Teach a Man to Fish

There’s an old saying that if you give a man a fish, you feed him for a day, but if you teach a man to fish, you have fed him for a lifetime. Medical professionals collaborating with Kybele, a non-profit organization that seeks to improve birthing conditions and outcomes for mothers and babies worldwide, take this old adage to heart.

ChrisTeach a Man to Fish
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Joining forces to meet a global need

This year began with a tragedy in Haiti with such profound ramifications that it remains at the forefront of our minds, even as 2010 draws to a close. The entire Duke family was touched by this devastation, and responded with fierce generosity. Duke Anesthesiology is proud to have played a significant role in this effort. Anesthesiologist, David B. MacLeod, MB BS, was one of the first to respond to the mass devastation in Haiti, and played a critical role in organizing the first Duke response team. His quick thinking inspired several other department members to follow suit over the course of the next several months. His selfless generosity serves as an inspiration to many.

ChrisJoining forces to meet a global need
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Contributing Around the World

Our faculty members travel worldwide to share their expertise with patients and colleagues, improving the delivery of health care across the globe.

Holly Muir, MD | Ghana
Under the umbrella of the non-profit organization, Kybele, Dr. Holly Muir and her multidisciplinary team offer their services at Ghanaian hospitals several times a year, creating centers of excellence in maternal care. Dr. Muir’s team work with local colleagues to reduce the incidence of maternal and stillborn deaths while using local resources to help make system changes that produce more efficient patient care. Surplus monitoring equipment from Duke and other institutions have been donated and shipped abroad. An anesthesia nursing school has been established to cater to anesthesia service shortages, introduce anesthesia services within the labor ward and improve patient safety. Dr. Muir and her team have provided vital assistance, training and equipment to the physicians, staff and patients in Ghana.

Joseph Mathew, MD | China
Fuwai Hospital in Beijing, China currently performs over 5,000 cardiovascular surgeries annually. With a
new hospital building underway, they project that figure to rise to over 8,000 patients, making them one of the largest cardiovascular surgical centers in the world. Dr. Joseph Mathew is pioneering a program that will mentor and train talented physicians from Fuwai who will come to Duke with the commitment to return to China. Ultimately, this program was designed with hopes to grow the practice of academic medicine and improve patient care in China. Collaborating with Fuwai to conduct clinical research gives us the opportunity to expand our research and globally impact anesthesia care.

Norbert de Bruijin, MD and Fiona Clements, MD | Zambia, Tanzania
Retired Duke anesthesiologists, Drs. Norbert de Bruijin and Fiona Clements expanded their roles to surgeons
before embarking on a journey to Africa. Since 2006, they have served as missionary physicians in Zambia and Tanzania, Africa, treating patients with conditions such as: osteomyelitis, fractures, burns, contractures,
tumors, club feet, cleft lips, intestinal obstructions, abscesses, peritonitis, appendicitis, intussussception and
pyloric stenosis.

Dr. David Macleod | Uganda
Duke anesthesiologists and clinicians of other specialties continue their service in East Africa providing anesthesia, nursing, and neurosurgical efficiency and utilization through training camps and technology. In Uganda, six of Duke’s neurosurgeons work alongside with five neurosurgeons from Mulago National Hospital in Kampala to serve a population of 30 million. Their goal is to determine if an infusion of technology, anesthesiology, neurosurgical and nursing training camps could improve output, utilization and efficiency in Uganda. The team facilitated neurosurgery camps where they trained Ugandan clinicians in the operating room, recovery room, intensive care unit and general patient ward. Duke contributed over 16 tons and over $3 million of medical equipment. After two years of directing training camps, the surgical services, operative cases and elective procedures have increased dramatically, and have equipped Mulago National Hospital to handle more complex cases.

ChrisContributing Around the World
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Duke’s Surplus Supports Ugandan Medicine – Update

A team of 28 Duke University medical personnel, including Duke anesthesiologists: David MacLeod MD and Rebecca Schroeder, MD; and nurse anesthetists: Jennifer Burd, Jim “Tembo” Temo, David Gleason and Meredith Muncy returned in late August from a twelve day volunteer trip to Uganda, Africa, where they unpacked, plugged in and set-up nearly $1 million worth of surplus Duke medical equipment that had been shipped abroad, including several modern anesthesia machines and two operating microscopes. A team of three Duke neurosurgeons triaged nearly 100 patients at New Mulago Hospital in Kampala, Uganda, most of whom had common problems seen in the underserved population of Uganda—dermoid cysts, hydrocephalus (or an abnormal accumulation of fluid on the brain), and tumors within or around the spinal cord. From this triage, a list of 45 patients to be operated on was established.

ChrisDuke’s Surplus Supports Ugandan Medicine – Update
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