Archive for the ‘Low-Resource Healthcare Pearls’ Category

The Case for ‘Global Surgeons’

Friday, October 23rd, 2020 |

  One person out of three around the globe lives in a community with no access to a general surgeon. Often, people are separated from physicians with such skills by scores of miles or thousands of dollars. As a result, children, ...

Anti-Poverty Vaccine? Is That Possible?

Friday, May 24th, 2019 |

Introducing Peter Hotez, my friend and today's best known proponent of anti-poverty vaccines. Peter is an accomplished scientist and pediatric infectious disease specialist at Texas Children's Hospital. A tactful, vocal proponent for policy and civic action on multiple health fronts, ...

Why Do Mothers Continue To Die?

Friday, April 19th, 2019 |

Tragedy aptly describes the emotions surrounding the death of a pregnant woman. Until recently, grave markers in the United States frequently stated "died in childbirth." And while such deaths have greatly diminished in North America, they remain frequent in the ...

Hypertension: Pregnancy’s Silent Killer

Friday, January 11th, 2019 |

Chronic hypertension is a common illness in the general population. However, hypertension is frequently never be diagnosed because those who have it usually have no symptoms. It is also undertreated because hypertensive people may not understand its importance, do not ...

Will Ultrasound Replace Your Stethoscope?

Friday, December 14th, 2018 |

As a student, my professors emphasized the importance of routinely ascultating a patient's carotid arteries with my stethoscope for detection of bruits that could indicate life-threatening stenosis. Research on the reliability of this exam demonstrates it to be only moderate. ...

Can You Recognize River Blindness?

Friday, October 19th, 2018 |

  Onchocerciasis, also known as river blindness, is caused by Onchocerca volvulus, a tissue nematode transmitted to humans by the bite of black fly inhabiting the banks of fast-moving streams in equatorial Africa. This nematode produces microfilariae that cause inflammatory damage ...

Polio: A Dogged Disease of Poverty

Friday, September 21st, 2018 |

  Polio first appears in recorded human history in 1580 BC. Before widespread use of polio vaccine, polio continued endemic in virtually all low- and middle-income countries. My precious cousin, Roger Hubble, acquired polio in Missouri in the 1950s, and walked ...

Measles: We Dare Not Loose Vigilance

Friday, September 7th, 2018 |

  One of the greatest challenges in public health is forgetfulness. We forget that just until the 1960s, measles was consistently one of the leading causes of death among children worldwide, accounting for an estimated 20 to 30 percent of such ...

How Would You Manage This Fascinoma? – Angola Day 20

Tuesday, July 24th, 2018 |

  Not every person coming for consultation has a significant illness. Indeed, Angola has a striking number of worried well afflicted with simple body aches and allergy symptoms. But roughly every other individual I examine presents with a strange diagnosis or ...

What Is Your Diagnosis? – Angola Day 16

Friday, July 20th, 2018 |

  This 63-year young woman arrived at CEML Hospital 3 days ago with large, full-thickness pressure ulcers of her entire buttock and hips. She was febrile, unconscious, and with a leukocytosis. Her lower extremities were both flaccid and without reflexes. We ...