One of the things I enjoy about Family Medicine is the variety. There is always something new to see, do, or learn. In PNG this is very true. Most days I see something that I have rarely dealt with or is completely new. I have learned to adopt a “can-do” attitude.
I was working in the outpatient department (OPD) when a middle aged male came in. He had fallen two days before and had pain over his thumb. His thumb was deformed and he could not flex it. I sent him for an X-ray and he came back with a film showing dislocation of his distal phalangy. Well, I’ve never fixed one of these before but thought it should be simple enough. I injected lidocaine around the base of his finger (digital block) making his thumb numb. As I held his hand in place, I gave the tip of his thumb a firm, steady pull. Pop! Like magic his thumb popped back in place, looked normal and was moving normally. Post procedure film was normal as well.