November 9, 2014

Medical Mission: Santo Domingo



CURE Hospital "Hand Team" medical missions trip November 2nd-8th 2014

This was our 2nd trip to the CURE hospital in Santo Domingo. Thank you to every one who made donations and kept this missions trip in their prayers! Words cannot describe how fulfilling a missions trip is to help the poor, the weak and the needy, so I'll tell a short story for each of the pictures below:


The Dominican OR staff at the hospital was grateful to see more KimKaps arrive for their department.  Handing out the KimKaps to the locals who live and work in Santo Domingo was definitely a highlight of the trip, receiving many sincere hugs.  
Elsa the cleaning lady in the OR is proudly wearing her KimKap.  
Each member of the staff carefully selected what colors and style they wanted to wear.

 Part of the missions work was to fabricate custom molded splints for the children for positioning to improve function or for after surgery.CURE hospital has Club Foot clinic every Wednesday morning.

We made a lot of splints for club foot that are to be worn by the children while sleeping.
 Yoryito with the baseball cap, was born with Brachial Plexus birth palsy.  
 He bites his right hand at night while sleeping and he has many callus on his hand, short fingers and weak arm and hand muscles, no wrist or digital extension.
 The doctors felt that a custom wrist splint would help to improve his function for feeding , ADLs and play activities.

An OT Student , Lorraine, volunteered for this trip since she is fluent in spanish.  I was able to understand more of the peoples' stories.

    Eduardo was born with cerebral palsy.

 Eduardo is excitedly playing with a handmade wooden toy car from "Toys for God's Kids". He was so excited to get 2 purple wrist splints that we had a hard time relaxing his tone to be able to take a photo. Hopefully the custom wrist splints will improve his function.



Engel was born with Arthrogryposis, which commonly presents with club foot. Arthrogryposis is caused by decreased fetal movements. Extra connective tissue forms around the joints. There is also muscle weakness & fibrosis.  Each child presents differently.  It can affect only 2 joints or as many as all joints. Engle has some shoulder movement and a little finger movement. During therapy he was able to push the light up toy off the bed and watch it "blink"  He could also pinch the rubber hairs on the toy and stretch it like the therapists stretch his feet during CUREs Club foot clinics.

Engel is wearing his "Dennis Brown Bar" for club foot management while waiting for his surgery day. Dr Bob Terrill removed a small wedge from Engel's left wrist to improve his wrist extension so that

he can grow and learn to use his hands for more tasks.

 Kamil has a congenital malformation called a Triphalangeal Thumb. (Rare) She is only 1 year old and she will not be able to have an opposable thumb without surgery.  
Dr Bob remembered the excitement of the KimKaps in the OR, so he saved his KimKap from the previous trip to wear while performing the life changing surgeries for the children of the poor families in the Dominican.  

 Kamil's thumb MP joint was reconstructed after removal of the extra phalanx.  She had 2 metacarpal heads.
 This is Annely, She has bilateral club hand.  She was born without a radius.  Her wrists are deviated radially.

On this trip an OT student volunteered and accompanied me, so it was much more enjoyable to make the splints for the children.  We made Annely 2 wrist splints to help to straighten her wrists. Her mother is in the background.

  Ruby is 19 years old, she broke her right wrist, lumbar spine and had immediate foot drop. The public hospital told her that there was nothing any doctor could do for her.  A team member spotted her in the waiting room at CURE hospital in May and asked her if she wanted to see an American doctor. We made her a custom foot drop splint with special straps to provide progressive stretches to her left foot.  
 The splint worked so well that when whe saw her this May she was able to walk without a cane.  Dr Bob was able to prepare for the surgery she needed for her right painful wrist malunion.  He brought down a donated wrist plate for her surgery.   The family was so grateful that they invited us to their home for a visit.  I was able to say yes because the OT student spoke fluent spanish. When we visited their homes, the family walked us to all of the family homes, their places of employment, and their church, their sick friends and counceling centers.  We had 18 extended family members walking with us in a circle keeping us safe in the middle. The family said that God sent us to visit and that our visit honored the family and their        community.  We ended a wonderful evening sharing their homemade dinner in their homes. 


                Once you come home from a trip like this it takes time to absorb all that was accomplished by the Team.  CURE hospitals are Christian based, we pray every day for each child and for every surgery.

 Thank you again KimKaps for brightening up the OR!
Sincerely, Connie Kurash