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Location: Independence, Missouri

Wednesday, September 20, 2006

North Of The Border---September 20, 2006

Here it comes again! It dipped down into the 30's today (39 degrees this morning). I will be shoveling snow again before you know it.

Sorry I have not written in so long. I have been swamped. The hospital in Pittsburgh that I am visiting next week gave a WHOPPER reading assignment. I was told to be very familar with all current literature published by their residency which seems insurmountable. I decided to limit my self to articles to 2004 and later (which is still extensive). I hope this will suffice. They also said to be conversant in all foot and ankle surgeries. This residency emphasizes in rearfoot (heel) and ankle surgery which we have not studied as much at school to this point. We have studied most of the forefoot surgeries (bunionectomy, arthroplasty for correction of hammertoes, neurectomy, etc.) as well as some plastic surgery procedures. I have even performed many of the surgeries on cadaveric specimens. But the ankle is a whole new "ball of wax". The attending physicians in Pittsburgh are principle authors for the patient care guidelines concerning ankle and heel surgery. In other words, they wrote the book. So I have a lot of cramming to do. I am also trying to complete Dror Paley's textbook on lower limb deformity correction as additional outside reading. Dr. Paley is a GENIUS orthopaedic surgeon in Baltimore and is without a doubt the authority on external fixation in this country. Check out his website at http://www.lifebridgehealth.org/sinaibody.cfm?id=1754. Anyhow, the Western Pennsylvania Hospital orignially invited me to evaluate them, but this seems to be turning into an opportunity for them to evaluate ME. I fly to Pittsburgh next Thursday.

I am also considering writing a paper, perhaps on gangrene. I would like to get published before I graduate, but we will see how it goes. There has not been much written on gangrene in the past several years.

Mom was up for a visit over this past weekend. We went to the outlet mall in Williamsburg, Iowa, last Saturday. After that, we drove up to Amana, Iowa, to see the Amana colonies. The Amana colonies are a German settlement near Iowa City. They have lots of little shops and such. It is a lot like Silver Dollar used to be, but without the rides. There is an authentic bakery, smokehouse, winery, and so forth. We had supper in an authentic German resturant that evening. I had one of my favorites---a Reuben sandwich.

Cheryl is doing well with the physical therapy. Let's keep our fingers crossed.

All is well. I hope you can say the same.

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