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    <title>Anthony M. DiGioia III, MD</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/" />
    <link rel="self" type="application/atom+xml" href="http://amd3.org/ROblog/atom.xml" />
    <id>tag:amd3.org,2007-08-21:/ROblog//2</id>
    <updated>2010-01-01T23:18:34Z</updated>
    <subtitle>In response to all of the information that has been released about various topics concerning both hip and knee replacements, we have decided to post an informational blog, which will allow patients to obtain both current and accurate information.  We know how confusing making the decision to have knee or hip surgery can be, and we want to make this process as easy as possible by providing you with an unbiased account of the latest trends in orthopaedic surgery.
Please visit our websites at: www.orthodoctor.com and www.amd3.org</subtitle>
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<entry>
    <title>Check Out This Patient Video on YouTube!</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2010/01/post.html" />
    <id>tag:amd3.org,2010:/ROblog//2.60</id>

    <published>2010-01-01T16:05:37Z</published>
    <updated>2010-01-01T23:18:34Z</updated>

    <summary></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="checkoutthispatientvideoonyoutubepatientvideoyoutube" label="Check Out This Patient Video on YouTube; Patient Video; YouTube" scheme="http://www.sixapart.com/ns/types#tag" />
    
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        <![CDATA[<object width="425" height="344"><embed height="344" type="application/x-shockwave-flash" width="425" src="http://www.youtube.com/v/Ddvmp5DmhUY&amp;hl=en_US&amp;fs=1&amp;" allowfullscreen="true" allowscriptaccess="always"></object>]]>
        
    </content>
</entry>

<entry>
    <title>Another Special Letter from Dr. Tony DiGioia</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/12/another_special_letter_from_dr.html" />
    <id>tag:amd3.org,2009:/ROblog//2.59</id>

    <published>2009-12-04T20:12:17Z</published>
    <updated>2009-12-04T20:16:16Z</updated>

    <summary><![CDATA[ December 2009 &nbsp;&nbsp; Dear Patients, Family and Friends, I'm back! Thank you for your patience and understanding during the recovery from my bicycling accident.&nbsp; I have returned to my surgical and clinic schedule this past Monday, November 30, 2009....]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="anotherspecialletterfromdrtonydigioia" label="Another Special Letter from Dr. Tony DiGioia" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal"><span style="font-size:14.0pt">December 2009<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">&nbsp;&nbsp;</span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">Dear Patients, Family and
Friends,<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">I'm back!<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">Thank you for your patience
and understanding during the recovery from my bicycling accident.<span style="mso-spacerun: yes">&nbsp; </span>I have returned to my surgical and
clinic schedule this past Monday, November 30, 2009.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">My family and I appreciate
all of your prayers, get well cards and gifts.<span style="mso-spacerun:
yes">&nbsp; </span>We are truly blessed by all of our wonderful patients and
friends.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">From my family to yours, we
wish you a healthy and happy holiday season.<o:p></o:p></span></p><p class="MsoNormal"><font class="Apple-style-span" size="6"><span class="Apple-style-span" style="font-size: 19px;"><br /></span></font></p>

<p class="MsoNormal"><span style="font-size:14.0pt">As always, best wishes,</span></p>

<p class="MsoNormal"><span style="font-size:14.0pt">Dr. Tony DiGioia<o:p></o:p></span></p>

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 ]]>
        
    </content>
</entry>

<entry>
    <title>A Special Letter from Dr. Tony DiGioia</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/11/a_special_letter_from_dr_tony.html" />
    <id>tag:amd3.org,2009:/ROblog//2.58</id>

    <published>2009-11-21T20:35:29Z</published>
    <updated>2009-11-22T21:53:30Z</updated>

    <summary><![CDATA[Dear Patients, Family Members and Friends, &nbsp; As you may have heard, I was hit by a car on Sunday morning, November 15th while taking a bicycle ride. &nbsp; I have been told to take some time off to recover...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="aspecialletterfromdrtonydigioia" label="A Special Letter from Dr. Tony DiGioia" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="drtonydigioia" label="Dr. Tony DiGioia" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="tonydigioia" label="Tony DiGioia" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">Dear Patients, Family Members and Friends,</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><?xml:namespace prefix = o /><o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">&nbsp;</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">As you may have heard, I was hit by a car on Sunday morning, November 15th while taking a bicycle ride.<o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">&nbsp;<o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">I have been told to take some time off to recover and rest at home.<span style="mso-spacerun: yes">&nbsp; </span>However, I assure you that I will be back and at full&nbsp;capacity - it's only a matter of time and short time at that.&nbsp;&nbsp; Although I am sore, there is no permanent damage and I will be back to operating and seeing patients in the office as soon as I am cleared by my doctors.<span style="mso-spacerun: yes">&nbsp; </span>Day by day, I am feeling much better.</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">&nbsp;</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">Thanks to everyone for your words of concern, get well wishes and prayers.<span style="mso-spacerun: yes">&nbsp; </span>I would also like to extend my sincerest thanks to you and your families for understanding if the accident affected your scheduled surgery or an office visit.<span style="mso-spacerun: yes">&nbsp; </span>My staff and I are doing everything we can to ensure that your care and road to recovery also gets back on track.</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">&nbsp;&nbsp;&nbsp;</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">Accidents involving bicycles and cars are never good for the bike rider and considering what could have happened, I&nbsp;am very lucky and thankful.&nbsp; In no time at all, I will back in the office seeing patients and operating again.<span style="mso-spacerun: yes">&nbsp; </span>So if you know other patients and families, please pass on the word since we have had many calls of concern from the community. <o:p></o:p></span></p>
<p style="mso-pagination: none; mso-layout-grid-align: none" class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">&nbsp;</span><span style="FONT-FAMILY: Consolas; FONT-SIZE: 14pt"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">Many, many thanks for your support and understanding from Renaissance Orthopaedics, The Orthopaedic Program at Magee and, especially, Cathy and me.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">&nbsp;<o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Georgia; FONT-SIZE: 13pt">As always, best wishes,<o:p></o:p></span></p>
<p class="MsoNormal"><font class="Apple-style-span" size="5" face="Georgia, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span style="FONT-SIZE: 17px" class="Apple-style-span"><img style="MARGIN: 0px 20px 20px 0px; FLOAT: left" class="mt-image-left" alt="tonysig.jpg" src="http://amd3.org/ROblog/tonysig.jpg" width="210" height="83" /></p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal">&nbsp;</p>
<p class="MsoNormal" align="left"></span></font>&nbsp;</p>
<div><br /></div>]]>
        
    </content>
</entry>

<entry>
    <title>Patient and Family Centered Care (PFCC) Month Raises Awareness of PFCC Practices</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/10/patient_and_family_centered_ca.html" />
    <id>tag:amd3.org,2009:/ROblog//2.57</id>

    <published>2009-10-20T14:07:53Z</published>
    <updated>2009-10-20T14:09:21Z</updated>

    <summary><![CDATA[ Did you know that October is PFCC Awareness Month? &nbsp; Patient and Family Centered Care (PFCC) Awareness Month is an international awareness-building campaign that occurs every October to commemorate the progress that has been made toward making PFCC a...]]></summary>
    <author>
        <name>Blog Adminstrator</name>
        
    </author>
    
    <category term="patientandfamilycenteredcare" label="Patient and Family Centered Care" scheme="http://www.sixapart.com/ns/types#tag" />
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    <category term="pfcc" label="PFCC" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="pfccawarenessmonth" label="PFCC Awareness Month" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="pfccpractices" label="PFCC Practices" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<span class="mt-enclosure mt-enclosure-image"><img alt="PFCC Awareness Month Logo.jpg" src="http://amd3.org/ROblog/PFCC%20Awareness%20Month%20Logo.jpg" width="489" height="150" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span> <div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div>

