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AusHeal Blog

November News — Neil & Gwen Wetzig

T.E.A.M.S.

Technical questions to/from team member, Paul Bakes, in Brisbane re safety of IT (Information Technology) cabling during demolition

English sessions with Gwen after COSECSA Trainee sessions help build confidence in speaking/presentations (COSECSA: College of Surgeons of EAST, CENTRAL & SOUTHERN AFRICA)

Anaesthetist from Sydney, Dr Peter Tralaggan, at HAH (HEAL Africa Hospital – DRCongo) for 2 weeks teaching/training the Nurse-anaesthetists

MAP documents (Monitoring/Accountability/Planning) being analysed from 2017 Team Members

Surgical teaching/training continues under the mentorship of Dr Neil Wetzig, clinically & with COSECSA

Streets in Goma – 1

Streets in Goma -2

A.u.s.H.E.A.L.

Australian partners, Global Development Group (GDG) conducted ‘Monitoring Visit’ in early October

Understanding relationship between HAH & AusHEAL to review current MoU Memorandum of Understanding

Short-Term Development Grants (STDG) continue to attract interest from staff wishing to improve their clinical skills

HEAL Africa Hospital Senior Staff request AusHEAL to continue their valued partnership, support & assistance

Engineer from Oxair in Perth, WA, visited to install & connect the Oxygen Plant – cylinders filling now!!

Accounts being reconciled and finalised before Gwen departs on Friday 10 November to return home

Loyal donors enabling the AusHEAL Patient Fund to pay medical expenses for genuinely very poor patients

Oxygen Plant successfully installed.

 

H.E.A.L.  A.F.R.I.C.A. 

HATS (HEAL Africa Training Scheme) – Dean of HATS, Dr Luc Malemo, begins PhD in Montreal, Canada

Education of hospital children – Tuungane School relocated from Hospital compound – now next to Chapel

Action happening on the hospital compound – 2 buildings demolished preparatory to new construction

Lava strike!!!  Digging old foundations and struck the layer of lava flow from the Volcano in 2002.

 

Architect designing plans for new AusHEAL/HATS Training Centre due for construction early 2018

Focus on Fistula – training/mentoring visit from Medical Director of Hamlin Fistula Hospital in Addis Ababa, Ethiopia

Relocation of patients to various other locations during demolition/construction phase

Imaging Department – new part required for the CT scanner arrived from USA – looks like this will be the ‘missing piece’

COSECSA Trainees & 3 Trainers to attend COSECSA Annual Conference in Mozambique in early December

Australian High Commission representatives from Harare, Zimbabwe, to visit HEAL Africa on 13 November

Dr Peter Tralaggan, anaesthetist, teaching COSECSA trainees in anaesthetic techniques.

Digging foundations for the new Fistula Building at HEAL Africa Hospital, Goma DRC

Difficulty caused by striking old lava from 2012 volcanic eruption

AusHEAL Team News – week 5

Long-term AusHEAL Team Members, Dr Murray Thorn and Sue Reid remained at HEAL Africa Hospital (HAH) for a further week following the departure of the September teams.  Radiologist Dr Murray used his last week to instruct not only the surgical COSECSA trainees on the intricacies of CT scans and how to read them, but also similar sessions with all the remaining HAH Medical Staff.

Farewell from Neil & Gwen to Murray and Sue

Even though 2 replacement circuit boards had been brought from Australia for the CT Scanner the CT is still not functioning properly.  Disheartening after an initially successful ‘start-up’ last week.

Currently only Dr Neil & Gwen remain from AusHEAL. They will stay for some weeks yet at HAH.

Other AUSHEAL NEWS: 

RECOVERING PATIENT…… One of the ICU patients, Prince, who warmed the hearts of many of our team members, is doing really well.  He is 22 and has no parents or family.  He was stabbed when he went to help separate 2 people in a fight.   From an initially hope-less clinical situation, he has progressed to where he now requires probably just one more week with chest tubes.

OXYGEN PLANT….. Preparation for the installation of the new AusHEAL supplied Oxygen Plant has commenced with clearing a new and more appropriate site ready for laying the cement slab on which the plant will be installed.  At the end of October an Engineer from the supplying company in Perth, Western Australia, will visit to install the plant and ensure good functioning.

DR KIGAYI….. AusHEAL Scholarship recipient, Dr Kigayi, has been visiting HEAL Africa Hospital at the end of his second year of training as a Specialist Anaesthetist.  Neil and Gwen took the opportunity to catch up with him to chat about his studies in Tanzania.  As the only non-Tanzanian in his course, he found it extremely difficult at first studying in English but he indicated that the other Tanzanian trainees were very welcoming and supportive of him.   It will be an added bonus for HAH when he returns as the only medically trained Anaesthetist in what has been historically a department totally staffed by nurse-anaesthetists who perform an amazing work in difficult and challenging circumstances.  We are grateful to AusHEAL donors who help to make these Scholarships possible.

Dr Kigayi with Dr Neil

GLOBAL DEVELOPMENT GROUP ….. a representative from our Australian partner, Global Development Group, is conducting a ‘monitoring visit’  this month to HAH to personally see the work of the ‘AusHEAL Congo Project’.

HEAL AFRICA HOSPITAL NEWS:

MAMA VIRGINIE is the HAH Public Relations Officer. She has facilitated and organised much of the logistics of AusHEAL visits over the past 11 years. She turned 60 this week and has become a dear friend and such an encouragement to team members.

Mama Gwen with Mama Virginie

CLINICAL……

 …… ‘Abdominal Catastrophe’ is a term that HAH staff have given to the disastrous surgery we see referred in from peripheral centres and sometimes from other health sites in Goma.  One example was a young 19 yr old mother who’d had supposedly had just a caesarean section in a ‘small clinic’ in Goma – and subsequently presented to HAH with peritonitis.  At the time of the surgery at HAH she was found to have had a hysterectomy – as well as the caesarean.  Thankfully the baby survived.  A day later, another woman arrived after a caesarean-section in a rural area. Unfortuntely her bladder had been sewn to her womb and her abdomen left open!  The baby’s arm had been broken during delivery.  Such horrific cases continue to cause us great stress – but also continue to reinforce why AusHEAL is here to improve training.

…… Paediatric Cases –  the Hospital was visited last week by the UNICEF Director for West and Central Africa, and the UNICEF director for Eastern Congo. The group was given a tour of sections of the hospital relating to children.  They were introduced to a tiny baby born with several congenital abnormalities & recently transferred from the neonatal ward. Due to the extent of malformations, the child’s gender was unidentifiable, with part of the bowel sitting outside the child’s body. Two surgeries were performed by Dr Neil and Dr Luc together in an attempt to give hope for the future.  From the waist up bub is normal and feeding well from the breast.  Such tragic cases are not uncommon in this part of the world.

FANNY, Neil & Gwen’s adopted Congolese daughter continues to follow up patients who have had the same significant major surgery she underwent in 2009.  The photo portrays 10-year old Kitso on her return visit, 18 months after surgery.  Kitso is doing well physically and topping her class at school.  Her family is poor and struggling to meet school fees.  A common predicament for families in Congo. Often only one child in a family has the opportunity to attend school.

