Saturday, September 09, 2006

One Heart Outreaches and Teaching Ultrasound

Interviewing a doctor or "amchi" at Jama clinic



1. Birth log, 2. Girl in Jama clinic 3.Patient at Jama clinic

Ultrasound teaching


This week we outreached to various clinics in the rural areas of Tibet to assess how well the village and township (county) doctors or "amchi" benefited from the One Heart training. The goal of all this training is to reduce maternal and infant morbidity and mortality. For example the infant mortality is 10% in Tibet, double that of most developing countries. The US's is <1%.>

With this trip Reini and I have tried to create a survey to assess how and if they have benefited from the program and what can be done to further support them. It's been really interesting to interview the village and township doctors and see how incredible the teaching has benefited them. One village doctor told me before the training when she attended a delivery she would be very nervous and now she feels confident and able to handle the problems that might arise with a delivery. She loved the training. All of the doctors have really enjoyed the additional knowledge, equipment, and medications One Heart has provided. Its pretty inspirational to hear them talk and how a grass roots approach can really make a difference. It's the kind of thing as cheesy as it is, gives you chills when you hear them talk about the training benefits.

One afternoon I taught some of the MD doctors that act as preceptors to the village/town doctors when they do their clinical roations. They've just gotten an ultrasound (US) machine. I taught them some basics in US uses and technique. We had a lot of fun and they picked it up really quickly. They want me to come back to do another teaching installment. Some of the One Heart staff have taken on the task of translating the handout I've made into Chinese. We also scanned Reini's tummy and I showed them how to measure and date a fetus. Reini's sprout was a little over 4cm and squirming all around.

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