{"content":[{"text":"Our student leaders, Tanner Gregory and Selvin Villeda did a masterful job of coordinating the \n students’ schedule, aligning their interest with the provider skills represented on our team. Dr. \n David Gregory, a dentist; hygienists Jasmine Gregory and Lisa Sarrett taught not only many of \n the students, but provided additional training for our Guatemala dental team. Dr. Collin Bills and \n Dr. David Gilliam, our orthopedic surgeons for the week, had no surgery scheduled for the day, \n but a long list of patients to see and schedule over the next few days. They worked in consult \n with Dr. Christina Frohlich, a physical therapist, who was able to provide PT care when surgery \n was not needed, or not an option. All three were shadowed by interested students. \n And lastly, our eye surgeons, Dr. Lee Coleman, Dr. Anne Henzel and Dr. John Shipp had a bevy \n of students, enthralled, excited and enthused over their opportunity to observe them delicately \n working with a surgical microscope to remove cataracts and insert lens implants that will restore \n sight and hope. The students learned how a patients’ vision was evaluated with the aid of a slit \n lamp, how an A-scan aids in the diagnosis of the best lens implant and the process for prepping \n the patient for surgery with drops and an ultimate anesthesia block. Our patients were not the \n only ones for whom, “the light came on.” In many cases a new career path was laid out for these \n students. Such was the case for Jessica Lovelace, an ACU student on 2015 trip who came down \n as a nursing major, actually graduated with her BSN in May of 2015, but her time at Clinica \n Ezell convinced her to return to school this year and follow her dream of becoming a physician. \n As soon as she completes the prerequisites for entrance to medical school, she’ll begin applying \n for admission. Dream defined, dream pursued…and others dreaming with her. \n Monday was our first full day of surgery with seventeen eye and six ortho cases scheduled, but \n within a couple of hours it was clear that we’d need to move some ortho cases to Tuesday. The \n Arthrex rep arrived that morning with the instrument sets we needed for ACL repairs, the second \n year in a row that we were able to provide this type of surgical care. The ortho room began with \n a ganglion cyst before tackling the ACL repair, and even then had a delay when it was \n discovered that the instrument sets, already sterilized when brought down by the rep. had a \n puncture in the wrap and were in fact, not sterile. We went to plan B and moved the knee case to \n the afternoon. \n Our equipment for the ACL repair had been tested out on Sunday afternoon, light source, \n cameras, scopes and monitors and all were working fine. However, the light source began \n overheating and shutting down, so a spare was quickly put in place and the room filled with \n student observers intrigued by the use of the surgical scope and mapping out of a strategy. Once \n the knee was opened and a tendon harvested, measured and predrilled, the implant screws were \n readied and the repaired tendon was affixed with the implants. . \n Eleven hours after surgeries began, our three mobile teams had safely returned and twenty-one \n surgeries successfully completed. Supper and a devotional thought by Dr. David Gregory were \n still to come.","bbox":{"left":0.117647,"top":0.088742,"width":0.7607839999999999,"height":0.737334}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}