Dr Neil, Kitso and Fanny

BUILDING PROGRAM…..

….. AusHEAL-HATS Training Floor – (HATS = Heal Africa Training Scheme) It is anticipated that with projected funding from Australia, the current Outpatients Building will have a top floor added as part of the HAH building program.  It will provide space for an AusHEAL base and training facility to include a large teaching room, smaller training rooms for small groups, a skills workshop and library, training rooms for small groups etc.  Construction is envisaged in 2018.

….. Women’s & Children’s Pavilion – Demolition of the building mentioned in the previous Newsletter is now complete and the site ready to commence construction.  This building is to accommodate hospital ‘inpatients’.

Site of new building to accommodate hospital inpatients

….. Community Women’s & Children’s Health Centre –  Following a casual conversation last year between Dr Neil and the Brazilian Ambassador to DRC during a visit by the Princess Caroline of Monaco (a Patron of UNICEF) the Ambassador made contact in June this year with Dr Neil, advising that the Princess was keen to arrange building project funding from a Foundation established by her mother (Princess Grace of Monaco).  A project to improve the health of women and children from the community of Goma.

2016 Visit of Princess Caroline of Monaco

2016 Visit of Brazilian Ambassador

Discussions followed and on our arrival (Neil & Gwen) in Goma at the end of August a number of planning meetings were held to prepare an official submission to AMADE MONDIALE, (the Foundation) to fund the construction of a new Community Health Centre (as an ‘outpatient’ facility). The new Health Centre, when completed, will provide a larger and more welcoming ‘space’ for existing services for women and children, as well as the opportunity to enhance other services.

The Health Service is accountable to the Provincial Health Department, though located on the property of HEAL Africa Hospital.  HEAL Africa is responsible for the expansion of existing programs and staffing.  Currently these programs and services are conducted in very cramped conditions at one end of an existing building.

Current Community Health Centre in HEAL Africa Hospital

 

This week, the Princess Caroline, the Brazilian Ambassador and the Secretary-General of Amade Mondiale visited HEAL Africa Hospital to lay a Foundation Stone, sign a Memorandum of Understanding and view a PowerPoint presentation by Dr Jo Lusi regarding the plans for the new Health Centre. The official duties were followed by a number of ceremonies by local ladies.

Princess Caroline of Monaco laying the Foundation Stone

Signing of MoU between HEAL Africa & Amade Mondiale

‘CAPOIERA for PEACE’ is a project based in the Democratic Republic of Congo. The Brazilian Ambassador and Dr Jo Lusi invited Neil & Gwen to attend a graduation ceremony of the Goma Capoiera, as part of the visit by UNICEF and Princess Caroline of Monaco.

Capoiera Presentation

CAPOIERA is an Afro-Brazilian martial art that combines elements of dance, acrobatics and music. It was developed in Brazil mainly by Angolans at the beginning of the 16th century. It is known for its quick and complex maneuvers, power, speed, and leverage across a wide variety of kicks, spins and techniques. Capoeira is currently being used as a tool in sports development to promote psychosocial wellbeing in various youth projects around the world.

PERSONAL NEWS……

Neil & Gwen were visited by a friend from Brisbane, Dave Malengret. He was born in Gisenyi, Rwanda and grew up in Goma DRC. His father ran a business in the main street of Goma when he was a boy. Dave, who had not returned to Goma since he left the area as a child about 47 years ago, welcomed the opportunity to meet up with friends and acquaintances from long ago.

Dave also fulfilled one of his goals in coming to Goma – that of ‘climbing the mountain’.  What he had not realised was that it takes about 5 hours to ascend Mt Nyiragongo (the volcano) and that the tour includes an overnight stay at the top to maximise the experience of gazing down into the crater to see the burning lava at night.  The descent takes about 3 hours.  He is a fit man so managed the trip very well – however, some have said that it is very difficult.  Neil would love to do the climb, but Gwen is not sure she would make it.

Neil & Gwen relaxing by the Green Lake

Medical and Nursing Team update

On Saturday 2 September, seven MEDICAL Team members arrived at Goma Airport to join the NURSING team already working hard the previous week.  The second team settled in to prepare for two very full-on weeks.

In total, AusHEAL has had 15 volunteers at HEAL Africa Hospital (HAH) this month. It has been an extremely effective AusHEAL team!!  Hospital staff here have commented positively and often about the clinical skills of the team, the style of teaching/training, as well as the relationships formed.

Welcome to the AusHEAL Medical Team

NURSES CERTIFICATE PRESENTATION: 

On the second last day of the Nurses teaching/training program, the Secretary-General of the DRCongo North Kivu Province Health Committee attended a ‘thank-you’ ceremony to the AusHEAL Nursing Team with the presentation of ‘Participation in Nursing Training’ Certificates to all the HEAL Africa nurses who had attended the various training sessions AusHEAL had conducted.

DRCongo North Kivu Provincial Health Secretary-General presenting

Nurses with Certificates

MATERNITY, Ante-Natal Nursing Training……                                                         

Visiting AusHEAL midwife, Alison Gregory, was invited to contribute to the ante-natal classes which are conducted by the HEAL Africa Hospital community health centre.  She was very well received. It is an area that has been on our minds for the past couple of years. It was a great opportunity to have Alison visit.

AnteNatal Class

EMERGENCY DEPARTMENT:

HEAL Africa Hospital has the ONLY qualified Emergency Department Specialist in all of DRCongo, Dr Muller, his specialist training and qualification in Tanzania sponsored by AusHEAL.  It was good for him to meet up once again with visiting AusHEAL Emergency Medicine volunteers: Dr Graham Zerk and Nurse Mercy Hanna.

The visit also allowed Dr Muller and Dr Graham to discuss higher management issues of the HAH Emergency Department. It’s current physical location and department setup means maximum efficiency cannot be further achieved as facilities are not adequate to deal with current emergencies being received. The 2 doctors were able to assess and discuss the issue.

Dr Neil Wetzig, Dr Muller, Dr Graham Zerk at the Emergency Department

Nurse Mercy Hanna discussing Basic Life Support

SATURDAY WORKSHOP:

Approximately 100 HAH staff from across the Hospital, doctors and nurses together with parahealth and Projects personnel gathered from 9am – 3pm for an AusHEAL Weekend WORKSHOP to address the topic of ‘A B C’……

  • A  =  Attitude
  • B  =  Back to Basics
  • C  =  Communication

AusHEAL had previously identified areas requiring attention throughout the Hospital in previous visits. Senior Leaders of HEAL Africa Hospital affirmed such emphasis and education was needed across the whole organisation.  The AusHEAL Team conducted a role-play throughout the day that began with a patient arriving in the Emergency Department with a leg abcess and following that patient through Imaging (Radiology), Surgery, Recovery, Ward, Intensive Care and finally being discharged.

