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Advanced P & O Digest technology news from advanced prosthetics and orthotics of the pacific Volume 1 Number 1 Winter 2008 Limb Loss Didn’t Stop Young trips, whether it was going to Mexico or to the inner city,” she said. “I have been on four trips and Woman’s Zest for Life and volunteered every summer from sixth to 12th grade for the inner Helping Others city mission work. The trips and the inner city missions were for a week been looking toward the to two weeks long and we would positive – and helping others scrape and paint homes for people whenever she can. who could not afford it or were not “Katie has a wonderful able to do it themselves. attitude, and it’s a pleasure for “While in Mexico, we actually us to have her as a patient,” helped build on to homes; I helped said her prosthetist, George lay the concrete foundation. I just Newton, CPO, and president really like to do that kind of stuff. of Advanced P & O of the I love to work hard like that for Pacific. people that can’t. It really does feel good to help people who Making A Difference are less fortunate or can’t help Katie was one of 25 themselves. I know that sounds military spouses who became like what everybody says or that’s involved with ABC’s Extreme what people are supposed to say, Home Makeover when but I really feel it. I mean, when I they built a new home and see the joy and thankfulness in the community center for Theresa people’s eyes that I have helped it Adana and her nonprofit really does make me feel good and agency Keiki O Ka Aina Family that I made a difference.” Learning Center. “The Army’s Family continues on next page Twenty-three-year-old Katie Readiness Group (FRG) sent an Vrocher of Oahu doesn’t lack for e-mail to all the spouses asking for things to worry about – her husband volunteers,” explained Katie. “We is about to be deployed for the were the clean-up crew. We picked third time to Iraq, her parents and up trash and cleared the area so two siblings reside in Alabama, she the landscapers could lay down the worked a job that made it hard for grass.” her to get to medical appointments, While adjusting to a new job her insurance carrier balked about and life as a military spouse doesn’t healthcare coverage, and she is an leave Katie much time for volunteer amputee. work, she had been a dedicated Many people would find any one volunteer in her hometown of of those things overwhelming, but Mobile, Ala. Katie’s approach to life has always “When I was in high school I was very active in my church’s mission Advanced P & O Helped stance knee system, using Katie Get the Prosthesis artificial intelligence to learn She Needed how the user walks, recognizing Although Katie never let her and responding immediately disability slow her down – she to changes in speed, load, and even climbed Diamond Head – terrain. The knee has multiple she has found more comfort and safeguards to guard against the increased mobility through the knee buckling unexpectedly; efforts of Advanced P & O. disturbances in the walking path Prior to moving to Hawaii, are recognized automatically Katie was wearing a prosthesis and stance support instantly is physical therapy. that wasn’t a comfortable fit, activated to protect the user from “Being that I was 16, I was and didn’t provide the stability a potential stumble and fall. worried about how I would she needed. “I was getting “The biggest advantage for look, and how I would be able along okay but I used to fall a lot Katie is that the Rheo Knee makes to do things,” she said. “The because the knee wouldn’t lock it easier for her to carry out her physical therapists really didn’t when I needed it to,” she said. daily activities and it feels more know what to do with me. They But finding a prosthetist who comfortable for her walking were used to working with would listen to her needs proved outdoors,” said George. older people who had lost limbs challenging. Because there were “The Rheo Knee just makes because of diabetes. The biggest still some “insurance snafus,” as every day easier,” Katie said. “It challenge they could give me was Katie calls them, “when I called locks like the other one didn’t. throwing a medicine ball against other prosthetists, they said they Stairs are not a problem.” a trampoline and catching it.” couldn’t help me. But when I Katie also wears Ossur’s Iceross That exercise took most patients called Advanced P & O, I talked to Seal-In Liner, making it easier 30 minutes to accomplish. Katie Summer and she said she would to don and fit the knee, and an did it immediately, amazing her help with the insurance company, adjustable heel height foot. “With therapists. and if they didn’t come through, one push, she can go from sandals As Katie’s recovery progressed, there were other options.” to heels,” said George. she returned to school in August, “We worked with her on was elected to homecoming court the insurance,” said George. Amputation Didn’t Hold for the third consecutive year, and “We were able to justify to the Katie Back resumed fashion modeling for a insurance company that she Katie became an amputee six local department store. needed to change her prosthesis months after her 16th birthday as “Because I was on the to the Rheo Knee®. She was a result of injuries from a horrific homecoming court, I started a good ambulatory prior even one-car accident near Mobile, Ala. using a cane much earlier than before she had the Rheo Knee, She remembers her legs being expected. I didn’t want to walk out but this improves her comfort and stuck between the front seats, the on the field with ugly crutches,” gives her the stability someone Jaws of Life extracting