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Watch Your Step - May 2014 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 124 CUTTING REMARKS • The last detail. One poor chap had an extensive knee surgery for which I ordered a CPM (continuous passive motion machine). When the dutiful salesman delivered the CPM apparatus to the patient, he neglected to inform him to unlock his hinged knee brace before he started using the machine. As the patient kept dialing up the degrees of flexion, he didn't understand why the pain was worsening. Fact is, with a rigid knee brace in place, a knee CPM quickly becomes a hip CPM. This poor chap's hip got quite a workout. The only blessing was that his hip pain made him forget about the awful throbbing in his knee. •The $60,000 dollar question. I had the pleasure of repairing a massive rotator cuff tear in a 60ish-year-old gentleman. On his first post-op visit, still donning his sophisticated abduction brace, and appearing in minimal pain, I was caught off-guard when the patient asked: "Doc, is it OK to have sex now?" Well, I guess you don't need 2 arms, and I suspect his pain level was minimal. After some careful reflection (and imagination), I assured the patient it was OK … as long as he was careful. I have one thing to say: God bless him! I hope I have half his libido when I reach his age. A headache will stop me in my tracks — considerably less intrusive than shoulder surgery. • Philly's finest. Years ago I performed a major reconstructive knee surgery on a Philadelphia police officer. The surgery entailed a tibial

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