Wednesday, October 23, 2013

Day 5, surgeries and sing-a-longs

Namaste!

  As usual, we started our day with a great breakfast at the Norling, discussing the events of the night before and reviewing the day ahead. We had 4 surgeries planned that day so we headed off to NOH to start our day.

  Our team doctor started rounds and for the most part our patients are doing great. Any issue that come up he takes care to discuss with the nurses and make sure it's done.

 While the surgeons were in the OR, Dr. Mike and kristi went on crutch rounds. They bought the crutches from the pharmacy, measured the patients and trained them in the proper use.

 When we arrived we were greeted by our second patient of the day, an Achilles exostosis removal.
The patient decided to wait until he goes to visit his family in the US. One cancelled, three to go. Our first case of the day was a more complicated Clubfoot. The patient only had 4 digits and upon close inspection of the X-rays it showed a fusion of the heel one to the bone that forms part of the ankle-Talus. We got a good correction after a fusion on the outside of the foot and removing a deformed bone that was in a very bad position. We hope she does well but will likely need more surgery down the road.

 Our other two procedure were rather quick, with the exception of the last case of the day. Anesthesia planned for giving medicine to make them sleepy, the we would give local anesthetic, many of the drugs were not as effective as they possibly could have. The local anesthetist seemed to think it might be that that patient drinks. She told us that in many families it is not uncommon for younger teenager to drink and that may have been the cause of the medicine not doing everything optimally.  Amazing.

 After a good surgery day, we started packing up our equipment and set up our wall of donations. Jason and Kristi focused on the inventory, cataloging and photographing all of the generous donations including MTF Bone graft, BME speed staples, screws and plates, surgical instruments, boxes of gloves, fiberglass cast tape, soft roll, wound dressing supplies, Stryker power sets, anesthesia supplies, suture material, OR start sets, drapes, gowns, Ankle foot orthoses and much more.

After a successful pack up and afternoon rounds we went off to the Grand Norling, some of us went swimming while some were still finishing up to NOH. We met up by the pool and Jason started playing his guitar. The guitar playing went from entertainment to a sing-along where the songs ranged from Nirvana, Bush, Don McClean, Journey. It was one of the best team gatherings I have ever been on.

Until tomorrow
Peace, Dr. Jennifer

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