Thursday, June 11, 2015

Another day, another free flap


Front of our hotel has some sample views of what can be seen in Nepal, peeking up alleys and around corners.  Beauty and colors!


Carving and details.



Flags and weather.


Driving in, we see many cows in the road - walking, sleeping, grazing.  They are considered sacred, and if anyone injures or kills a cow, it is worth 20 years in prison.  Pretty harsh, but at least it keeps traffic under control. 

Resurge support staff bringing snacks to the OR.



Clever tourniquet looks like a bicycle pump.



Flap number two today - rectus abdominus to anterior tibial vessels and defect.  Luckily did not have to do 7 hours of prone with make-shift padding again.



More beauty just outside the OR window.



Finishing flap; just needs skin graft to seal it over.



Sweet anesthesia assistants and anesthesiologist.



Small free standing machine; just like the Resurge design.



Walk around the corner of the hospital - lillies!



Tent encampment on the way home; one of many.  



Up to code?  This was my first thought when I heard of the earthquakes - all that wiring.



Many tall but tiny free-standing buildings.  Conserving space.



Down time at dinner!



Gecko visitor in my room.