In this edition: • Four new kids had

their surgery done!

• marvelous

donations

• visits from various

foundations

• Tata takes his first

steps

Foundation High 5 Rehab is a non-profit

organization which aims at serving the less able and less

fortunate, in particular children,

by providing physiotherapy and knowledge transfer for the improvement

of their self-independence.

Writen by Marieke de Wit, Founder of Stichting High 5 Rehab and Yayasan So Rehab Bali

The rainy season has

started! The roads are

slippery, there is a lot of

litter in the streets and we

see an occasional Xmas

ball in a tree!

This is the 16th edition of

the newsletter of the

Foundation High 5

Rehab

a rehabilitation and

education center for

disabled children in Bali

Indonesia

Introduction

Therapy

Our intense program

provides good results

very fast! The children

who are taken into

consideration for this

program are mainly

children with CP

(cerebral palsy) who are

hemiplegic patients or

paralyzed on both legs

(diplegic). They receive

therapy twice a day,

four hours a day. The

aim is to have the

children walking within

three months!

TataTataTataTata,,,, is a very funny

boy from Java. He is three

years old and cannot walk

by himself.

.What does High 5 do!?

We have already been of help to more than 400 kids. Every week 70 children come for the physiotherapy program, about 12 children per year have surgery for their orthopaedic disabilities, 20 children join the education project, 6 children join the daycare project, 30 children follow the month project and furthermore 30

children join the CBRH project. Additionally High 5 has educational projects for the local schools in the vicinity, CBR projects for all the children at home, a toolshop where we manufacture various aids and we have started a sheltered workshop! Several of these projects will be highlighted in this newsletter! Please read on for the High 5 Rehab News!!

He has cerebral palsy

and both his legs are

spastic. Tata follows

the intense program

and started about 5

weeks ago. By now

Tata can walk with

only one crutch and

also a few steps

with only very little

help. We hope that

within another five

weeks Tata will be

able to walk without

aids! Tata will

then go back

to Java and start

school!

October / November /

December 2011

Year 4, Edition 16

Page 2 of 8 “The connections

being made during the stay in our "white

village" represent one of

the best parts of this project! All parents

learn from each other and the love for their

children grows!!.”

Surgeries

It was another great week. Most of the readers know us by now, but for the ones who do not know us yet: Dr Mirjam de Haart is a rehabilitation doctor at the Amsterdam Medical Centre and Dr Huub van der Heide is an orthopaedic surgeon at the Leiden University Medical Centre. This was our fourth time to Bali, helping at High 5. It was another beautiful week with varying emotions. After our arrival in the south of Bali we hired a car and drove to Lovina. It is a strange feeling to be driving in a car on an island on the other side of the world while at the same time this road to the north feels so familiar. It is a great start of our stay. On our arrival in Lovina Marieke was already awaiting us in Hotel Starlight and also the hotel staff welcomed us in a way so that we felt like coming home. We carried in our suitcases, apart from some clothing, a children's walking aid, a new prosthesis for Ketut, measured shoes for Annugrah, 10 sets of semi-orthopaedic children shoes, shoes to wear with a cast with which the children can walk around without ruining the casts and further presents for Marieke's children and some cheese, cookies and traditional Dutch December treats. On Wednesday afternoon we examined the children who would be treated on Thursday and Friday and we again informed the children and their parents about the rehabilitation and the expected results. On Thursday Putu Ari was treated first. She is a girl with a club foot on the right whose father has untreated club feet on both sides.

Page 3 of 8

his made it very special for us, when her father asked us to treat her because he did not want his daughter to live the life he had led. These are moments when we are reallytouched and we are sorry that we do not speak the language sufficiently to express ourselves. The surgery was satisfactory. After this kind of surgery a foot will never be perfect, but in general it will be good enough to carry the weight and the child will be able to walk on the sole of the foot. Putu Ari will be having a cast twice for 6 weeks, after which she will walk with a brace first and then without a brace. Next, Kadek Sukreni had her surgery. Sukreni had severe bow-legs and it could be expected that this would get worse due to the growth and instability of the knee. By sawing the bone below the knee the position of the leg could be corrected and the bones were fixed by pins. For a proper recovery of the bones she has to wear a cast for three months. We know Sukreni as a shy girl who is easily frightened but in the days after the surgery she seemed to loosen up and we even received a smile! The expectation is that the bow is gone and that she will be able to walk. Friday was a very intense day of surgeries. First we treated Komang Yuda on both club feet. Komang is nine years old, which is rather old for a proper club foot correction. Komang's feet are very rigid and it proved difficult to correct his feet so that in the future he would be able to walk on the soles of his feet. He has to have a three months cast and for his right foot it is doubtful if this surgery is sufficient or whether it needs more surgery. Time will show. Kadek Arte Yasa was the last in line. He also had club feet on both sides and he is "only" four years old, which is still relatively old for this treatment. Both his feet were more flexible which made the correction easier. But also this surgery for Arte Yasa was complex and he has to have three months casts on both legs. We expect that he will be able to walk. Saturday was a lovely day. After the examinations in the hospital in the morning we drove to

