Dr. Ruhlman’s Trip to Kenya

Last month OSS reported that Dr. Ruhlman and his family were leaving for Kenya once again.

They are back and this is what Dr. Ruhlman had to say about his travels with his family,

“I had the pleasure once again to travel this winter to Kenya to serve in an underprivileged area, providing orthopedic surgical care to patients in a small rural hospital in Bomet, Kenya. This was my second trip to this hospital and first with my family as we enjoyed the hospitality of the locals and helped them medically as they graciously introduced us to their way of life. The predominance of surgeries I performed involved fractures and infections as dangerous roads and driving conditions unfortunately cause a very large amount of significant trauma to the working class. It is extremely important in their culture and economy to get these patients back on their feet to allow them to continue to provide for our family. I had the opportunity to let my family enjoy the trip with me and we were impressed with the beauty of the country and its people. We also had a chance to witness up close the amazing wildlife that has been so well preserved in Kenya – it was a trip of a lifetime for me and my family, though I hope to have the opportunity to go back in the future.”

Check out the pictures from his trip!

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Top 10 Safety Tips To Avoid a Slip or Fall in Ice and Snow

In the Pacific Northwest, occasionally we get snow, but other times, we get a lot more ice and rain. In the Fall it is definitely more rainy, but in the Winter, we get cold, sometimes freezing temperatures that turn into ice and an occasional dusting of snow.

Did you know that winter slips and falls may cause serious injuries? Think about this:
Even when surfaces do not look especially icy or slippery, it is very possible that a thin sheet of transparent ice or “Black Ice” is covering your pathway putting you at risk. When you approach a footpath or roadway that appears to be covered with ice or snow, always use extreme caution. The most typical injuries are fractures and dislocations of the wrist, shoulder and ankle.

Many slips and falls happen in places people regard as safe and secure, typically outside their front door, on the door step, on the path or while getting out of the car.
If you are out walking in snow or icy conditions wear appropriate footwear, don’t walk with your hands in your pockets, walk with your hands out and wear gloves so you can break your fall if you do slip. It’s better to have a broken wrist than a cracked skull!

The Road Safety Authority has the following “Top 10 Safety Tips for Pedestrians” to help avoid the possibility of a broken bone that could easily lead to an operation and a long recovery:

1. If a journey cannot be avoided, walk on a footpath, not in the street. If there are no footpaths walk on the right hand side of the road (towards oncoming traffic). Be extremely careful as frost, ice and snow will make walking on footpaths very dangerous.

2. Remember that footpaths may not be treated so walk with extreme care; make sure you are wearing appropriate footwear and in extreme conditions consider an appropriate walking stick or walking pole.

3. Avoid walking in the streets at all costs if possible. Remember, cars and trucks slip and slide, too! If it’s an emergency, and you can’t avoid the street, wear bright or reflective clothing.

4. Visibility is reduced in snowy condition so wear high visibility clothing or carry a flashlight, or some type of reflective light gear similar to the lights that cyclists use at night.

5. Wear clothing that does not restrict your vision. Stay warm, but DO NOT impair your vision with hoodies, ski masks, scarves, hats, etc. This type of clothing could prevent you from spotting icy conditions that may lead to a fall or not enable you to see a car that is spinning out of control.

6. Snow and ice cause havoc quickly, so use extra caution when crossing roadways, and always cross at pedestrian crossings.

7. Ice can easily hide under a light dusting of snow. Just because you don’t see the ice doesn’t mean it’s not there waiting for your unsuspecting footfalls.

8. If you can’t avoid the ice and snow, bend your knees slightly and take slower, shorter steps to help reduce the chance of a slip and fall and an injury.

9. If forced to use the steps at someone’s home, apartment, or other public building, walk slow and take shorter steps when descending. The same is true of driveways and other hilly terrain; these areas can be very dangerous when they become slippery with ice or snow. Steps especially can be hard to clear and build up ice easily.

10. Be aware of overhead hazards! Falling icicles and chunks of snow pose a serious risk. In extreme cold weather icicles can build up in size very quickly and are lethal. Their size and dagger-like formation are extremely dangerous for pedestrians. Be aware of what’s happening above you, and stay clear from the edges of buildings.

Dr. Ruhlman and his family are leaving for Kenya this Christmas Eve!

Dr. Ruhlman and his family are leaving for Kenya this Christmas Eve. Dr. Ruhlman served at Tenwick Hospital in Bomet, Kenya last year and he is doing it again. According to Dr. Ruhlman, “The country was quite beautiful and the people are very generous and accommodating. Just about a 4-hour drive out of Nairobi, Tenwick Hospital is a rural 300- bed hospital serving a very large under served area. The hospital employs over 500 local kenyan workers and has significant international support. World Medical Mission supports the hospital with logistics and helping volunteers travel to Tenwick and that is how I got involved to help with their Orthopedic Surgical load.”

Last year, Dr. Ruhlman performed 3-5 surgeries per day working with the resident and attending surgeons and helped teach them techniques that he uses in his practice.

What a great way to pay it forward Dr. Ruhlman! Kudos to you and Happy Holidays to you and your family while you will be in Kenya!
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Your Handbag could be the Cause of Shoulder Pain, a Stiff Neck and Back Pain

The holiday rush to get all your shopping done means being pretty efficient of how you want them packed and carried out of a store. Enter your handbag, big, bulky and up to the task. Unfortunately, that bag, if filled to capacity, will probably give you a sore shoulder, stiff neck and quite possibly back pain.The frenzy of the holiday season and your busy lifestyle warrants that you talk on your cell phone in one hand and carry that big, bulky purse on the other hand is actually intensifying a big problem; you are unevenly distributing weight on one side of your body.

What Can Be Done to Minimize the Damage?

Instead of carrying your bag on the same side, switch back and forth, or carry the bag in front of you. Understandably, it doesn’t look glamorous, but at the end of heavy shopping day, you can prevent your shoulders from aching. The prolonged effect of constantly carrying a heavy bag is like a strenuous workout; you overtax the muscles and induce joint pain if your bag is too heavy. By maintaining the correct form of carrying your bag and keeping the bulk of your purse toward the center of your body, it will help alleviate shoulder and neck pain.

Just remember these helpful tips:

1) A bigger bag doesn’t mean you have to fill it. Keep things to a minimum – a weight of no more than 5-8lbs is recommended.

2) Swap shoulders – this takes some getting used to but it is possible.

3) The wider the shoulder strap, the better the dispersal of weight.

4) Think about the material of the jacket you are wearing; slippery fabric will cause you to hunch your shoulder even more.

5) Watch your posture: are you leaning to one side to help balance the weight?

6) Stretch your neck and shoulder muscles.

According to Dr. Shapiro, “To protect your shoulders from an overuse injury like bursitis, don’t carry a heavy load of bags on one arm. It is best to switch shoulders or carry an even load of bags to distribute the weight safely.” If you are experiencing neck, hand, shoulder or back pain, call Orthopedic Specialists and make an appointment with one of our expert, orthopedic doctors at (206) 633-8100.