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Podiatrists on a Mission, Part II

Posted By PPMA, Tuesday, July 27, 2021
Written by Susan Girolami Kramer
Originally shared in the Jan/Feb 2019 PPMA Newsletter


Many students and residents jump at the chance to go on Missions

Using your knowledge and expertise to make life better for the underprivileged doesn’t have to stop after the holidays. As a matter of fact, most of the podiatric physicians featured here already had medical missions on their “to-do” lists, and plan to go on other mission trips in the future. 


MEDICAL MISSION TO LEON & MANAGUA, NICARAGUA 
Aneta Strus, DPM, was a third-year TUSPM student in 2013 when she joined Drs. Charles Morelli and Jeffrey Siegel, who led another podiatric student and two residents, on her first medical mission. Two local hospitals were visited: Hospital Escuela Oscar Danilo Rosales Arguello (HEODRA) in Leon, and the Children’s Hospital in Managua. Dr. Strus, now practicing at Martin Foot and Ankle, said she “grasped the first opportunity I was given” to go on a medical mission. 

Dr. Strus said what surprised her the most on the mission was the state of the hospitals; lack of specialized training by local surgeons; and the large number of neglected congenital and acquired deformities, which lead to lifelong disabilities. The positives included: the hospitality of the local people, the gratitude of the patients, and the willingness to learn by the local physicians. 

Everything the team did was surgical correction:
  • For the Congenital Vertical Talus and Neglected Clubfoot, treatments included talectomies and soft-tissue releases to hindfoot fusions, depending on the age of the patient and degree of deformity.
  • Streeter’s Dysplasia (the first time Dr. Strus encountered or heard of it). 
  • Advanced Acral Letiginous Melanoma: A severely mangled foot from a motorcycle accident, left neglected for a month before the team was able to treat it. 
  • Advanced Hindfoot Arthritis; Severe Varus deformities; Flatfoot; Hallux Valgus; Tibial Non-Unions/Malunions from prior trauma.

It takes a cohesive team to have a successful medical mission. Dr. Strus was very appreciative of the team she worked with, especially how everyone pressed on after standing for 12–18 hours a day to treat those in need.

She found it worthwhile to experience the variety of pathology at the time, and how focused everyone was on their common goal—to help. “I would encourage myself and others to look outside of the bubble we live in, and realize how privileged we truly are to be living in this country, and to have the ability to help others,” she says.

“MIRACLEFEET” CLINIC IN LEON, NICARAGUA
PPMA Member Andrew Peacock, DPM, went to Leon, Nicaragua, on a multifaceted mission through the United Methodist Church, Mamaroneck, NY. A MiracleFeet Clinic, housed within the HEODRA Hospital in Nicaragua, gave Dr. Peacock and the others the ability to treat rampant clubfoot, focusing on the Ponseti method, a non-surgical treatment fully correcting the foot.

The team of five podiatric surgeons and two podiatric students primarily treated pediatric deformities: failed Ponseti clubfoot and neglected trauma focused on deformity correction. “The opportunity to help these families and individuals who are otherwise identified as crippled in a third-world country, without resources we take for granted in the States, is truly life changing,” says Dr. Peacock.

He also explains that Medical Missions are the reason he went into the podiatric surgical field. He found the people so grateful and genuine, and the experience “the most humbling experience of my life.”

A LITTLE CAN GO A LONG WAY
Martin Foot and Ankle, York, PA, believes in the power of community outreach in a variety of ways and all-year long. “If we all do a little good, a lot of good could happen,” says Aysa E. Urich, Marketing Specialist for Martin Foot and Ankle. 

The practice involves both its shoe department, The Right Shoe, and its physical therapy department to lend a helping hand and spread goodwill: As a practice they have sponsored the YMCA’s “Walk a Mile” in York for the past two years, as well as other YMCA events. This includes the upcoming “Race Against Racism” in the spring, an event they’ve participated in the past. Not only do they sponsor these walks and races, but Martin Foot and Ankle DPMs participate in them when able. 

The Martin Foot and Ankle PT Department employees are offered a “Dress Down” day when they bring in an item to donate to a specific charity of the month. A wish list is sent from the chosen organization for employees to pick items from and to bring in. “For SPCA or animal-related, it’s normally animal food, toys, and bones. For people, it’s normally non-perishable items—socks, etc. For schools, it’s school supplies,” says Urich. 

