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IVUmed Resident Scholar Dr. Liam Macleod Reports from Mozambique

Dr. Liam Macleod’s IVUmed scholarship experience in Mozambique was made possible by the generous support of Verathon.   During his time there, Dr. Macleod was accompanied by mentor, Ryan Terlecki, MD.  The visit occurred in parallel with a conference arranged for African urologists including several well-known surgeons and other urologists from Nigeria, Zimbabwe, Guinea-Bissau, Kenya, Niger, Liberia, Angola and local urology and general surgery residents. Picture2

Upon arrival in Mozambique Dr. Macleod was able to quickly scrub in to assist with surgeries.  He noted, “Needless to say, the OR was very crowded with observers when I arrived.  Nonetheless Dr. Terlecki invited me to scrub in immediately.”

He observed, “There were numerous cases of urethral strictures, urethral distraction injuries, obstetric fistulas and congenital anomalies.  The northern part of the country is less developed and the roads are typically small and narrow.  Thus, when patients come to Maputo (or an urban center) for care it requires a long and arduous journey often taking several days.  The result is that many patients reside in the ward for an extended time while awaiting surgery.  We met one young lady that had been living there for a year (during which time she had undergone a fistula repair and two revisions but was awaiting a final repair).

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Of all the components of the trip—operating, caring for patients, seeing the way wards, hospitals and operating rooms are run in another country, listening to talks and participating in discussions—I think that the newly formed relationships will have the most lasting impression.  I have remained in touch via email with a number of people since being back in the U.S.  I am hopeful that these relationships will serve as a conduit for future trips and a mechanism to divert resources for improving urological care into capable hands.”

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Dr. Timothy Brown, IVUmed Resident Scholar, Travels to Bhopal, India

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Dr. Timothy Brown

Dr. Timothy Brown’s IVUmed scholarship experience in Bhopal, India was made possible by the support of the Resident Scholar Alumni Fund. During his time in India, Dr. Brown was accompanied by mentor, Sakti Das, MD, another IVUmed Resident Scholar, Kerri Brown, MD, and many other doctors that participated in the 75th Mega Free Urology Camp.

Regarding his experience in India, Dr. Brown reported, “Although we wouldn’t begin operating until the next day, the Urology camp was well underway.  The hospital was filled with patients completing their preoperative evaluations and imaging.  This was the first time I began to appreciate the magnitude of this camp and its dependence on a remarkable group of local physicians.  It is this group of doctors that made this operation possible by providing countless hours of pre- and post-operative care.  In total, 646 patients were evaluated and 156 of them would end up undergoing surgeries over the next 3 days.”

“Not surprisingly, we operated without the same level of technology and resources at our disposal that I have grown accustomed to while training at a major medical center in the U.S.  Who knew you could still practice medicine without a CT scanner?  While we were forced to use older equipment and deal with occasional power outages, the experience reinforced the notion that while technology changes, surgical principles remain the same.  Meanwhile, while the facilities and resources may have been of lesser quality to what is available in the U.S., the ability of the Indian urologists was far from inferior.  What they lacked in equipment, they more than made up for with skill.”

“My experience with the Bhopal urology camp has drastically changed my view of international medical volunteerism.

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Surgical Team

Prior to this trip, I envisioned international medical work as expeditions to remote corners of the earth to deliver needed care.  The Bhopal Urology Camp was far more than this.  It is a finely orchestrated operation.”

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IVUmed is committed to making quality urological care available to people worldwide.