All attendees were divided into groups across all departments with a series of questions being posed at the end of each role-play scenario that related to the topics of Attitude / Back to Basics / Communication.  There was lively discussion regarding the answers and much hilarity at some of the acting abilities of the team!!

The major benefit of the day was when HEAL Africa attendees divided into their respective hospital departments to consider the impact of these three focus areas in their own service area.  The results of these discussions are still to be relayed back to the HAH Senior Leadership and the AusHEAL Team Leaders.

Workshop discussions

Role Play patient

Workshop scenarios

COSECSA:

(College of Surgeons of Eastern Central & Southern Africa): AusHEAL anaesthetists (Dr Kerstin Wyssusek and Dr Luke Heywood) participated in training sessions to teach/train basic anaesthesia to the COSECSA surgical trainees, doctors who will ultimately work in rural areas. Sessions were also spent with and directed towards the HEAL Africa Hospital Nurse-Anaesthetists.

Dr Kerstin Wyssusek, the Director of Anaesthetics at the Royal Brisbane and Womens Hospital in Australia also addressed higher skills such as management of an anaesthetic department. Dr Luke Heywood taught ultrasound guided nerve blocks using an ultrasound machine donated by AusHEAL for this specific purpose to HEAL Africa Hospital. Nerve blocks rather than general anaesthesia form an important component of anaesthetics in hospitals in Sub-Saharan Africa.

Dr Luke Heywood & Dr Kirsten Wyssusek with Surgeon Dr Neil Wetzig

SPECIALISATION SCHOLARSHIP:

Dr Kigayi, Congolese recipient of an AusHEAL Scholarship for Specialist Training is training as a Doctor- Anaesthetist in Tanzania. He returned to HAH for a 3-weeks during the AusHEAL team visit, only having exposure to our 2 Team Anaesthetists for 2 days. It was timely & beneficial that they could all meet up.

HAH Anaesthetist Dr Kigayi returns

RADIOLOGY: 

Finally!! …… the CT Scanner, originally sent from Australia a few years ago, is now operating. This is great news.  Fine tuning is still to occur. Three CTs were performed during the last couple of days before the majority of the team departed last Saturday. It has been a long journey for AusHEAL Radiologist, Dr Murray Thorn. Wonderful for him to see and be instrumental in the eventual operation of the scanner.

What a bonus! Again, a first for AusHEAL teams. We had a Medical Equipment Specialist Technician (Tim Maleevsky) on team who spent most of his time helping the HEAL Africa Hospital Technical team get the CT scanner working.

Dr Murray Thorn at the CT Scanner

Tim with Imaging staff operating the CT

AusHEAL HOSPITAL PATIENT FUND:

The AusHEAL Hospital Patient Fund was established to fund the care of both surgical and medical patients (treated by AusHEAL team members) who have genuinely been unable to afford their clinical care during the team visit. Every Hospital Service (department) where an AusHEAL team member was involved, reported the value of the teaching and training provided through same.

DIFFICULTIES & CHALLENGES:

  • There have been several difficult paediatric surgical cases to deal with. Appropriate advice was sought by our surgeons and given from a senior Australian Paediatric Surgeon in Brisbane, Dr Peter Borzi.  This has been greatly appreciated!!

    Dr Neil Wetzig with one of the paediatric patients in ICU

  • Several team members suffered illness including diarrhoea & vomiting, colds & flu necessitating disappointing ‘days off’.
  • The patient death-toll seen on this trip was high, emotionally draining on team members who gave their all to keep patients alive. Some of the patients who died were critically ill.
  • Once again there were patients referred from peripheral areas who arriving in an extremely poor state. Hence the AusHEAL emphasis on educating those in Goma and those who will go on to practice in peripheral centres.
  • On a more positive note, team members worked hard with input into the care of a 22- year-old orphan in Intensive Care, stabbed in the chest when trying to break up a fight. He was an innocent victim with no family and no resources. The AusHEAL Hospital Patient Fund contributed to his care. In past years, there has often been 1 patient with whom many team members have been closely involved, both clinically and consequently emotionally. AusHEAL Team Leaders were later approached separately by a representative of the orphanage to thank the team for all their support and care.

    ICU patient with AusHEAL Nurse Julie. (Photo with permission)

HEAL AFRICA HOSPITAL NEWS:

The whole team was invited to the wedding of one of the HAH staff members.  Ten AusHEAL members attended, mostly dressed in Congolese attire. Embarrassingly, they were seated down the front at the wedding reception.  The team was presented with a cooked goat (highly valued in DRCongo) and one of the tiers of the wedding cake.

Team in Congolese attire

Plans for new buildings: Today, the roof is being removed from an old building in the hospital. The remainder of the building will soon be totally demolished to make way for a new 3-storey Women’s & Children’s Pavilion, funded by a donor from the USA.

The DRCongo national Doctors’ strike mentioned in our last blog has ended with work returning to normal.  Over the weekend, a Congolese doctor travelling to Goma from a northern centre to attend a Provincial Health meeting, was kidnapped. A ransom was requested.  The Doctor and a few other staff were to be travelling in a convoy guarded by the Congolese Army. The incident caused reconsideration by other doctors in North Kivu Province to go on strike again, demonstrating to the Government that the kidnapping practice was not acceptable.

AusHEAL Team, September 2017

TEAM LEADERS & organizers Neil & Gwen Wetzig, tired from 3 busy weeks with AusHEAL Teams visiting HAH, were greatly energised and encouraged by the quality of the team members, their skills, personalities, team participation and willingness to ‘go the extra mile’ in so many ways.  A really great team!!!!

 

September 2017 Nursing Team – D.R.Congo

 

Touchdown at Goma International Airport on Saturday 19 August began our introduction back into the hassles of entering DRCongo with Immigration border difficulties / dusty roads / people-people-people everywhere, women selling anything and everything on the sides of the roads…… from flour in open piles to fresh meat laid out on tables in the open /  bicycles being pushed along carrying heavy loads / chuck-a-doos (the local wooden push-bike) pushed along the roads with even heavier loads / women carrying/balancing bowls of goods on their heads / horns beeping / cars dodging motos and other cars / and general mayhem everywhere.

Then to the quiet and peaceful Maji Matulivu by the lake, where we were warmly welcomed ‘home’ again…. to unpack and settle in for the next few months. 

Nursing Team Arrives –

 6 AusHEAL Nurses from Brisbane arrived at Goma Airport to be met by similar hassles.  Sunday was their day to recover from the long trip before starting work early on Monday morning 28 August with attendance at the Nurses 7.30am meeting.

 

An orientation tour of HEAL Africa followed. Interpreters were allocated to each of the nurses, then all went to meet local staff in their various departments. First impressions from the AusHEAL Nurses included:

  • The Hospital is big & progressive but lots still to do.  Wards lacking resources (including privacy)
  • A lot happening in the Hospital
  • Small ICU for the number of hospital patients and staff – no space / no room to ventilate patients
  • Super impressed – cleaner than previous visits
  • A lot more equipment now in some areas
  • Big hospital but space can be a premium for patients

Thursday, the AusHEAL Nursing Team was invited to meet with the Provincial Minister of Health (North Kivu Province). He warmly welcomed our team to Goma and expressed his appreciation for the efforts made to come to teach and train HEAL Africa staff. 

