The disparity between evidence based, good quality care and actual practice is paramount in developing countries. After the completion of fellowship, I have committed 1-2 weeks every year to providing pro bono medical care for perioperative patients in other areas of the world. Specifically, I work with the United Kingdom-based charity, Silkroad Surgery for Children, to provide an educational curriculum and volunteer medical services at the 550-bedded Mandalay Children’s Hospital in Mandalay, Myanmar.
Mandalay Meducal Mission, Day 1: Setting up shop, preop screenings and case selection, acclimatizing to the ORs and some teaching for the 15+ local anaesthetists at this location about preoperative evals. From cri du chat to Morquio's syndrome on the OR schedule, we've got our work cut out for us!