Bragging rights

Well, I guess that being 81 now, I can brag. I do that in some arenas/situations, but If I didn’t put it to print, nobody would know and or care. So, lets take your mind on a little trip. I know I can’t finish this in one setting, and the reason I’m propelled to now is that I have developed a mallet finger in each hand. Only started 3 weeks ago, both at the same time. I’ve done a little investigation as to the cause and there are so many inter-related, I just quit and got an appointment with a hand surgeon today. 3/19/2019.

I think I have written enough about my training and medical experiences to go ahead and put it out. There are 3 people alive that I know who can attest to the veracity. So…you know, or know of, a surgeon who has done (think of all the specialities) I have succesfully performed the following proceedures in my 40 yrs of practice. I do tell that I had medical training starting in highschool and in college. I practiced as an ER physician all thru my medical school times, and I saw patients as a primary physician when a doc would be sick or go on vacation. That started my first day in Med School. My dear friend Myron Howell, sat next to me every day in med school. He asked me if I wanted to moonlight…I’m country…I didn’t even know what that meant. So I would go maybe several times a week across the George Washington Bridge in Philadelphia to a small hospital on Black horse Pike in New Jersey. They did surgery on occasion, in the kitchen of the house (that was the hospital). The floor was flatted boards like in a bar, and we scrubbed for surgery at the kitchen sink. This hospital became part of Cherry Hill hospital in NJ.

Venous access by any design, Saphenous ligation and stripping. Ablation of some veins chemically. Repair of A-V fistula.

: Appendectomy, partial small bowel resection due to loss of blood supply and congenital deformities and torsion etc., total and partial colon resection, with and without colostomy, assist on ileal bladder procedure. Endoscopic appendectomy. Endoscopic tubal pregnancy.

tonsillectomy tracheotomy, thyroidectomy, removal of thyro-glossal cyst, repair of parotid duct, removal of parotid duct stone, myringotomy, excision of thyro-glossal cyst. Significant head and face lacerations that required plastic procedures as necessary

 

I have delivered a baby: by normal head presentation. :by facial presentation and by breech: by C-section Vertical uterus incision and Low transverse cervical incision

:Hysterectomy, abdominal and vaginal, salpingo-oophorectomy. Endoscopic…appendectomy, tubal-pregnancy.

:Cystoscopy, removal of ureteral stones, removal of large bladder stones, Transurethral prostatectomy of prostate, trans-cystic prostatectomy, retro-pubic prostatectomy. Undecended testicle, Orchiectomy, surgical therapy for penile glans urethral opening. Male and female sterilization procedures.

Nephrectomy, adrenalectomy, nephrostomy for drainage and renal pelvis stone. Removal of bladder stones by cystoscopy and litholapaxy. Repair of hypospadius in a child.

Cholecystectomy, right subcostal incision, right of midline vertical incision, endoscopic. common duct exterpation of stone. Reux en Y procedure to connect jejunum to common duct of liver, with alteration of intestinal and hepatic flow. Total and 2 more different type of gastrectomy, Rigid gastroscope, and flexible gastroscope. Placement with endoscopy of PEG tube. Colostomy, Repair of perforated esophagus (from endoscope), Gastrectomy: several types. Endoscopic treatment of Barretts esophagus.

Hernia…repair of ventral, inguinal, umbilical, post-surgery abdominal hernias. Repair of undescended testical. Marshall-Marchetti bladder suspension. Repair of cystocele Repair of diaphram hiatal hernia.  Excision of episacral lipoma and closure of fenetration.  Treatment of Jeep Riders Disease. Orchiectomy and removal of sac around testical and closure of the hernia to the abdominal cavity.

Different types of skin grafting. And different healing techniques, but immediate closure, by primary or secondary intention, and plastic proceedures where indicated, including z-plasty. 

Set a non-surgical fracture…tarsal, metatarsal phalanges, wrist, radius, ulna, humerus, femur, tibia, fibula and nasal. Plate and or nail and or screw fixation of Hip, metacarpal, patella, tibia, fibula, femur, phalanges, radius, ulna, elbow and shoulder.

Repair of double flexor tendons of palmar hand 4 fingers. Repair of proximal biceps tendon of shoulder. Surgery for Carpal Tunnel syndrome.

:Orthopedic surgery of all of those above, and include talus, navicula and calcaneus. Surgical repair of fractured hip…including Smith Peterson nail, zickle femoral fracture. and .Austin Moore Femoral head fracture……….., plate of fracture metacarpal. reduce dislocated carpal bone. excision of Mortons neuroma, excision of halix valgus. Internal and external fixation and reduction of fractures.

Rush pin procedure on radius, humerus and distal femur fractures, and a crushed calcaneous. Special surgery for congenital torticollis.

:Reduce dislocated…finger,Toe, thumb, knee, patella, femur, shoulder’

: Placed thoracic chest tube for collapsed lung, aspirated chest fluid, placed subclavian catheter, placed cardiac subclavian pacemaker catheters, performe emergency thoracotomy for open chest CPR, perform thoracotomy for perforated esophagus. Pericardial tap for blood and stab wound of heart

Performed spinous tap adult and infant. Performed Seldinger technique aorta catheter for radiologic study of kidney.

:performed open laminectomy for ruptured intervertebral lumbar disc.

Total anesthesia (gasseous and iv) in emergency surgery for vehicular rupture of bladder. Direct local anestheis block of scalene nerves for arm surgery (both by me)

Yes!  I have done all these procedures and more than my brain won’t let me remember.  It was a wonderful life.  After moving to Tampa in 1971, the referring men would use me full speed and hard work for about 6 weeks, then they would take post op care of their patients and give me a nice time for vacation or breather.  I got to see and experience the Real Florida…without snowbirds and school busses and wrecks on the three bridges across Tampa Bay.  And, perhaps above all…I never knew what I charged for Any of the proceedures.  I knew that if I was working, I was making money.  And that is another story.

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1 Response to Bragging rights

  1. Cherie L. DeBevoise says:

    WOW Bob you have done it all and now have the memories….and memories of your time off, knowing you did a lot of scuba diving and more adventures and are still traveling for more pleasurable adventures….

    Take Care,

    Cherie

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