Who is the bone doctor? Who should I go to: the traumatologist or the rheumatologist?

first_imgThus, it is certainly common that when the patient arrives, for the first time, at our rheumatology office, he manifests frequent feelings of strangeness and confusion at the beginning, and even experiences a certain disorientation, in relation to the reason for the consultation. And therefore, it is quite frequent that, before entering the subject itself, they begin their somewhat timid stories, indirectly excusing themselves through the frequent use of expressions and circumlocutions such as “I don’t know if I went to the right consultation? or” I don’t know if I come to the right specialist “or “I don’t know well, if this happens to me, it is up to the rheumatologist” or “I don’t know if this is something of your competence” or finally “I don’t know if what is happening to me is of his specialty”.No one who presents a persistent process of cough and respiratory fatigue Addresses the consultation of the thoracic surgery specialist, but rather he goes to the pulmonologist’s office in the first instance, to know the cause and extent of his respiratory problem. Nor is anyone who has been suffering frequently, in their daily lives, from habitual headache or frequent and persistent headache and intends to find out at once the nature of the problem, is directed to the consultation of the specialist in neurosurgery, but usually requests, at the beginning, consultation with the specialist in neurology.Well, in this way, with this logical, sequential and chronological order, the flow of patients in most medical specialties works and coordinates properly. In the first instance, the specialist doctor acts clinical and later and only in the event that your contest is really necessary, in a second instance would the specialist doctor then take action surgical correspondent.We believe that this form of elementary interdisciplinary collaboration, thus established and in force, which seems to us all to be so suitable and perfectly adequate, is undoubtedly the best way to act, since it certainly has a very positive impact, for the clear benefit of each and every one of the different agents of the health system, which are thus involved in the proper management and proper performance of the pathology of the musculoskeletal system.First, it will benefit the rheumatologist, because being the best trained specialist to perform the diagnosis and treatment of the medical pathology of the musculoskeletal system, without a doubt, the most frequent and numerous, the one that will not require any surgical treatment for its resolution, will become the main actor, more suitable and suitable, to bring this process to fruition.Secondly, it will have a very striking impact on the benefit of traumatologist, because mostly he will be able to be thus freed from this clinical work and therefore he will be able to devote his time, now more free, in a very preferential way, to doing what he has been specifically training for and that without a doubt, He better knows what to do and that it is nothing other than the difficult and complicated surgery of the musculoskeletal system.And finally, last and not least, it will benefit the patient above all. Because at all times of the evolutionary process of his illness, whatever it may be, the patient will always be conveniently treated and treated by the most appropriate specialist for him, at that specific moment, whether clinical or surgical.In our country, and specifically in what refers to the pathology of the musculoskeletal system, this form of action, apparently as logical and correct as the one we have described, has not been fully installed yet.a, in the mentality of the general population, we could say, that currently it is not yet fully assimilated by society. And this is undoubtedly due to the fact that they are still very strongly rooted, in the collective subconscious, old apprehended automatisms, as well as ancient inherited inertia, that for a long time they have remained so imposed and established and that in all likelihood it will take a long time to get rid of them completely and, therefore, take them for granted once and for all.In conclusion, it should be clear that, for the patient of the musculoskeletal system, it is going to be considerably more beneficial to start his diagnostic pilgrimage through the rheumatology office, since the process will finally be, surely, tighter in time, probably much reduced in costs and, of course, always better for the interests of the patient, regardless of where the pilgrimage will conclude. Therefore, do not hesitate and Put a rheumatologist in your life!Surely it will do better.We are convinced that in the future, with some perseverance, the adequate constancy, the necessary patience and, of course, that of every essential point, information of our population, little by little, will have to overcome all these obstacles and overcome all these difficult barriers, which will eventually disappear. Rheumatology It is one of the youngest specialties of internal medicine, it originated in 1949, when Hollander, when using the expression rheumatology in his book “Arthritis and Associated Diseases”, resulted in the birth of the specialty as such. In our country, the appearance of the rheumatology specialty was still, if possible, a little later, since it barely has more than half a century of life and in the beginning it was constituted, exclusively, as a strictly hospital specialty , since the well-known figure of rheumatologist area specialist, located in the ambulatory specialty center, was consolidated a few years later.This delay in time and the excessive delay in the appearance of the specialty in our country explains and justifies, to some extent, the general ignorance and to some extent, the tremendous confusion and disorientation, which exists so widespread among the general population, about what is the real object and purpose of the rheumatology specialty, as well as what are the main functions that the rheumatologist actually performs. Amid the enormous confusion that exists about rheumatism, all kinds of hoaxes, neighborhood councils, healing foods, magical gadgets and a long list about the possible causes of these ailments have flourished around him. There is hardly anyone profane who has no free theory regarding rheumatism, or who does not feel he possesses any remedy or therapeutic inspiration for such an issue, and we can often hear, how the question that is most asked in the street regarding a joint pain is: Hey, it hurts here, where am I going, to the “physio”, to my family doctor, to the traumatologist? But few, although increasingly, have the illumination or knowledge necessary to affirm: to the rheumatologist, head.And it is that many people still continue today, convinced that the medical specialist of the musculoskeletal system, which they know as the “bone doctor”Who really has to treat them, is none other than the specialist in traumatology and orthopedics.This error has most likely been generated and even encouraged, in part at least, by our own healthcare system, since for a long time, the figure of the traumatologist was established, as the first step of access of the rheumatic patient, to the specialist. In fact, traditionally and until the recognition of rheumatology as an autonomous and established medical specialty took place, the care and subsequent treatment of the musculoskeletal patients in our country, the health authorities had always deposited in surgical hands of traumatologists and orthopedic surgeons. And this, despite the fact that as a general rule, in a vast majority of cases, rheumatic patients were never going to have the need to perform any surgical therapy.The rheumatologist, because of his training and experience, is the specialist best prepared to correctly carry out the process of diagnosis and medical treatment of the pathology of the musculoskeletal system. Since conservative treatment, it will surely be the only one necessary to solve and / or control most of these pathologies. In those cases in which it is necessary to carry out, afterwards, some treatment of a surgical nature, then the rheumatologist will refer the patient to the consultation of the traumatologist, who will be responsible for carrying out said surgical treatment, which is what It has been prepared during its formative period. This is the distribution that has been demonstrated more logical, coordinated and efficient, for the correct treatment of all the nontraumatic pathology of the musculoskeletal system.However, currently in the general population the erroneous impression that The specialist doctor in charge of treating bone diseases should be the traumatologist. Who is the bone doctor? Image: Gettylast_img read more

