planned giving - sign fracture care international · tacloban city until orthopods from philippine...

4
Fracture Care International November 2013 The goal of SIGN in developing countries is to build capacity for treating severe fractures. We do this by educating surgeons and providing implants and instruments they can use in developing countries. Not having to depend upon C-arm and electricity makes the SIGN System appropriate for use in disaster response. The capacity of local SIGN Surgeons to respond to disasters has been demonstrated by the Philippine surgeons’ response to Typhoon Yolanda (Typhoon Haiyan*). What follows is a surgical follow-up from Dr. Larry Diaz from the Southern Philippines Medical Center (SPMC). - Lewis Zirkle, MD November 26: I just came back from Tacloban City for the orthopaedic surgical mission together with Jake Morales, Kristopher Tolosa, and Allan Herrera. We coordinated with the department of health to maximize what we could offer as orthopaedic surgeons. I'm proud to tell you that during our stay there, we were able to deliver effectively what we intended to do. We worked at St. Paul's Hospital, a private tertiary hospital in Tacloban City, whose operation was temporarily taken over by the department of health, as its regular staff were also victims of Yolanda. We were lucky their C-arm still worked however their MRI and X-ray were damaged. A power generator was used day and night as regular electricity was cut due to the super typhoon. SIGN Responds Typhoon Haiyan For more information on the Philippines, please visit our blog at www.signfracturecare.org/blog/. *In the Philippines the typhoon was called Yolanda. Internationally it was referred to as Typhoon Haiyan. We were able to do 29 ortho procedures. We did major orthopaedic operations like SIGN nailing, ORIF plating, external fixation, multiple screw fixation for femoral neck, lots of debridements, and one Luque instrumentation for spine injury. After four days of daily operations we finished all admitted patients. We returned to Davao but the two senior residents stayed until the 30th for the follow up of patients. I heard they did a few more procedures for cases that came after we left. They were joined by Dr. Alden Caalim, a native of Tacloban City himself, and an ortho graduate from SPMC. Our team did the first major orthopaedic procedures in Tacloban City until orthopods from Philippine Orthopedic Center/Manila came, followed later by a Chinese hospital ship. As far as Tacloban City is concerned, I believe that orthopaedic concerns have been mostly addressed by now. There's one thing that is certain, our partnership made our patients happy and gave them a glimpse of hope despite what they've been through. We could see in their faces the big transformation before and after their operations. It's a fulfilling experience. Thank you for always being there in our times of need. Photo: Doctors without Borders Photo: Doctors without Borders *

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Page 1: Planned Giving - SIGN Fracture Care International · Tacloban City until orthopods from Philippine Orthopedic Center/Manila came, ... follows is an excerpt from his travel notes

Fracture Care International

N

ov

em

be

r 2

01

3

Contact Us

SIGN Fracture Care International

451 Hills St, Suite B

Richland, WA 99354

P: 509.371.1107

F: 509.371.1316

[email protected]

www.signfracturecare.org

Facebook.com/SignFractureCare

A designated fund at The Seattle

Foundation will match any donation

made to SIGN until December 31,

2013. Seize the opportunity to make

sure your contribution has twice the

impact to help others. Visit

www.signfracturecare.org to make

your donation today!

DOUBLE Your Impact!

NONPROFIT ORG U.S. POSTAGE

P A I D PASCO, WA MEDIAMAX

Stock Transfer A transfer of appreciated stocks is another way to make a direct contribution. By transferring appreciated stock, the donor will not have to realize any gains or pay tax on the transfer and may still claim the full fair market value of the contribution as a deduction. The tax benefits of this type of donation vary depending upon your income and the amount of the stock being transferred. Talk with your tax advisor to find out the advantages of making this kind of donation. Contact Debbie Maier at 509-371-1107 or e-mail: [email protected] to let her know your plans to make a stock transfer to SIGN so we can appropriately give you credit.

Planned Giving

The goal of SIGN in developing countries is to build

capacity for treating severe fractures. We do this by

educating surgeons and providing implants and instruments

they can use in developing countries. Not having to depend

upon C-arm and electricity makes the SIGN System

appropriate for use in disaster response. The capacity of

local SIGN Surgeons to respond to disasters has been

demonstrated by the Philippine surgeons’ response to

Typhoon Yolanda (Typhoon Haiyan*). What follows is a

surgical follow-up from Dr. Larry Diaz from the Southern

Philippines Medical Center (SPMC).

