Physician trades battlefield medicine for training humanitarian doctors

first_img By Bob Tedeschi July 26, 2016 Reprints Please enter a valid email address. Related: Related: Dr. Michael VanRooyen, director of Harvard Humanitarian Initiative, outside of his home. Kayana Szymczak for STAT WATCH: A helicopter medic grapples with trauma across vast distances Newsletters Sign up for Daily Recap A roundup of STAT’s top stories of the day. What it’s like to be one of the few doctors left in war-torn Syria Tags global healthhumanitarian aidtrauma care Two of our researchers at HHI, Patrick Vinck and Phuong Pham, developed a system called KoBoToolbox, which is essentially a way to send surveyors out with hand-held data collection devices. Once they survey the population, they can upload it, aggregate, instantly map it, and merge that data with other organizations. It’s been a very big contribution to the field.It’s well-known that battlefield medicine has grown much more dangerous for medical workers and all other humanitarian aid workers. Are you still tempted to go back into the field?I miss it a lot, actually. But I realize there’s an era for everything, and this is one where the field is better served by sort of creating the environment for others to do it. But some day when I’m not running a department and HHI, I’d really love to do it again. It’s a privilege to help in the field.How challenging is it to go from practicing that sort of medicine to working a Tuesday day shift in a Boston ER?The emergency department is so diverse and wildly interesting that boredom is never an issue. Humanitarian relief is mainly about populations and logistics and setting the stage to manage operations. In the emergency department it’s really about individual patients and a personal touch. So in many ways it’s a really wonderful counter-balance.Now that you’re in a leadership role in emergency medicine in Boston, what’s on the agenda?I’d like to build an oncology emergency department. We take care of trauma patients or heart attacks or strokes by bringing them right back and having a team descend on them, but patients with oncology emergencies have even higher mortality, and they may be deceptively ill.At the Brigham, we’re building a clinical and research program and models around better oncology management, so high-risk cancer patients will be taken care of immediately by a staff that’s trained in oncology emergencies. I hope we can do better by them. Don’t MissPhysician trades battlefield medicine for training humanitarian doctors STAT recently spoke with VanRooyen, 54, at his home in Wayland, Mass., about his new book, “The World’s Emergency Room,” which weaves anecdotes from his career into a broad prescription for the future of humanitarian medicine. He also discussed his new job leading the ER at Brigham and Women’s Hospital in Boston, and the curious connection between his latest hobby and a doctor colleague who learned to slaughter a goat in his free time.advertisement Privacy Policy Medical doctors in Syria have been attacked by nearly every faction in the country’s civil war, including the Islamic State and government forces loyal to President Bashar al-Assad (who happens to be a physician). Hospitals have been bombed repeatedly, either by accident or because they’re seen as shelters for warring factions.In Syria and in other conflict zones, humanitarian aid workers can no longer rely on the insignia of relief organizations to shield them from harm.Dr. Michael VanRooyen, an emergency physician who has worked in more than 30 war and disaster zones, and who now trains the next generation of humanitarian doctors at the Harvard Humanitarian Initiative, is not deterred by the increasingly perilous conditions under which so many of his trainees and colleagues operate.advertisement Leave this field empty if you’re human: Tell me about your friend who slaughtered a goat.Carlos! Fascinating guy. I was working as a physician in a mission hospital called Tenwek in rural Kenya. One of the physicians was an Argentinian surgeon, and on his day off, he was slaughtering a goat out back. I’m like, “Carlos, don’t the cooks usually do that?” And he just says, “No, I’ve never done this before. My favorite thing is to do something for the first time.” He slaughtered a goat. He built his own guitar. I thought that was a great thing.VanRooyen tends to the beehive in the backyard of his home in Wayland, Mass. Kayana Szymczak for STATThus your new hobby?Yeah. Keeping bees is super fascinating. They’re complex and endlessly interesting, and in the end you have something delicious to show for it. There’s a lot to learn, and I don’t know if I’ll be doing it forever, but for now it doesn’t take too much time, it’s fun for the kids, and I get to give my neighbors honey.Some people might find it less than surprising that someone who thrived in the chaos of humanitarian medicine might feel comfortable in a swarm of bees.(Laughs.) Bees are a lot easier to manage. “From here, you think everything in Syria is terrible and anyone who lands close to Lebanon is putting themself in harm’s way,” he said. “But if you know the ground truth, you can still get in.” This transcript has been edited and condensed.VanRooyen removes a bullet from a soldier’s wrist in South Sudan, 2000. Michael VanRooyenWhen you do simulation-based training, you take pains to put hostile child soldiers in the paths of medical workers. Why child soldiers in particular?Child soldiers are a uniquely complicated problem. In the simulation, these children are both armed and often accompanied by adults, so trainees don’t know who’s exploited and who’s not, and they have to deal with these kids not as an adult but as a child. A child with a weapon. If anything can frustrate or unnerve someone, it’s this situation.It was a young soldier in Zaire who put the barrel of a machine gun in your mouth, right?Yes, in the middle of an interrogation. Many of the soldiers in Zaire were children or teens. Recruiting child soldiers is common across many African conflicts.Aside from bribery, how do you handle these situations?What they want — even more than money — is respect. And it sounds silly, but ultimately it’s about treating them nicely. I speak calmly and respectfully and give them something like gum or cigarettes and tell them I’m a doctor and offer to help if they need it. I ask their name, where they come from, and tell them mine. It personalizes it for them, which I think makes it a lot harder for them to abuse you.You write that humanitarian aid is moving to a more local model, instead of Western saviors swooping in to manage everything. But depending on the politics of the region, that could make it even harder to coordinate an effective response among aid organizations. Any antidotes for that?If you ask the average person what’s wrong with humanitarian aid, many will say organizations don’t collaborate and are wasteful. And they wouldn’t be entirely wrong, because in some cases you’ll have multiple organizations gathering data and trying to solve similar problems without sharing what they know. The need to rapidly deliver services supersedes the desire to collect data, but data collection is extremely important.last_img read more

