Showing posts with label Duke Medicine. Show all posts
Showing posts with label Duke Medicine. Show all posts

Saturday, August 18, 2012

Coffee plant near picking time
Week Two in Moshi
Brandon Kathleen Neha & ME

How has the week been?  Very very busy.  Week two passed and in what seemed like a whirlwind.  I met with the DGHI students Kathleen and Brandon...Great work completed, and with Neha from Duke Engage.  Being involved with them at some level reminded me of how lucky we are to be at Duke where these young people are so smart, and were able to accomplish amazing work this summer.










Our Dean of the School of Medicine arrived with her family.  We had a fabulous dinner at A-5, thank you Melinda, and the Duke/KCMC collaborative presented their work.  That day was followed by presentations by the MEPI team and a trip to Kibosho Hospital.  Full days all around


Ahaz and the MEPI team













The MEPI Team each showed their talents by discussing how our MEPI--Medical Education Partnership Initiative is geared to maximizing the small faculty with excellent learning.
 


Lucy shared her information from the Duke Program Blue Docs which stresses Team Based Learning.  She does a little of everything.

We discovered  an engineering Duke Engage Student at Kibosho Hospital.  In fact there are two, but one was in Moshi.  These young engineers are repairing equipment that is vital to the ongoing work at the hospital, such as x-ray equipment, surge protectors, and masses of other electric things.  They have apparently been invaluable to the hospital.



Dinner at our dear friends the Emmanuels was enhanced even more by the presence of Greg and the Kimaros.  I always feel that I have been transported in time when we go the house in Machame.  It is relaxing and delightful.









At the table with the Emmanuels.  Delicious food wonderful company with some of the stalwarts of our community.











John walking the walk

We volunteered to set the hash at Kibo Farms.  This is a place that has an incredible coffee farm that covers 100's of acres.  The road has been worked on for over 4 years, and it is still treacherous at times.  We watched buses and motorbikes dodging one another as they did a slalom through the big rocks in the road.  At one point, a near miss made John lean on the horn of our pathetic car.  Only a squawk came out and I could only imagine the driver of the bus laughing all the way to Moshi!

John is scouting where to put the check as we walk between beautiful coffee bushes.  The whole walk was lovely, though were to put the crosses and how to stay out of the begger weeds was another matter again.


There was quite a bit of coffee being picked and we were able to watch the trucks going up and down the paths.  The pickers were happy as they would be paid at the end of the day.

The view at Kibo Farm is terrific.  The day was not particularly clear, and was cold, but I could still see many kilometers and loved the red in the house below the corn fields.  Part of what makes "hashing" fun, is the ability to get out and see areas of the countryside we have not seen before.  Thank you Africa!  (and of course Greg for starting hashing here.
Without giving too much away, suffice it to say that road crossing and water crossing are part of the usual fare with a hash and this one will be no exception.  I love the truck filled with corn stalks and the ladies carrying sticks and branches on their heads. And one of the highlights of this hash in particular is the huge turtle named Tom.  When he saw me with camera held, he woke up and started after his food.  Apparently I stood between him and the food and he was not happy.  All the workers at the farm know Tom and care for him.  He may be one of the oldest turtles in Tanzania.
This is what happens when you set a hash.  We could have been considered one of the road hazards as we were picking these things out of our socks all the way home.  Disgusting.
Dinner at the pastors led to a conversation about Palliative Care, one of my favorite topics.  Turns out that they have been trying to help Mama Pulchra.  I hope it works out!




Monday, April 18, 2011

The wonderful week of MEPI


Kilimanjaro Christian Medical Center with Mount Kilimanjaro in the background

Duke Medical Center, Duke North Hospital

There are some things for which I am eternally grateful, but few can compare with the friendship and collegial relationships that have been built between some of the Duke faculty and staff and the Kilimanjaro Christian Medical Center faculty and staff over many years. One of the things that I love about being in Moshi, Tz, is the ability to walk to and through the hospital and meet friends and colleagues, and greet one another as if we have not met in years. This warmth extends up the ladder to the Executive Director who is always greeted with a "Shikamoo" Professor. (formal greeting for someone either older, or wiser, or in a position of leadership) I hope that when our Tanzanian colleagues come to Duke, they feel the same friendship and warmth.

