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Orthopedic Team Heals
Lame in Pohnpei

October 28, 2002

Last September, 39-year-old Paul Severiano came to a Canvasback orthopedic clinic complaining of pain in his left arm. The arm had been useless since a car accident fractured his arm seven years ago. Upon examining him, the doctors found a previous fracture that had healed improperly, leaving Paul with constant pain and limited mobility.

This is a common situation in the islands, where traditional island medicine advocates massage therapy for broken bones rather than going to the hospital. Other orthopedic problems go untreated due to the lack of supplies, equipment and training to provide needed care.

Responding to the need, in September, 2002, Canvasback sent an orthopedic specialty team to Pohnpei for a long waiting list of patients needing joint replacements, bone realignments, and other orthopedic surgeries. The team also provided in-hospital consultation and outpatient clinics to further assess the islandsą grave need for orthopedic services.

In two short weeks the team was able to examine 165 patients and perform 15 complicated surgeries. Here are just a few of the patients the team was able to help:

  • Paul Severiano, (mentioned above), is still splinted following a repair of a malunion of the bone in his upper left arm. Paul hopes that one day he will be able to work again.

Paul Severiano with surgeon Bob Wells

  • Faniger Poll, 11, was treated for a dislocated knee. Her smile grew bigger each day as she regained motion in her knee and began temporarily using crutches. Before her discharge, Faniger had almost finished reading the Bible we gave her. She was never seen without it!

 

Faniger Poll with team
coordinator Lauren Petford,RN

  • Catherine Ezra, 16, had been unable to straighten her right arm for several years due to a malunion of the bone. Dr. Wells was able to fix it, and is sure she will have normal use of it in the future. Catherine is thrilled with the idea of being "normal" again.

 

 

Catherine Ezra with team leader
Bob Wells, MD and George
Wiesseman, MD (rear)

  • Neither Dr. Wells nor Dr. Wiesseman had ever seen such a difficult case as Conrad Alfred, 35.  After dislocating his hip last New Year's Day, he sought traditional massage therapy for treatment, and his hip eventually healed out of joint. It took several hours to remove scar tissue before the hip was successfully reduced.

Shown above is the old WWII hospital bed, jacked up on wood crates, where Conrad was placed in traction prior to and following surgery. The old beds are now being replace with new beds that were sent in a container from the Alberta Adventist Community Services Society.

  • Many years ago, Anthony Gumingrig had fractured his lower leg in a motorcycle accident. A plate was screwed to his left tibia to facilitate proper healing. Over time, the screws worked their way out of the bone, as shown in the
    x-ray right.

X-ray of plate in Anthony's leg.
 

In 1984, Anthony developed an open sore in his shin and it had been draining ever since. Dr. Wells was able to remove the plate completely, and Anthony should make a full recovery.
  • While out driving one day, Lauren Petford and Donna Silsbee physiotherapist saw a woman hobbling down the road leaning on two big sticks.  They stopped and met Doris, giving her cab fare and a piece of paper with instructions to come to the hospital.  When Doris arrived the next day, she traded in her sticks for a beautiful walker. It even had brakes and a compartment to carry her belongings. She was overjoyed! 

Doris on the road (above) and with Donna Silsbee (right) after receiving her new walker.

  • Physiotherapist Donna Silsbee worked side-by-side in the sweltering heat with her Pohnpei counterpart Albert Joseph teaching pre- and post-op. exercises, mobilizing joints and instructing the families of patients (who, incidentally, never leave their bedside.)

 Albert and Donna with
patient Elisita Johnny.