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Charity At Work

Autumn 2014 - Summer 2015


Bulawayo PCNL Workshop

My journey here was extraordinary. I left home early afternoon on Friday, 26 November 15, thanks to my long suffering wife Caroline with a brief stop to see my daughter Katy and my granddaughter Josephine en route to Heathrow to take an Air Ethiopia flight to Addis Ababa. We landed around 6.30 am (4.30am UK time) with a 3 hour stopover before taking the flight to Harare. It took around 2 hours to get through immigration so it was already around 4 pm when I arrived at the Rainbow hotel in Harare. The hotel staff were utterly charming when they then announced that due to circumstances beyond their control they were unable to accommodate me in that particular hotel, but they would accommodate me in their sister hotel in Bulawayo. Even though they were hosting a huge Pan African meeting on HIV with 5000 attendees, the hotel was being taken over by the Chinese President and his entourage. One floor of the hotel would not satisfy their security requirements, so the Chinese insisted on taking over the entire hotel with minimal notice. Therefore, I was delighted to fly that night on a chartered Airbus to Bulawayo with 10 other attendees. They were going to commute morning and evening to and from Harare paid by the hotel. I got to sleep that Sunday morning instead of getting up at 5.30 for a 7am flight.

Sunday was spent recovering and preparing talks for the forthcoming workshop. To my delight Professor Amaechi Enwerem had organised for some senior registrars and consultants to come down from Harare and for a group representing Coloplast to fly in from Pretoria. The visiting surgeons from Harare included Dr Ladislav Chonzi, Dr Charles Kabya, Dr Cuthbert Mudimu, Dr Manatsa Chimhamhiwa. Visiting from Coloplast were Kevin Botha and Grace Chitambara. We therefore had a good group for the workshop.

On Monday morning, 30Nov15, we met at the United Bulawayo Hospitals operating theatres. We started with a PCNL case with stones in the right kidney in a patient with a previous pyeloplasty. Some problems arose such as waiting for some equipment to arrive from the Mata Dei Hospital, getting used to the vagaries of their C arm and finding a suitable ureteric catheter. What did work well was the puncture into the kidney and excellent views on the video camera. Both the Nidhi Med lithotripter and the nephroscope worked well and the case concluded satisfactorily. The next case was a stone in the lower right ureter with severe hydronephrosis above it. On cystoscopy we found some sand like lesions on the posterior bladder wall, a normal looking ureteric orifice and a tight intramural ureter. It became clear that there was no stone and that the calcification was a calcified Schistosomiasis lesion. We dilated the lower ureter using 2 guidewires and placed a large JJ stent radiographically. The next case was a male patient with multiple radiolucent stones in the left kidney. I demonstrated a track into the lower pole and then went on to fragment the stones and clear the kidney.

We then spent a most pleasant half hour in the boardroom having lunch and discussing plans. The most interesting aspect of the meeting was a statement from Amaechi Enwerem affirming his intention to establish a training centre for endoscopic urology and his stressing of the importance of looking after equipment and building a team not only perform the procedures, but to look after the equipment. Music to my ears!

Having transferred me to Bulawayo, the hotel could not find the record of my prepayment so the Rainbow hotel here phoned them as I have paid $220 which should have been for those unpaid nights. I had the chance to tell them over the phone how wonderful their administration is/was. Individually though they are amazingly pleasant. Off now to spend the remainder of the day relaxing before a nightmare of a journey and a 02.40am flight to Addis Ababa tomorrow en route to Hawassa for the next training session.p style=”text-align: justify;”>The three day workshop went very well. Great that people came in force from Harare to join the Bulawayo crowd. I will see if we can get the Zambians to join us here for the next visit.

Graham Watson
Bulawayo – 02 Dec 15

B Trg  B Trg3  B7  B20

View Bulawayo PCNL Workshop

Visit to Gambia – 28 December 2015 – 4 January 2016

While most people were celebrating post-Christmas and New Year, the chairman of Medi Tech Trust Mr Graham Watson, together with keen supporter Mr Abdoulai Sameteh, travelled to Gambia to honour promises made on their last visit. As a renowned consultant urologist, Graham’s expertise was needed to operate on some very difficult cases and at the same time continue to train some of their staff. Besides performing numerous operations, all of which were successful, on the last day of 2015, the first PCNL operation in Gambia was carried out. As a very experienced theatre technician, Lai was instrumental in setting up the first MTT saline making system. Several improvements have been devised which when fully implemented will provide the hospital with a continuous cost-effective supply of saline.

gambia1   gambia2

Graham Watson with some of the theatre staff of the Edward Francis Small Teaching Hospital in Banjul, The Gambia.

gambia3   gambia4

This 7 year old boy came in with a staggering 8 day history of a swollen penis. He had previously been discharged by a local hospital. 30 minutes later we had circumcised him under local anaesthetic and all is well.

gambia5

 This baby boy needed his urethral valves resected. He is now thriving and free of a catheter and has a much improved kidney function.

gambia6

 THE FIRST PCNL PATIENT IN GAMBIA! 48 hours after his operation he came to the operating theatre to say thank you.

View Visit to Gambia – 28 December 2015 – 4 January 2016

PCNL Course: 26 January – 4 February 2015

 

The Stonebuster Initiative

This intensive hands-on training course is being held in Sri Lanka for doctors and surgeons involved in the field of kidney stones.  The itinerary for the UK based participants attending this course is shown below.  They will:

  • Be trained in percutaneous stone surgery
  • Receive the equivalent of six months experience in just a few days
  • Train with local Sri Lankan doctors and surgeons at the same time
  • Bring benefit to your UK patients from the experience you will gain
  • Establish connections with other doctors and surgeons, which will stand you in good stead throughout your professional life.

