Since my last update, I have added over 100 hours of interning at Englewood Orthopedic Associates (EOA) and HMHN/Hackensack University Medical Center (HUMC). While many of my daily tasks remain the same, some newly acquired skills have led to expanded roles.
On operative days (Mondays) with Dr. Shah, I have begun to ease my way into more circulatory roles towards the end of cases. Last month, Dr. Shah and I developed a new system for compressing, wrapping, and icing patients immediately after knee replacement. Towards the end of each case, I gather necessary supplies and situate them on a Mayo Stand (an elevated instrument table), ready for me to apply after closure. We installed this procedure to reduce the amount of minor tasks for post-operative nurses. This is an application of the problem-solving skills we learn in educational institutions.
On clinic days (Tuesdays) at Englewood Orthopedics, I have continued to assist Dr. Shah with minor tasks, such as MRSA cultures, handouts, scans, and physical therapy prescriptions. As time has progressed, I have come to better comprehend EOA’s process for evaluating and scheduling surgical candidates. More experience with Dr. Shah’s scheduling process has allowed me to help increase his practice's productivity by assisting with paperwork and escorting patients to the surgical schedulers.
I’d like to highlight an experience I had in Dr Shah’s operating room on Monday, April 21. Dr Shah consults with and designs products for Maxx Orthopedics, a company he started with his brother back in the early 2000s. Dr. Shah’s previous research and development projects were designing knee replacements small enough for female and Asian patients, who typically have smaller knees. One of their most popular designs is the Freedom Knee replacement.
That Monday, I witnessed the implantations of the first Freedom Titan Knee Systems. The Titan is coated in Titanium Niobium Nitride. While knee replacement is a generally straightforward procedure, negative outcomes may occur in up to 1 in 5 patients. The Freedom’s coating is designed for patients with metal sensitivities as the Titanium blocks out the Chromium and Cobalt found in the standard Freedom knee. It was a pleasure to see the tail end of the Titans' design process.
Below are some photos of Titan prior to implantation. Please note the gold color of the Titanium coating as the original Freedom knee is silver in color.

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The rest of the week I still intern at Hackensack. Most mornings, I attend Step Down Unit Leadership Rounds with the Trauma Office. There, we check in to make sure the quality of the patient's stay is as optimized as possible. For example, if we hear that a patient has been waiting two hours to receive their breakfast, it would be reported at rounds and communicated to the necessary personnel who can rectify the matter. This is just one example of why applied communications skills are stressed at Golda Och.
After Step Down Rounds, I head up to the Surgical ICU for three to four hours of rounds with the intensive care team. The treatment plans in the ICU, in concept, are not far off from a basic lab science class. Analyzing data, coupled with physical observations and published guidelines/, forms the basis for a firm strategy of patient care. Rounds, however, are not always a standing discussion. Over the past few weeks, I have observed several bedside procedures in the ICU, such as bronchoscopies and tracheostomies.
My afternoons are usually spent in the trauma office working on research projects and planning events. In my last update, I mentioned several projects that I've worked on. The posters that I designed as adjuncts to research abstracts are being presented this week at a traumatology convention in Las Vegas. Moreover, the previously mentioned literature review on pediatric radiation exposure has evolved into a presentation that will soon be presented at a nursing research meeting. While my role may not be the largest, I feel a strong sense of accomplishment knowing that my contributions are positive and add to scholarly progress. I’d personally like to highlight my experience in Mr. Kesser’s senior research class, as I have utilized many of the skills he taught me.
Further, I've been working closely with the injury prevention team. Each month, we host a table in the children's hospital, promoting safe practices on bicycles, offering car seat checks, and providing swimming lessons for underprivileged children. I've participated in two of these events so far and feel very honored to do so.
To date, I've also co-taught four sessions of Stop the Bleed, a campaign set forth by the Department of Defense in partnership with the American College of Surgeons, teaching everyday Americans skills to mitigate life-threatening bleeding. Several more of these events are slated for the coming weeks. This was a significant experience as I further honed my public speaking skills. Additionally, I was introduced to the campaign back in 2023 and enjoy coming full circle by teaching these sessions. I plan to continue working with HUMC’s injury prevention team beyond my internship, as we have courses scheduled for late spring and early summer.

Lastly, on Friday, April 25th, HUMC hosted an Advanced Trauma Life Support (ATLS) class to certify their staff. At the beginning of my internship, I was made aware of this and offered the opportunity to help prepare supplies and audit the course; naturally, I accepted. In the weeks leading up to the event, I assisted the trauma office with manufacturing simulated supplies for the circulation section of the course. However, my role did not just end there. I volunteered to be a simulated patient for the adjunct examination session, allowing course members to practice FAST (Focused Assessment with Sonography in Trauma) on me. By volunteering, I supported a hands-on component of the certification, facilitating application of the participant's knowledge in a controlled setting.
Included is a picture of the session depicting one of the attending trauma surgeons instructing a group of PAs and Medical Students.
I am most thankful for the learning experiences provided by both Englewood and Hackensack, and look forward to the remainder of my Internship. Look out for my final blog update in the coming weeks.