venerdì 2 giugno 2017

An energizing experience

THE PATIENT SUSTAINED A ROAD TRAFFIC ACCIDENT IN NOVEMBER 2015.
IT WAS AN OPEN FRACTURE.
SURGICAL TOILET WAS DONE IN ANOTHER FACILITY AND CAST APPLIED FOR 7 MONTHS, BUT AFTER SUCH A LONG TIME STILL THERE WAS NON-UNION OF THE FRACTURE.
IN MAY 2016 HE CAME TO OUR HOSPITAL, WHILE STILL ON POP.
THE SKIN WAS CLOSED AND THERE WERE NO SIGNS OF INFECTION BUT THERE WAS STILL NON-UNION. THE PATIENT WAS AMBULATING WITH NO WEIGHT BEARING, USING CRUTCHES.
AT THAT TIME WE WERE NOT YET IN THE “SIGNFRACTURE INTERNATIONAL” PROGRAM, AND WE HAD TO PUT A TIBIA PLATE, WHICH HAS BEEN THERE UP TO
NOW, UNFORTUNATELY WITH PERSISTENT MAL-UNION OF THE FRACTURE.
TODAY WE HAVE DECIDED TO TRY TO CHANGE THE PREVIOUS PLATING INTO INTERLOCKING NAIL THANKS TO THE “SIGN FRACTURE INTERNATIONAL”.
IT WAS A VERY CHALLENGING CASE.
THE FRACTURE WAS STILL IN MANY FRAGMENTS.
THE KNEE WAS VERY STIFF AND IT WAS PRACTICALLY IMPOSSIBLE TO USE THE ALASKA TRIANGLE FOR THE NAIL INSERTION.


IN THE GIVEN POSITION WE WERE NOT ABLE TO USE THE REAMERS.
WE WERE THEREFORE FORCED TO OPEN THE KNEE JOINT AND TO RECTRACT PATELLA, REMOVING ADHESIONS AS WELL, WITH THE HELP OF A PERIOSTEAL ELEVATOR.
WE FINALLY MANAGED A REASONABLE KNEE FLEXION WHICH ALLOWED US TO USE
THE TRIANGLE AND TO ACHIEVE A POSITION IN WHICH THE REAMERS WENT THROUGH THE BONE CANAL.
AFTER REMOVING SOME EXCESSIVE CALLUS WE GOT A REMARKABLY GOOD REDUCTION.
THE INSERTION OF THE SIGN NAIL WAS SMOOTH AND EVEN THE SCREWS DID NOT
GIVE US PROBLEMS.
IN THIS CASE WE HAVE PERFORMED FRACTURE COMPRESSION, FURTHER IMPROVING
THE REDUCTION.
THE PATIENT HAS FOOT DROP DUE TO LONG DURATION OF NOT BEARING.
EVEN THE KNEE HAS STILL SOME STIFFNESS. NOW WE PLAN TO START HIM IMMEDIATELY ON PHYSIOTHERAPHY EITHER FOR THE KNEE OR FOR THE FOOT. 
WE ARE VERY GLAD TO HAVE SIGN NAILS AT OUR DISPOSAL NOW AND WE REALLY HOPE THE PATIENT WILL SOON WALK AND GO BACK TO HIS NORMAL ACTIVITIES AFTER MORE THAN ONE AND HALF YEAR OF DISABILITY.

BRO BEPPE


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Chaaria è un sogno da realizzare giorno per giorno.

Un luogo in cui vorrei che tutti i poveri e gli ammalati venissero accolti e curati.

Vorrei poter fare di più per questa gente, che non ha nulla e soffre per malattie facilmente curabili, se solo ci fossero i mezzi.

Vorrei smetterla di dire “vai altrove, perché non possiamo curarti”.

Anche perché andare altrove, qui, vuol dire aggiungere altra fatica, altro sudore, altro dolore, per uomini, donne e bambini che hanno già camminato per giorni interi.

E poi, andare dove?

Gli ospedali pubblici hanno poche medicine, quelli privati sono troppo costosi.

Ecco perché penso, ostinatamente, che il nostro ospedale sia un segno di speranza per questa gente. Non ci sarà tutto, ma facciamo il possibile. Anzi, l’impossibile.

Quello che mi muove, che ci muove, è la carità verso l’altro, verso tutti. Nessuno escluso.

Gesù ci ha detto di essere presenti nel più piccolo e nel più diseredato.

Questo è quello che facciamo, ogni giorno.


Fratel Beppe Gaido


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