us that before he needed help to get inside the classroom but now his father can take him to school and Annugrah walks across the schoolyard and into the classroom by himself. Because he has shaky flatfeet after his surgery, Hanssen Footcare in the Netherlands has manufactured a pair of orthopaedic shoes for him. They fit well and enable him to stand more stable and he was able to walk with them without ado. He still h as a long stretch to go and we will monitor him in the coming years to keep him on his feet. After exactly one week we said goodbye. Again our stay had been an experience. By now we are back in the Netherlands for some weeks and we keep in contact with Marieke by email concerning the rehabilitation. Except for the fact that also the cast on Komang Yuda's right leg needed to be replaced all is going well and we hope that the results of these surgeries are just as good as with the previous children. On our way south on Bali we stopped at Yakkum, the foundation that makes the braces for the children. We were welcomed warmly and were given a tour of the foundation and the workplace. Sadly on Thursday we really had to return to our cold home country, but we have made plans already for the next week of surgery...

Mirjam de Haart En Huub van der Heide.

the village of Ketut Werdi and visited his school. We observed him in his classroom and on the schoolyard and we were allowed to take him back home before school hours were finished. We were welcomed by his relatives and we gave him the spare part of his new prosthesis. On Sunday he came to the foundation together with his sister Kadek Ari, who is an employee of the foundation, and together with Gede from the toolshop we measured the new prosthesis that had been made byOIM Amsterdam. Afterwards we watched him play soccer with his new prosthesis. In the afternoon we went to see the children in the hospital and could release Putu Ari and Arte Yase to take them back to the foundation. Komang Yuda's cast on his left leg had to be changed on Tuesday morning, after which also Komang and Sukreni could be transported to the Kos for their rehabilitation. It was a special closing of our stay when all the children were released from hospital and waved us goodbye. On Monday morning we saw (almost) all the children we had treated before. These children were doing well and it is great to see them grow up while still making progress in their skills. For example, Gipper, who had surgery in March 2010, was eager to be examined first, so that he could skip happily back to school. The last children we examined were Ayu and Annugrah. Both have spasms and after lengthening their tendons they are better in standing but they remain dependent on aids. Ayu received orthoses that had been made for her by Noppe Orthopedie in the Netherlands. After proper readjustment of these orthoses together with firm shoes Ayu experienced enough support to be able to walk short distances. Annugrah had surgery in April 2011, before which he had to walk on his toes and he was not able to stand. After surgery he is now able to stand and walk better, which is a real improvement. His father told

Page 4 of 8

So – education SKB - SO

Short story about my

education and

education at SKB SO My name is tini, I am a teacher from HIGH 5 REHAB FOUNDATION/ SKB SO, I

went to college in University STKIP AGH in Singaraja. I had majored in languages and art education, my education had lasted three years, now I’m on the 5th semester, I took three semesters more for a degree Spd (undergraduate

“Dek Tini! Our beautiful teacher!.”

“Dr Wayan is signing the contract!

Pic 1, dr Wayan, me and Bu Sylvie.

pic 3, Dr Wayan, Dr Handra, Bu Sylvie.”

program) again. I really hope I can finish my course properly and on time is 4 years, since first I did not want to disappoint the trust Marieke to me and also I don’t want the foundation lose out because the foundation helps me with financed my school and I was also given dispensation to leave early so I could attend college. I would like to thank a lot to Marieka and foundations for always encouraging me to be more spirit. I am very happy,

because the knowledge I got from my school I can give to the childrens at SKB SO. The total of the children at SKB SO is 22 children, most of them follow a normal curriculum, and some they just learn to recognize letters, and study how they can account numeric and learning skills that will be useful for them .. They are smart kids, even they have started to learn independently. So that is my story about my education and school SKB SO. THANK YOU.

