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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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Foreword<br />

<strong>Surgery</strong> <strong>and</strong> <strong>Heal<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> Develop<strong>in</strong>g<br />

<strong>World</strong><br />

The major thrust of this book is to present a collection of “how I do it”<br />

from 50 authors. The whole book is a valuable travel<strong>in</strong>g companion for<br />

those attempt<strong>in</strong>g <strong>the</strong>ir first medical mission, or veterans of many such trips<br />

eager to better perform this art.<br />

There is an occasional familiar name among <strong>the</strong> authors, Robert Blanchard,<br />

a remarkable Canadian academic surgeon. His chapter will br<strong>in</strong>g readers<br />

up-to-date on surgical <strong>in</strong>fections. Blanchard’s experience extends <strong>in</strong>to Pakistan<br />

<strong>and</strong> broadens our view of western commitment to medic<strong>in</strong>e <strong>in</strong> <strong>the</strong> develop<strong>in</strong>g<br />

world.<br />

Diane Down<strong>in</strong>g <strong>and</strong> Ahuka Ona Longombe worked toge<strong>the</strong>r with <strong>the</strong><br />

editor among <strong>the</strong> iod<strong>in</strong>e-deficient Az<strong>and</strong>ies, a neglected tribe <strong>in</strong> Zaire<br />

(Congo). In <strong>Surgery</strong> <strong>and</strong> <strong>Heal<strong>in</strong>g</strong> we f<strong>in</strong>d <strong>the</strong>m on <strong>the</strong>ir own, each do<strong>in</strong>g<br />

o<strong>the</strong>r th<strong>in</strong>gs; both exemplify common sense to an uncommon degree.<br />

Longombe’s “Study of <strong>the</strong> Epidemiology <strong>and</strong> Treatment of Fractures” <strong>and</strong><br />

“Surgical Tra<strong>in</strong><strong>in</strong>g of Nurses for Rural Areas” merit careful attention. He<br />

learned by do<strong>in</strong>g it over <strong>and</strong> over aga<strong>in</strong>. Longombe’s collaboration between<br />

equally well tra<strong>in</strong>ed surgeons <strong>in</strong> Africa. Surgical improvisation is <strong>the</strong> result;<br />

it is often <strong>the</strong> most fun of all.<br />

Diane Down<strong>in</strong>g’s chapter on “Tropical Nurs<strong>in</strong>g” demonstrates her experience<br />

perfectly. In addition to her experience she has a creative scientific<br />

m<strong>in</strong>d <strong>and</strong> unquenchable spirit.<br />

Given <strong>the</strong> tim<strong>in</strong>g necessary for “<strong>Surgery</strong> <strong>and</strong> <strong>Heal<strong>in</strong>g</strong>” I’ve yet to read,<br />

“Medic<strong>in</strong>e Writ Large <strong>in</strong> <strong>the</strong> Raw, Without Power or Plumb<strong>in</strong>g” which, as<br />

<strong>in</strong> three o<strong>the</strong>r chapters, are solely written by Glenn Geelhoed himself. These<br />

<strong>in</strong>sights should be valuable.<br />

On balance Glenn Geelhoed <strong>and</strong> his co-authors, give us a deep but unpretentious<br />

storehouse of good th<strong>in</strong>gs to know about, surgery <strong>and</strong> heal<strong>in</strong>g <strong>in</strong><br />

<strong>the</strong> develop<strong>in</strong>g world. Unquestionably, this is <strong>the</strong> right th<strong>in</strong>g at <strong>the</strong> right<br />

time. We are grateful to all concerned.<br />

Timothy S. Harrison

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