Saturday, October 19, 2013

Day 2 Oct 19, 2013

So we are off to an inauspicious start.
Due to some difficulties with customs, (apparently forms have changed and with a new government in Mexico City there is not a lot of "give" in the system), we were unable to bring in the replacements for the knee implants we used last spring. The implants are in the boxes back at the SJRI office in Nashville.  When the advance team arrived last Sunday, they spent 3 hours with 7 customs agents going thru 3 suitcases. Several saw blades and some antibiotics were confiscated, so we decided to not risk the replacement implants.  That leaves us with a dilemma, 25 patients scheduled but not enough of all the sizes to cover them.  Yesterday, MB, Matt Lowe, Drs Curry and Nelson and I went thru the available  implants and cross referenced them with the templated sizes for the scheduled patients. We scheduled cases based on their sizes and implant availability.  If the sizes match the templating, we should be able to  get 19 cases done. As it turns out, the sizes we used in the spring were a size larger than the ones scheduled, so it looks like it may work out! Talk about good karma!
Matt Lowe inventory specialist
Drs Dan Nelson and Scott Curry figuring it out
We are half way thru the first day and things are going well. We've used sizes that matched the expected, the OR's are COLD (God Bless) and there has only been one sterilization glitch. It is wonderful to see all the work from previous trips paying off.  Friendships are renewed, lessons reinforced, the patients are doing well. I am typing this in clinic (my favorite place in the universe, as most know) because I am connected to the internet! Wonders every single day.... Getting my Mexico Zen going. Lots more to tell soon.

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