Would anyone know anywhere the US that offers cash price surgery for less than $2500 ( preferably like $2,000 ) I’m in Florida. I have a plate and 6 screws in the middle of my right forearm. It has caused problems in my mobility lately along with the constant aching

Hey there, I rolled my ankle pretty bad about 2 weeks ago. I got an MRI recently that indicates both my ATFL and CFL have a “high-grade full-thickness” tear. The radiologist noted “developing healing responses” in both. My podiatrist told me that I can take the “conservative” approach and do Physical therapy after my 6-8 weeks of full non-weight bearing. Then surgery if i choose. A physician assistant friend of mine wants me to get a second opinion from an orthopedic foot and ankle MD not a DPM. He thinks surgery is too extreme and can mess with my ankle much more longer. Feeling a bit lost honestly.

So ngl I’m kinda a daily Smoker as far as weed and my shoulder surgery is tomorrow and I’m kind of nervous because they told me no smoking 24 hours before but I was wondering would this really effect the surgery I know I might need a higher dosage anesthesia just because of this

This might be a stupid question and I apologize in advanced for it. Last week I went under a procedure where I had to be put under. Before I received anesthesia, the OR team was ready when I was brought in. I was positioned on the OR table, and just before the procedure began, someone read my case aloud: “My name, an 18-year-old male born on December…here for…with a history of…” I can’t seem to find it anywhere did a google search, tiktok, here on reddit and asked chatGPT but I was wondering who reads out loud the case prior to starting surgery? And do they usually have that anchor reporter voice? Just curious since it brought me comfort upon entering the OR and took my nerves away hearing someone explain in such detail what was going to happen throughout the procedure.

I have surgery tomorrow and just developed a sore throat yesterday. I've had dry sinuses for a while but the sore throat is a new development. Is it dangerous to have anesthesia and surgery under these conditions?

It’s been 2.5 months since I had a cyst excision surgery and since then it seems to have healed well. However once in a while the scar will have this healing ridge but other times, the scar is flat. Is this part of the normal healing process?

Had a D&C yesterday and was feeling uneasy about it going into it. I let my anesthesiologist know, so not sure if that affected what she gave me. When I was in the OR, she told me she'd be giving me something before putting me to sleep, but I can't remember if she said it was for pain or for something else. All I remember her saying was that I was going to start feeling dizzy. But instead of feeling dizzy, it felt like I was fighting for my life - tunnel vision, ringing ears, extreme dizziness and a super intense head pressure. It almost felt like I was about to faint! I think I managed to mutter "I don't feel so good" to which she replied "Thats normal, I'm going to put you to sleep now" and next thing I know I'm out. When I woke up in recovery, the nurse told me my BP was low and they needed to monitor me for a bit. I felt super dizzy and was barely able to sit up. I didn't manage to ask anyone what it was that I was given that made me feel so bad, so thought I would ask here.

Sidenote, 11 years ago I got my wisdom teeth taken out and had a completely different experience. Never felt the same terrible fighting-against-fainting feeling before being put to sleep. In fact, I felt super high both before and after, and remember them counting me down from 10 and feeling a gradual sleepiness. This experience that I had yesterday was nothing like that and just wanted to know if the sedation was different, and if I can avoid whatever it was that I was given that made me feel terrible

Any tips for extra tender loving care we can give a young member of our extended family who is having his ETT repaired this winter? I'm looking for the non-obvious things surgeons, nurses, and physicians' assistants might have learned.

Hello! Had major surgery for the first time yesterday for about 3hrs on my hip. Having a lot of tingling in my hands now, it's about 14 hrs after surgery. Is that normal?

My mother 68f has been recommended bypass and we are wondering if the minimally invasive procedure might be something we should advocate for in her case. Not from the US so not sure how many doctors and hospitals perform this but I do see it mentioned on websites of some of the bigger hospitals. I’ve attached her angio reports

Hi I had a question about procedural technique. I observed an APP do a colposcopy and cervical biopsy on a woman. APP took a sample of cervix, put the tip of the instrument into 10% formalin cup to shake off specimen, and go back for more samples. APP went back and forth several times. I also observed this same APP do an endometrial biopsy doing the same thing (tube went from patient, into formalin, and back into the uterus).

