Riley International Heart Missions

Archive for September 2014

Riley/Rotary Vocational Training Team Trip 2014 to Uganda Heart Institute- Day #4 A Jump Start

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This morning is cloudy, breezy, and rainy in Kampala. Seems the streets are more clear and the hospital less busy this early morning…due to the rain perhaps or just a Tuesday, we are not sure. We arrive in the usual fashion to find Trina and Dr. Mastropietro bustling. They said their night was pretty unremarkable until this morning. The little 3 month old add-on emergency Pulmonary stenosis case made herself known as a true emergency this morning. She developed respiratory distress and they had been working to help her. We had not all even changed to scrubs yet when Trina carried her to the ICU for “transfer” and she was quickly intubated in the ICU by Dr. Mastropietro. The entire team worked together to try to stabilize her. It was decided it best to just get her back to the OR and get started. Dr. Cordes did another echo and surgical plans were made by Dr. Turrentine. We notified Frederick’s parents that his surgery would be delayed today. It was only after she was in the OR that I finally was able to find out more info on the baby. Her name is Shanel. She is from Kajjansi. Only one week ago, she started a nonproductive cough and shortness of breath. She presented to an outside hospital and was diagnosed with pulmonary stenosis. The hospital sent her to UHI for consultation with the cardiologists here. Critical pulmonary stenosis was diagnosed with significant Tricuspid Regurg. She needed urgent intervention.

In the ICU with Shanel

In the ICU with Shanel

The UHI and Riley/Rotary Teams readying for surgery on little Shanel

The UHI and Riley/Rotary Teams readying for surgery on little Shanel

Barbara and Patience in the ICU were doing well. Patience was a little sullen, but her dad says she is doing well. She got a little breakfast this morning and moved to the Step-Down Unit. That is a painful walk next door for these postoperative day one children.

Patience moving to Step-Down Unit

Patience moving to Step-Down Unit

Immediate Past President of Rotary Club of Greenfield Sara Joyner, Rob and I joined a press conference arranged by our Host Sponsors of the Global Grant, Rotary Club of Kampala North. It was well-attended by Rotarians, press, and Dr Omagino, Director of UHI and a Director from the Ministry of Health. The telemedicine room of UHI was rather full and well-used. Sorry no picture of the entire room, but a couple of some at the “head table”.

ROb Raylman, GOLI, Dr. Omagino, UHI, and Director from the Ministry of Health

Rob Raylman, GOLI, Dr. Omagino, UHI, and  Director from the Ministry of Health

IPP Sara Joyner, RC of Greenfield, me (VTT Rotarian Team Leader Dr.Stephanie Kinnaman), and Executive Director of GOLI Rob Raylman

IPP Sara Joyner, RC of Greenfield, me (VTT Rotarian Team Leader Dr.Stephanie Kinnaman), and Executive Director of GOLI Rob Raylman

Barbara was moved in that time to the Step- Down Unit. Before her move, she was seen sleeping in her sunglasses… Her future is so bright she has to wear shades! 🙂

Barbara sleeping in the ICU

Barbara sleeping in the ICU

Shanel was brought back from the OR on the ventilator still with the idea that she would be watched overnight to see if she needed another operation in the near or more distant future. However, approximately 1 hour after her move, she was doing very poorly and then progressed to a full code. Sheila came to find Dr. Turrentine and told him the situation. She was sent as quickly as possible toward the OR, but Frederick, our next planned patient was prepped and all ready in the OR. So, the cath lab was quickly made into a makeshift OR, including bypass. The teams worked so diligently for approximately 6 hours, but 3 month old Shanel’s heart was just too sick for her little body. Her repair was done beautifully by Dr. Mwambu and Dr. Turrentine, but coming off bypass just did not work for her tiny body. At approximately 8 PM, after Dr. Mwambu had a long talk with her mother, Shanel passed. She may have overall lived a short life. However, she was not only loved by her parents, but shown so much love by the UHI and Riley/Rotary teams by working with everyone’s skills to give her the best possible chance at life. Apparently this was not the higher plan for sweet Shanel… May she rest in peace.

Working in the cath lab

Working in the cath lab

The team left quietly approximately 9:00 PM, knowing this was little Shanel’s only chance at life was the operation today…This certainly does not take the pain of losing a precious baby on the operating table. We will operate on Frederick tomorrow first since his surgery was delayed today. His parents were very understanding. He was able to have a dinner and share the step-down room with the fun girls, Barbara and Patience who were quite proud of their new hats from he Riley ICU nurses Becca and Sheila.

