Monday, March 14, 2016

Broken Bones and Birthdays in Balfate

Today marks our first day in clinic and the operating room.  Clinic began by setting up our "electronic work station" to organize patient care and interact with the hospital's own electronic health record.  Through modern technology and wifi access our team can keep patient records and operating room schedule whether in clinic or the OR.  Our team in full is below: Isaac Bohannon, MD (Head and Neck Surgeon), Ben Rubinstein, MD (Resident), Kaalan Johnson, MD (Pediatric Otolaryngology), Malika Atmakuri, MD (Resident), Sapna Patel, MD (Facial Plastics Fellow), Joshua Kennedy (Scrub Tech), Angelique Berens, MD (Resident - not pictured, photographer).


First case of the day was management of a three month old mandibular fracture.  Through generous donations the hospital had enough equipment to assemble a respectable mandibular fracture instrument tray as pictured with Joshua and Angelique in the hospital instrument room.









The case was obviously very challenging to achieve adequate occlusion, but at the end we were ultimately very happy with the outcome as shown below, as Dr. Moe would say - that's PDG (Pretty Darn Good).  We decided that the ideal approach would be to use wires for 2 weeks and then to switch over to rubber bands, but an exhaustive search of the hospital left us empty-handed! Imagine our surprise, or lack thereof (for veteran volunteers), to learn that a team of dentists were planning to arrive in 2 1/2 weeks and would bring dental rubber bands!

At the end of a successful day we had time for a quick run to the beach.  Lucky for us the beach is just a short walk away in the sweltering heat, making a quick jump in the warm waters of the Caribbean a perfect end to a perfect first day.

  

We were also able to help Ben welcome his thirties in style.  Josh, our scrub tech, singer (skills TBD), pastry chef, and human selfie stick, made delightful "Buckeyes"- sugary peanut butter balls coated in the finest 72% dark chocolate that Honduras had to offer. Although someone liked them a little splotchy (cough cough, Dr. Johnson) and we forgot matches- the celebration was a success!



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