Archive for the ‘Low-Resource Healthcare Pearls’ Category

Ultra-Appropriate Technology – Angola Day 2

Wednesday, November 23rd, 2016 |

  Senhor Miguel has suffered increasing shortness of breath for one year. When he arrived here at CEML Hospital last week his heart exam revealed a loud systolic murmur, along with swollen legs and signs of fluid in his lungs. The ...

Global Health – The Formula Is Not This Complicated

Thursday, December 31st, 2015 |

  You and I and most of our international neighbors share a common passion: increase people's healthy years of life. But so very many factors are involved: cultural differences, low resources, economic interests, political disagreement, armed conflicts, profiteering... All this weighed ...

Diagnosis Under Stress – Angola 2015

Friday, August 21st, 2015 |

  "My chest hurts severely and the pounding of my heart is relentless," exclaimed a woman of forty whom I met in the emergency department. She proceeded to describe how she also felt fever and burning throughout her body, along with ...

Can You Solve This Case Of Malnutrition?

Friday, May 15th, 2015 |

  The two-year old child in this photo presents to your health center in the Democratic Republic of the Congo. Family members explain that eight months ago their farm was attacked by bandits. No one in the family, including this child ...

Test And Treat – The Future Of HIV Control?

Friday, April 17th, 2015 |

  While HIV disease is relatively controlled in wealthier nations, the threat and suffering from HIV continues to be devastating throughout much of our world. One intriguing potential intervention for eliminating HIV from high endemic regions is know as "Test And ...

What Is Causing My Fever Here In China?

Friday, January 30th, 2015 |

  Yesterday I was mentoring these Chinese family medicine resident physicians. During my presentation I suddenly sensed a shaking chill. The weather is extremely cold here in Shenyang, far NE China - about -10 degrees. So I attributed my chill to ...

Finding Supplies For Charitable Healthcare

Friday, December 5th, 2014 |

  Greg Shay is a mid-career pediatric pulmonologistĀ embarking on a life-long dream: to promote the health of a marginalized community. He completed the INMED International Medicine & Public Health Hybrid Course this fall, and is now heading to the African nation ...

Febrile Illness? Begin Here…

Sunday, November 30th, 2014 |

  One of the most daunting challenges in clinical medicine is finding the cause of an acute febrile illness. The implications are significant. Some acute febrile infections are life-threatening, like meningitis or cerebral malaria, causing death within hours. Some are highly ...

Surviving Life’s Most Dangerous Day

Wednesday, October 1st, 2014 |

  What is the most dangerous day in a person's entire life? Perhaps the one when a teenager receives his or her driver's license, the first big college party event, a rock climbing or back woods vacation? Worldwide data actually demonstrate ...

How Would You Manage This Fracture?

Thursday, August 21st, 2014 |

  I'm holding up to the window a plain X-ray (remember those?) from a young man in acute pain that fell from a moving bus in Angola, southern Africa. As you can see, the femur fracture is displaced and shortened. As ...