George Koch

I ended up doing that one.

It was a little ridiculous.

I still did my stent on the right, as I typically would, but on the left, we went stentless, and he did okay.

So maybe I have switched against my will a little bit, and maybe I should think about doing it more, but I just haven't quite made the switch yet.

Similar to our talk about the antibiotics, it's hard to let go sometimes.

Yeah.

And it's an antimicrobial, not an antibiotic.

I think he uses, I've seen their presentations.

It's something about Vanderwall's.

That's been a huge, you know, talking about implant infections.

I know that a lot of folks have switched to ear sept for their implant infections.

And I think even before that, there was a lot of orthopedic literature on implants and chlorhexidine irrigations of some sort.

Yeah.

We're dealing with an infection as opposed to...

Prophylaxis for an infection.

But in my four days patients, we put chlorhexidine, we just spike it into chlorhexidine soap.

We spike into like a three liter bag and then use a low pressure irrigator.

Not one of the high pressure ones like the ones that can debride, but just a low pressure like agitator.

I'll wash all the fornia in those when they come back for their reconstruction enclosures.

You know, I've never done it in a comparative way.