In May 2007, Dr. William H. Frist co-led a Center for Strategic and International Studies (CSIS) delegation to Russia to participate in the first St. Petersburg State University Forum on Global Health. The forum explored bi-national cooperation in health and health care delivery, including the exploration of establishing a public health initiative in Russia.

At the conclusion of the trip, Senator Frist published the paper: “Improving Russian-U.S. Collaboration on Health” (Washington Quarterly, 30:4, 2007, pp. 7-17) which focused on how Russia and the U.S., in a time fraught with tension, could work together to solve public health issues in terms of policy, behavioral change, and chronic disease. Both could emerge as better, healthier, more viable countries, with health partnerships strengthening diplomatic relations.
No doubt, working at Kijabe is a once-in-a-lifetime experience. Upon setting foot on the dirt road leading to the hospital, I knew I would face many hurdles over the next four weeks as a general surgery resident. Over time, I appreciated subtle clues and changes in each patient’s physical exam to help guide the management of their care without relying on further information.
After working with over 100 volunteers and getting 5000 new supporters for clean water initiatives, Water = Hope wrapped up another fun summer with the Brad Paisley H2O tour!

Our last weekend started out in rainy Philadelphia, where we were still able to have a great night - Philly was one of our best stops on the 2010 tour! - thanks to a hard working volunteer team that braved the elements to talk to fans and build support. We could not have done it without them!
Today started as usual with ward rounds, visiting my patients: Stephen, baba with DM and Mr. SO whom we operated on for appendicitis. I really feel sorry for Stephen’s dad.

Then we went to the OR where we had one scheduled surgery and one emergent ex-lap. The scheduled surgery was removal of a breast mass; turned out to be a chocolate cyst (grossly). I really enjoyed having scrubbed in. I started the IV line and first-assisted; also got to close the skin. I really do enjoy surgery especially on days like this when I feel competent; when the operation went well, when I closed skin properly, when I feel I helped the team help a patient.
CRISIS IN THE HORN OF AFRICA - Dr. Bill Frist, former Senate majority leader, telephoned Playbook after returning from a trip with Dr. Jill Biden to a famine refugee camp on the Kenya-Somalia border: "The Horn of Africa is undergoing the most acute food-security emergency in the last 25 years - 29,000 kids have died in the last 90 days. The response to the crisis is improving globally, but the magnitude is outstripped the supplies. ... Two issues that I'm stressing: Number one, lives can be saved by both individual Americans, and taxpayers through our government responding and investing. And, number two, our long-term investments over the last 10 years, through the USAID, in the Horn of Africa, have paid off. ... "Dr. Biden is very effective in listening, observing, listening, asking questions, and representing the United States in terms of concern and commitment of support. Because she's not in the political hotbed, for me, who's out of politics, she was a perfect leader for the delegation. ... I have visited refugee camps in Chad and Darfur ... The striking difference here is the lack of access in Somalia, because of a dysfunctional government. There's no access to the millions of people in Somalia, where the famine is worst. Therefore, the refugees all have to go to Ethiopia and Kenya, where there is economic stress and environmental stress. ... The crowding in the refugee camps has resulted in pneumonia and a very rare skin disorder, ictchyosis. The kids are dying of pneumonia and diarrheal diseases. ... Individuals who do want to invest, the easiest place to go is USAID.gov, which has a list of nongovernment organizations."
I have been in Kijabe for almost three weeks and today is the first day I received a hard and fast sign that I am in a developing country. No power. No explanation. On one minute then off the next. It happened in the OR – just a blink – but serves as a reminder that as much as there is available here in Kijabe, more than in many other hospitals in Kenya, it is still a tenuous resource. One that is dependent on the hard work of so many to keep things running as smoothly as possible so that the lights stay on, the available suture will be strong enough to hold a knot, and blood will be available for the patient with anemia who needs to have his spleen out.
Yesterday, I visited the Dadaab Refugee Complex in eastern Kenya with Second Lady Dr. Jill Biden and USAID Administrator Rajiv Shah. While there, we heard stories from mothers with their children who had lost their husbands. Families who had journeyed for weeks to arrive at the camp malnourished and in dire need of medical assistance. And, worst of all, parents who had heartbreaking stories of losing children in the flight from famine in Somalia.

Subscribe to our newsletter to recieve the latest updates.