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Summary

This interactive on-demand teaching session will feature Dr. Albuterol, a medical doctor, clinical epidemiologist, public health program and policy consultant, and a primary care sports physician who has worked in seven countries as a humanitarian emergency response expert. The session will explore a case report on a 20 year old para with postpartum hemorrhage in Uganda, highlighting multiple urogenital abnormalities that were detected during and post surgery. This case study also examines the media allegations of stolen kidneys that arose, and considers the challenges faced by medical professionals in the press. The session will conclude with an exploration of how the cost and inaccessibility of ultrasound scans affects the medical community in developing countries. Don’t miss out on the opportunity to join Dr. Albuterol in this compelling medical session – perfect for medical professionals worldwide.

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Description

Welcome to the GASOC International Conference 2022, we are delighted to have you join us either in person or virtually.

Join the conversation online by using #GASOC2022

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📮 Contact support@MedAll.org with any questions about the platform

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Links from Chat:

Twitter is @GASOC_2015. The facebook is GASOC UK. The conference hashtag is #gasoc2022

https://youtu.be/Hl7c3oDxIU8

Prof Mahmood Bhutta - 'The Real Cost of Healthcare': https://www.youtube.com/watch?v=Hl7c3oDxIU8

Dr Hixson's twitter: @ICUdocX / Twitter: @oceansandus

https://www.incisionuk.com/about-4

https://www.fmlm.ac.uk/clinical-fellow-schemes/chief-sustainability-officer%E2%80%99s-clinical-fellow-scheme

Miss Hunt - https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs5.50122

References from Michelle Joseph: References:

https://gh.bmj.com/content/4/5/e001853

https://gh.bmj.com/content/5/7/e003164

https://gh.bmj.com/content/6/2/e002921

GASOC Mailing list - https://www.gasocuk.co.uk/join-now

https://www.gasocuk.co.uk/ Is our website for the Keith Thomson travel grant info

Phil - You can set up your own teaching organisation and get going straight away at https://MedAll.org/host

Or feel free to find at time that works for you to jump on a call after the conference and if we can help, we always will: https://calendly.com/phil-medall

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HOUSE KEEPING - once you have entered the event, on the left of the screen you will find the following icons:

🎤 Main stage - this will be where all our talks will happen - you can use the chat on the right to ask any questions

💬 Breakout session - this is where you will see our coffee rooms where you can network throughout the conference and also sessions

ℹ️ Event Info - you will find our schedule - we will try our best to keep to the times listed

👀 Sponsors - we have a few some incredible sponsors here - please do take a look

📃 Poster hall - this will open in a new window for you, you can browse these and click on them to read them - click on them a second time and this will enlarge it for you. Please do 'like' the posters as well as ask our poster presenters any questions

SCHEDULE

(subject to change | 'Skills Sessions' 1, 3 & 4 can be found in the sessions tab on the left of your screen, Skills Session 2 is on the main stage )

08:00-09:00 | Poster Hall and Sponsors

✳️ Welcome

09:00-09:10 | President's Address | William Bolton

09:10-10:00 | Keynote Speech: "Global Surgery: The State of Play" | Kee Park

✳️ Sustainable Global Surgery

10:00-10:25 | Human Healthcare and the Oceans| Richard Hixson

10:25-10:50 | Sustainability in surgery: A circular economy for medical products | Mahmood Bhutta

10:50-11:15 | Sustainable surgery, Making each day count| Katie Hurst

11:20-11:30 | Break | Sponsors and Posters or chat to others in our coffee break session

✳️ Sustainable Global Training

11:30-12:05 | Sustainable Mesh Hernia Surgery – Can Dreams Come True? | Mark Szymankiewicz & Mugisha Nkoronko

12:05-12:30 | What can the Sierra Leone surgical training program teach UK surgeons? | Lesley Hunt

12:30-12:55 | HEE’s Global Health Partnership Team: Global Learning Opportunities | Fleur Kitsell

13:00-13:45 Lunch | Sponsors and Posters or chat to others in our Lunch break session

13:15-13:45 | Sponsor Breakout Session

✳️ Sustainable Policy and Advocacy

13:45-14:10 | Health Partnerships: for sustainable and mutually beneficial health systems strengthening | Kit Chalmers