<br style="mso-ignore:vglayout" clear="all" />

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">Did you
know that October is PFCC Awareness Month?<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">Patient
and Family Centered Care (PFCC) Awareness Month is an international
awareness-building campaign that occurs every October to commemorate the
progress that has been made toward making PFCC a reality and to build momentum
for further progress through education and collaboration.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">Hospitals
and health care organizations around the world are encouraged to celebrate by
empowering patients, strengthening their patient and family centered care
practices, and publicly proclaiming to their patients and communities their
commitments to PFCC.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">The staff
at Renaissance Orthopaedics and The Orthopaedic Program at Magee-Womens
Hospital of UPMC, under the leadership of Dr. Tony DiGioia, have implemented
many PFCC measures for patients needing orthopaedic care.<span style="mso-spacerun: yes">&nbsp; </span>Dr. DiGioia designed the PFCC
Orthopaedic Program to make the surgical process as easy and pain-free as
possible for patients and their families.<span style="mso-spacerun: yes">&nbsp;
</span>The orthopaedic staff understand patients' and families' needs from the
beginning of the process to the end.<span style="mso-spacerun: yes">&nbsp;
</span>They use a team approach with the patient (and the patient's chosen
coach) as team members.<span style="mso-spacerun: yes">&nbsp; </span>This builds
a sense of community and allows the team to focus on the patient's
wellness.<span style="mso-spacerun: yes">&nbsp; </span>PFCC methods start with
the initial appointment through pre-op testing and teaching to pre-surgery
discharge planning, surgery, pain management, physical therapy and
discharge.<span style="mso-spacerun: yes">&nbsp; </span><o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">The
in-patient hospital unit was designed to promote a healing environment.<span style="mso-spacerun: yes">&nbsp; </span>PFCC hospitals are organized, not
cluttered.<span style="mso-spacerun: yes">&nbsp; </span>The unit is clean and
quiet.<span style="mso-spacerun: yes">&nbsp; </span>It provides comfort to
patients and families in a friendly, open, welcoming environment.<span style="mso-spacerun: yes">&nbsp; </span>Most patients in The Orthopaedic
Program at Magee are able to stay in private rooms with wireless internet
access.<span style="mso-spacerun: yes">&nbsp; </span>Café-style room service is
available 24 hours each day.<span style="mso-spacerun: yes">&nbsp; </span>There
is even a state-of-the-art gym and fitness area on the unit floor.<span style="mso-spacerun: yes">&nbsp; </span>Family and friends are able to visit
with patients in the Family Room.<span style="mso-spacerun: yes">&nbsp;
</span>The Family Room is a combination kitchen/living room with rocking
chairs, couches, a big screen TV, a fully stocked refrigerator, internet kiosk
and a massage chair.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">The
results show that PFCC works!<span style="mso-spacerun: yes">&nbsp;
</span>Renaissance Orthopaedics and The Orthopaedic Program's patients stay in
the hospital one to three days (with an average of approximately two and a
third days).<span style="mso-spacerun: yes">&nbsp; </span>Ninety-five percent
of patients are discharged directly to their homes.<span style="mso-spacerun:
yes">&nbsp; </span>Press Ganey scores place Dr. Digioia's group in the 99<sup>th</sup>
percentile nationally.<span style="mso-spacerun: yes">&nbsp; </span>These are
the highest Press Ganey scores in the region!<span style="mso-spacerun:
yes">&nbsp; </span>Patients agree:<span style="mso-spacerun: yes">&nbsp;
</span>After a month, 90 percent reported decreased pain from pre-op, 90
percent resumed "normal" activity, 90 percent reported good to excellent
outcomes, and 99 percent would recommend The PFCC Orthopaedic Program to friends
and family!<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">Dr.
DiGioia also chairs workshops to teach PFCC methods to other health care
providers.<span style="mso-spacerun: yes">&nbsp; </span>In partnership with the
Innovation Center at Magee-Womens Hospital of UPMC, the AMD3 Foundation
sponsors the PFCC Workshop Series, which is geared toward all caregivers from
support staff, nurses, doctors, and, in fact, any person who has the potential
to impact a patient's care experience.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">The next
PFCC Workshop Series event will be the <b>VisionQuest Workshop,</b></span><span style="font-size:11.0pt;font-family:Geneva"> <b><i>A Journey to Transform the
Patient and Family Experience Begins Here...One Step at a Time</i></b></span><span style="font-size:11.0pt;font-family:Geneva">, which will be held on Friday,
Nov. 13.<span style="mso-spacerun: yes">&nbsp; </span>To find out more
information about this workshop or to register, please visit </span><span style="font-size:11.0pt"><a href="http://www.patientandfamilycenteredcare.org"><span style="font-family:Geneva">www.patientandfamilycenteredcare.org</span></a></span><span style="font-size:11.0pt;font-family:Geneva">. <o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">&nbsp;<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-size:11.0pt;font-family:Geneva">To learn
more about the PFCC methodology, please visit <a href="http://www.patientandfamilycenteredcare.org">www.patientandfamilycenteredcare.org</a>.</span></p>

<!--EndFragment-->


</div>]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #8:  Friday, August 28, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_7.html" />
    <id>tag:amd3.org,2009:/ROblog//2.55</id>

    <published>2009-08-30T19:04:52Z</published>
    <updated>2009-08-30T19:12:40Z</updated>

    <summary><![CDATA[ Our trip to Guatemala is coming to a close.&nbsp; Tonight we had a goodbye dinner for the staff at the Santo Hermano Pedro Hospital.&nbsp; Padre gave each of us a certificate to commemorate our stay here. Santo Hermano Pedro...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="fridayaugust282009" label="Friday August 28 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate8fridayaugust292009" label="Operation Walk Pittsburgh Update #8: Friday August 29 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Our
trip to Guatemala is coming to a close.&nbsp;
Tonight we had a goodbye dinner for the staff at the Santo Hermano Pedro
Hospital.&nbsp; Padre gave each of us a
certificate to commemorate our stay here.</font></font></font></font><font class="Apple-style-span" style="font-size: 1.25em; "><o:p></o:p></font></p>

<font class="Apple-style-span" size="4"><span class="Apple-style-span" style="font-size: 15px;"><span class="mt-enclosure mt-enclosure-image"><img alt="Day8_01.jpg" src="http://amd3.org/ROblog/Day8_01.jpg" width="432" height="304" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><font class="Apple-style-span" style="font-size: 1.25em; "><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></font><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 0.8em; "><font class="Apple-style-span" style="font-size: 1.25em; ">Santo
Hermano Pedro hospital staff</font></font><font class="Apple-style-span" style="font-size: 0.8em; "><font class="Apple-style-span" style="font-size: 1.25em; "><o:p></o:p></font></font></i></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 0.8em; "><font class="Apple-style-span" style="font-size: 1.25em; ">&nbsp;</font></font><font class="Apple-style-span" style="font-size: 0.8em; "><font class="Apple-style-span" style="font-size: 1.25em; "><o:p></o:p></font></font></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 0.8em; "><font class="Apple-style-span" style="font-size: 1.25em; ">Although
we could not help everyone, we have accomplished much this week.&nbsp; We would like to leave you with a
patient's story.</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><o:p></o:p></font></p><p class="MsoNormal" style="line-height:normal"><img alt="Day8_02.jpg" src="http://amd3.org/ROblog/Day8_02.jpg" width="432" height="319" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><font class="Apple-style-span" style="font-size: 1.25em; "><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /></font></p><p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><br /><br /><br /></font><!--StartFragment-->

</p><p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Julio's
Story </font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></i></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Julio
was diagnosed with leukemia at age 14.&nbsp;
He had a bone marrow transplant and was treated with high doses of
steroids.&nbsp; He is now 24 and
cancer-free.&nbsp; The side effects of
his cancer treatment affected his knee joints as the steroids destroyed the
cartilage between his knee bones. He has been in pain for the last eight years
with increasing limits in his activity. </font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Julio
told us that his family could not afford the joint replacement operation and
that even if they could, he thought he would die in the hospital.&nbsp; His neighbor had a knee replacement at
Santo Hermano Pedro Hospital.&nbsp; She
showed Julio's family her new knee and told them about "the best doctors in the
world" who have come here to operate.</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Julio
told us his story in the hospital: </font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></p>

