NPO U

So, here's something new.
I had to look this up.
The Rad read this as "post maxillary LeFort BSSO".

A quick google -"Surgery to the maxilla is carried out at three levels named after a French Surgeon René Le Fort.

The Le Fort I osteotomy involves separating the maxilla and the palate from the skull above the roots of the upper teeth through an incision inside the upper lip. The maxilla is fixed in its new position with titanium screws and plates. Surgery time is around three hours. The operation is frequently carried out with the mandibular Sagittal split osteotomy when it is termed a Bimaxillary Osteotomy.

Bimaxillary osteotomies take around five hours to complete and may be carried out in conjunction with chin surgery and liposuction/liposculpture. On occasions bone grafting is required in the Le Fort I osteotomy to ensure bone healing and union across the bone cuts. The graft is frequently harvested from the hip. Bone graft material may be harvested from the chin or lower jaw in bimaxillary cases – leaving the hip intact.

Cosmetic improvement is startling for those individuals requiring these procedures, and with proper planning it is unusual for patients not to be delighted with outcome.

Interesting.....gross, painful, but very interesting.

Ouch.

NPO 4 U!!

Doctor Blue

Mr. CP died on Monday. I guess he wasn't one of the 20% that survive.

Two things you should know about my hospital, before I start my story.

• After 8pm we are not allowed to page overhead.
• I've worked here 4 1/2 years and we have had 3 Dr. Blue codes.

So, on Tues. at 10:28, 2 mins. before my shift ends for the night, I heard a frantic page-"Doctor Blue to the ER! Doctor Blue to the ER!"

Yay! something exciting to do. So I hurry to grab a cassette, grid and turn on the portable machine. Rush to the elevator, push the button...wait....wait....wait...ding!...rush into the elevator...wait...wait...ding!..rush out of the elevator into the ER.

There are three disembodied heads peeking out from between the curtains of exam rooms 2,3 and4. The patients are all goggling at the trauma room, so I head in that direction.

I push the portable machine and drag the EKG machine in my wake (this is a skill:driving the port machine and pulling the EKG machine at the same time, I usually end up running over someone or bashing my heels with the EKG machine).

When I get to the trauma room I see: A man in blue jeans, lying on the floor, spread eagle on his back. Nurse Bumknee kneeling by the pt's head trying to get O2 tubing attached to a tank. Dr. Blackjack kneeling and talking to the pt.

Nurse Sunny, who is 9 months pregnant, comes in behind me and grabs supplies to start an IV in the pt's left arm. A couple seconds later, the lab tech arrives and kneels down to take blood out of the pt's right arm. The pt is surrounded, swarmed and I have to straddle the pt. to get the EKG stickers on his chest.

EKG:normal. And five minutes after all the excitement the ER is back to normal too.

It was fun while it lasted!

Painful Pictures

This is some of my work.

This is a hand x-ray of a football injury. Owwww! Right?


This is easy to fix - just pop the finger back into place. Well, not easy for the person attached to the finger, but....


This is a little hard to fix. Super painful! An example of - Why you shouldn't play with fan belts.

They amputated the end of this pt's finger. Yuck.