Surgeon as a Perpetual Learner: Nerve Cases I Have Learned Most From (Feat. Dr. Mackinnon)

Surgeon as a Perpetual Learner: Nerve Cases I Have Learned Most From Authors: Mackinnon SE1, Yee A1 Published: February 14, 2016 AUTHOR INFORMATION 1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri DISCLOSURE No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication. ABSTRACT This presentation was given at the 2016 American Society for Peripheral Nerve as part of a panel describing the experiences and cases that the panelists learned the most from. In this presentation, the primary author describes her experiences with the pain evaluation as one of the most essential tools for diagnoses patients with nerve injuries. Additional discussion on dealing with difficult patients and the utility of the scratch collapse test are included. Finally, the primary author discusses her experience with the controversy surrounding cumulative trauma disorder and the movement towards a new term called posture-related upper extremity pain (PRUEP). TABLE OF CONTENTS 00:00:00 Introduction 00:01:05 Overview 00:01:18 Pain Evaluation 00:05:22 Simplicity, Specificity, and Complexity within the Pain Evaluation 00:06:42 Too Many Questions 00:10:11 Neuroma Management 00:14:39 Dealing with Difficult Patients 00:16:00 Entitled Demanders 00:17:05 Help-rejecting Complainers 00:17:30 Self-destructive Deniers 00:18:29 Dependent Clingers 00:19:22 Scratch Collapse Test 00:20:25 Posture-related Upper Extremity Pain (PRUEP) 00:24:20 Conclusion