Michael Behr, M.D., the OrthoAtlanta Medical Director, recently completed his eighth medical mission to Haiti.
The Beauty of Charitable Work in Action – Michael Behr, M.D.

It all began 28 years ago when these Atlanta-area orthopedic surgeons provided needed orthopedic services to Haitian citizens through the Hospital Albert Schweitzer in Deschapelles, a rural mountain community in central Haiti.
Behr began his annual mission trips to Haiti in 2010, the year of the deadly earthquake that killed thousands of people and left much of the island in ruins. Behr’s commitment to the country is what has brought him back to Haiti every year since.
Board-certified and fellowship-trained orthopedic surgeon with OrthoAtlanta for over 25 years, Behr’s special emphasis includes sports medicine, arthroscopic surgery and hip and knee replacement. Behr, today serves as the OrthoAtlanta medical director.
During his week-long service in Haiti, Behr provided his expertise across a variety of musculoskeletal conditions, ranging from trauma to rare bone diseases.
He notes that Haiti is the poorest country in the Western hemisphere.
He said, “Haiti is less than three hours and 1,285 miles from the U.S., yet the impoverishment is real and need for quality medical care ongoing.” Prior to their arrival, he said, “patients will travel to the hospital, some walking many miles and waiting in line for several days, for their turn to see a physician.”
As part of the Atlanta-based program, teams of two to three orthopedic surgeons, along with other medical professionals from multiple physician practices, travel together to Haiti for a week of service. The first several days are spent examining patients, providing immediate treatment and identifying those who will require surgery. The surgeries are performed during the final few days of the week.
Reflecting on his eighth volunteer trip to Haiti, Behr stated, “Taking time to give back to the people of Haiti is an important priority for me. The medical care that physicians such as me can provide to the Haitian patients can help turn their lives around by providing mobility and function and by treating correctable orthopedic problems. The opportunity to serve is energizing. It is a personally rewarding part of my life and a medical career dedicated to helping others.” — BY
“About OrthoAtlanta: OrthoAtlanta is the second-largest physician-owned orthopedic and sports medicine practice in the greater Atlanta, Georgia, area. With 39 physicians serving in 13 offices, the practice provides the highest level of patient care for injury or deformity of muscles, joints, bones and spine. OrthoAtlanta offers convenient accessibility to a full range of musculoskeletal surgeons, specialists and patient services including on-site physical therapy, pain management care, seven MRI imaging centers and workers’ compensation coordination. OrthoAtlanta Surgery Centers in Austell and Fayetteville provide cost-effective, same-day surgical procedures in an accredited outpatient center. Comprehensive operative and non-operative musculoskeletal care and expertise include sports medicine, arthroscopic surgery, hip replacement, knee replacement, neck and spine surgery, elbow and shoulder surgery, foot and ankle surgery, physical medicine and rehabilitation, arthritis treatment, general orthopedics, work-related injuries and acute orthopaedic urgent care.Learn more at www.OrthoAtlanta.com.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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