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I never understood why colleagues said ‘anaesthesia is stressful’. Then I started teaching… watching someone else do something, whether it is a regional block or laryngoscopy and stopping yourself from interfering or taking over is difficult. Now try teaching a foreign trainee, through an interpreter, with 15 people watching you, including a film crew!
I’m in the Central Hospital in Hue, Vietnam on an Orbis Flying Eye Hospital programme, teaching local anaesthetist Le Viet Hòa the finer points of Subtenons anaesthesia. Thank God for air-conditioning - it’s 35C and 90 per cent humidity outside. I’m still sweating slightly.
He’s watched the lecture, seen the demo and practiced several on sheep’s eyes in the wetlab we ran (yes, we’ve moved on from ‘see one, do one, teach one’). Not sure which of us is more nervous.
We’ve consented the patient and prepared her eye with topical proparacaine (why do all drugs have to have four different names?) and betadine. He picks up the forceps and scissors. Always a difficult moment for us needle and syringe loving anaesthetists, subtenons is a bit ‘surgical’.
My usual joke about ‘don’t worry about buying the equipment, just steal them off the surgeon’ backfires slightly, half of those watching us turn out to be local surgeons. I worry he is going to be too tentative, he is. A small prompt, through the interpreter, reminds him to take a decent bite with the forceps.
His hands are shaking a bit, but he steadies himself. He makes a small incision and passes the subtenons cannula perfectly. He injects slowly, just as I taught him. Now the hard part, waiting to see if it has worked. Now he looks really nervous.
Two minutes pass and we check the block. Through the interpreter we ask the patient to try and open her eyes and to look left and right. She cannot. Total akinesia and no chemosis. A perfect block. The look on his face says it all and reminds me why I come out and teach on Orbis programmes.
We walk the patient through to the OR (got to get used to American jargon) and the operation goes smoothly. It takes a while, nearly two hours. However the patient is comfortable throughout and the surgeon complements Dr Hòa on an excellent block.
Everything takes longer on an Orbis programme because they are teaching programmes. Everyone is doubled up. I’m teaching, so are the surgeon and the nurses. Somewhere else in the hospital Orbis biomedical engineers are teaching their local counterparts how to repair and maintain the equipment. Equally important members of the Orbis ‘family’, without whom it just wouldn’t work.
The fact that Orbis recognises this, in its aim to eradicate preventable blindness worldwide, that you need to support every part of the ophthalmic pathway is why I am still here, 10 years on, volunteering on my thirteenth programme with them.
Five successful cases later, we pack up and walk back alongside the Perfume River to our hotel, stopping to have a Vietnamese coffee and people watch.
Volunteers' Week, which celebrates the contribution that volunteers make in society, runs from June 1 to 7. Ian Fleming, a consultant anaesthetist in London, volunteers for Orbis, www.orbis.org.uk
See a video of Dr Fleming's work, and tell us about your experience of volunteering in the comments section below or by contacting [email protected]
Pictures by Geoff Oliver Bugbee
Well done, Ian Fleming!
Great so see so much excellent work being done! I support ORBIS and have seen the DC 10 - absolutely brilliant, very moving. Just keep right on going - the world needs people like you!
