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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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To My Son, <strong>the</strong> Urologist<br />

Figure 8. Round<strong>in</strong>g on <strong>the</strong> male ward <strong>in</strong> Bangladesh.<br />

through cyberspace my practice now is worldwide, s<strong>in</strong>ce I serve as a urologic consultant<br />

to virtually anyone ‘<strong>in</strong> <strong>the</strong> trenches’. Then, too, <strong>the</strong> homefront can be impacted<br />

by your mission as colleagues <strong>and</strong> friends mobilize to assist <strong>in</strong> what, <strong>in</strong> fact, is<br />

a team effort. But, my experiences have taught aga<strong>in</strong> <strong>and</strong> aga<strong>in</strong> that <strong>the</strong> greatest<br />

results transpire with<strong>in</strong> me—personal growth result<strong>in</strong>g from challenges; a better<br />

underst<strong>and</strong><strong>in</strong>g of different cultures <strong>and</strong> people; an <strong>in</strong>creased desire to advocate for<br />

those desperately needy, though voiceless, ones around <strong>the</strong> world; satisfaction expressed<br />

so eloquently <strong>in</strong> <strong>the</strong> happy smiles of patients treated as well as <strong>in</strong> <strong>the</strong> tears at<br />

<strong>the</strong> time of departure from our national bro<strong>the</strong>rs <strong>and</strong> sisters. To paraphrase, service<br />

IS its own reward.<br />

Doug: Why do you serve <strong>in</strong> volunteer medical missions?<br />

Dad:<br />

This question is perhaps more important than any of those addressed above. Is<br />

my (your) <strong>in</strong>terest to sightsee? to experience adventure? to escape <strong>the</strong> monotony,<br />

hassle <strong>and</strong> demean<strong>in</strong>g regulations of Stateside practice? to ‘pay my dues’ to <strong>the</strong> human<br />

race? to ga<strong>in</strong> a world view? to impress my colleagues with a concern for <strong>the</strong><br />

‘global village’? to enthrall co-workers with accounts of exotic diseases, strange (to<br />

Americans) customs <strong>and</strong> dramatic experiences? Or, is it <strong>in</strong> response to <strong>the</strong> abundant<br />

bless<strong>in</strong>gs from God upon America, <strong>in</strong> <strong>the</strong> doma<strong>in</strong> of healthcare especially, a desire to<br />

share out of our bounty with those <strong>in</strong> profound need that defies accurate description?<br />

In my case, it’s <strong>the</strong> last of <strong>the</strong> list. Although <strong>in</strong> <strong>the</strong> recitation of possible<br />

motives each is worthy to a po<strong>in</strong>t, only <strong>the</strong> last, <strong>in</strong> my view, will <strong>in</strong>spire <strong>and</strong> motivate<br />

one to ‘keep on keep<strong>in</strong>g on’.<br />

51<br />

6

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