David Merriman, MD @BoneTrauma

#orthotwitter Tips for Kocher for PW with plateau exfix? Plateau won’t be ready for fixation anytime soon Thanks in advance! @InvictaOrtho @ChipRoutt @FractureDoc @CherneySteve @DrMarecek @davidhcmd

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David Merriman, MD @BoneTrauma

4 years ago

@LadyInterlocks “I didn’t check any nurse flowsheets and I have no idea, but they look ok”

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David Merriman, MD @BoneTrauma

4 years ago

@orthotraumamd @InvictaOrtho @rkh_md @davidhcmd @WilliamCross3MD @lisacannada Depends on pattern - if anterior column fixation is needed - prone, otherwise lateral. Have contemplated all prone for consistency’s sake, but lateral seems easier for isolated PW or simple PC/PW.

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David Merriman, MD @BoneTrauma

5 years ago

@daniel_stinner I do too for big cases - definitely going to start explicitly including “AFT reduction”

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David Merriman, MD @BoneTrauma

5 years ago

@JeffreyMSmithMD @otatrauma Thank you for an excellent symposium on arguably the most important topic for our members - we cannot serve others if we have nothing left in our tank

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David Merriman, MD @BoneTrauma

5 years ago

@BeccaSchroll @AJ_JohnsonMD @DGlaucomflecken Don’t forget to also hit them with the Lovenox before calling!

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David Merriman, MD @BoneTrauma

5 years ago

@k_carter_cpa @CaptainSGF You are included because you are awesome!

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David Merriman, MD @BoneTrauma

5 years ago

@generalorthomd @rkh_md @InvictaOrtho @MilanSenMD @jamesablairMD @EdinburghKnee @FractureDoc @davidhcmd @OfficialAKLee From that CT cut, would think about perc A to P lag screw or two, and lateral plate - looks like clean 2-part fracture. Medial - recon plate as buttress works nicely if dual plate is the choice (awesome for rare isolated medial partial articular fx)

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David Merriman, MD @BoneTrauma

5 years ago

@SydneyHodgeson Probably obvious, but try all the masks your facility provides - I get widely different results with different masks. Taping works, but sucks when you tear off layers of skin. And ++ radiation glasses - you are the closest to the c-arm!

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David Merriman, MD @BoneTrauma

5 years ago

Apparently the “holes are opportunities, not obligations” refrain has not made its way to veterinary school

Ryan K Harrison, MD @rkh_md

5 years ago

@bonebrokemefix @bemooremd @bone_amie1 @Peds_Ortho @chrisweidman @Davembmd Imagine if that was a portion of residency training. If you out too many screws in the plate, your patient will have to be euthanized.

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David Merriman, MD @BoneTrauma

5 years ago

@UTMBOrtho Congratulations to all - you will find you have been prepared well

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David Merriman, MD @BoneTrauma

5 years ago

I just registered to save a life with @BeTheMatch. You can too! join.bethematch.org/s/?ref=headerj… #BeTheMatch

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Care to Learn Ozark @C2LOzark

5 years ago

Gather 8 Sleuthing Friends and Register for our Murder Mystery Nite. We will deliver to your home Charcuterie, Wine & Desserts for 8 with an 1920's themed Unsolved Game. You could find yourself guilty of Fun and "Murder"! @C2LOzark @CaretoLearn @ShanefromCabool

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David Merriman, MD @BoneTrauma

5 years ago

@generalorthomd @TraumaRuberINT @rkh_md @OfficialAKLee @InvictaOrtho Easy to say from the cheap seats, but my initial thought was the fracture is distracted - maybe the comminution hides that a bit. And I wonder about the rotation - the lateral looks like a good plateau lateral, but a rather oblique ankle view - the fibula isn’t aligned on lateral

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David Merriman, MD @BoneTrauma

6 years ago

@kimtuckinAZ @ACR_MD @LindaSuleimanMD @kate_wynne @jointdocShields @Davembmd @djschuett @nmiladoremd @hugortopedista @DrChadKrueger I am an Apple Music guy, but Rolling Stones radio is outstanding

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WheatNOil @WheatNOil

6 years ago

The mRNA vaccines (Pfizer and Moderna) are kind of brilliant at a science level. I’ve had a few people in my real non-Twitter life ask me to explain how it works so I’m going to try my best here in this thread while I’m waiting for a patient to show.