000 04785nam a22004215i 4500
001 978-3-031-41049-9
003 DE-He213
005 20240729135443.0
007 cr nn 008mamaa
008 230926s2023 sz | s |||| 0|eng d
020 _a9783031410499
_9978-3-031-41049-9
024 7 _a10.1007/978-3-031-41049-9
_2doi
072 7 _aMNN
_2bicssc
072 7 _aMED085010
_2bisacsh
072 7 _aMNN
_2thema
100 1 _aDempsey, Robert J.
_eauthor.
_4aut
_4http://id.loc.gov/vocabulary/relators/aut
245 1 0 _aGlobal Neurosurgery
_b : A Reflection from a Life in the Field /
250 _a1st ed. 2023.
264 1 _aCham :
_bSpringer Nature Switzerland :
_bImprint: Springer,
_c2023.
300 _aXI, 146 p. 5 illus. in color.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
505 0 _aIntroduction -- Lessons Learned from Four Decades of Neurosurgical Global Health Experience -- A Life in Global Health: Preserving What Is Noble in a Profession -- First Influences. Where Does All This Start? -- Second Influences: Appalachia -- Appalachian Patients -- Appalachian Clinics -- Seasons of the Year -- Guatemala -- Chicken Buses, Dugout Canoes, Pickup Trucks and Shoe Leather -- Applying Lessons Learned to a New Area of Neurosurgical Need -- Why Work So Hard? -- Hold Hope -- Picking a Site for Neurosurgical Service: Ecuador -- Family -- The Red Scrub Cap -- First Surgeries -- FIENS -- Africa -- Operating in a Strange Land -- Worldwide Partners in Global Neurosurgery: The Concept of Dyads -- OR Equipment and Establishing Neurosurgery in a New Region -- The Lancet Report 2015 -- Continuing Medical Education in the Global World -- Persistence -- Service Through Education -- The Corners of the Day -- Teaching is Doctoring, Doctoring is Teaching -- Why I Do Research -- Native American Health -- Children and Family in Global Health -- Danger -- Mistakes Made and Lessons Learned -- The Magic That Makes Us a Person -- What Did We Learn From COVID-19 -- On Death -- The Way Forward -- Epilogue.
520 _aDuring his training, neurosurgeon Robert J. Dempsey, M.D. was told that global health was something for infectious diseases and not possible in super-specialties. This is the story of questioning that belief, of addressing a massive need by working in the areas of need, going to numerous ministers of health worldwide and showing them that with the training of even a few neurosurgeons, we can complete a trauma system in their country. The result is now we can also provide care for cancer, stroke and congenital defects of newborn children where it was previously impossible. In 2015, the Lancet Commission's report predicted, over the next few years, 47 million unnecessary deaths worldwide due to the lack of essential surgeries. This book relates the importance of rectifying that ongoing tragedy and, more importantly, the humanizing influences that such a journey has had on a super-specialist working with the people of greatest need. It concludes that in spite of massive need, the present situation is actually very hopeful, as we have shifted the focus of global health from service alone to partnered teaching, leading us now to self-sustaining systems of care delivered for and by the people in the regions of need. Global Neurosurgery covers the thought-provoking and often frightening lessons learned over four decades of neurosurgical involvement in global health, working from a period when little or none existed to the present state of specialized healthcare in the area of need. This process starts in the U.S. and then addresses health disparity on four continents and now on U.S. tribal reservations. It emphasizes the importance of first listening, then partnering with government, medical societies, universities and private foundations, and most importantly, learning from mistakes. The programs developed allow the recipients of the care to take over the training so that it becomes about them and their patients in their home lands. It will appeal to a wide audience because its stories explain actual worldwide health conditions while giving an insight valuable to the professional or lay person into the experiences and operating rooms of a neurosurgeon working under very difficult conditions.
650 0 _aNervous system
_xSurgery.
650 0 _aPublic health.
650 1 4 _aNeurosurgery.
650 2 4 _aPublic Health.
710 2 _aSpringerLink (Online service)
856 _u#gotoholdings
_yAccess resource
912 _aZDB-2-SME
912 _aZDB-2-SXM
245 _h[E-Book]
999 _c102836
_d102836