Patience and her first attempt at a real smile!  :)

Patience and her first attempt at a real smile! 🙂

Barbara...and her smile is mostly back!  :)

Barbara…and her smile is mostly back! 🙂

With the hope and excitement of Barbara and Patience, we look forward to lives SAVED tomorrow…

Written by stephkinnaman

September 30, 2014 at 8:00 pm

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Riley/Rotary Vocational Training Team Trip 2014 to Uganda Heart Institute- Day #3 Operations Underway!

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We start the day with the usual breakfast, but then an earlier departure to UHI. George, our faithful driver, is at the hotel ready before our requested 7 AM departure. We arrived at UHI, started preparing the OR and ICU. The ICU looks as pristine and ready to go as we have ever seen it! With new cords to match their monitors for EKG,sats, and Blood pressure cuffs all purchased with money from last year’s grant, they are all labeled and ready to go!

The new ICU cables on the monitors

     The new ICU cables on the monitors

All "New 2014"!

All “New 2014”!

Anesthesia was soon out to to take our first patient of the day, Patience, back to the OR. She was in the room with her father Tony and seemed incredibly scared. She does not understand English we are told, so us talking to her certainly did not help. Sheila finally reached out for her and scooped her into her arms to take her back to the OR with Dr. Walker.

Dr. Walker checking out a cold and frightened Patience, with her Dad Tony looking on...

Dr. Walker checking out a cold and frightened Patience, with her Dad Tony looking on…

Sheila taking Patience back to OR with Becca's help

Sheila taking Patience back to OR with Becca’s help

It should be noted with GREAT emphasis that the UHI team was all here and ready to go when we arrived near 7:30. The scrub nurses Ben and John, Dr. Joseph, the anesthesiologist, Moses (the Anesthesia assistant), and Murra of perfusion were in the OR and ready to go. Looking back to our first years, this is a really important improvement! With these efficiencies, the surgery was officially underway just after 9AM. What an accomplishment!

Dr.Turrentine looking on in surgery

Dr.Turrentine looking on in surgery

New equipment is utilized in this case from grant money as well… A new vaporizer is on the heart lung bypass machine (AKA the “pump”) which allows for delivery of anesthesia directly through the pump. This is a much more efficient and useful method of delivery on bypass. Rotary money again at work here!

Vaporizer

Vaporizer

Patience has an ASD and was repaired completely by the UHI team. Dr. Turrentine never even scrubbed in! He discussed with Dr. Mwambu and Dr. Oketcho certain aspects and gave pointers at critical points,, but the UHI team completed Patince’s operation completely as a team. With Murra on the bypass machine, Dr. Joseph at anesthesia, John as scrub nurse (Chass never scrubbed either), and Ben circulating, UHI had this covered. What an exciting sight for our fifth return trip!

The Perfusionist team for UHI

The Perfusionist team for UHI

Riley/Rotary Team looking on only to Mentor!

Riley/Rotary Team looking on only to Mentor!

Rob, our friend and Executive Director from Gift of Life International, arrived this morning from the most recent mission to Manila. Informal discussions and meetings ensued (because Rob’s presence creates meetings! :). We have found that there is no pediatric TEE probe, so anyone under 17kg cannot have a intra operative echo. This could create quite a conundrum and may change the schedule or the possibility of operating on 6 of the planned patients! Rob quickly called Chain of Hope in London and is still working on the specific arrangements for arrival of a proper probe ASAP.

Rob (Executive Director of Gift of Life International), Grace (GOL Uganda, Rotarian and 1st ever GOL patient) and I discussing the probe and other issues...

Rob (Executive Director of Gift of Life International), Grace (GOL Uganda, Rotarian and 1st ever GOL patient) and I discussing the probe and other issues…

In the meantime, Patience was transferred to the ICU with the new Lifepack monitor system purchased from grant monies from the 2013 grant. What a great addition to be able to fully monitor the patient during transfer. Previously, the patient came off monitor in the OR and was restarted once in the ICU. A lot can happen in approximately 30 yards, so this is a fantastic equipment addition!