14:10-14:35 | Sustainable surgical solutions in LMICs, how do we achieve this? | Tim Beacon

14:35-15:00 | Climate Change and Global Surgery Policy | Lina Roa

15:00-15:15 | Break | Sponsors and Posters or chat to others in our coffee break session

SESSIONS **(use tab called 'session' on the left of screen)**

15:15-16:15 | Skills Session 1 - Trainee perceptions of Global Surgery and our role as advocates| Catherine O’Brien

15:15-16:15 | Skills Session 2 **Main Stage** - Research skills in Global Surgery | Michelle Joseph & Kokila Lakhoo

✳️ GASOC Projects updates

16:20 - 16:40 | The Future Surgical Training - Sustainability and Challenges | Moiad Alazzam

16:40 - 17:00 | Uganda VRiMS and Events Update | Helen Please

Sunday 23rd October

✳️ Welcome

09:00-09:10 | Secretary and Conference Organiser Address | Pei Jean Ong

✳️ GASOC Trainee Prize Presentations

09:10 - 09:20 | Ethical challenges in the implementation of global surgery: The Non-Maleficence Principle | Ana Toguchi

09:20 - 09:30 | A case report of multiple urogenital abnormalities detected during the post-surgery in a 20 year old primipara in Uganda | Paul Stephen Ayella-Ataro

09:30 - 09:40 | Designing low-cost simulation model for laparoscopic appendectomy and its application for surgical training in lower and middle-income countries | Bishow Karki

09:40 - 09:50 | Prize presentation including announcement of Keith Thomson grant recipients

09:50 - 10:00 | What are the challenges facing the development of pre-hospital care service in a low resource setting? | Elizabeth Westwood

10:00 - 10:10 | Speech from President of FoNAS | Michael Kamdar

✳️ Sustainable Global Development

10:15 - 10:30 | Why Global Healthcare Education Matters | Phil McElnay

10:30 - 10:55 | Patient-Centered Impact Evaluation in Global Surgery | Mark Shrime

10:55 - 11:15 | Sustainable Strategies for Global Surgery | Salome Maswime

11:15-11:45 | Break | Sponsors and Posters or chat to others in our coffee break session

11:25-11:45 | Mentoring in Global Surgery (EADP) | Omar Ahmed

✳️ Sustainable Global Innovation

11:45-12:10 | Design Challenges for Affordable and Reusable Surgical Devices for Low-Resource Settings | Jenny Dankelman

12:10-12:35 | Environmentally Sustainable Change in Theatre - Our Experience and How-to Guide | Katie Boag

12:35-13:00 | Frugal Innovation in Healthcare: How to Do More and Better with Less | Jaideep Prabhu

13:00-13:15 | Conference Close and Prize Giving | William Bolton

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A Global Conference

The GASOC International Conference 2022 will be hosted in Sheffield City Hall, UK, on the 22-23rd of October. Everyone is welcome, including medical students, trainees and allied health professionals from all surgical specialties, anaesthesia, obstetrics and gynaecology with a passion for global health. There will be something for everyone, with a range of keynote speeches from inspiring leaders in global health, breakout skills sessions, and opportunities to present your research through our e-poster hall. Finally, delegates will have a chance to meet our sponsors and exhibitors both online and in-person.

Sustainable Global Surgery

The theme of this year's conference is Sustainable Global Surgery. This is an exceptionally important topic as sustainability impacts every aspect of healthcare training and service delivery. Through this conference, we hope to not only tackle areas concerning environmental sustainability but also take on a broader approach and explore sustainability in other aspects, including sustainable training programmes, sustainable global partnerships, and sustainable innovation.

Click here to view our conference programme.

Posterhall

We thank all poster presenters for your enthusiastic participation. Please upload your posters by 17th October.

*Important information regarding registration*

Delegates from the UK can only register for in-person attendance, until our venue capacity is reached.

  • UK: in-person tickets only, virtual option will only be made available when venue capacity is reached
  • LMICs: free in-person and virtual tickets available, subject to a strict vetting process. Please note this does not include accommodation or travel expenses etc, these must be covered by yourself
  • Any other countries: in-person and virtual (fee-paying) tickets available, please save the date for now and we will open this option at a later date

LMIC is defined as per World Bank LMIC country classification, please do not pick the Fair Medical Education ticket if you live/work/study in any other country.