Soles4Souls: What a great way for podiatry to support an organization that collects new or gently used shoes for those who do without. “The Right Shoe” places large donation boxes at their two locations for customers to drop off shoes for Soles4Souls. Martin Foot and Ankle’s shoe department collects roughly 200 pairs of shoes during the holiday promotion period. Laura Roman, shoe store associate pictured above, dropped off the donated shoes in Philadelphia.

According to Urich, Martin Foot and Ankle’s “Year of Giving” sponsorships/donations come down to “because our community is what makes us who we are, and our patients aren’t just patients, they become family to our practice.” She adds that if not for the community, the practice wouldn’t be in business.

Getting involved in your communities to educate them on foot and ankle health while attending immediate needs, may seem overwhelming. But even small gestures of giving can do the most good!  

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Podiatrists on a Mission, Part I

Posted By PPMA, Tuesday, July 27, 2021
Written by Susan Girolami Kramer
Originally shared in the Nov/Dec 2018 PPMA Newsletter



It’s that time of year when the general public gives a little more generously in helping those in need of food, warm shelter, or Christmas toys. But when it comes to Medical Mission work, it doesn’t normally follow a certain “time of year” for the medical community to physically travel to other countries and offer much needed medical treatment and education. Our PPMA Members and Residents are no different in giving of their time and expertise to those in dire need throughout the year, or supporting podiatric organizations that give back to the community in a big way.

These podiatric physicians/surgeons bring hope and healing to indigenous peoples like no other profession can in such countries as South America, Honduras, Nicaragua, and El Salvador. Their giving extends beyond a certain time of year, with most returning to follow up or because they get a lot of gratification in bringing much needed healing/treatment for podiatric disorders.

SHUZZ Foundation – Sole Giver

Most children in the states have multiple pairs of shoes to wear for different activities—sports, walking, recreation, school, and formal occasions.  This is not the case in all parts of the U.S., but it is definitely lacking in third-world countries. “Most children across the world have one pair of shoes for school and play,” says Jodi Schoenhaus, DPM, Boca Raton/Boynton Beach, FL, Medical Director, SHUZZ Foundation. Dr. Schoenhaus started the organization because she knows the confidence a pair of brand-new shoes can bring to a child.

The SHUZZ Foundation provides new washable shoes, that can grow with the child, internationally and domestically through fund-raising efforts and donations to underprivileged children. Currently, the organization provides well over 125,000 pairs of shoes. This is no small task, as the Foundation continually runs fund-raising efforts and purchases new shoes to distribute.

The shoes provided range from: Crocs, Natives, New Balance, to Adidas brands. “Domestically, we participate in back-to-school drives and athletic programs in an effort to encourage healthy, active lifestyles for children,” says Dr. Schoenhaus. Here at home is where the SHUZZ Foundation mostly donates cleats and sneakers for the youth.

The program has been extremely successful, according to Dr. Schoenhaus. The SHUZZ Foundation also provides medical relief and medications to a number of clinics in Guyana, South America; specifically providing Grand rounds education because there is a high rate of diabetes and limb-threatening conditions. In one of their Missions, “We met a four-year-old boy from Lethem, Guyana, that had internal tibial torsion [see photos on right]. Through the SHUZZ organization, we were able to get him a Visa; and he and his mother traveled to the United States where surgical reconstruction was performed, followed by physical therapy and rehabilitation,” says Dr. Schoenhaus.

The Foundation distributes shoes to Haiti, Guatemala, Columbia, and the Bahamas. Dr. Schoenhaus attributes their success to the love of shoes and for the children! They’ve been going strong for eight years now.

Another Mission in Honduras

PPMA Member Neal Kramer, DPM, kept his word about going back to the Manos Amigos clinic in La Entrada, Honduras. He again was part of a Mission Team this summer, serving the Manos Amigos clinic funded by the “Serving at the Crossroads” organization. The clinic is 10,000 square feet, staffed by two full-time physicians and dentists. Dr. Kramer was joined by podiatric residents Brittany Mayer, DPM, and Shaun Latshaw, DPM, to provide treatment and instruction of the lower extremity, which is normally not available at the clinic.

“Honduras has a very high percentage of diabetes in their population,” says Dr. Kramer. When Dr. Kramer was there in 2016 with Lee Sanders, DPM, he was initially amazed by the large percentage of lower extremity complications. This time around, the team saw approximately 100 patients for evaluation, mostly diabetics, and treatment. Dr. Kramer and the residents:

Performed many surgical debridements of wounds on feet and legs. 
Saw a few congenital problems like brachymetatarsia (congenitally short metatarsals) and pes planus. 

