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Dan Fuentes Profile
Dan Fuentes

@FixnBones

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Board Certified Orthopaedic Surgeon #FAAOS | #TexasEx 🤘| Founding member #BonesBourbonBrisket #WorkHardPlayHarder #TeamWorkmakestheDreamWork Utah➡️11/24🥳🤩

Lufkin, TX
Joined March 2009
Don't wanna be here? Send us removal request.
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@FixnBones
Dan Fuentes
1 year
Meanwhile, my front yard Utah #Ring picking up a nice sized fella just strolling about…. 😳😳😳
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Dan Fuentes
3 years
A milestone reached today on my 5th case today……… Operative case #13 ,000 in my 22+ yrs of practice. # #orthotwitter
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Dan Fuentes
4 years
@kksheld Or perhaps those that wear one while driving....alone??
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Dan Fuentes
2 years
@OmahaSportsDoc Occurs weekly and way too often these days!!! 😡🤬 Of note, found out recently that an “approval” for surgery does not guarantee that the insurance company will pay you for said procedure. WTF?!??
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Dan Fuentes
1 year
@hjluks I’d guesstimate over 24 years, ~80% of my practice is non-op based. And I’d also say that majority of my new pt. consults are talking them out of a surgery they were told they “needed.” Give the human body a chance. You might be surprised.
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Dan Fuentes
2 years
#WeekendThoughts Please don’t let these ankle fx/dislocations ever leave your ERD, looking like this. Their “reduction.” Call Ortho. We’ll be very happy to assist. The bone sets the tone, but the TISSUE is always the issue. #orthotwitter
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Dan Fuentes
3 years
#SundayThoughts Classic example of why we always X-ray deformities b4 attempting a reduction. This will not reduce like an ankle fx/dislocation. Different animal entirely. Always X-ray b4 you attempt a reduction. A 5’ wait causes zero harm. #orthotwitter
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Dan Fuentes
6 months
⭐️PSA ⭐️ You need at least (2) orthogonal views on every x-ray. (1) view is NO view. #Medtwitter
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@FixnBones
Dan Fuentes
2 months
#ThursdayThoughts I knew that day was coming… I did my last ACLR ever, today 🥹 #Bittersweet
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Dan Fuentes
5 years
45yo active runner, failed MFx by other Dr. Persistent pain/ catching with normal activities. Large full thickness, isolated OCD MFC @NuelleSportsMD @RyanHessMD @BrianColeMD @krisjonesmd @MizzouTeamDoc
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Dan Fuentes
2 years
#NoWorkFridays Love doing Gluteus Medius/Minimus repairs. One of my favorite cases( I do open generally) Patients are so happy. This was done yesterday, and today was out on the course… 35-40▶️75 # IYKYK 💪💪 #Orthotwitter
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Dan Fuentes
3 years
As I transition into PGY-29, I’ve learned that being a successful #OrthopaedicSurgeon is less about the volume of surgeries, but moreso on knowing when to operate. The former will ⬆️ from the latter, if your patients do well. #orthotwitter #WorkHardPlayHarder #BeHumble
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Dan Fuentes
1 year
#Mondaythoughts How many #orthotwitter and Reps how encountered one of these? Poll below
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Dan Fuentes
1 year
#TuesdayVibe I have to thank @JanetConwayy every time I put on a Robert Jones dressing for a LE injury. Actually “tweeked” her egg rate idea w/a “throwaway” foam from a neuro set-up. Works great! One of my favorite steals from our wonderful #orthotwitter forum.