A popular slogan in aid work is: "don't supply fish but give the people a rod and teach them how to fish". Also in my line of work I try to keep this idea in mind. Education is of great importance, not only for my job in the Netherlands but also here in Bali. From the start of the surgery OR-project, Dr Wayan has been involved and several times he has assisted in the surgeries. Dr Wayan would like to be an orthopaedic surgeon, however, the costs for the education are high and funds for education are different compared to the Netherlands. I have tried in the Netherlands to find funds and it worked! The foundation Orthopedie

Overzee has reserved an amount for his training and this will be provided in terms depending on the progress of his progress. A contract has been drawn stating that half of the entree fees will be paid by the foundation Orthopedie Overzee and the other half by the hospital where we always perform the surgeries. Apart from this he will receive a monthly allowance for sustenance during the training and participation in conferences will be discussed with me. In return Dr Wayan will assist in the surgeries of the SO-OK project and he will help the foundation with further treatment and rehabilitation of the children.

Furthermore it is stated in the contract that he should continue at the hospital for at least five years after finishing his specialism and that during that time he will treat the children of High 5 free of charge. For all involved a good contract! Since a large amount is involved which is purely for the education we have decided that the project will not be run under the wings of the foundation High 5 Rehab but strictly handled by me. Although this is therefore not strictly speaking an activity of High 5 we still wanted to share this with you! Huub van der Heide.

Training of local doctor to orthopeadic surgeon

Page 5 of 8

The loyal readers of this

newsletter know what I

mean when I call:

container! It has already

been three years when Marij

en Hennie Boselie and many

others in "desa Vught" filled

up a large container with

great things for the

foundation. Unfortunately up

till now we have not been

able to get the container on

land.

Last month pak Hennie

Boselie and pak Gunther

were in Bali, hoping that by

now the container,

COMPUTERS!

The first two out of five computers donated by Johan Weerst have been delivered! Beautiful HP-laptops! Thanks so much!

GIPS!

Marco and Amarens Nieuwhoff have made a donation to the foundation consisting of a great amount of plaster bandages. Not just gypsum but with the new synthetic plaster. Many thanks to Marco and Amarens!

Events and Donations

Visits

Bali Kids Last December

foundation Bali Kids visited us again. They brought a carload of medication and specialists helped our children with medication where needed.

Thanks to the entire team of Foundation Bali Kids! It is great what you achieve for the children in Bali!

Yayasan PK visited us. The

still very young staff of YPK

(a foundation in Denpasar

that also helps disabled

children by means of

physiotherapy and education)

is very eager to learn

and wanted to know more

about our approach in the

physiotherapy and our

educational program.

Always nice to share

knowledge!

Yayasan Kupu-Kupu visit.

Yayasan Kupu-kupu is a

foundation in Ubud that helps

disabled people by teaching

them skills and to read and

write. They have presented a

nice donation to our

foundation: two boxes full of

materials that serve us very

well! Many thanks to Yayasan

Kupu-kupu.

YAKKUM BALI Many thanks

for the meeting in Denpasar!

Stichting Madelief will help High 5 with the education program. Using this sponsoring we will be able to hire a second teacher and to buy books. So many thanks to foundation Madelief and Mr. Lex Floris.

Stichting Bron van

het Leven has given a beautiful

donation to High 5 Rehab!

Our great thanks to

foundation Bron van het

Leven!

Eric Rijsberman, visited us

and he was immediately greatly

involved. Mr. Rijsberman is

director of a sheltered workshop

in Switzerland. Mr. Rijsberman

gave us a great donation.

Many thanks and see you soon here in Bali!

which has arrived in Indonesia, could be released and placed. Unfortunately that didn't happen since again we were confronted with the annoying Indonesian rules which simply cannot be ignored. But still, we thank Hennie and Gunther for their visit and we hope to see you again soon in Bali, when the container is truly released. Dear Marij, you are on our minds.

And of course we like to thank all those people who come to Bali to present a donation!!

Marvelous donations

Page 6 of 8

Great Donations!

Noppe Orthopedie

Kees and Karin Noppe of

Noppe Orthopedie in

Noordwijkerhout have visited

the foundation during their

holidays in April 2011 (see

the report in Newsletter 14).

They got involved in the

project. During their stay

here they met Ayu and made

moulds from her legs. Ayu is

now able, using the orthoses

made by Noppe, to walk for

short distances with just little

support. Similar to the year

2010, Noppe has replaced

this year's Xmas pres ents

by a donation to High 5

Rehab, to be used in the So-

OK project. Thanks so much

for the donation and the

great gesture. I hope we will

meet again next year and it

might be a good year for

developing a new exciting

project at High 5!

Geref Kerk Voorthuizen

Hanssen Leiden

The orthopaedic

shoemakers of Hanssen

Footcare Leiden have

manufactured two beautiful

pairs of fitted shoes for

Yuni and Annugrah. At the

foundation we made

moulds of their feet from

plaster and with these

moulds they made shoe

trees in the Netherlands

and with these fitted shoes.

