Wednesday, December 1, 2010

World AIDS Day


December 1st is World AIDS Day. IVUmed is committed to the battle.

This year, IVUmed collaborated with the United States Agency for International Development (USAID), the American Urological Association (AUA), and Jhpiego (a nonprofit affiliate of Johns Hopkins University) to fight HIV/AIDS in Swaziland. IVUmed is providing volunteers to support an initiative there to combat the virus through adult male circumcision. According to recent studies, male circumcision has been found to contribute significantly to the prevention of female to male transmission. During a recent three-week “Back to School” campaign in Swaziland, over 7,000 men were circumcised. According to modeling studies, this translates into almost 2,000 HIV infections prevented. Our new partnership has made a lasting impact in the country hardest hit by the HIV epidemic.

"I hope that my efforts with the circumcision project safely contribute to fight against the HIV epidemic ravaging the people of Swaziland. I sincerely thank the IVUmed organization for allowing me this unique and enriching opportunity."
-Dr. James Wysock, IVUmed volunteer


IVUmed Volunteer, Dr. Shaun Wason, with staff at a local men's clinic

Operating bays at a men's clinic in Swaziland

Young men waiting to be circumcised at a clinic in central Swaziland.

Monday, November 29, 2010

Mozambique - November 2010

IVUmed first began its collaboration with partners in Maputo, Mozambique in 2004. Formal workshops focusing on pediatric urology and women’s health began two years later in 2006. Training has continued since then with workshops covering pediatric, women’s, and general urology cases.

Our lead partner in Maputo, Dr. Igor Vaz, is a leader in reconstruction and fistula repair. His dedication and influence has been instrumental in advancing the level of training available not only for Mozambican medical personnel, but for urologists and surgeons throughout the region as well.

Twelve physicians from three different countries participated in this year’s workshop at the Hospital Central de Maputo. During the week-long training, 57 children and adults were served. As a rapidly improving hospital and city, the site is well situated to reach and teach surgeons from neighboring countries. The impact of previous trainings is readily evident in the sophistication and quality of the urology services provided as well as the progress of the local residents.

“It was amazing to see how much they have learned and improved in the 4 years since I’ve been back. I have been searching for Mozambique for most of my professional life. It is the ‘end of the world’ urologically speaking, with only 2 fully trained urologists to service a population of 20 million. It is an amazing place to visit as the need is so great.”

-Dr. Richard Santucci

“This was my first experience on a medical mission. I was honored to be part of the team and look forward to doing it again in the future.”

-Dr. Gregory McIntosh

“Simply put, this has been one of the greatest professional experiences I have ever had. I feel that all practitioners need to have this type of experience at least once in their lifetime.”

-Dr. Britt Zimmerman

Friday, October 29, 2010

Zambia 2010

IVUmed launched a new surgical training hub in Lusaka, Zambia this October. Dr. Francis Schneck led an IVUmed team to conduct an initial site visit and surgical workshop at University Teaching Hospital, the primary training and referral hospital in Zambia.

Lusaka represents the wonderful potential for regional training efforts in Southern Africa. Sharing borders with eight countries and already selected by the College of Surgeons of Eastern, Central and Southern Africa (COSECSA) as a potential center of excellence, University Teaching Hospital has requested IVUmed’s services for some time. Thanks to our members, funders and volunteers, we are now able to help build the availability of quality urological care in the region.

Zambia’s young and growing population faces a number of challenges as the country develops. A major concern is the dearth of available pediatric urological care. IVUmed’s first work in Lusaka witnessed this need with a caseload of both common and complex surgical cases. During the assessment and workshop, the team was able to train ten physicians along with 25 nurses, as well as serve 15 children.

Dr. Mohamed Labib and his Zambian colleagues are partnering with IVUmed to make our shared vision a reality. Working with seven urologists and over a dozen nurses and technicians, the IVUmed team found a site with the potential to meet its population’s urological needs. With the support of our members, we will apply our proven education model to make this happen.



“The moment that stands out for me was when the father of one patient grabbed my hands and bowed in appreciation, saying over and over ‘thank you, thank you, thank you.’ He was so grateful. You see incredible appreciation on these trips, which reminds me why I came and why I love nursing.”

