Working the night shift

first_img Miles to go Hilarie Cranmer gazes beyond her computer screen where she sits beneath one of the many tents erected. Cranmer, an assistant professor at Harvard Medical School and the Harvard School of Public Health, is a Harvard Humanitarian Initiative-affiliated faculty member who said the “focus has moved from amputating limbs to saving them.” Tent town Tents line a stretch of grass in Fond Parisien, where the Harvard Humanitarian Initiative has set up a rehabilitation hospital led by Michael VanRooyen of the Harvard School of Public Health and Harvard Medical School. More medical volunteers are still needed. 24-hour care Devastation An aerial view shows the town of Fond Parisien lost amid debris and crushed buildings after the 7.0 earthquake. Night shift Night falls as Aarabi (right) and Smithers make rounds at Port-au-Prince’s main hospital. Hands on Aarabi (left) and Jason Smithers (right), from Children’s Hospital Boston, consult each other while working on a patient. A moment to think Shahram Aarabi, a graduate student at the Harvard School of Public Health, peers from a bus window in reflection. Justin Ide/Harvard Staff Photographer The patient groaned as Shahram Aarabi pressed firmly but gently on his stomach, applying a clean dressing over the incision through which the Harvard School of Public Health student and surgical resident at the University of Washington had removed a burst appendix the night before.Aarabi and Jason Smithers, a pediatric surgeon at Harvard-affiliated Children’s Hospital Boston and an instructor in surgery at Harvard Medical School, worked as a team on the man, one of three patients they had operated on the night before. Darkness had fallen, and the two were among volunteer medical personnel staffing the night shift at Port-au-Prince’s largest hospital, providing badly needed care for residents of Haiti’s earthquake-devastated capital and filling a personnel hole as Haitian hospital staff returned to day-shift jobs.Smithers and Aarabi are among the many Harvard-affiliated personnel — doctors, nurses, and medical technicians — who have responded to the titanic medical emergency created by the Jan. 12 earthquake that devastated the island nation.During a week in mid-February, Aarabi and Smithers made their rounds under the auspices of Partners In Health, a nonprofit with close ties to Harvard Medical School (HMS), the Harvard School of Public Health, and Harvard-affiliated Brigham and Women’s Hospital, while nurses from Beth Israel Deaconess Medical Center worked alongside physician Jennifer Scott, a specialist in humanitarian response, on outreach operations at a field hospital led by the Harvard Humanitarian Initiative at Fond Parisien, an hour’s drive away.Tom Monaghan, a medical equipment technician from Harvard-affiliated Massachusetts General Hospital, worked in Port-au-Prince to set up newly arrived equipment and to repair broken machines, while Natasha Archer, a Brigham resident whose family immigrated to the United States from Haiti decades ago, coordinated volunteers for Partners In Health in Port-au-Prince, using vacation time to extend her stay.Working next to the Harvard-affiliated volunteers are skilled medical personnel from an array of institutions across the country. Volunteers from the University of Chicago Medical Center, Northwestern University, the Children’s Hospital of Philadelphia, and the University of Miami work alongside a retired orthopedic surgeon who is lending a hand, along with independent physical therapists who are getting patients up and walking again, and a former Peace Corps volunteer helping with logistics at Fond Parisien.The initial tidal wave of the injured has eased, after washing over Port-au-Prince’s University Hospital and out to places like HHI’s Fond Parisien field hospital, which specializes in rehabilitation after initial treatment. But the need for medical volunteers remains acute. Hilarie Cranmer, an assistant professor at HMS and HSPH and an HHI-affiliated faculty member who is directing the Fond Parisien field hospital, said the focus has moved from amputating limbs to saving them.With a devastated infrastructure and the personal toll the earthquake took on Haitian medical staff, skilled volunteers still are needed to meet medical needs of survivors living in and around Port-au-Prince as they begin to rebuild their lives.Partners In Health, founded decades ago as a health organization with operations largely in Haiti, has brought to Haiti roughly 300 medical personnel — many from Harvard — to augment their nearly 4,000 Haiti-based staffers.“I’m pretty proud of Harvard’s response,” said Paul Farmer, the Maude and Lillian Presley Professor of Global Health and Social Medicine who co-founded Partners In Health and who, among the many hats he wears, is also the United Nations deputy special envoy to Haiti.Though the volunteers’ stays are temporary, their experience teaches enduring lessons and carves indelible marks on them. Dima Awad, a clinical pharmacist at the University of Chicago Medical Center who arrived to help at Fond Parisien, was met with a room full of donated drugs and medical supplies, some years out of date, and tasked with creating a pharmacy. She thought the job impossible, but set to it with the help of local carpenters who created shelves in what had been an orphanage classroom. Nine days later, Awad was low on sleep, but reflecting on success.“When I got here, I thought this was an impossible job,” Awad said. “After working on it, I can tell you nothing is impossible, it’s all a matter of will.”Anthony Croese, a paramedic from New York Presbyterian Hospital, spent a week at Fond Parisien traveling with colleagues to satellite sites to deliver care, identify patients who needed to be brought to the hospital, and provide vaccinations. He said they saw a lot of infections, respiratory problems, abdominal problems, and fevers.“This is definitely going to leave its mark. I don’t think I can ignore something like this again.” Croese said. “I’ll be back, whether I have to take vacation time or use my own money…. This is way beyond what you see in the news.”last_img read more

