So much for the “established program”!… day instead of great spontaneity, starting with an early call to Pete from Dr. Pardes, the Public Health Director for Nangarhar Province, asking that he come back to the Public Hospital by 10AM to demo the 3.5MhZ portable USB ultrasound that we brought along to a group of 20-30 doctors/staff. While there, they actually used the ultrasound to do a demo exam on a child who had been admitted for abdominal pain. Perhaps the greatest take-away though is the hunger and thirst for knowledge and training. That’s the lesson we’ve certainly learned in the past and want to repeat here in Afghanistan… LOCAL sustainability matters, and that boils down in so many ways to training and education.
Following the demo, a crew from the Taj/Fab Lab/Rotary/Synergy Strike Force “surged” to the local Kuchi village down by the Kabul River, where the building of a bridge across the river is in the works… project led and guided by the Jalalabad-San Diego Sister City program out of the La Jolla Golden Triangle Rotary Club (google it). It may be an engineering feat, but it’s a bridge of another sort too…
While the “adults” discussed the bridge and the opportunities/issues, the “kids” got to play… and play we did. Having had this project, among others in the area, in the works for a number of years, the kids are real camera hams – once they warm up. No girls down by the river, but a crowd of boys. It took a bit for them to warm up to Adriana (George Mason U. grad student in Stability Ops) and I, but once they did… wow. We were surrounded with requests for pictures with us, without us, and always, always… to show them the pictures. So much fun and we were laughing a lot. One little boy very much wanted me to take his picture with the notepad I was carrying… and he was adamant that the picture be just him (no small feat because the camera draws an instant crowd of posers). Again… a hunger and thirst for knowledge that we would do well to feed. Maybe medical school and career in telemedicine is in his future?
For a 30 second video from the Kabul River go to: http://www.youtube.com/watch?v=yDxBAlXSKGA
Ultrasonography is an ultrasound-based diagnostic imaging technique used to visualize subcutaneous body structures including tendons, muscles, joints, vessels and internal organs for possible pathology or lesions. Obstetric sonography is commonly used during pregnancy and is widely recognized by the public. There is a plethora of diagnostic and therapeutic applications practiced in medicine.
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Ultrasound has the advantage of Reveals the nerve location and the surrounding vascular, muscular, bony, and visceral structures.
ReplyDeleteProvides real-time imaging guidance during needle advancement allowing for purposeful needle movement and proper adjustments in direction and depth.
Images the local anesthetic spread pattern during injection.
Improves the quality of sensory block, the onset time, and the success rate compared to nerve stimulator techniques (as shown in some clinical studies).
Reduces the number of needle attempts for nerve localization which may prove to reduce the risk of nerve injury.
Differentiates extravascular injection from unintentional intravascular injection.
Differentiates extraneural injection from unintentional intraneural injection.
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Ultrasound has the advantage of Reveals the nerve location and the surrounding vascular, muscular, bony, and visceral structures.
ReplyDeleteUltrasound therapy makes use of ultrasound waves in order to find out the problems that are present deep inside the body without breaking the skin’s surface. Injuries and health disorders can be quite painful. High frequency ultrasound waves penetrate deep inside the skin and target the affected area that cannot be reached by other methods such as manual therapy. When ultrasound therapy is applied to the skin, the therapist makes use of coupling gel in order to reduce the friction on the surface of the skin. The basis of the ultrasound therapy is to restore normal blood flow at the affected area and relax the muscles and trigger self healing process.
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