Team Heart Begins Eighth Annual Mission to Rwanda

During the 2012 mission, five of Team Heart’s surgical patients were all smiles at King Faisal Hospital in Kigali, Rwanda, after completing physical therapy for the day.
During the 2012 mission, five of Team Heart’s surgical patients were all smiles at King Faisal Hospital in Kigali, Rwanda, after completing physical therapy for the day.

This week, the BWH-led Team Heart is embarking upon its eighth annual mission to Rwanda to perform life-saving heart surgery for patients with rheumatic heart disease. The team performs one out of every four cardiac surgeries in Rwanda.

Chip Bolman, MD, a cardiac surgeon at BWH, founded the team with his wife, Ceeya Patton Bolman, MSN, RN, in 2008. Read all about the team’s work in this Boston Globe article, and visit Team Heart’s website for more information.

Global Health Doc Prepares for Boston Marathon

Riviello
Robert Riviello shares this picture of himself on a training run in Rwanda for the Boston Marathon.

One of BWH’s global health experts, Robert Riviello, MD, MPH, is training for the Boston Marathon while he is in Rwanda this month. This year’s marathon is especially meaningful to Riviello, as he was working in BWH’s Emergency Department when the bombs exploded at last year’s marathon.

He writes:

Soon afterward, I received an email from a physician I work with on my regular travels to Rwanda that simply said, “Be strong.” This doctor, a survivor of genocide who I have teamed with as a part of BWH’s Center for Surgery and Public Health, was now supporting me in my community’s time of need.

It was a moving reminder that, no matter who you are or what your circumstances, you never know when you’ll need support—or when an encouraging word can mean the world to someone else.

That’s why I’m running in this year’s Boston Marathon—to pay tribute to the community who stood strong and supported each other through last year’s tragic events. And with less than three weeks until Marathon Monday, my teammates and I could all use some words of encouragement right about now.

I’m writing to you now from Rwanda, where I’m continuing my work with Dr. Georges Ntakiyiruta, but I’m still doing my marathon training—and it hasn’t been easy. (That’s me in the photo, training solo here.)

Running up Mount Kigali is always worth it for the great view, but to make it up there I have to motivate myself by remembering why I’m doing this: to honor the courage of our patients and the passion of our care teams.

This year’s Boston Marathon means so much to me and my teammates, and I’m sure it does to you, too. Please sign the good luck card and leave a message that BWH will deliver to our team the day before the race: http://give.brighamandwomens.org/pages/Marathon-Card

Please feel free to share the link far and wide!

Global Health Doc Prepares for Boston Marathon

Riviello
Robert Riviello shares this picture of himself on a training run in Rwanda for the Boston Marathon.

One of BWH’s global health experts, Robert Riviello, MD, MPH, is training for the Boston Marathon while he is in Rwanda this month. This year’s marathon is especially meaningful to Riviello, as he was working in BWH’s Emergency Department when the bombs exploded at last year’s marathon.

He writes:

Soon afterward, I received an email from a physician I work with on my regular travels to Rwanda that simply said, “Be strong.” This doctor, a survivor of genocide who I have teamed with as a part of BWH’s Center for Surgery and Public Health, was now supporting me in my community’s time of need.

It was a moving reminder that, no matter who you are or what your circumstances, you never know when you’ll need support—or when an encouraging word can mean the world to someone else.

That’s why I’m running in this year’s Boston Marathon—to pay tribute to the community who stood strong and supported each other through last year’s tragic events. And with less than three weeks until Marathon Monday, my teammates and I could all use some words of encouragement right about now.

I’m writing to you now from Rwanda, where I’m continuing my work with Dr. Georges Ntakiyiruta, but I’m still doing my marathon training—and it hasn’t been easy. (That’s me in the photo, training solo here.)

Running up Mount Kigali is always worth it for the great view, but to make it up there I have to motivate myself by remembering why I’m doing this: to honor the courage of our patients and the passion of our care teams.

This year’s Boston Marathon means so much to me and my teammates, and I’m sure it does to you, too. Please sign the good luck card and leave a message that BWH will deliver to our team the day before the race: http://give.brighamandwomens.org/pages/Marathon-Card

Please feel free to share the link far and wide!

Global Health Summit Offers Insight, Inspiration

BRIGHAM AND WOMEN'S HOSPITAL AND HARVARD MEDICAL SCHOOL HOST THE GLOBAL HEALTH SUMMIT MONDAY AFTERNOON
From left, Paul Farmer, Atul Gawande and Nawal Nour share a laugh during the keynote panel at the Global Health Summit.

