Hey guys! Just a little update on my summer, sorry I haven’t
been very active on here, I have just been crazy busy. Time is literally flying
by, I cannot believe it is almost July. Working here at Rood and Riddle has had
its ups and downs. Even though I’ve been here since May I am still learning new
things every day, so I’m not as efficient as the other technicians but I’m getting
there. I have learned a lot about technical things such as instruments,
machines, and suture material which will be helpful for clinics and the rest of
my career.
I am now consistently taking cases as a technician, which is
very stressful because I don’t want to upset the surgeons. Like I said before there
is a lot to know and every doctor does things differently. Since I am new to
all of this I mainly help with transphyseal screws, arthroscopies, and colics. The
more advanced surgery technicians are in charge of the more complicated
surgeries such as fracture repairs and arthrodesis. Therefore I’m seeing
similar surgeries every day, which to me is great, I am getting more and more
comfortable with them each day.
With that, I am going to go through what a transphyseal screw
(TPS) placement surgery looks like. First we start by prepping the leg, every
surgeon is different on how they want it prepped. For example some have you
clip with a 40 blade as others prefer a 10 blade. Prepping the patient for this
surgery includes clipping, a rough prep with chlorhexidine and alcohol followed
by a sterile prep. The prepping takes places in what they call the transfer area
which is right outside of the operating room. Once you are finished prepping
you will roll the horse into the room and hoist the leg and position the light
on the surgical site. The surgeon will then drape and begin the surgery. He starts
by making a small incision and then uses a drill bit to create a hole, next the
a drill bit is inserted through the drill guide and the drill bit is advanced
through the cortex. Most often 3.5 mm screws are placed in these foals. Once
the screw is placed, digital radiographs are taken to insure that the screw was
placed in the correct location. The incisions are then closed and bandages are placed.
As a technician you are then responsible to take the horse to the recovery
stall and page for a recovery person to take over your patient.
The purpose of the TPS placement is to correct a foal with
angular limb deformity. This condition if left alone can cause lameness and affect
a horses performance. Therefore, for sales purposes excellent confirmation is
needed.
Let me know if you have any questions! I am still enjoying
beautiful Lexington and don’t want to leave anytime soon. J
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