Shane Broad all talk and no action

first_imgShane Broad all talk and no action Guy Barnett,Minister for ResourcesShane Broad is all talk. He says he opposes radical protesters invading workplaces, and denying the right to Tasmanians to work, however also opposes our Government’s workplace protection legislation set to be debated in the Legislative Council tomorrow. This is very disappointing.The reasons Mr Broad gives to oppose this legislation are either misplaced, misleading or wrong. The Labor Party has a clear choice. Stand with the Bob Brown Foundation and the Greens and oppose this important legislation or vote for the right of business to operate and Tasmanian workers to work, without interference, impeding or harassment.Our legislation has the support of Tasmania’s productive industries representing farmers, foresters, miners, fishers and the business community, not to mention Tasmanian workers.Furthermore, similar legislation has been passed in the Federal Parliament with bipartisan support as well as in most mainland states with bipartisan support.Tasmanian businesses and workers deserve the right to work free from threats and invasions from radical extremists.I urge Mr Broad and the Labor Party to reconsider their position and support our legislation for the sake of Tasmanian workers and their families. /Public Release. This material comes from the originating organization and may be of a point-in-time nature, edited for clarity, style and length. View in full here. Why?Well, unlike many news organisations, we have no sponsors, no corporate or ideological interests. We don’t put up a paywall – we believe in free access to information of public interest. Media ownership in Australia is one of the most concentrated in the world (Learn more). Since the trend of consolidation is and has historically been upward, fewer and fewer individuals or organizations control increasing shares of the mass media in our country. According to independent assessment, about 98% of the media sector is held by three conglomerates. This tendency is not only totally unacceptable, but also to a degree frightening). Learn more hereWe endeavour to provide the community with real-time access to true unfiltered news firsthand from primary sources. It is a bumpy road with all sorties of difficulties. We can only achieve this goal together. Our website is open to any citizen journalists and organizations who want to contribute, publish high-quality insights or send media releases to improve public access to impartial information. You and we have the right to know, learn, read, hear what and how we deem appropriate.Your support is greatly appreciated. All donations are kept completely private and confidential.Thank you in advance!Tags:AusPol, Australia, business, community, council, Federal, Government, harassment, Labor Party, legislation, Minister, parliament, resources, TAS, Tasmania, Tassielast_img read more