Pennsylvania’s School Safety Task Force Meets in Allegheny County, Completes Statewide Listening Tour

first_img June 12, 2018 SHARE Email Facebook Twitter Pennsylvania’s School Safety Task Force Meets in Allegheny County, Completes Statewide Listening Tourcenter_img Education,  Press Release,  Public Safety Churchill, PA – Concluding a series of meetings to hear from students, parents, school officials, law enforcement, healthcare experts, and residents, the Pennsylvania School Safety Task Force met today at Woodland Hills High School in Allegheny County. This is the final of six listening session held throughout Pennsylvania to gather perspectives from local communities.“Our schools must be a place where students and teachers can feel safe in the classroom and focus their attention on learning,” said Governor Tom Wolf. “The ideas and experiences that students, parents, and many others have shared with the task force over the past few weeks will be invaluable to help find ways to protect our schools.”Auditor General Eugene DePasquale is co-chairing the task force that includes: Charles Ramsey, chairman of the Pennsylvania Commission on Crime and Delinquency; Mark DiRocco, Executive Director of the Pennsylvania Association of School Administrators; Bonita Allen, President of the Pennsylvania Parent Teacher Association; Judy Morgitan, Immediate Past President of the Pennsylvania Association of School Nurses and Practitioners and Dolores McCracken, President of the Pennsylvania State Education Association.“After meeting with students, school officials, mental health professionals, law enforcement officials and others across the state, it is clear to me that Pennsylvania can do more to make our schools safer,” said Auditor General DePasquale. “We must work together and implement the good ideas that came out of each of these meetings.”The priorities for the task force are:Identifying recommendations to improve school safety;Determining funding needs;Examining the effectiveness of student supports;Improving information sharing; andSeeking tools for anonymous reporting of suspicious activity.The task force will issue a report this summer.Supporting the work of the task force are Homeland Security Director Marcus Brown, Education Secretary Pedro Rivera, Health Secretary and Physician General Dr. Rachel Levine, Labor and Industry Secretary Jerry Oleksiak, and Acting Colonel Robert Evanchick, Pennsylvania State Police.The public is invited to share their recommendations for improving schools security online at https://www.governor.pa.gov/school-safety-feedback/. The task force will use the feedback when preparing a final report.last_img read more

Premier League Talking Points

first_img Press Association Manchester United will bid to respond from their Champions League exit at Bournemouth, a side whose attractive philosophy was rewarded with a victory at Chelsea last weekend. Louis van Gaal’s United have been criticised by a number of their illustrious former players for their tactics, but a win on the south coast could go some way to proving their title credentials. MAGPIES RISING Steve McClaren’s Newcastle are 18th entering this weekend’s fixtures, but a win over Jurgen Klopp’s Liverpool must have done wonders for morale and belief. The Magpies face a different test this Sunday, against a Tottenham side determined to deliver on their potential and in buoyant mood following their mauling of Monaco. MIGHTY FALL Should Leicester beat Chelsea on Monday night the Foxes will retain top spot in the standings and will surely be considered realistic contenders for the title Jose Mourinho’s men picked up in May. Chelsea could drop into the bottom three before kick-off – depending on results elsewhere – and the likelihood of the self-proclaimed Special One being out of a job would increase with a ninth loss in 16 games despite their European success in midweek. FOXES IN BOXES Jamie Vardy is experiencing a goal drought – he did not score in last week’s win as Leicester team-mate Riyad Mahrez’s hat-trick earned a 3-0 win over Swansea. It ended a record run of scoring in 11 straight Premier League games for Vardy, who has been linked with a move to opponents Chelsea. His pace will worry Chelsea and he could soon be back on the goal trail. RUDDERLESS SWANS? Swansea go to Manchester City after sacking manager Garry Monk. It is a thankless task for caretaker boss Alan Curtis and will provide little of a gauge for the future as City can tear apart the best teams, let alone one in disarray and reeling from the departure of their boss. Barclays Premier League leaders Leicester must wait until Monday for their game with defending champions Chelsea and could find themselves toppled by then as Arsenal, Manchester City and Manchester United all have a chance to move into first place. center_img Aston Villa, meanwhile, are seeking a win against the Gunners or could be cut further adrift at the bottom. Here, Press Association Sport looks at five talking points ahead of the weekend’s top-flight fixtures. BATTLE OF PHILOSOPHIES? last_img read more