Friday, February 10, 2012

Lots of opinions

Ever talked with a group of doctors and got more opinions than the number of docs? This week I feel so blessed to be part of a group of over 235 medical missionaries from all over the continent of Africa and 105 visiting teaching doctors and staff from the USA/Canada. I have gotten lots of opinions on various "problem cases" that i have been facing at our hospital.

The meeting is the 32nd CMDA gathering. It provides me with a source of CME (continuing medical education) credits which I need to maintain my Tanzanian and American medical licenses. But even more than the great teaching is the opportunity to fellowship with other medical missionaries and talk about various challenges that we face. We are blessed too to have a visiting pastor speaker for our morning chapel service. It is so awesome to sing praises to God together with 340+ health care professionals. It is humbling.

Sally and I are here together as CMDA has a spouse program as well. She has been blessed to be together with 40 other spouses.

We are so thankful for the support we have from our organization to attend this meeting every two years. Well, another lecture is beginning so I better go.

Daily by his grace...

Saturday, February 4, 2012

Ultrasound Training in Kigoma

So, what are the odds of an American specialist radiologist giving up 10 days of practice and family to come to the 'far West' of Tanzania to teach ultrasound?  Not likely...but hey, you don't know how God works.  In August, I put a request in through Baptist Medical Dental Fellowship (www.bmdf.org) for help in teaching us how to use our 1997 ultrasound machine.  That month, it just so happened that Dr. Justin was attending a medical missions meeting in Texas (he's from Mississippi) and heard of our request.  He notified BMDF of his desire to talk with us.  We began emailing and he and his family decided that his coming to Kigoma Tanzania was part of their ministry. 

January 23rd he arrived in Kigoma (5 flights from home) and began teaching.  For 5 days he did as many kinds of ultrasound studies as possible on a variety of patients (kids, teens, middle aged, elderly, pregnant, etc.)  In the months leading up to his arrival we had prepared a list of patients needing an ultrasound scan done by him, and also as a way to check my scanning abilities and interpretation.  We have a very busy Out Patient Department (OPD) and so had plenty of other patients to ultrasound.  It was days of hard work as the machine at the government referral hospital is broken and patients were coming for scans.


 Our machine is old but still works.  Justin showed us how to use it to the best of it's capabilities, and our various abilities.  I had been self-teaching for several months and had learned some, but having Justin with us was amazing!  He's a great teacher, very patient, and loves to serve God through his skills and compassionate care for the sick.

We had 5 days together starting with morning coffee, a quick check on the ward before heading to chapel, staff meeting and then a FULL day of ultrasound.  The first three days Justin spent teaching our other staff.  The last two days I did 'immersion' training. Justin had me doing scans with various probes, checking my techniques, correcting bad habits, and helping me to properly interpret what I was seeing.  I have to say it was challenging but fun!  Having this capability really helps us as we have very limited laboratory capabilities right now to help in diagnosis.  Of course, 75-80% of a diagnosis comes from the history, and then more from the physical examination of the patient, and then finally lab and X-ray and other tests help to confirm the diagnosis. 


Besides teaching ultrasound, Justin also shared a bit of his personal life story as to why he had come to Kigoma, his love for God and his desire to follow the example of Jesus Christ in preaching and healing.  I had the opportunity to be his Swahili translator when he spoke in chapel, a first for me.  The staff appreciated his teaching, and especially his story of why he came and how he loves God.


I'm excited to continue to learn more of ultrasound.  I will be doing a one day ultrasound training course this next week as part of the Christian Medical Dental Assocation meeting here in Kenya. I am searching out options to do more training when we are back in the USA later this year. One deficiency of our machine is that we don't have a probe to do cardiac ultrasound.  I am trying to find one through sources in the USA so we can have the capability to do cardiac ultrasound as there is a lot of heart disease in our Area.  Hopefully one day we'll have a newer ultrasound machine but for now, we use what we have. 


Sally and I are so thankful that Dr. Justin could come and help.  We are excited about future collaboration.  Thank you Dr. Justin!


Daily by His grace...