-Stacie Pearce, RN

Thursday, June 10, 2010

Mongolia 2010

Thanks to the generous support of our volunteers and donors, we have completed our third joint pediatric and general urology workshop in Mongolia. Volunteers trained medical personnel at State Central Hospital #1 and the Maternal and Child Hospital in Ulaanbaatar. The workshop brought together a highly skilled and dedicated multinational partnership with the shared goal of enhancing the quality and availability of urological training and care in Mongolia. The workshop served 60 children and adults while providing training for over 30 Mongolian physicians and nurses.

After successfully completing prior workshops, training at both hospitals has now advanced to include more complex procedures specifically tailored to be performed in Mongolia. This included advanced cystectomies and laparoscopic nephrectomies at the adult hospital. While building upon previous trainings, the goal is to help our Mongolian medical partners become independent in delivering much needed urological care.


Heather LeMelle, IVUmed’s Operations Coordinator, joined this year’s team and shares about her experience: “The Mongolian children have a trust beyond my imagination for the doctors and nurses within the walls of the OR. This is an experience of a lifetime. To my wonder and amazement, just hours after surgery, these little ones would smile at me. I witnessed the teaching of the procedures between colleagues and the devotion of the entire Mongolian and US team while breaking through language barriers. I am honored to have participated.”

Wednesday, April 14, 2010

Senegal 2010

Day 4: Wednesday, April 7th
We had 5 surgeries today. They all had some kind of complication or discovery that extended the length of the surgery and we ended up staying in the OR late and had to cut some of our lectures. We went an African Art exhibition, which was fantastic and ate at the restaurant there. It was delicious to have Thioff (fish), fried plantains, rice, bouf (beef) among others. Serengie Gaye, the head urologist and coordinator of these trips gave us farewell before leaving on business. We also ate with the other head urologist residents and physicians from the host hospital. Their hospitalilty is amazing!
Day 5: Thursday, April 8th
We had 7 surgeries. Afterwards we went with Mohamed to his house. He showed us traditional Senegal life and to an authentic place to eat. We played with his cute 4 year-old son, Abdullah. It was interesting walking the streets. There were hundreds of people just walking the streets for no apparent reason except to visit. Imagine that, strolling and appreciating friends and family!! Its wonderful to see this and the way real Senegalese live! Julie and Nate went and had their hair braided, the power went out and they finished their braids under cell phone light. How adaptable are they! Their hair looks awesome.
Day 6: Friday, April 9th
Final surgeries performed today. They all went well. More surgeries. Final Surgeries. Went to dinner at the beach overlooking the ocean
Day 7: Saturday, April 10th
Day 8: Sunday, April 11th
Story Time
THE BUTTER STORY: We went to dinner at this fancy French restaurant. This was day one when we were getting used to the idea of the language barrier. Here’s the script:
Nate: “Excuse me, where’s the bathroom?”
Waiter: “Excuse moi?”
Nate: “Where is the bathroom?”