- Lewis Zirkle, MD

November 26: I just came back from Tacloban City

for the orthopaedic surgical mission

together with Jake Morales,

Kristopher Tolosa, and Allan Herrera.

We coordinated with the department

of health to maximize what we could

offer as orthopaedic surgeons. I'm

proud to tell you that during our stay

there, we were able to deliver

effectively what we intended to do.

We worked at St. Paul's Hospital, a

private tertiary hospital in Tacloban

City, whose operation was

temporarily taken over by the department of health, as its

regular staff were also victims of Yolanda. We were lucky

their C-arm still worked however their MRI and X-ray were

damaged. A power generator was used day and night as

regular electricity was cut due to the super typhoon.

SIGN Responds – Typhoon Haiyan

For more information on the Philippines, please visit our blog

at www.signfracturecare.org/blog/. *In the Philippines the typhoon was called Yolanda. Internationally it

was referred to as Typhoon Haiyan.

We were able to do 29 ortho procedures. We did major

orthopaedic operations like SIGN nailing, ORIF plating,

external fixation, multiple screw fixation for femoral neck, lots

of debridements, and one Luque instrumentation for spine

injury. After four days of daily operations we finished all

admitted patients. We returned to Davao but the two senior

residents stayed until the 30th for the follow up of patients. I

heard they did a few more procedures for cases that came after

we left. They were joined by Dr. Alden Caalim, a native of

Tacloban City himself, and an ortho graduate from SPMC.

Our team did the first major orthopaedic procedures in

Tacloban City until orthopods from Philippine Orthopedic

Center/Manila came, followed later by a Chinese hospital ship.

As far as Tacloban City is concerned, I

believe that orthopaedic concerns have

been mostly addressed by now.

There's one thing that is certain, our

partnership made our patients happy and

gave them a glimpse of hope despite

what they've been through. We could

see in their faces the big transformation

before and after their operations. It's a

fulfilling experience. Thank you for

always being there in our times of need.

Ph

oto

: D

oc

tors

wit

ho

ut

Bo

rde

rs

Photo

: D

octo

rs w

itho

ut B

ord

ers

Carla Smith, M.D., Ph.D., a SIGN Board Member, recently accepted the Lifetime Achievement Award from the Washington State Orthopaedic Association on behalf of her mentor Lewis Zirkle, M.D. Dr. Zirkle was visiting SIGN Program sites in Asia and was unable to accept the award in person.

Celebrate the season and help a person in need regain their mobility. Make a donation in someone’s honor this holiday season and we will send a lovely greeting card indicating that you have made a contribution in the name of your friends, relatives, business associates, customers, etc. Contact Shasta Meyers at 509-371-1107 to honor a loved one today.

Gift of Honor

Want to receive the newsletter electronically?

Send us your e-mail at [email protected].

*

Page 2: Planned Giving - SIGN Fracture Care International · Tacloban City until orthopods from Philippine Orthopedic Center/Manila came, ... follows is an excerpt from his travel notes

2 3

I ventured to Ethiopia to fill in for Dr. Duane Anderson for six weeks. Soddo Christian Hospital (SCH) has become a major trauma center with 40 patients in the orthopedic beds. Making rounds on these patients is not easy or quick. We are accompanied by nimble and caring staff members who expertly change the many dressings on the multiple open wounds.

To keep up with all the rubber gloves used to change all these wounds, the staff washes, sterilizes and recycles the rubber gloves that are intact and useable. Also the sterile gloves we use in the OR are

similarly recycled. In order to keep up with the flow of all these cases we have to double up on tables in the OR, resulting in slightly crowded conditions. There is no complaining, however, and the staff are remarkably industrious and energetic, wheeling the cases in and out. SCH has a surgical training program that has four or five young doctors here at all times along with one or two orthopaedic residents from the university in the capital city, Addis Ababa. The abundance of surgical cases gives them ample opportunity to learn and practice doing these procedures. It is particularly enjoyable working with these gentlemen who will, in years ahead, be shouldering the load of caring for the needs in their country.

Creative Solutions

Bob Greene, MD, and his wife Elaine

spent the last several years living and

working in Africa. Dr. Greene

volunteered to fill-in for a fellow SIGN

Surgeon during a recent vacation. What

follows is an excerpt from his travel notes.

By Lewis Zirkle, MD

The patient wards in hospitals we visited in Myanmar

and Cambodia are the same as we saw on our original

visits many years ago. The economy is better but

unfortunately the poor patients are still needing help with

treating their fractures. We feel privileged to have built

capacity to teach and learn from the surgeons in these

countries.