Today has being the most happiest day of my life after 1 year of sadness and sorrow without being with the one i love, i tried all my possible best to make sure i make my lover happy but it never seems to work out well it was like am doing everything in vain but all thanks to Lord Alika for coming to change all my worries and sadness to Joy. i knew the great man when i read some wonderful reviews about Lord Alika how he has helped a lots of people on there relationship problem i was reading a magazine which then i saw great testimonies as well which then i decided not to waste time.he told me not to worry that he assures me that within 48 hours everything would be sorted out i believed Lord Alika so much because i believe he can't fail me and i sent him all my details. Truly Lord Alika never failed me,my husband who left me for good a year come back to me. My husband and i have been living contentedly since this spell caster reunited us together with his love spells. Thank you so so so much Lord Alika for your powerful spells. expressions are not sufficient to say thank you. here is his email address lon [email protected] or [email protected], you can also call him , he can be of help to you on any problem like
hello am Christine and am 40years old , when i was 25 i had lost one of my fallopian tube and i have had 2 miscarriage before in the past and i keep on trying but there was no luck on my side since then, at times me and my husband will do it all day but steel no luck until i saw some testimonies ONLINE by other women having semilar case and i decided to contact jeremiah omoto OF God jeremiah omotoTEMPLE and pour out my sorrow and pain ON MY MAIL I SENT jeremiah omoto did do purification and told me the source of my problem that it was work of dark witch craft that somebody put on me ( MY EX BOYFRIEND) that i will never find joy in my marriage, to cut the story short jeremiah omoto did cast the cleanse God to remove the dark magic and then immediately the very next month i got pregnant and praise jeremiah omoto and god i delivered safely baby twins , if you passing through similar problem i urge you to contact [email protected] or watch him television marcylandtv com or +2347055176617
A SOLUTION ON HOW TO GET MY HUSBAND BACK FROM CHEATING
HI My Name is Jennifer , I wish to share my testimonies with the general public about what this man called dr ADAGBA of( [email protected] has just done for me , this man has just brought back my lost family to me with his great spell, I was married to this man called James we were together for a long time and we loved our self’s but when I was unable to give hIM a child for 6 years he left me and told me he can’t continue anymore then I was now looking for ways to get him back until a friend of mine who told me about this man and gave his contact email [email protected] ) then you wont believe this when I contacted this man on my problems he prepared this spell cast and bring my lost husband back and after a month I miss my month and go for a test and the result stated tha i was pregnant am so happy today because i am now a mother of 2 baby girl and a boy, thank you once again the great ADAGBA for what you have done for me, if you are out there passing through this same kind of problems or any kinds of pain at all you can contact him today on his mail ([email protected] or WHATSAPP him via: +2349057354407 his website, adagbaspiritualtem9.wixsite.com/mysite and he will also help you as well.
Hello viewer's ,I promise to share this testimony all over the world once my Ex Lover return back to me, and today with all due respect i want to thank...LORD MASUKA for helping in getting my Ex Lover back to me, i have been in great pains until the day i contacted LORD MASUKA he cast a Reunite love spell for me and told me to wait for just 24 hours that my Lover will call me and i did according to the instructions given to me by him and surprisingly, in 24 hours, my Ex Lover really called me and started apologizing for all he had caused me. I am the happiest woman on earth today because LORD MASUKA has done a wonderful deeds in my life and i will continue to share this testimony,if you have any issue of any kind he is there for you. You can contact LORD MASUKA
His Email [email protected]
Phone number +2347053105287
Skype Lord masuka
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GET RID OF ALS VIRUS OR ANY KINDS OF DISEASES WITHIN 8 DAYS WITH THE HERBS OF DR ADAGBA
I am Caroline Smith i want thank DR ADAGBA for him making me smile, 5years ago i was diagnosed of this painful VIRUS called ALS VIRUS, i have done all i could to get rid of this herpes virus,but all my effort was in vain, i have visited several health CENTER but they couldn’t help me, but i was so GLAD when i saw on the internet, on how Dr ADAGBA has cured several individual from this dealy ALS VIRUS, i had to contact his email address that i found on the internet, after i contacted him, i explained everything to him of how this VIRUS has made me to suffer so much, he assured me of a herbal medication that would completely eradicate this virus and told me not to worry health anymore that everything will be fine,i believed him on everything he told me and within days he sent me the ALS CURE and to my greatest surprise after receiving the THE ALS CURE with 8days of usage as he has told me to be take the medication moring and Night and i found out that i was fully cured, thanks to Dr ADAGBA for his HEAVENLY HERBS CURE, he is truly a life saver,so if you are A VICTIM OF THIS ALS VIRUS or any kids of diseases at all kindly CONTACT HIM with his email address, [email protected] : call or Whatsapp is number via: +2349057354407 adagbaspiritualtem8.wixsite.com/dr-adagba
I used to suffer from HERPES GENITAL for about 3 years so I can relate to people who have the cured. No medications or treatments ever really did anything for me (i tried them all no one work. but I was actually able to completely cure HERPES naturally after countless hours of online research. What worked for me is as follows: I saw Dr ILLUOBE Information online that he normally cure and treat disease and infirmities with his Herbal Medicine, I never really believed the people who where recommending him thou i saw on blog about 6 people where also testifying on how they were cured by Dr ILLUOBE,and still Ellen recommend Dr ILLUOBE who uses herbal medication to cure HERPES GENITAL VIRUS and gave me his email, so i mail him He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES GENITAL VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him: [email protected] .. if you are infected with any disease like HIV, AIDS,CANCER, HERPES.PVC, or any other disease you can also be happy like me by contacting.....
