This is the left hand of a patient with amniotic band syndrome.
Strands develop in the amniotic fluid and wrap around the developing fetus. These bands can cut off the circulation to body parts and cause indentations and amputations.
This is the patient’s right hand. All of the bones of the wrist and fingers are present and have developed, but the skin over them was fused together. The surgeon was able to free up the patient’s thumb on this hand giving him better function.
One of the anesthesiologists pulled these separates off the scrub rack and scored fashion points today.
All 19 of today’s patients are all tucked in for the night. This baby who had a cleft lip repair is wearing no-no’s. They keep the baby from bending the arms at the elbow and putting their fingers or hands in the mouth and damaging the surgical repair.
The ruins of San Jose.
Tomorrow is our last day of surgery. There were fireworks in the central plaza tonight in anticipation of tomorrow, July 25th, St. James’s Day. He is the patron saint of Guatemala.