The orthopaedic surgeons in each country gathered for celebration of the SIGN

10th anniversary in their country. Surgeons from different hospitals presented their

series of SIGN surgery. Results are very good.

In Cambodia, the SIGN Conference was followed by a conference held by

surgeons from Australia. These surgeons have been very supportive of the

Cambodian orthopaedic surgeons for many years. Their conference was also well

attended and focused on elbow fractures, compression syndrome and ex fix

techniques.

We operated in each country doing as much surgery as possible. We had a chance

to refresh the technique as well as observe that the instruments were well worn and

needed replacement—especially in Myanmar. We recognize this will be the case

in other programs and this will require further expenditures.

Our trip was enriched by Randy Huebner and Joel Gillard who accompanied us.

They’re both engineers and looked at the surgery through different filters –

“engineering filters”. They recognize many contributions which they can offer

SIGN such as new products which can be used in developing countries as well as

consideration for setting up biomechanical studies.

We are very honored to be the beneficiary of your fund-raising activity. This will encourage

us some more to do better than our very best and to continue serving wholeheartedly. As

you may know, our country was hit with the strongest typhoon in recorded history and the

damage to life and property is tremendous. We have already sent a team from the Southern

Philippines Medical Center to perform orthopaedic surgeries/procedures and help our

devastated brethren in Tacloban and Samar. Young as you and the rest of your Key Club

members are, you serve as an inspiration to all of us.

- Jun Valera, MD, Philippines

Key Club members from Yale Secondary School located in Abbotsford, British Columbia, Canada, wrote letters of appreciation and encouragement to SIGN Surgeons around the world. Below is a response from Jun Valera, MD, of the Southern Philippines Medical Center.

Surgeons from Southern Philippines Medical Center check on a survivor of Typhoon Haiyan following his surgery. Photo provided.

Building Capacity in Cambodia and Myanmar

For more information visit the SIGN

website at www.signfracturecare.org.

By Sami Hailu, MD, Ethiopia

Unlike most SIGN Surgeons, I got introduced

to SIGN in a time of need. It was three weeks

after I graduated from medical school when I

was involved in a motor vehicle accident and

broke my right thigh bone in two different

places. The accident happened 250 kms away

from Addis Ababa where the best centers in the

country were available. I had to be transported

six hours in a public minibus to Addis, and

arrived there past midnight. I believe that was

my worst car ride I can ever imagine in my life.

I was put on skin traction, got some analgesic

and got admitted to the hospital. It was during

this moment I got introduced to SIGN when I

asked what the options were to manage my

fracture. I waited for 16 days on skin traction

until I got my fractures fixed with a SIGN Nail.

Mind you, I waited this long with a broken

bone as a physician… I think it is not difficult to

imagine about the fate of my “poor” colleagues

who suffer similar and even worse injuries in

Ethiopia, who have no idea or means on how to

get to these centers when they break their bones.

I couldn’t think of specializing in anything else

other than to become an orthopod with this

experience. Literally speaking, SIGN made me

join the orthopaedics training program six

months after my accident. That is when I

realized SIGN has changed the whole practice of

orthopaedics in the department from what I knew

while in medical school. No more rows of

patients in traction, no more three months of

hospital bed occupancy for femur fractures. It is

indeed gratifying to see fractures fixed and

discharged walking in just a few days after the

injury.

I don’t have words to thank enough SIGN and

those who have been with me to help me walk

again and help others with similar injuries!

SIGN Inspires a Career

Patients recovering at Black Lion Hospital in Addis Ababa, Ethiopia.

Page 3: Planned Giving - SIGN Fracture Care International · Tacloban City until orthopods from Philippine Orthopedic Center/Manila came, ... follows is an excerpt from his travel notes

2 3

I ventured to Ethiopia to fill in for Dr. Duane Anderson for six weeks. Soddo Christian Hospital (SCH) has become a major trauma center with 40 patients in the orthopedic beds. Making rounds on these patients is not easy or quick. We are accompanied by nimble and caring staff members who expertly change the many dressings on the multiple open wounds.

To keep up with all the rubber gloves used to change all these wounds, the staff washes, sterilizes and recycles the rubber gloves that are intact and useable. Also the sterile gloves we use in the OR are

similarly recycled. In order to keep up with the flow of all these cases we have to double up on tables in the OR, resulting in slightly crowded conditions. There is no complaining, however, and the staff are remarkably industrious and energetic, wheeling the cases in and out. SCH has a surgical training program that has four or five young doctors here at all times along with one or two orthopaedic residents from the university in the capital city, Addis Ababa. The abundance of surgical cases gives them ample opportunity to learn and practice doing these procedures. It is particularly enjoyable working with these gentlemen who will, in years ahead, be shouldering the load of caring for the needs in their country.

