[Music] are you aware at every 30 seconds
are you aware at every 30 seconds
are you aware at every 30 seconds somewhere in the world someone will
somewhere in the world someone will
somewhere in the world someone will suffer an invitation due to diabetes
this is from a publication of the lens
this is from a publication of the lens set of 2005 so now in 2016 Z even worse
according to the world health
according to the world health organization half of these amputations
organization half of these amputations
organization half of these amputations can be avoided with adequate detection
can be avoided with adequate detection
can be avoided with adequate detection and care according to a health survey
and care according to a health survey
and care according to a health survey done in Curacao 2013 and an average of
done in Curacao 2013 and an average of
done in Curacao 2013 and an average of ten percent of people of 18 years and
ten percent of people of 18 years and
ten percent of people of 18 years and older have diabetes but more scaring ly
older have diabetes but more scaring ly
older have diabetes but more scaring ly the incidence of men of 65 or older is
the incidence of men of 65 or older is
the incidence of men of 65 or older is twenty percent of the abilities and of
twenty percent of the abilities and of
twenty percent of the abilities and of women twenty-five percent so we see that
women twenty-five percent so we see that
women twenty-five percent so we see that there’s an enormous increase at an older
there’s an enormous increase at an older
there’s an enormous increase at an older age what does that mean it means that
age what does that mean it means that
age what does that mean it means that even in this audience between five and
even in this audience between five and
even in this audience between five and ten years some people will suffer an
ten years some people will suffer an
ten years some people will suffer an amputation because of diabetes I’m
amputation because of diabetes I’m
amputation because of diabetes I’m Thomas the wind ladies and gentlemen and
Thomas the wind ladies and gentlemen and
Thomas the wind ladies and gentlemen and I am I going to talk about an innovative
I am I going to talk about an innovative
I am I going to talk about an innovative way of doing rehab with patients that go
way of doing rehab with patients that go
way of doing rehab with patients that go through an amputation so now you know
through an amputation so now you know
through an amputation so now you know why
why
why my amputations rotations are caused due
my amputations rotations are caused due
my amputations rotations are caused due to changes in blood vessels and nerves
to changes in blood vessels and nerves
to changes in blood vessels and nerves that will cause ulceration and because
that will cause ulceration and because
that will cause ulceration and because of the alteration then sometimes limb
of the alteration then sometimes limb
of the alteration then sometimes limb loss the abilities is common in curacao
loss the abilities is common in curacao
loss the abilities is common in curacao because we have it in our family genes
because we have it in our family genes
because we have it in our family genes but also our diet we too much suteko
but also our diet we too much suteko
but also our diet we too much suteko patata to hopi sauce pork chop turkey
patata to hopi sauce pork chop turkey
patata to hopi sauce pork chop turkey pan and very little veggies so you
pan and very little veggies so you
pan and very little veggies so you suffer an amputation now on in other
suffer an amputation now on in other
suffer an amputation now on in other parts of the world they put you into a
parts of the world they put you into a
parts of the world they put you into a revelation Center for two to four months
revelation Center for two to four months
revelation Center for two to four months give you all kind of exercises but you
give you all kind of exercises but you
give you all kind of exercises but you won’t start walking before your stump
won’t start walking before your stump
won’t start walking before your stump has completely healed and there is and
has completely healed and there is and
has completely healed and there is and it’s not swollen anymore so you get
it’s not swollen anymore so you get
it’s not swollen anymore so you get depressed in those two to four months
depressed in those two to four months
depressed in those two to four months but that is not what we do here in do
but that is not what we do here in do
but that is not what we do here in do chico show here we bridge the gap and
chico show here we bridge the gap and
chico show here we bridge the gap and you can see this lady is already walking
you can see this lady is already walking
you can see this lady is already walking and you see that everything is under
and you see that everything is under
and you see that everything is under control if you have to go to an
control if you have to go to an
control if you have to go to an experience like that isn’t it nicer that
experience like that isn’t it nicer that
experience like that isn’t it nicer that you can be walking instead of still
you can be walking instead of still
you can be walking instead of still being in a wheelchair now that makes a
being in a wheelchair now that makes a
being in a wheelchair now that makes a big difference although you have to
big difference although you have to
big difference although you have to realize that it also has a physical
realize that it also has a physical
realize that it also has a physical impact and you can also lose you all the
impact and you can also lose you all the
impact and you can also lose you all the leg if you don’t
leg if you don’t
leg if you don’t if you’re not in motion if you’re not
if you’re not in motion if you’re not
if you’re not in motion if you’re not moving about so this is a system that
moving about so this is a system that
moving about so this is a system that will provide you that motion and make it
will provide you that motion and make it
will provide you that motion and make it possible to give you all the different
possible to give you all the different
possible to give you all the different advantages you have an advantage
advantages you have an advantage
advantages you have an advantage psychological advantage because you are
psychological advantage because you are
psychological advantage because you are already walking you’re not waiting and
already walking you’re not waiting and
already walking you’re not waiting and waiting and waiting and you’re active
waiting and waiting and you’re active
waiting and waiting and you’re active you can go home and do your all daily
you can go home and do your all daily