Through the stories and insights shared during the Nov. 25 Global Health Summit, attendees were transported to war-torn Somalia, the mountains of Rwanda and back home again.

Throughout the afternoon, they heard Andrew Ellner, MD, MSc, of BWH’s Division of Global Health Equity, demonstrate the need for an overhaul of the American health care system and Michael VanRooyen, MD, MPH, FACEP, of BWH’s Department of Emergency Medicine, share his personal insights into training the next generation of humanitarian workers.

Attendees listened intently as BWH associate physician Ashish Jha, MD, MPH, asked the poignant question about preventable health care costs: “How is it safe to fly a 30-year-old plane but not use a 6-year-old CT scanner?”

Hosted by BWH, Harvard Medical School (HMS) and Harvard School of Public Health (HSPH), the Global Health Summit—a BluePrint-themed event—provided a thought-provoking inside look at the important work being done in the global health arena. Special guests and BWH, HMS and HSPH leaders and staff came together in the Joseph B. Martin Conference Center at HMS to learn lessons straight from the field from expert physicians, patients and donors in three panels.

“What makes global health work successful is partnership,” said BWH President Betsy Nabel, MD, who provided an introduction and closing for the event’s last panel. “The ability to connect and work together is essential.”

Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.
Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.

In one panel, BWH surgeon Robert Riviello, MD, MPH, of the Division of Trauma, Burns and Surgical Critical Care, shared his inspiration for getting involved in global health work: his Christian faith and growing up reading stories of saints and missionaries.

“That dedication, resilience and effectiveness struck me as, ‘This is ‘good with a capital G’ work – work you would want to spend your life doing,’” he said.

Joining Riviello on the panel was philanthropist and former BWH patient Dan Ponton, who spoke about his partnership with Riviello to build much-needed housing for doctors in Rwanda. Ponton, who was successfully treated at BWH for a life-threatening brain tumor, saw how the housing shortage made it difficult to attract and retain qualified medical staff. His foundation—the Daniel E. Ponton Fund at Brigham and Women’s Hospital—subsequently funded and built the Butaro Doctors’ Housing project.

During the panel, Ponton shared the inspiring message that “it doesn’t always take a doctor to solve a health care problem.”

In the event’s final panel, WBUR “Here & Now” co-host Robin Young spoke with global health luminaries Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, and Nawal Nour, MD, MPH, in what resembled a personal living room conversation among friends.

After providing introductions of each other, the three panelists answered Young’s thoughtful questions, sharing everything from their inspirations to formative moments in their lives and careers—including Farmer’s admission that working in Haiti was his “Plan B.” Plan A was working in West Africa.

Gawande, a self-described “professional dilettante,” or dabbler, said that he has always been interested in change and why it seems so hard. He sees his research and writing as ways to “work through the puzzles and try to solve problems.”

He later summed up the spirit of BWH by saying: “If you’re not leading by making a difference, then you’re not fulfilling the mission of this place.”

Nour discussed her work with the African Women’s Health Center at BWH, which she founded in 1999, and the nuances and complexities of the beliefs held by her patients, many of whom have experienced female genital cutting.

Of the media’s flashing interest and coverage of women’s and children’s health issues, Nour said: “If we could sustain that interest and funding, we could make changes systematically. If more people looked at health issues through a gender-based lens, we could make great improvements.”

View a photo gallery from the event.

Watch webcasts of the panel discussions:
“The Global Health Experience: What We Can Learn”
Introduction and moderation: Jeffrey Flier, MD
Panelists: Andrew Ellner, MD, MSc, Ashish K. Jha, MD, MPH, Michael VanRooyen, MD, MPH, FACEP

“Making Global Health Happen”
Introduction and moderation: Julio Frenk, MD, PhD, MPH
Panelists: J. Christopher Flowers, Dyann Wirth, PhD, Daniel E. Ponton, Robert Riviello, MD, MPH

“To Alleviate Human Suffering: Our Work to Strengthen Global Healthcare”
Introduction: Elizabeth G. Nabel, MD
Moderation: Robin Young
Panelists: Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, Nawal Nour, MD, MPH
Closing: Elizabeth G. Nabel, MD

 

Global Health Summit Offers Insight, Inspiration

BRIGHAM AND WOMEN'S HOSPITAL AND HARVARD MEDICAL SCHOOL HOST THE GLOBAL HEALTH SUMMIT MONDAY AFTERNOON
From left, Paul Farmer, Atul Gawande and Nawal Nour share a laugh during the keynote panel at the Global Health Summit.

