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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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Distribution <strong>and</strong> Incidence of Tropical Surgical Diseases<br />

283<br />

each of us must face daily no matter where our surgical <strong>in</strong>terests lie—<strong>the</strong> care for<br />

ever greater numbers of more <strong>in</strong>tensely ill patients with fewer resources committed<br />

<strong>in</strong> redundant overservic<strong>in</strong>g. This educational effort might be well <strong>in</strong>vested <strong>in</strong> shar<strong>in</strong>g<br />

<strong>the</strong> tropical surgical burden with colleagues worldwide <strong>in</strong> <strong>the</strong> <strong>in</strong>novations that<br />

are help<strong>in</strong>g adapt to <strong>the</strong> large surgical patient population amid <strong>the</strong> tropics, <strong>and</strong> <strong>the</strong><br />

majority of <strong>the</strong> world’s underserved population.<br />

Creativity <strong>and</strong> <strong>in</strong>genuity is <strong>the</strong> ultimate surgical skill when applied to press<strong>in</strong>g<br />

human problems. As we once considered a very impos<strong>in</strong>g surgical challenge, <strong>the</strong><br />

follow<strong>in</strong>g <strong>the</strong>matic phrase was exchanged <strong>in</strong> plann<strong>in</strong>g <strong>the</strong> care for a number of needy<br />

patients: “We have no money; <strong>the</strong>refore, we must th<strong>in</strong>k!”<br />

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