Derek Park

Consultant Orthopaedic Surgeon. 🇲🇾🇳🇿🇬🇧🇸🇬 Subspecialising in Foot & Ankle surgery. IG: drderekhpark

[Derek Park @derekhpark]

“In a service short on time and short on resource, there is no excuse for being short on kindness and politeness. We are in control of how we treat each other. Our behaviours determine the success of our working relationships, with both colleagues and patients.”
Dame Clare Marx

[Derek Park @derekhpark]

@nongtanch @traumaticum @FixnBones @InvictaOrtho @generalorthomd @rkh_md @traumatolgoccs CT - nail semi ext suprapatellar

[Derek Park @derekhpark]

@doximity Can we bring the app to Singapore?

[Derek Park @derekhpark]

@FootAndAnkleMD Thanks for the insight

[Derek Park @derekhpark]

Dear #orthotwitter
Does anyone use the Doximity app? Is it as good as it sounds for your practice? It’s not available where I work but I’m looking into whether it could work here.

[The London Foot and Ankle Surgeon @raju_ahluwalia]

@BostonFootAnkle Good work @BostonFootAnkle - we use a sliding osteotomy to achieve the same outcome - and preserve length - open especially if infection suspected - MIS a new challenge @JitMangwani @tupieytobillo @InvictaOrtho @JosLuisLzaroMa1 @togsTK @yorfac @derekhpark

[Derek Park @derekhpark]

"If your determination is fixed, I do not counsel you to despair. Few things are impossible to diligence and skill. Great works are performed not by strength, but perseverance."

Samuel Johnson
1709-1784

Thanks to @orthoracle for sharing this quote in their latest editorial

[Yelena Bogdan, MD, FACS, FAAOS @InvictaOrtho]

[1/11] I believe that surgeons should show mistakes as well as the good stuff. I don’t show that as often for the bread & butter cases because errors there not as common, but here is one where I messed up and how I fixed it. No distal extension in this fracture, pure nail case.

[Derek Park @derekhpark]

Calcium channel blockers eg amplodipine, can cause a drop in blood pressure and make you feel dizzy. Try to avoid holding your breath while exercising.

ACE inhibitors eg telmisartan, and blood thinners eg aspirin don’t tend to affect exercise.

#exerciseismedicine #agingwell

[Derek Park @derekhpark]

Is is safe to exercise while on blood pressure meds?

If you take beta blockers (like propranolol for example) you may not get the usual increase in heart rate when you exercise. A good way to monitor the exercise intensity is to do the talk test (sing, talk or can’t talk).

[Derek Park @derekhpark]

Pleased to be able to tune in to this years #kingscharcotmeeting and to listen again to the likes of @VenuKavarthapu @PrashVas @raju_ahluwalia @ReichertInes and the great team from @DiabetesKings

Hello from #Singapore !
Just wish I could be there in person..

@DiabetesUK

[Derek Park @derekhpark]

@InvictaOrtho Morgan Housel? Been meaning to read it too

[Derek Park @derekhpark]

@Beth_Kindig @Beth_Kindig I thing you have an account impersonating you, trying to scam crypto @Beth_Kindjg

[Derek Park @derekhpark]

@InvestiAnalyst Great thread lots of interesting insights thanks!

[J Bone & Joint Surg @jbjs]

Do Nonsteroidal Anti-Inflammatory or COX-2 Inhibitor Drugs Increase the Nonunion or Delayed Union Rates After Fracture Surgery?

https://t.co/Vd52D0Dri0

[Derek Park @derekhpark]

@GongGasGirl @gordonbradbery @paulscullymp @SharonBirdMP Congratulations! Lucky Oz

[Derek Park @derekhpark]

Intraoperatively the head fragment was incarcerated by the tendon (EDL) - irreducible without cutting the tendon. Since we wanted to optimise rehab we fixed the base fracture at the same time.

Nice to see him at 6 weeks walking out of the boot and pain free.

#orthopaediclife

[Derek Park @derekhpark]

(Posted w permission)
This young man had an unusual injury while riding and fractured both head and base of the 5th metatarsal of his foot.

At first glance the head fragment didn’t look bad - but a closer look shows that it was completely displaced.

[Derek Park @derekhpark]

@LondonUpperLimb @KingstonHospNHS Happy birthday Nash! They love you there!

[Derek Park @derekhpark]

@TomGardnerFool That 82% drop for 2 years would be hard. If this was a lot like SBUX stock, were business fundamentals strong and market just being irrational?