Posted in Careers, london, Medical, Nursing

Chronicles of a theatre nurse: Chapter Two – Periacetabular Osteotomy and Hip Preservation

I was researching some images and videos over the weekend for a presentation that I had to do at work when I came across this video. Watching it and hearing testimonials from patients that have had their quality of life improved by this procedure really highlights everything about my work that I’m proud of. I also have a blink-and-you’ll-miss appearance on it! 

I’ve worked with Mr. Witt since I started at UCLH . I did his list twice a week every week during my first 18 months and I can really say that he’s one of the best surgeons I’ve ever met. He’s very precise and meticulous about his work. As his nurse, I find his list a challenge to manage because there are so many things to organise. Surgeons are also creatures of habit; they like consistency in the people they work with and they like their tools about them when they do their work. And you can’t really blame them because what they do is so complex, the best ones just make it look easy.

I remember when we did this video and others like it. There are usually surgeons from other hospitals watching, as Mr Witt is one of the few surgeons in London to do this kind of procedure. They called him an actor’s actor because even those surgeons aim to learn from him to improve their own technique. I have to say that I often forget that because of the stress of running his list. I forget how much of a privilege it is to see him in action. This video has reminded me why, even though I do a lot of admin now, I still make it a point to scrub for him when I can.

The procedure itself is incredibly amazing. Watch the video for a better understanding but essentially it aims to help people with developmental dysplasia, a condition in which the ball of your hip does not fully fit into the socket (acetabulum) causing it to displace; eventually these abnormal movements will cause arthritis, pain and later on, the need for a hip replacement using a prostheses.

A hip replacement, as I understand it, is not the best option for young people and that’s where PAO has helped a lot. I think the idea is to prevent the need for a THR later on in life by correcting the problem with the socket. It really is an amazing surgery. Pause it at the part where the scrub nurse is passing instruments and you’ll see me in action! 

This video has filled me with inspiration to tackle the work week again. I will remind myself of this feeling the next time I have to scramble for sets or wear a heavy lead gown for 8 hours. Or the next time someone asks me to call Interserve to turn down temperature in theatres. 😉

For more information about some of the surgeries we do, visit Mr. Witt’s website.

Author:

Extraordinarily ordinary. Nurse. Teacher. Part-time traveller, full-time bookworm and music lover. I incorporate wishes, dreams and being a hopeless romantic with a sense of realism grounded on life experiences. I have yet to fully take off my rose-coloured glassed when it comes to life -despite occasional disappointments - and I prefer to keep it that way. I am in love with London, my adopted city. Every day is a new adventure, a chance to try something new. It has become such a part of who I am that I can't imagine living anywhere else. I am under the illusion that people will actually want to hear what I have to say and if it does turn out to be just an illusion, who cares? I want to put my thoughts out there for anyone to listen. I want to be heard because I have so much to say and I'm going to have fun doing it. I enjoy banter and a good back-and-forth. There is nothing more stimulating for me than an interesting conversation. So feel free to comment, express your opinions and let me know what you think. Let's get the world talking, one blabbaholic at a time.

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