Name:
Live Surgery Tuesday: Rheumatoid Arthritis
Description:
Live Surgery Tuesday: Rheumatoid Arthritis
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/d0143450-3803-4f5e-98ed-080a5890ec9f/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H24M29S
Embed URL:
https://stream.cadmore.media/player/d0143450-3803-4f5e-98ed-080a5890ec9f
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/d0143450-3803-4f5e-98ed-080a5890ec9f/Live surgery Tuesday_ Rheumatoid arthritis_1.mp4?sv=2019-02-02&sr=c&sig=pIuMf0diznzcI09sSuILIiEku1xDzuzBY9hNmu1k3Ms%3D&st=2024-12-03T17%3A37%3A28Z&se=2024-12-03T19%3A42%3A28Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
ALEJANDRO BADIA: We have everyone that was on the previous live just rejoined.
ALEJANDRO BADIA: So you always have to have a second wire for rotation. You can see there the middle fingers and the one to the left, and you can see a nice, good bony contact there so I'm just putting a second wire. I'm happy with the first wire, but I just want to put additional stability.
ALEJANDRO BADIA: I will check that. I'm about to do a wrist replacement in Saville in two weeks, but my worry is I don't have, I don't have an x-ray there because it's a small office.
ASSISTANT: Do you want it rotated now? 90, 180?
ALEJANDRO BADIA: Not, not so important yet. But above. It's got a lot more distal. Here goes the top.
ASSISTANT: It's going to go on like this for about.
ASSISTANT: You think? Sir we're here. OK. OK.
ALEJANDRO BADIA: OK. Important thing is I say, is what matters is. To see. Get strong.
KATE SAMUELS: You have your patient from Nigeria says that he had a tendon transplant on the fifth finger and it didn't work. He really wants to come and repair his finger at your place. He follows you regularly. But the problem is the visa to get here.
ALEJANDRO BADIA: Well, fortunately, a lot of people know we have an international patient coordinator. She handles the Fellows. And she can help with that. So we can reach out maybe to. I'll be in New York Friday. I can, Nigerian Embassy is actually very near my little apartment
ALEJANDRO BADIA: so we can. It keeps kicking out here.
KATE SAMUELS: You can send us an email at info@drbadia.com and our international patient coordinator, her name is Susan Iglesias.
KATE SAMUELS: You can also click the link in our bio and it'll take you directly to the ask me a question box and that also goes to Dr. Badia's email. Of our.
ALEJANDRO BADIA: Oh all right. You could read the outer one, but I think the other one. Yes. OK.
ALEJANDRO BADIA: So female test. Aesthetics. [LAUGHTER]
ASSISTANT: You know, I think this is as good as its going to get.
ALEJANDRO BADIA: OK all right, let's cut those pins.
ASSISTANT: You got to come back? No. OK.
ALEJANDRO BADIA: I remember when those things came out in the hospital, we loved them, but.
ASSISTANT: And then pardon me. Can you load load this one by hand?
ALEJANDRO BADIA: OK so I'm ready for the last. Now, Kate. Let's analyze the next better.
ALEJANDRO BADIA: I guess you want to fill in that? Yeah, I'll fill that in with graft. That's, that's not a problem. I just want to be sure that I like it. So the question is, can I nail it? All right. You know, they talk about when you're talking about a putt on a golf course or a free throw but this is hard.
ALEJANDRO BADIA: If I want to relive it, we will.
KATE SAMUELS: You mentioned some of your colleagues like to leave the hardware. What are the pros and cons of that, Dr. B?
ALEJANDRO BADIA: Oh, it's not a big deal. With the k-wire, I leave it in a way that you can feel it so, you know.
ALEJANDRO BADIA: But you know what the world record is for continuous free throws?
ASSISTANT: No idea.
KATE SAMUELS: Well, first, we're not the right crowd first.
ALEJANDRO BADIA: First question is. 142. Was it a basketball player? Oh, no. What about. No. It was a dentist who was.
ALEJANDRO BADIA: Yes, he made so many, they had to actually close the gym because it was already it was like he was doing it for like 18 hours. Oh, my. So you said 142. So this is my point. Not that I'm comparing myself to, you know, Michael Jordan, but but my thing is shooting, doing something like this. It's like a little bit of luck involved, right?
ALEJANDRO BADIA: I mean, I'm not sure but doing something repetitive like shooting a free throw, you can practice and it's the same motion every time. So you should see the way this guy shot, it was very weird. He would do this, 6,000 something. I don't remember the number. 6,000 continuous free throws. So I just want to shoot one wire perfect then we can all go.
ALEJANDRO BADIA: Right. All right, let's see. See that was not perfect. You didn't see that? OK, just getting this angle and what's my starting point? OK so I can drop my hand and ask and I'm trying to meet her at the same time.
ALEJANDRO BADIA: She wants it more. Boy, I hope that's good. You told good.