The MEPI leadership Team and John Bartlett
The most recent exchange has been between the MEPI (Medical Education Partnership Initiative) KCMC senior staff with a big visit to Duke this past week. The trip was long and hard, and the week packed with meetings, lectures, and events. Each person knew that they had specific tasks to be completed by week's end and discussion that would develop into specific plans for both sites to complete to make "MEPI" an excellent program. For me, the week was filled less with hard work, and more joy as I had the opportunity to entertain these truly amazing people, and to follow the events of the week through my husband John, and to finally say "Kwaheri" (Good bye) with them at the all time American Sport, a Durham Bulls Baseball game.

Durham Bulls Game

For the Duke and KCMC team, the work was endless, challenging and hard, but the results at least for the trip, were palpable as a real team feeling extended all around.

Provost Ebgbert Kessy, EDR Moshi Ntabaye, Dean Kien Mteta

Provost Kessy, EDR Ntabaye, Dean Mteta, Head, Community Health Department, Rachel Manongi

EDR Moshi Ntabaye, Dean Kien Mteta, Head of the Community Health Department Rachel Manongi, Director of Clinical Laboratories, Balthazar Nyombi, Director of Information Techonology Phesto Namayala, and Director of the Kilimanjaro Clinical Research Institute Gibson Kibiki

Everyone agreed that our administrator Charles deserved the big "Hongera Sana" and "Asante Sana" (Congratulations and thank you) for coordinating the week and, coordinating eight high ranking guests with different backgrounds, specialties and hopes. A daunting task, to say the least, but Charles managed in his usual graceful, charming and joyful way to make everyone feel at home and to find commonality with all the partners at Duke.

Charles even cooked a goat for the occasion, and over rounds of juice and sodas, the Executive Director (EDR)from KCMC gave a cheer for all that Charles had done.

EDR Moshi Ntabaye gives a cheer for Charles Muriari's hard work.

Deputy Provost for Administration, Ahaz Kulanga seconds the "Hongera"

Provost Ebgbert Kessy enjoys the talk

IT Director Phesto Namayala hardly looks jet lagged!

Community Health Department Head Rachael Monongi
What is amazing to me, is that our thoughtful KCMC EDR came to Duke with the other members of the team, fit right in with the others, each of them leaders in their own right, and got right down with them doing hard work to make this grant work. So, while we ate barbecued goat and beef tenderloin, ate delicious greens, ugali and fruit, the talk was all about personal beliefs, and moving forward: What would be expected, what would be hoped for and what could happen at the end of the grant. These leaders each provided valuable insight into how they believed that things could work at KCMC as compared to other institutions, and other countries, opinions that provided John and I with a new world view.

Despite "jet lag", these leaders met with students all week, met with the leaders at Duke, gave talks worked on plans endlessly, and suddenly the week came to a close.

Group Lunch with Students

EDR Ntabaye engages others around him at Duke luncheon

Provost Kessy at Duke Luncheon

Dean Mteta earnestly making a point

KCRI Director Gibson Kibiki

Clinical Laboratories Director Balthazar Nyombi at Duke Luncheon

Deputy Provost for Admin, Ahaz Kulanga, as always, thoughtfully listens

Charles Muriari, Duke Side MEPI Administrator, Gibson Kibiki, Kilimanjaro Clinical Research Institute (KCRI) Director, and IT Director Phesto Namayala

MEPI team at Duke Luncheon
At the end of the day, the one passion was clear: KCMC would be a better place because the medical students would be more motivated, involved, and prepared to begin a life in medicine, or surgery, or dermatology, or women's health, or public health, or community health, but as a medical provider.

John Bartlett entertaining MEPI Leadership
Of course, much of the praise for the week has to be given to John for his inspiration and his respect for his colleagues. I have often said that I never see him as happy as I do when he is in Tanzania with his Tanzanian colleagues. Definitely, he misses his patients at Duke, but the joy that he has for these friends, some new and some he has now known for over seven years is not comparable, and that brings joy to me.
And by the way..... we really missed you Oneko!

Olola Oneko, Former Chair of KCMC Obstetrics and Gynecology, Co-PI of AIDS Malignancy Grant

Special Thanks for the pictures of the Duke Luncheon to the Duke Global Health Institute