ED Muskoka Physicians - Living the Dream

Archives for July 2017

new MD in 2018

July 29, 2017 by Leave a Comment

Hi All,

Just wanted to give a heads up that Dr Nelson Matyasovszky has expressed his formal interest in making Muskoka home after finishing his third year in ER training ( in june 2018). I have met with him a couple times and he has talked to several of you too!!

Many of us know Nelson and I think he wood be a great addition to our ED groups as needed.

He is open to working in either site!

Nelson has already committed to do a family practice locum in the fall of 2018 and so will be here!

Nelson is looking for more shifts next July, august ( maybe 10 to 12 or so a month) then maybe 6 or 7 a month while doing his locum. Then the future awaits!

Nelson is working Huntsville ER this august so please welcome him to town as new med staff peer for next year as you see him!!

John

Filed Under: ED Administration

CT’s Huntsville

July 24, 2017 by 1 Comment

So..

Weekdays …no need to call rad till after 9pm to protocol or get approval for CT’s.
(no longer 3pm)

Evening functions like days now.

Can’t get same for Bracebridge yet as CT tech not onsite…
working on it.

Enjoy!!

Filed Under: ED Administration

Pediatric patellar osteomyelitis

July 24, 2017 by Leave a Comment

Hi All,

A diagnosis I have never encountered till recent…and it is rare…
We had one through our ER earlier this year that resulted in a complaint coming to me due to delayed diagnosis.
I am not sure the young boy ( 9 yrs) even had this when he was seen in the ER although he did develop this…
Just another thing to think of!!! Part of resolving the complaint was helping raise awareness of this!

Of course it can be local from an abrasion or injury but often times not…

Hematogenous osteomyelitis of the patella
Gil-Albarova, Jorge; Gómez-Palacio, Victoria Eugenia; Herrera, Antonio

Journal of Pediatric Orthopaedics B: September 2012 – Volume 21 – Issue 5 – p 411–414
doi: 10.1097/BPB.0b013e328348da5b
Knee
Abstract
Author Information
Osteomyelitis is an uncommon infection that is considered to be a childhood disease. Diagnosis is frequently delayed, as it is a very rare condition and also because of its variable presentation. After an accurate diagnosis and treatment, the outcome is favorable in children. We present one case without recent previous infection, antecedent trauma, or penetrating injury, illustrating the difficulties in diagnosis. Nontraumatic osteomyelitis of the patella should be regarded as a rare hematogenous infection. A high index of suspicion should be addressed for early recognition.

Filed Under: Education

blood cultures

July 12, 2017 by Leave a Comment

Hi all,

Our lab is bursting with blood cultures ( over capacity of our machines actually)!!

Please remember to cancel blood cultures if you don’t need them!
Our sepsis panel is generating alot of cultures (ordered by nursing and MD’s)….!

Just a heads up as they are doing their best to keep up but with considerable expense and extra time by lab staff.

The blood culture main machine is not very old and was bought with a “200 percent capacity” to what was thought to be needed to have a buffer and we are still over that.

just a heads up.

thanks
John

Filed Under: ED Administration