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Dan Fuentes
3 years
I love quotes. These three continue to resonated w/me. “Don’t practice until you get it right, practice until you can’t get it wrong.” “There’s a difference between knowing your shit, and knowing you’re shit.” “Is the juice worth the squeeze.” What’s yours? #orthotwitter
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Dan Fuentes
3 years
Young active 60yo, fell down a few stairs. Presents w/this X-ray, w/isolated left hip pain. Infrequent hip b4 fall. What is your plan/treatment? #orthotwitter
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Dan Fuentes
2 years
This is excellent. Had to #retweet #orthotwitter
@HowThingsWork_
HOW THINGS WORK
2 years
Treatment option for a Clavicle fracture. 🏥
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Dan Fuentes
3 years
Hip abductor tears(med/min) are often referred to me for recalcitrant hip bursitis. Often present w/a Trendelenburg gait/pain. Eval & MR➡️diagnosis can be confirmed. When repaired, these patients are some of the happiest. Here is an open repair of a larger tear. #orthotwitter
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Dan Fuentes
3 years
My next door neighbors little boy wanted to go as me for Halloween. 😇 So, I immediately put him on-call 😂 #HappyHalloween2021 #SoHonored
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Dan Fuentes
2 years
How much varus can be tolerated when nailing a SubT fx? Difficult case in that pt was in critical condition(cerebral/cardiac/hemodynamic). Pt coded during this procedure, so best I could do quickly. Pt returns 1 year later, healed, ambulatory/& happy. #lucky 🙏 #orthotwitter
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Dan Fuentes
3 years
This letter is from a female college student who shadowed me recently. Knowing that I had such a positive impact on her now wanting to become an Orthopedic Surgeon, makes everything that I do so much more worth while. #womenofortho #BeaPositiveRoleModel #BestJobintheWorld
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Dan Fuentes
28 days
#TuesdayBlessings Last day of call….EVER! (7/1/93-9/22/24) Always enjoyed trauma and its challenges. Won’t miss being awaken in the middle of the night 😵‍💫. Appreciate @ChipRoutt & @ortho_ut for always being there if I ever called 🙏 Now, a nice stick to celebrate☺️ 🤘🤘🤘
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@FixnBones
Dan Fuentes
2 years
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Dan Fuentes
2 years
1st year in practice to PGY-29. Wow! That has gone by super fast! Hopefully the guy on the right is a little bit wiser through the years. #BestJobintheWorld #orthotwitter
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Dan Fuentes
3 years
The importance of pie-crusting(PC)the MCL to see EVERYTHING medially cannot be overstated.Protect the cartilage! 1st pic shows what appears to be a simple tear.After PC, you see the entirety of a complex posterior MMT, then repair. #orthotwitter #piecrusting #savethemeniscus
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Dan Fuentes
3 years
Radial tear/root variant tears, to me, are very difficult. I did side-to-side x 2 & a stabilizing hey bale to the medial fragment. Been happier with this fixation than TOT, as far as”more” anatomic/hoop stress. How do others approach these? @ChrisTuckerMD @MDMillerMDUVA
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Dan Fuentes
4 years
First day as an attending, and after 23 years. The guy on the left came out “guns ablazing<sic>” and knew it all! The guy on the right just “really knows better.” **Lesson: Be humble, work hard and keep learning daily. #OrthoTwitter #MedTwitter #MedStudentTwitter
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Dan Fuentes
4 years
Data from the TX Department of State Health Services @kksheld @txsportsdoc
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Dan Fuentes
3 years
I’ve certainly learned a trick or two from the outstanding #orthotwitter crew. This one from @JanetConwayy w/incorporating an egg crate under and around the heel w/a Robert Jones, is GOLD
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Dan Fuentes
3 years
Multiple co-morbidities w/ hospice placement. Too sick for ortho x2 days( TSFO). I CT essentially all hip/subt fx’s, as this is an excellent example on why. Sub-t/BC w/ sag coronal extension into the mid-neck. Plain X-ray here
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Dan Fuentes
3 years
Watch this. Powerful. “I have a get to job, not a got to job.” #OrthpaedicSurgery the BEST job in the world. I “get to” do it every single day. Blessed 🙏 #orthotwitter
@TheAthleticCFB
The Athletic CFB
3 years
“There’s value in everybody.” Ernie Johnson shared a story about his son to the Alabama Football team. 🎥 @AlabamaFTBL
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@FixnBones
Dan Fuentes
2 years
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Dan Fuentes
8 months
@CognettiMD @AAOS1 @AAHKS @otatrauma @MilOrtho “Patient safety” must have a different meaning in Connecticut. No way you’re banning my ortho reps from the OR.