What apps Number: +2348109031502
Email: [email protected]
I’m given you 100% grantee, soon as you have getting in touch with Dr.ILLUOBE your problems will be solved accurately.
I am here to tell the world of the good works of Great Dr Kumar. My name is Don Vera and this testimony is worth sharing. My man left me and my kids for 14 months to suffer. It was not so easy for me. I contacted so many spell casters who scammed me of my money but nothing happened. I love my husband so much and i did not lose hope and i kept on trying until i met Great Dr Kumar how he has helped so many people. I contacted him and explained to him. He told me not to worry that he will bring back my man in 3 days time. He consulted his powers and assured me not to worry that he will bring back my man in 3 days time. He did his work and cast the spell and to my greatest surprise, my husband came the third day just as Great Dr Kumar said. He begged me for forgiveness and he promised never to leave me for any reason. We are happy and we live together as one. Contact Great Dr Kumar now on: [email protected] and you can also contact him on his website:
drkumartemple.wixsite.com/dr-kumar Thank you sir for your help. THIS IS REAL AND NEVER A SCAM. SO BELIEVE HIM
THIS IS THE STORY AND GLORY OF MY LIFE HOW I WAS CURED FROM 10YEARS DISEASE CALLED HERPES VIRUS 2, MY NAME IS WILSON ROWLAND FROM UNITED KINGDOM. ONCE AGAIN A BIG THANKS TO DR OLUWA WHO GOD SENT TO CURE OUR DISEASE. I ALOT OF MONEY TRYING TO CURE THIS VIRUS IN THE HOSPITAL AND MEETING THE WRONG PEOPLE FOR CURE. WELL MONEY WAS NEVER THE PROBLEM, BUT MY MIND WAS NEVER AT REST WHEN I DISCOVER THAT AM LIVING WITH THIS VIRUS, WITH MY ENTIRE FAMILY, MY LOVELY WIFE AND MY THREE KIDS, BUT AM GLAD TODAY THAT WE ARE FREE FROM THIS DISEASE. LET ME TELL YOU A LITTLE STORY, HOW I MEET DR OLUWA AND HOW HE DO HIS WORK. A FRIEND OF MY WHO WAS SUFFERING FROM CANCER AND HERPES VIRUS DIRECTED ME TO HIM AND I WAS REALLY READY TO GIVE HIM A TRY, TO GOD HOW MADE IT EVERYTHING WORK OUT PERFECTLY. OLUWA WILL NEVER ASK FOR MONEY BEFORE SENDING YOU HIS HERBAL CURE BUT ONCE YOU ARE CURED YOU PAY HIM BACK HIS MONEY, HE IS A GENEROUS MAN AND CAN ALSO SUPPORT YOU FINANCIALLY WHEN YOU DON'T HAVE ENOUGH MONEY FOR THE CURE. IF WE HAVE TWO OF HIS KIND IN THIS HOLE WORLD MANY PEOPLE THAT