are you aware at every 30 seconds
somewhere in the world someone will
this is from a publication of the lens
according to the world health
organization half of these amputations
can be avoided with adequate detection
and care according to a health survey
done in Curacao 2013 and an average of
ten percent of people of 18 years and
older have diabetes but more scaring ly
the incidence of men of 65 or older is
twenty percent of the abilities and of
women twenty-five percent so we see that
there’s an enormous increase at an older
age what does that mean it means that
even in this audience between five and
ten years some people will suffer an
amputation because of diabetes I’m
Thomas the wind ladies and gentlemen and
I am I going to talk about an innovative
way of doing rehab with patients that go
through an amputation so now you know
why
my amputations rotations are caused due
to changes in blood vessels and nerves
that will cause ulceration and because
of the alteration then sometimes limb
loss the abilities is common in curacao
because we have it in our family genes
but also our diet we too much suteko
patata to hopi sauce pork chop turkey
pan and very little veggies so you
suffer an amputation now on in other
parts of the world they put you into a
revelation Center for two to four months
give you all kind of exercises but you
won’t start walking before your stump
has completely healed and there is and
it’s not swollen anymore so you get
depressed in those two to four months
but that is not what we do here in do
chico show here we bridge the gap and
you can see this lady is already walking
and you see that everything is under
control if you have to go to an
experience like that isn’t it nicer that
you can be walking instead of still
being in a wheelchair now that makes a
big difference although you have to
realize that it also has a physical
impact and you can also lose you all the
leg if you don’t
if you’re not in motion if you’re not
moving about so this is a system that
will provide you that motion and make it
possible to give you all the different
advantages you have an advantage
psychological advantage because you are
already walking you’re not waiting and
waiting and waiting and you’re active
you can go home and do your all daily
things already so we prevent that
depression and you also have an
economical advantage for the insurances
because you have less costs due to less
complications because you’re actively
moving next slide please so this is an
example of how active you can already be
in this early stage this is a chicken
farmer and he was eager to go to work we
could give him already exercised it to
be very very active and so he could
prepare to start doing his work Mac
slightly next slide please so here you
see a stump after 10 days and look at
the date you see that we are doing this
a long time already and we have a
special way of bandaging basically we
brought a few things together especially
of bandaging and the control of the
forces in the construction of temporary
lack where it is possible to work
without having any pressure on your
and in this film you will see his
gentleman walking in the same day at
first you’ll see how he puts his leg on
this is something you can teach anybody
and then after that you will attach the
velcro straps so you slide in attach
your straps and you’re ready to walk and
if you look at this gate now it’s not a
beautiful gate but this is the first day
the first time he is walking and
everything is under control and that
freedom out of the wheelchair is a very
important time and now you can see later
on what his present situation is it’s a
very active person till today and you
can see his gait he has a very natural
even dancing is possible may I have the
next slide please yes we also have to
compare what is around in the world so
if you look at the three system you see
none of them can be applied between four
and ten days after surgery the first two
are standard prostheses that have an
inflatable part you cannot control where
the pressure is so you also get pressure
on the areas that you don’t really want
to have pressure the third one is a
system where you have too much pressure
at the end although its individual
fabricated like we don’t have those
problems with our legs or temporary legs
we have no pressure in the wound area
and we have an individual fabricated leg
that we control where the pressure is so
if it comes to an invitation early
reputation is your best chance to a
normal life thank you very much [Applause]