COSECSA surgeon training continues –

4 HEAL Africa COSECSA Trainers (together with the HAH CEO) travelled to Kigali for a ‘Train the Trainers Course’ conducted by the College of Surgeons of East, Central and Southern Africa (COSECSA).  All believed the course was worthwhile. Each of the Trainers gained official registration from the College.

New Buildings –   

At the end of Chapel on Friday morning, the HEAL Africa CEO, Dr Justin, announced to the staff the plans to build a new Women’s and Children’s Pavilion on the Hospital site as well as a new building dedicated for the care of fistula patients. This will build the capacity of the hospital to treat the ever-increasing numbers of women and children who need to be hospitalised.

Equipment –

The CT Scanner is still not in working order, however our visiting AusHEAL Radiologist will next week be bring further replacement parts. Radiology staff are trusting it will very soon be functioning well.

The Oxygen Plant donated and transported through AusHEAL has arrived at HEAL Africa Hospital. It awaits a visit from an Engineer from Australia to install and connect it.

 

Amidst the difficulties, challenges and sad medical conditions we encounter here, we continue to thank God for the opportunity and privilege to be involved in this

April 2017 Update

NEW BRISBANE TEAM ARRIVES in GOMA 

On 2 April it was good to welcome Paul & Lyndee Bakes, Brian & Vanessa and Ben to HEAL Africa Hospital after considerable issues with obtaining their visas. (not due to the helpful Congolese authorities but due to difficulties with a major courier company) The visas arrived about 45 minutes before team members left their homes for the Brisbane airport departure.

Bakes Team welcomed to HEAL Africa Hospital

The team has been involved in planning the site for the AusHEAL Oxygen Plant, soon to be shipped from Perth Australia to D.R.Congo. They are assessing other building projects and becoming involved in a number of community projects. Paul and Lyndee will stay on in Congo for at least a further 10 weeks as Paul assists with the IT network at the hospital and Lyndee teaches English.

ECG Dots

The team was able to bring over a supply of  ‘ECG dots’ to use with ECG recordings and anaesthetic procedures. These were supplied though the Mater Health Service technical team and will allow for ECG tracings to be performed on equipment sent over last year by AusHEAL.  Dr Muller, HEAL Africa Hospital Emergency Department Director, was delighted to receive them. Such simple things make a big difference for patient care and staff morale.

Dr Muller excited to receive ECG dots

Dr Neil Wetzig and Surgery

Dr Neil has continued with clinical work, in particular as one of the HAH staff general surgeons (Dr Luc) has gone on a ‘cleft lip and palate surgical outreach’ to a western province in DRCongo. Activity is ongoing at the hospital.  In the last 3 weeks there have been sad cases with times of overcoming adversity.

  1. A major triumph saving a young woman referred from another health centre in Goma DRCongo, who was comatosed with life-endangering low haemoglobin (blood count) following a Caesarean section earlier that morning elsewhere. The woman’s womb had not been closed well after the caesarian section with resultant ongoing haemorrhage. Additionally, her baby had died!
  2. A 7-month old baby died from a treatable surgical condition. Specialist staff were not notified of the baby’s admission overnight. The relevant staff only became aware of this very sick baby when told by a medical student at the morning handover meeting. Urgent surgery was arranged but the baby died before an operation could be performed. None of the COSECSA surgical trainees were involved with this case. The unfortunate incident has been a significant teaching opportunity on communication essentials and protocols.
  3. In early March, a combined USA and Australian surgical team operated on a 3-year old boy removing a large facial tumour. He had previously had an eye removed for tumour. His facial reconstruction has gone well and he may go to Uganda for further treatment. The boy has however become attached to the ‘Talking Paul’ app on Dr Neil’s mobile phone. It was initially used to pacify his fears when he was about to have anaesthesia. Now on each ward round he asks Neil if he can play with it. He is such a happy character and so respectful as he hands the phone back when it is time to move on. His overall outlook is not good, but at least this brightens his day.

    Enjoying the mobile phone

    Doctor’s morning hand-over meeting

Neil has been involved with a number of other cases:

  • The care of a number of family members of HEAL Africa Hospital staff
  • A 25-year old woman with an unusual congenital abnormality on her left kidney. There was considerable pressure from some staff to ‘simply remove the kidney’. However, Neil was able to use this case as a teaching opportunity to sort through what the longer term consequences could be for such a young woman in a Congolese environment with only one kidney. Should the abnormal one be removed without at least an attempt to preserve it? She is still recovering from her kidney-preserving surgery and so far doing well.
  • A 19-year old woman was referred by MSF (Médecins Sans Frontières, Doctors Without Borders) from an outlying village with an ‘open abdomen’ after a Caesarean Section conducted in the local village by local staff and a second operation for severe infection. Exploratory surgery at HEAL Africa Hospital found that the infection had been due to the patients womb being sutured to her bladder. Neil reports seeing similar cases such as this from outlying areas. The patient underwent a further operation.  She is now doing well, as is her baby who she is feeding.

Neil continues to be involved in meetings with HEAL Africa staff e.g. focussing on exploring further ways of Australian support for development of  additional community development programs. elections are scheduled later in 2017. Hope remains for opportunity in DRCongo for growth and development.

AusHEAL: Australians advancing healthcare in the developing world

 

 

Aussies to Goma in 2017

AusHEAL representatives David and Heather Kelly arrived in Goma D.R.Congo from Brisbane on the 15th February such that David could resume oversight of some of the HEAL Africa Hospital administration, mentoring the Chief of Operations, as well as his continuing involvement on the HEAL Africa Assemblie Generale, the Board for HEAL Africa Hospital (HAH) and external Community Projects. Heather is resuming her English lessons with various members of the staff.

20170301 kelly

David & Heather Kelly

On 25th February Dr Neil Wetzig, Director of the AusHEAL Congo Project, also returned to Goma from Brisbane to resume the ‘on the ground’ partnership between AusHEAL and HEAL Africa Hospital.

Stability:

Having come through a period of uncertain security in 2016, Goma is currently peaceful albeit still coping with political uncertainty.

International Co-operation

An American surgical team from Wisconsin (pictured below) arrived for a two-week visit on 27th February. Neil has therefore continued with clinical activity (though less operating time) to allow the visiting team to teach and train the local surgeons and COSECSA Trainees. (College of Surgeons of East, Central & Southern Africa)

20170302 surgeons

Neil (2nd from left) with US Surgical Team: Greg, Marc, Ed & Chris

It has been encouraging to see the USA team embracing the basic surgical training program at HAH. Their interaction with the COSECSA Trainees has been of great benefit. This was demonstrated on Thursday 9th March, in an additional training session, when all the visiting surgeons formed a panel to answer Trainees’ questions.  Subjects included not only clinical problems, but also the craft of surgery, the responsibility of surgical care in DRCongo, and the significance of the current group of Trainees being the vanguard of improving surgical care in their resource-poor country.

