06-MAR-B-6

06-MAR-B-6

REPORT BACK TO PFP ON THE SITES AND PLANS FOR THE RWANDAN MISSIONS

Here are three sets of my students' photos in preparing you for the deluge of my own as they come through editing later this week.

I attach the notes form a few of the participants who have reported in so far, and an outline of my own of the events of the trip.

I had described the joys and frustrations of a start-up venture--both in good measure here, but I believe we have got a good start on the kind of PFP program that should work-- a sustainable health care model based on partnership with the indigenous workers and a continuing educational support service. In our "Packing Party" at my home, our team had got oriented to the mission and also stocked as many bags as we could carry through airline graciousness which will now be stocking the clinics in Gisenyi and Kigali, and we have official support form the Commandant of the ARmy, the Minister of Health Dr. Innocent Nyaruhirira ("Secretary of State for the Struggle against HIV/SIDA and other Epidemics") and the regional Congresswoman Governor who publically granted an extent of municipal land and is "building a house for Doctor Geelhoed and his team so that they can come to stay here as they are building a hospital and teaching our people." This represents quite a bargain for them as a "seed crystal!"

I had mentioned that beyond the Gisenyi and Kigali Methodist Church affiliated Schools/Clinics, the Army Commandant wishes to have a health education program in the Northwest near the Ugandan border where he comes form, and the Methodists already have a school/clinic planned in Mutare. The groups that attract African Wildlife Foundation funds and (gorilla) tourists are based in or around Ruhengeri where Julie Ghrist is working, and that might be a central location for a region hard hit by earlier genocide and current famine. The hardest hit in both departments, however, is the Maiyenge region I had described to you, and Ranu is the expatriate staff there having shifted form a focus on Health (and I described the White Elephant new clinic built by Japan Fund with not so much as a high school graduate to staff and direct it) to a major push for "Water Catchment" and food production , since the area is now gripped by a major undeclared famine with no food aid arriving since the Rwandan government is embarrassed to be announcing it has now got a burgeoning population that has outstripped its food resources after attempting to resettle refugees in their Burundi border area through a model MVP.

I will be reporting to, and probably visiting with, PFP in the near term, (after small hurdles, like the intensive "Comps" for yet another doctoral degree program next two weeks) possibly at your May 13 "Celebrating the Nations" gala. I have a couple of other nations to celebrate with you and will discuss them then, since I have returned from The Medical Mission Hall of Fame at Toledo where I met with my colleagues whom I had introduced after my nomination for their induction into the MMHOF, Rick Hodes from Ethiopia and Jill Seaman from Old Fangak Sudan. The latter's project I had mentioned to you on the banks of the Blue Nile, since my earlier visit, the locals have actually built a ceiling in the old mud room in which I had operated last time and are looking forward to upgrading their clinic with my next visit. They would be a prime site which I have already "vetted" and Jill has a long term committment to the Nuer and Dinka tribesmen who are there. It is South Sudan, and a promise of peace recently forthcoming is that they can now turn attention to the postponed hope for health in an area beset by TB, Malaria and Kala Azar (visceral Leishmaniasis.)

In the Horn of Africa, Somaliland, in the capital at Hargeisa and in the Red seaport of Berbera have also been promised a return to help them develop their medical education and health care delivery, following an inaugural visit there now two years ago. I have been making plans with each of these pioneers for return visits in their support. I have also promised my friends in Embangweni that I would be returning to Malawi, which is right now in serious drought and famine trouble.

We have not run out a world to care for, and I will discuss the next steps and the timing of an expanded PFP presence in leading the charge!

Cheers!

GWG

Dear Rwanda Team:

Congratulations on a job well done!

The prize for the first to get the photojournal rolling goes to Niki, whose Snapfish access is appended, and I will follow with a PhotoWorks series. We will pool these pictures and get the program for your presentation prepared for a time you will determine that is not interfered with by an exam crunch or other conflicts within the next three weeks.

Please get the post-trip questionnaire and evaluation of what the experience meant to you after reflecting on it back to me ASAP (attached)

Did the two copies I had printed out of "Surgery and Healing in the Developing World" for both the stations in Kigali and Gisenyi get left in Rwanda with the appropriate people?

