In this week's edition
- ✍️ Letter from P'Fella
Your work-life balance doesn't exist. - 🤓 Study on Sunday + Quiz
Extra digits, extra thumbs. - 🎭 Upcoming Events
13 upcoming events for you. - 🐣 Tweets of the Week
Memes, virals & threads. - 🚀 New Features
Clinical cases are soon (reply to this email)! - 📝 Articles of the Week
3 must-reads, 1 deep-dive for thePlasticsPro
Fun Fact: Zones of the hand was studied for 174 hours in the last 30 days.
In the last several years, there has been a pretty big cultural shift. Those days of "working all hours" have slowly dwindled. Now there is an increase in the "you should try and get out of here" vibe.
That's great, right? I guess it depends on what you do at home.
Your physical hours at work might be reduced, but your "work for home" hours are probably on the increase. This doesn't change your work-life balance, it only changes the location of your work. As was tweeted during the week, this is why working hours are going down, but burnout is rising.
But what's the solution?
It's hard to say. It seems this shift in culture isn't reducing the incidence of burnout. You could even argue that it has created an impossible jigsaw of training, patient care and teamwork.
I think over time, we will become all aware that reduced hours does not result in increased job satisfaction.
This thought can be validated by the following infographic.
Polydactyly
Polydactyly is a congenital duplication of a finger. It can be pre-axial (radial), central and post-axial (ulnar) and is caused by disruption at the ZPE and AER embryological signalling zones.
It is classified using by Wassell into 7 groups based on the degree of bony duplication.
- I: Bifid Distal Phalanx
- II: Duplicate Distal Phalanx
- III: Bifid Proximal Phalanx + Duplicate Distal Phalanx
- IV: Duplicate Distal Phalanx + Duplicate Distal Phalanx
- V: Bifid 1st metacarpal + Duplicate Distal/Proximal Phalanx
- VI: Duplicate 1st metacarpal + Distal/Proximal Phalanx
- VII: Triphalangeal thumb + normal thumb
- Pulvertaft - Phalangeal Fractures, August 22nd
- AO Hand Trauma Blended Course - September 26th
- ASSH Annual Meeting - Boston, September 2022.
- Head And Neck Siag Day - Hull, September 30th
- BAAPS Annual Conference 2022 - London, September.
- European Society of Craniofacial Surgery - September.
- BAPRAS Celtic Meeting - Dunblane, Scotland, September
- BAAPS 2022: London, Step 27th
- Skills For Junior Plastics - Alexandra Hospital, 8th Oct
- Plastic Surgery, The Meeting - Boston, October 2022.
- Aec 5.1 Limb Reconstruction - October 26th, 2022.
- AEC Limb Reconstruction - Virtual, October 2022
- BAPRAS 2022 Congress - November 2022.
En defectos en punta de dedos, mi método de reconstrucción favorito es el colgajo de hemipulpejo del hallux
— Dr. Sergi Barrera Ochoa (@DrBarreraochoa) August 18, 2022
▪️Piel similar, aporta estabilidad a la pinza digital
▪️Piel sensible, al suturar un nervio plantar al nervio digital
▪️Mínimas secuelas zona donante y receptora pic.twitter.com/p19wLuNMAb
Leather wrists support, carpel tunnel 1960s-80s @ManMedMuseum @LucyBurscough @McrMuseum pic.twitter.com/DHGq9kWdG7
— Stephanie (@StephSeville) August 11, 2022
Completed our 75th specimen scan today! Great stuff happening @VanderbiltENT #3Dscanning #3Dprinting #HeadandNeckCancer #CADmargin pic.twitter.com/bY4YC4jbOg
— Michael Topf MD (@TopfHNS) August 16, 2022
Over the past few months, P'Fella has received a large number of requests to create clinical cases. This could be for everyday learners, trainees with upcoming exams or for interview prep.
The idea is to have an expert publish a case in their area of expertise. thePlasticsFella platform will then be able to comment and engage in discussions with the expert.
If you want to create or test a case, then just reply to this email!
3 Top Picks
- Sustainability in Theatre
Belliveau S, Gold MS. The Surgical Suite—A Field Laboratory for Sustainability. JAMA Surg. Published online August 17, 2022. doi:10.1001/jamasurg.2022.2346 - How to save an ischemic finger caused by adrenaline.
Ibrahim I, Winterton R, Bedford JD. Iloprost rescue in digital ischaemia following injection of local anaesthetic with adrenaline. J Hand Surg Eur Vol. 2022 Aug - How to create an online club
Sung, et al. Knowledge Revolution during COVID-19 Pandemic: International Microsurgery Club Webinar Series. Plastic and Reconstructive Surgery: August 2022 - Volume 150 - Issue 2 - p 491e-492e doi: 10.1097/PRS.0000000000009319
Allen's Test - Original Publication and Journal Club
Allen's test is one of the most recognisable and famous clinical signs. This journal club analyses the original publication in the 1920s.
