By Alison Shamwana | Started 30th Apr 2020
INTRODUCTION BY MARTIN SMITH, IHPBA PRESIDENT
Follow this link to read the introduction by our President, Professor Martin Smith.
Note of Gratitude, Dr Jagannath
Hope all well…
I've received so many messages from the IHPBA family across the world enquiring about my wellbeing and of my family.
I am deeply touched by this concern and warmth from my extended family.
I am glad to share that ‘We are all well … today’ ! In the current times we start with the greeting – ‘Hope you are well’
In 2020 the experts debated as to how as to ‘why India had lower mortality from Covid. In 2021 the same experts are debating ‘why mortality is high in India’. It is a paradox which is difficult to understand.
Perhaps the lower impact initially led to complacency in both the people and the government. The infrastructure and the supplies were not ramped up sufficiently.
The second wave is actually a ‘Tsunami’ which hit with limited notice and with great force. City after city, state after state are reeling under the impact.
We are fortunate that we have been vaccinated as a priority and also have been taking precautions. We were just starting our elective work as many of the cancer patients were waiting patiently for their surgeries. Just as we thought that normalcy is returning and we are out of the tunnel, that we've been hit badly.
The international community has been generous in sending the supplies but real shortage is a healthcare infrastructure not just physical infrastructure but the manpower. Above all ‘vaccine’ shortage in a country which produces vaccines for the world!
Media always sensationalises. It’s not as horrific as they project. We don’t see ambulances screaming , but hospitals are full and ICU beds are in short supply.
All my resident staff and from other all other departments are all on Covid duties. They have not gone home for now more than 12 months. Not met their families as they fear that they may take the virus home. In fact whenever I go to the hospital and return, I feel apprehensive that the new variant may be carried in spite of vaccination.
I am grateful that those who are known in the HPB community are safe so far.
Many intensivists, chest physicians , nurses and staff have contracted Covid. Some of them have gone through ICUs. Most of them have recovered, but yes there were some tragedies in the second wave.
We will continue to work, to provide care as much as we can within the constraints of the resources. We have an efficient teleconsult platform which is working well. HPB surgical care has been decentralised has many surgeons trained across the country are performing complex procedures in semiurban settings. Necessity is the mother of invention.
With all good wishes ‘This too shall pass’ .
Wishing you, your families, residents, colleagues, staff and friends -safety and good health
Stay well my friends, you are very precious for the society
COVID-19 Video Diaries
Doctor P. Jagannath: Close call followed by a long week...
Follow this link to read Dr Jagannath’s account of his close brush with COVID during the first wave in India.
Michelle L de Oliveira - President of the UEMS HPB Board of Examination:
Follow this link to read an explanation by Michelle L de Oliveria, President of the UEMS HPB Board of Examination) on the impact of the COVID-19 crisis on the late 2020 examinations, the wider impacts to the HPB surgical education system, and how the HPB syllabus may need to change in response.
Orlando Torres: Being an HPB surgeon during the COVID-19 era.
Follow this link to read Dr Orlando Torres’ account of how COVID-19 impacted not only his professional, but also personal life.
AHBPA Webinar on COVID-19
Follow this link to view the AHPBA Webinar on COVID-19 and HPB Surgery. This is a very useful discussion, but please note that it took place on 17 April 2020 so data provided in the webinar and the Q&A should be viewed in light of a rapidly changing landscape.
Impact of the coronavirus pandemic on the role of HPB surgeons in Tongji Hospital, Wuhan, China
This report [link] by Lin Chen, Zhi-yong Huang and Xiao-ping Chen describes how HPB surgeons in the Tongji Hospital of Wuhan, at the epicentre of the coronavirus outbreak in China, were called upon to assist in the fight against coronavirus, and the strategies adopted to successfully deliver HPB service to the most severely affected COVID-19 patients and others during the last four months.
Fabio Ausania: Being an HBP Surgeon during COVID19 times
Follow this link to read a report by Fabio Ausania, Hospital Clínic de Barcelona, on the impact COVID-19 has had in Catalonia.
Delivery of HPB surgery during the COVID-19 pandemic: an European-African HPB Association Survey
Watch this presentation by Anita Balakrishnan of the results of the above survey to which many of you will have contributed:
A paper is also being published in HPB, you can view the full text here
Please use the discussion board below if you have any questions for the authors on the survey or results.
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