News!

So I arrived in Rochester at the end of March and never quite got around to posting at that time.  Now that I am preparing to return, I thought it was time for an update.  Besides there is so much to share!

I knew that leaving Shisong would be difficult, but it is not easy to describe that in a blog post.   The last week there was busy.  We operated on six patients, all of whom were doing well at last report.  One woman came from Nigeria after having been refused surgery in Dubai.  Moving back home and into my job here went fairly smoothly, but processing my time in Shisong was a little more challenging.  My thanks to all who are so supportive both while I am there and while I am here.

Sister Jethro and Doctor Sister Helen were in the US for 3 weeks in July and August to attend the Cameroonian Professional Society annual meeting in Houston on August 1-2.  They spent time in Lacrosse, WI on July 20, spend 2 days in Rochester on July 28 and 29 where they visited the University of Rochester Medical Center and spoke at my home parish of St. Marianne Cope in Rush, NY, then on to Houston and Dallas, and finally to Washington, DC.  Please pray that the many contacts that they made lead to collaborators in advancing cardiac care in Africa and serving the poor.  Unfortunately, I forgot to take any pictures of them speaking in Rochester but here they are at Niagara Falls where we made a brief stop:

In October, I will spend about 2.5 weeks in Shisong giving anesthesia for cardiac surgery.  Fr. Herald Brock, CFR, from the Franciscan Friars of the Renewal, will also visit the Cardiac Centre during this time.  We are hoping that Franciscan Mission Outreach will be able to assist us in fundraising to improve the access of cardiac surgery to the poor in Cameroon and the surrounding area.  Fr. Herald has done much work with the poor in Honduras and in what is now South Sudan, and we are very grateful for his support of this work in Shisong.  You can visit him on Facebook here: https://www.facebook.com/franciscanmissionoutreach.

Belgians (Happy Sinterklaas)

There are two teams in Shisong currently from Belgium.  The first team arrived last week.  They are sponsored by an organization through their hospital called LUMOS.  They have a website, but not an English one (www.LUMOS.org).  If you read Dutch you can learn all about them.  Over the years they have provided significant support to St. Elizabeth’s.  This year’s team consists of an anesthesiologist, a biomedical engineer, 2 physiotherapists, and two nurses.  Of course, the work of the team that I was most interested in is that they brought a capnograph for the main OR of the hospital and provided training for it, they provided monitors for the PACU, and Frederic, the engineer, fixed the monitors in the OR that were not working. 

The second team is a regular team that performs congenital heart surgery.  This team, also from the University Hospital of Leuven, has committed to provide a team to the Cardiac Center each year.  This team was here while I was here last year, although only two of the team members are the same.  Many of the others, including the surgeon and intensivist, were here two years ago.  They have performed cases including repair of Tetrology of Fallot correction of supravalvular pulmonary artery stenosis, and repair of interrupted aortic arch.

Below, you see the newly repaired gas concentration monitor (for measuring the concentrations of inspired and expired anesthetic gases and carbon dioxide), Benson displaying his new nerve stimulator (used for monitoring the activity of muscle relaxants), and the Belgian cardiac team climbing down the rocks at the Shisong waterfall.

The LUMOS team left today along with 2 Belgian midwife students who have been here on clinical rotations since September.  The cardiac team leaves tomorrow, so as far as I can tell there will be a complete absence of Belgians in Shisong for a while.  There are, however, still Dutch nursing students so there will not be an absence of Dutch spoken here.

Today is the feast of Saint Nicholas, celebrated in Belgium as Sinterklaas.  For me, this meant that there were Belgian chocolates wrapped in foil decorated as St. Nicholas.

Check back soon to learn about Mi-Do and their activity in Shisong! (www.Mi-Do.org)

Lifebox

One of the gratifying things about becoming involved in international missions is the number of people you meet involved in other programs.  The number and magnitude of the problems can be overwhelming, but becoming involved does not mean that you have to solve all of them.  In fact, it may not be possible for any individual to solve any of them.  However, many different organizations teamed up with the local populations are managing to make an impact.  I would like to continue to draw attention to some of the people and programs that are active here in Shisong.

Lifebox (www.Lifebox.org) is a program founded by the World Congress of Anesthesiologists and and the World Health Organization and promoted particularly by the American Society of Anesthesiologists and the Association of Anaesthetists of Great Britain and Ireland.  In many developing countries there is a serious deficit of anesthesia safety and a high incidence of morbidity and mortality related to anesthesia and surgery.  There is a significant relationship to maternal, infant, and child mortality as these populations are disproportionately impacted by the needs and the deficits in availability of expert care.  There are numerous causes of these problems, not the least is a lack of trained personnel.  However, in trying to identify problems that can actually be addressed, the WCA and the WHO identified the availability of monitoring, particularly pulse oximetry, as an area that can be addressed in an organized way.  Lifebox seeks to make pulse oximetry available in operating rooms world wide, as well as to promote the use of the Surgery Safety Checklist (http://www.who.int/patientsafety/safesurgery/ss_checklist/en/) and education in other areas related to safe surgery.

In the small world category, it turns out that the anesthetist leading much of the work of Lifebox is a nurse anesthetist here in Shisong, Mr. Benson Nfon Tanjong. Additionally, Dr. Falan Mouton from our residency program at the University of Rochester, currently on a rotation here in Shisong, has become a leader in the Lifebox organization at the level of involvement of residency programs in fundraising.  As I mentioned in an earlier post, I was able to participate in the Lifebox distribution program in early October in Yaounde at the National Congress of Anesthesia and Critical Care.  At this program, one hundred pulse oximeters were distributed along with checklists.  Below, you see Mr. Benson presenting the Lifebox workshop and me passing out pulse oximeters at the end of the session.