her from Katie said. “My mom and I even with her activity level needs.” the car, the ambulance ride, and decorated it, and by Christmas The Rheo Knee from Ossur eventually the Flight for Life to break I stopped using the cane is a microprocessor swing and the University of South Alabama because I just didn’t want it Hospital. anymore, and if I was going to “In the ambulance, they kept fall the cane wasn’t going to help asking me if I could feel my toes catch me.” and I couldn’t,” she said. “I didn’t feel much pain. I think my body A Romance Begins was in shock.” After graduation in 2003, Katie In addition to her mangled went to Auburn University and legs and assorted bruises and when she returned from Auburn abrasions, Katie had two pelvic in 2006, she began a romance with fractures. The doctors told her an old acquaintance who would they would have to amputate. later become her husband. Nine days and two surgeries later, “Jack and I never dated in high she was released from the hospital school but we were friends and to recover at home and begin continues on next page would eat lunch together. When I was using the wheelchair and the crutches, he would get my lunch for me and in exchange I would let him ride on the school elevator with me — one that was only for the kids with disabilities,” she said. “We also went to middle school together for one year and I don’t remember him at all, but he would watch me cheer at football games and he can still tell you to this day where I stood in formation. I never really thought about him in Bioness Inc. and Advanced Prosthetics and a romantic way until I saw him two years after we graduated.” Orthotics of the Pacific Partner to Provide Katie and Jack married in 2006 Advanced Technology For Stroke Patients and moved to Hawaii where Jack’s unit is based. For stroke patients, regaining patient is actually walking. The “Dealing with my husband lost mobility and achieving greater L300 is appropriate for a broad in Iraq is harder than being an independence to improve quality of range of conditions, including amputee,” she said. “I can make life are among their most important stroke, traumatic brain injury, the decision to get out of bed in goals. Advanced Prosthetics and multiple sclerosis, cerebral palsy and the morning, or not. But there’s Orthotics of the Pacific knows incomplete spinal cord injury. nothing I can do for him in Iraq. I that. Working with Bioness Inc., a Kai Newton, CPO, stated the can’t check on him every night to world leader in medical technology, NESS L300™ accelerates and make sure he is safe.” Advanced P & O is one of just a few compliments traditional therapy. Katie added that she is clinics in the country to offer this “We are excited about incorporating appreciative of all the support breakthrough technology and user- this technology into our acute and she received from the staff at friendly therapy service to stroke and outpatient rehab settings,” Kai said. Advanced P & O. other neurological patients with foot “We can maximize rehabilitation by “George, Summer, and all drop. using the device between therapy the staff at Advanced P & O are The device, called the NESS sessions and even encourage so friendly and willing to do L300™ neuro-rehabilitation system, patients to purchase the NESS L300™ anything to make things as easy as is a revolution in Functional and take it home with them.” possible for me,” she said, which Electrical Stimulation (FES) Bioness Inc. was formed in included arranging appointments technology, designed to help California in 2004 by the Alfred after hours to accommodate an patients “normalize” walking E. Mann Foundation for Scientific inflexible work schedule. “They and gait. The system uses wireless Research, and NESS Ltd., a are the nicest people. I’ve been to communication to “talk” to its company headquartered in Israel others who seem they are in the components, eliminates cumbersome that develops and manufactures business just to get money out of wires and allows the clinician ability innovative devices, neuroprosthetic it, but not APO.” to fine tune settings while the and rehabilitation systems. APOP Practitioner Attends AOPA National Assembly Kai Newton, CPO, attended the 2008 speaker, Patrick G. Ryan, chairman American Orthotic & Prosthetic Association and CEO of the Chicago 2016 Olympic (AOPA) National Assembly held September Committee and long-time supporter of the 10-13 in Chicago. Kai had the opportunity Paralympics, tours of the Rehabilitation to participate in business and clinical Institute of Chicago, and 50th Anniversary education programs, as well as visit celebrations of Northwestern University’s exhibitors showcasing the latest technology Prosthetic and Orthotic Center (NUPOC) for the prosthetics and orthotics profession. and Otto Bock, the world’s leading supplier Other highlights included the keynote of prosthetic components. Convenient Hours & Locations to Serve Our Patients Our offices around the islands are open daily to meet your needs. We also offer home visits for patients on Oahu, Kauai, and Maui. Our hours of operation are as follows: Honolulu 1580 Makaloa Street, Suite 910, Honolulu Monday – Thursday 8:30 am – 4:30 pm Friday 8:30 am – 4:00 pm MAuI Maui Memorial Medical Center Physical Therapy Department 221 Mahalani Street, Wailuku Second and fourth Thursday of each month 8:30 am – 4:30 pm KAuAI In-home visits only One day per month by appointment onlInE www.apophawaii.com Our staff is also on-call offering 24-hour emergency services. Please call our office, (808) 949-8273 or toll-free at 1 (866) 949-8273, to schedule an appointment or for more information.
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