Current observed needs for surgical cases in the Clinic

From the Danville, PA and Kalispell, MT team:

- Good week this week, although not as busy as we could have been.  About 35 general surgery and gyn cases.  You should have Nicole down here advertise well in advance what services you can provide.  Again, Monday morning expect a lot of consults to see as the Dominican will line up early to see you.

-there are a couple of people with drains out there after mastectomy, amputations and large sarcoma resection of the leg.  they have been instructed to come in in a week to have the drains evaluated and removed.  Dr. Alvarez in the Clinic knows about them. Fair amount of GYN hysterectomies out there as well.

- any path reports that come back would appreciate if  you forward results and patient updates, concerns etc. to david.sheldon@mac.com   Thanks in advance.  Nicole has this address as well.

- some things you might think about bringing down to make surgical cases easier: 
     small hernia mesh
     tramadol or any narcotic tablets if you can get them in, as there are none here
     oral NSAIDS such as Celebrex
     any DeBakey forceps, as i cannot seem to find more than two down here
     Lap Sponges or RayTecs are in CRITICAL need, as they essentially are gone
     DuraPrep or ChloraPrep are gone and are most useful
     Dermabone or Indermil are gone and are most useful
     size 7, 71/2, 8 gloves are in very short supply
     10 ml and 20 ml syringes are in very short supply
     Nylon suture, 3-0 and 4-0 size  on large cutters for skin closure are needed
     Do NOT need Vicryl, PDS, Monocryl  or Chromic sutures.
     Some Blake drains or JP drains WITH reservoirs are needed.  Seroma Caths would work
     If anyone has a small handheld doppler for pulses etc to donate, that would be great - I thought
          there was one down here last time, but I cannot seem to find it this week.  Several vascular patients
          are out there.  one patient has had a second procedure to amputate toes, but is heading towards BKA.

Hope this message gets to all ahead of time and good luck.  Again, any follow up and path would be
appreciated.

Thanks and God Bless.

David G. Sheldon, MD FACS
Surg Onc / Endocrine Surgery
Kalispell Regional Medical Center
Kalispell, Montana 59901