COSECSA trainees, staff and visitors

COSECSA trainees, staff and visitors

Staff Presentations to Heal Africa Board

The annual HEAL Africa Assemblie Generale Meeting was held from 1st to 3rd March, a good productive time. Australia has two representatives on the board: David Kelly from AusHEAL and Lindsay Thitchener from Sonic Healthcare.A new board member, Dr Bill Clemmer (a long term USAid Program Manager with extensive experience in DRCongo and South Sudan) was welcomed.

HEAL Africa Assemblie Generale

HEAL Africa Assemblie Generale

On the first day, HAH staff presented the previous year’s activities in both the hospital and the community development programs to the Board in a public open session. While this was a long day, Neil and Heather were able to attend . It was a wonderful opportunity to observe the breadth of HEAL Africa’s activities in both the medical field and in community development.

Medical Care at HAH

A few facts gleaned from the presentations the medical care are as follows:

  • The hospital is expanding its capacity from 197 beds to 203.
  • The current hospital staff includes 14 specialists, 13 ‘other’ doctors, many on training programs, 82 nurses, 14 paramedical staff, together with 15 in administration. 42% of the hospital staff are female.
  • Consultations at the hospital rose from 22,576 in 2015 to  27,443 in 2016. There were an additional 17,244 consultations for preventative measures such as HIV follow-up & nutritional care.
  • 5,102 operations were performed by HEAL Africa staff in Goma in 2016.
  • 1,828 pregnancies were delivered. Questions had been raised about the 39% Caesarean section rate. It was explained that HAH deals with many of the difficult cases on referral from other hospitals.
  • There were no cases of maternal mortality for patients treated within HAH.
  • Sadly, presentations of victims of sexual violence rose from 347 in 2015 to 393 in 2016 -having fallen dramatically from 768 in 2010 to 271 in 2013.
  • Outreach surgeries by Heal Africa staff visiting rural centres increased from 719 in 2015 to 825 in 2016 – 28% were orthopaedic procedures, 53% gynaecology (mostly fistula and prolapse repairs) and 18% for general surgery. The latter mostly being for cleft lip and/or palate repair.
  • Activities of the Laboratory and Radiology departments, income generating for the hospital, continue to increase.

Daily Life at Heal Africa Hospital

David has spent the past week ‘tying up loose ends’ from the Assemblie Generale, while Heather has continued English lessons. Neil has been working alongside the USA surgeons, helping to deal with decisions regarding difficult cases.

Examples have been:

  • The sad case of a 3 year-old child with necrosis (death) of much of the tissue on the right side of her face, the result of a severe infection. She was eventually offered palliative care after extensive consultation with colleagues both in the USA and Australia.
  • Another notable case was the resection of an enormous left facial tumour. Surgery involved 4 surgeons and was a great USA/Congolese/Australian team effort.

20170305 child

 

December 2016 Update and Farewell

SECURITY in D R Congo:    

Saturday 19 November passed peacefully – perhaps because the President appointed a ‘Prime Minister’ 3 days earlier.  It seems though, the date everyone is anticipating is 19 December.   Most ex-pat NGOs and non-essential UN staff are being told to leave DRC by 15 December.  There is not only the youth movement who post anti-government twitter-feeds regularly – but now also a movement called “Bye-bye Kabila”, who are calling for a peaceful protest march on Friday 25 November.  We have not been aware of any related anti-government incidents in Goma though there have been a couple of incidents of lawlessness.

 

2017 DEC01 2017 DEC02

Mt Nyiragongo volcano, overlooking Goma, continues to please photographers with its array of cloud formations – and keeps on smoking from its crater!!              

HEAL AFRICA  HOSPITAL (HAH):  

Some of you will have read this on Neil’s Facebook post, but for those of you who do not follow Facebook……the following is Neil’s account of one Diverse Day…….

“…. I sat in the morning chapel service and watched a little guy at the front who lives in poverty, dancing for joy with the choir.  Then I received a text message “Abdominal ballistic trauma in Operating Room now”.  Four hours later after successfully repairing the liver, spleen, stomach, small bowel, colon and left kidney in a young male, I determined that Anton Kalashnikov who invented the AK47 rifle, has a lot to answer for!  I returned to our office to find a flat-bed funeral truck bearing a coffin and 30 or so relatives of another patient leaving the hospital.  The next task was to help the newly returned Emergency Department physician, Dr Muller, put into action plans to improve his poorly resourced department. Then further planning and communications re AusHEAL work in 2017 and, finally,  home for a well-earned shower and clean-up.  Such a diverse day!”       

The patient with the gun-shot wound did well following surgery. We were hopeful of a full recovery….. unfortunately, when we arrived in Mombasa later in the month we received news that he had died after we left.

 

HATSHEAL Africa Training Scheme:

The inaugural meeting of the HATS Management Team was held on Monday 21 November, presided over by the Dean of HATS, Dr Luc Malemo.  Ten departmental heads of various training programs at HAH were informed of the renewed emphasis being given to ‘training’ within the organization.  Teaching and Training in all HAH services and departments will lift the standards of the organization and contribute towards improved healthcare at the hospital and the community services it provides.

2017 DEC03

Inaugural HATS Management Team meeting

SHORT-TERM DEVELOPMENT GRANTS:

  1. HAH Dentist, Siva, who has been mentored and trained by AusHEAL team dentist,  Dr John Yared, spent 18 days at the large dental unit at Kijabe Hospital in Kenya. He was sponsored by an AusHEAL Short-Term Development Grant. Siva was able to observe how work was organized and performed in Kijabi, as well as learning about root canal treatment and the use of dental braces.
  2. Following discussions with the Chiefs of Nursing about selection of suitable nurses to receive an AusHEAL Short Term Development Grant (STDG), Orthopaedic Officer, Katembo, who works in the operating theatre, was awarded a grant to visit a Nairobi hospital to observe and learn the necessary skills for new procedures now being undertaken at HAH (knee and hip replacements).

 

SURGICAL TRAINING  –  COSECSA (College of Surgeons of East, Central and Southern Africa)

Tests & interviews were conducted for the 5 College Trainees at HAH to assess their progress with the COSECSA Membership Training Course.  Lack of proficiency in English is a major hurdle contributing to difficulties in comprehending the clinical texts they are studying. They are showing good improvement in this area.  All agreed the training program was quite heavy, but realised the opportunity they have been given.  The trainees reported learning many new things with resultant improvement in the care and management of their patients.  All 5 are keen to continue.

2017 DEC04

3 COSECSA trainees waiting for their interviews

This week, the 5 COSECSA Trainees and 4 of the HAH Trainers  are in Mombasa, Kenya (together with Dr Jo Lusi, founder of HEAL Africa) attending the COSECSA Annual Scientific Conference.  Not only is it beneficial for the HAH doctors to be exposed to a wider experience of surgery in Africa and attend the scientific presentations, but equally important for the COSECSA College to witness the enthusiasm and commitment of the first Membership Training Program established in D R Congo.