<p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">I
was so scared the day of surgery.&nbsp;
My heart just went beat, beat, beat, beat.&nbsp; Dr. Tony talked to me that morning and made me calm, and my
heart started to beat normally again.&nbsp;
I told the anesthesia doctor to give me something so I would not have to
see the surgery, and the next thing I knew, I was awake with my new knee.</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></i></p>

<p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Because
I can speak English and most of the others here cannot, I would like to thank
all of you for helping me and my people.&nbsp;
I'm sorry, this makes me cry, but I have so much thanks in my heart for
all of you.</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></i></p>

<p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Soon
I will be able to play soccer with my friends and dance with the girls.</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></i></p>

<p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">Gracias!!!!</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></i></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">&nbsp;&nbsp; </font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></p>

<!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; ">And
as you can see from the photo of Julio, he is quite the ladies' man!</font></font><font class="Apple-style-span" style="font-size: 1.25em; "><font class="Apple-style-span" style="font-size: 0.8em; "><o:p></o:p></font></font></p>

<!--EndFragment-->


</span><p></p>

<!--EndFragment-->


</span></font><div><br /></div>]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #7:  Thursday, August 27, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_6.html" />
    <id>tag:amd3.org,2009:/ROblog//2.54</id>

    <published>2009-08-29T16:26:52Z</published>
    <updated>2009-08-29T16:33:24Z</updated>

    <summary><![CDATA[Today was discharge day for the first of our patients.&nbsp; The morning started with breakfast, dressing changes and physical therapy.&nbsp; This afternoon four of our patients were discharged with their families.&nbsp; The patients going home visited all of the other...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><font color="#000000">Today was discharge day for the first of our patients.&nbsp; The morning started with breakfast, dressing changes and physical therapy.&nbsp; This afternoon four of our patients were discharged with their families.&nbsp; The patients going home visited all of the other people in the same ward to say goodbye and to offer words of encouragement.&nbsp; In the women's ward, there was clapping as Blanca left the ward with her husband and four children to return home.&nbsp; There were many hugs and <i>gracias</i> and a few tears as patients and their families sought out the staff to thank them before leaving.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></font></span></p>
<p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><o:p><font color="#000000">&nbsp;</font></o:p></span></p>
<p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><font color="#000000">It is amazing that people who were in so much pain walking into the hospital on screening day are now making the long walk out of the hospital with smiles on their faces and tears in their eyes.&nbsp; Several of the patients stopped at the chapel on the way out of the hospital to say a prayer before getting into the car that would take them back to their homes.</font></span></p>
<p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><font color="#000000"></font></span>&nbsp;</p><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><font color="#000000"><o:p>
<p style="MARGIN: 0in 0in 0pt" class="MsoNormal">
<form class="mt-enclosure mt-enclosure-image" mt:asset-id="52"><img style="TEXT-ALIGN: center; MARGIN: 0px auto 20px; DISPLAY: block" class="mt-image-center" alt="Day7_01.jpg" src="http://amd3.org/ROblog/Day7_01.jpg" width="432" height="320" /></form></p>
<p style="TEXT-ALIGN: center; LINE-HEIGHT: 150%; MARGIN: 0in 0in 0pt" class="MsoPlainText" align="center"><i><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt">The first patient leaving the hospital</span></i></p>
<p style="TEXT-ALIGN: center; LINE-HEIGHT: 150%; MARGIN: 0in 0in 0pt" class="MsoPlainText" align="center"><i><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"></span></i>&nbsp;</p><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><o:p>
<p style="TEXT-ALIGN: center; LINE-HEIGHT: 150%; MARGIN: 0in 0in 0pt" class="MsoPlainText" align="center">
<form class="mt-enclosure mt-enclosure-image" mt:asset-id="53"><em><img style="TEXT-ALIGN: center; MARGIN: 0px auto 20px; DISPLAY: block" class="mt-image-center" alt="Day7_02.jpg" src="http://amd3.org/ROblog/Day7_02.jpg" width="432" height="292" /></em></form></p>
<p style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class="MsoNormal" align="center"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><em>Blanca and her family going home</em></span></p>
<p style="TEXT-ALIGN: center; MARGIN: 0in 0in 0pt" class="MsoNormal" align="center"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"></span>&nbsp;</p><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><o:p>
<p style="MARGIN: 0in 0in 0pt" class="MsoNormal"><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt">Another project the Operation Walk volunteers undertook was to restore the basketball hoop to playing condition.&nbsp; It was mostly rust when the Operation Walk team arrived - no net or basketballs to use.&nbsp; It took several days to sand the rust, make some welding repairs and paint, but today it looked as good as new and there were several games played with residents of the hospital, their families and staff.</span></p><span style="FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><o:p>
<p style="MARGIN: 0in 0in 0pt" class="MsoNormal">
<form class="mt-enclosure mt-enclosure-image" mt:asset-id="54"><img style="TEXT-ALIGN: center; MARGIN: 0px auto 20px; DISPLAY: block" class="mt-image-center" alt="Day7_03.jpg" src="http://amd3.org/ROblog/Day7_03.jpg" width="329" height="432" /></form></p>
<p style="TEXT-ALIGN: center; LINE-HEIGHT: 150%; MARGIN: 0in 0in 0pt" class="MsoPlainText" align="center"><i><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt">Angel sanding</span></i></p>
<p style="TEXT-ALIGN: center; LINE-HEIGHT: 150%; MARGIN: 0in 0in 0pt" class="MsoPlainText" align="center"><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt">&nbsp;</p>
<p style="TEXT-ALIGN: center; LINE-HEIGHT: 150%; MARGIN: 0in 0in 0pt" class="MsoPlainText" align="center"><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial', 'sans-serif'; FONT-SIZE: 12pt"><o:p></o:p></span>&nbsp;</p><o:p></o:p></span></o:p></span></o:p></span></o:p></span></o:p></font></span>]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #6:  Wednesday, August 26, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_5.html" />
    <id>tag:amd3.org,2009:/ROblog//2.53</id>

    <published>2009-08-28T21:13:51Z</published>
    <updated>2009-08-28T21:35:32Z</updated>

    <summary><![CDATA[ Today was the first non-surgical day since arriving in Guatemala.&nbsp; After three and a half days of operating, the team was able to replace 63 hip and knee joints!&nbsp; The operating room staff took great pride in the long...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate6wednesdayaugust262009" label="Operation Walk Pittsburgh Update #6: Wednesday August 26 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="wednesdayaugust262009" label="Wednesday August 26 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana">Today was
the first non-surgical day since arriving in Guatemala.<span style="mso-spacerun: yes">&nbsp; </span>After three and a half days of
operating, the team was able to replace 63 hip and knee joints!<span style="mso-spacerun: yes">&nbsp; </span>The operating room staff took great
pride in the long hours worked and the number of Guatemalan people they
helped.<span style="mso-spacerun: yes">&nbsp; </span>However, there was no rest
for the weary as they had to re-pack all of the surgical equipment and implants
to ship back to be used by another Operation Walk team on a future trip.<o:p></o:p></span></p>

<font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif" size="4"><span class="Apple-style-span" style="font-size: 16px;"><span class="mt-enclosure mt-enclosure-image"><img alt="Day6_01.jpg" src="http://amd3.org/ROblog/Day6_01.jpg" width="432" height="314" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></span></font><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><!--StartFragment--><span style="font-size:12.0pt;font-family:Verdana;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"><i>The operating room staff
prepares to load and ship leftover equipment.</i></span><!--EndFragment-->



</div><div><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif" size="4"><span class="Apple-style-span" style="font-size: 16px;"><i><br /></i></span></font></div><div><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif" size="4"><span class="Apple-style-span" style="font-size: 16px;"><i><br /></i></span></font></div><div><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif" size="4"><span class="Apple-style-span" style="font-size: 16px;"><i>
<!--StartFragment-->

