Humanitarian Journeys - February 2009

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CNN Hero David Puckett, CPO, LPO: Mission of Love

Feature

"Mercy. blesses him who gives it and him who receives it. "      -William Shakespeare David Puckett helps a bilateral amputee stand on new prosthetic feet.

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Peter Carey: Transforming Nations

Feature

Though recently retired, Peter Carey, MA, PhD, FRHistS, still carries the mien of the quintessential Oxford don - calm, with an intense gaze, immaculate intellect, and a tendency to inject his comments with wry, deft humor. The 60-year-old author and former Laithwaite Fellow in Modern History at Trinity College, University of Oxford, England, is a co-founder of the international powerhouse charity, The Cambodia Trust, a group whose trainees now fit O&P devices on more than 30,000 people every year throughout the developing world. Now, The Cambodia Trust is expanding beyond its current schools and clinics in Cambodia, East Timor, and Sri Lanka and into Indonesia, where Carey now resides.

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From Mongolia to America Part 1: A Journey of Hope Begins

Feature

Amaglan Donid. Photos courtesy of Shebana Coelho. When Amaglan Donid, a 59-year-old Mongolian woman with a transtibial amputation, arrives in New Jersey, it will mark the beginning of a journey made possible by the Barr Foundation Amputee Assistance Fund (Barr Foundation), Carey Glass, CPO, LPO, FAAOP, and caring individuals in Mongolia and the United States.

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Tomorrow's O&P: A Survival Guide Part 2: The Economics of Outcomes

Feature

When, in the January issue, we began delving into what lay ahead for the O&P profession-soliciting insights from industry leaders, educators, and experts-we quickly discovered a great deal more than we expected. Prognostication is not a simple art, and the O&P profession is certainly not a simple subject upon which to practice it. In the second part of this three-part series, we examine trends and indicators pertaining to O&P patient care: Is the current economic crisis likely to impact patient outcomes, either directly or indirectly? How can O&P practices survive while serving clients who can't afford their own care-nor the insurance to cover it? Rogers Are Patient Outcomes at Risk? "Patient outcomes are directly affected by the care people receive; in [O&P] practice, the economy really doesn't have a direct effect on patient outcomes," says Jim Rogers, CPO, FAAOP , president of the American Academy of Orthotists and Prosthetists (the Academy).

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Darwin on Patient Evolution

Feature

As the O&P profession adapts to dramatically changing economic environmental pressures, are patient needs changing as well? Is natural selection at work in a scenario that promotes survival of the fittest? In the 1980s, exercise science recognized and predicted a problem in the developed world: hypokinetics-lack of stimuli to the human system due to a marked decrease in physical movement. "As greater technology replaces the need for human physical movement, people may become less fit, their bodies weaker and perhaps even fatter as their caloric input exceeds their output," explains Christopher Hovorka, MS, CPO, LPO, FAAOP, director of the master of science in prosthetics and orthotics program at the Georgia Institute of Technology (Georgia Tech). "We've seen this in the United States, and now other developing nations are seeing similar changes in the health of their populations.

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The Canadian Compendium: Reinventing O&P Coding North of the Border

Feature

Kirsten Simonsen, BSc, CP(c) In the summer of 2004, history was made during a Canadian Association for Prosthetics and Orthotics (CAPO) conference: At the first town hall meeting ever held to discuss the need for a unified national nomenclature for O&P, the room was overflowing with professionals who resoundingly agreed to create a document that would give a single voice to Canadian O&P. Since 2004, Kirsten Simonsen, BSc, CP(c), who practices in Eastern Canada, has been involved in orchestrating the development of that document-the Compendium of Prosthetic and Orthotic Treatment (CPOT). At the grassroots level, CAPO members recognized the importance of how the profession and its care of patients are represented to funding agencies.

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Tina Mann: The Body Electric

Today's Consumer

"I sing the body electric, I celebrate the me yet to come. "      (Walt Whitman, 1819-1892, via the musical, Fame ) Tina Mann had no interest in getting around for the rest of her life in a wheelchair. But after a snowboarding accident in January 2001, her medical team at the Cleveland Clinic in Ohio gave her exactly that prognosis.

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BCI Devices Open Doors for People with Disabilities

Innovations

The power of the brain is being harnessed in astonishing ways, and the implications for people with limb loss, paralysis, an inability to speak, and other disabilities is exciting, to say the least. Brain-computer-interface (BCI) technology is opening doors to using the power of the mind to overcome the limitations of the body. Imagine being able to make something move halfway around the globe simply by thinking about it.

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DS/USA Hosts Ski Spectacular, CAF Buys New Headquarters

Sports

DS/USA Hosts The Hartford Ski Spectacular When Army Major Bruce Gannaway lost his left foot to an explosive device in Baghdad, his lifelong love of skiing might have become a thing of the past. However, on the morning of December 7, 2008, Gannoway sat down on the slopes of the Beaver Run Resort in Breckenridge, Colorado, worked his prosthetic foot into a ski boot, and stood up on skis for the first time since his injury. With the advice of expert trainers Rina Drake and Tracy Ridelberger-Meier, he spent the next few hours puzzling through what he called "learning to ski with one foot asleep.

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Realizing Life’s Plan

Education Outlook

At 11 a. m. on a not-so-average Thursday, I was sitting in the auditorium of the St.

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Billing and Collections Q&A

Got FAQs?

Running an O&P practice is complicated enough without having to deal with denials. When you have questions, count on "Got FAQs?" to help keep your claims on track. This month's column tackles your questions about addition codes, licensing requirements, K-Codes, and more.

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Battling It Out in the States

Progress on Parity

Last year was exciting in the fight for parity. The Amputee Coalition of America (ACA) helped to introduce bills in 15 states and pass four new parity laws. New Jersey, Indiana, Vermont, and Louisiana joined Colorado, Maine, New Hampshire, Rhode Island, California, Massachusetts, and Oregon by enacting legislation that creates a consistent, appropriate standard for prosthetic coverage.

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For Love…and for Money

Viewpoint

I've talked with a lot of O&P practitioners over the last couple of years, and one thing that I hear frequently is that people don't enter the O&P profession for the money. Many, if not most, enter the profession to make a positive impact on people's lives. This month's issue is dedicated to those who have devoted their lives to "Humanitarian Journeys," and are helping people who otherwise could not afford prosthetic and orthotic care or who do not have access to the care and devices they need to resume productive lifestyles.

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Accreditation Exemption Is Not Permanent


While the January 31, 2009, accreditation application deadline has come and gone, confusion remains about which healthcare professionala are exempt from the accreditation requirement and, for those who are exempt, whether or not the exemption is permanent or a delay. EDGE Direct asked the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) to help clarify the issue. On September 3, 2008, the Centers for Medicare & Medicaid Services (CMS) announced that professionals, including physicians, physical therapists, occupational therapists, qualified speech therapists, physician assistants, nurse practitioners, nurse midwives, orthotists , prosthetists , podiatrists, optometrists, and opticians are exempt from the September 30, 2009, mandatory accreditation deadline.

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Endolite Enhances Quality of Life


Endolite is committed to help those who face mobility and quality of life challenges through continued research, innovation, and design of prosthetics that enable amputees to get busy living. We are dedicated to providing a valuable and positive experience to our customers and listening to their feedback in order to continually improve our service and products. As the worlds leader in prosthetics, our goal is nothing less than to open up the world to amputees so that they can get busy living.

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