Thailand 3rd post, the MONOLIMB

The MONOLIMB is a technique that was designed to serve amputees in the developing world who do not have access to proper prosthetic care. It is a durable and cost effective alternative that is being used on the Thai-Burma border as well as other areas of the world. This week I completed my first MONOLIMB project. Most of the principles of BK casting and fabrication (it cannot be used for AKs) are similar but there are definitely differences. I would try to describe it but it would take too long, so I’ve attached a link to the organization that designed it.

http://www.prs-research.org/htmPages/Research/ttas.html

There are definitely some challenges, for instance there is minimal adjustments that can be made to the dynamic alignment. The colour of the copolymer used is not always accepted by amputees and the pylon presents an irregular look. One thing I underestimated here was the importance of aesthetics! But that was my own ignorance, these people care about how they look just as much as you and I.
Some benefits of the MONOLIMB are that it is inexpensive, allows less time between the initial appointment and the final product, and patients do not have to come to a lab (the work with the patient can be done in the field).
It has been good to get some exposure to this technique. Using creativity and innovation is essential when working in the developing world. I’m trying to watch and learn so that I better understand how I can help. This is quite an experience! Look forward to your comments, bye for now.
Click on the photo to see a slideshow of my MONOLIMB pictures!

Thailand 2nd post, the Mae Tao Clinic

Do you know what a medical clinic on the Thai-Burma border looks like? I wasn’t ready for it. From what I had heard about Dr. Cynthia Muang’s clinic I imagined something more like home. My heart went out to these people…both Duane and I had to work hard to control ourselves. Dr. Cynthia Muang is a tremendous lady who was a Nobel Peace Prize nominee and there are so many other amazing people who contribute to this work. Nevertheless, this is a situation that made me think of World Vision programs and Unicef. So far we haven’t taken photos of the general clinic because we need permission and an escort…frankly without giving something of yourself to the people who you photograph, it feels like exploitation. But we are here to help and there is a well-established and well running prosthetic clinic here. Duane and I have just finished our first week and have observed everything. It is amazing! Saw Maw Kel, who is the head of the teaching clinic and a below knee amputee himself, has taught for 20 years and seen 50+ graduates leave and continue on the role of a ‘jungle prosthetist’. Yes, jungle prosthetics! It is not what we have been learning in school but Saw Maw Kel has developed a technique which is effective and applicable to the lifestyles of these people. He takes Otto Bock prototypes and engineers a device that will match the rugged terrain and demanding daily activities that these villagers need. Saw Maw Kel is a tremendous man, he speaks English well, and it is an honour for Duane and I to have met him. I could write so much but post your own comments or e-mail us back and we’ll give more details. Also look out for our photos!
Guess what! On Monday we will begin our first projects!

Please don’t forget the Karen (Burmese) people.
http://www.cpi.org/regions/thailand.php
http://www.maetaoclinic.org/

Summertime and the Weather is Fine

Hello everyone,

Summer employment has started for almost all of us, with classmates scattered from Vancouver to Winnipeg and even Thailand. Myself, I am at Award Prosthetics in Burnaby. Over the past two weeks I have seen some interesting patients that aren't exactly textbook, including one quad amputee. I thought I had learned so much over the past school year, but seeing some of the challenging cases that can walk through the door, I know so little in all reality.

And you know summer is here when the Stanley Cup Playoffs end, unfortunately the wrong "ucks" team won the cup! Enjoy the rest of the summer while you can, it seems to be flying by.

Thailand 1st post

Our first full day was great! It sure is stinking hot here though! No complaining…reminds me of the mugginess and humidity of Toronto’s summers.
We enjoyed the colours, sights, foods, entertainment and shopping of Bangkok on our first full day.
We visited their ‘bling-bling’ malls but also some of their ‘back alleys’ where we found authentic, cheap, and delicious Thai food. No regrets, we rode the bus, we walked, we took a tuk-tuk, watched the scooters, and stared at the Lamborghini and Ferraris.
Our two meals perhaps cost us a total of $4 CAD. Not back eh? And we’re not even sick!
For some reason Pirates of the Caribbean 3 was better here than at home…maybe that’s because we had full-on recliners and AC blasting us. We also fulfilled out civic/tourist duty of the day by standing for the Thai anthem before the movie and respectfully acknowledging the King.
Duane and Jessica basically planned our day and Reg lead us around. I sat back and took photos, ate and bought expensive electronics. So we did a lot of walking, saw many things including disabled beggars. I believe I saw one bk and two above elbow amputees as well as a boy with spina bifida.
Okay, more to come soon. If anyone knows how to post video do you wanna help me out. The blog instructions are all in Thai… cheers, Jody and Duane

A year past..

Its amazing to think that 9 months ago we not only had never heard of subtalar neutral but we had also never met the twelve people who we have now become so close. Packing up my first year notes reminded me of all we've learnt...transtibial sockets, sach feet, empathy, what not to wear in the emergency room, forces at the hip and so much more (literally a stack close to a meter tall). We are officially done our first year, our work terms have now finished and we're all about to start summer work. Our work terms proved to be an awesome experience that allowed us to finally put all that final exam knowledge to use. Almost everyone have set up jobs in the field for the summer all across the country (Vancouver, Red Deer, Edmonton, Saskatoon, and Winnipeg) and even elsewhere in the world (we'll hopefully hear more of this in future posts). Now that our small group of twelve is spread across the world for the summer we won't be reuniting until ISPO in Vancouver (July 29th to August 3rd). Almost all of us will be volunteering and attending the conference which we all look forward to, especially after all we learnt in San Fran at the American academy meeting. So until then...

Practicum Project

I'm at the Glenrose Rehabilitation Hospital in Edmonton for my Practicum. Our class is in the Third week of Practicum #1, we somehow managed to have 6 doing Prosthetics and 6 doing Orthotics. Good Balance in the Class. Everyone sounds like they are having great experiences and can't wait to show off all we've done!

Cheap Swim Fins! If you can't buy an Activity Leg it is Important to work with your Prosthetist to Figure out how to make things happen. Prosthetists at the Glenrose helped me figure out this Swim Fin.

1 down, 1 to go

We made it! Exams are now finished, and we've now moved onto our 3 week practicum. After putting in many hours, late nights and early mornings we completed our 7 exams, 6 of which were within 3 days. The hardest part was not being able to watch the playoffs, however it seems the Canucks played better when we weren't watching. It was a very strange feeling saying goodbye to the class. You don't realize how close you become until you start saying goodbye to everyone. Most of us will be returning for ISPO in August and will have a chance to reunite and hear about all we've learned over the summer, and have some fun on the side. So far the work term has been very interesting, and have even had the opportunity to see the makings of a wooden transfemoral socket.

All in all, it's been a great year and it's nice to be able to enjoy the nice weather and fresh air once again