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Dominican Republic Charity Trip

Dominican Republic Charity Work

September 27-30, 2007
SOL Foundation


Trip Site: Santiago, Dominican Republic
Trip Date: September 27-30, 2007
Participants: Dr. Luis Marin, Dr. Camilo Garcia, Dr. Jose Aponte, Dr. Gregorio Caban,
Dr Kyle Kinmon, Dr. Dennis McBroom, Dr. Joy Anderson, Dr. Joanne Balkaran, Dr.
Scott Goldstein
SOL Foundation Trip
Dr. Marin is the president of the SOL Foundation.
Dr. Frederick Scavone is the vice-president (not present on this trip).
Dr. Jose Aponte and Dr. Camilo Garcia are orthopedic doctors in Santo Domingo who
organize the patients and perform follow ups.
Dr. Kyle Kinmon is Attending and alumni of Palmetto General Hospital.
Attending in practice with Dr. Marin and alumni of Palmetto General Hospital, Dr.
Gregorio Caban.
Palmetto General Hospital Podiatry Residents: Dr. Dennis McBroom, Dr. Joy Anderson,
Dr. Joanne Balkaran.
Podiatry resident from East Orlando Hospital, Dr. Scott Goldstein.

Santiago, D.RFrom left-right: Drs. Aponte, Camilo, Kinmon, Anderson, Goldstein, Caban, Orthopod, and McBroom.
Kneeling: Drs. Balkaran, Marin

Preparation
This SOL Trip was deemed most organized. Once the date was determined Drs.
McBroom, Balkaran, Auger and Anderson began organizing equipment and supplies. A
presentation on the surgeries to be performed was created and all the doctors discussed
the pre-operative planning. Also, Dr. Marin was invited as the keynote speaker for a
Conference held by the Orthopedic and Traumatology Society, North at the hospital. The
preparation involved ordering supplies, acquiring donations, organizing surgical
instrument trays, sterilizing gowns, gloves, drapes and trays and packing all the suitcases.
The SOL Foundation received product donations from Integra Life Sciences, Smith and
Nephew, Orthofix, Ethicon and Marin Foot and Ankle. The Palmetto General Hospital
residents collaborated, packed and planned for the trip.

Thursday September 27, 2007
Day 1


The group of seven doctors met at Marin Foot and Ankle, Hialeah, loaded the
suitcases and headed to Miami International Airport at 730am. The flight departed MIA
at 1055am and arrived in Santo Domingo Internal Airport two and one half hours later at
135pm. We were met at the gate and transported to the VIP Lounge. At the lounge, we
were greeted by Ms. Maria Lugo (representative to the first Lady of Dominican
Republic), Drs. Aponte and Camilo. We had a chance to relax and have a drink while our
passports were processed and our luggages were gathered. At this time, we became
aware that one piece of luggage was missing and a report was made. We loaded the
remaining luggage unto a bus and then proceeded to Santiago in the vehicles of Drs
Aponte and Camilo.
En route to Santiago, we stopped at the side of the road, where a previous patient
with a right below the knee amputation was waiting patiently. This patient had a right
pseudoarthrosis which became infected and ischemic after surgery and lead to a below
the knee amputation. The SOL Foundation, Dr. Anderson took measurements from the
previous trip and had a prosthesis made for him. At this time, the prosthesis was
presented and fitted on the patient on behalf of the SOL Foundation. Dr. Camilo then
agreed to follow up on the patient and the prosthetic leg. The patient was very pleased.

Santiago, D.R
The trip to Santiago took approximately three hours. We arrived at the Arturo Grullon
Hospital, where the conference was held as well as the surgeries for the preceding days.

Santiago, D.R

Arturo Grullon
Hospital

On arrival, a surgical patient (NE) from the previous trip was waiting in the lobby. The
patient had a pseudoarthrosis, an external fixator was placed then. His x-rays were
viewed and advice was given to commence the tibial lengthening process.

Santiago, D.R
Then, Drs Aponte and Camilo introduced the group to the staff and the facility of this
pediatric hospital. We visited and examined the children who were planned for surgeries,
viewed x-rays and discussed surgical planning.

Santiago, D.R2

Santiago, D.R2

Dr. Marin then proceeded to the auditorium at the Arturo Grullon Hospital for his
presentation to the Sociedad Ortopedia y Traumatologia Filial Norte on Hallux
Abductovalgus and Pes Planus. The conference was a success. In the meantime, the rest
of the group organized all the supplies, trays and equipment for the upcoming surgeries
and liaised with the staff for autoclaved items.
After the pre-op preparation and the conference, the group was then taken to
Hodelpa Gran Almirante Hotel and Casino.An exquisite hotel in the middle of Santiago.

Santiago, D.R

Friday September 28, 2007
Day 2


We had an early breakfast at 7am at the hotel and the group was escorted to the
Arturo Grullon Hospital via Drs Aponte and Camilo. At the hospital, the patients
scheduled for surgery were evaluated and documented. We had three available operating
rooms to utilize. The hospital staff was very helpful in preparing the rooms. Dr. Camilo
and Dr. Balkaran kept records of the procedures and patient list. We were at a
disadvantage since the missing luggage had vital supplies and equipment that would have
facilitated the surgeries. We performed ten surgeries on kids ranging from 2-14 year olds.
The day at the hospital ended around 6pm. We returned to the hotel for an hour to freshen
up and to a barbeque event with doctors and residents. At the event, we became
acquainted with other orthopedic doctors and residents in the area. Many commented on
the presentations and requested copies of the power point. After the leisure evening, we
headed back to the hotel to rest for the next day.

