Donate
My Blog
World Diabetes Day – Haiti PDF Print E-mail
Written by Administrator   
Monday, 07 December 2009 06:36

  World Diabetes Day – Haiti

The non-profit organization I have started Wound Care Haiti was invited to participate in the World Diabetes Day by The Haitian Foundation for Diabetes and Cardiovascular Disease (FHADIMAC).  I traveled to Haiti along with two colleagues Dr. Timothy Syperek, DPM and Dr. Robert Hatcher, DPM.  The weeklong program was utilized to help Wound Care Haiti and FHADIMAC establish a world-class wound care center in Port-au-Prince, Haiti. 

 Haiti is one of the poorest countries in the Western Hemisphere and has a population of about 9 million people, half of which live in the capital Port-Au-Prince.  FHADIMAC’s epidemiology study for the rate of diabetes in Haiti is seven percent.  This would equate to approximately 63,000 diabetics in Haiti.  Using the “15-15” rule, that would put the amount of diabetic foot ulcers at approximately 9,500 and the amputations at approximately 1,425.  The five-year survival rate for a lower extremity amputation is only 50%, which means almost 750 Haitians will die within five years of their amputation.  The good news however, is that studies have shown that the number of amputations can be decreased by 45% to 80% with a dedicated wound clinic.  This is the goal of Wound Care Haiti and FHADIMAC for the people of Haiti, and the promise I made to my Haitian brothers and sisters on World Diabetes Day.

 Our week consisted of arrival in Port-Au-Prince on Tuesday evening.  Lectures were given to Physicians (10 hours), Nurses (5 hours) and Pedicurist (3 hours); consisting of an extensive list of lectures covering all aspects of wound care.  Two hands-on workshops on total contact casting and football dressings application, indications, and techniques.  Approximately 3 hours of clinic patient visits were done on Wednesday, Thursday and Friday between morning and afternoon lectures.  The total number of patients seen for the week was over 100.  We also did hospital rounds at the University Hospital and St. Francis de Sales each day.  The cases seen at the University Hospital were extreme and not something you see in the United States, as they would have had earlier and more aggressive intervention.  Most of these patients required above the knee or below the knee amputations, which significantly limited the amount of surgery performed on our trip.  We were able to do a Transmetatarsal amputation and Tendo-Achilles lengthening on one case and prevented a higher-level amputation.  We had several general surgeons and orthopedic surgeons observing the surgery.   Although the equipment was severely limited for example a Gigli saw without handles was used for the metatarsal osteotomies, the case went very well.  On World Diabetes Day that took place on November 14, 2009, at the Plaza Hotel, FHADIMAC sponsored a fantastic educational program for the general public.  I had the opportunity to speak on the importance of proper diabetic foot care and prevention of complications in the diabetic foot.   

 The wound care center at the FHADIMAC facility is up and going with three general surgeons, the only vascular surgeon in Haiti and one orthopedic surgeon seeing patients.  They are working closely with the endocrinologist of FHADIMAC for comprehensive patient care program.  This program is just getting started and has a long way to go, but those of us involved with it are dedicated to Haiti and its people.  Supplies and equipment are lacking for now, but knowledge has be shared with physicians and nurses raising awareness and developing a referral center for those in need.  Haitians deserve a wound care center comparable to any throughout the world; Wound Care Haiti is going to make this happen.  If you would like to assist in this project please contact Dr. Patrick A. DeHeer, DPM via email at This e-mail address is being protected from spambots. You need JavaScript enabled to view it and visit our website at woundcarehaiti.org.

 

Last Updated on Monday, 07 December 2009 08:54
 
Our Doctors PDF Print E-mail
Written by Administrator   
Tuesday, 26 May 2009 14:53

Patrick A. DeHeer D.P.M

12205 Castle Row Overlook

Carmel, IN 46033

317-557-6710

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Website: hoosierfootandankle.com

Blogs: http://footcareinformationcenter.blogspot.com/

http://www.podiatrytoday.com/blog/289

EDUCATION

Winona Memorial Hospital (Midwest Medical Center), Indianapolis, Indiana n  1990 - 1991
Podiatric Surgical Residency – PSR -12

3202 N. Meridian St.

Indianapolis, IN 46208

Dr. William M. Scholl College of Podiatric Medicine, Chicago, Illinois n  1986 - 1990
Doctor of Podiatric Medicine