KC remain on winning trail

first_img Yesterday’s results Rashawn McKinson led the way with a brace as Kingston College cruised to a comfortable 2-0 win over Papine High in the ISSA-FLOW Manning Cup at the Papine football field yesterday. The ‘Purples’ star struck KC’s opener on the stroke of half-time. The assist was impeccably delivered via a long-range free kick from Javain Brown, and McKinson applied the finishing touch. His second goal was from the penalty spot, coolly slotted home in the 82nd minute. The midfielder, with his back to goal, received a bouncing ball, which he deliberately played on to the outstretched hand of defender Oldani Dunkley to win a clever penalty. McKinson skilfully dictated the KC play and was the danger man throughout the game, proving to be their man of the match in three straight games. With the win, KC are unbeaten and top of Group C with nine points from three games. “Well, I am doing good so far. It’s just to train hard and continue the good work. I am a lot older now and have more experience. I have told my coach that I want to score 20 or more goals this season and give as many assist as possible,” McKinson told The Gleaner. He previously missed two penalties against Denham Town High, while scoring four goals. For Papine, captain Tajah Campbell and striker Romario Lynch linked up very well on a few occasions, playing through balls, which opened up the KC defence, but they could not find the finishing touch. KC’s coach, Ludlow Bernard, said: “It was one of those games that you really are not going to get everything perfect, but we still managed to maintain our winning streak and managed to maintain a clean sheet for the third game running.” Calabar 7 Campion College 0 JosÈ Marti 0 Dunoon 1 Bridgeport High 2 Cumberland High 1 Ascot High 0 Denham Town 1 St Mary’s College 2 Norman Manley 2 Papine High 0 Kingston College 2 Haile Selassie 3 Jonathan Grant 2 St Catherine 1 Ardenne 1 Hydel 0 St Jago 0 Camperdown 0 Wolmer’s 3 Pembroke Hall 2 Meadowbrook 3last_img read more