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Dan Fuentes
11 months
@UT_Mangler Ags had a career 58% W-L while in the B12. Basically, they were a career “middle of the pack” school in their tenure.
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Dan Fuentes
1 year
70+ yo active male; extremely low KL; nl alignment. Presents w/MJLP after 1 month of sx. Plain WB X-ray/ intra-op PHRT. MR extrusion ~4mm. ▶️OR w/G2 unipolar MFC CM. I repaired him. Giving him a chance. **Plz never “treat” pt’s just by chronological age** #orthotwitter
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Dan Fuentes
2 years
Octagenarian w/adv. dementia. Vancouver 3+++. Prox. femur▶️smoked( no intra-op pics 😒). Overkill of cerclage? Perhaps. But, felt necessary here. Added a pm strut w/a Reclaim revision 190cm stem. Open to critiques/comments on what others may done here. #orthotwitter
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Dan Fuentes
3 years
Orthopaedic Surgery memories. How many cut their teeth on this bad boy while training? #orthotwitter #oldschool #CHICKfxtable @ChipRoutt @FractureDoc @txsportsdoc @darrenjohnsonmd @TonyI_tampa
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Dan Fuentes
3 years
@Doc_Texas The ‘05 Horns. They beat a SC dynasty( 34 straight wins)on the verge of a three-peat. Still the best Natty game that I’ve seen.
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Dan Fuentes
3 years
Ladies & gentlemen of #orthotwitter ,my 2021 is officially over today 🎉Last 2 months were brutal trying to get everyone taken care of. Off to SLCx3 weeks for R&R, & maybe a little ⛷. Remember,it’s imperative to put you and your family above your work. #WorkHardPlayHarder
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@FixnBones
Dan Fuentes
6 years
@ClubProGuy Tremendous raking skills here by Phil.
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Dan Fuentes
3 years
Certainly not nearly as cool/awesome as @Davembmd “pinned tweet” of the spine, but this actually is pretty neat. #orthotwitter #MedStudentTwitter
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Dan Fuentes
3 years
#SundayThoughts Be more concerned with your character than your reputation. Your character is who you REALLY are, while your reputation is merely what others THINK you are. #orthotwitter #MedTwitter
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@FixnBones
Dan Fuentes
3 years
Pedi SCH fx’s get my full attention, immediately when on-call, especially type 4’s. Had to open ulnarly. OS residents: which transient nerve injury is associated with these type 4’s? #orthotwitter
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@FixnBones
Dan Fuentes
5 years
“Be more concerned about your character than your reputation. Your character is who you REALLY are, while your reputation is what others THINK you are. “
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@FixnBones
Dan Fuentes
3 years
This gets a THA every time in my hands. #PinnacleGription /neutral liner #Actis
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Dan Fuentes
1 year
#NoWorkFridays No more guy on the (Left) and much more center guy on the (Right) on Fridays. Happy Friday #orthotwitter #WorkSmarterNotHarder #WorkHardPlayHarder
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Dan Fuentes
10 months
Have tx’d quite a few variations of these injuries, CR & ORIF. But, this was quite the exception. Plz see these when called. Type III/IV w/CS▶️fasciotomies. No meniscal or ACL injury. Healed nicely w/o sequelae 🙏 #orthotwitter #orthoX *w/permission
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@FixnBones
Dan Fuentes
3 years
Ski day @AltaSkiArea w/my lovely daughter.Excellent conditions. @_NancyMD broke out the #insta360 , hopefully I got some footage to post later. Gotta say, it’s a tad more challenging when I’m holding the stick w/o a ski pole. @generalorthomd @Dr_J_Shilt @KurteL10 @txsportsdoc
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Dan Fuentes
3 years
@mattjlange Despite 3 TO’s and behind 24-6, w/3+ minutes left in the game, Texas had the ball in their end trailing 24-21. Two late TO’s make the final score a blowout. If you watched, it wasn’t At full staff, Texas wins this game. Almost did it w/a frosh taking over after the 2nd series.