BELIEVE HIS WORK AND TO GIVE IT A TRY WILL BE FREE FROM THIS VIRUS. HE NEVER TOLD ME TO ADVERTISE HIS WORK BUT AM JUST DOING IT BECAUSE I KNOW HOW IT HUNT TO HAVE THIS DISEASE, THAT WHY AM DROPPING HIS EMAIL ADDRESS SHOULD IN-CASE YOU NEED HIS HELP. [email protected] THANKS FOR YOUR LOVE AND CARE FOR YOU ARE LIKE A FATHER TO ME. OR CONTACT HIS WEBS SITE droluwacurehome.webs.com
WOW WHO WILL EVE BELIEVE THAT I WILL BE THIS HAPPY TODAY, AFTER MANY YEARS OF PAIN LIVING WITH HERPES VIRUS 1&2. MY NAME IS NASUHA ZAKARIA LIVE IN UNITED KINGDOM. IT ALL HAPPEN FEW YEARS BACK WHEN I DISCOVERED THAT MY SYSTEM IS NO LONGER FUNCTIONING WELL, SO I DECIDED TO GO FOR MEDICAL CHECKUP ALL TO DISCOVERED THAT I HAVE BEEN LIVING WITH HERPES VIRUS AND I NEVER NOTICE IT FOR A VERY LONG TIME. AT THIS PARTICULAR POINT OF TIME I WANTED TO GIVE UP MY LIFE, BUT WHEN I WENT THROUGH THE INTERNET TO READ MORE ABOUT HERPES VIRUS, I FOUND OUT THAT THIS VIRUS IS DISGUSTING BOTH INTERNAL AND EXTERNAL. GOD SO HAVE IT THAT I HARD ABOUT THIS SIMPLE WONDERFUL AND GOD SENT HERBAL DR CALLED DR OLUWA THE SAME DAY I WANTED TO GIVE UP EVERYTHING BECAUSE I FEEL LIFE WAS NO LONGER IMPORTANT TO ME, MANY THINGS HAPPENED BUT TO CUT THE STORY SHORT, I AM HERPES VIRUS NEGATIVE NOW, AND EVER SENSE I WAS CURED THERE IS NO OUTBREAK EVERYTHING HAS GONE BACK TO NORMAL AND I BELIEVE AM THE HAPPIEST PERSON ON EARTH TODAY. DR OLUWA NEVER ASK ME TO TESTIFY FOR HIM, I DECIDED TO DO THIS MY WAY SO THAT AS MANY THAT WILL BELIEVE AND CONTACT HIM WILL BE FREE FROM THIS DEADLY DISEASE. THIS VIRUS IS SPREADING EVERYDAY SO LET PUT OUR HANDS TOGETHER TO SAVE LIFE. BUT I KNOW MANY ARE YET TO DISCOVERED THAT THEY ARE LIVING WITH THIS VIRUS. I BELIEVE THIS IS THE MOST CRITICAL VIRUS, YOU CAN LIVE WITH IT FOR MANY YEARS AND YOU WILL NEVER NOTICE IT. WELL AM SO HAPPY TODAY ESPECIALLY WHEN MY LOST LOVE IS BACK AND WE ARE GETTING MARRIED SOON. SO MY DEAR LADIES AND GENTLEMEN LET PUT OUR HANDS TOGETHER TO SAVE AS MANY WE CAN BY SHARING THIS TESTIMONY SO THAT THOSE THAT DONT HAVE THE OPPORTUNITY TO CURE THERE DISEASE WILL BE CURED AND BE HAPPY FOREVER, SO YOU CAN CONTACT HIM THROUGH HIS EMAIL ADDRESS, WHAT-SAP NUMBER AND WEBSITE AS FOLLOWED. [email protected] +2348143090463. droluwacurehome.webs.com
HE CAN ALSO CURE THE FOLLOWING AND AM A LIVING TESTIMONY TO IT.