New transport monitor (Lifepack)

New transport monitor (Lifepack)

In the ICU setting up Patience

In the ICU setting up Patience

Our longtime ICU nurse friend Anna is one of several prepared nurses who took back Patience with Sheila and Becca. Her parents soon were let in to see her and help comfort her. All goes well with her transition to the ICU.

Brenda was so excited to go back for surgery. She did not seem scared at all! She is a beautiful, glowing, friendly 9 yr old whom everyone instantly loves when they meet her! Dr. Schimmelpfennig checked her over earlier in the morning and was also the one to escort her to surgery….after posing for this fun picture!

A little silliness before her time in the OR!  :)

A little silliness before her time in the OR! 🙂

Brenda with her Mum Dorothy and Dad John- Beautiful! And PP Sara!

Brenda with her Mum Dorothy and Dad John- Beautiful!

Again, the UHI team cared for her alone until she was cannulated and on bypass. Dr. Turrentine donned his favorite headlight purchased by a District grant from the Rotary Club of Greenfield and joined the team at the operating table. Shockingly, Dr. Turrentine was even found to conform with our new gift for all the team members- the Rotary/Gift of Life hat! :).

(ok, so no picture yet of Dr. T in the hat, he evaded many…but here is our circulating friend Edith in her hat!, She was so excited she giggled and hugged me so tight!)

Ms. Edith!  :)

Ms. Edith! 🙂

Brenda’s surgery went very well and the team recovered her in the ICU. In the meantime, apparently Dr. Cordes was asked to see with Dr. Lubega a 3 month old baby who is very sick with critical pulmonary stenosis. Plans were made to operate on this child between the two planned cases tomorrow.

One of our friends paying her own way to join us to observe (because it is not covered by the grant if not a working, medical, pre-approved Rotary International part of the team) is Rotary Club of Greenfield’s Immediate Past President Sara Joyner. She and I found our way to the RC of Kampala North’s meeting as well. Just when we were contemplating the straight road to the Hotel Afrikana in a 2 mile walk, Sara noted a man in a suit wearing what she thought was a Rotary pin. Soon after, I found him in the ward with the pre-surgical children and families. He introduced himself as Rotarian Sam from the RC of Kampala North, just 20 minutes before we would need to leave to go to the meeting! Prayers answered! Rotarian Sam was such a wonderful host transporting us to the joint meeting of all the surrounding clubs who meet on Mondays. They have this more informal joint fellowship every 5th Monday. It was a packed room of probably 150-200 Rotarians. WOW! What a vibrant group of Rotarians! Many familiar friends through the years to visit and we scurried out then for the hotel to meet the team.

Driving with Rotarian Sam and PP Sara up front through a "terrible jam"

Driving with Rotarian Sam and PP Sara up front through a “terrible jam”

A proper picture of PP Sara Joyner and Rotarian Sam!  Thank you, Sam!

A proper picture of PP Sara Joyner and Rotarian Sam! Thank you, Sam!

The Presidents and Kampala South Secretary

The Presidents and Kampala South Secretary

It was a Full House!

It was a Full House!

It was fairly late to finish dinner, but overall an early night out of the hospital for the team… I am told Trina and Dr. Mastropietro
arrived in time for a shift change-over about 7:15, call phones were given, and all are ready. Tomorrow we plan 3 cases!

In the meantime, Rob worked diligently to arrange for Emma from Chain of Hope to transport a TEE probe for smaller children to Entebbe via a flight tomorrow morning. What a saint she is to abandon London in a heartbeat to fly to Entebbe for 2 days overall! The alternative unfortunately is to cancel 7 of the now 12 cases planned…not an option for this team, AND thankfully not an option for Emma from Chain of Hope! THANK YOU EMMA AND CHAIN OF HOPE!

Tomorrow will be busy… But we are ready and excited by the progress today!

 

 

 

 

Written by stephkinnaman

September 29, 2014 at 8:07 pm

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Riley/Rotary Vocational Training Team Trip 2014 to Uganda Heart Institute- Day #2 outing with Kampala North Rotarians

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Today was a day for building goodwill and better friendships through Rotary and learning and seeing more of Uganda! We were so privileged that the Kampala North Rotarians planned a day trip to Jinja to see the source of the Nile at Lake Victoria. We traveled 2 hours north to this lush, green city known as the source of the Nile with Nigel, his wife, Charlie, Harriet, and Oskar and his beautiful daughters.
We stopped at an area lined by small shops to walk down the steps to the “White” Nile River. The “Blue” Nile meets up together with these waters later with a more blue tint and apparently more nutrient-rich soil. It is said the water from Lake Victoria takes 3 months to reach the Mediterranean. We took a boat ride to see some native birds on the Nile and into Lake Victoria as well. It is really a beautiful ride!