Creative Solutions

Bob Greene, MD, and his wife Elaine

spent the last several years living and

working in Africa. Dr. Greene

volunteered to fill-in for a fellow SIGN

Surgeon during a recent vacation. What

follows is an excerpt from his travel notes.

By Lewis Zirkle, MD

The patient wards in hospitals we visited in Myanmar

and Cambodia are the same as we saw on our original

visits many years ago. The economy is better but

unfortunately the poor patients are still needing help with

treating their fractures. We feel privileged to have built

capacity to teach and learn from the surgeons in these

countries.

The orthopaedic surgeons in each country gathered for celebration of the SIGN

10th anniversary in their country. Surgeons from different hospitals presented their

series of SIGN surgery. Results are very good.

In Cambodia, the SIGN Conference was followed by a conference held by

surgeons from Australia. These surgeons have been very supportive of the

Cambodian orthopaedic surgeons for many years. Their conference was also well

attended and focused on elbow fractures, compression syndrome and ex fix

techniques.

We operated in each country doing as much surgery as possible. We had a chance

to refresh the technique as well as observe that the instruments were well worn and

needed replacement—especially in Myanmar. We recognize this will be the case

in other programs and this will require further expenditures.

Our trip was enriched by Randy Huebner and Joel Gillard who accompanied us.

They’re both engineers and looked at the surgery through different filters –

“engineering filters”. They recognize many contributions which they can offer

SIGN such as new products which can be used in developing countries as well as

consideration for setting up biomechanical studies.

We are very honored to be the beneficiary of your fund-raising activity. This will encourage

us some more to do better than our very best and to continue serving wholeheartedly. As

you may know, our country was hit with the strongest typhoon in recorded history and the

damage to life and property is tremendous. We have already sent a team from the Southern

Philippines Medical Center to perform orthopaedic surgeries/procedures and help our

devastated brethren in Tacloban and Samar. Young as you and the rest of your Key Club

members are, you serve as an inspiration to all of us.

- Jun Valera, MD, Philippines

Key Club members from Yale Secondary School located in Abbotsford, British Columbia, Canada, wrote letters of appreciation and encouragement to SIGN Surgeons around the world. Below is a response from Jun Valera, MD, of the Southern Philippines Medical Center.

Surgeons from Southern Philippines Medical Center check on a survivor of Typhoon Haiyan following his surgery. Photo provided.

Building Capacity in Cambodia and Myanmar

For more information visit the SIGN

website at www.signfracturecare.org.

By Sami Hailu, MD, Ethiopia

Unlike most SIGN Surgeons, I got introduced

to SIGN in a time of need. It was three weeks

after I graduated from medical school when I

was involved in a motor vehicle accident and

broke my right thigh bone in two different

places. The accident happened 250 kms away

from Addis Ababa where the best centers in the

country were available. I had to be transported

six hours in a public minibus to Addis, and

arrived there past midnight. I believe that was

my worst car ride I can ever imagine in my life.

I was put on skin traction, got some analgesic

and got admitted to the hospital. It was during

this moment I got introduced to SIGN when I

asked what the options were to manage my

fracture. I waited for 16 days on skin traction

until I got my fractures fixed with a SIGN Nail.

Mind you, I waited this long with a broken

bone as a physician… I think it is not difficult to

imagine about the fate of my “poor” colleagues

who suffer similar and even worse injuries in

Ethiopia, who have no idea or means on how to

get to these centers when they break their bones.

I couldn’t think of specializing in anything else

other than to become an orthopod with this

experience. Literally speaking, SIGN made me

join the orthopaedics training program six

months after my accident. That is when I

realized SIGN has changed the whole practice of

orthopaedics in the department from what I knew

while in medical school. No more rows of

patients in traction, no more three months of

hospital bed occupancy for femur fractures. It is

indeed gratifying to see fractures fixed and

discharged walking in just a few days after the

injury.

I don’t have words to thank enough SIGN and

those who have been with me to help me walk

again and help others with similar injuries!

SIGN Inspires a Career

Patients recovering at Black Lion Hospital in Addis Ababa, Ethiopia.

