Day two at the Hospital General de la Plaza de la Salud started early with morning rounds at 6:30AM. We examined all of our post-operative patients and explained the plan for their recovery and rehabilitation.
Dr. Thomas Thornhill (far right) leads a team of surgeons, physicians, nurses, therapists and medical students on rounds this morning.
Barbara Aggouras is an Orthopedic Nurse Practitioner at Brigham and Women's Hospital in Boston, and is in charge of managing the inpatients for Operation Walk Boston. In this photo she is following up on a patient's morning lab results on the computer, making sure that he is recovering appropriately after the physical stress of surgery.
After rounds the surgical teams proceeded to the OR while the nurses and therapists began working with the post-operative patients. One of the amazing things about joint replacement surgery is that even though it is a major operation, many patients feel better the day after surgery than they did the day before surgery. As hard as it is to believe, they are expected to be out of bed and walking on post-operative day one.
Pictured here is a 34-year-old woman with severe, untreated rheumatoid arthritis who had been wheelchair bound for several years when she presented to our clinic. She underwent bilateral knee replacements yesterday and took her first steps today with the help of our physical therapists.
While the nurses and therapists were hard at work on the wards, our surgical teams were busy in the operating room. We did 16 joint replacement surgeries today, many of which were bilateral, meaning that the patients had both their right and left hips or right and left knees replaced as part of the same procedure. Doing so allows them to only undergo one course of rehabilitation, and makes it possible for our group to operate on the maximum number of patients.
John Ready, MD (Orthopedic Surgery Attending at Brigham and Women's Hospital in Boston) and Forrest Schwartz, MD (Orthopedic surgery resident) complete the initial bone resection in a woman undergoing bilateral total knee replacements.
There will be more pictures and updates from our follow-up clinics forthcoming, so please check back tomorrow for some remarkable photos, videos and stories from our patients.
Forrest H. Schwartz, MD (Orthopedic Surgery Resident)