Bachelor of Science in Biological Sciences   

                        Honors Graduate

                        Magna cum Laude

                        Dean’s List 1986-1990

                        Durlacher Honor Society

Indiana University, Bloomington, Indiana n  1983 - 1986
Biology and Chemistry Major

Employment

Doctor of Podiatric Medicine and Owner - Hoosier Foot & Ankle, LLC – 2003 to present
Offices :
o Carmel
 
  • 11725 Illinois St.
  • Suite 560
  • Carmel, IN 46032
  • 317-580-1586

o Columbus

 
  • 2545 Fox Pointe Dr. Suite E
  • Columbus, IN 47203
  • 812-378-3668
o Franklin
 
  • 1101 W. Jefferson Street
  • Suite C
  • Franklin, IN 46131
  • 317-346-7722
o Shelbyville
 
  • 1209 East State Rd. 44
  • Shelbyville, IN 46176
  • 317-421-0941
Doctor of Podiatric Medicine/Partner, Circle City Medical Group - 2000 to 2003

 
  • Offices :
  • Foot and Ankle Center – Carmel
  • Foot and Ankle Center – Columbus
  • Foot and Ankle Center – Greenwood
  • Foot and Ankle Center – Muncie
  • Foot and Ankle Center – Richmond
  • Foot and Ankle Center – Rushville
Doctor of Podiatric Medicine, Tenet Physician Services - 1994 to 2000

 
  • Offices :
  • Winona Foot and Ankle Center of Carmel
  • Winona Foot and Ankle Center of Columbus
  • Winona Foot and Ankle Center Muncie
  • Winona Foot and Ankle Center Richmond
Doctor of Podiatric Medicine, Achilles Podiatry Group - 1992 to 1994
 
 
  • Offices :
  • Carmel Foot and Ankle Center
  • Greenwood Foot and Ankle Center
  • Lafayette Foot and Ankle Center
  • Lawrence Foot and Ankle Center
  • Westview Foot and Ankle Center
  • White County Foot and Ankle Center

Board Certification

Diplomat, American Board of Podiatric Surgery (ABPS)
 
  • Foot Surgery - 1994
  • Reconstructive Foot and Ankle Surgery – 1996
  • Foot Recertification – 2003
  • Reconstructive Foot and Ankle Recertification - 2005

State License

 
  • Indiana - 1991 to present
  • Illinois - 1990 (Inactive)