Waiter: “Excuse moi?”
Nate: “Bathroom? Bathroom?”
Waiter: Quickly exits room with haste
Nate: Leaves room frustrated and tries to find restroom on his own
Enter Waiter: Leaves a plate of butter in Nate’s place.
Ha ha ha! The waiter thought he was saying Butter instead of bathroom. For the rest of the trip we would ask “Where’s the butter?” when we needed to find the bathroom. Oh language faux pas, why are you so hilarious?
THE STICK STORY: I was abruptly awoken this morning at 2 am by a stick being poked into my side. Well, actually, that is what they tell me. I can’t remember a thing. Apparently, Gaayana came home last night and couldn’t get me to wake up to open the door (or so she claims, I deny everything). Here is the story according to Gaayana with Igor as witness. They arrived back at the hotel after the traditional African dancing at 1:30 am where I was asleep in our room.
Gayanna: Knocks on door. No answer. Calls my name through open window slats. No answer. Starts yelling my name. No answer.
Enter security guard who also starts yelling my name and running his flashlights along the wood slats on the door in attempt to awaken the sleeping giant.
Gaayana then went to get Igor: “I can’t wake up Stacie”
Igor: thinking to himself that people can’t sleep through that unless in Phase 1 anesthesia. He rapa tap taps on the door
Gaayana: “Stacie!!!”
Igor: “Shhhh, you’ll wake everyone” (however he soon was yelling and slamming the door eventually)
Security came by again. More knocking and yelling. They went to the back window of the hotel on the opposite side of the room of my bed.
Gaayana: “Should we throw a stone through a hole in the screen?”
Igor: “NO!”
Gayanna: Not at her head! At the floor
Security guard: Exits with haste
Igor: “Okay, the way I see it, you have two options. You can sleep in my room, I have a second bed…however there may be some funny questions in the morning from the team….or you can sleep with the security guard” Gaayana begins to panic
Enter security guard (to Gaayana’s relief because now she doesn’t have to decide on which guy to sleep with). The giant stick is approximately 8 feet long. He sticks it through hole in the screen window, across the room over Gaayanas bed and begins slapping my bed and laughing so hard the stick is all over the place.
Gaayana: “Don’t hit her head”
Security Guard: pokes stacie’s side
Stacie: “WHAT?!!!? Oh, Hi guys, do you need me to open the door? Here I come”
The rest of the trip was defined by the retelling of this story over and over and the amazement that I don’t recall this or the conversation I had with Gayanna that night.
I deny everything.
It’s a conspiracy.
I swear I’m a light sleeper.
Day 9: Monday, April 12th
We woke up this morning and took a nice, slow relaxing morning and early afternoon shopping, swimming, walking around, taking naps and going to the beach. Eat your heart out! We then began our drive to Dakar which was much shorter this time. We picked up some purchased items and headed to the airport. It’s always hard to say goodbye. Sarah kept thinking of excuses as to why she couldn’t go home. She’s a real trooper. We just spent 10 days in a hot, humid, culturally different country with many toilets without toilet seats, showers without warm water, water that is undrinkable, and a language barrier, however the 16 year-old girl on our trip is trying to come up with reasons not to leave. I feel this is good testimony to why we do these trips. Many friends and family members of mine consider these previous listed reasons first and foremost when I say I am going again, however the real purpose and enriching experience blocks out that list. Besides, it’s more of an adventure with those things. I don’t necessarily see them as negatives against the trip. “Everything is an adventure”….even going to the restroom.
We caught a late night flight into Paris and then to home.
Day 10: Tuesday, April 13th
I’m currently sitting in NY JFK airport reflecting on our trip as I wait for my connecting flight to Salt Lake City. I just sat on a toilet seat for the heck of it (heck: a word common to native Utahans to replace the expletive version). I also just drank 5 diet cokes, just cause. It’s nice to reflect on our wonderful experience that has, once again, put everything into perspective. Transitioning home can be a challenge: My 5 diet cokes came in 5 separate refilled glasses instead of just refilling one glass, the lady next to me complained about the table wobbling, someone just gave me the ‘ewwww’ look for putting my purse next to the dirty sink, the news is talking about making it illegal to panhandle and how much of a ‘burden’ panhandlers are on our society. It’s almost more difficult to come back to hear and see such things that are so minor compared to the disparity I witnessed. I always try not to be cynical. I try to just keep things in perspective and appreciate my job, my life, my country as well as respect and admire cultures different from my own and remember that just because there are very different cultural experiences, it is not “weird” it is just “different”.
The Senegal trip was wonderful. The effects of our efforts on the patients were great, but the effect that the patients, their family, our hosts and their country had on us are deep and everlasting. I am grateful for the perspective and education and I am more appreciative of the relationships we created and intensified. Can’t wait to go again next year.

Tuesday, April 6, 2010

Senegal 2010


International Volunteers of Urology Blog Entries Senegal, Africa Team Members: Francis Schneck - Team leader – Urologist Mark Bellinger – Urologist Igor Seminov – Anesthesiologist Gaayana Rha – Urology fellow Julie Palmer – OR circulating nurse Nathaniel Cook – OR scrub tech Sarah Schneck – Trip logistician Stacie Pearce – Recovery room nurse

