Dominican Republic: Day Four - Day Five

Source: Blog Post

Day 4

Today was a long day of surgery over 10 hours. In all, 11 surgeries were performed ranging from congenital to multiple soft tissue reconstructions after machete injuries to the wrist and hand including tendon transfers, nerve grafts, and the rare primary tendon repairs. In addition, a chronic Monteggia malunion and subacute distal radius fracture were treated. Here, the attending team assembles for a brief pre-op conference discussing the cases ahead for the day.

Dr. Murphy seen here teaching the peace sign or checking dorsal interossei function to one of our younger patients ….or perhaps both.

Occasionally…the simple postaxial polydactyly in a young 3 year old….

Fiberglass being in short supply….it took a fair amount of cajoling to get this tough hombre to allow us to use the pink cast tape…..his wife loved it!

Attending Andy Tyser , MD of University of Utah brought the winter crud with him from the states…heads back to his backpack for another round of cough medicine…nothing slowing him down.

The Fellows and nurses on their way back to the hotel in their ‘carrito’…but not before all the ‘dishes’ are done for the day.

Day 5

Today was another long day of surgeries were ranging from multiple soft tissue reconstructions after machete injuries to the wrist and hand including tendon transfers, nerve grafts, and the rare primary tendon repairs. In addition, an ORIF of a Galeazzi nonunion and a wrist fusion were performed. Here the Curtis Hand Center team confers with the Chief of Anesthesiology prior to starting with the days schedule….

It helps tremendously if one comes bearing early Christmas presents for our island team members…..

Dr. Murphy seen here hamming it up with one of our younger patients before he heads into the pre-op area to be prepared for surgery….

First case of the day in OR 2 was a pre axial polydactyly Wassel V in a 52 year old female….

OR 1 started the day with a subacute / chronic Galeazzi and then moved on to a chronic Monteggia with an ulnar nonunion…just a potpourri of elbow, forearm, hand osseous pathology….

Thanks to the Baltimore Orioles and the Cincinnati Reds who have donated  caps and t-shirts over the years…which brings big smiles to the faces of the aspiring young  ‘major leaguers’….this young lad got a new baseball cap and a Johnny Cueto All Star t-shirt….

We made it out of the OR and back to the hotel in time to catch a few innings of the La Romana  Toros in the Dominican Winter League….for MLB fans,the Dominican  is very hi caliber ‘beisbol’ and many MLB players who ended the season on the DL play down here for various teams for 2-3 months on a rehab assignment before heading back to the US in mid to late  January to report for Spring Training.