A Patient With Right Collarbone Fracture! | Random Chamber Talk | April 15, 2025
A below-40 patient came with his friend, holding his right upper limb up across the front of the body with his left hand. He is a worker and rides a Vespa-type motorcycle. A few hours earlier, he fell from his bike and sustained an injury to his right shoulder joint.
There is a wound (an abrasion) on his right shoulder. However, the was a deformity over his right collarbone. I suggested an X-ray, and the film showed a fracture in his right collarbone. Here is the image
It was a pretty bad, displaced fracture. He needed an orthopedic surgeon to fix the fracture with plates and screws (most likely). So, I referred him to the higher center! A collar and cuff sling (arm sling) wasn't enough to fix the issue.
Sometime later, three Omani young men (from the sponsor side) came to my chamber in an angry mood and asked me why I sent him to the higher center instead of just prescribing an arm sling!! Because consulting an orthopedic surgeon would cost a good amount of money! I was able to convince them to send the patient to the higher center! Yay!
OUCH that looks painful love X-Ray pictures it is amazing tech
@hafiz34 😎 have the best week bro
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Yes. It's an amazing tech. However, not an amazing moment for the patient!
Thanks for the support, Ben!
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Bone like that... Yeah, it's need to get surgery. Well, sometimes when someone is getting “send to a higher center or hospital”, they will be upset and worried because of the cost and the surgery that people want to avoid at all costs. It’s good if you can convince them. As for me, I would look for traditional ways to find short-term solutions and do monthly treatments. I also have had bad experiences with surgery before 😂.
My paternal grandmother also made me more afraid of the surgery because her condition was worse than before the surgery. She was fine, a week? However, after a week, she hardly moved her legs and couldn't even walk with a person to help her. She could move a little bit with slow steps without anyone's help before surgery.
I think that when it comes to life and death, surgery is necessary. But for some reason, the doctors I consult in big hospitals always recommend surgery over other measures, as if they are desperate for money and won't let us ask for other solutions no matter what. Clinics or something that doesn't have a place good for surgery sometimes are more reliable to ask somehow 😂. Information is important. I think that's what they are afraid of when you try to send them. A bad doctor exists and they are more in the big hospitals instead of the small ones 😢.
I hope he got a good surgery 🙏. Good work, doc!
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Sorry to hear about your bad experience regarding surgery and your view towards the doctors in the big hospitals! Yes, any surgery comes with some risks. I am sure no surgeon does the harm willingly, except for he is the Shaitan.
For this patient, he is already in bad shape. Despite the risk of surgical complications, he needs surgery. If he opts for a traditional treatment, it would be a big mistake!
He is a worker. The fracture is on his dominant side. Without a timely fix, he may suffer from permanent disability.
Thanks for your input, Wilson. I appreciate it.
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That looks like a nasty break. It is a good thing they agreed to take him where he can get help.
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I hope that they will take him to the higher center. There is a chance that they will send him to Bangladesh. That would be somewhat better for him, except for the travel part with a broken bone!
Thanks for stopping by.
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