FEB-C-9

 

MY REQUEST FOR AN OPERATION SMILE MISSION,

DISCUSSED WITH SKIP WILLIAMS, AND PROPOSED TO

BILL MAGEE FOR THE HORN OF AFRICA

 

 

William Magee, MD

Operation Smile

Norfolk, Virginia       February 24, 2004

 

 

Dear Bill:

 

On a recent mission to the Horn of Africa, I had worked in two venues in Somaliland, at the capital hargeisa, and in the principle port of the fledgling nation in Berbera.  In the capital, I worked in Hargeisa Group Hospital and the Edna Aden Hospital, and in Berbera Hospital on the Red Sea Coast.  There a GWU team consisting of me and three senior medical students (listed in the CC above) saw over two thousand out patients and did two dozen operations in Hargeisa and a dozen more in Berbera.

 

In our screening clinics for the far greater number of patients who presented for surgical treatment, we collected the names of those patients who would require more extensive craniofacial reconstruction work such as bilateral clefts, gnoma, or traumatic wounds, as well as an extrophy of the bladder, and some severe burn contractures.  For those that might benefit from a carefully timed reconstruction electively, we held out the hope for them that we would return in a later mission, possibly in the form of an Op Smile Mission for this purpose.  In order to get advance work prepared for that, I left a good deal of surgical equipment, including instruments and a lot of fine suture material as well as expendable supplies, and assembled a team that might be able to assist in the care and aftercare of such patients as well as their follow-up.

 

Dr. Suleiman, Chief of Surgery, (email addresses above) and Dr. Yassin, Chief of Staff of Hargeisa Group hospital join me in extending the invitation to operate in the chief institution of Hargeisa, and assist in the institution-building of the brand new Hargeisa University Faculty of medicine, new this year, in which I gave the inaugural visiting professorial lecture.

 

I then moved to Ethiopia and the fifty year old faculty of the oldest and best established medical school in Ethiopia at Gondar College of Medical Sciences, to be declared Gondar University this next month.  The young and very positive faculty has been assembled with newer facilities in the construction phase, but with adequate theatre for good operative care in Gondar, a pleasant Highland Ethiopia town of 200,000 population. 

 

There I spoke with the pediatric surgeon-designate, Amezene Tadessa, who will be trained to undertake such reconstruction later in the growth and development into subspecialities of their brand new surgical residency that is the fist of their post-graduate programs that has opened this year.  Their Dean, Dr. Wondinkum, a physiologist, and the Chairman of Surgery, Dr. Mensur Osman (whose emails are in the "CC" attached) are very enthusiastic about a continuing relationship in the further development of their mature but growing expertise now being sub-differentiated.  They have authorized me to welcome participation of an Operation Smile project with an already designated group of patients awaited and prepared with respect to work-up and pre-op status (e.g., blood, antimalarials, family to care for and follow instructions in their aftercare.)

 

I spoke briefly with GWU Provost Skip Williams, and he has encouraged me with the prospect that he might be interested in joining us as anesthesiologist, along with the school of anesthetists acting locally in such a mission.

 

I further moved to the venue of Addis Ababa, where I saw quite a number of patients with orbital tumors and gnoma (cancrum oris) awaiting reconstruction in the Mother Teresa Home for the "Sick, Dying, and Destitute"--a very inspiring place and an ideal student rotation, in a positive reading of the name of the Home, run by the Sisters of Charity, who had also encouraged me to return with such a team.  Dr. Rick Hodes is available to help with the team as the internist who has been based in Addis 16 years and is connected with many of the NGO's and clinics, and is a superb contact for your future work in the Horn of Africa.

 

Might I ask you to consider this an official request for an Operation Smile Mission to the Horn of Africa, on behalf of those officials who have authorized me to carry this request to you?

 

On a personal note, I want to congratulate you and your wife on the receipt of the Medical Missionaries Hall of Fame Award.  I was invited to participate, but would be in Africa at the time, but cannot think of two more appropriate recipients.  I copied the notice of invitation and sent it to Skip Williams so he could share in the relaying congratulations to you.

 

On a second note, I have been notified by Landes BioScience Publishing Company that our long awaited text "Surgery and Healing in the Developing World" in which you and Skip are contributors as well as Billy will be sent to me for final editing with the target date for publishing this spring.

 

I have attached references to my most recent mission in the horn of Africa by way of background for the further work that might be done there in a very rewarding environment.  Please let me know how I might help further in bringing this to a reality for the benefit of the people, especially the youth, of Somaliland and Ethiopia, in the Horn of Africa.

 

Yours truly,

 

Glenn W. Geelhoed MD

 

>>> Glenn Geelhoed 02/24/04 07:23AM >>>

Here is a report from the final chapters of the mission to the Horn of Africa, the Ethiopian components at Gondar and at Addis Ababa, particularly at Mother Teresa's "Home for the Sick, Dying and Destitute."

 

A prior series reports the experiences of the mission to Somaliland, in Hargeisa and in Berbera.

 

The photojournalism and further reports will be available on the Home Page in the "On Line Journal" at http://home.gwu.edu/~gwg

 

It has been a very rewarding experience, and one to be repeated soon.

 

GWG

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