Performed one surgical emergency whereby a patient with a posterior heel wound had fallen, forcibly dorsiflexed her foot, and tore the entire posterior portion of skin and 80 percent of Achilles tendon. 
Performed a few digital amputations as well.


In total, more than 800 patients were seen during the week’s visit by the medical team, which compromised of the three podiatrists; an ER physician; infectious disease physician; two additional general physicians (taking into account the two physicians based at the clinic); several Nurse Practitioners; and 20 non-medical personnel. “Extremely rewarding for everyone,” says Dr. Kramer.

“Healing the Children” in El Salvador

One of the Chief Residents at the University of Pennsylvania Health System, Andreas Kaikis, DPM, felt it was “a tremendous opportunity” to participate in the Healing the Children organization’s Mission that took him and three other podiatric surgeons to El Salvador in September.  This marked the 25th Anniversary of the Mission trip, which focused on pediatric congenital lower extremity limb deformity and was sponsored by the Rotary Club. 

Dr. Kaikis expressed that this experience left an indelible mark on him. “You are seen as a beacon of light for these individuals, and it truly allows you to reflect and realize how we take our daily routine for granted.” The podiatry team:
  • Screened about 200 patients from all over El Salvador
  • Performed 50 surgeries, ranging from tendon work, fusions, clubfoot, and reconstructions
  • Encountered acute pathologies: neglected clubfoot, arthrogryposis, vertical talus, flatfoot and cavus  deformity, and post-traumatic and neuromuscular pathologies. 

According to Dr. Kaikis, the Mission’s success was due to the coordinated efforts of the team of surgeons, residents, anesthesiologists, nurses, prosthetists, and ancillary members. “Every individual played an integral part to allow us as surgeons to make a difference in the lives of the children,” he says.

He challenges his peers to also become a “beacon of light” and “a part of the human experience of these families” by participating in a Medical Mission. Because at the end of the day, serving others is serving the profession!

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A First Year Podiatry Student's Reflections on COVID-19

Posted By PPMA, Tuesday, July 27, 2021

Written by Samantha Cooney, TUSPM '24

Originally shared in the May/June 2021 PPMA Newsletter


 

Although my first year in podiatry school was anything but con-ventional, I believe that the future podiatrists of the Class of 2024 are going to be stronger and more motivated than ever. Here’s why: Upon the arrival of the COVID-19 pandemic, the unexpect-ed has completely engulfed our everyday “normal” life and has pushed us into our new reality. Massive shutdowns, social dis-tancing, quarantines, stay-at-home orders, and travel bans have come upon us with seemingly no end in sight.

Personally, my new reality began at the end of March 2020 when my undergraduate commencement was cancelled, medical school interviews shifted to being virtual, and I was unable to physically visit the medical programs and cities I would reside.

During this uncertain time, I received an important piece of advice that helped propel me through the relentlessly tough next few months. Dr. Mark Mendeszoon, DPM, Cleveland OH, advised me that with all of the uncontrollable factors flying around today, it is important to take control of what I can and let go of everything else. With this sound advice and a leap of faith, I was ready to embark on my first year of medical school at Temple University School of Podiatric Medicine.

Now that I am nearing the completion of my first year at TUSPM, I have come to realize that many of the obstacles that we faced as we began medical school during the pandemic were in fact opportunities to personally grow and professionally succeed.

More time with less distractions 
As the entirety of our first semester was conducted online, we lost some great in-person learning opportunities that stu-dents normally get to participate in, such as lectures, workshops, conferences, cadaver labs, and so on. However because of this, we had an abundance of uninterrupted time to complete our schoolwork. The trick was staying personally motivated and disciplined because we had only ourselves to stay accountable for our virtual curriculum.

Mental and Physical Toughness 
Although I had an abundance of extra time to study, I also had to prioritize my mental and physical health. I began taking at least one hour per day to go to the gym or go on a run in order to stay sharp both mentally and physically. Personally, this not only allowed me to let off steam but also helped me to refocus on what needed to be done to succeed academically. 

Reflection and Reassurance 
At times, it was challenging to recognize that I was actually a medical student at TUSPM due to the countless weeks and weekends I spent on my laptop in my apartment rather than collaborating with my professors and peers. I had to dig deep at times to stay motivated while continuing toward my goals. 

With my first year at TUSPM wrapping up and the pandemic slowly getting under control, the one thing I am certain of ironically, is the uncertainty the future holds. But, with the obstacles we have had to overcome in just our first year, I — along with the future podiatrists of the Class of 2024 — will be able to conquer any obstacle on our way to succeed academically, mentally, and professionally. 

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