 Dr Kinyoma (Trainee); Dr Luc (Director of COSECSA, HAH), Dr Kahuko (Trainee), Neil (awarded a COSECSA Fellowship ‘by election’) and Trainees Drs Severin, Francisca and Jacques.

Dr Kinyoma (Trainee); Dr Luc (Director of COSECSA, HAH), Dr Kahuko (Trainee), Dr Neil (awarded a COSECSA Fellowship ‘by election’) and Trainees Drs Severin, Francisca and Jacques.

 

Dr Muller

2017 DEC06

Dr Neil and Dr Muller with defibrillators for the Emergency Department – thanks to the MATER HOSPITAL in BRISBANE Australia who sent over a container of equipment.

Congratulations to Dr Muller on his Graduation in Emergency Medicine in  Dar es Salaam in early December.

 

GLOBAL SURGERY:

Neil attended the G4 meeting in Washington DC on 10-11 November. The G4 Alliance for Global Surgery, Obstetrics, Trauma and Anaesthesia care is seeking a way ahead to provide access to safe, affordable surgical and anaesthesia care for 5 billion people worldwide who do not have such access. He was representing HEAL Africa Hospital. Of the 83 organisations represented at the conference, only 12 were from Low and Middle Income Countries – therefore the importance of being there as a voice for the truly neglected surgical patient, as well as for HAH and its work.

Neil had opportunity not only to highlight HEAL Africa Hospital but also stress to those present the need to include more representation from LMICs.  It was an interesting time to be in Washington so soon after the Presidential election and to be briefed about the potential impact that will have on US relationships with the rest of the world.

 

A SMILE COSTS NOTHING ……

On a previous trip, we (Neil & Gwen Wetzig) kept acknowledging a female security guard at the hospital gate – but, there was not much response.  We kept smiling every day and said “Bonjour”.  Slowly there was a little response.  On this trip there has been a great response – hellos and smiles and even calling each other by name. To top it all off – her son was a patient at the hospital. – Now there is a very happy security guard who smiles and greets us enthusiastically!

For a few weeks we greeted a young disabled girl with hydrocephalus (maybe aged 10-11 years) who just sat on some steps as we walked past every day.  We would greet her but there was no response.  We kept saying “Jambo” and waving and smiling. Gradually, after many days she began responding.   Then she began waiting for us. Then she initiated the waves and smiles and called  “Jambo” out to us.  Then one day, she was gone! We just hope that for those few weeks we were able to bring some small amount of joy to her days.

One day we found a young boy in a wheelchair sitting in the doorway of a room at the bottom of the steps we use to go up to the AusHEAL office.  His leg was pinned and in plaster.  He was perhaps about 8 or 9 years old.  The first day we said hello and smiled, but there was no response – then again the next day but still no response – then a few days later a little acknowledgment – then half a smile – then a “jambo” response!

By the time we left there were big smiles and ‘jambos’ and ‘bonjours’ every day and a very warm and hearty response from him every time we passed. One day he was crying and Gwen stopped beside his wheelchair.  What could she do????? Nothing much – so she prayed… and touched him on the shoulder and continued on.  When she returned about 15 mins later, he was happy again and smiled brightly!  Gwen also had the opportunity when seeing him wheeling himself out of the outpatients building, to offer to push his wheelchair back to his room.  He agreed – what a precious moment in time.

One day there was a young girl walking through the hospital wearing a T-shirt that said    “Use your Smile to Change the World.”  No one of us can change the whole world – but we CAN change someone’s world…. sometimes!!!

 

November 2016 in Congo

Greetings from eastern Democratic Republic of Congo – a nation that does not stop for a horse race…  does not have to vote in the USA elections nor choose whether to stay within or exit from the European Union….. but a nation that wants to be democratic, could be a republic, wants to have new president elections ….. but still is… Congo!!

 

SECURITY in D R Congo:

Things have currently remained relatively calm around the country as far as we know.  As the country approaches November 19th the tension is likely to rise.  Probably the most significant date is going to be December 19, when constitutionally the leader is supposed to step down.

Goma has been quite calm.  There have been the usual incidents of gunshot wounds and accidental injuries but to date none related to the security situation.  Today we noticed a group of young people gathered at one of the universities here, so perhaps they are gearing up for the next round of protest marches.

 

MAJI:

One night as we were seated at the dinner table at Maji (our accommodation), in walked a new guest . As he began to speak it was obvious he was an Aussie! He was with the TEAR Australia Fund, staying at Maji on and off for a couple of weeks.  The Tear Fund office is located immediately next door to the Maji property.  It is rare for another Aussie who is not connected to our regular AusHEAL, Sonic or WorldShare teams to visit Goma.

 

TRAINING at HEAL Africa Hospital (HAH):

Dr Luc Malemo (Director of Surgery, HAH) has been appointed the new Dean of HATS Heal Africa Training Scheme, with Dr Neil Wetzig as the Deputy Dean.   HEAL Africa’s vision was originally to train Congolese doctors in-country.   However this changed for a number of years to allow specialist training in other African countries.  HEAL Africa has now established a solid basis for the future direction of the hospital and its leadership as these specialists have returned to work here. Therefore, a group of potential trainers has been established locally.  Many of the returned qualified  specialists will train others in their areas of specialty, all under the HEAL Africa Training Scheme H.A.T.S.

Dr Luc, Dean of HATS with Dr Jo Lusi, Founder of HAH

Dr Luc, Dean of HATS with Dr Jo Lusi, Founder of HAH

SURGICAL TRAINING

COSECSA (College of Surgeons of East, Central and Southern Africa): Following the very helpful COSECSA course recently in Kigali on Basic Surgical Skills, the 5 surgical Trainees from HAH attended a weekend course (again in Kigali, Rwanda) on Surgical Physiology.  Each Trainee was partnered with a Trainee from Rwanda and together they presented on a topic.  During the following week back at HAH, Neil had one of the Trainees with him on 2 occasions while seeing a patient.  HE questioned the trainee about a particular situation, and on both occasions each Trainee thought through the question and answered correctly.  Both Trainees were delighted to be able to say, “I learned that at the weekend Physiology course in Kigali.”.

 

SHORT-TERM DEVELOPMENT GRANTS:

While discussing with the Chiefs of Nursing at HAH about selecting suitable nurses to receive an AusHEAL Short-Term Development Grant to visit a hospital in another African setting, the Chiefs shared the following:

  • “Visiting AusHEAL Teams from Australia (Doctors + Nurses) give us innovations and we use them to improve.”
  • “Your Teams know us better – they know our strengths – and know where we need to improve.”
  • “AusHEAL Teams ‘adapt’ training to our level.”

It is encouraging to see both the improved level of nursing care at the hospital and the way in which the nurses benefit from the visits of the AusHEAL Nursing Teams.

 

WELCOME BACK Dr MULLER !!!

After 3 years of AusHEAL-sponsored specialist training in ‘Emergency’ in Tanzania, Dr Muller has now qualified and returned to HAH eager to make its Emergency Department efficient and well-organised; together with training its staff to be capable, competent and caring.  Dr Muller is the first fully-trained Emergency Specialist in the whole of D R Congo.