Lecturing experience

 
  • Foot and Ankle Arthroscopy, Boca Raton, FL - 1994
  • Foot and Ankle Arthroscopy, Miami, FL - 1994
  • Oral Treatment of Onychomycosis, Indianapolis, IN - 1998
  • Internal Fixation for Foot and Ankle Surgery, IPMA Fall Convention, Indianapolis, IN- 1998
  • Case Presentations and Panel Moderator, IPMA Fall Convention, Indianapolis, IN - 1988
  • Internal Fixation Workshop, IPMA Two-Day Seminar, Indianapolis, IN - 1999
  • Oral Treatment of Onychomycosis, Noblesville, IN - 2000
  • Oral Treatment of Onychomycosis, Indianapolis, IN - 2000
  • Pediatric Pes Cavus, IPMA Fall Convention, Indianapolis, IN - 2000
  • Baxter’s Nerve, IPMA Fall Convention, Indianapolis, IN - 2000
  • Ankle Valgus, IPMA Fall Convention, Indianapolis, IN - 2000
  • Fractured “Z” Bunionectomy, IPMA Fall Convention, Indianapolis, IN - 2000
  • Navicular-Cuneiform Arthrodesis, IPMA Fall Convention, Indianapolis, IN - 2000
  • Oral Treatment of Onychomycosis, Indianapolis, IN -2001
  • Internal Fixation Workshop, IPMA Two-Day Seminar, Indianapolis, IN - 2001
  • Plantar Approach for Neuroma Surgery, IPMA Two-Day Seminar, Indianapolis, IN- 2001
  • 1st MPJ Arthrodesis, IPMA Two-Day Seminar, Indianapolis, IN - 2001
  • Why I Hate 1st MPJ Implants, IPMA Two-Day Seminar, Indianapolis, and IN - 2001
  • Adductor Tendon Transfer for HAV Surgery, IPMA Two-Day Seminar, Indianapolis, IN - 2001
  • Common Midfoot and Rearfoot Surgical Procedures, Midwest Board Review Course, Chicago, IL - 2001
  • Triple Arthrodesis, IPMA Fall Convention, Indianapolis, IN - 2001
  • 1st MPJ Arthrodesis, IPMA Fall Convention, Indianapolis, IN - 2001
  • Common Midfoot and Rearfoot Surgical Procedures, Midwest Board Review Course, Chicago, IL – 2003
  • Hallux Interphalangeus and 1st MPJ Arthrodesis, IPMA Fall Convention, Indianapolis, IN – 2003
  • The Under Corrected, Overcorrected and Neglected Clubfoot, IPMA Fall Convention, Indianapolis, IN – 2003
  • Lapidus Arthrodesis, Orthofix Seminar, Columbus, OH – 2003
  • Common Midfoot and Rearfoot Surgical Procedures, Midwest Board Review Course, Chicago, IL – 2004
  • Onychomycosis – The Need to Treat and Treatment Options, Indianapolis, IN – 2004
  • Onychomycosis – The Need to Treat, Carmel, IN – 2004
  • Onychomycosis – Overview, Need to Treat and Treatment Options, Greenwood, IN – 2004
  • The Cross-Over 2nd Digit, IPMA Fall Convention, Indianapolis, IN – 2004
  • Revisiting the Akin, IPMA Fall Convention, Indianapolis, IN – 2004
  • The Haitian Clubfoot Project, IPMA Fall Convention, Indianapolis, IN -2004
  • Onychomycosis - The Need to Treat and Treatment Options, Springfield, IL – 2004
  • Brachymetatarsal Lengthening with External Fixation – Orthofix External Fixation Course, Faculty Member, Boca Raton, FL- 2004
  • Haitian Clubfoot Project, Rivne and Vinnystia, Ukraine - 2005
  • The Undercorrected, Overvcorrected and Neglected Clubfoot, Rivne and Vinnystia, Ukraine - 2005
  • Common Midfoot and Rearfoot Surgical Procedures, Midwest Podiatry Conference, Chicago, IL – 2005
  • The Haitian Clubfoot Project, Erbil, Iraq – 2005
  • The Undercorrected, Overvcorrected and Neglected Clubfoot, Erbil, Iraq - 2005
  • Pediatric Flexible Flatfoot Deformity, IPMA Fall Convention, Indianapolis, IN – 2005
  • Introduction to Podiatric Surgical Board Review Course, Midwest Podiatry Conference, Chicago, IL – 2006
  • The Ponseti Method of Clubfoot Treatment, Midwest Podiatry Conference, Chicago, IL – 2006
  • Common Midfoot and Rearfoot Surgical Procedures, Midwest Podiatry Conference, Chicago, IL – 2006
  • Forefoot Surgical Panel – IPMA Fall Convention, Indianapolis, IN – 2006
  • Rearfoot Surgical Panel – IPMA Fall Convention, Indianapolis, IN – 2006
  • Introduction to Podiatric Surgical Board Review Course, Midwest Podiatry Conference, Chicago, IL – 2007
  • Common Midfoot and Rearfoot Surgical Procedures, Midwest Podiatry Conference, Chicago, IL – 2007
  • The Ponseti Method of Clubfoot Correction Lecture and Workshop, Chicago Lower Extremity Symposium, Chicago, IL – 2007
  • Pirani Scoring Method for Ponseti Method, CURE International Meeting, Port-au-Prince, Haiti – 2007
  • Post-Cast Bracing in the Ponseti Method, CURE International Meeting, Port-au-Prince, Haiti – 2007
  • The Ponseti Method of Clubfoot Correction, The Haitian Results – Deschapelles, Haiti – 2008
  • The Pediatric Flatfoot – IPMA Fall Convention, Indianapolis, IN – 2008
  • Talar Osteotomy for Clubfoot Deformity – IPMA Fall Convention, Indianapolis, IN – 2008
  • Locking Plates for 1st MPJ Fusions – IPMA Fall Convention, Indianapolis, IN – 2008
  • The Ponseti Method of Clubfoot Correction – Cange, Haiti – 2009