Santiago, D.R

Santiago, D.R

Saturday September 29, 2007
Day 3


The group met at the hotel’s restaurant for an early breakfast. Dr. Camillo and
Aponte then transported us to the Arturo Grullon Hospital. At the hospital, the group
rounded on the post-op patients from the day before and also evaluated patients for the
day’s surgery. We used some of the hospital’s sterile packs which included gowns and
drapes and also some soft tissue instrumentation. We performed eight surgeries, mainly
bilateral cases. The surgical cases were more challenging and time consuming than on
Friday. After the end of the day, everyone was exhausted. The team washed and packed
the suitcases. We left all the frames, sutures, gowns, drapes and sterile items for the
hospital and Drs Camillo and Aponte. The people were extremely grateful for the
donation. After the clean-up and count, the group changed and head to a hill-top
restaurant called Camp David Ranch. Camp David had a breath-taking view of the city
and a beautiful ambience. We were joined by other orthopedic doctors and
representatives to the first lady. We enjoyed the last evening in Santo Domingo under the
stars. After dinner, we head back to the hotel and rest for the next day’s trip.

Sunday September 30th, 2007
Day 4


We all had a late morning reveille and breakfast at the hotel’s buffet. We all met
at the check out area of the hotel. We checked out of the hotel. We were then greeted
farewell by a family practice doctor, a representative to the First Lady. Drs Camillo and
Aponte then transported the group to the airport. Dr. Marin was taken to the capital, white
house to over his expert opinion to the colonel to the President. We all gathered at the
airport, checked in and bid farewell to Drs. Camillo and Aponte. We left Santo Domingo
airport at 435pm and arrived at Miami International airport at 7pm.

Friday September 27th, 2007

1. RP 14 y/o F
Diagnosis: Left Equinocavus deformity secondary to motor vehicle accident/trauma. Calf
cicatrix from previous surgery.
Surgery: Open sagittal Z-lengthening of Achilles left with cast application

D.R. Surgeries

2. YE 7 y/o F
Diagnosis: Right Blount’s Disease tibia; bilateral tibial bowing
Surgery: Open wedge Osteotomy with steimenn pin fixation x 2 with cast application

kids

3. JG 7 y/o F
Diagnosis: Bilateral Congenital Club foot
Surgery: Bilateral Tendoachilles Lengthening with application of external Fixator

kids need help

4. EP 5 y/o M
Diagnosis: Bilateral Clubfoot, right flexible, left rigid with lateral bursa,
myelomeningocele(spinal bifida)
Surgery: Left Tendoachilles Lengthening with application of External Fixator

kids need help with foot surgery

5. EER 2 y/o M
Diagnosis: Bilateral Congenital Clubfoot
Surgery: Bilateral Tendoachilles Lengthening with application of external fixator

kids need help with foot surgery

6. HQ 5 y/o M
Diagnosis: Left Calcanovalgus, Right Clubfoot with Soft Tissue Equinus
Diagnosis: Hydrocephalus, myelomeningocele
Surgery: Left Peroneal longus/brevis tendon transfer to Tibialis Anterior with
Tendoachilles Lengthening with application of cast. Right Tendoachilles Lengthening
with cast application

kids need help with foot surgery

7. KMA 9 y/o F
Diagnosis: Left Blounts’ disease
Surgery: Open wedge Osteotomy with cast application

kids need help with foot surgery

8. DD 6 y/o F
Diagnosis: Bilateral congenital clubfoot with Soft tissue equinus
Surgery: Bilateral Tendoachilles Lengthening, Abductor Hallucis release, right medial
plantar fascia band release. Bilateral cast application.

kids need help with foot surgery

9. PS 2 y/o F
Diagnosis: Bilateral congenital clubfoot
Surgery: Bilateral Tendoachilles Lengthening, abductor hallucis release, medial plantar
fascia release with cast application

Dominican Republic Charity Work

10. RCM 2 y/o F
Diagnosis: Bilateral congenital clubfoot
Surgery: Bilateral Tendoachilles Lengthening, master knot of Henry release with cast
application

Dominican Republic Charity Work

Saturday September 29, 2007

1. FN 14 y/o F
Diagnosis: Left congenital limb length deformity
Surgery: Left corticotomy with external fixator application- gradual tibial lengthening

Charity work for kids

2. WO 4 y/o F
Diagnosis: Bilateral residual clubfoot, previous surgery left worse than right with
metatarsus adductus
Surgery: Release left metatarsal- cuneiform joint with k-wire fixation x 3, cast
application

Charity work for kids

3. MA 17 y/o F
Diagnosis: Bilateral clubfoot, had previous frame, sustained infection to left leg, frame
removed. Left Forefoot varus/supinated, RF varus
Surgery: Dwyer, Cotton, Midfoot Osteotomy, FDL tenotomy 1-3, Tarsal tunnel release,
Plantar fasciotomy, Percutaneous pinning metatarsal 1-4, 1st metatarsal exostectomy,
application of external Fixator

4. AN 2 y/o M
Diagnosis: Bilateral clubfoot
Surgery: Bilateral Tendoachilles Lengthening, abductor release with cast application

Charity work for kids

5. EP 5 y/o M
Diagnosis: Right Posterior fibular bone tumor extending to popliteal fossa
Surgery: Resection of bone tumor (osteosacroma)

Charity work for kids

6. JM 13 y/o M
Diagnosis: Left clubfoot with flexor contracture
Surgery: Midfoot Wedge Osteotomy, Pan met head resection with K-wire fixation and
cast application

Charity work for kids

7. ERDL 9 y/o M
Diagnosis: Right Clubfoot. Had previous left foot correction
Surgery: Right Tendoachilles Lengthening with ex-fix application

Charity work for kids

8. YL y/o M
Diagnosis: Right Tibial Torsion/internal rotation/bowing
Surgery: Right transverse Osteotomy with pin fixation and tibial derotation, cast
application

Charity work for kids

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