Call the DOCS
Seven years ago, Ian Grado nearly lost his life. He was a 21-year-old stationed at Camp Pendleton when he and three of his fellow Marines drove off the side of a windy Fallbrook road during a downpour. The car flipped several times down an embankment. Grado sustained the most extensive injuries of the group, including fractures and damage to his face and nose, dislocated vertebrae in his neck and back, a bruised spinal cord, and a collapsed lung. He was airlifted to La Jolla’s Scripps Memorial, where he underwent nine emergency surgeries.
"I don’t remember anything from that night or the week after," Grado says. "I was in a medically induced coma and on a lot of morphine."
His back injuries left him temporarily paralyzed — at the time he wasn’t sure if he’d ever walk again. Grado’s face, which "looked like hamburger meat," was surgically reconstructed by Scripps craniofacial specialist Munish Batra, MD, FACS, who did what he could in the days following the Marine’s accident.
After a week at Scripps, Grado’s family arranged for him to be transferred to a VA hospital in Albuquerque, New Mexico, his hometown. There he endured six months of intense rehabilitation. Back then he says his face was the least of his worries.
"I was more concerned with other stuff," he explains. "First things first. For a while I couldn’t even sit up straight."
He’d been dating his now-wife, Stephanie, for about a month when this all happened. She visited him a couple of times in Albuquerque and the two knew they wanted to keep seeing each other. After relearning to walk in spite of lower-body numbness, Grado was ready to get back to San Diego — and his future.
As he settled back into everyday life, Grado started to feel a bit self-conscious about his face. His eyebrows were uneven — he’d had major injuries to his forehead — and he had a thick scar running across his cheek like train tracks.
"At times I would feel people looking," he says with typical Marine stoicism. "They’d do a double take. Little kids would stare."
Still active military, Grado approached the local VA about another round of surgery to fix his face. It wasn’t something they would cover, and though he had some money from the driver’s insurance, it wasn’t nearly enough to pay for the additional reconstruction he needed. After his medical discharge from the Marines, Grado was about to give up when he paid a follow-up visit to Batra, his original craniofacial surgeon.
Batra told Grado about Doctors Offering Charitable Services (DOCS), a small local charity he’d founded in 2002 with colleague Michael Halls, MD, a reconstructive surgeon. DOCS provides services for Southern Californians without financial means to cover extremely complex cases. The patients have often been turned away by everyone else.
"If DOCS hadn’t come along," says Grado, "I guess it’s something I would’ve learned to live with."
"[Ian] had asked the VA if there was anything more they could do," recalls Batra. "They said it was too complicated. He only had military insurance and the military wouldn’t do anything."
So Batra and his colleagues took the case. In 2003, they reconstructed Grado’s mid-face and brow areas. It was his tenth surgery. Now about to graduate SDSU with a degree in engineering, Grado looks like any other handsome 29-year-old guy. He has slight scarring on the right half of his face, and part of his earlobe is missing, but otherwise his injuries are barely noticeable.
The DOCS team — also including Batra’s sister Lori Varaich, an attorney, and Don Kikawa, MD (occuloplastic specialist), Andy Chang, MD, DDS (oral surgery), Jim Tasto, DDS (dental specialist), and Lokesh Tantuwaya, MD (neurosurgery) — donate their time and in some cases, a percentage of their own income to the charity.
"We do have fundraisers," says Batra, "But we’re a grassroots organization so we don’t get the big checks like the Red Cross. Our focus is trying to get as much done through a barter system as possible."
Scripps often donates facilities, and other doctors step up to help out when they can. As an example, Batra mentions an anesthesiologist he booked for a facelift and a tummy tuck. "He’ll stick around to take care of a [DOCS] patient as long as we’re doing enough to warrant him sticking around."
Since founding the organization, Batra and DOCS have treated 20 patients, including a current case, a young female with Proteus syndrome ("elephant man" disease). As they did with Grado, DOCS hopes to bring a smile back to her deftly reconstructed face. — AnnaMaria Stephens, photo by Kristy Ann Mann
DOCS (Doctors Offering Charitable Services)
Year Founded: 2002 by Munish K. Batra, MD, FACS and Michael Halls, MD
Overall Mission: To provide reconstructive surgery to needy patients in Southern California.
Current Funding Objectives: DOCS tries to secure donations to pay for anesthesia and operating room expenses as well as lodging. Depending on the number and complexity of cases, DOCS’ yearly budget can range from $200,000 to $500,000.
Donation Administration Cost Ratio: Administration costs are less than ten percent of overall donations. The physicians and volunteer staff (doctors, lawyers, administrators, directors, officers) operate at no cost to the patients.
Organization’s Biggest Challenge: Having to occasionally arrange the schedule of several different subspecialists to be available for specific cases. The last case required a plastic surgeon, a craniofacial surgeon, an occuloplastic surgeon, a neurosurgeon, and an oral surgeon, all operating on a Sunday morning. Other challenges include raising funds and community awareness/support.
Contact Information:
Lori Varaich, executive officer
858/847-0800, loribatra@yahoo.com