Establishing a Neurology Hospital in Somaliland

Essa Kayd and patients, families
Essa Kayd, center (in lab coat) with a patient and family members in Somaliland.

Essa Kayd is a native of Somaliland, which is recognized as an autonomous region of Somalia, Africa, and is comprised of about  7 million people. He returned in 2009, after having been out of Somaliland for 29 years, and began the process of establishing a neurology hospital. This week, Essa will return once again to continue his mission, his “raison d’etre.”

By Essa Kayd, Supervisor of Neurology and EMG for BWH

Four years ago, I returned to Somaliland to take my aunt for surgery and my nephew to receive care after he experienced some fainting spells.

The closest country where this could be done was Ethiopia, which borders Somaliland. We took a plane to get there, rented a hotel room, hired an interpreter and left everybody behind.

I was determined to have my aunt treated and operated on as safely as possible. After her surgery was successfully completed, it was my nephew’s turn to see a neurologist. There, I met more patients from Somaliland and surrounding countries. The neurologist is among very few specialists in the whole continent, and neurological disorders including neuro-infectious diseases are a common cause of disability and death.

I looked carefully around the waiting room and noticed the dear prices that a minimum procedure would cost patients – in terms of time, money, and having to leave their families for a time.

I decided that I wanted to bring neurology to Hargeisa, the capital of Somaliland, to make it more accessible to these people. Continue reading “Establishing a Neurology Hospital in Somaliland”

BWH, HMS and HSPH to Host Global Health Summit Nov. 25

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Atul Gawande, MD, MPH, Paul Farmer, MD, PhD, and Nawal Nour, MD, MPH – some of the world’s biggest names in global health are participating in a panel discussion together for the first time at the Global Health Summit Nov. 25.

BWH, in partnership with Harvard Medical School and Harvard School of Public Health, is hosting the summit  Nov. 25, 2 – 6:30 p.m. , at the Joseph B. Martin Conference Center, 77 Avenue Louis Pasteur.

Global health experts from all three institutions will participate in panel discussions throughout the afternoon, culminating with the keynote panel and a reception. Check out the complete program and impressive panelist biographies here.

All are invited to attend, but space is limited. Please register online for each panel you would like to attend.

Rwandan Doctors’ Housing Wins Architecture Award

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Housing for doctors at Butaro Hospital in Rwanda, supported by the Daniel E. Ponton Fund at Brigham & Women’s Hospital, has been awarded the Buro Happold Effectiveness Award by World Architecture News (WAN). The honor, part of the annual WAN Awards contest for excellence in architecture,  celebrates designs that have made a positive impact on society.

Three years ago, a group from Brigham and Women’s Hospital traveled to Butaro, Rwanda, to visit a newly built hospital supported by Partners In Health. The group included BWH President Betsy Nabel, Surgeon-in-Chief Michael Zinner, MD, and Daniel E. Ponton, philanthropist and co-owner of Club Colette who was successfully treated at BWH for a life-threatening brain tumor. Ponton saw how the housing shortage made it difficult to attract and retain qualified medical staff, and his foundation — the Daniel E. Ponton Fund at Brigham & Women’s Hospital—subsequently funded and built the Butaro Doctors’ Housing project, which was designed by the MASS Design Group.

All building materials were produced on site, and hundreds of workers were trained in masonry, carpentry and other skills. A goal of the housing project was to create a more sustainable rural health care system, and since the residences opened last fall, physicians from Rwanda and other countries have lived in the new housing while providing care at the hospital and educating the next generation of young Rwandan clinicians.

According to an editorial in World Architecture News announcing the winner, the judges were “won over by the care and attention paid to the Housing from the ground up – the use of local craftsmen, sustainable, local resources, and even the graceful final touches of interior decor.” Read the editorial.

Paul Farmer to Deliver Keynote at BWH Research Day

Paul Farmer, in a photo taken by The New Times during a recent interview.

On Nov. 21, Brigham and Women’s Hospital will host its second annual Research Day. This special event is a time for employees, visitors, media and the general public to engage with our research community and celebrate innovative and cutting-edge research at the hospital. The day will feature a plenary session with hospital leadership, nine research symposia, a scientific poster session and a keynote address by Paul Farmer, MD, PhD, chief of the Division of Global Health Equity at BWH.

Learn more about Research Day.

