Monday, September 8, 2008

PreOp Afternoon

The Crew Getting an IV started. It took doppler radar to get it done!

We are presently in the surgical prep room for them to take Sharon to the OR for her surgery. We came in at One o’clock as requested and now are waiting for them to take her back at the appropriate time. It may be closer, but she is on the schedule for 6 PM. I just took a little break and went down to check on Bulli and to make sure the generator was still running. He was OK, the generator was OK and we all had a needed little break from this Non-routine routine!




Dr Emerson drops by before surgery to discuss plans



Dr. Emerson came in right after we came into the room. He was between other surgeries and stopped in to say Hi and to let us know what they had found out. The cultures of what they aspirated last Friday have grown some “Stuff” Instead of finding the bacterial growths they had expected, they found a fungus being cultured. That leaves a lot of questions about treatment and other possibilities. Bottom line is that we will most likely be here a lot longer than we had planned. He said that in his 25 years of practice, this is only the fourth case of fungus they have seen. There is no indication where it may have come from or, really, just how to fully treat it. It is NOT an easy thing to get rid of. They have a top notch internest and infectious disease doctor already working on it. She is supposed to drop by before the surgery to discuss an outline of treatment. As Dr E was leaving, he smiled and looked back in and said that he wished Sharon would quit trying to be such an interesting case and just settle into another dull, routine boring one! I think that pretty well said the whole thing!







The nurses had a terrible time (read that painful for Sharon) getting the IV into her. They finally brought in a device called a VeinViewer. It is a Doppler radar unit that lets them look into where the veins are. Once that was brought in, a connection was made rather quickly. It was rather funny, in some ways. This is a new machine for the floor here and there was only one training session on it but not many of the nurses were able to attend. One of the nurses that was trained came in and made the insertion. There were seven nurses in getting trained on the use of it while she was working. Heck, with THAT machine, I could have done it myself! This Doppler is the same technology that is used to show you the inner disturbances on the weather on TV. Kinda’ neat! Does that mean that Sharon is all stormy? [:D]

Dr Barrington just came in. He is one of Dr E’s young partners. Dr E is in another surgery and Dr Barrington is going to begin the opening and will have everything ready for Dr E to come in and get to the real work of the prosthesis removal and the build up of the temporary spacer with cup.

Anesthetist came in at 4:15 and gave her the required cocktail and hauled her away.

More to follow when the op is over later tonight. Could be a three hour op. Time to get a little lunch for Bulli and myself!

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