Saturday, December 8, 2018

Friday, December 7, 2018

Rwanda

Rwanda

December 7, 2018



The COSECSA, ASAP and Rwandan Society of Anesthesiologists meeting was a great success.  It was wonderful to see old friends, meet people in person, and make new friends.  We had lots of great conversations about how to try to meet the need for Safe Surgery and Anesthesia around the world.
Kigali is a beautiful city.  It has been warm and sunny and doesn’t quite seem like December.
I visited the Kigali Genocide Memorial this afternoon, and it is a sobering reminder of the need for love, peace and justice in the world.  We have a lot of work to do.
It has been a wonderful trip to Africa!  May there be many more to come!

Ethiopia 2018























Tuesday, December 4, 2018

December 4, 2018


We had a full day today!
OR at Cure with 12 orthopedic, plastic and ENT cases.  We had a visiting Ethiopian ENT resident and an Ethiopian Anesthesiology resident who will spend the month at Cure.  One of our ENT physicians also did 2 cases at a government hospital.  Two members of our anesthesia team gave lectures at St. Paul’s, and the audiology team screened patients and their parents at the school for the Deaf.  Some of the ENT team members did a hands-on clinical skills lab at Black Lion for the Ethiopian ENT residents.
We are continuing to build our relationships and collaborations for future work, both educational and clinical.
Tonight I am traveling to the College of Surgeons of East, Central and Southern Africa for their annual meeting which will include Anesthesiologists from other parts of Africa and the world to discuss ways to improve access to care and education for surgery and anesthesia.
The rest of the team will continue their good work!

Monday, December 3, 2018

December 3, 2018



Yesterday I had dinner with a dear Ethiopian anesthesiologist friend and her husband and children.  It is such a joy to see my Ethiopian colleagues growing professionally and doing so well!  The mood around the city is good, and it was nice to be out and about.  Most of the rest of the team had dinner together at the hotel.
We had a full and varied day today.  I spent the day in the Cure OR helping provide anesthesia care for 10 patients for orthopedic and plastic surgery.  Some of the orthopedic surgeons are away this week at a conference, so it is a good week for our team to be here.  Unfortunately it is a relatively common thing for children to get burned by cooking stoves and fires here.  Some of the burns are quite significant and require extensive care and frequent visits to the OR.  The other two members of the anesthesia team visited two local government hospitals to give some lectures and tour and meet with the local anesthesiologists.
The ENT surgeons were busy seeing patients in clinic at Cure and a local government hospital.  The audiology team was busy seeing patients at Cure to support the ENT team and as follow up from previous visits.  We scheduled surgery for this week and will have plenty to keep the team busy.
There were several routine types of patients but also several with advanced severe disease such as tumors and infections.  Although we are able to provide more sophisticated care than is often available here, there are somethings that just can’t be fully treated.  We are working with the local ENT residents and faculty, and it is good to be able to continue to support and help them.  There are always some sad and sobering realities in this type of setting.
We’ll have dinner together tonight and prepare for ORs tomorrow and a day at the School for the Deaf.