Sunday, November 9, 2008

K2 Medical



When a gift is given from one human being to another a special feeling is created within both the receiver and the giver. Dr. Ray Woo and his team have now just completed their 5th trip to CURE DR. This miraculous feeling from transactions driven by love is one that was felt by all of us including our patients. Because of Dr. Woo and his nurse Ana’s long term commitment to our hospital we have been able to greatly improved our spinal deformity program. Both in terms of equipment and patient safety we have advanced dramatically. Repeat visits by short term teams as well as a local organized infrastructure is the key to success for performing such sophisticated operations in the developing world.






We owe special thanks to K2 Medical for the hundreds of thousands of dollars worth of implants that were used this week. Each member of the team is vitally important to the success of the work. Paul Caron and Autumn Sutterlin of K2 Medical, Larry Daly (anesthesia), and Carrie Bower (neuromonitoring) as well as our Dominican doctors and nurses all worked hard for the success of this trip.


Both in the United States and the Dominican Republic the work for these trips starts many months before the trip takes place, gathering equipment and planning for cases. This past week we had the privilege of using the Nuvasive thoracotomy retractor system, Aquamantys coagulator, FloSeal, Grafton and the other products only available in the most advanced centers in the modern world. On the behalf or our patients and also myself I would like to thank all those who gave and spent their time preparing these products.

Arne 16 came to the CURE clinic with her sister in Cap Haitian, Haiti. Both of their parents are dead. With the help of Cross International they were able to travel to CURE Santo Domingo to have surgery for her 85 degree scoliosis.


Katherin 13 with her mother on post op day 5 is ready to go home after having surgery for her 95 degree R thoracic curve.


Click here for more pictures of CURE Hospital DR and the spinal deformity program

Monday, October 27, 2008

Depuy Spine USA

Alam 17, Maryfel 16, Damaris 10, Mario 20, William 17, Roselbia 17, Ana 12, Emelyn 16, Franklin 17, Massiel 15, Dariana 16, Pamela 21, Yanil 15, Juleisy 15, Mideline 18, Wilson 19, Phillip 15, Ana 16, Eunice 17, Lusahidily 12, Mercedes 37, Flor 20, Cynthia 16, Yesica 17, Jose 16, Sheryll 14, Yerolanny 17, Youseline 12, Miguel 17, Esteanny 14, Winifer 12, Andritson 16, Alberto 42, Felix 18, Victor 20, Jose 18, Ruth 13, Miranda 16, Daysi 37, Gernelys 14, Santa 17, Perla 11.


42 patients

4 trips

18 months


On behalf of CURE and the patients we serve I would like to express my sincere appreciation to Depuy Spine on the behalf of the 42 patients that have had life changing surgery because of their generous support. Only 18 months after their first visit they have sponsored a total of 4 trips, inspiring many, educating, forming relationships and changing lives. At CURE we are all about giving our patients loving state of the art care and providing long term follow up for those that we treat making it possible to safely do such complex operations in the developing world.


Todd Spiegel of Depuy Spine and Dr. Howard Place and team from St. Louis University have repeatedly devoted their personal time and expertise to make these last 4 trips possible. Their sincerity and commitment to these children and to our hospital has enabled unparalleled care. Since this October 6-10 trip - Omar 16, Abigail 11, Orlando 18, and Katherin 15 have already been added to our waiting list for scoliosis surgery. We will hopefully be setting dates soon for a return trip.


Esteanny 14 and Andritson 16 @ 2 week post op visit

Click on any of the photos above to take you more photos of spinal deformity surgery at CURE Santo Domingo

Saturday, October 4, 2008

September 2008 Haiti Trip 14


With needs more desperate than ever, the Haitian people once again inspired us to set our own corporal desires aside. We worked day night to relieve just a small portion of their pain and suffering. Making a difference one life at a time we operated on 46 patients with a variety of complex problems. In spite of a broken down infrastructure, lack of electricity, and fuel we were able work around these obstacles and treat more patients than on any previous trip. I was privileged to have along with me two of my mentors Dr. Terry Dietrich a devoted mission doctor responsible for my original introduction to the Dominican Republic and also Dr. Doug Benson from northern California.


