Plastics

Consults: Dr. Chong is very particular about consults. You must see all consults on the day they are called. Expect that there has already been an attending to attending conversation and you are behind the ball. He asks very particular questions though and expects you to know all the answers immediately. He likely already knows that answer and is looking to pimp you. Here are the must knows:

• Previous surgical history and scar pattern. Does patient need evaluation for available vessels?
• Anticoagulation status and indications including NOACs, Heparin, antiplatelet
• Antibiotics and culture results
• Nutrition labs (albumin and pre-albumin)

Likes to be called before a complicated case to discuss plan.

Deep dermal Technique: Dr. Chong is very specific of how he likes deep dermal sutures. On your first throw, seed the knot down by pulling your needle driver down and towards you. Do a second throw in the same direction (ie. pull the needle driver towards you. Then the third time opposite and fourth time towards you.

Consent forms: Ensure that the consent form includes all relevant risk and alternatives of surgery. Or he will not start case and re-consent family member.

Strongest suture tech vertical matress best suture tech for everting horizontal matress. Most ischemic stitch horizontal matress. Suturing technique. Deep dermal seed knot down. Pull down with needle driver twice in row. Then opposite and then down again.