Through the stories and insights shared during the Nov. 25 Global Health Summit, attendees were transported to war-torn Somalia, the mountains of Rwanda and back home again.

Throughout the afternoon, they heard Andrew Ellner, MD, MSc, of BWH’s Division of Global Health Equity, demonstrate the need for an overhaul of the American health care system and Michael VanRooyen, MD, MPH, FACEP, of BWH’s Department of Emergency Medicine, share his personal insights into training the next generation of humanitarian workers.

Attendees listened intently as BWH associate physician Ashish Jha, MD, MPH, asked the poignant question about preventable health care costs: “How is it safe to fly a 30-year-old plane but not use a 6-year-old CT scanner?”

Hosted by BWH, Harvard Medical School (HMS) and Harvard School of Public Health (HSPH), the Global Health Summit—a BluePrint-themed event—provided a thought-provoking inside look at the important work being done in the global health arena. Special guests and BWH, HMS and HSPH leaders and staff came together in the Joseph B. Martin Conference Center at HMS to learn lessons straight from the field from expert physicians, patients and donors in three panels.

“What makes global health work successful is partnership,” said BWH President Betsy Nabel, MD, who provided an introduction and closing for the event’s last panel. “The ability to connect and work together is essential.”

Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.
Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.

In one panel, BWH surgeon Robert Riviello, MD, MPH, of the Division of Trauma, Burns and Surgical Critical Care, shared his inspiration for getting involved in global health work: his Christian faith and growing up reading stories of saints and missionaries.

“That dedication, resilience and effectiveness struck me as, ‘This is ‘good with a capital G’ work – work you would want to spend your life doing,’” he said.

Joining Riviello on the panel was philanthropist and former BWH patient Dan Ponton, who spoke about his partnership with Riviello to build much-needed housing for doctors in Rwanda. Ponton, who was successfully treated at BWH for a life-threatening brain tumor, saw how the housing shortage made it difficult to attract and retain qualified medical staff. His foundation—the Daniel E. Ponton Fund at Brigham and Women’s Hospital—subsequently funded and built the Butaro Doctors’ Housing project.

During the panel, Ponton shared the inspiring message that “it doesn’t always take a doctor to solve a health care problem.”

In the event’s final panel, WBUR “Here & Now” co-host Robin Young spoke with global health luminaries Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, and Nawal Nour, MD, MPH, in what resembled a personal living room conversation among friends.

After providing introductions of each other, the three panelists answered Young’s thoughtful questions, sharing everything from their inspirations to formative moments in their lives and careers—including Farmer’s admission that working in Haiti was his “Plan B.” Plan A was working in West Africa.

Gawande, a self-described “professional dilettante,” or dabbler, said that he has always been interested in change and why it seems so hard. He sees his research and writing as ways to “work through the puzzles and try to solve problems.”

He later summed up the spirit of BWH by saying: “If you’re not leading by making a difference, then you’re not fulfilling the mission of this place.”

Nour discussed her work with the African Women’s Health Center at BWH, which she founded in 1999, and the nuances and complexities of the beliefs held by her patients, many of whom have experienced female genital cutting.

Of the media’s flashing interest and coverage of women’s and children’s health issues, Nour said: “If we could sustain that interest and funding, we could make changes systematically. If more people looked at health issues through a gender-based lens, we could make great improvements.”

View a photo gallery from the event.

Watch webcasts of the panel discussions:
“The Global Health Experience: What We Can Learn”
Introduction and moderation: Jeffrey Flier, MD
Panelists: Andrew Ellner, MD, MSc, Ashish K. Jha, MD, MPH, Michael VanRooyen, MD, MPH, FACEP

“Making Global Health Happen”
Introduction and moderation: Julio Frenk, MD, PhD, MPH
Panelists: J. Christopher Flowers, Dyann Wirth, PhD, Daniel E. Ponton, Robert Riviello, MD, MPH

“To Alleviate Human Suffering: Our Work to Strengthen Global Healthcare”
Introduction: Elizabeth G. Nabel, MD
Moderation: Robin Young
Panelists: Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, Nawal Nour, MD, MPH
Closing: Elizabeth G. Nabel, MD

 

How Rwanda is Redefining HIV Care

Boston_0512_Global Health Equity Residency Graduation_25.jpg
Neil Gupta, MD, MPH, during his graduation from BWH’s Division of Global Health Equity Doris and Howard Hiatt Global Health Residency Program. Photo by Justin Knight.

