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Category: February 2018

For this edition of ASSH Perspectives newsletter, we asked you to tell us about your most challenging or surprising patient. From extremely rare cases of index lumbrical compartment syndrome to scathing Yelp reviews, members look back on some of their most challenging cases.

Patient Safety Scenario #2: Protocol Communication Failure

(Captain Rick Saber at the controls. He is a leader in the field of aviation safety and how “Black Box Thinking” can make medicine safer.) This essay is the second installment of the monthly Patient Safety essays, produced by the Patient Safety Subcommittee of the Ethics and Professionalism Committee. A comparison of safety in aviation […]

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A Challenging Case Of Wrist Arthroplasty

By Duke Whan Chung, MD Full title: Wrist arthroplasty using free vascularized fibular head graft following intralesional curettage for a Campanacci grade 3 giant cell tumor involving the articular surface of the distal radius Reconstruction of the distal radius with a free vascularized fibular head graft (FVFG) after en-bloc resection of a Campanacci grade 3 giant cell […]

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Humility, Pride And Teamwork

By John V. Ingari, MD I was asked if I would be interested in writing about a challenging or surprising patient and I have one that immediately comes to mind… April 15, 2002, “tax day,” now some 15 and ½ years ago, I was at Wilford Hall Medical Center at Lackland Air Force Base, as the […]

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My Most Challenging Patient

By Jesse B. Jupiter, MD A sixty-three-year-old right hand dominant woman presented to our institution for evaluation and treatment of a complex deformity of her right upper extremity. Her examination showed multiple firm nodular soft-tissue masses on the dorsal and volar aspect of the right hand and wrist involving the thumb and index and long […]

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“Normal” Can Be Challenging

By David Martineau, MD So much of what’s considered “normal” changes from week to week, day to day, or even minute to minute, as I discovered one afternoon. The back-story involves a patient I will unceremoniously call “Jane” who came to see me for wrist pain. Like so many patients I see (including a number […]

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Challenging Cases: Positive Attitudes and Poor Reviews

By James M. Saucedo, MD, MBA When I was invited to write about a challenging or enlightening patient, several went through my mind. I considered the young man who injured his wrist in a terrible golf cart accident 6 months into my practice – someone who had one of the best attitudes I have ever encountered. […]

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Taking A Chance, Changing A Life

By Dan Sellers, MD Although in my career as a hand surgeon I have faced numerous very challenging cases, some with challenges technical and others with challenges from a decision-to-proceed point of view, I think anything I offer will find sideline proponents and detractors. We are all open to criticism as well as accolade, but “you […]

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A Surprising Patient

By John Hakon Williksen, MD Just after I had obtained my specialty in orthopaedic surgery, I also specialized in rheumatoid surgery. This was before “the biologics,” so there were still patients to operate. The patient I am going to tell about was an elderly lady with a really bad right shoulder with pain, restricted range […]

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