Lectures Available

 
  1. Pediatric Pes Cavus- Overview of Pediatric Pes Cavus etiology, diagnosis, examination, and treatment options and objectives. Included is a case presentation on the surgical reduction of a Cavus foot in an 11-year-old male. Estimated time 20 minutes.
  2. Heel pain due to Baxter’s Neuritis- Discussion on the anatomy of Baxter’s Nerve, the course of the nerve, how it relates to heel pain, historical overview, diagnosis, and treatment. Included is a detailed description of how to do the procedure with intra-operative pictures. Estimated time 20 minutes.
  3. Ankle Valgus- Description and definition of ankle valgus with brief historical overview, followed by two case presentations. Estimated time 20 minutes.
  4. Fractured “Z” Bunionectomy- Case presentation and overview of external pin frame fixation. Estimated time 15 minutes.
  5. Navicular-Cuneiform Arthrodesis- indications, technique, fixation, pearls of the procedure. Two case presentations. Estimated time 15 minutes.
  6. Plantar Approach to Neuroma Surgery- historical review of neuromas, etiology, diagnosis, conservative care, and step-by-step detail on the plantar approach for neuroma excision, complications and their treatment, discussion on why I feel the plantar approach is a superior technique. Estimated time 20 minutes.
  7. Why I Hate 1st MPJ Implants- review of indications and contraindications for implant arthroplasty of the 1st MPJ, with case examples of appropriate usage. Detailed discussion on complications of 1st MPJ implants with extensive case examples. Conclusion on why implant usage should be limited. Estimated time 30 minutes.
  8. 1st MPJ Arthrodesis- historical review, indications, contraindications, technique with intra-op pictures, complications. Several case presentations to reinforce the above main headings. Estimated time 30 minutes.
  9. Common Midfoot and Rearfoot Surgical Procedures- board review type of lecture covering many topics including heel pain, tarsal tunnel, bony prominences and accessory ossicles. Estimated time 60 minutes.
  10. Triples Arthrodesis- a comprehensive overview with a historical look at this procedure as well as a literature review and a comprehensive technique guide. Several case studies are presented to show the good and bad of this procedure. Estimated time 60 minutes.
  11. Onychomycosis: The Bottom Line- a detailed look at Onychomycosis, including pathology, diagnosis, testing, treatment options and side effects of medically treating this condition. Estimated time 45 min.
  12. Hallux Interphalangeus and 1st MPJ Fusions – examples of this difficult to correct deformity and its relation to fusion of the 1st MPJ. Estimated time 15 minutes.
  13. The Under Corrected, Overcorrected and Neglected Clubfoot – a look at clubfoot in the older patient with previous treatment or lack of treatment. Discussion of the treatment options for each of the above mentioned clubfoot deformities. Estimated time 30 minutes.
  14. Revisiting the Akin – a look at the Akin osteotomy including the history, indications and operative technique. Several examples are shown as well as intra-operative pictures and pre/post-operative x-rays. Estimated time 30 minutes.
  15. The Haitian Clubfoot Project - reviews the project using the Ponseti method of casting for clubfoot deformity and includes a complicated case showing the potential risk and complications with operating on a neglected clubfoot. Estimated time 30 minutes.
  16. Brachymetatarsal Lengthening with External Fixation - looks at the technique of lengthening metatarsals with external fixation, reviewing the standard operative and post-operative care with case examples. Estimated time 15 minutes.
  17. Pediatric Flexible Flatfoot Deformity – examination of the pediatric flatfoot deformity and the non-surgical and surgical treatment of the complex deformity. Estimated time 45 minutes.
  18. The Ponseti Method of Clubfoot Treatment – looks at this innovative method with a video presentation of the technique, the post-casting bracing protocols. Estimated time 45 minutes.
  19. Locking Plates for 1st MPJ Fusions – looks at the biomechanics of locking plates, the history and indications, and specific use in 1st MPJ arthrodesis cases. Estimated time 45 minutes.
 