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">With the
surgeries completed, the primary task became focusing on the post-operative
care of the patients.&nbsp; The surgeons
made rounds on all the patients they had operated on over the last few days.</span><o:p></o:p></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"></span></p><span class="mt-enclosure mt-enclosure-image"><img alt="Day6_02.jpg" src="http://amd3.org/ROblog/Day6_02.jpg" width="432" height="291" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment--><span style="font-size:12.0pt;font-family:Verdana;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"><i>Dr. Mike Weiss and Duane
Chess check on a patient.<br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Many hugs
and handshakes were exchanged because the patients were so grateful and
appreciative time that the doctors and other team members gave to help them.</span><o:p></o:p></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><img alt="Day6_03.jpg" src="http://amd3.org/ROblog/Day6_03.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment--><span style="font-size:12.0pt;font-family:Verdana;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"><i>Dr. Tony DiGioia greets
a patient.<br /><br /><br /><!--StartFragment-->

</i></span></span></p><i><p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Incisions
were checked...</span><o:p></o:p></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><img alt="Day6_04.jpg" src="http://amd3.org/ROblog/Day6_04.jpg" width="432" height="323" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment--><span style="font-size:12.0pt;font-family:Verdana;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"><i>Tracy Brnusak and Janice
Harmon check an incision.<br /><br /><br /><br /><!--StartFragment-->

</i></span></span></p><i><p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">...and all
dressings were replaced with clean bandages.</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><img alt="Day6_05.jpg" src="http://amd3.org/ROblog/Day6_05.jpg" width="406" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment--><span style="font-size:12.0pt;font-family:Verdana;
mso-ansi-language:EN-US;mso-fareast-language:EN-US"><i>Tom Maidens changes a
dressing.</i></span><!--EndFragment-->&nbsp;


<br /><br /><br /></span></p></i></i></i></span></form><i><i><i></i></i></i></i></span><i><i><i><i><p></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal; ">
<!--StartFragment-->

</span></p><p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">This
afternoon team members were finally able to explore the quaint town of Antigua
and its many unique shops and picturesque views.</span><o:p></o:p></span></p><p class="MsoNormal"></p><span class="mt-enclosure mt-enclosure-image"><img alt="Day6_06.jpg" src="http://amd3.org/ROblog/Day6_06.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span><p></p>

<!--EndFragment-->


<p></p>

<!--EndFragment-->


<br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><i>Antigua,
Guatemala<o:p></o:p></i></span></p>

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><i>&nbsp;<o:p></o:p></i></span></p>

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Although
the hours have been long, there isn't a single team member who hasn't been
touched by the kindness and gratitude shown by the people here (and more than a
few team members have also been touched by a bit of "upset stomach" associated
with travel to foreign countries!).</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p>

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Tomorrow
will be another busy day of post-operative care, along with multiple physical
therapy sessions, in preparation of sending patients home to begin a new life
free of hip and knee pain.</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p>

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Each one
of the Operation Walk Pittsburgh team members extends thoughts to friends and
loved ones back home.&nbsp; They can't
wait to see all of everyone in a few days and to give a firsthand account of
all the wonderful things that were seen and done here. </span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p>

<p class="MsoNormal"><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">But for
now... we say <i>Adios!</i></span></span><span style="font-size:12.0pt;font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">
from Antigua, Guatemala.</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p>

<!--EndFragment-->


<span class="mt-enclosure mt-enclosure-image"><img alt="Day6_07.jpg" src="http://amd3.org/ROblog/Day6_07.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><span class="Apple-style-span" style="font-size: 16px; ">Antigua, Guatemala</span></form></i><!--EndFragment-->



<p></p>

<!--EndFragment-->


</i><!--EndFragment-->



<p></p>

<!--EndFragment-->


</i><!--EndFragment-->



<p></p>

<!--EndFragment-->


</i></font></div>]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #5:  Tuesday, August 25, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_4.html" />
    <id>tag:amd3.org,2009:/ROblog//2.52</id>

    <published>2009-08-27T00:53:01Z</published>
    <updated>2009-08-27T01:06:11Z</updated>

    <summary><![CDATA[ Today has been another busy day at the Santo Hermano Pedro Hospital.&nbsp; Today we'd like to share some interesting differences between health care here and health care in the United States. The Santo Hermano Pedro Hospital is run by...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate5tuesdayaugust252009" label="Operation Walk Pittsburgh Update #5: Tuesday August 25 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="tuesdayaugust252009" label="Tuesday August 25 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana">Today has been another
busy day at the Santo Hermano Pedro Hospital.<span style="mso-spacerun:
yes">&nbsp; </span>Today we'd like to share some interesting differences
between health care here and health care in the United States.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Verdana">The Santo Hermano Pedro
Hospital is run by the order of Franciscan Monks.<span style="mso-spacerun:
yes">&nbsp; </span>While the patients are not required to pay for surgery
during our Operation Walk mission, most make a donation to the hospital.<span style="mso-spacerun: yes">&nbsp; </span>These donations are used to fund the
orphanage that is part of the hospital.<span style="mso-spacerun: yes">&nbsp;
</span>Many patients come from far distances, and their families will stay in
the city at Casa de Fe (which is similar to our Ronald McDonald House).<span style="mso-spacerun: yes">&nbsp; </span>The difference is that if we run out of
patient beds in the ward at the hospital, the patients who had surgery in the
beginning of the week and are doing very well will be transferred to the Casa
de Fe where their families will take care of them.<span style="mso-spacerun:
yes">&nbsp;&nbsp; </span>The staff will visit to make rounds to assess the
patients and give physical therapy, but there is no staff staying at Casa de
Fe.<o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Verdana">The surgical procedure is
similar.<span style="mso-spacerun: yes">&nbsp; </span>The patient is taken to
the pre-op area to be prepared for surgery.<span style="mso-spacerun:
yes">&nbsp; </span>The patient has surgery and then is transferred to the PACU
to recover for several hours before going to the Post-op Ward.<span style="mso-spacerun: yes">&nbsp; </span>When the patient is ready to be
transferred to the ward, the nurse opens the door to the PACU and yells
"patient" loudly across the hall.<span style="mso-spacerun: yes">&nbsp;
</span>That is the signal for the staff to prepare for a new patient.<o:p></o:p></span></p><p class="MsoNormal"><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"></font></p><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span class="mt-enclosure mt-enclosure-image"><img alt="Day5_01.jpg" src="http://amd3.org/ROblog/Day5_01.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana"><i>Barb admitting Clara to
the PACU<o:p></o:p></i></span></p>

<!--EndFragment-->


<br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana">On the post-op nursing units,
there are no private rooms, but wards that hold three to ten beds.<span style="mso-spacerun: yes">&nbsp; </span>In one ward, beds line the walls with
the foot of one bed touching the head of the next bed.<span style="mso-spacerun: yes">&nbsp; </span>In another ward, the beds are next to
each other with about three feet of space between beds.<span style="mso-spacerun: yes">&nbsp; </span>There is very little privacy and
(surprisingly) the patients don't seem to mind.<span style="mso-spacerun:
yes">&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Verdana">We made rounds this
morning to change post-operative dressings.<span style="mso-spacerun:
yes">&nbsp; </span>If a patient's ace bandage becomes soiled with drainage, the
ace bandage is changed.<span style="mso-spacerun: yes">&nbsp; </span>The soiled
bandage is placed in a bag and given to the family to take home, launder and
bring back for the next morning's dressing change.<o:p></o:p></span></p><p class="MsoNormal"><br /></p><p class="MsoNormal"><img alt="Day5_02.jpg" src="http://amd3.org/ROblog/Day5_02.jpg" width="356" height="432" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

</p><p class="MsoNormal"><span style="font-family:Verdana"><i>Tori and Tracy with a
patient</i></span></p><br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana">The family also brings
toilet paper (which is always in short supply) and toiletries to the patient.<span style="mso-spacerun: yes">&nbsp; </span>Patients' gowns and bedding are changed
only as needed.<span style="mso-spacerun: yes">&nbsp; </span>A daily bath is
not part of the nursing routine here.<span style="mso-spacerun: yes">&nbsp;
</span>Operation Walk brought all the medications needed for the joint
replacement surgeries.<span style="mso-spacerun: yes">&nbsp; </span>The family
must bring in any medications the patient was taking prior to surgery (such as
diabetic or cardiac medication).</span></p><p class="MsoNormal"><br /></p><p class="MsoNormal"><!--StartFragment-->

