The document discusses concepts related to providing medical care in developing areas of the world. It touches on topics like the portability of medical skills across geographic and cultural barriers, leading causes of mortality globally, and the relationship between health and human culture. It also discusses challenges like resource constraints, as well as benefits like empowering local communities and trainees.

1. “ A man cannot travel great distances without developing ideas.” “ Old Seeker”, encouraging yound Nxumalo, The Convenant , p. 91, James A. Michener Mission to Heal The January Series Calvin College Glenn W. Geelhoed January 13, 2011

2. “ I would not give a fig for the simplicity this side of complexity, but I would give my life for the simplicity on the other side of complexity.” - Oliver Wendell Holmes

3. Simplicity ComplexityChaos Simplicity

4. “ A mind stretched by a new idea can never go back to its original dimensions.” - Oliver Wendell Holmes Transformational Learning We are all “on a mission.” www.MissionToHeal.org

10. Darfur/Chad Refugee/IDPs UN/NGO

12. The Healing Art Is a Nearly Ideal Transportable Skill Across All Artificial Human Barriers: Geographic Linguistic Racial Cultural Religious Political

13. Morbidity & Mortality Mortality: loss of years from life Morbidity: loss of life from years Leading causes of MORTALITY on the planet: Diarrhea Acute Respiratory Infections Malnutrition Malaria Measles

14. Morbidity Infection vs Infestation Burden of illness Neglected Tropical Diseases (NTDs) Soil Transmitted Helminths Schistosomiasis Lymphatic Filariasis Trachoma

15. Living Beyond Borders Outside Borders Political Geographic Cultural Religious

16. Living Beyond Borders Inside boundaries Socio-economic Ethnic divides Misunderstandings

17. Living Beyond Borders Have / Have Nots

18. Surgery in General A healing art in tandem with medical curative and prevention programs Example: thyroidectomy Simple process Complex benefits Prevention programs Public health Nutrition Development

19. Hypothyroidism

20. Immediate response, for good or ill Teachable techniques Judgment: Cumulative & Adaptive Surgical Skills

21. + Cretinism + Goiter + Low Energy, Fertility - Hunger - Competition for Resources - Population Explosion Consequences of Medical Intervention: Hypothyroidism

22. So, you want to be Dr. Livingstone, I presume? To explore unknown territories To meet exotic peoples To have novel experiences To satisfy the inner adrenaline junkie To benefit those less fortunate

23. Kaposi’s/HIV

24. Africa Medical Anthropology & Geography/”States” Whenever mass disease occurs, it is a result of ‘ disturbance of human culture.’ - Rudolf Virchow, MD

25. Nigeria

26. Congo

27. Rwanda - Kigali

28. Rwanda - Gisenyi

29. Chad – N’djamena

30. Chad – Am Timan

31. Somaliland

32. Ethiopia

33. Sudan

34. Sudan

35. Malawi

36. Malawi

37. Tanzania

38. Haiti

39. Himalaya: On trek

40. Himalaya: Ladakh

41. Afghanistan: Kabul

42. Afghanistan: Hindu Kush

43. Philippines: Mindanao

44. Philippines: Bukidnon

45. Philippines: Palawan

46. Cambodia: Phnom Penh

47. New Orleans - Katrina

48. “ Never Again” – Over again Holocaust - Humanitarian Relief Cambodia Rwanda Congo Somaliland Sudan

49. Wake-up Calls September 11, 2001 Tsunami Earthquakes SARS Flu Bioterrorism

50. Resources Motivation – BYO Money Resourcefulness Flexibility Ingenuity Improvisation

51. Resource Surgery and Healing in the Developing World Available as a free download at: LandesBioscience.com

52. Gifts From The Poor Available as a pre-release after this presentation

53. Coping Self Fulfilling Prophecy : “There is really nothing you can do for these people.”

54. Good Enough for African Standards “ We are doing good, so we do not have to do it very well”

55. “ Teaching to Fish” Indigenize Skills: Working our way out of a job

56. The “Other” They are not “like” us… They ARE us…

57. Who is my neighbor? Who built the Fence?

58. Empowerment

59. “ It is what we make out of what we have, not what we are given, That separates one person from another” Nelson Mandela, 1995 Long Walk to Freedom , p184

60. Healing…For Whom? Patients cared for Trainees empowered The care givers Social and political isolation Humanitarian, Ethical, Religious

61. The South Sudan Peace Initiative Model Building a health bridge between competing cattle cultures Healing and Health

62. Giving – The Gift Giving Back Learning – Gifts from the poor Options – Life: To spend or to give

63. Operation Giving Back To Live To Learn To Love To Laugh To Leave a Legacy