Cooper team grapples with death, while trying to heal
Friday, January 22nd, 2010
Health care workers from all over the world are caring for wounded Haitians at a border town in the Dominican Republic, amputating limbs and setting bones. A team of professionals from Cooper University Hospital traveled to the town of Jimani to help. But the question remains, how will the patients continue to receive essential post-operative care.
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A two-story building attached to a mission overlooks a dusty courtyard, where Dominican children play and dogs lie sleeping in the hot sun. But on the second floor of the cement facility, ten children lie on cots, some with casts on their legs, some just newly born, and one eight-year-old recently had her leg amputated. She starts screaming for God as soon as she sees the doctors moving toward her.
"screams"….
The young girl is dehydrated and her stump wound needs cleaning.
Cooper University Hopsital workers in Jimani, Dominican Republic
"Creole"
Her mother explains that just days before the earthquake, she had begged to go stay with her aunt in the country. But the mother said no, that she had to go to school. She now blames herself.
Wounded earthquake vicitm
Cooper University Hospital nurse Nancy Cadet holds the little girl's hand and speaks to her in Creole as the doctor changes her wound. Cadet says the girl is having a hard time both physically and emotionally.
Cadet: It's a very traumatic experience for her, so she's experiencing post traumatic stress so every time someone touches her, just think, shes a little girl she's just lost her leg, so anytime someone in the medical field comes close to her, she thinks she's gonna lose another part of her body. So we leave her till last so we can take a lot of time with her. She also takes a lot of personnel, cause little as she is she's very strong.
Cadet says the patients are using faith to survive.
Cadet: Even though they've been through so much, I can get stories of what happened to them but they pray a lot and they sing spirituals and that keeps them going. And so they're not questioning why god did this, they're just keeping their faith in God to get them through it.
Cadet says she doesn't know if the little girl will ever get a prosthetic limb, or what kind of rehabilitation she'll receive.
Trauma surgeon Ju Lin Wang worked all day at a hospital on the other side of town.
Wang: When you amputate them, they're alive, they won't die from the gangrene but they're not living until they get back to normal.
Wang worked for two hours on a patient who suffered second and third degree burns on 40 percent of his body after a building collapsed on his truck, carrying propane. The man waited outside a hospital in Port Au Prince for days before being sent to Jimani and then, to the Cooper crew.
Wang: Even though we have anesthesia capabilities now, there's not facilities for post operative recovery rooms. And the amount of equipment we have at our disposal in the United States compared to here, it really makes you realize how lucky you are compared to people here, how lucky you are to live in the states, if you want to transfer someone to a burn center, its done just like that.
But Wang says without treatment at a burn center in the U.S., the man will probably die.
Orlando Debessa, a doctor in Cooper's intensive care unit, says he had a good productive day in the operating room, which happens to lie right next to the morgue.
Debessa: We saw caskets in the back, little baby caskets, and I don't think it hit home for all of us until we saw that today. That's really sad you know.
The team wants to continue to provide care by rotating doctors down to the border town.
My husband, Sam Negin, is one of the doctors
with the Cooper team. I appreciate your in depth coverage of their work in Jimani.
I'm so glad you're continuing to cover the issue of amputation and post-op to recovery follow-up in Haiti. Susan mentioned the doctors' worries about prosthetic care for amputees down the line, and I'd like to address that.
I am a below-knee amputee. I suffered my amputation as a result of a horrible accident in Center City that left me with injuries much like those being seen in Haiti: severe crush injuries that render limbs destroyed and useless.
I'm a member of an amputee support group called Amps in Action, based at Marlton Rehab in New Jersey. This is the largest and most active amputee support group in the region and it was a driving force behind New Jersey's passage of an orthotic and prosthetic parity law that requires NJ insurance companies to provide amputees and other individuals with disabilities with the devices that make it possible to be active and productive members of the community.
Amps in Action is organizing an equipment drive to send supplies to Healing Hands for Haiti, a non-profit organization that has been working with amputees in Haiti for years. Their facilities were almost completely destroyed in the earthquake, so the thousands of new amputees have nowhere to turn for help. Take a look at the pictures at the bottom of this webpage: http://www.healinghandsforhaiti.org/AboutUs/EarthquakeResponse/tabid/99/language/en-US/Default.aspx
With donations from groups around the U.S., Helping Hands for Haiti is hoping to rebuild their facilities and get durable medical equipment (like crutches, walkers, canes, ace bandages) and prosthetic components to recent amputees.
Amps in Action is asking residents in the Philadelphia region and beyond to donate old and new equipment to our collection drive. Obviously, many people don't have access to old prosthetic components, but many people probably have old crutches or canes, walking casts/boots, splints or walkers lying around from past ankle sprains, fractures, etc. Maybe they have grandparents or parents who have old equipment lying around. If you are an amputee or know an amputee, we need old prosthetic components: feet, hands, pylons, hooks, cables, adaptors, clean liners, sleeves; plus new shrinkers, new ace bandages for compression wrapping, etc.; NO sockets, please. We need items of all sizes, for kids through adults.
People who wish to donate items can ship them to: Amps in Action for Haiti, c/o 100 Brick Road, Suite 315, Marlton, NJ 08053. Items can also be dropped off there Monday-Friday from 8:30am-4:00pm. Local pick-up of donations may be available as more volunteers sign up to assist our efforts. If you have questions about what items would be appropriate, you can call prosthetist Kevin Towers at 856-810-7900 during normal business hours.