</p><p class="MsoNormal"><span style="font-family:Verdana">Physical therapy is done
at the patient's bedside and in the halls and gardens surrounding the
wards.<span style="mso-spacerun: yes">&nbsp; </span>One patient who had surgery
today required a walker before surgery.<span style="mso-spacerun: yes">&nbsp;
</span>Because he could not afford to buy one, his family made him a walker out
of lumber and nails.<o:p></o:p></span></p><p class="MsoNormal"><br /></p><p class="MsoNormal"><img alt="Day5_03.jpg" src="http://amd3.org/ROblog/Day5_03.jpg" width="324" height="432" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

</p><p class="MsoNormal"><span style="font-family:Verdana"><i>Physical therapy with
Frank<o:p></o:p></i></span></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i>
<!--StartFragment-->

</i></p><i><p class="MsoNormal"><span style="font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Visiting hours begin at 2
p.m. daily, and it seems that the patient's entire family comes to visit.&nbsp; The wards get really crowded, but it's
almost like a celebration every day.&nbsp;
We have heard no complaints from any of our patients or their families,
only thanks and blessings for our being here.</span><o:p></o:p></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><br /></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><img alt="Day5_04.jpg" src="http://amd3.org/ROblog/Day5_04.jpg" width="432" height="255" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

</span></p><p class="MsoNormal"><span style="font-family:Verdana"><i>Visiting hours</i></span></p><p class="MsoNormal"><br /></p><p class="MsoNormal"><i>
<!--StartFragment-->

</i></p><i><p class="MsoNormal"><span style="font-family:Verdana"><span class="Apple-style-span" style="font-style: normal;">Another cultural
note:&nbsp; When using the bathroom,
used toilet paper is not flushed down the toilet, but thrown into a waste
basket next to the toilet.&nbsp;</span><o:p></o:p></span></p>

<!--EndFragment-->


</i><p></p>

<!--EndFragment-->


</i></form><i><p></p>

<!--EndFragment-->


</i><p></p>

<!--EndFragment-->


<p></p>

<!--EndFragment-->


<p></p><span style="font-size:11.0pt;font-family:Verdana;mso-ansi-language:EN-US;
mso-fareast-language:EN-US"><br /></span><!--EndFragment-->



<p></p>

<!--EndFragment-->


</font><p></p>

<!--EndFragment-->


 ]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #4:  Monday, August 24, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_3.html" />
    <id>tag:amd3.org,2009:/ROblog//2.51</id>

    <published>2009-08-26T01:44:51Z</published>
    <updated>2009-08-26T02:06:17Z</updated>

    <summary><![CDATA[ The Santo Hermano Pedro Hospital was a busy place today.&nbsp; The OR staff and surgeons started performing surgery at 6:30 a.m. and completed 22 joint surgeries today. The patients who had surgery on Saturday and Sunday are recovering on...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="mondayaugust242009" label="Monday August 24 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate4mondayaugust242009" label="Operation Walk Pittsburgh Update #4: Monday August 24 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">The
Santo Hermano Pedro Hospital was a busy place today.<span style="mso-spacerun:
yes">&nbsp; </span>The OR staff and surgeons started performing surgery at 6:30
a.m. and completed 22 joint surgeries today.<o:p></o:p></span></p>

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">The
patients who had surgery on Saturday and Sunday are recovering on the hospital
wards.<span style="mso-spacerun: yes">&nbsp; </span>Patients are taken for
X-rays of the new hip or knee and have blood work done the day after
surgery.<span style="mso-spacerun: yes">&nbsp;&nbsp; </span>Each patient then
has a physical therapy session in the morning and another in the
afternoon.<span style="mso-spacerun: yes">&nbsp; </span>The Operation Walk
physical therapists were joined by 10 physical therapy students from Guatemala
City who are in their final year of studies.<o:p></o:p></span></p>

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">We
were able to talk to many of the patients today between physical therapy
sessions. We asked each patient how long he or she suffered with pain prior to
coming here for surgery.<span style="mso-spacerun: yes">&nbsp; </span>Answers
ranged from 3-20 years.<o:p></o:p></span></p>

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">We
also asked what each patient's hope was for the future.<span style="mso-spacerun: yes">&nbsp; </span>Most patients answered that they would
like to be able to work again. Here are several other responses:<o:p></o:p></span></p>

<font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif" size="4"><span class="Apple-style-span" style="font-size: 15px;"><br /></span></font><div><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif" size="4"><span class="Apple-style-span" style="font-size: 15px;"><span class="mt-enclosure mt-enclosure-image"><img alt="Day4_01.jpg" src="http://amd3.org/ROblog/Day4_01.jpg" width="432" height="322" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><font class="Apple-style-span" size="3"><span class="Apple-style-span" style="font-size: 12px;"><i><span class="Apple-style-span" style="font-style: normal;"><br /><br /><br /></span></i></span></font><p class="MsoNormal" style="line-height:normal"><i><font class="Apple-style-span" style="font-size: 0.8em; ">"I feel absolutely great today.&nbsp; In the future I'm going to do
everything!"&nbsp; Rosalvina, right hip
replacement </font><o:p></o:p></i></p>

<!--EndFragment-->


<br /><br /><br /><img alt="Day4_02.jpg" src="http://amd3.org/ROblog/Day4_02.jpg" width="432" height="309" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></form></span></font></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i>"I
want to be able to work again...work in my garden and maintain my house."&nbsp;</i></span></p><p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i>Catalina, bilateral knee replacements<o:p></o:p></i></span></p>

<!--EndFragment-->


</div><div><br /></div><div><br /></div><div><br /></div><div><span class="mt-enclosure mt-enclosure-image"><img alt="Day4_03.jpg" src="http://amd3.org/ROblog/Day4_03.jpg" width="322" height="432" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i>"I
just hope for a normal life."<span style="mso-spacerun: yes">&nbsp;&nbsp;&nbsp;Jorge,
right knee replacement</span></i></span></p>

<!--EndFragment-->


</div><div><br /></div><div><br /></div><div><br /></div><div><span class="mt-enclosure mt-enclosure-image"><img alt="Day4_04.jpg" src="http://amd3.org/ROblog/Day4_04.jpg" width="432" height="328" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i>"I
want to work, and I want to dance because everyone loves to dance."<span style="mso-spacerun:
yes">&nbsp;</span></i></span></p><p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i><span style="mso-spacerun:
yes">Luiz,
bilateral knee replacements</span></i></span></p>

<!--EndFragment-->


</div><div><br /></div><div><br /></div><div><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">Some
of the patients also wanted us to express their thanks to all involved in
Operation Walk.<span style="mso-spacerun: yes">&nbsp; </span>A few comments to
share:<o:p></o:p></span></p>

<p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal" style="line-height:normal"><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"></font></p><font class="Apple-style-span" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span class="mt-enclosure mt-enclosure-image"><img alt="Day4_05.jpg" src="http://amd3.org/ROblog/Day4_05.jpg" width="432" height="290" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i>"I
want to thank all of you, especially the doctors that come from far away with
their good hands."<span style="mso-spacerun:
yes">&nbsp;&nbsp;</span></i></span></p><p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i><span style="mso-spacerun:
yes"></span>Lidia, left knee replacement <o:p></o:p></i></span></p>

<!--EndFragment-->


<br /><br /><br /><img alt="Day4_06.jpg" src="http://amd3.org/ROblog/Day4_06.jpg" width="432" height="294" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i>"I
want to thank all of you for leaving your houses to come here and help us walk
again."<span style="mso-spacerun:
yes">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></i></span></p><p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana"><i><span style="mso-spacerun:
yes"></span>Victor, bilateral knee replacements<o:p></o:p></i></span></p>

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">&nbsp;<o:p></o:p></span></p><p class="MsoNormal" style="line-height:normal"><br /></p>

<p class="MsoNormal" style="line-height:normal"><span style="font-family:Verdana">On
a cultural note, it was the feast of Our Lady of La Merced.<span style="mso-spacerun: yes">&nbsp; </span>A procession went past the hospital and
thru the town of Antigua.<span style="mso-spacerun: yes">&nbsp; </span>The
photo below is of a float honoring Our Lady of Merced.<span style="mso-spacerun: yes">&nbsp; </span>The float weighs over one ton and is
carried by the women through town. <o:p></o:p></span></p>

