dre dawg

Dr. O and I blocking the popliteal nerve

From this side of the ether screen:
Day two of operating is in the books here at HAH.  No clinic today for the orthopods, which meant that we could get through some serious cases in the OR with Drs. Herzenberg, Delanois, Dietrich and the fellows that are here.  So we fired up early, with cases that are now blurring in my memory.  Dr. Sauter popped in spinal after spinal and took care of many of the adults.  Incisional biopsies, knee arthroscopies and the full range of adult orthopedic care.  Dr. O'Loughlin is a master of the pediatric neuraxis.  Caudals, caudal catheters confirmed by fluoro, and spinals that lasted the full duration of the complicated orthopedic reconstructions that Dr. Herzenberg undertook in OR 2 were placed and secured with smiles and good humor.

My trusty sonosite nanomaxx
that almost didn't make it past the TS

It was a fulfilling day for me as well -- I powered up the Sonosite Nanomaxx and put in a femoral nerve catheter on one patient who underwent a tumor resection from around the soft tissue of her knee and then a popliteal catheter on a teenager who had a unilateral club foot repair.  Good, good times!  I'm stunned at some of the medications that I have the priviledge of administering to my patients here.  Clonidine, an adjuvant for regional anesthesia, is well known to increase the duration of a nerve block as well as enhance the quality of the block.  And clonidine is available here at HAH!  So all of the block patients received 2mcg/ml as part of their block and looked very comfortable when we tucked them in for the night.
Another day awaits tomorrow.  The team is great.  The HAH staff is welcoming, supportive and incredibly helpful.  And the patients are the best of all.  The trust they put into all of us is palpable.

Five Stars at the Adventiste

Arup De (aka Dr. Dre,aka  Dre Dawg)