#juniordoctor

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🎶Cause you can't be grumpy with a steri stumpie🎶 ... clinic days vaguely improved with some strawberry goodness 💕 #steristumpi #strawberry #clinicday #juniordoctor

Comment your findings below!
Hand examination x decimals.MD .
A 58-year-old man presented with a 15-year history of systemic lupus erythematosus (SLE) that was characterized by polyarthritis, photosensitivity, malar rash, and pleuritis. Laboratory workup revealed antinuclear antibodies, anti–double-stranded DNA antibodies, anti-Ro (SS-A) antibodies, non–nephrotic-range proteinuria, and leukopenia. Testing for rheumatoid factor and anti-CCP antibodies was negative. Despite treatment with glucocorticoids, hydroxychloroquine, and azathioprine, hand deformities, including swan neck deformity, Z deformity of the thumb, and ulnar deviation of the fifth digit, developed over a 10-year period (Panel A and video). These deformities were reducible and are characteristic of Jaccoud’s arthropathy. Magnetic resonance imaging of the hands showed no erosions (Panel B). Although classically described in rheumatic fever, Jaccoud’s arthropathy has also been described in SLE and other diffuse connective-tissue diseases. In Jaccoud’s arthropathy, the deformities result mainly from soft-tissue abnormalities, such as laxity of ligaments, fibrosis of the capsule, and muscular imbalance, rather than from destruction of the bone of joints, as occurs in rheumatoid arthritis. The mainstay of the management of Jaccoud’s arthropathy includes physical therapy and the use of orthotic devices. Because this patient is a taxi driver, the hand deformities have been an important limitation to his capacity for work, despite physical therapy for muscle strengthening. Soft-tissue surgery for the correction of the hand deformities is under consideration but has not been performed. Source: NEJM

Case presentation by Juniordoctor,...#casepresentation #juniordoctor #surgeonlife #rsudsleman #luarbiasaa ....👍👍👍

I almost haven't seen these two awake over the last 7 days so they came to hospital for lunch and a breastfeed (no time to pump at work and I get borderline mastitis). It was so lovely to see them but so hard to go back to the ward and do more work. I don't mean to moan, there are parts of the job I love, being part of a team, knowing I'm doing something to improve someone else's life, but at the back of my mind I still feel my place is with my family not in hospital. Wondering if I chose the wrong profession or if it's just a phase and it will get better. Last day on call today. I hope my baby didn't forget what her mamas arms feel like. All she wanted was her daddy at bed time yesterday and she was arching away from me. And then slept without a feed overnight. Broken heart is worse than broken sleep. 💔#juniordoctor #hellojanuary #fatherdaughterlove #fatherdaughter #oncallweek

So my journey in Las Vegas has come to an end. Yay we made it to top 20 with just 2 weeks of preparations and to all my family , friends and fans out there thank You for all your love ❤️❤️
On this beautiful day I'd like to share with all of you another good news that I've got my hospital postings and I'll be reporting for duty mid Of November at University Malaya Hospital. Time to be a doctor 💉💊 and thank you @missgrandmalaysia for this beautiful experience and for being such a support 😀

ps : I can't wait to have my Nasi lemak in two days time !!! He he
#missgrandmalaysia2016 #missgrandinternational2016 #lasvegas #juniordoctor

So,who want to be my patient??soonnn...aminn
#juniordoctor

An estimated 20,000 people have marched through London to protest against changes to the #juniordoctor contract, which many claim will leave them financially worse off and abolish safeguards that prevent them working longer hours.

Photo: Neil Hall/Reuters
#nhs #juniorcontract #notfairnotsafe #dearjeremy

MOST RECENT

🎶Cause you can't be grumpy with a steri stumpie🎶 ... clinic days vaguely improved with some strawberry goodness 💕 #steristumpi #strawberry #clinicday #juniordoctor

Wed, 29th MARCH was one of the best days ever 👩🏻‍🎓👩🏻‍⚕️💕 I've a lot to write but I don't have the words to tell what I'm feeling right now ☹️💘 I want to thank my family for supporting me and for making this day as precious memory that I'll remember till the day I die 😭💖 and I want to thank everyone here for cheering me up and telling me that I can do it !! You may think that was nothing but it was a great thing for me to work harder and make it through I remember every single comment you left here in my small world I'm glad that I made that account 6 years back !! So thank you my friends for sticking with me all this time I love you soo much 🙏🏻❤ #mydiary #medstudent #happy #graduation #juniordoctor #2017

Comment your findings below!
Hand examination x decimals.MD .
A 58-year-old man presented with a 15-year history of systemic lupus erythematosus (SLE) that was characterized by polyarthritis, photosensitivity, malar rash, and pleuritis. Laboratory workup revealed antinuclear antibodies, anti–double-stranded DNA antibodies, anti-Ro (SS-A) antibodies, non–nephrotic-range proteinuria, and leukopenia. Testing for rheumatoid factor and anti-CCP antibodies was negative. Despite treatment with glucocorticoids, hydroxychloroquine, and azathioprine, hand deformities, including swan neck deformity, Z deformity of the thumb, and ulnar deviation of the fifth digit, developed over a 10-year period (Panel A and video). These deformities were reducible and are characteristic of Jaccoud’s arthropathy. Magnetic resonance imaging of the hands showed no erosions (Panel B). Although classically described in rheumatic fever, Jaccoud’s arthropathy has also been described in SLE and other diffuse connective-tissue diseases. In Jaccoud’s arthropathy, the deformities result mainly from soft-tissue abnormalities, such as laxity of ligaments, fibrosis of the capsule, and muscular imbalance, rather than from destruction of the bone of joints, as occurs in rheumatoid arthritis. The mainstay of the management of Jaccoud’s arthropathy includes physical therapy and the use of orthotic devices. Because this patient is a taxi driver, the hand deformities have been an important limitation to his capacity for work, despite physical therapy for muscle strengthening. Soft-tissue surgery for the correction of the hand deformities is under consideration but has not been performed. Source: NEJM

Dr Love & creator of VegCats @love91m is an #NHS #juniordoctor 🍉👩🏼‍⚕️Read the first ever #SKINT skin diary to see how she juggles work and skin health. Link in bio. Photo credit 📸 @jamesdavies14 . #skin #beautyblog #love #cactus #lanzarote #worklife #makeup #holiday #vegetarian #vegan #health

Plastic Surgery x decimals.MD

"I travelled a lot during my FY3 year funded by some ad hoc locum. I spent the year travelling to South America, India, Australia & NZ, and lots of weekend trips to Europe! I lost all motivation after FY2 and was struggling to convince myself to stay in the profession.

Regarding F3'ing it - It's probably been the best year of my life - the 2 months in India were a real eye opener... The care we deliver in the NHS is something we must strive to protect. Nowhere else in the world will you get care at the level we do. It made me realise how important we are as doctors - the amount of difference we can make in one day is easily forgotten.

Coming back into medical training (CMT1) I've felt this urge of resilience and motivation to move forwards whilst surrounded by the smog of disillusionment.
I've attributed my lack of motivation to the system in many ways - but I've always forgotten it's true worth... I needed that moment to step out, and realise I want to spend the rest of my life fighting to care for my patients and save the NHS." - A CMT1 who F3'd it

#myf3story #f3ingit

Share & Like this story if it struck a chord with you!

www.f3ingit.com

The first of many coffees that will be fuelling this night shift! ☕ Failed at sleeping today and knackered already! #surgery #juniordoctor #poolehospital #nightshift #butfirstcoffee

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