PH volleyball team to avoid social media during Japan training camp

first_imgMissile-capable frigate BRP Jose Rizal inches closer to entering PH Navy’s fleet View comments Marcosian mode: Duterte threatens to arrest water execs ‘one night’ 787 earthquakes recorded in 24 hours due to restive Taal Volcano “We will bond; there will be no cellphones. It’s for the better because we will be able to focus on the training and eliminate any distraction since we won’t read anything on social media,” said Maraño in Filipino during the team’s media day at Arellano.“I’ve said what’s supposed to be said, I’ve aired my side and the side of the players. I don’t have to explain anything and why would you explain anything if you didn’t do anything wrong.”FEATURED STORIESSPORTSEnd of his agony? SC rules in favor of Espinosa, orders promoter heirs to pay boxing legendSPORTSRedemption is sweet for Ginebra, Scottie ThompsonSPORTSMayweather beats Pacquiao, Canelo for ‘Fighter of the Decade’Maraño posted several tweets which were targeted at the team’s detractors who pointed out that practices were missed since players did not show up.The 24-year-old said they, as a team, will have to talk the issues out once they get to Japan for their training camp. OSG plea to revoke ABS-CBN franchise ‘a duplicitous move’ – Lacson Don’t miss out on the latest news and information. MOST READ End of his agony? SC rules in favor of Espinosa, orders promoter heirs to pay boxing legend Duterte’s ‘soft heart’ could save ABS-CBN, says election lawyercenter_img LIVE: Sinulog 2020 Grand Parade IT happens: Facebook sorry for Xi Jinping’s name mistranslation Filipinos turn Taal Volcano ash, plastic trash into bricks PLAY LIST 01:40Filipinos turn Taal Volcano ash, plastic trash into bricks01:32Taal Volcano watch: Island fissures steaming, lake water receding02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite PH Women’s National Volleyball team. Photo by Bong LozadaNational team player Aby Maraño recently set Twitter ablaze after posting several rants directed at her detractors as volleyball squad became the target of negative comments regarding its missed practices.Maraño, though, said she’s put her emotion-filled tirade to bed, and she looks forward to her team’s training camp in Japan.ADVERTISEMENT The national team is set to leave for Japan for their training camp to prepare for the 2017 Southeast Asian Games and the 19th Asian Senior Women’s Volleyball Championships.“I think we need to talk about the issues among ourselves and that will happen during the team building exercises,” said Maraño. “It will be more than half a year that we will be together in the national team so we need to have great communication among ourselves.”Sports Related Videospowered by AdSparcRead Next Despite roaring return, Laminou admits he’s not in top shape yet LATEST STORIES Malacañang open to creating Taal Commissionlast_img read more

SET Sets up Structure to Prevent Ebola

first_imgThe Stop Ebola Transmission Initiative (SET) has concluded technical details for organization, integration and coordination of community-based groups seeking to prevent the transmission of the Ebola Virus in Liberia. The structure of the community-based effort requires that all communities in Liberia should be enumerated and houses numbered. A SET release signed by its chairman, Oscar Cooper stated that for the purpose of organizing community residents to take the lead in fighting the Ebola disease, each administrative locality in the country is divided into zones; each zone is further divided into communities; each community is then broken down into blocks and neighborhoods; and the houses in the neighborhood are enumerated with no two having the same number.  In the rural setting, the neighborhood is the same as a town or a village.To ensure intensive comprehensive involvement and ownership of the effort to stop Ebola from spreading, each Neighborhood Monitor is assigned the task of observing the health status of four houses in his or her immediate neighborhood.  Neighborhood Monitors will be trained and equipped on how to do the daily monitoring and how to make reports on the health status of the households to the Ebola Control System. Information provided by the Neighborhood Monitor or anybody who has observed a situation will trigger response from the Ebola Control system.The enumeration of houses has started and will continue until all houses in Liberia are numbered. The number assigned to a house will indicate the county; the administrative locality; the community; the neighborhood; and the house number.Numbers assigned to houses will make it easier to track and trace case incidents.  It will also facilitate the planning, allocation, targeting and delivery of material and non-material support to individuals and households during the Ebola crisis.  Bio-data of each household will be registered in the community directory.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more

