I can’t begin to guess since as others have pointed out several parts of his story do not ring true
I used to have a little pamphlet that was cute. “A chance to cut is a chance to cure.” It was full of chuckles. I can’t remember any of them. To be an Orthopod you have to be strong as a bull and half as smart. That one wasn’t even in there. All you need to know to be an Orthopod is how to spell Keflex. When I helped an Ortho resident manage a Spinal Cord ICU we had to work together which was very difficult. She was incredibly beautiful and I was married. For 6 months we had a lot of fun joined at the elbow and worked together very well but we were constantly teasing each other.
I remember an Ortho guy asked me to come watch him do a spine case and out of curiosity I figured, “What the hell?” I was horrified. I was a trained Neurosurgeon who had done spine surgery as taught by Neurosurgeons. Immaculate, pristine field. You could identify every capillary. Bipolar coat made it possible to do cases with 50 cc blood loss. When I watched those guys it was like a blood bath. I asked him how the hell could you possibly see what the f you are doing? He said, “It’s easy, the pedicle is right over there!” I said, yeah, so is the cauda equine, the Vena Cava and the aorta. He said , “That’s why we have blood banks.”