All delegate registrations will be reviewed to ensure that the correct tier of payment is selected. We take probity issues seriously and reserve the right to refuse admission to delegates who may have been dishonest in their application.

Please do not hesitate to get in touch via gasocuk@gmail.com if there are any queries about payment.

Refund Policy

GASOC is a trainee organisation and will have to shoulder the burden of the costs when people cancel their tickets. We seek your understanding in this matter. Should you require an urgent refund, this will be considered on a case-by-case basis. No refunds will be considered after 6th October. Please get in touch via via gasocuk@gmail.com in the earliest instance to discuss.

We look forward to seeing you soon!

Please visit our GASOC website for more information on the conference programme, food and accommodation. You can also follow us on Twitter @GASOC_2015 for the latest news updates!

Learning objectives

Learning Objectives:

  1. Explain the case report of a 20 year old in Uganda who presented with postpartum hemorrhage two hours after giving birth at home.
  2. Describe the findings of the laparotomy and the subsequent scans that were done.
  3. Recognize the increasing media headlines regarding missing kidneys in Uganda and risk factors associated with organ harvest and transfusion.
  4. Discuss the implications of not having access to ultrasound imaging during pregnancy.
  5. Identify the importance of investing in radiologic investigations for the low and middle income countries.
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Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

so I'm very, very happy to welcome in person our next presenter, who has, uh, one the category for the M I C uh, Post a presentation. This is Dr, uh, yellow at our, uh, he's a medical doctor. Yes, please come on up. Clinical epidemiologist, public health program and policy consultant and primary care sports physician. He has worked in seven countries as a humanitarian emergency response expert. Save the Children International and Co. Offered many policy documents. He has served in the U. N. Commission of Information and Accountability for Women and Children Health in Tanzania and was a consortium coordinator, um, commission on Life Saving Commodities Steering Committee member core country, team, Uganda. There is much more on here that I could go into, but I think that's enough for now. So I think we're very happy to welcome Doctor Albuterol to the stage for his presentation. Thank you very much. And good morning. Um, it's already introduced. I'm going to take you through a presentation. Um, case reports of multiple urogenital abnormalities detected during and post surgery in a 20 year old primary para in Uganda is the background. There are all these sorts of social media headlines in Uganda If you I can just site old Kampala Hospital on the spot of a missing kidney. Old Kampala Hospital denies stealing man's kidney moving the hospital on the spot of a missing kidney. So this one is the one I'm presenting the case report about and then moving the hospital cleared of kidney theft allegations. This was after my report and then family reject statehouse report on woman's missing kidney so you can see all sorts of things and as I bring the presentation, you will see the actual issues about it. Okay, so as a background I mentioned already they're increasing media headlines about missing kidneys in Uganda. Uh, this arises mainly from the migrant workers who returned from the Middle East, many of whom have had cases of organ harvest and transfusion. I mean transplant done. However, it's worth noting that Uganda does not have the requirements or the even for normal kidney transplant. We have only two trained sergeants and we have only one facility which potentially can do organ transplant, but it's not even running, so this leads to deformation and the medical teams are vulnerable to being misquoted, misrepresented in the press. And as such, uh, the general public loses confidence in the doctor's. So the aim of this was to describe a case report illustrating a multiple urogenital abnormalities detected in a 20 year old premier Para who presented to our hospital with postpartum hemorrhage two hours after giving birth at home. This was on 24th April. Now the methods Okay, so the patient was admitted to the hospital. History examinations and finding revealed that there was retained placenta, which was causing the postpartum hemorrhage and, in particular, placenta Paqueta, which we're going to see the photo in the next slide. So laparotomy was done, of course, following all the procedures of consent and vitals, uh, as well as patient preparation. And so, yeah, that's a problem. So 10 days post surgery, um, abdominal. A patient complained about abdominal pain, so went to a private facility, and the private facility did an abdominal ultrasound scan, which was the first ever in her life, and found that she had a missing right kidney now because she had a financial incision for laparotomy, she now alleged that her kidney was harvested. However, the radiology, the radiographers report was very clear that possibly congenital Reno. A genesis recommended, um, city urogram, which was done later. Now they're finding that surgery. As you can see, we