Dr. Downs III graduated from the Medical College of Georgia School of Medicine in 1978. He works in Valley, AL and specializes in Internal Medicine and Internal Medicine - Geriatrics. Dr. Downs III is affiliated with East Alabama Medical Center Lanier Hospital.
A winch assembly includes a lower body having a base, first and second sides, first and second upper body sides, a spacer positioned between the first and the upper body second sides, a first shaft extending through the upper body sides, the first shaft supporting first and second gears, a winding bar supported and rotated by the first shaft and attached to a first end of a strap, a second shaft extending through the first and second upper body sides and supporting first and second ratchet gears, the first ratchet gear meshing with the first gear and the second ratchet gear meshing with the second gear, a pawl for engaging one of the first and second ratchet gears, and a handle attached to the second shaft for rotating the second shaft, wherein rotation of the second shaft imparts rotation of the first and second ratchet gears and the first and second gears.