Page 4: Planned Giving - SIGN Fracture Care International · Tacloban City until orthopods from Philippine Orthopedic Center/Manila came, ... follows is an excerpt from his travel notes

Fracture Care International

N

ov

em

be

r 2

01

3

Contact Us

SIGN Fracture Care International

451 Hills St, Suite B

Richland, WA 99354

P: 509.371.1107

F: 509.371.1316

[email protected]

www.signfracturecare.org

Facebook.com/SignFractureCare

A designated fund at The Seattle

Foundation will match any donation

made to SIGN until December 31,

2013. Seize the opportunity to make

sure your contribution has twice the

impact to help others. Visit

www.signfracturecare.org to make

your donation today!

DOUBLE Your Impact!

NONPROFIT ORG U.S. POSTAGE

P A I D PASCO, WA MEDIAMAX

Stock Transfer A transfer of appreciated stocks is another way to make a direct contribution. By transferring appreciated stock, the donor will not have to realize any gains or pay tax on the transfer and may still claim the full fair market value of the contribution as a deduction. The tax benefits of this type of donation vary depending upon your income and the amount of the stock being transferred. Talk with your tax advisor to find out the advantages of making this kind of donation. Contact Debbie Maier at 509-371-1107 or e-mail: [email protected] to let her know your plans to make a stock transfer to SIGN so we can appropriately give you credit.

Planned Giving

The goal of SIGN in developing countries is to build

capacity for treating severe fractures. We do this by

educating surgeons and providing implants and instruments

they can use in developing countries. Not having to depend

upon C-arm and electricity makes the SIGN System

appropriate for use in disaster response. The capacity of

local SIGN Surgeons to respond to disasters has been

demonstrated by the Philippine surgeons’ response to

Typhoon Yolanda (Typhoon Haiyan*). What follows is a

surgical follow-up from Dr. Larry Diaz from the Southern

Philippines Medical Center (SPMC).

- Lewis Zirkle, MD

November 26: I just came back from Tacloban City

for the orthopaedic surgical mission

together with Jake Morales,

Kristopher Tolosa, and Allan Herrera.

We coordinated with the department

of health to maximize what we could

offer as orthopaedic surgeons. I'm

proud to tell you that during our stay

there, we were able to deliver

effectively what we intended to do.

We worked at St. Paul's Hospital, a

private tertiary hospital in Tacloban

City, whose operation was

temporarily taken over by the department of health, as its

regular staff were also victims of Yolanda. We were lucky

their C-arm still worked however their MRI and X-ray were

damaged. A power generator was used day and night as

regular electricity was cut due to the super typhoon.

SIGN Responds – Typhoon Haiyan

For more information on the Philippines, please visit our blog

at www.signfracturecare.org/blog/. *In the Philippines the typhoon was called Yolanda. Internationally it

was referred to as Typhoon Haiyan.

We were able to do 29 ortho procedures. We did major

orthopaedic operations like SIGN nailing, ORIF plating,

external fixation, multiple screw fixation for femoral neck, lots

of debridements, and one Luque instrumentation for spine

injury. After four days of daily operations we finished all

admitted patients. We returned to Davao but the two senior

residents stayed until the 30th for the follow up of patients. I

heard they did a few more procedures for cases that came after

we left. They were joined by Dr. Alden Caalim, a native of

Tacloban City himself, and an ortho graduate from SPMC.

Our team did the first major orthopaedic procedures in

Tacloban City until orthopods from Philippine Orthopedic

Center/Manila came, followed later by a Chinese hospital ship.

As far as Tacloban City is concerned, I

believe that orthopaedic concerns have

been mostly addressed by now.

There's one thing that is certain, our

partnership made our patients happy and

gave them a glimpse of hope despite

what they've been through. We could

see in their faces the big transformation

before and after their operations. It's a

fulfilling experience. Thank you for

always being there in our times of need.

Ph

oto

: D

oc

tors

wit

ho

ut

Bo

rde

rs

Photo

: D

octo

rs w

itho

ut B

ord

ers

Carla Smith, M.D., Ph.D., a SIGN Board Member, recently accepted the Lifetime Achievement Award from the Washington State Orthopaedic Association on behalf of her mentor Lewis Zirkle, M.D. Dr. Zirkle was visiting SIGN Program sites in Asia and was unable to accept the award in person.

Celebrate the season and help a person in need regain their mobility. Make a donation in someone’s honor this holiday season and we will send a lovely greeting card indicating that you have made a contribution in the name of your friends, relatives, business associates, customers, etc. Contact Shasta Meyers at 509-371-1107 to honor a loved one today.

Gift of Honor

Want to receive the newsletter electronically?

Send us your e-mail at [email protected].

*