have a bike on it. Uterus and with a small ovary family adamant with a short fallopian tube. So the right hand side, which has the abnormalities. Who is the smaller one? Of course. This is after the baby was ready. Delivered. So the bike or connect uterus. Uh, over the next on the founders, placenta infiltrated the lower segment up to the body of the founders. You can see this. This is after delivery. And so this uterus was removed Abducto abdominal hysterectomy. And later on, as I mentioned after the surgery. So there's a problem. Sorry. I'm getting a problem. Yeah. Next. Yeah. So after the surgery and the kidney scan the right, uh, the ultrasound revealed this, and then it is later on warranted going for a ct urogram 20 days later, which revealed no kidney in the right renal bed. Know your ETA visualized uterine stamp noted Because subtotal hysterectomy was done left and like, kidney, which is, uh, compensate story compared to the normal average with the to fuse Reno upper and lower extremities and separate pelvic calico systems. And then they left fuse ureters at the point of your atomic junction, implying this is something that was of congenital nature. Now, looking at these in 2022 alone myself, I have encountered four cases of unilateral Reno a genesis in Uganda, all diagnosed for the very fast abdominal ultrasound scan. And the two cases came through media headline reporting. The last one was just recently on 24th of September, alleging that the doctors have stolen the kidneys for getting that the organ transplant has a process including donor typing, marching, preservation it easy and cannot just be done in a secondary referral facility. And the latest is interesting one. A neurosurgeon operated on a patient, a motorcycle rider who got involved in a road traffic accident and sustained a deep periosteal trauma. So he needed skin tissue fatty tissue from the abdomen to graft into the periosteum. So he cut the right left upper quadrant, pick the fatty tissues put on the periosteum closed when the patient woke up. So why did they cut my abdomen? I came with the trauma on the head when, for a scan phoned the kidney on that side missing and said, Whoa, you remove my kidney. Police top lawyers have been on board, but finally the medical council cleared this after a thorough investigation of a multi professional teams of consultants. So there's really little understanding of the organ transplant and even harvest next. Now this patient was found to have a congenital, um, right to left cross inferior. Reno fused ectopia with multiple other urogenital abnormalities. When you see the entire right hand side know ureters, no kidney, Um, there's the fusion, and then even the ovary on the right hand side is very small, and family are adherent, plus a bifid uterus with the small side on the right. This is a missed opportunity for ultrasound scanning during pregnancy, even when the policy recommends three scans, at least. But this woman had no access to ultrasound scan, did not even deliver in the facility and did not attend antenatal care. All this would have been noted. The media allegations of harvested kidney has been unfounded. We did a press conference to respond even when the media refused and said family rejects the report next. Now, as a global focus, just look at the cost. It took US $202,556 for all. The process is to take the patient for investigation, for my team to drive, to do the press conference to clear the air. Yet if this lady had done ultrasound scan of about $11 only once in pregnancy, it would have solved this. Now this is the reality in the developing countries. Medical legal investigations of the harvested kidney. The findings frustrated the family because they thought they were going to repeat big from the doctors for having stolen their organ and the legal team as well. We're frustrated because a group of 11 lawyers went to the hospital trying to get information and sue the hospital. Now, unfortunately, in Uganda, it's It's not common for the medical fraternity to fight back. I'm sure in the UK, with the media headlines alleging the doctor to have stolen the kidney, you would have fought back by sewing the media and claiming damage. This went silent in Uganda. The mother could have died of postpartum hemorrhage had interventions not been done and some people deliver from almost 90 kilometers away from the hospital that can do surgery. Others even up to 100 plus kilometers. Now investing in ultrasound scan for women who are pregnant could help us solve a lot of issues. It seems there are a lot of these abnormalities. So as we think of global focus and sustainable surgery, it's paramount to note, especially the obstetricians here can tell that for safe pregnancy, labor and childbirth. Investing in radiological investigations like ultrasound scan is key. And this is something you can see next to the project. You're thinking for the low and middle income countries. Thank you very much of them. Do the presentation and thank you very much. Wow, Fantastic, as low as to digest. They're very interesting talk. That's great. Yes. So please, it's fantastic to have you here. And if you want to catch up and discuss further as well, which I I certainly want to do, then obviously we can do because we're all here in person. So take advantage of that during the brakes