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@FixnBones
Dan Fuentes
11 months
@HornSports Translation: “We’re going to hold them like hell, just like everyone else this year. Trust me. We won’t get flagged one time.”
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@FixnBones
Dan Fuentes
4 years
@TGowdySC Once a huge fan of @TGowdySC , but once you removed consideration for AG position, I suspected something was up. Such a beast as Chair of House Oversight. So much promise to do right. But now? You’re nothing more than, “all bark,zero bite!” Such an utter disappointment!
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Dan Fuentes
1 year
#Wednesdayvibe Your favorite surgery. You can only choose (1), so let’s hear it/see it. #orthotwitter #orthoX #Surgeons
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Dan Fuentes
3 years
Ladies & Gentlemen of #orthotwitter #BonesBourbonBrisket and all of those that follow….. HAPPY NEW YEAR!!! May 2022 bring us all true blessings & happiness
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Dan Fuentes
2 years
At time of sx, ST envelope looked good. Bone? Not so much. Hook plate was necessary. PM reduced nicely, ran out of real estate w/SS. Sorry, not a great mortise view after the fact.
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@FixnBones
Dan Fuentes
2 years
#WeekendThoughts Please don’t let these ankle fx/dislocations ever leave your ERD, looking like this. Their “reduction.” Call Ortho. We’ll be very happy to assist. The bone sets the tone, but the TISSUE is always the issue. #orthotwitter
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Dan Fuentes
3 years
Respond with something that you accomplished that you really didn’t think was possible. For me, running a full marathon. Never ever ran for distances while playing sports, so this was/still a shocker for me. #orthotwitter #medtwitter
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Dan Fuentes
2 years
@JJcolemanMD I think every physician endures mom or dad guilt. I certainly did. Of all the things that money can buy, time isn’t one of them. What a great reflection of your new community to come through like that! We need more of these “feel good” stories. Thank you for sharing.
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Dan Fuentes
3 years
If time doesn’t allow sous-vide, then I’ll do a cast iron grill ( stove top) to oven. Salt/pepper/ garlic butter. #orthotwitter #BonesBourbonBrisket @generalorthomd @rkh_md @ChrisTuckerMD @Dr_J_Shilt @txsportsdoc @NuelleSportsMD @StressHoop @LeePaceMD
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Dan Fuentes
11 months
#FridayMotivation I did thIs BTB ACLR in 2005 w/the then standard TT fashion. Now in late 40’s, stated he never had issues. Lives a very active life. Seen for another issue. (Current X-rays below. ) Vertical graft but KL 0/1 & stable exam. Go figure 👍💪 #orthotwitter
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Dan Fuentes
3 years
@WayneDupreeShow For “real” chili? Never beans. Never
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Dan Fuentes
3 years
Always special to see one of our athletes return to their previous level/sport, coupled with their huge infectious smile & appreciation. Orthopedic Surgery-best job in the world! #BTBACLR #orthotwitter #angelinacollegeathletics
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Dan Fuentes
2 years
60ish male, ND side, seen as 2nd opinion & was given only surgical options. I recommended non-op; coapt▶️functional brace▶️early Codman’s. Healed w/o pain, back to work in 14 weeks. #orthotwitter
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Dan Fuentes
2 years
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@FixnBones
Dan Fuentes
2 years
It’s not always elective SM & Joints. 2+ weeks due to poor ST▶️spanned& CT. Initial X-rays and CT spanned #orthotwitter @FractureDoc @jamesablairMD @traumaticum @InvictaOrtho @generalorthomd
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Dan Fuentes
4 years
@RealJamesWoods Appalling? Yes Surprising? Nope.