Day 1: April 4, 2010
Entry by: Stacie Pearce
Hi there everyone, we have arrived safely in Dakar, Senegal. My flight from Salt Lake City to New York City was uneventful except for the holding formation our flight had to endure, thus causing me to have to run to catch the flight to Dakar. Once on that flight we were about to take off and then the pilot announced that there were bags on the plane without the owners onboard…a safety concern….so we turned around so they could take off one or two bags. This was an one hour delay. However, the flight itself was not bad at all. Only eight hours. Not too shabby. We arrived in Senegal at 0500 this morning and was promptly picked up by Mohammed (Jalloh), a good friend and urologist from last year. He brought our equipment to the hospital and brought us to the hotel for breakfast and sleep. Afterward, he picked us up later that evening and took us to Senegalese Wrestling match. I have never seen anything like it! It was their national independence day and was held at a large stadium. They had multiple performances of traditional dancers, fireworks, and Akon, the rapper artist now famous in America showed up to Julie’s excitement. There were three wrestling matches and the wrestlers wear a loin cloth and fetishes. They are blessed and have to do multiple traditional blessings. The matches can last only seconds because the moment the wrestler’s head or four extremities touch the ground the match is over. Afterward we went to Dr. Seringe Gaye’s home and to dinner. It was a wonderful first day to start out our trip in Senegal. Tomorrow we have our clinic to decide what surgeries we will perform and to and set up the operating room.

Day 2: April 5, 2010 Entry by: Stacie Pearce
Today we had a fantastic breakfast at our hotel (I had 5 pastries myself….which would probably explain why my pants ripped already on day 2) and then we went to the Hospital de Grad Yoff to perform clinic and set up the operating room supplies. We saw 28 patients and only four were cancelled due to no shows or surgery deemed uneeded. The parents seemed very appreciative already just to have their children seen. It’s amazing to see what the urologists have been able to do with so few resources. Later in the evening we walked around downtown Dakar and had traditional Ivory Coast dinner. I look forward to starting the OR tomorrow.

Day 3: Tuesday Entry by: Stacie Pearce
Today we had our first surgeries. Much of our day was filled with “Do we have this supply?” “We can jimmy rig this or that” and “how do you say this or that in French?” The team from Senegal is very accommodating and gracious hosts. They are patient with us and happy to learn and teach. I worked in recovery and am always amazed at how tough these kids are.

Friday, March 19, 2010

Monday, March 1, 2010

Resident Scholar Feature



Yasmin Bootwala, MD
Emory University
Kampala, Uganda: February 5-14, 2010
Mentor: Dr. Stephen Watya


Dr. Yasmin Bootwala traveled to Kampala, Uganda to collaborate with mentor Dr. Stephen Watya and other Ugandan hosts in the provision of urological care to patients in need. Dr. Bootwala participated in 20 cases during her visit.

Dr. Bootwala’s service in Uganda was made possible by a generous grant from the Southeastern Section of the AUA.

About her experience, Dr. Bootwala stated:

IVUmed gave me the priceless opportunity to reconnect with some of my fundamental goals including using medicine as a means towards effecting social change.  I have had the good fortune to go on a number of international trips but nothing can compare to this trip. 

“I met Ngozi who travelled to Kampala for her care and had been febrile with severe flank pain for multiple days.  I was present the day she was admitted and continued to follow her.  There was a lack of operating theatre space and therefore after she received a blood transfusion for anemia, had a negative HIV test, and was persistently hypotensive and ill on a large crowded open air ward, intervention became urgent.  She was taken to a small procedure room where she received local anesthesia and had a dorsal lumbotomy to evacuate an infected retroperitoneal hematoma.  She walked back from the procedure room to the ward, flooring me with her strength and lack of complaints.  Her definitive diagnosis was never known although it was highly suspicious for advanced renal cancer and she sadly passed away a week after her procedure.  She is one of the many patients who presented in an extremely advanced state of disease.  Her humility, grace and strength are imprinted in my mind.
 
“During a selfish time of intense training tempered by chronic fatigue, IVUmed offered me a reprieve, a chance to rekindle some of my passion for medicine.  I made lasting friendships and adopted mentors at home and abroad.  This trip is an unforgettable, exciting step in my journey to work with underserved populations and global health efforts focusing on sustainability.  I am privileged to have had this opportunity and hope to continue my involvement with IVUmed as I finish residency.”