawn on Friday 4th July - It's that easy! Full T&Cs in the comments - good luck🤞
@AledHall Mor flin I glywed hwn. Rwy’n gwybod sut mae’n teimlo. Collais I fy nhad yn mis mawrth. Diwrnod anodd iawn yfory a phob dydd ers I ni golli fe 💔
@JiffyRugby Me and @sinlouisejones lost ours last week. We’ll miss him forever. Fond memories of him taking us down the gnoll when we were little to watch you and Neath play ❤️
They shall grow not old, as we that are left grow old:
Age shall not weary them, nor the years condemn.
At the going down of the sun and in the morning
We will remember them.
#ArmisticeDay#Remembrance
Today’s clock rules:
1. The iPhone clock automatically went back 1 hour.
2. Wall clocks to be wound back 1 hour.
3. It will take 1 hour to work out how to reset the oven clock.
4. The car clock will remain 1 hour ahead of time until the clocks go forward in March.
#clocksgoback
What I consider to be 'AdvAnCEd' MSK practice (spoiler: do the basics well).
✳️ Listen more, talk less (at the beginning).
✳️ Use a basic exam to educate.
✳️ Offer a solution that requires as little change as possible.
✳️ Think of the end at the beginning.
✳️ Know when a scan or test is superfluous to management.
✳️ Manage expectations; don't always try to meet them.
✳️ Know some non-MSK differentials, but also know when it's better for someone else to take a look.
✳️ Don't order an investigation that you personally won't act upon.
✳️ Meet people where they are. Big things have small beginnings.
✳️ Chat about the weather or whatever common mundanity the day brings.
✳️ Be honest about prognosis.
✳️ Know your comms will sometimes be crappy.
✳️ Understand that some people will be rude, and it's not about you.
✳️ If the story doesn't make sense, keep asking questions until it does.
Do these things, and you too can be an 'AdvAnCEd' MSK professional.