<!--EndFragment-->


<img alt="Day4_07.jpg" src="http://amd3.org/ROblog/Day4_07.jpg" width="432" height="294" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></form><br /><br /><br /></font><p></p>

<!--EndFragment-->


</div>]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #3:  Sunday, August 23, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_2.html" />
    <id>tag:amd3.org,2009:/ROblog//2.50</id>

    <published>2009-08-25T01:31:05Z</published>
    <updated>2009-08-25T01:40:47Z</updated>

    <summary> Today was the first full day of surgery for the Operation Walk team in Antigua, Guatemala. A view inside one of the four operating rooms being used The team started operating at 7:30 a.m. and didn&apos;t finish the last...</summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate3sundayaugust232009" label="Operation Walk Pittsburgh Update #3: Sunday August 23 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="sundayaugust232009" label="Sunday August 23 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana;color:black">Today was the
first full day of surgery for the Operation Walk team in Antigua, Guatemala.<o:p></o:p></span></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"></font></p><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span class="mt-enclosure mt-enclosure-image"><img alt="Day3_01.jpg" src="http://amd3.org/ROblog/Day3_01.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>A view
inside one of the four operating rooms being used<o:p></o:p></i></span></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i>
<!--StartFragment-->

</i></p><i><p class="MsoNormal"><span style="font-family:Verdana;color:black"><span class="Apple-style-span" style="font-style: normal;">The team
started operating at 7:30 a.m. and didn't finish the last case until 6
p.m.&nbsp; Although it was a long day in
the operating room, much was accomplished.&nbsp; The team was able to complete 18 total joint replacements on
12 different patients (6 patients received bilateral replacements).</span><o:p></o:p></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><br /></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><img alt="Day3_02.jpg" src="http://amd3.org/ROblog/Day3_02.jpg" width="432" height="314" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

</span></p><p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>Dr. Tony
DiGioia and Physician Assistant Mike Hallahan work on a total knee replacement.<o:p></o:p></i></span></p>

<!--EndFragment-->


<br /><img alt="Day3_03.jpg" src="http://amd3.org/ROblog/Day3_03.jpg" width="324" height="360" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>Dr. Mike
Weiss, Dr. Anton Plakseychuk and Physician Assistant Duane Chess operate on a
patient.<o:p></o:p></i></span></p>

<!--EndFragment-->


<br /><!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><span class="Apple-style-span" style="font-style: normal;">Following
surgery the patients were transferred to the nursing unit where they will rest
overnight and then begin physical therapy in the morning.</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p>

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><span class="Apple-style-span" style="font-style: normal;">&nbsp;</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p>

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><span class="Apple-style-span" style="font-style: normal;">The patients
and their families have been very appreciative and grateful for the Operation
Walk team's work in Guatemala.&nbsp; One
patient said that it was "a miracle from heaven" that the Operation
Walk team came to Antigua.&nbsp; Another
patient's family approached a team member with tears in her eyes then hugged
and thanked them for giving her loved one a chance to walk again!&nbsp; It is moments like these that reaffirm
the work being done and the tremendous impact the team is making in the lives
of the Guatemalan people.</span><span class="Apple-style-span" style="font-style: normal;"><o:p></o:p></span></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;"><br /></span></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: normal;">To see additional photos of the team's trip, please visit&nbsp;</span><a href="http://www.operationwalkpgh.org/trip_photos.htm" target="photos" style="text-decoration: underline; outline-style: none; outline-width: initial; outline-color: initial; color: rgb(171, 4, 4); "><span class="Apple-style-span" style="font-style: normal;">http://www.operationwalkpgh.org/trip_photos.htm</span></a></p>

<!--EndFragment-->


</i></form><i><p></p>

<!--EndFragment-->


</i><p></p>

<!--EndFragment-->


</font><p></p>

<!--EndFragment-->


 ]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #2:  Saturday, August 22, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda_1.html" />
    <id>tag:amd3.org,2009:/ROblog//2.49</id>

    <published>2009-08-23T17:18:38Z</published>
    <updated>2009-08-25T02:09:53Z</updated>

    <summary><![CDATA[ Today was patient screening day. The morning started with the official Operation Walk Pittsburgh team photo.&nbsp; Following the photo, the members of the Operating Room Team unpacked supplies and set up the ORs.&nbsp; Members of the Screening Team went...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="august222009" label="August 22 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate2saturdayaugust222009" label="Operation Walk Pittsburgh Update #2: Saturday August 22 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<form class="mt-enclosure mt-enclosure-file" mt:asset-id="25"><!--StartFragment-->
<p class="MsoNormal"><span style="FONT-FAMILY: Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif; COLOR: rgb(0,0,0)" class="Apple-style-span">Today was patient screening day. The morning started with the official Operation Walk Pittsburgh team photo.<span style="mso-spacerun: yes">&nbsp; </span>Following the photo, the members of the Operating Room Team unpacked supplies and set up the ORs.<span style="mso-spacerun: yes">&nbsp; </span>Members of the Screening Team went up to the screening area where they were greeted by 58 patients and their families.<span style="mso-spacerun: yes">&nbsp; </span>The patients and families began clapping loudly as the Screening Team ascended the stairs.<span style="mso-spacerun: yes">&nbsp; </span>It was an emotional moment for the team-- the first taste of the impact that they hope to make in Guatemala.</span></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span class="mt-enclosure mt-enclosure-image"><br /><form mt:asset-id="28" class="mt-enclosure mt-enclosure-image"><img alt="Day2_01.jpg" src="http://amd3.org/ROblog/Day2_01.jpg" width="432" height="319" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></form></font></p><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>Patients
and families waiting for the Operation Walk Team<o:p></o:p></i></span></p><p class="MsoNormal"><i><br /></i></p>

<!--EndFragment-->


</font></form><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"></font><p></p>
<p class="MsoNormal"><span style="font-family: Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif; color: rgb(0, 0, 0); " class="Apple-style-span">The screening process lasted most of the morning and then the selection process began to determine which patients would qualify for surgery.<span style="mso-spacerun: yes">&nbsp; </span>After the patients were selected, the surgeries were scheduled for the week.<span style="mso-spacerun: yes">&nbsp; </span>The patients and their families were informed of their selection for surgery.</span></p>
<p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"></font></p><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif">
<p class="MsoNormal"><br /></p><p class="MsoNormal">A pre-operative teaching class was held for the patients and their families to explain the surgical procedure, post-operative and home care and physical therapy.</p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><span class="mt-enclosure mt-enclosure-image"><img alt="Day2_02.jpg" src="http://amd3.org/ROblog/Day2_02.jpg" width="432" height="295" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><span class="Apple-style-span" style="font-style: italic; ">Pre-op
teaching session</span></p><p class="MsoNormal"><font class="Apple-style-span" size="4"><span class="Apple-style-span" style="font-size: 16px;"><i><br /></i></span></font></p><p class="MsoNormal"><span style="FONT-FAMILY: Verdana; COLOR: black">Four surgeries were performed this afternoon in preparation for a full day of surgery tomorrow.<o:p></o:p></span></p><p class="MsoNormal"><i><span class="Apple-style-span" style="font-style: normal;"><br /></span></i></p><p class="MsoNormal"><span class="mt-enclosure mt-enclosure-image"><img alt="Day2_03.jpg" src="http://amd3.org/ROblog/Day2_03.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><i><br /></i></p><p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>The OR team
waiting for the first patient</i></span><i><o:p></o:p></i></p><p class="MsoNormal"><i><br /></i></p>

<!--EndFragment-->


<p></p>
<p class="MsoNormal">To see additional photos of the team's trip, please visit&nbsp;<a href="http://www.operationwalkpgh.org/trip_photos.htm" target="photos">http://www.operationwalkpgh.org/trip_photos.htm</a></p><!--EndFragment-->
<p></p><!--EndFragment--></font>
<p></p><!--EndFragment-->]]>
        
