James here...I was finally able to get time to do a make-up week in Charlotte now that my brain is no longer trying to fall out of my skull (see previous posts). Dr. Hsu was gracious enough to let me crash at his place for the week as we had a high yield week ahead of us. Each day was different and allowed me to experience a different type of practice than what he and I shared when I was a resident with him in San Antonio many moons ago.
A group shot of the department after morning report.
Each day started off with morning report and then to clinic on Monday where we saw a slew of new patients for treatment of their nonunions and osteomyelitis as well as more complex followups to include acute subtalar arthrodeses for intraarticular calcaneus fractures and proximal femoral lengthenings for a short transfemoral amputation with intentions to perform osseous integration. After clinic I was allowed to sit on the department's Clinical Competency Committee meeting as I will still be intimately involved in resident education after my military commitment is fulfilled next Spring.
Tuesday and Thursday were OR days at the main operating rooms and the days were filled with some acute trauma but also some acute derotational osteotomies, deformity correction using the BANG technique (Blocking screw Assisted Nailing Guide), and nonunion repairs. It just so happened that Dr. Hsu had set up a circular external fixator course for his residents on Tuesday and Thursday night that Dr. Brighton and I helped teach.
Wednesday was a real treat as we had an OR in same-day surgery and saw nonunion repair techniques with small incisions that allow for patients to be weightbearing as tolerated and be discharged on the same day with astonishingly high union rates. The day ended with a reverse sural flap for a large anterior distal 1/3 soft tissue defect which was very high yield. That evening culminated with a trip to the Charlotte Motor speedway!
Friday morning was an early trip back to the airport and flight home to El Paso. All in all, it was an outstanding week and I got to see everything that I wanted! Dr. Hsu has a very unique post-traumatic and limb deformity practice that I highly encourage future LLRS Traveling Fellows to see.
Thanks for checking out the blog and I hope to see you all at the LLRS Annual Meeting on July 17-18, 2020 in New York City! https://llrs.org/