Mon Feb 01 09:20:54
Subject: Today's oxygen
I am pleased to report that the rush to the OR is slowing. We are moving from major ortho cases to wound care.
Today we will do only 3 major ortho cases; the rest are wash outs and skin grafts.
Patients and staff are tired. They are 3 weeks into the earthquake and their injury. Many have undergone several operations. Each time they wake up they have lost (literally) another piece of themselves. Tears flow easily, and for good reason.
We are doing our best to use sedation as much as we safely can. In addition, we are working hard to get wounds clean enough to graft so that these folks do not have to return again to the OR. In addition to morning rounds, we conduct "wound rounds," during which one of our Anesthesiologists and Surgeons change dressing and tend to wounds. This allows us to plan wound care going forward and to provide sedation, especially for the children. Our Anesthesiologists are getting rather good at wound care.
Today's OR cases range in age from 2 to 36. While we have done older people, many people here are young, and we have been told the average life expentancy is 52 years.