Chief Patron Weah Meets Liberia Olympic Delegation

first_imgPresident George Weah along with delegates f the Liberia National Olympic Committee (Photo: Executive Mansion)Days after seeking the audience of the Chief Patron of Sports, the Liberia National Olympic Committee (LNOC) has met Chief Patron George Weah ahead of their trip to Algiers, Algeria, for the 3rd edition of the African Youth Games (AYG).Liberia is expected to join over 50 other countries to participate in the youthful international multi-sport events, held every four years and will be represented in seven disciplines, including athletics (four athletes); table tennis (two athletes); taekwondo (two athletes) and cycling (one athlete), long Tennis (two athletes), Shooting Gun (one athlete) and Swimming (two athletes).According to the website of the Executive Mansion, President Weah yesterday met in audience the delegation of the LNOC headed by Youth and Sports Minister Hon. Zeogar Wilson at his Foreign Affairs Office.President Weah encouraged the team to ignite all efforts in raising the flag of Liberia and to represent the nation as ambassadors who are serving on a duty for a national cause, according to the website.He said the team should view their presence and participation in the pending tournament as a means of lifting the flag of Liberia through sports and should ensure that Liberia achieves the purpose for their participation on the African Continent.Earlier, the LNOC intended to formally present the delegation to the Chief Patron and request for financial assistance in the tune of US$55,000 to enable the 22-man delegation to go to Algiers, Algeria, for the 10 days of the event. According to reports, an undisclosed amount was presented to the delegation to facilitate their trip to the competition.AYG is an international multi-sport event held to complement the current All-Africa Games. The first games were hosted in Rabat, Morocco. This international sportive event has been created by Lassana Palenfo, current director of the Association of National Olympic Committees of Africa. The idea arose in 2006, but the very first African Youth Games only occurred in 2010. The second edition was held in Botswana, 2010 with Egypt winning the highest number of medals.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)last_img read more

Amy Norman commits to Thompson Rivers University on volleyball scholarship

first_imgFort St. John alum Amy Norman will continue her post secondary volleyball career after committing to Thompson Rivers University in Kamloops. The move will allow Norman to stay on the court and will also let her compete at the highest level in Canadian university sports as the Wolfpack play in Canada West which is a part of CIS.She admits she was expecting this past season with Grande Prairie Regional College to be her last in terms of playing volleyball but things changed after she was contacted by TRU.“I was done my program this year at Grande Prairie so I wasn’t planning on going anywhere else,” she said. “The coach contacted me and flew me for a visit and it just seemed like a good fit. It’s two full years left to play and I’ve always wanted to play CIS but that was back in high school when I thought it was more of a dream. I took three years off and went back into it and I never though I would make it into CIS. Just having the opportunity is pretty cool.”- Advertisement -Thompson Rivers hasn’t had a ton of success to speak of over the last number of years, but Norman said the team has taken positive steps in rebuilding their program and some of those efforts started to pay off last season.“They haven’t been doing so well the last few years but they got a new coach, they’ve got new recruits, and they stocked up quite a bit last year and plan on keeping on improving over the next few years.”Norman was born in Dawson Creek but moved to Fort St. John in grade three and stayed until she graduated high school.Advertisementlast_img read more


first_imgIT may have been damp on Friday evening, but that didn’t put off the runners in the annual Churchill Fair 5k.Results from the run can be seen here: https://www.donegaldaily.com/2011/07/15/athletics-results-of-the-churchill-fair-5k/Thanks to Grace Boyle for the pictures: IN PICTURES: ALL THE FUN OF THE CHURCHILL FAIR 5K was last modified: July 16th, 2011 by gregShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:churchill fair 5k run pictureslast_img read more


first_imgDONEGAL singers Roisin Carlin and Shane McLaughlin are through to the next round of the Voice of Ireland.Fahan singer Roisin was voted through by the public.And just minutes later Shane was also voted through – again in the public vote. The public vote was announced live on the RTE programme just before 10pm.Shane, from Downings, had received massive support along with Roisin from the Donegal public.Both singers had failed to woo the judges.However they went through automatically through to next week.  BREAKING NEWS: DONEGAL SINGERS THROUGH TO NEXT STAGE OF VOICE OF IRELAND was last modified: March 18th, 2013 by BrendaShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:BREAKING NEWS: DONEGAL SINGERS THROUGH TO NEXT STAGE OF VOICE OF IRELANDRoisin CarlinRTEshane mclaughlinThe Voice of Irelandlast_img read more

For the record

first_imgA Nov. 6 article on accident reduction incorrectly reported that Garen Petrossian is 39. In fact, he is 37. AD Quality Auto 360p 720p 1080p Top articles1/5READ MOREWalnut’s Malik Khouzam voted Southern California Boys Athlete of the Week160Want local news?Sign up for the Localist and stay informed Something went wrong. Please try again.subscribeCongratulations! You’re all set!last_img read more


first_imgThe big chief from Kerry might be a little outnumbered by these Donegal fans from Stranorlar!These young residents of Tircallen, Stranorlar have got together to show their support to two Donegal teams by kitting out the end of their lane. And even their friend Big Sitting Bull is getting in on the act.It can be seen on the road just after Kilross on the way to Stranorlar. What can we say – the GAA spirit at its best! COUNTDOWN TO CROKER: YOUNG FANS TAKE NO ‘BULL’ IN STRANORLAR! was last modified: September 16th, 2014 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:donegalGAAStranorlarlast_img read more