Publications and Papers

  • DeHeer, PA: Basketball Shoes, Coach and Player, June 1989.
  • DeHeer, PA: Nothing but Net, Podiatry Today, May 1987.
  • DeHeer, PA: Sports Medicine and Orthotics, Podiatry Today, July/August, 1998.
  • DeHeer, PA, Lundeen, RO:  Chapter 27 Arthroscopy and Endoscopy pp.605-64. Subotnick, SI: Sports Medicine of the Lower Extremity. 2nd ed. Churchill Livingstone, New York, 1999.
  • DeHeer, PA, Elliott, BG, Harrod, JS: Posterior Calcaneal Pain, Podiatry Today, October 2000.
  • Burks, JB, DeHeer, PA: Tarsal Tunnel Syndrome Secondary to an Accessory Muscle: A Case Report, Journal of Foot and Ankle Surgery, November/December 2001.
  • DeHeer, PA: Are 1st MPJ Implants Worth the Hype- Counterpoint, Podiatry Today, January, 2002.
  • DeHeer, PA, Offutt, SM: Conquering Achilles Tendonitis in Athletes, Podiatry Today, November, 2002.
  • DeHeer, PA: Forefoot Applications of External Fixation. Clinics in Podiatric Medicine and Surgery 2003; 20:27-44.
  • DeHeer, PA, Offutt, SA, Trent, GA, Baker, MJ: Counter Point to Extracorporeal Shockwave Therapy: Hope or Hype, Podiatry Today, November 2003.
  • Burks, JB, DeHeer, PA: Triple Arthrodesis.  Clinics in Podiatric Medicine and Surgery 2004; 21:203-226.
  • DeHeer, PA: Counterpoint to Early Weight bearing After Lapidus: Is It Possible?  Podiatry Today, August, 2004.
  • Offutt, SM, DeHeer, PA: How to Address Baxter’s Nerve Entrapment.  Podiatry Today, November, 2004.
  • DeHeer, PA, Offutt, SM: Counterpoint to Nerve Decompression in Diabetic Patients: Should It Be Done? Podiatry Today, June, 2005.
  • DeHeer, PA: Maximizing Orthotic Success with Basketball Players.  Podiatry Today, April, 2006.
  • DeHeer, PA: Counterpoint to Intermetatarsal Neuromas: Is Neurectomy the Best Option? Podiatry Today, August, 2006.
  • DeHeer, PA: The Case Against First Metatarsal Phalangeal Implant Arthroplasty.  Clinics in Podiatric Medicine and Surgery 2006; 23: 709-724.
  • DeHeer, PA, Mardis, D: How to Treat Overuse Injuries in Athletes.  Podiatry Today, October, 2007.
  • Duckworth, AL, Husain, J, DeHeer, PA: Elephantiasis Nostras Verrucosa or “Mossy Foot Lesions” in Lymphedema Praecox.  Journal of the American Podiatric Medical Association, Jan/Feb, 2008; 91:1; 66 – 69.
  • DeHeer, PA, Achramowicz, E: Can Locking Plates Improve 1st MPJ Fusions? Podiatry Today, May, 2009.
  • Essential Pearls on Effective Orthotic Modifications.  Podiatry Today, June 2009.

Hospital Appointments

 
  • Clarion North Hospital- Carmel, IN
  • Community South Hospital- Indianapolis, IN
  • Johnson County Hospital- Franklin, IN
  • Major Hospital- Shelbyville, IN
  • Methodist Hospital- Indianapolis, IN
  • St. Francis Hospital- Beech Grove, IN
  • St. Vincent’s Hospital- Indianapolis, IN

Professional memberships

 
  • American College of Foot and Ankle Surgeons (ACFAS)
  • American Podiatric Medical Association (APMA)
  • Indiana Podiatric Medical Association (IPMA)
  • American Academy of Podiatric Sports Medicine (AAPSM)
  • American Academy of Podiatric Practice Management (AAPPM)

Professional Awards

 
  • Meritorious Service Award from the Indiana Podiatric Medical Association – 2000
  • Meritorious Service Award from the Indiana Podiatric Medical Association – 2004

Professional Activities

 
  • Podiatric Consultant - Indiana Pacers, 1993 to present
  • Podiatric Consultant – Indiana Fever, 2002 to present
  • Podiatric Consultant - Butler University, 1993-1995
  • Board of Editorial Advisors, Podiatry Today, 1988 to present
  • Midwest Podiatry Board Review Course Chair, 2006 to 2007
  • Indiana Podiatric Medical Association-
  
  • Chairperson of Continuing Education Committee- 1999 to present
  • CO-Chair of Continuing Education Committee- 1998
  • Member Continuing Education Committee- 1997
  • South Trustee – 2008
  • Secretary/Treasurer - 2009
 
