Our trip was scheduled for Sept 19 2008 to Sept 29 2008 and although Tropical storm Fay, and Hurricane Gustav, Hanna, and Ike were all unpredictably destructive and devastating for Haiti, and the possibility of abandoning our mission trip was imminent at that time, we hesitantly continued on with our operation (and thankfully so since the Haitians really needed our help). Twenty student doctors (me included, of course) and 2 doctor preceptors organized into 2 groups and went to 2 different sites everyday; one group went to Living Hope Mission and the other group would go to a site that Justinien hospital set up but ALL of us were responsible for providing the most effective and compassionate eye and vision care service possible. At both sites, a comprehensive history was taken by one of the translators, or nurse, and then we were responsible for measuring the patients' visual acuity, which was followed by lens rack-retinoscopy to get an approximate idea of the patients' refractive error. This was then later followed by an anterior view of the eye and posterior view of the fundus with the direct opthalmoscope. If the patients best corrected visual acuity was worse than 20/400 in the better seeing eye then we would refer the patient to the doctor preceptor. Referrals for cataract surgery, pterygium removal and glaucoma surgery were the most prevalent reasons we recommended surgery. If no referrals we required, patients would conclude their ocular health evaluation at the 'optical center' where all patients were provided with a pair of glasses to help neutralize their refractive error (if needed), a pair of sunglasses, and candy! By the end the trip, we helped approximately 2400 patients and improved the vision of hundreds of people.
This trip was both academically and personally fulfilling. This trip was sooooooo much more than I ever expected and I was soooooo lucky I got to go. The gracious people we met on our trip, to the beautiful, breathe-taking scenery and the little unspoken moments I got the privilege of experiencing, have all been embedded, and cherished, in my memory. We were able to improve the lives of so many people but this trip has also changed my outlook on life. The poverty and desperation that I witnessed, contrasted with the fierce spirit and courage demonstrated by the Haitians, was inspiring and humbling. I got to see the most raw strength of human nature which, for that reason alone, made this trip so overwhelming and unforgettable.
The whole group @ Living Hope
Hundreds of people waiting outside to get an eye exam @ one of the Justinien Sites
SOSH Members measuring Visual Acuity
Looking at the fundus using Direct Opthalmoscope
J performing lens rack-ret on a patient
Our mode of transportation to and from mission sites
Playing 'Mafia,' at the hotel, after a long, hard day of work
4 comments:
This is by far the best blog! Thanks for posting it! I will never forget this trip! and the people I shared it with!
you guys are amazing. im jealous and wish i could've been there with you :(
University of Maryland researchers suggest that carotenoids, particularly lycopene may protect the eye against oxidative damage and play a critical role in visual function. The identification of lycopene and a diverse range of dietary carotenoids in ocular tissues suggest that these carotenoids, as well as other nutrients found in tomato-based foods, may work in concert with lutein and zeaxanthin to provide protection against age related macular degeneration and other visual disorders.
After 6 months of offering stem cell therapy in combination with the venous angioplasty liberation procedure, patients of CCSVI Clinic have reported excellent health outcomes. Ms. Kasma Gianopoulos of Athens Greece, who was diagnosed with the Relapsing/Remitting form of MS in 1997 called the combination of treatments a “cure”. “I feel I am completely cured” says Ms. Gianopoulos, “my symptoms have disappeared and I have a recovery of many functions, notably my balance and my muscle strength is all coming (back). Even after six months, I feel like there are good changes happening almost every day. Before, my biggest fear was that the changes wouldn’t (hold). I don’t even worry about having a relapse anymore. I’m looking forward to a normal life with my family. I think I would call that a miracle.”
Other recent MS patients who have had Autologous Stem Cell Transplantation (ASCT), or stem cell therapy have posted videos and comments on YouTube. www.youtube.com/watch?v=jFQr2eqm3Cg.
Dr. Avneesh Gupte, the Neurosurgeon at Noble Hospital performing the procedure has been encouraged by results in Cerebral Palsy patients as well. “We are fortunate to be able to offer the treatment because not every hospital is able to perform these types of transplants. You must have the specialized medical equipment and specially trained doctors and nurses”. With regard to MS patients, “We are cautious, but nevertheless excited by what patients are telling us. Suffice to say that the few patients who have had the therapy through us are noticing recovery of neuro deficits beyond what the venous angioplasty only should account for”.
Dr. Unmesh of Noble continues: “These are early days and certainly all evidence that the combination of liberation and stem cell therapies working together at this point is anecdotal. However I am not aware of other medical facilities in the world that offer the synthesis of both to MS patients on an approved basis and it is indeed a rare opportunity for MS patients to take advantage of a treatment that is quite possibly unique in the world”.
Autologous stem cell transplantation is a procedure by which blood-forming stem cells are removed, and later injected back into the patient. All stem cells are taken from the patient themselves and cultured for later injection. In the case of a bone marrow transplant, the HSC are typically removed from the Pelvis through a large needle that can reach into the bone. The technique is referred to as a bone marrow harvest and is performed under a general anesthesia. The incidence of patients experiencing rejection is rare due to the donor and recipient being the same individual.This remains the only approved method of the SCT therapy.
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