Walk down to the Nile

Walk down to the Nile

Boat Ride!

Boat Ride!

Some did just a little shopping and we reconvened back at the bus. We were then taken to a gorgeous restaurant on Lake Victoria called the Jinja Sailing Club. We sat outside, enjoying a gorgeous view lakeside with great company! What could be better to start our week and this great collaboration between Rotarians, Rotary Clubs, Rotary. Districts and friends! Now tomorrow, we continue the great collaboration with health professionals at UHI. This is what a Vocational Training Team Global Grant through Rotary International is all about! Thank you Kampala North Rotarians!!

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Written by stephkinnaman

September 28, 2014 at 5:00 pm

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Riley/Rotary Vocational Training Team Trip 2014 to Uganda Heart Institute- Day #1 Set-up and Screening

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The team was up and ready to go this morning for the great Golf Course Hotel breakfast! We went to UHI with all 13 trunks and our team in 2 waves of arrivals.
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Trina and Sheila setting up the ICU
Dr. Mwambu and Dr. Lwabi were already there and ready to go with the patients. Our team started unpacking all the equipment and supplies purchased and setting up the OR and ICU while Dr. Cordes, Dr. Turrentine, Dr. Mwambu, and Dr. Oketcho discussed the cases for the week and reviewed echos.
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Our first patient we met today was almost 4 yr old Priscilla. Her mother Jennifer brought her back to meet us for her echo. Priscilla is from Setta, near Jinja (so likely at least 2 hrs travel time to Kampala). She has a restrictive VSD and mod to large PDA diagnosed 2 yrs ago. She protested loudly when Dr. Cordes turned her on her side for echo, but quickly thereafter was asleep. 🙂
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Our next patient to meet was Princess. She is an adorable 17 month old Down’s Syndrome baby with a large inlet VSD and secundum ASD. She has been evaluated by 2 different mission teams already (Chain of Hope and the Italian team), medications adjusted and reevaluated again. It was decided she will have a diagnostic cath Monday with Dr. Lubega. If she is not operated soon, she may become inoperable. We certainly hope we can help the adorable Princess!
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Princess and her mom Scovia
We met the first half of our patients thereafter as well in the ward. I checked out our first two patients for Monday and obtained some more history on the patients and their families as well as check them over briefly. Patience is a 6 yr old girl from Northern Uganda- the war-torn area of Gulu. She is here with apparently her aunt and her father for this long trek to Kampala for her scheduled surgery. She has a large secundum ASD only diagnosed 3 months ago after noting what seemed like recurrent respiratory tract infections.
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Patience

Barbra was sitting all alone in her ward bed, looking so excited she could burst as we walked her way! She has a huge, beautiful smile that truly lights up the room! Her English is impeccable, although her understanding of our “Hoosier” English is understandably spotty sometimes :). She has a small supracristal VSD with mild AR. She is from Rakai, southwest of Kampala near the Tanzanian border. She was found to have her heart defect at age 5 when she was easily fatigued with activities. Barbra gives all her own history gleefully! Her mother (“Mum”)and father came with her- Dorothy and John. She is the second of four children and her parents are farmers. She has a sister Brenda who is 10, another sister Bonita 6yrs old, and a baby brother Brian. Barbra will be an absolute joy to care for throughout the week!
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Barbra

Other future patients Ukasha and Priscilla seemed to be having a ball together as they were settled in with their mothers in the ward!
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Ukasha and Priscilla

Fredrick was so excited to talk to us and have me check him over that although he is not on the short preop check list yet, we HAD to chat, check his heart and snap his picture! :). His adorable mother Molly is right in the wings…
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Fredrick and Mom

Once the equipment and supplies were all set in the OR to the team’s satisfaction, we headed back to the hotel for a late lunch/early dinner. We felt so privileged to have some time to exchange some money, grab a few groceries at the mall next door and blog before an early night to bed! We hope to transition to this time zone quickly with this easing-into-it schedule, as Monday through Friday will be very busy! The Kampala North Rotarians have planned a sightseeing day for fellowship with some of them tomorrow to Jinja before buckling down to help these kiddos starting Monday.
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Group photo! 🙂

Written by stephkinnaman

September 27, 2014 at 4:08 pm

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Riley/Rotary Vocational Training Team Trip 2014 to Uganda Heart Institute- Arrival!