ALEJANDRO BADIA: Ho, ho, ho. Now, the one that I cut short is not left, but are you kidding? Oh, is it? Yeah oh, Yeah. But I've got to shoot back, right? Yeah. Let me have, do you have a wire.
ALEJANDRO BADIA: We have a little wire. We don't have the normal part and we're really happy to be in this. OK do you want to open another four or five rate? Won't be enough and I'll take another four or five keys. OK, good. Yeah, I think that's better. OK you have a little wire there?
ALEJANDRO BADIA: I might be able to get it with that, actually, because her bone is so soft.
ASSISTANT: I'm trying to get back on track and I'm like, you know what I might get?
ALEJANDRO BADIA: This is there another. OK will be short.
KATE SAMUELS: Hello from France Dr. B from Dr. Thomas Apart.
ALEJANDRO BADIA: Oh, Thomas is, Thomas is involved in the exceptional care network. A colleague of mine from Montreal in Sweden, although she now works in Qatar so I'll see her. He started kind of a little international group to share ideas, and he came up pretty short.
ALEJANDRO BADIA: Thomas, how are you? The gates just started. All right? Yeah how the heck did I?
KATE SAMUELS: Very fine. You look great. Patient from Panama signed in. We did his tendon transplant a couple of weeks ago.
ALEJANDRO BADIA: Yeah. Stage two of which your tendon.
ALEJANDRO BADIA: So far. So good of him to get. And maybe I can go. So. Yeah. Yay!
ALEJANDRO BADIA: That looks better bone there. Yeah. Good. Yeah, you good? Good. To cut back on here or you're not going to get. And then we all good. Good. Perfect.
ALEJANDRO BADIA: Yeah if anybody remembers what now we can achieve what I, the picture I showed of my own hands doing that is that she can now function.
KATE SAMUELS: I'm sharing that picture now on the lives and they can see it side by side.
ALEJANDRO BADIA: Now, this finger needs to be fused just for aesthetics, but functionally, that'll be up to her. But now.
ALEJANDRO BADIA: Without come.
ALEJANDRO BADIA: Just your bone graft.
KATE SAMUELS: Dr. Thomas said say hello to the patient. She's lucky to be in good hands. Good luck.
ALEJANDRO BADIA: A lot of people don't know the story, but my grandmother had rheumatoid arthritis
ALEJANDRO BADIA: so I really love these patients. Unfortunately she didn't get to have MP silicone arthroplasty. She would have done great. Her hands were totally deformed. And I went to see Bob Carol with her when I was only eight years old and Columbia Presbyterian and for whatever reason, she didn't, he didn't do the surgery on her.
ALEJANDRO BADIA: Very meaningful to me. But they talked about that moment it's very important, especially. We all, at different moments when we decide what to dedicate a career to something like this and for me, I talk about it in the first chapter of my book, actually.
ALEJANDRO BADIA: He because it is going to be a lot. Going back. Things that you remember. Yeah, definitely. Just spends a lot.
ALEJANDRO BADIA: Karen Carpenter? [INAUDIBLE] [VIDEO AUDIO IN SPANISH] [VIDEO AUDIO IN SPANISH] [VIDEO AUDIO IN SPANISH]
ALEJANDRO BADIA:
ALEJANDRO BADIA: What do you say about that, Kate? Sure two other things. Oh, come on. Don't be so shy. Never have. You can never have enough money, sex or bone graft. But we proved that you can have enough sex, no I'm kidding.
ALEJANDRO BADIA: Bone graft. We're going to love this left over. What do you want to do with that? Very, very valuable. We have more than we needed.
ALEJANDRO BADIA: So just. I'm ask. Yes and then repeat this one just a little bit.
ALEJANDRO BADIA: The same here.
ALEJANDRO BADIA: See I don't think they're going to move it right now.
ALEJANDRO BADIA: [AUDIO INAUDIBLE] Sorry, there was nothing there. I remember. You know what that looked like. The point is that when a patient says, look, lovely scars, I can sit.
ALEJANDRO BADIA: But well. Picture the final. One hour?
ALEJANDRO BADIA: No. Yeah. Yeah. [VIDEO AUDIO INAUDIBLE]
KATE SAMUELS: OK so Kate is closing up. I'm just going to put a couple of fluffy dressings, right? Dr. Badia is going on to his next case. Do you want to say any last words?
ALEJANDRO BADIA: So, so we.
ALEJANDRO BADIA: You got the X-rays here? You want one? I zoomed in. OK, so what we have is severe hyperextension here, and this was fused already, so we had to take down the fusion and create a fusion here. So you see how severe the thumb was.
ALEJANDRO BADIA: So now we got what we were aiming for because there's no way this could only touch here, but now you look at the hand. Now you can see there's a pulp. A pulp. The pulp.
KATE SAMUELS: Beautiful. Looks much better too. Thank you guys for patiently watching with us.
KATE SAMUELS: We'll post about our next live surgery Tuesday coming up in two weeks. [VIDEO FINISHES]