The hall outside the clinic was more crowded today than I have ever seen it. There were a huge number of clubfoot cases. Dr Bob Cady was here to supervise. Things were very crowded so we split up and started with OR cases as well as the clinic. Brock began with the patient with the very comminuted intertrochanteric hip fracture. The fracture table was a big help. He did a really good job on a tough case. I am very impressed with him as an orthopedist. He takes his time and does thorough evaluations of patients in the clinic and is skilled and confident in the OR. I really enjoy working with him.
We scheduled 10 cases today and were able to do them all. Adeel had a great time working with me on the patient with the malunion of a tibia fracture that occurred in the earthquake. We put on a Taylor Spatial Frame and osteotomized the tibia and fibula. We’ll get her x-rays and measure the mounting parameters and deformity. Then we’ll get her prescription for adjusting her struts. I really enjoy doing those cases. The patient with the infected tibia was also a very good case. We removed his SIGN nail and made an antibiotic coated one that we put back in after reaming the tibia several more millimeters. Both Jonathan and Erick helped us either running the C-arm or helping with anesthesia observation.
The Friday clinic was bigger than usual but was handled very efficiently
|Hybiscus flower in Kenscoff|
We also had 5 more cases scheduled that Brock and Adeel and I were able to get finished by midafternoon. Our daughter, Summer, and her husband, Tim, arrived in the afternoon. It’s great to have them here. This has been a very good week. We have been able to do 32 cases and see a lot of patients in the clinics. I suggested we go on an outing up to the high country around Kenscoff tomorrow and everyone is interested. The heat and humidity here in Port au Prince has been very much on everyone’s mind this week. Emanuel is going to find a driver who will take us tomorrow. I asked him to try his best to get us a decent vehicle that will be reasonably comfortable. We have an early morning dressing change under anesthesia then we will head for the high country.
June 25, 2011
We got the case done early, made rounds and piled into the vehicle that Emanuel had arranged for. Our only ER case of the week came in just then. Fortunately it was just a clavicle fracture so it didn’t slow us down much. JJ wasn’t able to come but three of the other translators came. There were 12 of us besides the driver. The traffic was pretty heavy through downtown and Petiionville but then thinned out. Parts of the road to Kenscoff are heavily rutted and it is quite steep. A 4 wheel drive vehicle would be a must to do that road even infrequently. It was a bit cooler already as we passed through Petionville and steadily got better as we got higher.
|Enjoying an outing to Kenscoff with the Cummings team|