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Just wanted to make a quick post that we have arrived safely with 14 travelers, 13 large medical trunks and most of our baggage! We are back to the Uganda Heart Institute with a 12-member surgical and ICU team plus our Rotary Club of Greenfield Past President Sara Joyner and a friend from Greenfield and Riley Echo tech Amy Potter paying their own way to check out the good work being done by the teams at UHI. Sara also wrote the grant and coordinated the trip with Rotarian counterparts from Rotary Club of Kampala North- Oskar, Harriett, and Grace. Things were a little hectic at the airport for departure with all the trunks this year, so we did not get the normal full team departure pic. However, Dr. Cordes captured most of the team together with the banner thanks to Joe and Linda Duffy from RC of Greenfield! Please follow along for an exciting week of training and changing the lives of some beautiful Ugandan children with congenital heart disease! Ummm…I don’t think Dr. T looks real comfortable with the transport of his special trunks in this pic! ;). (The drivers were amazing though, and packed it all down perfectly for safe arrival to our hotel)
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Good night! It will be a short 4 hrs before the alarm goes off for our screening day! Looking forward to meeting the kids and seeing our UHI friends!>

Written by stephkinnaman

September 27, 2014 at 12:28 am

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Multinational Mini-Mission: March 2014

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This is a very late entry to update any readers on a Spring mini-mission… The Riley/Rotary Heart Team decided to embark on a pretty ambitious multi-country visit including assignments in 3 countries in 8 days. We planned to operate briefly in Amman, then travel for a short visit full of meetings in Dubai, then to London for a Uganda Strategic Planning Conference with all major mission groups, the Ugandan Minister of Health, and UHI representatives.

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Morning in Amman

First up was a return to Amman to operate for 2 full days with Gift of Life meetings and planning sessions with Rotarians. We arrived to an always warm welcome from our GOLA friends Sirene and Lamia. They were so kind as always to assist with clearing our trunks of equipment through customs and taking us to the hotel for a short night’s sleep. Dr. Kal picked us up at the hotel and took us straight to Al Khalidi Hospital the next morning. Two cases were planned for the day with no assistant surgeon scheduled since Dr. Fadi is no longer in Amman. We tried to keep the plans simple since Dr. Turrentine had a Family Practice doc as an assistant! Dr. Kal assisted with intra-operative and preop Echos. Retta was first up for the OR and is a beautiful curly-haired 4 yr old Palestinian girl living in Jordan with an ASD and VSD (hole between the upper and lower chambers of the heart). The extremely efficient Al Khalidi OR staff and anesthesia had Rettta ready Togo upon our arrival and we went straight to work in the OR. Her case went very well although the first assist was sweating bullets the entire time! :). She was transported to the ICU and her large, incredibly thankful family was updated.
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Retta

Moh’d is another 4 year old beautiful boy from Karuk. This is apparently fairly far or costly to travel to Amman for this family as mom had to sell her earrings in order. To get the family to Al Khalidi for this adorable guy’s life-saving surgery. His case also went well and he was transported to the ICU. We celebrated the successes of our partnerships and the day’s surgeries with traditional Jordanian fare at a local restaurant with. Dr. Kal for a late dinner.
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Moh’d

The second and final day of surgery for this very short mini-mission was filled with two more cases and thankfully a skilled surgeon as an assistant to Dr. Turrentine. Dr. Hamdi came to assist during our first case…
Malak is a beautiful 3yr old tiny gal with curly hair and a sweet disposition. We visited with her the night before for screening. She had a low ASD which Dr. Turrentine and Dr. Hamdi “fixed” handily and returned her to the ICU.
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Malak
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Dr. Hamdi and Dr. Turrentine in the OR

Our final case of the day was an adorable little 13 month old named Ali Muhammad. This turned into a more complicated case than the simple Tetralogy of Fallot he was initially thought to have. Dr. Turrentine felt in the end this was more like a double outlet VSD with a small PDA. The VSD proved difficult to patch to avoid the conduction system of the heart. His case again went well and he was transported to the capable Al Khalidi nurses in the ICU.
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All the patients were doing well at the time of our departure for the hospital. Retta was not a happy camper on postop day 1, although even GOLA president and Rotarian Sirene tried to appease her.
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Retta with Sirene
Ali was beautiful sleeping in his hospital bed so peacufully…his new healthier life stretched before him. Dr. Kal would continue working day and night to watch their postoperative recovery as we skirted off the Dubai the next day.
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GOLA friends hosting us for a Farewell Dinner
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In-Flight Tracking to Dubai!