2017 DEC07

2016 NOV02

Dr Muller being welcomed by Dr Neil

GLOBAL SURGERY:

This week Dr Neil Wetzig is visiting Washington DC to attend the G4 Alliance Board Meeting.  The G4 Alliance is a global alliance to look at strategies to improve Surgery, Obstetrics, Trauma and Anaesthesia care in the developing world.  Neil represents HEAL Africa Hospital on this Board. He is passionate about representing and advocating for the real needs ‘on the ground’ in these 4 areas of unmet medical needs in countries like D R Congo.

 

MEDICAL:

One of the reasons that Neil is passionate about Global surgery is because of what we see ‘on the ground’ at HAH as poor surgical outcomes.  In the last fortnight two major surgeries each lasting 6-7 hours have been conducted to ‘re-arrange’ the abdomen and bowel of 2 women who had surgery, complicated by more surgery in a peripheral centre.  Referral to HAH was arranged due to continuing bowel motion leaking from their abdominal wounds. Both women are now doing fairly well.

Another case with similar complications, though in a male, is planned for the week after Neil returns from Washington.  Such complex cases continue to be good opportunities to work alongside the HAH surgeons, and to work as a team.

In a further surgical case Neil operated with one of the HAH surgeons on a 30-year old woman from a remote island in Lake Kivu.  12 years previously she had had a caesarian section for the delivery of her first child.  The baby tragically died. During the operation the mother’s ureter (tube from the kidney to the bladder) was sewn into her vagina.  She has leaked urine ever since. Her husband left her, and she then had no chance of ever falling pregnant.  It is satisfying that some dignity has been restored to her life (albeit 12 years too late) when her ureter was able to be re-implanted into her bladder – and now she is ‘dry’.

 

REMINDER of HOME ….

We have always believed there is a special ‘synergy’ between Africa and Australia,   not just in the way people get along, but also in the vegetation (many gum trees) and flora (hibiscus, bouganvillea and beautiful bottlebrush trees).  We have one of these outside our room at Maji. Also, we can walk out of our AusHEAL office at the Hospital and look down on another bottlebrush tree and feel not so far away after all.

bottlebrush

bottlebrush

October 2016 Update from Neil & Gwen Wetzig

SECURITY in D.R.Congo:

It continues to remain safe in Goma currently, though the 19th of each month could be disruptive. An activist group has been cleaning streets dressed in white to show they want a ‘new’ country. The police have stopped some. Civil disruption has been reported elsewhere with reports of young people being shot in Butembo after protests. (300kms north of Goma). In Kinshasa, the capital, protesters have been reported shot by police.  As Dr Jo Lusi (founder of HEAL Africa) said recently, “Every day we remain ‘extremely curious’. “. 

Road Re-Surfacing:

Those reading this who have been to Goma will be surprised (and thrilled) to know that the main road from Maji, where we stay, along past Le Chalet and up to the main junction, is being resurfaced with bitumen. This past week work has been done on the section along and outside Maji. Detours around the road works are so narrow and bumpy, making the current drive frustrating. Equally, the entrance to the hospital itself has been moved and remodelled in an effort to make the hospital flood proof after the inundation and damage earlier this year.

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Sights on Goma roads: the things that are carried on motos

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Sights on Goma roads: loads pushed on a chugadoo

Education & Training:

[i] SURGICAL TRAINING

AusHEAL supports basic surgical training under COSECSA (College of Surgeons of East, Central and Southern Africa). Much of this training is conducted within HEAL Africa Hospital by the HAH Surgeons. Such training is the first of its kind in D.R.Congo. The 5 HAH trainees are required by the College to attend courses over the border in Kigali (Rwanda), in association with the Rwandan Surgical Society.

Trainees went to Kigali on Tuesday and Wednesday this past week to attend the first course on ‘Basic Surgical Skills’. The event created anxiety as a number of the trainees had not ventured outside Congo before.

Neil had travelled to Kigali a day ahead of them for a ‘Train the Trainers’ component of the course and to his surprise found it was being conducted by two Scottish surgeons from the Royal College of Surgeons of Edinburgh, along with the head of training in Rwanda. He was able to facilitate the attendance of the Heal Africa Hospital trainees and ensure that the Trainers were sympathetic to their difficult situation, particularly as in Congo English is not the first language.

It was a thrill to see the Congolese trainees perform so well at the course, be accepted by their Rwandan colleagues and learn a great deal of basic surgical skills.  It has boosted their confidence. It was helpful for the Congolese trainees also to see that the techniques that Neil has been discussing with them are actually not just confined to surgical practice of in the developed world but also regarded as essential by their African colleagues.

A second similar course on Surgical Physiology will occur in Kigali on the 23rd-24th October. In their weekly presentations at HAH the trainees have already been studying Surgical Physiology in preparation. Their initial fear of having to present course material has been allayed by meeting up with their Rwandan colleagues at the first course.

05-neil-supervising-2-ha-trainees

For Neil, attendance at the Basic Surgical course in Kigali furthered his connection with surgeons from other nations who have a heart to improve surgery in the developing world. Surprisingly there was a unique connection with the immediate past president of the Royal Australasian College of Surgeons.   He was exposed to some unique and simple models for teaching basic surgery, applicable in resource-poor settings.  It also highlighted the huge difference in ‘development’ that is present between Rwanda and eastern D.R.Congo to him.”

[ii] ENGLISH

Gwen has begun English classes 4 times a week. 2 specific classes for staff from the Finance Department and 2 classes generally for remaining hospital staff. It brings much enjoyment not only to the students but also to Gwen herself.

Gwen teaching English

Gwen teaching English

[iii] OTHER TRAINING

After a number of years of sponsoring young doctors to specialise in other African countries, HEAL Africa Hospital is now well-equipped with trained specialists in most of its Departments. The focus of the hospital is being realigned to empowering training in Congo itself, Jo and Lyn Lusi’s original vison.

Consequently last week saw the establishment of a new training focus at HEAL Africa Hospital called  H.A.T.S. – Heal Africa Training Scheme. Training under the umbrella of HATS began in the following areas:  Family Medicine Program,  Surgical Training Program (COSECSA),  Orthopaedic  Officers Training Program (Nurses),  Neonatal Nurses Training Program,  Fistula Surgery Training Program,  Radiology Training, with the anticipation of  Maternity Training,  and probably Emergency Medicine training.

[iv] CHAPLAINCY

As a further part of the HATS program, a Chaplaincy Training School was launched on Friday 7th October also a long-held dream of Heal Africa founder: Dr Jo Lusi.  Twelve men and women from community villages and committees have begun Clinical Pastoral Training to enable a holistic approach in healing. The community leaders are taught to listen as people tell their stories and offer wise counsel.

It is still common in surrounding villages for people to believe in witchcraft and seek advice when ill from their local ‘healers’. Training chaplains will begin an approach to educate people in communities and villages about the benefits and value of seeking trained medical help from hospitals. Secondly communication networks between hospital and village will be fostered and strengthened.