    </content>
</entry>

<entry>
    <title>Operation Walk Pittsburgh Update #1:  Friday, August 21, 2009</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/operation_walk_pittsburgh_upda.html" />
    <id>tag:amd3.org,2009:/ROblog//2.48</id>

    <published>2009-08-22T21:05:44Z</published>
    <updated>2009-08-23T19:37:11Z</updated>

    <summary><![CDATA[ Operation Walk Pittsburgh team members at the airport &nbsp; The Operation Walk Pittsburgh team traveled from Pittsburgh to Guatemala City (with a brief layover in Houston) and then traveled by bus to La Antigua, Guatemala. Once they settled into...]]></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="august212009" label="August 21 2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalk" label="Operation Walk" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburgh" label="Operation Walk Pittsburgh" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="operationwalkpittsburghupdate1" label="Operation Walk Pittsburgh Update #1" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<form style="TEXT-ALIGN: left" class="mt-enclosure mt-enclosure-image" mt:asset-id="23"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><font class="Apple-style-span" color="#333333" face="arial, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><!--StartFragment-->
<p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span class="mt-enclosure mt-enclosure-image"><img alt="Day1_01.jpg" src="http://amd3.org/ROblog/Day1_01.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif">
<!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>Operation
Walk Pittsburgh team members at the airport<o:p></o:p></i></span></p>

<p class="MsoNormal"><span style="font-family:Verdana;color:black">&nbsp;<o:p></o:p></span></p>

<!--EndFragment-->


</font></p><p class="MsoNormal"><span style="FONT-FAMILY: Verdana; COLOR: black">The Operation Walk Pittsburgh team traveled from Pittsburgh to Guatemala City (with a brief layover in Houston) and then traveled by bus to La Antigua, Guatemala. Once they settled into the Hotel Don Rodrigo, the team walked to the Santo Hermano Pedro Hospital where they were met by hospital director Fray Giuseppe Contran.<span style="mso-spacerun: yes">&nbsp; </span>Fray gave the team a tour of the hospital and answered any questions the team had.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Verdana; COLOR: black">&nbsp;<o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Verdana; COLOR: black">Following the tour, the team went to dinner together followed by a meeting to make final plans and last minute adjustments for the busy week ahead.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Verdana; COLOR: black">&nbsp;<o:p></o:p></span></p>
<p class="MsoNormal"><span style="FONT-FAMILY: Verdana; COLOR: black">After a long day of traveling, the excitement and anticipation is evident in all team members as they are very eager to get started.<o:p></o:p></span></p>
<p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><span class="mt-enclosure mt-enclosure-image"><img alt="Day1_02.jpg" src="http://amd3.org/ROblog/Day1_02.jpg" width="432" height="324" class="mt-image-left" style="float: left; margin: 0 20px 20px 0;" /></span></font></p>
<p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif"><br /></font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif">
<!--StartFragment-->

<p class="MsoNormal"><span style="font-family:Verdana;color:black"><i>Operation
Walk Pittsburgh team members in front of Santo Hermano Pedro Hospital in
Antigua Guatemala</i></span></p><p class="MsoNormal"><i><br /></i></p>

<!--EndFragment-->


</font></p><p class="MsoNormal"><font class="Apple-style-span" color="#000000" face="Verdana, helvetica, hirakakupro-w3, osaka, 'ms pgothic', sans-serif">To see additional photos of the team's trip, please visit&nbsp;<a href="http://www.operationwalkpgh.org/trip_photos.htm" target="photos">http://www.operationwalkpgh.org/trip_photos.htm</a></font></p><!--EndFragment--></font></font></form>
<div>
<p></p><!--EndFragment--></div>]]>
        
    </content>
</entry>

<entry>
    <title>Bone and Joint Health Series Scheduled for Saturday, Sept. 12</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/08/bone_and_joint_health_series_s_2.html" />
    <id>tag:amd3.org,2009:/ROblog//2.47</id>

    <published>2009-08-11T14:01:45Z</published>
    <updated>2009-08-11T14:09:38Z</updated>

    <summary></summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="2009" label="2009" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="bjhs" label="BJHS" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="boneandjointhealthseries" label="Bone and Joint Health Series" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="saturday" label="Saturday" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="september12" label="September 12" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<span class="mt-enclosure mt-enclosure-image"><img alt="BJHS Sept. 12, 2009 flyer for blog.jpg" src="http://amd3.org/ROblog/BJHS%20Sept.%2012%2C%202009%20flyer%20for%20blog.jpg" width="612" height="792" class="mt-image-center" style="text-align: center; display: block; margin: 0 auto 20px;" /></span> <div><br /></div>]]>
        
    </content>
</entry>

<entry>
    <title>Total Joint Replacement Educational Series Part 19:  Can Quadriceps (thigh muscle) Strengthening Help Knee Arthritis?</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/05/total_joint_replacement_educat_15.html" />
    <id>tag:amd3.org,2009:/ROblog//2.46</id>

    <published>2009-05-03T01:27:42Z</published>
    <updated>2009-05-03T01:45:27Z</updated>

    <summary> Several studies have had mixed results about the benefits of quadriceps strength on knee arthritis.  Some show that weaker quadriceps are associated with greater knee pain and impaired function while others do not show a difference.  Most of the...</summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="arthritis" label="Arthritis" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="canquadricepsthighmusclestrengtheninghelpkneearthritis" label="Can Quadriceps (thigh muscle) Strengthening Help Knee Arthritis?" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="knee" label="Knee" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="kneearthritis" label="Knee Arthritis" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="quadriceps" label="Quadriceps" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="strengthening" label="Strengthening" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal" style="text-align:justify;text-indent:.5in"><span class="Apple-style-span" style="font-family: 'Comic Sans MS';">
<!--StartFragment-->

</span></p><p class="MsoNormal" style="text-align:justify;text-indent:.5in"><span style="font-family:&quot;Comic Sans MS&quot;">Several studies have had mixed results
about the benefits of quadriceps strength on knee arthritis.<span style="mso-spacerun: yes">  </span>Some show that weaker quadriceps are
associated with greater knee pain and impaired function while others do not
show a difference.<span style="mso-spacerun: yes">  </span>Most of the
studies, however, focus on the main part of the knee where the femur (thigh)
and tibia (shin) bones meet the tibiofemoral joint, neglecting to include the
area of the knee where the patella (kneecap) and femur meet (patellofemoral
joint).<o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;"> <o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify;text-indent:.5in"><span style="font-family:&quot;Comic Sans MS&quot;">A new study out has looked at both areas of
the knee as well as knee arthritis symptoms.<span style="mso-spacerun:
yes">  </span>The authors studied 265 men and women for 30 months.<span style="mso-spacerun: yes">  </span>Baseline MRIs were obtained as well assessment
of quadriceps strength, severity of knee pain, physical function and knee
alignment.<span style="mso-spacerun: yes">  </span><o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;"> <o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify;text-indent:.5in"><span style="font-family:&quot;Comic Sans MS&quot;">The results showed that greater strength
had no influence on cartilage loss at the tibiofemoral joint, <i>but greater
strength did protect against cartilage loss at the outer part of the patellofemoral
joint, a common site for cartilage loss</i></span><span style="font-family:
&quot;Comic Sans MS&quot;">.<span style="mso-spacerun: yes">  </span>Also, those
with the greater quadriceps function had less knee pain and better physical
function.<span style="mso-spacerun: yes">  </span>The authors of the study
believe that greater strength of the vastus medialis (part of quadriceps muscle)
helps to pulls the kneecap inward, stabilizing and preventing cartilage loss.<o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;"> <o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify;text-indent:.5in"><span style="font-family:&quot;Comic Sans MS&quot;">Furthermore, several short-term studies
have shown that greater quadriceps strength is associated with improved knee
function and less pain.<span style="mso-spacerun: yes">  </span>The bottom
line . . . keep those muscles in shape!!<o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;"> <o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;">URL:
<a href="http://www.medicalnewstoday.com/articles/135408.php">http://www.medicalnewstoday.com/articles/135408.php</a><o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;"> <o:p></o:p></span></p>