In recognition of Dec. 1 as World AIDS Day, BWH physician Neil Gupta, MD, MPH, contributed a compelling op-ed piece to The Atlantic on HIV treatment in Rwanda. Gupta, the deputy clinical director for Partners In Health in Rwanda, has witnessed the success of Rwanda’s approach to HIV care and treatment, and the impact it has had on the lives of Rwandans.

He writes: “In Rwanda, where just 20 years ago a genocide claimed approximately 1 million lives, the government has transformed HIV care for the poor by redefining the standards for successful treatment. More than three decades into the epidemic, many national and international agencies are still counting the basics—how many people get infected, how many people receive medication, how many patients die. Success in Rwanda, meanwhile, is measured not in the number remaining alive, but rather in how many are actually able to take their medications as directed and suppress the virus in their bodies to a level where it is essentially non-existent. In Rwanda, success is achieved when people living with HIV can earn a living, support their family, raise their children, and care for their community no differently than their peers.”

Read the complete op-ed here.

Team Heart Patient Receives Award for Helping Others

Jean Paul and Jacky
Jean Paul and Jacky Iyamuremye during a visit to Brigham and Women’s Hospital last week. The pair were en route to Hawaii, where Jean Paul received the Bakken Invitation Award.

Six years ago, a young man in his 20s lay dying in a hospital bed in Rwanda. Emaciated, bed-ridden and incredibly ill with bacterial endocarditis, Jean Paul Iyamuremye’s chances of survival seemed slim. It was a drastic change from just four months earlier, when life had been so promising. He had just married a wonderful woman named Jacky, and they were ready to start their lives together.

But Jean Paul was lucky. While he was in the hospital, a newly formed group, called Team Heart, was just beginning to plan its first cardiac surgery mission to Rwanda. Led by BWH cardiac surgeon Chip Bolman, MD, and his wife, Ceeya Patton Bolman, RN, the team met Jean Paul and planned to operate on him during their mission five months later, hoping that he would survive in the interim.

He did, and received the first mechanical valve to be done in Rwanda on Team Heart’s inaugural trip in April of 2008.

Today, a vibrant, healthy and optimistic Jean Paul has just returned from Hawaii, where he received an award for his advocacy work on behalf of other Team Heart patients. The team returns to Rwanda each year, and Jean Paul is committed to helping patients as they undergo surgery and begin to recover. Continue reading “Team Heart Patient Receives Award for Helping Others”

Team Heart Patient Receives Award for Helping Others

Jean Paul and Jacky
Jean Paul and Jacky Iyamuremye during a visit to Brigham and Women’s Hospital last week. The pair were en route to Hawaii, where Jean Paul received the Bakken Invitation Award.

Six years ago, a young man in his 20s lay dying in a hospital bed in Rwanda. Emaciated, bed-ridden and incredibly ill with bacterial endocarditis, Jean Paul Iyamuremye’s chances of survival seemed slim. It was a drastic change from just four months earlier, when life had been so promising. He had just married a wonderful woman named Jacky, and they were ready to start their lives together.

But Jean Paul was lucky. While he was in the hospital, a newly formed group, called Team Heart, was just beginning to plan its first cardiac surgery mission to Rwanda. Led by BWH cardiac surgeon Chip Bolman, MD, and his wife, Ceeya Patton Bolman, RN, the team met Jean Paul and planned to operate on him during their mission five months later, hoping that he would survive in the interim.

He did, and received the first mechanical valve to be done in Rwanda on Team Heart’s inaugural trip in April of 2008.

Today, a vibrant, healthy and optimistic Jean Paul has just returned from Hawaii, where he received an award for his advocacy work on behalf of other Team Heart patients. The team returns to Rwanda each year, and Jean Paul is committed to helping patients as they undergo surgery and begin to recover. Continue reading “Team Heart Patient Receives Award for Helping Others”

Telepathology Brings Rapid Diagnosis to Rwanda

Telepathology picture NG

When you only have two pathology laboratories in a country of 10 million people, clinicians often have to make treatment decisions without pathology results. This was the case in Rwanda, until BWH joined with other organizations to reduce turn-around times and ultimately build capacity in the country’s pathology labs.

Check out this BWH Clinical & Research News article about how BWH pathologists are helping to bring rapid diagnosis to Rwanda.

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Telepathology Brings Rapid Diagnosis to Rwanda

Telepathology picture NG

When you only have two pathology laboratories in a country of 10 million people, clinicians often have to make treatment decisions without pathology results. This was the case in Rwanda, until BWH joined with other organizations to reduce turn-around times and ultimately build capacity in the country’s pathology labs.

Check out this BWH Clinical & Research News article about how BWH pathologists are helping to bring rapid diagnosis to Rwanda.

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