{"id":1765,"date":"2010-11-22T09:05:09","date_gmt":"2010-11-22T14:05:09","guid":{"rendered":"http:\/\/blogs.cooperhealth.org\/news\/?p=1765"},"modified":"2010-11-22T15:22:44","modified_gmt":"2010-11-22T20:22:44","slug":"meeting-of-the-minds-the-enormity-of-the-task-at-hand","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/news\/2010\/11\/meeting-of-the-minds-the-enormity-of-the-task-at-hand\/","title":{"rendered":"Meeting of the Minds: The Enormity of the Task at Hand"},"content":{"rendered":"<p><strong>By <a href=\"http:\/\/www.cooperhealth.org\/content\/FindAPhysician.htm?mem_id=1593\">Sarah Woodrow, MD<\/a><br \/>\nCooper Neurological Institute<\/strong><\/p>\n<p><em>This is part three in a series of updates from Dr. Woodrow&#8217;s mission to Ethiopia. <a href=\"http:\/\/blogs.cooperhealth.org\/news\/tag\/ethiopia\/\">View additional posts from her on the Inside Cooper blog by clicking here to view all posts tagged &#8220;Ethiopia.&#8221;<\/a><\/em><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1767\" style=\"margin: 0px 0px 10px 20px;\" title=\"inside_201011_ethiopia_3\" src=\"http:\/\/blogs.cooperhealth.org\/news\/files\/2010\/11\/inside_201011_ethiopia_3.jpg\" alt=\"\" width=\"300\" height=\"197\" \/>Less than 12 hours on the ground and I am rounding at the hospital with the residents.\u00a0 They are excited.\u00a0 With my subspecialization in spinal surgery they have been saving the toughest cases for me in hopes of learning a few tricks while I am in town.\u00a0 While I am thrilled by their enthusiasm I am secretly scared as they start introducing me to the patients and the enormity of the task at hand.<\/p>\n<p>Many of them are accident victims having fallen from various heights.\u00a0 Most have been paralyzed by their injuries.\u00a0 Each has at least one family member by their side who sleeps on a mat by their bedside, providing the majority of their basic nursing care.\u00a0 All have been admitted for surgical treatment.\u00a0 Unfortunately I can offer little hope to those that have become paralyzed \u2013 the injury they sustained to their spinal cords is permanent.\u00a0 The role of surgery in these patients is only to stabilize their broken spines so that they can sit upright.\u00a0 The difficulty will be in determining how.<\/p>\n<p><!--more-->All have xrays of their injuries sitting as pictures at their bedsides.\u00a0 One is an image of a completely dislocated spine.\u00a0 I don\u2019t think I have ever seen anything like it except in a textbook.\u00a0 None of the patients have any advanced imaging.\u00a0 The CT scanner at the hospital broke down years ago and has never been fixed.\u00a0 Those that can afford it are sent for MRIs or CT scans at one of the many private radiology clinics around the city.\u00a0 Given that there are few ambulances in the city I can only imagine how these patients are transported.<\/p>\n<p>At the end of the day whatever information we have, their spines need to be fixed.\u00a0 The big question is how.\u00a0 Back home we have access to all of the most advanced equipment and technology.\u00a0 Here there is none of that.\u00a0 The screws and rods that I would normally\u00a0 use, cost thousands of dollars and just aren\u2019t readily available.\u00a0 Over the years surgeons like me have brought over odds and ends \u2013 the question will be is if there are enough matching bits and pieces to fix a few spines.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Less than 12 hours on the ground and I am rounding at the hospital with the residents.  They are excited.  With my subspecialization in spinal surgery they have been saving the toughest cases for me in hopes of learning a few tricks while I am in town.  While I am thrilled by their enthusiasm I am secretly scared as they start introducing me to the patients and the enormity of the task at hand. <\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[198,421,422],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-ddevenney","4":"has-excerpt","5":"has-more-link","6":"post-1765","8":"format-standard","9":"category-events","10":"post_tag-cooper-neurological-institute","11":"post_tag-ethiopia","12":"post_tag-neurosurgery"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Meeting of the Minds: The Enormity of the Task at Hand - Inside Cooper<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.cooperhealth.org\/news\/2010\/11\/meeting-of-the-minds-the-enormity-of-the-task-at-hand\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Meeting of the Minds: The Enormity of the Task at Hand - Inside Cooper\" \/>\n<meta property=\"og:description\" content=\"Less than 12 hours on the ground and I am rounding at the hospital with the residents. 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