Pittsburgh synagogue shooting: Portraits of the 11 victims

first_imgJeff Swensen/Getty Images(PITTSBURGH) — Eleven worshipers, including a 97-year-old woman, were gunned down inside the Tree of Life synagogue in Pittsburgh’s Squirrel Hill neighborhood Saturday morning.“Words escape me of what you can say,” said Rabbi Jeffrey Myers, who was officiating the service when a gunman started shooting. “They were all beautiful, wonderful, good decent people. Hate was not in their vocabulary.”Here is what we know about the victims:Rose MallingerRose Mallinger, 97, was the oldest of the victims but she seemed much younger than her age, Brian Schreiber, who is a Tree of Life synagogue member and president and CEO of the Jewish Community Center of Pittsburgh, told the Pittsburgh Post-Gazette.“You’ve never met a more vivacious 97-year-old,” Schreiber told the newspaper. “She was just so full of life. … She had so much energy.”Mallinger is survived by her children and grandchildren. Her 61-year-old daughter, Andrea Wedner, was wounded in the Saturday morning attack.Jerry RabinowitzDr. Jerry Rabinowitz, 66, was killed when he ran outside to try to help the wounded, according to his nephew, Avishai Ostrin.“In addition to being the president of the congregation, he was a doctor, a healer … when he heard shots he ran outside to try and see if anyone was hurt and needed a doctor. That was Uncle Jerry, that’s just what he did,” Ostrin wrote on Facebook.“He always wore a bowtie,” Ostrin added. “There is just something about guys who wear bowties. Something youthful, something fun. And that is a word that definitely embodied my Uncle Jerry – fun. You know how they say there are people who just lighten up a room? You know that cliché about people whose laugh is infectious? That was Uncle Jerry. It wasn’t a cliché. It was just his personality. His laughter, with his chest heaving up and down, with a huge smile on his face – that was uncle Jerry. And that bowtie. That bowtie that you know made people smile, you know made his patients more at ease.”A former patient said the slain doctor was one of his heroes.“In the old days for HIV patients in Pittsburgh he was to one to go to,” former patient Michael Kerr wrote on Facebook. “He often held our hands (without rubber gloves) and always always hugged us as we left his office.”“I got lucky beyond words – because when he gently told me around November 1995 that it was time to begin taking medications – there was an ACTG trial for two HIV medications that saved my life,” he wrote. “Thank you Dr. Rabinowitiz for having always been there during the most terrifying and frightening time of my life. You will be remembered by me always. You are one of my heroes.”The University of Pittsburgh Medical Center “cannot even begin to express the sadness and grief we feel over the loss of Dr. Jerry Rabinowitz,” the medical center said in a statement. “Jerry was above all one of the kindest physicians and human beings in our community.”Tami Minnier, chief quality officer of the University of Pittsburgh Medical Center, added, “Those of us who worked with him respected and admired his devotion to his work and faith. His loss is devastating, and we extend our deepest sympathies to his family, friends, and fellow UPMC colleagues who loved him.”Cecil and David RosenthalBrothers Cecil Rosenthal, 59, and David Rosenthal, 54, who were always together, were both killed in the attack.The brothers never missed a service and were always at the synagogue because it was a place they felt the most safe, fellow congregant Scott Levin told ABC News.The brothers would greet everyone by the front door as they entered the synagogue, added Ronna Levin.The brothers were always together, congregant Katy Levin told ABC News, so she said it brings her some comfort that they died together because she doesn’t know how one could live without the other.Daniel SteinDaniel Stein, 71, was a “simple man” who loved going to synagogue and playing with his grandson, his son, Joe Stein, wrote on Facebook.“Yesterday was the worst day of my life,” Joe Stein wrote on Facebook. “My mom, sister and I are absolutely devastated and crushed! Our lives now are going to have to take a different path, one that we thought would not happen for a long time. … We love you dad more than you’ll ever know!”Daniel Stein was an “engaging” and “unpretentious” man who was actively involved in the community, from the synagogue to little league baseball, Barton Schachter, a former Tree of Life president, told the Pittsburgh Post-Gazette.“He has this phenomenal ability to smile,” Schachter told the newspaper. “He could make the situation light and happy.”Richard GottfriedRichard Gottfried, 65, a successful dentist, had reconnected with his faith following his father’s death and at one point became the president of the 70-member congregation in Pittsburgh, reported the Pittsburgh Post-Gazette.He is survived by his wife, Margaret A. “Peg” Durachko, who is also a dentist.The couple had worked together at the Squirrel Hill Medical Center’s dental clinic, where they treated refugees and immigrants, many of whom had never been to a dentist, the newspaper reported.“Do not let his death be in vain. Drive out evil from your own life and help another to drive it out of their life. The only way to combat evil is with love,” his wife said, according to the Pittsburgh Post-Gazette.Joyce FienbergVictim Joyce Fienberg, 75, a former research specialist, is survived by her two sons and grandchildren. Her husband, “internationally acclaimed statistician” Stephen Fienberg, died in 2016.Joyce Fienberg was a research specialist at the University of Pittsburgh’s Learning Research and Development Center (LRDC) from 1983 until she retired in 2008.“Joyce was a cherished friend for many in LRDC. For those who knew her in LRDC she was an engaging, elegant, and warm person,” the center said in a statement.“She and her husband were tremendous supporters” the University of Pittsburgh and Carnegie Mellon University, the center said.Melvin WaxMelvin Wax, 88, a retired accountant, was a fixture of the congregation.Wax’s wife, Sandra, had died in 2016.Bernice and Sylvan SimonSylvan Simon, 86, and his wife, Bernice Simon, 84, were killed in the same synagogue where they married in December 1956, The Tribune-Review reported.“A loving couple, and they’ve been together forever,” longtime friend Michael Stepaniak told the newspaper. “I hope they didn’t suffer much, and I miss them terribly.”“They held hands and they always smiled, and he would open the door for her,” neighbor Heather Graham told the newspaper. “They were really generous and nice to everybody.”The couple’s front door has three stickers, according to The Tribune-Review: “Support Our Troops,” “God Bless America” and “America the Beautiful.”Irving YoungerIrving Younger, 65, a father and grandfather, was a regular volunteer and worshiper at the synagogue, where he would come early and stay late, The Pittsburgh Post-Gazette reported.“I wouldn’t be surprised if he saw this gunman walk into the room where the services were and his first thought was, ‘Can I help this stranger get settled?’ Until he saw what the stranger was doing — because that’s the kind of thought that he would have,” said Schachter, the former congregation president.Copyright © 2018, ABC Radio. All rights reserved.last_img read more