  • Panel Member for Pfizer Advisory Panel- New York, NY- 1997

Volunteer Activities

 
  • Gennesart Homeless Foot Clinics, Indianapolis, IN- 1990 to 1992
  • Shoe Drive for Muncie Mission, Muncie, IN- 1997
  • Riverview Hospital Low Income Clinic, Noblesville, IN- 2000 to present
  • Trinity Free Medical Clinic, Carmel, IN - 2000 to present
  • Shoes for the Needy Drive, Carmel, IN - 2000
  • Honduras Medical Mission with Christ the King Church, Trujillo, Honduras – 2002
  • Honduras Medical Mission with Christ the King Church, Trujillo, Honduras – 2003
  • Haiti Medical Mission, Leogane, Haiti – 2003
  • Haiti Committee Our Lady of Mount Carmel, Carmel, IN – 2003, 2004
  • Honduras Medical Mission with Christ the King Church, Trujillo, Honduras – 2004
  • Haiti Mission Trip with Timmy Foundation, Port-au-Prince, Haiti – 2004
  • Haitian Clubfoot Project – Project Medical Director, 2004
  • Haiti Medical Mission with Mercy and Sharing Foundation, Port-au-Prince, Haiti - 2004
  • Rivne and Vinnystia, Ukraine with The Ukraine Special Needs Orphanages Fund - 2005
  • Erbil, Iraq Medical Mission Trip Hawler Medical School – 2005
  • Erbil, Iraq Medical Mission Trip Hawler Medical School – 2006
  • Port-au-Spain, Trinidad Medical Mission with Sports and Rec Plus – 2006
  • Haiti on behalf of CURE International for the Haitian Clubfoot Project, Port-au-Prince and Jacmel, Haiti – 2006
  • Haiti on behalf of CURE International for the Haitian Clubfoot Project, Port-au-Prince, Haiti – 2007
  • Haiti on behalf of CURE International for the Haitian Clubfoot Project, Port-au-Prince, Haiti – 2007
  • Haiti on behalf of CURE International for the Haitian Clubfoot Project, Port-au-Prince, Jacmel, Deschapelles Haiti – 2008
  • Haiti on behalf of CURE International for Haitian Clubfoot Project, Port-au-Prince, Jacmel, Cange Haiti - 2009

References

 
  • Available on request
Last Updated on Monday, 07 December 2009 08:55
 
Documentation Requirements PDF Print E-mail
Written by Administrator   
Thursday, 16 April 2009 13:18
Patient tables for each room

2. Hand-held dopplers (2-4) with gel for exams

3. Basic dressings such as 4x4’s, kling, kerlex, coban, ace wraps, cast padding, non-adherent dressings such as adaptic, foam, hydrogel, calcium alginate dressing, collagen dressings, silver nitrate, cotton-tip applicators

4. Local anesthesia

5. Surgical equipment such as #10 and #15 blades with #3 blade handles, tissue nipper, #3/5/7 ring curettes disposable if possible

6. Gloves of various sizes

7. Off-loading devices – surgical shoes, ¼ adhesive felt padding, possibly kits for total contact casting and materials to make accommodative insoles at the clinic, and crutches

8. Possibly venous stasis ulcer compression wrap materials

Last Updated on Monday, 07 December 2009 08:57
 
Wound Care Haiti PDF Print E-mail
Written by Administrator   
Wednesday, 22 April 2009 09:30

 

Click on the slide!

Requirements

The clinic should be well visible and easily accessible to all patients, including those with amputations and other disabilities. There should be a large enough waiting room to handle the above mentioned volume of potential patients.

More...
Click on the slide!

Clinic Set Up

I propose to establish a wound care center in Port-au-Prince to start with, followed by subsequent satellite clinics at larger cities throughout the country.A well established program must be up and going in PAP prior to expansion.

More...
Click on the slide!

Plan of Action

The approximate population of Haiti is 8 million people; and the WHO estimates the incidence of diabetes in Haiti to be 2-8% of the population. This number is probably more towards 8% due to the fact that 99% of the Haitian population is black,

More...
Click on the slide!

Background Information

Nearly two-thirds of the Haiti population does not have access to medicine and health services, particularly those living in rural areas and the financially incompetent. In addition, the poorly sanitized and ill equipped health centers and hospitals in Haiti help in spreading infection than accelerating treatment.

