Meet Dr. Cristian Carreon, Santo Domingo, Ecuador

Dr. Cristian gives a thumbs up while using the CMES-Pi app to search for medical topics of interest.

Dr. Cristian is a full-time Family Practice doctor at the Centro de Salud Hombro a Hombro Clinic (CSHH) in Santo Domingo, Ecuador. CSHH was established in 2007 and partners with Timmy Global Health during brigades. The clinic has three medical exam rooms, dental room and services, an office and a pharmacy. This small but mighty clinic, staffed by two nurses, one part-time and Dr. Cristian, serves approximately 20,000 patients from the poor urban neighborhoods each year.

Centro de Salud Hombro a Hombro Clinic (CSHH) in Santo Domingo, Ecuador.

Dr. Cristian and his staff have few opportunities or financial resources to attend continuing medical education (CME) conferences in Santo Domingo or Quito. A CMES Raspberry-Pi device was installed in the clinic and using smartphone apps the doctors and nurses can access free CME at the clinic. Every month about 20 new topics are available in Spanish as PDF files.

Ecuador Gets a Slice of CMES-Pi

Dr. Debra Stoner departs this week to install CMES-Pi at two sites and dispense CMES thumb drives at two other sites in Ecuador, including Quito, Santo Domingo, Guangaje, and Tena.

The CMES thumb drives and CMES-Pi give rural doctors and nurses access to cutting-edge continuing medical education (CME). Timmy Global Health, a Techies Without Borders (TWB) partner, works alongside local health providers in Ecuador to provide healthcare in remote regions. The CME is provided free of charge by another TWB partner, Emergency Medicine Reviews and Perspectives (EM:RAP).

Visit TWB Twitter, Instagram and Facebook pages for more photos later this week.

Dataplicity

Dr. Manoj Thomas and Dataplicity Founder, Elliot Mackenzie, London, England May 2018.

Techies Without Borders (TWB) partners with Dataplicity. Dataplicity is the foundation for IoT remote support and provides TWB with a generous allowance to keep track of our Raspberry-Pi data.

IoT = Internet of Things…sounds like a scifi book but means using the “Internet” as the backbone of connectivity and the “Things” are your devices. Your things collect data and send it to the Internet. Put it all together and IoT converts a normal device into a smart device. TWB installs Dataplicty on CMES-Pis before it gets to the clinics and hospitals. With Dataplicity, we are able to manage and update CMES-Pi devices located in remote and hard to reach areas. This means we can monitor and fix any issues without long distance phone calls and walking non-technology users through diagnostics.

Who Knew: Data geeks knew…there are a lot of data jokes on the web…one of my favorite.

 

 

Go Fund Me: Give a Slice of CMES-Pi Success

 

The Techies Without Borders team thanks everyone who donated, sent words of encouragement and shared our Go Fund Me page on their social media. We raised $2000 USD in two weeks.

The funding supports installation of CMES-Pi units in Mbarara University of Science and Technology and Makerere University Hospital, Uganda; Mount St John’s Medical Centre, Antigua; Victoria Hospital, St. Lucia; Timmy Global Health (TGH) partner clinics in Quito, Santa Domingo, and Tena, Ecuador; and USB drives TGH’s Guangaji Clinic, Ecuador.

Who Knew? TWB slowly formed as two university professors, Dr. Manoj Thomas and Dr. Yan Li, along with their graduate students worked on social-driven educational IT projects for their studies. A mutual friend invited Manoj to meet her mom, Dr. Debra Stoner. Over dinner…Manoj and Deb formed a friendship based on mutual respect and their passions to bring education to those with limited access…CMES was born and in 2018 TWB incorporated as a 501c3 nonprofit corporation. We are committed for the long haul.

EMS in Nepal – Meet Dr. Sanjaya Karki

Dr. Sanjaya greets an opiod overdose patient transferred from a remote district in Nepal to Medicate Hospital, Kathmandu.

Dr. Sanjaya Karki at Mediciti Hospital, Kathmandu Nepal, has been using the CMES thumb drive since 2016. He is a regular reader of this blog and uses the EMRAP cme to prepare lectures along with keeping his knowledge up-to-date. Dr. Karki is the Medical Director for the Department of Emergency Services at Mediciti. He did his MBBS and European official double masters in health and welfare and has done his MD in Emergency Medicine. Well known in Nepal and internationally for his innovation in EMS, he was honored and awarded the David Well Extreme Medicine Award, UK in 2014 and the EMS10 Innovators of The Year 2016 Award, USA.
Dr. Karki shares his insights about the fledgling EMS program in Nepal. “The EMS Helicopter emergency medical service is becoming more and more popular and productive in Nepal. Nowadays many voices are raised in order to streamline this service. The major topic at the government level should be to make a strategy and policies governing this important service.
Due to unavailability of road access in many places of Nepal, as well as no proper ground EMS service available across the nation, Helicoptor EMS will surely play a pivotal role in preventable deaths.”
Who Knew? Opioid Misuse Disorder is new to Nepal following on the heels of Cannabis and alcohol addiction. Read this article to find out more.

A Word…or Two…from Mel Herbert at EMRAP

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Who and what is EM:RAP? Emergency Medicine: Reviews and Perspectives (EM:RAP) is our sponsor and source of the continuing medical education (cme) materials brought to you by the Techies Without Borders (TWB) program called Continuing Medical Education on Stick (CMES) and CMES-Pi. Listen to a free podcast by Mel Herbert MD MBBS FAAEM as he discusses the future of EMRAP here.

As a participant in CMES or CMES-Pi we wanted you to appreciate this is a company that goes beyond the mission of excellent cme. It makes a commitment to helping you be the best you can and embracing colleagues worldwide. We at TWB gratefully acknowledge EM:RAPs forward vision and passion.

Thumbs Up for Victoria Hospital, Castries, St. Lucia

Victoria Hospital, Castries, St. Lucia

Dr. Lisa Charles, ED Director

Welcome and meet Dr. Lisa Charles, Director of Victoria Hospital Emergency Department. Dr. Charles and her team of eight ED physicians joined the Continuing Medical Education on Stick (CMES) project this month. CMES is a collaborative initiative to improve access to cme for medical practitioners in resource-challenged areas.

Victoria Hospital is located in Castries, St. Lucia, an island in the eastern Caribbean Sea. It is the main public healthcare facility for the northern part of the island. Mr. C. Felix St. Hill, Permanent Secretary of the Department of Health and Wellness granted permission for Dr. Debra Stoner, from Techies Without Borders (TWB), to present the project to the ED staff and train them how to use the CMES thumb drives. CMES is an education project of TWB.

Dr. Charles plans to use the lectures to meet some of the St. Lucia Medical Council’s cme requirements as traveling off the island to attend cme conferences can be challenging for her staff.

Who knew? Maybe you know of colleagues in challenging clinical practices who would benefit from the CMES Project? Please put them in contact with Dr. Debra Stoner: debra@himanchal.org