By Tad Gerlinger, MD
My first deployment was to Kosovo with Task Force Falcon, Operation Joint Guardian, in 2001. Three weeks after 9/11, I was deployed from Fort Bragg with the 274th Forward Surgical Team (Airborne) — the first FST sent into Afghanistan — for Operation Enduring Freedom. Two years later, I was part of the Joint Special Operations Task Force in the initial actions of Operation Iraqi Freedom. And I returned to Afghanistan in 2011 with the 936th Forward Surgical Team and served with the Norwegian Provincial Reconstruction Team. That was my last deployment.
In armed conflict, the vast majority of casualties and injuries are the locals — the civilian population. That was true for the conflicts in Afghanistan and Iraq back when I served, and it’s true today in countries like Syria. What’s happening in Syria with ISIS, where they’re using human shields, was very common for Al Qaeda, too.
In 2011, our special mission unit went in to get a high value target in northern Afghanistan. After our soldiers surrounded the compound, they asked the enemy to send out all of the noncombatants. As soon as all of the women and children had come out into the courtyard and our soldiers had gone out to secure them to safety, the enemy threw grenades at the entire group. So the majority of the casualties from that mission were women and children — and, of course, our soldiers were injured trying to protect the families of the men who threw the grenades.
By Dennis Gates, MD
I have been taking part in medical missions for more than 50 years. My first trip was as a medical student at Loyola University, when I worked as a laboratory technician for a couple of doctors in Brazil. That experience enlightened me to the far greater need for orthopedic and medical care in Brazil than in the U.S. A child in America with a club foot is going to get treatment somehow, whereas in Brazil, that’s not the case. There aren’t adequate medical facilities, and patients can’t afford treatment or simply don’t have access to care. Then, two years in the Peace Corps as a family doctor in Nigeria and Ghana reinforced to me the incredible medical needs of developing countries.
Once in orthopedic practice, some colleagues and I started making regular mission trips to Brazil. We’d go down to a little clinic on the Amazon River, called Esperanca, to perform many surgeries and train orthopedic residents. When we started in the mid-1970s, there was only one local orthopedist; by the time we stopped making the trips 30 years later, there were seven well-trained orthopedic surgeons in town. That was pretty satisfying.
Jorge O. Galante, MD, MDSc, a trailblazing orthopedic surgeon, inventor and professor who revolutionized the science of joint replacement, died on Feb. 9 on Sanibel Island, Florida. He was 82.
At the time of his death, Galante was a life trustee and the Grainger Director Emeritus of the Rush Arthritis and Orthopedic Institute at Rush University Medical Center in Chicago.
Galante joined Rush, previously known as Presbyterian-St Luke’s, in 1972 as the first chairperson of its newly established Department of Orthopedic Surgery, a position he held until 1994. Over the years, he made Rush home to one of the country’s leading orthopedic programs. U.S. News & World Report currently ranks it as the country’s fourth best orthopedic program in the United States and the No. 1 program in Illinois.
An exceptionally talented surgeon himself, Galante nurtured generations of orthopedic surgeons and scientists at Rush, many of whom still practice today. He also established the Rush’s Motion Analysis Lab, which studies the functional performance of people during activities of daily living in order to improve the physical capabilities of people suffering from musculoskeletal ailments.
By Shane Nho, MD
In our orthopedic surgery practice at Rush, we see a lot of very active adults who try to keep a very balanced, healthy lifestyle, as well as people who like to work out on occasion. And then there are other people who have more of a commitment to working out and athletics. Matt Aaronson is one of those guys.
Matt got into marathon running, biking, swimming and competing in triathlons. But while he was training for the Boston Marathon, Matt began to experience hip pain. The location of Matt’s pain — in the hip and groin area — can make activities such as running and swimming very painful. It can even be painful in your daily life, for instance when you’re sitting for long periods, putting on your clothes or shoes, or climbing stairs.
Conservative therapies for the pain, such as anti-inflammatories, physical therapy and activity modification, had not worked for Matt. He was at the point where surgery was his best option.
By Matt Aaronson
I had never been physically active prior to 2010. In fact, at one point I weighed more than 200 pounds. But with three kids at home, I needed to make some serious changes in my lifestyle and get healthy for myself and my family.
So I started to run for fitness. I was fortunate and began losing a lot of weight. And as I lost weight, I became a faster runner. I signed up for some races and noticed that I was commonly in the top 10 or even in the top three. I got into triathlons to try something different and realized my results were excellent. I even qualified for the World Championships in 2011, in my first half Ironman.
I ran my first marathon in 2013 in under three hours, during which I qualified for the Boston Marathon. However, while I was training for the Boston Marathon my hip started really bothering me. I thought I would be fine if I just ran a little bit less. Initially for my training I was up to 60 miles a week. But once I injured my hip, I went back down to less than 30 miles a week, even in the mid-20s per week. But the pain still got worse and worse.
Paul Kent, MD (left), with Ricky Mock and parents Sue and Dave Mock.
By Sue Mock
Our journey began when Ricky, our beautiful, amazing, fun, special boy, was just 4 years old. Right after his fourth birthday, Ricky started complaining that his leg hurt. Over the next six months, he had about four episodes in which he was inconsolable due to the pain in his leg.
After discussing these episodes with our pediatrician, he referred us to a local orthopedic physician. The orthopedic doctor took an X-ray and said it looked like Ricky had a stress fracture, which is basically impossible for a 4-year-old. So he sent us for an MRI and bone scan at another institution. But even after those tests, he wasn’t sure what was going on with Ricky.
That’s when he referred us to Rush. Our doctor told us that even though he was affiliated with another hospital, he personally would take his family to Midwest Orthopedics at Rush.
A diagnosis no parent wants to hear
Things continued to snowball at the speed of light after our first visit at Rush. Exactly two weeks after his bone biopsy, Ricky was diagnosed with Ewing’s sarcoma, a bone cancer that primarily affects children.
By Patty Piasecki, BSN, MS, RN
Three years ago, the managing partner at Midwest Orthopaedics asked me to be the captain of the Rush and Midwest Orthopaedics team for the Swim Across America Chicago Open Water Swim.
Midwest Orthopaedics is an ongoing sponsor of the event, which has raised funds for cancer research at Rush since 2012. I am very familiar with the swimming community — my daughter Morgan graduated from Michigan State University and swam there for four years, as well as four years at Downers Grove North High School. During that time, I was at almost all of Morgan’s swim events. What’s more, I am a nurse practitioner in orthopedic oncology, so there was a logical connection.
It made sense for me to be involved with the Swim Across America Chicago event, but I’ll admit that I barely swim in a pool, let alone in Lake Michigan. But, of course, I became Captain Patty.
Luckily for me, the swim is a noncompetitive race — no triathlon clawing or scratching — and the half-mile swim parallels the beach, which means the water is shallow and makes the race doable for all skill levels. For those more proficient swimmers, you can swim up to three miles. It is way easier than any chemotherapy treatment, any radiation treatment, or any surgical procedure and rehabilitation that my cancer patients have gone through. We even have former cancer patients on the team. Continue reading