Both pairs fitted perfectly

and they are able to walk

more stably now. Apart

from the shoe donations

we also received an

amount of money for the

OR-project. Plans are

made that next year a

shoemaker from Hanssen

comes to Bali to give some

classes. We hope for a

long lasting cooperation.

Thanks for the shoes and

for the donation.

Studenten Actie Inholland NEWb

Lions club Hoorn Velius

Kids B.V. Purmerend

Stichting onw samenwerking Abcoude

Caritas inst st Petrus

Stichting Tribal foundation

Working Well

Many Thanks!

De Passage, Capelle

aan den IJssel. Enthusiastic from what they read in the Newsletters, the board of the Christian-social Women's Movement "De Passage" in Capelle aan den IJssel invited Mirjam de Haart and Huub van der Heide to give a presentation on November 14 2011 on the SO-OK project. Mirjam and Huub were impressed by the attention they received from the audience and the involvement that showed from the questions being asked. At the end of the evening a collection was made and an amount that exceeded the expectations could be handed to High 5. The evening also resulted in further individual donations. All of you are warmly thanked for your contributions.

Fons Frensen of the firm OIM te Amsterdam. a beautiful new prosthesis. Ketut took no time in showing his soccer skills using this new prosthesis. Fons and firm OIM in Amsterdam, thank you kindly for making it possible for Ketut to walk, play and go to school.

Based on some measurements and pictures Fons made in 2010 the first prosthesis for Ketut Werdi, hoping that he would be able to stand with it and walk a few steps. But knowing Ketut he was sure

to exceed all expectations. Ketut not only stands and walks, he even plays soccer daily with his prosthesis. From its intense use the prosthesis was soon fully worn. Using a gypsum mould Fons has now made

Page 7 of 8

News!!

One day in the new casts

and time for exercise. The start is steady with various floor exercises and a careful carrying of the weight with the new position of the feet.

October 30 2011. The

foundation celebrates its 8 year anniversary! It has been a wonderful time during which many great things have been achieved. It was time for an outing. The whole team went to Bedugul to have a nice picnic, to view the botanical garden and to take a boat trip. It was a beautiful day!

Ogi is immediately able to handle the wheelchair and takes it around the house and outside. He is very happy with his new vehicle!

two weeks after which it is changed in a lower plaster. Kadek Sukreni (2nd picture) also went to the hospital to change the cast. Using an anaesthetic in the OR we put the by now beautifully straight knees in a walking

plaster. The other two kids had their casts changed at the foundation. Dr Wayan (3rd picture) took out the k-wires (pins) en treated the wounds. Marieke and Gede then made the walking plasters.

Ogi is the new owner of the "top electric wheelchair" donated by Desi and Paul from the Netherlands!

After a six week cast after

surgery, the cast is changed for walking plaster. Komang (1st picture) had some trouble with blood loss and his cast on the right gad been changed two weeks earlier in the hospital. He still has to wear this for another

Page 8 of 8

We sincerely hope you have been able to enjoy reading this newsletter. We like to receive your opinion about the newsletter on marieke@high5rehab.org. Barbera van de Fliert Thank you so very much for another translation of our newspaper!

Preview of our coming newsletter

Nederland Stichting High 5 Rehab

Postbus 10994 1001 AZ Amsterdam Info@high5rehab.org

Bali Yayasan So Rehab Bali

Dusun Banyualit Desa Kalibukbuk

Lovins, Singaraja, Bali Indonesie

Marieke@high5rehab.org Tel mob:

(+62)(0)8179720206 Tel. (+62)(0)3627001597

URL WWW.HIGH5REHAB.ORG

& https://www.facebook.com

/#!/pages/Yayasan-So-Rehab-Bali-High-5-

Rehab/214925008518929

Finally

Even during hard

times you still support us.

Wonderful! We are very grateful for

your support and we hope that together with your

help we will be able to continue this

project for a long time!!

IMPORTANT For our surgery project we need plaster and a saw for gypsum. These materials have already been donated but they are still in the Netherlands. Who has plans to come to Bali soon and could take some plaster bandages and the saw? There are still three computers missing in our computer lab. These laptops are waiting in the Netherlands but who can take them here? Many thanks in advance!

Selamat Tahun Baru

Dari semua anak-anak dari yayasan

So Rehab Bali, Stichting High 5

Rehab!!

Terima Kasih!

• Ok kids back home

• Nyepi 1934

• Important visit

• Written contribution of Henk de Hardloper!!