I've been around formalin before and I was always taught to not let it touch you let alone mucous membranes! Am I crazy or is this terrible technique and I should report this APP for endangering a patient?

Thanks in advance!

Medical student here interested in CT surgery. I understand that the field generally requires long hours which I am prepared for, but I also anticipate that at a certain age I would like to slow down and maybe join a group where I could work less hours. I’m wondering how plentiful are jobs where CT surgeons can have more reasonable schedules if they’re willing to re locate and what these schedules would like?

From anybody who matched last year, do the surgery programs send out an invite for the prelim spot in December ?

Wouldn't it better to use permanent stitches over dissolvable sutures to prevent a future torsion?

I recently got surgery to take out a 12 inch cyst, not cm, inch, it was massive and had about 3 liters of fluid in it. And since the surgery I have been so hungry all the time, like starving, is this normal? I feel gross eating so much especially because I was barely eating before

This may be a niche issue but I just found out I need ankle surgery for the second time in January and will be NWB for 10 weeks. The first time around was in the spring so I didn't have too many issues with slipping, but since I live in a snowy/wet climate during January I'm very nervous about falling on my crutches. Does anybody have any recommendations/experience with this? TIA!

Lately i have been following a really cool guy on facebook who is a double amputee at the knee. He showcases how he lives as a double amputee. Showing people that life carries on after limb loss. But it has got me thinking.

So as i understand it. Normally if it is lower leg. The surgeon would amputate at the knee and cover it over with some of the excess muscle and skin.

But in situations where the bone has to be cut. Back. I understand they shape the bone so its not sharp. But how do they stop the bone marrow from being exposed and becoming infected during the healing process?.

Like do they just cover it and the marrow hardens over time. Or is it moulded using resins or something?

i think on one of the forms i read said to not smoke for a few weeks after but also realizing the doctor never told me specifically how long (?) but i know that i shouldn't have just smoked and im seriously spiraling. im not going to smoke again for a long time but freaking out about this mistake

For more context for the past 2.5 weeks i have been having some form of illness that involves alot of phlegm and coughing. I suspect its bronchitis but i was planning on getting it checked out after the procedure. However, i recently found out that mild sedation isnt recommended for people with colds/chest infections. not asking for medical advice but will they postpone the procedure? its a PRP injection to my shoulder for a slightly torn tendon and i was told some form of mild sedation will be given so i dont know if i should bring it up with my doctor next week.

Are doctors allowed work on both at the same time? A necessary medical surgery procedure and then a cosmetic surgical procedure for the same surgical site??? Note this is not medical advice.

I’m 23 and won’t start med school until I’m 27. Is it viable to shoot for plastics or ortho, considering the length of their residencies? I really want to be a surgeon, but I fear that I might be “too old” (relative to other surgeons) but the time I’m earning attending money. I also think about marriage, children, and wouldn’t want to be stuck making resident money into my late “dad” years with a ton of school debt. Any input is appreciated.

I'm a medical librarian trying to help a surgeon who is currently affiliated with an international health organization and living in the Middle East. He needs to earn 150 CMEs by the end of 2025 in order to return to the US and resume practicing surgery.

ABS just points you to the CME Passport which honestly is very difficult to navigate--broken links, incomplete info.

Does anyone know how I can find a list of ABS-approved credits not available via CME Passport?

Are the costs associated with earning CMEs usually covered by a hospital or medical institution, or are surgeons expected to pay out of pocket?

I found a kit for this type of procedure, but it isnt FDA approved https://bramsys.com.br/en/trigeminal-balloon-compression/ I simply can't find a sturdy 14g needle with a stylet. Any suggestions?

