Gout on one foot with Tophi on the other. Make sure you know if you patient is an over or under secretor before you begin on maintenance medication. #pa_moments #gout pamoments.com
Today, my son needed his bulbasaur (Pokémon) stuffy sewn. I’d rather use a sewing machine but I’ll take a few stabs at it by using my suturing skills. The simple running stitch was used in this superficial repair. And since I didn’t have my forceps I decided not do a non traditional knot tie by burying the thread underneath and going backwards.