you can go home and do your all daily things already so we prevent that
things already so we prevent that
things already so we prevent that depression and you also have an
depression and you also have an
depression and you also have an economical advantage for the insurances
economical advantage for the insurances
economical advantage for the insurances because you have less costs due to less
because you have less costs due to less
because you have less costs due to less complications because you’re actively
complications because you’re actively
complications because you’re actively moving next slide please so this is an
moving next slide please so this is an
moving next slide please so this is an example of how active you can already be
example of how active you can already be
example of how active you can already be in this early stage this is a chicken
in this early stage this is a chicken
in this early stage this is a chicken farmer and he was eager to go to work we
farmer and he was eager to go to work we
farmer and he was eager to go to work we could give him already exercised it to
could give him already exercised it to
could give him already exercised it to be very very active and so he could
be very very active and so he could
be very very active and so he could prepare to start doing his work Mac
prepare to start doing his work Mac
prepare to start doing his work Mac slightly next slide please so here you
slightly next slide please so here you
slightly next slide please so here you see a stump after 10 days and look at
see a stump after 10 days and look at
see a stump after 10 days and look at the date you see that we are doing this
the date you see that we are doing this
the date you see that we are doing this a long time already and we have a
a long time already and we have a
a long time already and we have a special way of bandaging basically we
special way of bandaging basically we
special way of bandaging basically we brought a few things together especially
brought a few things together especially
brought a few things together especially of bandaging and the control of the
of bandaging and the control of the
of bandaging and the control of the forces in the construction of temporary
forces in the construction of temporary
forces in the construction of temporary lack where it is possible to work
lack where it is possible to work
lack where it is possible to work without having any pressure on your
without having any pressure on your
without having any pressure on your wound area
and in this film you will see his
and in this film you will see his gentleman walking in the same day at
gentleman walking in the same day at
gentleman walking in the same day at first you’ll see how he puts his leg on
first you’ll see how he puts his leg on
first you’ll see how he puts his leg on and it is a very simple way to put on
this is something you can teach anybody
this is something you can teach anybody and then after that you will attach the
and then after that you will attach the
and then after that you will attach the velcro straps so you slide in attach
velcro straps so you slide in attach
velcro straps so you slide in attach your straps and you’re ready to walk and
your straps and you’re ready to walk and
your straps and you’re ready to walk and if you look at this gate now it’s not a
if you look at this gate now it’s not a
if you look at this gate now it’s not a beautiful gate but this is the first day
beautiful gate but this is the first day
beautiful gate but this is the first day the first time he is walking and
the first time he is walking and
the first time he is walking and everything is under control and that
everything is under control and that
everything is under control and that freedom out of the wheelchair is a very
freedom out of the wheelchair is a very
freedom out of the wheelchair is a very important time and now you can see later
important time and now you can see later
important time and now you can see later on what his present situation is it’s a
on what his present situation is it’s a
on what his present situation is it’s a very active person till today and you
very active person till today and you
very active person till today and you can see his gait he has a very natural
can see his gait he has a very natural
can see his gait he has a very natural gait everything under control
even dancing is possible may I have the
even dancing is possible may I have the next slide please yes we also have to
next slide please yes we also have to
next slide please yes we also have to compare what is around in the world so
compare what is around in the world so
compare what is around in the world so if you look at the three system you see
if you look at the three system you see
if you look at the three system you see none of them can be applied between four
none of them can be applied between four
none of them can be applied between four and ten days after surgery the first two
and ten days after surgery the first two
and ten days after surgery the first two are standard prostheses that have an
are standard prostheses that have an
are standard prostheses that have an inflatable part you cannot control where
inflatable part you cannot control where
inflatable part you cannot control where the pressure is so you also get pressure
the pressure is so you also get pressure
the pressure is so you also get pressure on the areas that you don’t really want
on the areas that you don’t really want
on the areas that you don’t really want to have pressure the third one is a
to have pressure the third one is a
to have pressure the third one is a system where you have too much pressure
system where you have too much pressure
system where you have too much pressure at the end although its individual
at the end although its individual
at the end although its individual fabricated like we don’t have those
fabricated like we don’t have those
fabricated like we don’t have those problems with our legs or temporary legs
problems with our legs or temporary legs
problems with our legs or temporary legs we have no pressure in the wound area
we have no pressure in the wound area
we have no pressure in the wound area and we have an individual fabricated leg
and we have an individual fabricated leg
and we have an individual fabricated leg that we control where the pressure is so
that we control where the pressure is so
that we control where the pressure is so if it comes to an invitation early
if it comes to an invitation early
if it comes to an invitation early reputation is your best chance to a
reputation is your best chance to a
reputation is your best chance to a normal life thank you very much
normal life thank you very much
normal life thank you very much [Applause]
”
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