Why Sri Lanka?

  • The course cost is considerably less expensive than one held in the UK
  • There is too little equipment and too many patients
  • Stone disease is rampant, causing pain and interference with kidney function
  • The variety of types of stones experienced by participants increases their skills
  • Children as well as adults await operations

Course

  •  This course is of 10 days duration, with a minimum of 5 days spent in operating theatres
  • The current all-inclusive cost is in the region of £2,500
  • Medi Tech Trust will provide a grant to a maximum of 20% of the total cost
  • Training is concentrated on percutaneous stone surgery
  • Each UK participant has raised funds, through grants, donations and initiatives in their own locality, towards the cost of their airfare, accommodation and expenses

How to enrol

  • Email your interest or questions to:

grahammwatson@hotmail.co.uk or enquiries@meditechtrust.org

  • All documentation and travel schedules are arranged in advance
  • The itinerary for future courses will be similar to that shown below
MEDI TECH TRUST PCNL COURSE : 26 January – 4 February 2015
YOU ARE IN DAY + DATE PROPOSED ITINERARY
Day Evening
UK MONDAY Own travel to LHR Depart from LHR
26 Jan 15
Meet at 18.30 on UL504 at 21.00
COLOMBO TUESDAY27 Jan 15
Arrive CMB at 13.00Transfer to ColomboArrive at 15.00 Pearl Grand Hotel
WEDNESDAY28 Jan 15
Theatre –South Colombo Pearl Grand Hotel
THURSDAY29 Jan 15
Theatre –South Colombo Pearl Grand Hotel
FRIDAY30 Jan 15
Theatre –South Colombo Pearl Grand Hotel
SATURDAY31 Jan 15
Transfer from Hotel to railway station Arrive at Anurharadpura
ANURHARADPURA Train leaves Fort Colombo for Anurharadpura Transfer toAdvasta Resort & Spa
SUNDAY01 Feb 15
Sightseeing Advasta Resort & Spa
MONDAY02 Feb 15
Theatre –Anurharadpura Advasta Resort & Spa
TUESDAY03 Feb 15
Theatre –Anurharadpura Advasta Resort & Spa
WEDNESDAY04 Feb 15
Depart by train to CMB at 07.30 Depart on UL 503 at 13.05
UK Arrive at LHR at 19.30 Own travel home

View PCNL Course: 26 January – 4 February 2015

PCNL Course – 23 January – 31 January 2015

The Stonebuster Initiative

This is an intensive hands-on training course held in Sri Lanka for doctors and surgeons involved in the field of kidney stones.  The itinerary for the UK based participants attending this course is shown below.  They will:

  • Be trained in percutaneous stone surgery
  • Receive the equivalent of six months experience in just a few days
  • Train with local Sri Lankan doctors and surgeons at the same time
  • Bring benefit to your UK patients from the experience you will gain
  • Establish connections with other doctors and surgeons, which will stand you in good stead throughout your professional life.

Why Sri Lanka?

  • The course cost is considerably less expensive than one held in the UK
  • There is too little equipment and too many patients
  • Stone disease is rampant, causing pain and interference with kidney function
  • The variety of types of stones experienced by participants increases their skills
  • Children as well as adults await operations

Courses

  •  This course is of 8 days duration, with 5 days spent in operating theatres
  • The current all-inclusive cost is in the region of £2,500
  • Medi Tech Trust will provide a grant to a maximum of 20% of the total cost
  • Training is concentrated on percutaneous stone surgery
  • Each UK participant raises funds, through grants, donations and initiatives in their own locality, towards the cost of their airfare, accommodation and expenses

 

How to Enrol for future Courses

  • Email your interest or questions to:

grahammwatson@hotmail.co.uk or enquiries@meditechtrust.org

  • All documentation and travel schedules are arranged in advance
  • The proposed itinerary will be similar to that shown below

 

MEDI TECH TRUST PCNL COURSE : 23 Jn – 31 Jan 2015
YOU ARE IN DAY + DATE PROPOSED ITINERARY
Day Evening
UK FRIDAY Own travel to LHR Depart from LHR
23 Jan 15
Meet at 18.30 on UL504 at 21.00
KANDY SATURDAY24 Jan 15
Arrive CMB at 13.00Transfer to KandyArrive at 17.00  Hotel Suisse
SUNDAY25 Jan 15
Sightseeing  Hotel Suisse
MONDAY26 Jan 15
Theatre –Kandy General  Hotel Suisse
TUESDAY27 Jan 15
Theatre –Kandy General Pearl Grand Hotel
COLOMBO Transfer from Kandy to Colombo – Arrive 20.30
WEDNESDAY28 Jan 15
Theatre –South Colombo Pearl Grand Hotel
THURSDAY29 Jan 15
Theatre –South Colombo Pearl Grand Hotel
FRIDAY30 Jan 15
Theatre –South Colombo Pearl Grand Hotel
SATURDAY31 Jan 15
Transfer from Hotel to CMB at 09.30 Depart onUL 503 at 13.05
UK Arrive LHR at 19.30 Own travel home

View PCNL Course – 23 January – 31 January 2015

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