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Creative Ways to Save Money in the OR - May 2016 - Subscribe to 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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M A Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 4 9 Before You Complain, Count Your Blessings Fresh off a service trip to Nicaragua, my ORs have never looked better. CUTTING REMARKS John D. Kelly IV, MD B efore you complain that your OR start is delayed, try cutting screws with bolt cutters or operating without X-rays and drills. Before you complain that the block team had to be paged twice, try placing an IM nail into a femur without the aid of fluoroscopy or hand- drilling a tibia in order to apply an external fixator on an open fracture. Before you complain that the wrong size cannula was opened, try using an IM nail in a humeral nonunion because there aren't any com- pression plates and screws available. Before you complain that the pump pressure was set at 50 instead of 40, spend a week at El Antonio Lenin Fonseca Hospital in • MISSIONARY WORK Dr. Kelly (second from right) and his wife spent a week in Managua, Nicaragua, with the orthopedic doctors of El Antonio Lenin Fonseca Hospital. John D. Kelly IV, MD

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