Today was the first full functioning day at the hospital, given it's a Monday. We were packed. All clinics were packed and we ran two ORs all day. Ortho was relatively light in the OR. We had one case - a revision of an external fixator, wash out, and flap coverage of the open tibia fracture that had come in my first night. Dr. Thomas, a Haitian orthopaedic surgeon who trained with French surgeons in trauma for 6 years, also scrubbed. We got excellent alignment of the fracture and he taught me how to do a full thickness skin flap for coverage. It was amazing. I wanted to put a rod in the tibia, but he said the infection rates here in Haiti are too high. The patient will need a skin graft in a week
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