I hope you all have a smooth "Re-Entry" into the (smaller, faster and more hectic) "Hyper-Developed World"!

See you soon at the post-expeditoin "Show and Tell!"

Cheers!

GWG

Questionnaire to be filled out on the return flight from the Rwanda mission

Name Date

1. How many of our group do you NOW feel you know really well?

2. How did this experience match your expectations? What was unexpected?

3. How well did this trip fulfill your motivations for making it?

4 Are you thinking now of making another such trip in the near future?

5. If yes, How soon? To what destination? Under what auspices?

6. Did you do many of the things you were hoping to do at the outset/

7. What did you NOT get to do that you had hoped to?

8. What is your opinion of the A. Health care component of this trip?

9. What is your opinion of the B. medical education component of this trip?

10. What is your opinion of the C. adventure travel/accommodation component?

11. What would you change?

12. How has this trip changed you?

13. Do you think this trip or change in you will have an effect on your career?

14. Did you encounter any of the fears you were anxious about? Or add new ones?

15. How many rolls of film, digital disc exposures, audiotapes, notepads, cards or letters did you produce during the trip? What souvenirs did you carry back?

16. What would you advise someone following you on the next trip to do?

17. What is the one most special thing you learned?

18. Describe the most memorable patient you encountered.

19 Have there been any important people who have influenced what you learned this trip?

20. What would you say in summary of your experience on this trip?

>>> Glenn Geelhoed 3/20/2006 10:00:00 AM >>>

Here is the first wave of many photojournals still to come from the Rwandan expedition. These are shot by Niki Tank. An outline of events is attached, and a full program will be prepared within the next month.

GWG

>>> service@snapfish.com 3/19/2006 3:03 PM >>>

Hello all! My jetlag proved a bit beneficial last night and i posted pictures. Unfortunately, i couldn't post the videos, but i'm working on it. Take care!

---------------------------------------------------

Get FREE 4x6 prints from my album(s)!*

View my photos!

I invite you to view the following photo album(s):

rwanda 03/2006

Here's how:

http://www.snapfish.com/getimageforshare/p=491191142798592109/l=87160053/s=39087010/t=ALB/otsc=SYE/otsi=SALB

1) Visit the link below to access my photos on Snapfish.

Niki's photos

2) You'll be asked to type in your name and email address and then choose a password. This ensures the privacy of my pictures and also sets up your own password-protected account on Snapfish.

If the link above does not work, highlight the link below using your cursor. Then copy and paste the link into your browser address window and hit the "Enter" or "Return" key on your keyboard.

http://www.snapfish.com/share/p=528191142798592065/l=87160052/otsc=SYE/otsi=SALB

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>>> <david.t.metnick@accenture.com> 3/20/2006 7:16 PM >>>

Hi Family and Friends,

I have included direct links to our RWANDA 2006 adventures:

David Camera:

http://www.snapfish.com/share/p=101201142898635643/l=87416312/otsc=SYE/o

tsi=SALB

<http://www.snapfish.com/share/p=101201142898635643/l=87416312/otsc=SYE/

otsi=SALB>

Amy Camera:

http://www.snapfish.com/share/p=851201142886338269/l=87394665/otsc=SYE/o

tsi=SALB

<http://www.snapfish.com/share/p=851201142886338269/l=87394665/otsc=SYE/

otsi=SALB>

Timeline:

04 Washington, DC

05 Amsterdam

06-08 Kigali, Rwanda

09-13 Gisenyi, Rwanda

14-17 Kigali, Rwanda

17 Nairobi, Kenya

18 Amsterdam

18-19 Paris

19 Washington, DC

20 New York, NY

Attachment:

THE MEDICAL MISSION TO RWANDA Synopsis (Provided by Dr. Glenn Geelhoed)

Thank you for all of your kind words. The experience was unforgettable.

Best regards,

David

David Todd Metnick

Accenture

Human Performance Global Service Line

Phone: (703) 947-1506

E-Mail|MSN: david.t.metnick@accenture.com

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