With its rising popularity and new technology that reduces risk, do you think this is a viable cosmetic procedure for mental health despite the long recovery period?

not asking for medical advice but sorry if this is also not allowed! just hoping to hear from any surgeons that can share any medical facts/experiences on why this surgery is not a risky one or how routine the procedure is? Also is this a fun surgery for yall to do? 😀 pre-op nerves making me curious

Got out of the hospital yesterday after staying for a week, had inguinal surgery. Had my stitches removed the day i got out. Today i had lifted my brother for a few seconds and felt a bit of pain. Is this normal? Could the wound have opened? I’m feeling fine, no pain but the still worries me.

I moved to a small town and started working at a small hospital in an OR as a circulator. Here, if we pick the wrong screw size, and have to put in a different screw, we bill the patient for it. I was under the impression that if a Dr needs to take a screw out and put another in because it was the wrong size or fit, then we were on the hook for paying for it. We, however, are charging it like a Kwire, in and out use. Someone once told me this was Medicare fraud. Does anyone know if this is true or not, and have a source on it?

The surgical time-out was invented to prevent “never-events” (mistakes that should never happen) like wrong-side or -site operations. The time out was meant to be done just before surgical incision, to help the surgeon avoid operating on the wrong body part, or amputating or removing the wrong limb or organ.

It has morphed into a catch-all for everything that is supposed to have been done before surgery, and along the way it has lost its effectiveness. Now I get to hear about antibiotics, temperature, fire risk. I can see that these things are important. But they are creeping in on the mission.

Remember when the US invaded Iraq looking for WMD and didn’t find any? But then the US military mission changed from “find WMD” to “build democracy”? That was “mission creep”. Laudable goal, perhaps, but not really what we meant to do when we started, and far beyond what we really wanted to do. But once we started down the path, it was hard to get back to what really matters.

The mission of the time-out has crept. Consider this a plea for a trimmed-down timeout.

I worry about nothing so much as I worry about amputating the wrong leg. I’ve never come close, but I recognize that I’m human, and I make mistakes. Every surgeon who has ever removed the wrong organ didn’t think it could ever happen to them. So I operate in fear of such a mistake. Please help me and all the surgeons out there avoid this. Yes, all the other stuff you want to put in the time out matters. But not as much as this.

If you happen to be gearing up for contract negotiations soon for 2025, I wanted to share some helpful resources I’ve come across while prepping for my own contract talks with my practice group.

A lot of private employers say they use MGMA data, but it’s tough to access unless you’re willing to pay for it—and honestly, it’s created by employers for employers, so I don’t completely trust all the numbers. MGMA surveys also come out early in the year—so if you’re negotiating now, you’re looking at data that’s already a year old, maybe even two by the time your contract kicks in. (For those in academic settings, AMGA is usually the go-to source.)

No matter the source, averages are just that: averages. If your group pays better than average (like mine does), you’ll probably want to know what the top percentile is earning to give you more leverage.

I found a helpful google doc that pulls benchmarks from different sources, which has been very useful. What was even more useful in spot-checking these averages were specific salaries…the sheet contains these “crowd-sourced” anonymous salaries in the first column, which was great for getting a clearer picture of what’s really out there at the high-end including shifts and benefits data. If you put in your own salary, you get to see individual provider stats. https://marit.fillout.com/t/vfyw8PEHj2us

Sharing a sample of the data I found here: Anesthesiology Averages - Community Data-set - $518k, MGMA - $515k, Doximity - $494k, Medscape - $515k, AMGA - ??, AMN - $460k

Emergency Medicine Averages - Community Data-set - $378k, MGMA - ??, Doximity - $399k, Medscape - $379k, AMGA - ??, AMN - $404k

Internal Medicine Averages - Community Data-set - $336k, MGMA - $311k, Doximity - $312k, Medscape - $282k, AMGA - 329k??, AMN - $271k

Link to the entire Google doc: https://docs.google.com/spreadsheets/d/1ph4r3UL4mcshs6v-zs-PP257JsqNVTo775wH2SPFeBo/edit

Any other tips that worked for you? Please share and comment below!