Ravitheja Jampani

Abstract

Upgradation of knowledge and skills is a continuing lifelong process in medicine. Continuing medical education carries a lot of importance in medical profession. Change is inevitable in life of a human or a pathogen. Upgradation of skills thru continuing medical education (CME) is only way to adapt and percolate thru changing times. Evidence based medicine is major player in today’s healthcare system. CME are based on principles of evidence-based health care. Covid-19 lockdown paved a way for medical professional to share knowledge about the pandemic through webinars. Various medical disciplines upgraded their knowledge thru webinars. Webinars are not new in CME culture but Covid- 19 brought surge of webinar platform. Keywords: CME activities, webinars, Webinars in lockdown period, Upgrade knowledge of doctors.

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Abstract

Covid-19 lockdown has made many people of middle- and lower-income class think and reinvent themselves to sustain in this crisis. It was difficult for lower- and middle-income class people to adjust to the situation of lockdown. Government and private institutions have reduced the salaries to the employees in view of 40-day lockdown. Lockdown has made people rethink and reinvent to sustain in this tough time. People have modified their work and style of working to acclimatize to lockdown. Work from home in software industry, telemedicine and video consulting in healthcare industry, online classes and tutoring in education system, farm to house vegetable delivery system in agricultural sector, surge in online pharmacy business, MSME- handmade mask industry, MedTech zones for demand in medical equipment. Private sector isolation centres in partnership with reputed hospitals. We throw light on some of these innovative ideas that could change present and future of living in difficult times. Keywords: Covid-19 crisis, Survival in covid-19, Innovative ideas during covid-19, New jobs during Covid pandemic.

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Abstract

We present a case of 70 year female who is a prior patient for knee arthritis at our clinic and who fell down and sustained a fracture in left distal femur over medial condyle. The patient demand was early mobilization. We discussed various options of management and advantages, disadvantages and complications. As per patient request planned for bilateral knee replacement with fracture stabilization. Postop recovery is monitored and patient recovered and is able to walk and satisfactory range of movement of both knee was achieved this case adds to the evidence that elderly distal femur fractures that can be replacement and made to walk as early as possible. Especially in scenarios of arthritis and fracture together. Consent: Informed consent was obtained from the patient and family for the publication of the case report and all the figures included.   Keywords: Distal femur replacement, Distal femur fracture.

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