Engaging Patients, Elevating Care

GHDonline.org, the platform of expert-led communities by the Global Health Delivery Project, is hosting two exciting virtual expert panels next week as part of the Partners HealthCare Connected Health Symposium.

How can doctors and patients work together to create the next generation of tools for improving health care delivery? What are the barriers and facilitators for using technology to enable patient-centered care and better coordination of care? These are some of the questions that will be discuss with select speakers from the symposium and experts. These virtual expert panels are free and open to all.

Find out more about how you can participate.

Video: Compañeros En Salud

Dan Palazuelos, MD, MPH, lives a dual lifestyle – splitting his time between rural villages in Mexico and the city life that surrounds BWH.

For many months each year, Palazuelos lives in the Sierra Madre Mountains, waking up with the roosters and working alongside talented young Mexican doctors. For the other half of the year he lives in Boston and, in addition to practicing inpatient medicine with the hospitalist group at BWH, he helps to mentor the next generation of global health leaders in the Howard Hiatt Global Health Equity residency as the assistant director.

Palazuelos works with Compañeros En Salud, an organization that collaborates with rural government clinics in the Sierra Madre de Chiapas to revitalize underperforming rural clinics. In 2011, Partners In Health launched Compañeros En Salud to improve staffing, supplies, and links with local communities.

Watch the video below to take a peek into Palazuelos’ lifestyle and learn more about Compañeros En Salud.

Video: Compañeros En Salud

Dan Palazuelos, MD, MPH, lives a dual lifestyle – splitting his time between rural villages in Mexico and the city life that surrounds BWH.

For many months each year, Palazuelos lives in the Sierra Madre Mountains, waking up with the roosters and working alongside talented young Mexican doctors. For the other half of the year he lives in Boston and, in addition to practicing inpatient medicine with the hospitalist group at BWH, he helps to mentor the next generation of global health leaders in the Howard Hiatt Global Health Equity residency as the assistant director.

Palazuelos works with Compañeros En Salud, an organization that collaborates with rural government clinics in the Sierra Madre de Chiapas to revitalize underperforming rural clinics. In 2011, Partners In Health launched Compañeros En Salud to improve staffing, supplies, and links with local communities.

Watch the video below to take a peek into Palazuelos’ lifestyle and learn more about Compañeros En Salud.

Snapshot: Life after War in Liberia

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Liberia is one of the poorest war-torn nations on earth. Today, it recovers from a devastating civil war which destroyed the majority of health facilities and caused a mass exodus of professional health workers. From 1999 until 2003, there was no system in place for health care, education or government.

When the war ended, the Liberia was left with 51 doctors in a country of almost 4 million. The numbers equate to around 10 doctors treating the entire city of San Francisco.

To receive access to health care, rural villagers must navigate narrow dirt paths winding through thick jungle – often impassable – to neighboring communities with life-saving health services. Consequently, diseases that are considered ‘easily treatable’ in the US can be a death sentence.

Continue reading “Snapshot: Life after War in Liberia”

Brigham & Women’s Hospital Physician Assistant Services Grant

BWH Physician Assistant Services is happy to provide an initial PA Services Grant for travel expenses related to medical missions in underserved areas. We know that the Physician Assistants across our campuses are dedicated to improving health care not only in our local BWH community but throughout the world, and we want to support these efforts.  This new grant created by PA Services is intended to support those PAs committed to providing health care, health education and health research to medically underserved populations. The grant is a travel stipend of $2000 awarded to two PAs each fiscal year and is open to BWH and BWFH full-time employed PAs. If you're interested in learning more or downloading an application, please click here.  We look forward to reading your applications!

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Burn Relief in Malawi

BWH’s Jennifer Wall, PA-C, (at left) operates on a young burn patient with members of the surgical team.
Photo courtesy of Africa Burn Relief.

Only 2 percent of homes in Malawi, a landlocked country in Africa, include a stove. Most families cook over a fire on the ground three times a day, and every hut has a raging fire outside of it for warmth at night.

“Kids are face to face with fire all the time,” says Jennifer Wall, PA-C, a physician assistant at the Brigham and Women’s Hospital Burn Center.

Given the prevalence of fires resulting from everything from cooking to bathing to cleaning, burns are a frequent and often untreated consequence of this way of life.

Wall has made it her mission to provide resources, skills training and mentorship to local health care providers to create sustainable burn treatment and prevention models in the rural village of Nkhoma, Malawi. Continue reading “Burn Relief in Malawi”