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OH HENRY | Greg Henry MD |
The Last Shift
This month we follow Dr. Henry on the last shift of his iconic 42-year career.
by Logan Plaster
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NIGHT SHIFT | Mark Plaster MD |
Necessary Tests
"No, the doctor never pushed on my stomach. She just talked to me. Doctors don’t really listen to you after 70."
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Featured Classified |
Pennsylvania: - Frankford Hospital has been a premier healthcare system serving Northeast Philadelphia and Bucks County for over 100 years. Our dedication to quality ...
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 What do you see in this ultrasound?
 Sachita Shah, MD, recounts her experience with the Partners in Health relief effort in the St. Marc region
 Did Scott Brown’s surprise senate win bring a shift in the health care debate?
 Whether it’s a catastrophic earthquake or a car crash on the highway, EPs are often the first to step up and provide care.
 To vend or not to vend... that is the question
 Mark Plaster reports: We are seeing a stabilization, but there is a mounting need for follow-up care.
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Nine Things I Learned in Haiti
by Mark Plaster, MD
Problem: If EPs wait for big organizations to act, they will miss their real need.
As soon as I saw the scale of disaster in Haiti I knew I wanted to respond. But because I was on the West Coast, I was unprepared to respond to the Navy’s call to join the USNS Comfort. I then wasted a week looking for another group, finally joining Team Rubicon, an NGO that had only been formed the week prior by people like me who just wanted to do something.
Take Home: If you want to be able to respond in the first wave of relief, have a relationship with a team of like-minded individuals or an organization that is ready to respond on a moment’s notice.
Problem: With infrastructure gone, first responders can be a burden to the host country. The first element of Team Rubicon was made up of former military medics and firefighters. They carried their own tents, food, and gear, enough to last for a week. Being first, they lacked equipment and meds, especially narcotics, to handle many cases that they saw. Only when the second element arrived, a week later, did the team have the needed meds and equipment.
Take Home: Have a relationship with a supply chain that will provide the needed meds, including narcotics, on short notice.
Problem: Relief efforts are really expensive. Team Rubicon wisely committed from the beginning to publishing their activities on the web, thus raising much needed cash in a very short period. But their initial response was done out of their own cash. Regardless of what VISA says in their advertisements, banks and ATMs were not functioning during the disaster. During the initial days of the deployment the team routinely spent up to $1000/day on a variety of unforeseen needs. Getting home was another problem. While the military opened up humanitarian flights and other NGOs operated flights, Team Rubicon had a logistics person working this issue every day.
Take Home: Team members must have access to and be willing to carry large sums of cash. You must also reserve cash and a plan for getting home. Continue Reading>>
The Haiti Experience: Delivering the Goods

Chip Lambert on coordinating more than $100 million in medical supplies
Since the 1970s, my employer, the Medical Benevolence Foundation, has supported Hopital Ste. Croix in Leogane, a city just 35 miles southwest of Port-au-Prince. So when the earthquake struck that exact region, we rushed to put together a supply delivery. Between MBF, the Brother’s Brother Foundation and various local businessmen, I was able to coordinate three separate medical supply deliveries totaling 65,000 lbs. and worth more $100 million.
I arrived in Port-au-Prince on the evening of Jan. 18th with some government officials. The plane was unloaded but we were unable to depart the airport because of security issues. By then, supplies were in high demand and Haitians were desperate. Numerous trucks were being hijacked or raided as they were driven through the streets. Consequently, I was forced to guard the supplies on the tarmac through the night and secured a dump truck and armed personnel the following day. Finally, I departed the airport at 3:30pm and arrived in Leogane at 5:00pm. Along the route, we saw cracks in the road, buildings in rubble, people living in makeshift tents and an increased foul odor. The hospital was still standing but was damaged and considered too unsafe. The nursing school suffered a few cracks but was stable and had served as the only “health care facility” since the day of the earthquake. When I arrived, 5,000 people were already residing on the campus. Their tents consisted of blankets, cardboard, pieces of wood, and scraps of corrugated tin. Measuring approximately 10 feet x 10 feet, each one housed 5-6 people. Continue reading>>
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