Mediator Disciplinary Actions

first_img January 15, 2014 Regular News Mediator Disciplinary Actions Prepared by the Florida Dispute Resolution Center _________________________________________________________________ Mediator Disciplinary Actionscenter_img The Mediator Qualifications Board — a committee under authority of and appointed by the Florida Supreme Court — recently disciplined one certified mediator.The following mediator is disciplined: Stephen Woodin, 200 N. Railroad Street, Bunnell, Certification: 18549C, (Case Number: MQB 2012-012) Case Type: Marketing. Sanctioned by Order Accepting Admission to Formal Charges and Imposing Sanction entered November 6, 2013. Woodin admitted allegations of formal charges and agreed to immediately and permanently cease to advertise and offer the course “Personal Safety & Family Protection” or any similarly related course to mediators for continuing mediator education credits. Any default in the agreement by the mediator will result in the matter returning to the Mediator Qualifications Board for further action. Findings: Woodin offered the course “Personal Safety & Family Protection” for seven hours of CME credit to train mediators in self-defense, gun target practice, and to qualify the participants for a concealed firearms permit. Woodin advertised the course as having been approved for CME credit when there is no approval process for CME. The course did not enhance a participant’s professional competence as a mediator, nor did it constitute an organized program of learning directly related to the practice of mediation as required by In re Procedures Governing Certification of Mediators, Fla. Admin. Order No. AOSC11-1(January 10, 2011). Woodin failed to engage in forthright business practices supporting the advancement of mediation and advertised false or misleading information by using the word “approved” in his advertising. The course subject matter did not meet the requirements of CME and demeaned the dignity of the mediation process. Woodin posted an online biography stating that he is a Florida Supreme Court Certified Mediator without identifying at least one area of certification he holds. Florida Rules For Certified and Court Appointed Mediators Violated: 10.600 and 10.610(a), (b) and (f).last_img read more