Dubai’s visit is a new journey. DGN Mustafa of the Rotary Club of Petra put us in touch with Rotary Club of Dubai Cosmopolitan President Dr. Nabil Mitry. We would not be in town for Dr.Mitry’s club’s meeting, but he helped arrange for our visit to the Rotary Club of Dubai Jumeirah’s weekly meeting. Dr. Turrentine had hospital meetings the following day to discuss the new Children’s hospital being built in Dubai in Princess Haya’s name (originally from Jordan). Many personal connections to Princess Haya’s staff to Indiana and Riley Hospital make Dubai an interesting place to expand this Riley/Rotary/Gift of Life connection. We arrived on Wednesday early evening to Dubai’s international airport. What a beautiful but toasty day! Suzane from Princess Haya’s office had arranged for a driver to pick us up at the airport. What a wonderfully helpful arrangement this was to have the quiet an hard-working Mushtaq!
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Mushtaq and Dr. Turrentine

Dubai is a large and busy city…to have arranged for our own transport to our hotel with the tight turn around to the Rotary meeting would have proven difficult. We are so thankful for our driver Mushtaq who took us out to Jumeirah as well. We had no idea this was such a drive and in so much traffic!
We arrived late to the Rotary Club of Jumeirah’s meeting unfortunately, but Dr. Mitry was awaiting our arrival. What a beautiful location for their meeting and a vibrant group of Rotarians in this club! We had a lovely visit, told briefly of our mission, and offered to operate on a child from UAE or surrounding area needing heart surgery through our Indiana Gift of Life program at Riley if the Dubai Clubs could help identify and arrange transport to Indiana. We have found that although UAE has a national he
The are system, there are no local Pediatric Cardiovascular Surgeons and many Children are sent abroad for their surgeries. This will be a great way to kick off a partnership between our Indiana D6560 Gift of Life and Dubai and Indiana Rotary clubs! We would love to work together ultimately for a Vocational Training Team to bring children needing surgery from all over the Middle East.20140927-025947.jpg

Dr. Mitry, 2013-2014 President Rotary Club of Dubai Cosmopolitan
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RC of Dubai Jumeirah President exchanging banners with me

Our second full day in Dubai was spent mostly in Dubai’ s Healthcare City and meeting with the Al Jalila Foundation as well as Nart and Suzane of Princess Haya’s office. It was a very full and interesting day in this well planned and organized city. We had approximately 30 minutes “extra” to check out the amazing sight of the tallest building in the world- the Burj Khalifa. Beautiful!
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Simulation Lab in Dubai’s HealthCare City
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The Burj Khalifa!
We would leave late that evening to fly to London, but the flight was cancelled. It was along night in the Dubai airport knowing we would arrive late for the Strategic Planning Conference in London. Dr. Rania Schimmelpfennig and Sheila Rocchio would join us there for their valuable input on this important planning meeting to update everyone involved with the Uganda Heart Institute and where to go from here with this program for the wonderful people of Uganda.

We arrived I the afternoon to London and remarkably our adorable cab took us (not by prior arrangemement!) past Westminster Abby, Big Ben, and Buckingham Palace on the way to our hotel. We quickly changed to meeting attire and met the rest of the group where presentations were already underway. Dr. Lwabe, Dr. Mwambu, Dr.Omagino, and Gertrude from nursing were all present as we were hosted by the wonderful people from Chain of Hope. Dr. Sable and representatives from National Medical Center in Washington D.C., and CardioStart were present as well. We had a very fruitful set of sessions laying out the challenges and plans for success in Kampala at UHI. All left feeling this was a very helpful, frank discussion of the issues and plans forward.
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Dr. Turrentine leading surgical discussions
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Group Picture from Uganda Strategic Planning Conference

In eight days, we had operated on 4 beautiful children, forged new friendships in new lands, and laid new plans for ways forward in established partnerships. What an amazing, productive trip!

Written by stephkinnaman

September 27, 2014 at 12:07 am

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