April_eMagazine Volume 40

More documents

Recommendations

Info

OUR PEOPLE, OUR MISSION Global Health eMagazine April 2022 Watch this video!! Bani Adam by Saadi Shirazi Highlights Perspectives Behind the Scenes Announcements Spotlight Letter from Dr. Jonathan Melk CEO, Chiricahua Community Health Centers, Inc, Douglas, Arizona Following the binational infectious disease meeting today, I had the opportunity to meet with Dr. Brianda Gonzalez Gutierrez, the epidemiologist for the General Hospital of Agua Prieta (GHAP). Dr. Gonzalez has been in her post for 14 years and thus has been a stable, enthusiastic and knowledgeable presence and partner for CCHCI. For years until 2008, the University of Arizona sent students to GHAP for experiential learning. Activities included shadowing the work of inpatient, outpatient and community work, including shadowing with community health workers. She believes that the GHAP would be open and interested in collaborating with Chiricahua and UVMLCOM students. In brainstorming with her, I tossed out the idea of eight students per year—the number we thought we could handle). As each has about a one-month rotation, I thought perhaps they could spend ten days in Mexico: around 50% in the hospital and 50% in the community. She liked that idea, but is definitely open for discussion. To ensure that there is some sort of tangible benefit for the Mexican team, we spoke about the needs of the hospital and its services. In short, likely the best way that UVMLCOM could assist would be in funding equipment and material needs, as any transfer of cash would likely need to go to the state and GHAP wouldn’t likely see the benefits of that despite doing all of the work. For instance, the hospital doesn’t currently have a working x-ray machine. They also don’t have enough anesthesia setups, and those that they do have are rented. I would like to see if the UVMLCOM/ Nuvance relationship could bring not only opportunities for their students as well as CCHCI, but also opportunities for our Mexican colleagues and their patients. In summary, it appears very promising that CCHCI could set up an exceptional global health rotation that would be a win/win/win for UVMLCOM students, CCHCI, and our Mexican partners. Attached is a recent article regarding our budding binational work to address infectious disease (just to start). Reflections Nursing Division SARS COV-2 Pandemic and Us Clinical Case Report A New Column Global Health and the Arts Articles of the Month Videos of the Month Calendar Resources https://www.elpasotimes.com/story/news/2022/03/24/covid-arizona-sonora-mexico-borderdoctors-chiricahua-clinic-infectious-disease/6943332001/ 16 Spotlight continued on next page >>
OUR PEOPLE, OUR MISSION Global Health eMagazine April 2022 Watch this video!! Bani Adam by Saadi Shirazi Mulago Hill, Uganda: Flight to the Moon Written by Hossein Akbarialiabad, MDMSc, Iran In Mulago Hospital’s accidents and emergency ward, the evolutionary survival of the fittest reigns. Due to the scarcity of resources, one can only hope that they will be able to extend a patient’s life until the next bottle of normal saline, the next dose of antibiotics, the next shot of insulin appears. On arrival, patients are examined by an intern or medical officer who then triages them into outpatient and red zone cases. The ongoing strike by medical professionals in Uganda against the poor pay and unfair working conditions they endure has left hospitals even more understaffed than usual. The high costs of medical care in private hospitals drive the majority who cannot afford a government-funded hospital. The promise of free services, however, is unfulfilled as the cost of tests and treatments are out-of-reach for many patients and families. Highlights Perspectives Behind the Scenes Announcements Spotlight Reflections Nursing Division SARS COV-2 Pandemic and Us Clinical Case Report The prevailing circumstances dictate that we practice medicine with extremely depleted resources and a ceaseless stream of patients, some of whom are abandoned at the entrance by their relatives out of hopeless desperation. When pushed between a rock and a hard place, you have to make decisions that only you can understand. Disease spares no one, and considers neither resource nor accessibility. The 30% mortality rate in Mulago for those in admission remains just as high after discharge, meaning the mortality risk is cumulatively 60% on arrival, regardless of cause. On this tropical November morning, in the middle of the crowded, dimly-lit emergency hall of Mulago National Referral Hospital, it was busy as usual with multiple lengthy and tasking rounds. As we completed the teaching round, a few nurses carried a pale, cold girl into the room. This was a diurnal occurrence; patients are brought into an already suffocating ward with meager resources where they continue the fight for life while medical personnel wrestle to give them the chance. At the time the little girl was brought in, we had only one patient left to end the round and were tired to the core. She was dropped off at the adjoining verandah and carried by the nurses into the emergency room. Her radial pulse was absent, with no detectable blood pressure. The only signs of life were carotid vibrations in addition to an abnormal breathing pattern. The sweet smell emanating from her mouth, coupled with the distressed breathing, are pathognomonic of diabetes mellitus. The examination revealed a Glasgow Coma Scale (GCS) level of 3/15. We immediately planned to start intravenous fluids with two liters of normal saline, which was a setback because we could A New Column Global Health and the Arts Articles of the Month Videos of the Month Calendar Resources 17 Spotlight continued on next page >>
Page 1 and 2: April 2022 Volume 40 NUVANCE HEALTH
Page 3 and 4: OUR PEOPLE, OUR MISSION Global Heal
Page 15: OUR PEOPLE, OUR MISSION Global Heal
Page 23 and 24: OUR PEOPLE, OUR MISSION Women’s H
Page 25 and 26: OUR PEOPLE, OUR MISSION CLINICAL CA
Page 29 and 30: OUR PEOPLE, OUR MISSION ARTICLE OF
Page 31 and 32: OUR PEOPLE, OUR MISSION GLOBAL HEAL

April_eMagazine Volume 40

Create successful ePaper yourself

Delete template?

Save as template?