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Dan Fuentes
3 years
@freddie_V88 Those ripping you for heckling have likely never been to CBB game. Trash-talking is at all levels of the game. As for TF’s gesture? That’s a class act, pure & simple.
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Dan Fuentes
5 years
@markaduck @BDavisAAS 247 recruiting rankings 2013 16th 2014 14th 2015 15th 2016 19th That’s OU’s 👆🏻 So, is it a “talent” or player development issue?
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Dan Fuentes
3 years
@kyleumlang SECers are the only ones that call Tennessee“UT” & South Carolina “USC.” The rest of the nation knows the real “UT” & “USC.” Next!
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Dan Fuentes
9 months
To all my colleagues, please watch this video. PP sustainability is on life-support. W/o PP as the main competitor to hospital employment and ultimate health control, every doctor will eventually see their respective FMV’s⬇️⬇️⬇️ #WakeUp #OrthoX #OrthoTwitter #medtwitter
@RepGregMurphy
Congressman Greg Murphy, M.D.
9 months
Physicians, who see Medicare patients, struggle to keep their doors open because of debilitating reimbursement cuts each year. Congress must step up and protect America’s doctors and patients. My bill, the Preserving Seniors’ Access to Physicians Act, will get the job done.
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Dan Fuentes
3 years
@generalorthomd Going fwd, you’ll no longer be taking “those” call days. Let’s see how they handle that.
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Dan Fuentes
2 years
Still #LaudtheQuad , but last 12 or so, I’ve gone back to #BTB . Anecdotally, my BTB’s get terminal extension/quad return faster. No other issues. What are you seeing? @ChrisTuckerMD @NuelleSportsMD @rileywilliamsMD @SSittonMD @RyanHessMD @RachelFrankMD @JustinJMitchell
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Dan Fuentes
5 years
“Don’t confuse my personality with my attitude. My personality is who I am, and my attitude depends on who you are. “
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Dan Fuentes
2 years
Going to be extremely hard leaving here…….3 weeks has flown by. Won’t miss the snow plowing( actually it was really quite fun). So happy that I made the move here. Gorgeous!! #orthotwitter
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Dan Fuentes
3 years
Active male, now 8 weeks s/p open PT repair( mid-to-distal substance rupture) #5 fiber wire➡️Krackow side-2-side w/multiple rip-stops to 4 distal swivel locks. #orthotwitter *w/pt permission
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Dan Fuentes
2 years
A slight mishap this afternoon. Apparently someone mistakenly thought that one of our clinics had a “Drive-Thru” Orthopaedic service. 🤔 Thankfully no one was hurt. #orthotwitter
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Dan Fuentes
5 years
This patient of mine in now 2 yrs out from bilat. TKA’s. He takes a 30+ hour bus ride outside of Mexico City, each way. Although he loves his new knees, I think he loves bringing me new “chanclas” each visit. Moments like this make my day, and reinforce why I love what I do.