CONTACT HIM TODAY AND YOUR LIFE WILL NEVER REMAIN THE SAME AGAIN, AM PROUD OF YOU DR OLUWA.
Hi, I am Thomas Gregory, from Houston, Texas, USA. I was living with herpes for almost 8 months, i was not myself, my body was always inching with pains and it felt like fire flames burning up my flesh. I was on the internet one faithful day searching for a permanent remedy. So luckily, i was reading testimonials of people who was cured of HSV 1 and 2 by the amazing spell caster named Dr. Okija, an ancient herbal doctor from West Africa. I contacted him by email, and within 72 hours, my herpes was cured up, it felt like a miracle. All thanks to the superb healing spell of Dr. Okija. You too can get in contact with him today if you wanna be cured from any sickness you having by email: [email protected]
Thank you so much great one.. I will continue to testify of your goodness to the universe.
Happiness is all i see now I never thought that I will be cured from HERPES virus again. I have been suffering from a deadly disease (HERPES) for the past 3 years now, I had spent a lot of money going from one places to another, from churches to churches, hospitals have been my home every day residence. Constant checks up have been my hobby not until this faithful day, I was searching through the internet, I saw a testimony on how DR Ihibor helped someone in curing his HERPES disease, quickly I copied his email which is [email protected] just to give him a test I spoke to him, he asked me to do some certain things which I did, he told me that he is going to provide the herbal cure to me, which he did, then he asked me to go for medical checkup after some days after using the herbal cure, behold I was free from the deadly disease, he only asked me to post the testimony through the whole world, faithfully am doing it now, please brothers and sisters, he is great, I owe him in return. if you are having a similar problem just email him on ( [email protected] ) or you can whatsApp his mobile number on +2349050141449.
today am a happy woman because of what Dr Gozza has done for me and am here to testify to everyone here on this forum how this man helped me win my husband back after he has left me and my 4 months daughter to go after another lady who used powers and lies to deceive my husband , it was a terrible situations for me till i storm into this woman who shared a story about Dr Gozza of [email protected], of Facebook just the way am sharing it today now , so i said let me give it a try and after i have explained to this man DR GOZZA from the united state he told me to calm down for there is no problem without a solution so he did his work , prayers, and told me to wait for 48 hours to receive a call, or messages from my husband , i was just like how will this happen , but it was 8 am on that faithful day when i got an apology text from my husband , saying he is so sorry for everything , i quickly take my phone to contact Dr Gozza and inform he that my man has texted me and that was how i got my husband back and today we are one happy family again, so with this great work done for me by DR Gozza [email protected], i have decided to share to world about he so whosoever suffering from heart break, marriage problems breakup , cheating spouse, can also contact he today on his email and i know and believe they will also be helped , because today am a living testimony of his good work call or whatapp on his number.+2349067051818
I'm mr richard , I contracted HIV in 2009, I was told by my doctor that
there's no possible cure for HIV. I started taking my ARV's, My CD4 was 77
and viral load was 112,450. I saw a website of Dr. ude, also I saw a lot
of testimonials about him on how he uses herbal medicine to cure HIV. I
contacted him and told him my problems, He sent me the herbal medicine and
I took it for 7 days after then I went for check-up and I was cured. The
medicine has NO SIDE EFFECT, there's no special diet when taking the
medicine. He also cure DIABETES, EX BACK, ALS, HEPATITIS B, CANCER, HERPES and alots more,,,
1) If you want your ex back.
(2) If you always have bad dreams
(3) You want to be promoted in you
(4) You want women/men to run after
(5) If you want your own children
(6) You want to be rich.
(7) You want to tie your husband/wife to
(8) If you need financial assistance.
(9) How you been scammed and you
(10) and if you ant your herpes cure back
want to recover you lost money
(14) URINARY TRACT INFECTION,
Also contact him with the above.
and lots more. You can reach him on [email protected], or [email protected] ,[email protected] ,
whatsaap him on +2348146240081
all thanks to dr ude he is really a great man good luck .