<p class="MsoNormal" style="text-align:justify"><span style="font-family:&quot;Comic Sans MS&quot;">Shreyasee,
A.<span style="mso-spacerun: yes">  </span>"Quadriceps Strength and the
Risk for Cartilage <span style="font-family:&quot;Comic Sans MS&quot;">Loss and Symptom Progression in Knee
Osteoarthritis."<span style="mso-spacerun: yes">  </span><i>Arthritis and
Rheumatism</i></span><span style="font-family:&quot;Comic Sans MS&quot;"> 60:1 (2009):
189-198.</span></span></p>

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<entry>
    <title>American Academy of Orthopaedic Surgeons (AAOS) Issues New Practice Guidelines for Treatment of Osteoarthritis of the Knee</title>
    <link rel="alternate" type="text/html" href="http://amd3.org/ROblog/2009/03/american_academy_of_orthopaedi.html" />
    <id>tag:amd3.org,2009:/ROblog//2.45</id>

    <published>2009-03-16T18:23:58Z</published>
    <updated>2009-03-16T18:31:42Z</updated>

    <summary> Osteoarthritis of the Knee Leading cause of physical disability 33 million Americans affected Most common in aged 65 or older Affects activities of daily living like climbing stairs or walking   Symptoms include: Pain Joint stiffness Swelling in knee...</summary>
    <author>
        <name>Anthony M. DiGioia III, MD</name>
        
    </author>
    
    <category term="aaos" label="AAOS" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="americanacademyoforthopaedicsurgeons" label="American Academy of Orthopaedic Surgeons" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="knee" label="Knee" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="newpracticeguidelines" label="New Practice Guidelines" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="osteoarthritis" label="Osteoarthritis" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="treatment" label="Treatment" scheme="http://www.sixapart.com/ns/types#tag" />
    <category term="treatmentofosteoarthritisoftheknee" label="Treatment of Osteoarthritis of the Knee" scheme="http://www.sixapart.com/ns/types#tag" />
    
    <content type="html" xml:lang="en-us" xml:base="http://amd3.org/ROblog/">
        <![CDATA[<!--StartFragment-->

<p class="MsoNormal" align="center" style="text-align: left;"><span class="Apple-style-span" style="font-family: Arial; font-weight: bold; ">Osteoarthritis of the
Knee</span></p>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l2 level1 lfo1;tab-stops:list .5in"><span style="font-family:Arial">Leading cause of physical disability<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l2 level1 lfo1;tab-stops:list .5in"><span style="font-family:Arial">33 million Americans affected<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l2 level1 lfo1;tab-stops:list .5in"><span style="font-family:Arial">Most common in aged 65 or older<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l2 level1 lfo1;tab-stops:list .5in"><span style="font-family:Arial">Affects activities of daily living like climbing
     stairs or walking<o:p></o:p></span></li>
</ul>

<p class="MsoNormal"><span style="font-family:Arial"> <o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Arial"><b>Symptoms include:<o:p></o:p></b></span></p>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in"><span style="font-family:Arial">Pain<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in"><span style="font-family:Arial">Joint stiffness<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l1 level1 lfo2;tab-stops:list .5in"><span style="font-family:Arial">Swelling in knee<o:p></o:p></span></li>
</ul>

<p class="MsoNormal"><span style="font-family:Arial"> <o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Arial"><b>Factors that increase a
persons risk of developing osteoarthritis:<o:p></o:p></b></span></p>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Heredity<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Weight<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Age<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Gender<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Injuries or trauma to the knee<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Poor posture or bone alignment<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l4 level1 lfo3;tab-stops:list .5in"><span style="font-family:Arial">Lack of aerobic exercise and muscle weakness<o:p></o:p></span></li>
</ul>

<p class="MsoNormal"><span style="font-family:Arial"> <o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Arial"><b><u>The AAOS Guidelines
and Evidence Report Recommendations:</u></b></span></p>

<p class="MsoNormal"><span style="font-family:Arial"><b>AAOS recommends:<o:p></o:p></b></span></p>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l0 level1 lfo4;tab-stops:list .5in"><span style="font-family:Arial">Patients should be encouraged to begin or
     increase their participation in low-impact aerobic fitness.<o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l0 level1 lfo4;tab-stops:list .5in"><span style="font-family:Arial">Patients who are overweight should lose a
     minimum of 5% of their body weight <o:p></o:p></span></li>
 <li class="MsoNormal" style="mso-list:l0 level1 lfo4;tab-stops:list .5in"><span style="font-family:Arial">Overweight is a body mass index (BMI) of greater
     than 25<o:p></o:p></span></li>
 <ul style="margin-top:0in" type="circle">
  <li class="MsoNormal" style="mso-list:l0 level2 lfo4;tab-stops:list 1.0in"><span style="font-family:Arial">you can calculate your own body mass index by multiplying
      your weight in pounds by 703 divided by your height in inches<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l0 level2 lfo4;tab-stops:list 1.0in"><span style="font-family:Arial">Weight loss has the highest potential to slow
      the progression of osteoarthritis<o:p></o:p></span></li>
 </ul>
</ul>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l3 level1 lfo5;tab-stops:list .5in"><span style="font-family:Arial"><b>AAOS recommends for pain control:<o:p></o:p></b></span></li>
 <ul style="margin-top:0in" type="circle">
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Tylenol<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">NSAIDs (common include ibuprofen and naprosyn)<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Steroid injections into the knee like
      depomedrol or cortisone<o:p></o:p></span></li>
 </ul>
</ul>

<p class="MsoNormal"><span style="font-family:Arial"> <o:p></o:p></span></p>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l3 level1 lfo5;tab-stops:list .5in"><span style="font-family:Arial"><b>AAOS recommends against:<o:p></o:p></b></span></li>
 <ul style="margin-top:0in" type="circle">
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Glucosamine and or chondroitin sulfate or
      hydrochloride<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Drawing fluid from the knee with a needle<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Custom made foot orthotics or foot supports<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Performing a knee arthroscopy (knee scope) as a
      clean out procedure for arthritis when no other problems are present like
      loose bodies or cartilage tears<o:p></o:p></span></li>
  <ul style="margin-top:0in" type="square">
   <li class="MsoNormal" style="mso-list:l3 level3 lfo5;tab-stops:list 1.5in"><span style="font-family:Arial"><span style="mso-spacerun: yes">  </span>"The
       current science shows us that just washing out the joint does not
       decrease the patient's osteoarthritis symptoms and can expose the
       patient to additional risk," said John Richmond, MD, chair of the AAOS
       work group.<o:p></o:p></span></li>
  </ul>
 </ul>
</ul>

<p class="MsoNormal"><span style="font-family:Arial"><b> <o:p></o:p></b></span></p>

<ul style="margin-top:0in" type="disc">
 <li class="MsoNormal" style="mso-list:l3 level1 lfo5;tab-stops:list .5in"><span style="font-family:Arial"><b>AAOS does not recommend for or against:<o:p></o:p></b></span></li>
 <ul style="margin-top:0in" type="circle">
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Bracing <o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Acupuncture<o:p></o:p></span></li>
  <li class="MsoNormal" style="mso-list:l3 level2 lfo5;tab-stops:list 1.0in"><span style="font-family:Arial">Hyaluronic acid injections like synvisc or
      hyalgen<o:p></o:p></span></li>
 </ul>
</ul>

<p class="MsoNormal"><br /></p>

<p class="MsoNormal"><span style="font-family:Arial"> <o:p></o:p></span></p>

<p class="MsoNormal"><span style="font-family:Arial">"AAOS Issues New Clinical
Practice Guidelines for Osteoarthritis of the <o:p></o:p></span></p>

<p class="MsoNormal" style="margin-left:.5in"><span style="font-family:Arial">Knee."
<i>American Academy of Orthopaedic Surgeons</i></span><span style="font-family:
Arial">.<span style="mso-spacerun: yes">  </span>11 DEC.<span style="mso-spacerun: yes">  </span>2008 </span><a href="http://www.aaos.org/home.asp"><span style="font-family:Arial">http://www.aaos.org/home.asp</span></a><span style="font-family:Arial">.<o:p></o:p></span></p>

<p class="MsoNormal" align="center" style="text-align:center"><br /></p>

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