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Dan Fuentes
3 years
The resolution of the articular cartilage of the patella with a 3T MR/Axial, is spectacular. #orthotwitter
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Dan Fuentes
2 years
Auto BTB 11 months out. Had small re-tear for repair MMR. 2nd look ACLR with these results are very gratifying. #orthotwitter #aclreconstruction BTB FTW @SSittonMD
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Dan Fuentes
1 year
One view is no view, but sometimes it’s more than enough. This read is a head shaker for sure. #OrthoX #Orthotwitter
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Dan Fuentes
3 years
Always looking for ways to burn that dreaded, turn-over time. Today, between cases I was working on my breaking ball. #orthortwitter Whatcha think ⁦ @RyanHessMD
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Dan Fuentes
2 years
Ok, how many of my #orthotwitter colleagues/ Twitter peeps work on their BDay? I always have. But, after today’s clinic, I am thinking that I need to reassess my options going fwd. 😂😁
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Dan Fuentes
3 years
This Gif best illustrates this last weekend on-call. I still really enjoy trauma, but this was a #beatdown #orthotwitter
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Dan Fuentes
1 year
@orthotraumamd There’s a lot of “worse” things to say, but the absolute “best” thing to say in the middle of an operation is…. “I read how to do this on an #orthotwitter thread last night.” 👍💪
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Dan Fuentes
2 months
@txsportsdoc Healthcare is the current model is unsustainable. Physician cost to the >$3billion dollar tab has been consistent to equate to 7-8% of the total cost. Yet, the gov’t/media has blamed the doctors for this problem. Hence, reduce doctors, bring in the mid-levels. Brilliant 🤡🤡
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Dan Fuentes
3 years
X-ray on the (L)is a student/athlete w/a pivot shift injury➡️ACL & LMT *MR denied X-ray on the (R)is a person w/o acute injury&chronic pain. *MR in hand This is a recurring problem🤬.Plz, if you’re considering an ortho ref. let us eval b4 u order any other studies #orthotwitter
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Dan Fuentes
3 years
Excluding the guy in the middle, this is a bonafide collection of #twitter “rock stars” who my twitter experience so wonderful!
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Dan Fuentes
4 years
That look when you find out that you have two 0730 start times.....at two different hospitals. 🙄 #orthotwitter #orthoresidents
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Dan Fuentes
3 years
Doughnuts are my weakness. Although I wouldn’t toss any of these away, but if I had to pick one & only one it’s gotta be……. #11 . What says you: #orthotwitter #BonesBourbonBrisket #medtwitter
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Dan Fuentes
4 years
6mo F/U of a 43yo w/isolated painful OCD/MFC. #BioUni OCA @JRFOrtho @Arthrex . X-ray show good graft incorporation. Patient back to work as a laborer, extremely pleased. #cartilagerestoration #orthotwitter
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Dan Fuentes
11 months
@CJVogel_TFB And that’s why they play the game. Texas handed Saban & Bama their worse loss ever at home. Fact.
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Dan Fuentes
5 months
@generalorthomd @Humana Buckle up! Unless paid doctors quit helping insurance companies make MORE money & deny necessary treatment(s), just going to get worse. P2P, pre-auth’s & THEN deny payment/ask for refund after surgery or tx is complete, is what drove me to retirement plans & def. won’t miss
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@FixnBones
Dan Fuentes
3 years
Daddy-daughter Cowtown 1/2 Marathon in 2013. 9 years ago, today. Seems like yesterday. I remember being overcome w/emotions crossing the finish line along side her. Special day, unforgettable memories.
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@FixnBones
Dan Fuentes
4 years
@ChuckCallesto I’d rather us see the career politicians tax returns who make 160K/year, YET are worth 10’s of millions.
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@FixnBones
Dan Fuentes
3 years
“The way to a man’s heart is through his stomach?” The resounding answer is YES!!! My wife’s cheesecake is amazing!! 😁
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@FixnBones
Dan Fuentes
8 months
@ItsBBQRay Could be a smidge more rare, but looks great!
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@FixnBones
Dan Fuentes
8 months
@rkh_md Parents, plz don’t do this.
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@FixnBones
Dan Fuentes
3 years
@DrChadKrueger I believe we(physicians) comprise~6-7% of total healthcare costs/yearly.Yet, q 2yrs I receive a letter from my personal insurance comp. that my premiums will be ⬆️due to the“increasing cost of medical care by physicians & hospitals.” FYI-I haven’t had 1 reimbursement ⬆️in 20yrs
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@FixnBones
Dan Fuentes
2 years
@Super70sSports Jack eagles 15 to pull w/i 2 shots of Seve. Then Jack nearly jars his tee ball on 16. Sinks the birdie, now w/i 1 shot. Roar causes Seve to step away from his 2nd shot into 15. Then pulls it in the pond, bogeys. Now tied w/Jack. Jack birdies 17 w/Verne’s “Yes sir!!”call. Wow
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