Friday, July 19, 2013

Day 25: Borex the Broken

In a previous post I detailed the P. Horse, named Borex, who had broken his leg dancing with a fence. This morning, Borex was scheduled for surgery. Thankfully I was going to get witness this procedure. A specialist from tOSU was driving in from Columbus for the procedure.

Shortly after my arrival, the specialist parked outside of the clinic. She entered the glass doors of the clinic with her team in tow. Each member of her three person team carrying a blue tub brimming with medical supplies. Bandages, wraps and surgery packs peaked over the edges.

The Specialist reminded me of a composite of several female authority figures I have known in my life. Her hair and voice reminded me of my Sunday School Principal. She said things to her staff like "Whatevski" and  "Val, let's get going here. Preppy preppy preppy" to indicate she was in a hurry to get the procedure started. The physical presence was that of my elementary school gym teacher, demanding the respect of her young charges.

Once the anesthesia took hold and the x-rays had been exposed, The Specialist devised the plan. Her Resident, whom she named 'The Pride of Bali', began by gathering a bone graft from the hip bone opposite the bad leg. The process reminded me of gathering the hard to reach ice cream from the corners of the carton. Perhaps because the tool used was similar to a mini ice cream scoop.

After a sufficient amount of bone material was obtained, it was time to move to the broken leg. At this point, The Specialist was ready to enter the surgery. She skillfully directed her team while her experienced fingers probed Borex's wound. In a few minutes, she had removed the proximal sesamoid bone.

Placement of the bone graft by The Specialist was followed by packing antibiotic beads into all the nooks and crannies around the wound. The whole thing was wrapped up tight and phase two of the treatment plan began. It was time for the insertion of the pins.

I have never seen pins being drilled into a bone before today. I was surprised when The Pride of Bali pulled out a sterilized DeWalt drill. The battery could not be sterilized so it was wrapped in latex gloves with a towel on the outside. In short order two long pins were inserted into the radial bone of Borex.

Highlight: During the casting of Borex's leg, one of the Zoo Keepers inquired about the difference in casting wrap size in each of the three layers. The Specialist's Vet Tech quickly answered, "We do it that way because that is how Big Momma likes it". When the laughter died down, The Specialist enlightened us to the real reason. When casting a limb, a smaller width wrap is used closer to the skin to allow smooth coverage of the contours. With each layer further outward, the width of the wrap is increased to provide better support for the limb.

Lowlight: What Lowlight? I got to spend the day in the clinic!


  

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