OPEN REDUCTION AND INTERNAL FIXATION OF THE MEDIAL MALLEOLUS

(Back in ’75 I had an operation and stayed overnight
at the hospital; somehow a copy of a surgeon’s report
got mixed in with my papers. After reading it I thought,
“Huh… I found it, so it must be a found poem!” So then
I added my own experience to it and you’ll find that
hybrid below, my words marked with an *)

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* Olympic-size cauldron,
no previous experience
swallowing needles required…

* Sign your name,
fill in close relative,
paper slippers, but no knee pad
with your prayer kit,,,

PROCEDURE: Under general inhalation anesthesia the patient was
placed supine on the operating table in the usual sterile manner.
A three-inch incision was made over the posteriolateral aspect of
the fracture.

* Hand over your credit cards
and your fears ///

Care was taken to avoid the sural nerve; dissection was taken down
to the junction of the flexor halluces longus and perineus gravis
muscles.

* Feel as ant-big as you want,
(but you must wear your gown!)

Access was gained to the medial malleolus; three screws were placed
across the fragment. All blood clots were removed.

* Nothing to worry about,,,
Dr. Jekyll and the sadistic
Filipino nurse love you…

The wounds were irrigated with Bacitracin. The deep tissues were
approximated with 2-0 suture. The skin was closed with 4-0 nylon
suture. Dry sterile dressings were then applied.

* Where am I?! Is this General Hospital?!

The patient was placed in a long leg cast, tolerated the procedure
well and left the operating room in good condition.

SPONGE COUNT: correct – SURGEON: Dr. Lawrence – ANESTHETIST: Dr. Henry –
SCRUB NURSE: Ramírez.

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