More...

 

The objective of Wound Care Haiti Inc is to improve the overall quality of wound care in the country of Haiti - through the establishment of standardized wound care centers across the country. Our vision for these centers is that they will utilize industry standard wound care techniques, treatments and education materials – thus reducing the country’s mortality rates on deaths related to limb amputation and diabetes. Furthermore we will provide training to local physicians and nurses and education materials to the Haitian public.

Unfortunately, despite the efforts of various charitable organizations, diabetes remains under-diagnosed and under treated in Haiti. Diabetes is a world health dilemma that results in multiple systemic complications and can be life, limb, eye and renal threatening.  The diabetic foot ulcer is often a pre-curser to lower extremity amputation, and often with further progression to loss of life. Nearly 2/3 of the Haitian population does not have access to medicine and health services, particularly those living in rural areas and the financially incompetent. In addition, the poorly sanitized and ill equipped health centers in Haiti help in spreading infection rather than accelerating treatment. 

Incorporated on March 26, 2009; Wound Care Haiti (501c3 tax-exempt) has been structured and operated exclusively for charitable purposes, which are particularly focused on the Haitian community. Join us in our mission to bring a limb-amputation prevention program to the people of Haiti.

 

Last Updated on Wednesday, 25 August 2010 22:54
 

Clinic Equipment Required

  • Patient tables for each room
  • Hand-held dopplers (2-4) with gel for exams
  • Basic dressings such as 4x4’s, kling, kerlex, coban, ace wraps, cast padding, non-adherent dressings such as adaptic, foam, hydrogel, calcium alginate dressing, collagen dressings, silver nitrate, cotton-tip applicators
  • Local anesthesia
  • Surgical equipment such as #10 and #15 blades with #3 blade handles, tissue nipper, #3/5/7 ring curettes disposable if possible
  • Gloves of various sizes
  • Off-loading devices – surgical shoes, ¼ adhesive felt padding, possibly kits for total contact casting and materials to make accommodative insoles at the clinic, and crutches
  • Possibly venous stasis ulcer compression wrap materials

Documentation Requirements

I recommend an ulcer charting template be used in conjunction with digital photos, additionally some form of an initial history and physical form should be included in the chart.

 

Physician Requirements

The doctor or doctors involved should have some type of surgical training, either in orthopedics or general surgery. I could help train specific surgical and debridement skills over many repeated trips.

 

On-Going Consultations

I could make consultations over the web via email with photos or even utilizing web cams. Phone consultations are also a possibility. I would need to make regular trips to provide direct training.

 

Education

Formal educational training programs are essential. This would include lecture seminars, hands on clinic training, and surgical hands on training. Once an established program has been arranged, those who work at that program could help teach new clinic sites and at national seminars. Additionally, webinars could be arranged for on-going training on a regular basis.

 

Funding

My initial thoughts would be to start a NPO for this project with a website to solicit donations from the US and worldwide. Any help provided by the Haitian government would be additional. This type of program would save a significant amount of money to the Health Ministry. Health care funding by the government has decreased from 24.8 goudes in 1990 to 15.7 goudes in 1995. The most recent information on the healthcare budget for Haiti has decreased 27% when adjusted for inflation from 157 million goudes in 1990 to 421 million goudes in 1996. Healthcare costs are approximately 7.8%-10.7% of the entire governmental budget, which is about 1% of GDP. Public spending on healthcare has also decreased from 25 goudes in 1990 to 16 goudes in 1998 per person per year. The cost of this program would be substantially less than the cost of the surgical and hospital care diabetic foot ulcers result in yearly. Any help in establishing relationships with current NGOs in Haiti would greatly facilitate this project.

 

Why Patrick A. DeHeer, DPM to guide this project?

I have a deep affinity for Haiti and her people. I have been here several times on various trips mainly associated with the Haitian Clubfoot Project and feel very comfortable in the country and interacting with the people. I have extensive training in reconstructive foot and ankle surgery. I lecture both locally and nationally on foot surgery. I currently work at the Johnson Memorial Hospital Wound Healing Center.

 

 

 

 

 

 

 

 

 

 

 
<< Start < Prev 1 2 Next > End >>

Page 1 of 2