|Dror Paley (far right) and his team with Terry and Jeannie|
|A severe case of Blount's after correction|
|Dr Blake Stamper and his team|
Dr Paley also put an Ilizaroff bone transport frame on Sunday. He was here for such a long time with his ex fix and a wound vac to get his infected tibia to heal. He finally healed the fracture and the infection as well. His leg was very short so he was a good candidate for a lengthening. It is really gratifying to see the final resolution of some of these difficult earthquake cases, especially the ones who spent weeks and even months in the hospital and to whom we bonded.
Some amazing things happened today. I’ll get to them a bit later. Today the surgical load turned lighter since one of the big cases had to be canceled due to an upper respiratory infection. Dr Paley did a case of congenital pseudarthrosis of the tibia. He has a series of more than 90 cases. This condition has historically been one of the most difficult to treat in the field of pediatric orthopedic surgery. Even some recent reports in the literature indicate that the failure rate is very high in this condition with the amputation rate approaching 50%. Dr Paley has had no failures in his very large series. I did a couple of small cases today in OR 2 which has no AC. The best way to describe the experience is “unpleasant.” I won’t use the words to describe the experience in the worst way.
Scott took one of our Severe Blounts cases back to the OR today. He and Dr Paley did the case “blind” since our Carm is not working. The postop xrays showed several of the pins needed repositioning. That means that we will not do any more of those kinds of cases until the Carm is fixed.
|Dr Paley speaking to Societe Haitiani de' Ortopedie y Traumatologie|
|Dr Dror Paley, Dr. Nau, and Dr. Hans Larsen|
The whole team had a good dinner at the restaurant afterward. We all expressed our appreciation to each other for the opportunity to work together at HAH. All of the team members have a strong desire to return and do this again. Dr Paley and team live in W Palm Beach and it is a short trip for them. We made it back about midnight to find that Scott and Ben had worked on the C-arm after finishing the cases they took back. They re-soldered the wires(correctly this time), re-calibrated the potentiometer with an ohmmeter and it now works perfectly again. Praise God! Now we can go full bore again with our cases(if the AC ever gets fixed in room 2.)
We tearfully said ‘goodbye’ to the Paley team. They had an early morning departure. Our lives continue to be incredibly enriched in so many ways. The team members are very skilled and extremely hard working. Of course, meeting, learning from, and working with Dr Paley is a priceless experience.