It is the legacy of Jo’s late wife, Lyn, whose life’s work was to reach out with ‘love in action’ to the people in villages of eastern Congo by establishing local community committees to find solutions to, and help deal with, the many atrocities (social, health and spiritual) occurring in rural areas.

How things can change quickly:

Overnight a young moto (motorbike) driver aged 28 was admitted after having been knocked off his moto in a ‘hit and run’ incident. He had a very serious head injury, was unconscious and transferred to the Intensive Care Unit where he was put on a ventilator. A CT was indicated. As the hospital CT machine sent from Australia some time ago is still awaiting further funding to allow installation, the young man had to be transported by the HEAL Africa Hospital (HAH) ambulance to a private radiology clinic in Goma for the scan.

Unable to afford the private CT cost and ambulance fee, his family asked for contribution from family friends etc. At the transfer 30-40 fellow moto (motorbike) drivers congregated at the gates of the hospital to watch him being put into the ambulance. No doubt they had also contributed to his financial need.  This is a culture of community – not individualism.  They help each other out.

The CT scan was performed and the patient returned to the HAH hospital.  Sadly the results revealed severe bleeding inside the brain. Inoperable.  And now the family just waits……03-img_4109

As is often the way in Congo, rumours spread quickly.  A car came to the hospital and the moto drivers thought it was the vehicle which had hit their fellow driver. A commotion started at the front gate as many moto drivers tried to storm the hospital. They wanted to pull the driver out of the vehicle, beat him and burn the car.

In a matter of minutes about 5 heavily armed police arrived at the entrance and along with the hospital security guards managed to push the moto drivers back and disperse them. It turns out the driver of the vehicle was simply a friend bringing the patient’s wife to the hospital to pay the bill!  This story underlines Congo’s background: patients cannot often afford medical care, there is a tremendous community spirit, but rumours and misunderstanding can lead to rapid changes in the mood of a crowd. It reflects the edge the country is on with the current political uncertainty.

SURGERY :  A 12-month journey for a 9 year old girl……

A year ago Dr Neil saw a young girl who had accidentally drunk acid. It consequently destroyed her oesophagus and left her unable to swallow.  Her parents took her to 4 hospitals and used all their money on these visits but nothing was able to be done for her.  She was malnourished and her father pleaded with us to help her. As the girl’s weight and nutritional condition had greatly improved Neil was able to operate on her in March this year, performing oesophageal bypass surgery. It was major surgery, successful and she recovered amazingly well.

She attended an outpatient’s  appointment this month  for a clinical review and she is so well – no side-effects and eating and swallowing normally. Imagine the excitement when her father brought her to the hospital during this past week to greet us and to say how wonderfully she was doing. She is back at school as a normal student. This girl now has a future ahead of her.

AusHEAL through its AusHEAL Hospital Patient Fund provides funds to enable such patient’s surgery and subsequent hospital care.04-kitso-with-her-family

September 2016 Update

Technical:

AusHEAL Team Member, Paul Bakes (IT Systems Engineer) has been at Heal Africa Hospital (HAH) for the past two weeks, at the specific request of the CEO of the hospital. Paul’s task was to look at the problems HAH is having with QuickBooks, their accounting package.  The online version is unsuitable due to slow internet connection.   A solution to the slow internet connection is being sought urgently, as the HAH Board desires accounting to be online.  Other tasks Paul achieved were:

  • Installation of new internet server (proxy server)
  • Installation of backup procedure for the Patient Admin Software server
  • Installation of new backup server for the whole Heal Africa organisation
  • Measured and drew plans for additional levels of Radiology

Container: 

A container sent from Brisbane’s Mater Hospital via DHL had arrived before the Australian team.  Dr Neil Wetzig and Paul supervised an audit of the container’s contents. Some of the supplies and equipment were delivered to the appropriate departments under Neil’s guidance; the remainder being withheld, to be delivered gradually as needed to avoid overwhelming the recipients.

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Unloading the container from the Brisbane Mater Hospital and DHL

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Container supplies being delivered to the operating-theatre-complex

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Unloading the heavy operating theatre table

Surgical:

  • Dr Neil has borne the whole surgery load at the hospital since Dr Luc left for the USA a few days after we arrived.
  • He continues to see complex surgical conditions, some that he has never seen before.
  • The other HAH surgeon, Dr Medard, has been on rural ‘outreach’ since we arrived and due to security issues where he was, no flight was available for him to return to Goma this past week.
  • He has now returned from the north west of Congo and has reported that there was a 500-bed hospital in Kananga, serving millions, but the hospital was filthy inside and there was no surgeon. The young doctors working there do their best with little to no training…… This is why the COSECSA surgical training program at HAH is so important – one of the current Trainees comes from that area!

 

Surgical Training:

The 5 COSECSA (College of Surgeons of East, Central & Southern Africa) Trainees are very keen to learn.  As well as researching and presenting on various topics (2 sessions per week) they are also taking English lessons (this 2 year course is in English).  Their presentations are improving and show not only good research skills but also an enormous amount of work being committed to this.  Trainees will attend courses in Kigali (Rwanda) this month.

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Dr Neil instructing the 5 COSECSA trainees

Scholarships for Specialisation:

  1. AusHEAL sponsorship for Dr Muller has provided for 3 years specialisation in Emergency Medicine. He has now completed his training and exams obtaining his Emergency Medicine specialist qualification. Dr Muller is expected back this week and will contribute enormous value to not only the Emergency Department, but to the whole Hospital.
  1. Dr Kigayi, also on an AusHEAL scholarship has completed his first year of Anaesthetic specialist training in Tanzania.
  2. Dr Barthelemy has been accepted into Nairobi University (Kenya) to begin specialist training in Obstetrics & Gynaecology (‘ObGyn’ here). This is a 4 year course and is being sponsored by AusHEAL.  There is a great demand for ObGyn services here in Eastern Congo, especially due to the need for fistula and prolapse surgery for women.
Dr Muller, AusHEAL Scholarship Holder in Emergency Medicine specialist training

Dr Muller – Emergency Medicine

Dr Kigayi - Anaesthetics

Dr Kigayi – Anaesthetics

Dr Barthelemy

Dr Barthelemy – Obstetrics

HEAL Africa Hospital News:

This week HAH received a delegation from UNICEF – a group comprising the Brazilian Ambassador to DRC who was accompanying Princess Caroline of Monaco (a UNICEF Ambassador).

We had the opportunity to talk with the Brazilian Ambassador for about 20 minutes.  He showed great interest in our work and training here, what AusHEAL teams had been doing over the years, and particularly in the current surgical training program.  He insisted on our meeting the Princess, so Dr Neil perfected in 30 seconds a summary of why we are living here and what we are doing here.  We are hopeful that there might be some UNICEF support forthcoming for Heal Africa Hospital’s work with children and women

Princess Caroline of Monaco with Neil & Gwen Wetzig

Princess Caroline of Monaco with Neil & Gwen Wetzig

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Dr Neil with the Brazilian Ambassador to the Democratic Republic of Congo