Ok, here is the coolest thing. My partner here, Mike Welker who is an orthopedist, just called via Skype one of the hand surgeons in Dayton for a consult. They spent about 10 minutes discussing the case and now Mike has a plan for this complicated surgery. God has blessed this place. Even though we are in the middle of the jungle, we have internet access available. It is slow at times, but works.