Thanks to Dave giving anesthesia, we were able to do several cases today. I spent most of my time in clinic and we were able to finish with both clinic and surgery by mid afternoon.
|Long time friends Ed Miller and Terry Dietrich|
Shane and I made early rounds then Jeannie and I went to church. It was a very restful Sabbath. I finished reading the book THE HOLE IN OUR GOSPEL. It has really challenged me to rethink my entire decision making process and reassess my value system and priorities. It has also given me some good ideas about how to approach potential donors for our indigent patient program. Ed Miller arrived today. He is an orthopedist who lives in Northern California. He has been a good friend of mine since college days. We were orthopedic residents at the same time at LLU back in the 70's. Ed sent me the "hillbilly" traction that we can attach to our C-arm fluoro table. His wife, Nancy, was going to come down with him but had to go take care of her elderly mother who was recently hospitalized. Ed is a mechanical genius. He has a lot of interests including flying aerobatics. I'm looking forward to this week with him.
I learned something very interesting about the 12 y/o girl who was transferred here with the femur fracture a few days ago. Apparently she was in the employment of a Haitian man as a sex slave at the time she was injured. I had heard that this sort of thing goes on here in Haiti. If her family was responsible for her being in this situation, she won't be able to go back to them. It is hard for me to imagine that this can actually happen. The grave reality of Haiti for so many children is sobering.
|Jake Ricks, anesthetist extraordinaire with his sister|
All of our elective patients came in this morning. I told them that we might not be able to do them all because of the urgent cases that had come in. Ed and I worked on the cases together and got them all done except for one. We will do that one tomorrow. Our long case was a bilateral clubfoot for posteromedial releases. I did one side with Ed helping me and then I helped him do the other side. It was fun working with him. He is a very good careful surgeon. We have also been having to deal with a problem related to our generators. The two generators are being alternated to avoid overheating. Our third generator blew up a few weeks ago from overheating and now precautions are being taken to avoid that happening to the other two. Unfortunately, the decision is being made to randomly rest the generators which means that the power goes off in the ORs unexpectedly. We have the inverter in two of the ORs which will run everything except the air-conditioning. If we are doing a big case, it becomes insufferably hot especially if the C-arm is being used and we are wearing lead aprons. Randy our electrician finally helped convince the people making the decisions that the generators could be used continuously by alternating them during the working day and letting them rest if necessary at night while we are sleeping. The powerhouse people were ordered by administration to not turn off the power while we were still working in the OR. They are to come and ask when we will be done so that they can plan how to rest the generators as necessary. I hope the administrative order is followed so that we can provide proper care to our patients.
We got more information about the 12 y/o girl with the femur fracture. Apparently the family has more children than the parents are able to care for. She was "given" to the other family to be cared for. No money apparently exchanged hands. Whether the family knew what was going on or not is not clear. A cousin of the girl's mother has been by her bedside almost continuously. She is willing to take the girl and care for her.
This may have been our biggest clinic ever. I worked steadily through the day with ZJ and Matt helping. Ed was busy with cases much of the day but was able to come to the clinic and help for a few cases in the mid afternoon. I had hoped to finish before 5 pm but finally finished taking care of the last patient well after 6 o'clock. It seemed like there were an inordinate number of patients who
|Matt Jenkins a Temple general surgery resident with the Ricks, Ed Miller, and the Dietrichs|
A team led by Ernie Schwab is here from the School of Allied Health of Loma Linda University. They are exploring the possibility of settling up a formal degree program for areas of therapy. This presents a great opportunity to perhaps formalize our Ortho Tech training program. Ernie and I arranged to take his group and our orthopedic team to the Auberge for pizza. Several of our translators came with us. I fired up the 'tap-tap to be' pickup and the whole crowd of 13 jumped in or on and we bumped our way to the hotel. The fried plantains and pizza and peekleez were outstanding as usual. Ernie and I got acquainted and had a good talk about the teaching program and how it might be accredited. It was a delightful evening.