Attending: DoctaJay, please describe this lesion.

Me: Well its a intramedullary lesion, with clear rings and stiples denoting cartilage. There also appears to be an oblique fracture traversing the distal femur.

Attending: What is the diagnosis?

Me: I would call this a fracture with an incidental finding of a enchondroma.

This is what I did for the past month and I truly loved it. Our attending is a world reknowed bone pathologist who also did an orthopaedic surgery residency. He basically tells us to read a chapter from his book, let’s say on primary bone tumors. The next day, he gives us a couple of folders filled with x-rays and corresponding histology slides. He gives us an hour to come up with a diagnosis based on the xray findings and the histology. After that he comes in with another huge stack of xrays and pimps us on every single aspect of the various bone lesions.

This month was such a breath of fresh air as compared to the 3 months I spent on inpatient orthopedic surgery.When I was on ortho trauma I barely saw my family and barely got any sleep. This month on pathology I got to sleep in until 8 am, chill with my family all day, read about bone lesions (which I didn’t think I would find as interesting as I did), and just overall have a normal life. Rotations like this remind me of how lucky I am to be a resident here as not many ortho interns get introduced to ortho oncology so early. Anyways, next month I start general surgery, so the vacation will be over!

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