Each and every one of these patients came with a special story. There was the man with an external fixator on his leg which had become infected after having navigated the floodwaters of Gonaive. He was accompanied only by his 7 year old son. There was the 11 year old boy who had lost most of his leg due to the brutaine traction methods used by the local doctors for a simple femur fracture. Then there was Presler (pictured) a sweet natured 16 year old boy intentionally burned 3 months ago by his father, for not listening to him. His neck shoulder and elbow had all become severely contracted leaving him with a monster like appearance. Due to providential circumstance, Dr. Duncan Miles (Loma Linda University Plastic Surgeon) was able to come to Haiti for one day to help us with this case. Tuesday night he performed a sophisticated latisimus dorsi rotational flap and z-plasty to complete the first stage of several reconstructive procedures that will be needed. In spite of a painful operation the next day Presler smiled at us from under his mosquito net and said “thank you”. After doing several more cases the following morning, Dr. Miles flew home to Los Angeles leaving us an extra $200 to buy some more diesel for the generator so we could continue operating without delay.


Jean Role director of clubfoot Haiti was also able to join us after riding 4 buses and wading through 3 rivers to get to Cap Haitien coming from the capital. Nonetheless he showed up the next morning dressed for business with his shirt ironed and pants clean. We made significant progress with the Ponseti clubfoot program casting more than 25 feet and doing percutaneous tenotomies on 9 cases. With the help of Robbie Jackson significant strides were also made on the administration and documentation necessary for the success of this program.


There will be 2 new Haitian orthopaedic residents joining the Cap Haitien residency program. We have been asked to become an integral part of their training and possibly increase the frequency of our visits. Both of them have worked with us in the past and are motivated and responsible which is very encouraging as it will allow us to enhance our training program as well as the efficiency and quality of our work for the patients.


Click photo above to see more pictures from this trip.

Monday, September 29, 2008

Orthofix

The generous donation of Orthofix to CURE International is revolutionizing deformity correction, limb lengthening and trauma care at our Dominican Republic and Haiti sites. Some of the common uses for these devices are bowlegs, other angular deformities of the lower extremities, lengthening for congenital short femur, osteomyelitis, fractures, nonunions, and bone transport for bone deficiency after trauma.


Pictured is a 12 year old boy named Laudy who lives in a destitute part of the Dominican Republic about 4 hours from the capital. When he came to CURE he was diagnosed with pseudoachondroplasia a type of dwarfism with this typical “windswept” deformity of the lower extremities. The angular deformities were analyzed and 6 osteotomies were performed along with the application of 4 Orthofix Paediatric LRS rails. Prior to this 4 hour operation Laudy was hardly able to walk. Today he is elated to be running for the first time in his life. Now he has brought the first of several cousins who are also affected by this rare type of dwarfism. Click here to see pictures of his cousin Yini along with some other patients treated at our center.


Because of the hundreds of thousands of dollars worth of Orthofix equipment that has been donated to CURE International we are able to provide our patients care that is equal to the best centers in the United States and Europe. Because of this type of generosity, our personal sacrifices, and economization we perform these many complex operations at a fraction of the cost that they would cost in the developed world. Also, relatively unique to CURE is our permanent or long term presence in the countries in which we serve making possible these operations that involve a process of close follow-up for procedures such as limb lengthening, bone transport, and deformity correction.


Thank you and congratulations to Orthofix and those of you who work for this generous company which is making a positive difference in this world.

Wednesday, September 17, 2008

Small Country Church - Big Hearts

“The church is in Philadelphia, MS, my hometown. It's a small country church, with mostly country people, but they have big hearts” describes Terry Winstead a recent visitor to CURE International Dominican Republic. After visiting our hospital, Terry, an occupational therapist from Mississippi returned home inspired to make a difference. He presented the Bethsaida Baptist Church with a report of his trip and a challenge to donate for surgical care of disabled children in the Dominican Republic. In addition he promised to make a matching donation for whatever was placed in the offering plate. After doubling their Sunday morning offering the amount reached over $3500. Each and every one of those dollars will be again multiplied as the lives of the children and families that we serve are changed through medical and spiritual healing. By personal sacrifice, corporate equipment donations, and harvesting wasted excess of medical supplies in the United States we are able to provide state of the art surgical care for our patients at a fraction of the cost normally required. Not everyone is called to leave the shores of their comfort zone to serve, but these simple folk from Mississippi have stepped forward as an example of what Christ has repeatedly asked us to do. Call it an investment, moral obligation, or Biblical principle, the rewards of sacrifice are great.

Give and it will be given to you... Luke 6:38



Roynelis, a 4 year old girl born with a nonfunctional thumb on the left hand underwent reconstructive surgery to create a thumb by transplantation of her index finger. In addition to a wrist repositioning surgery a similar operation will be performed on the right side where she was born missing a thumb and one of her forearm bones. Thanks to support from people like the members of the Bethsaida Baptist Church CURE surgeons and staff are able to transform the lives of children around the world. Click here to see pictures of similar operations performed at CURE Dominican Republic.