Israeli doctors are Haiti’s heroes
Dave Gordon - Tuesday, 6 April, 2010
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In the
past two weeks, Michelle Obama, Demi Moore, Ben Stiller, Susan Sarandon and
even Sean Penn, all flew in for post-earthquake photo ops with Haitian
children.
Nothing
like an earthquake of public relations Richter Scale to bring out Hollywood’s
eager must-be-seen me-too-ism.
Happily,
there were some people who came for purely altruistic reasons, who received
relatively little media attention, and actually helped save lives. They came
from an unexpected place, Israel.
Within 24 hours of Haiti’s
first tremor, an Israeli team of medics were already on the ground, doing
surveillance and reconnaissance to scout out what would be needed for a “rescue
mission.”
Leading the team of medics was Dr.
Ofer Merin, Chief of the Israel Defense Forces Field Hospital in Haiti
and Deputy Director General and Trauma Surgeon at Shaare Zedek Medical Centre
in Jerusalem.
During the 6,000-mile flight en
route to Haiti,
Dr. Merin and team were apprised in real time of any changing situations on the
ground. They learned that about 300,000 Haitians were injured. Every minute
people died because of lack of medical attention. More than a million people
became homeless. “You have to understand that everything was chaotic. There were
thousands and thousands of people lying in the streets,” said Dr. Merin at a
recent Toronto lecture.
In less than 72 hours, the Israeli
team of medical professionals were already treating patients in a field
hospital splayed out in a Port-au-Prince
soccer field. It didn’t take long before word spread quickly among the
survivors that the Israeli team had advanced medical equipment.
Over the course of ten days, Dr.
Merin’s team treated some 250 patients daily, not including 242 operations,
taking about 100 X-rays a day, delivering 16 babies, filling 70 beds, and
saving over 1,100 lives.
The fully operational field
hospital included radiology and maternity facilities, which caught the
attention of CNN - “amazed” at the level of preparedness demonstrated by the
Israeli medical teams, calling the set up “the Rolls Royce” of health care.
Even the figurehead of the UN, Ban
Ki-moon, heaped praise on Israel’s
response to the Haitian earthquake.
In March at Toronto’s
Shaarei Shomayim Congregation, Dr. Merin recalled his team’s successes, triage
dilemmas and unique challenges of the field hospital in Haiti.
The event was presented by The Canadian Shaare Zedek Hospital Foundation, The
Speakers Action Group, Shaarei Shomayim Congregation, and UJA Federation of
Greater Toronto.
Despite the most eager
preparedness, however, they could not treat the severely wounded, knowing that
doing so was futile, not to mention a risk of depleting limited resources.
One 22-year-old woman who was found
by the rescue team five days in, had to have her hand amputated in order to be
pried out of the rubble. In a normal hospital, there’d be an emergency room
working around the clock to save her. Was this an option for Dr. Merin, if he
thought nothing could save her, and there are others who could be saved
instead? “You cannot stand at the gate and say ‘you know, I think she has a low
chance of survival, so let’s not accept her.’”
With such finite amounts of medical
supplies, improvising along the way – and sheer luck - helped wiggle them out
of certain emergencies.
“You have to think in a flexible
way,” he said, adding that it was important to consider patients’ open limb
fractures in the poorest country on Earth. “You try to salvage as much of the
limb you can. The chance of an amputee to find rehab is zero. They’d never have
$10,000 to find prosthesis.”
And so, the team brought with them
70 specialized orthopedic nails, at $8,000 a pop, that were placed in broken
bones to help heal them. However, within four days, their supply unexpectedly ran
out.
An enterprising team member drove
into the city, eventually finding a blacksmith who duplicated 200 “the same as
the original nails” for a few dollars. The Italian and American medical teams
in other field hospitals found them useful, too.
In another miraculous story of
industriousness and resourcefulness, they managed to restock the thousand limb
casts that had run out within a week. Somehow, there was word the Moroccan
embassy had a cache of casts stashed away in their basement. “We thought they were
kidding, but it was true,” said Dr. Merin.
In short order, boxes - adorned
with the Moroccan flag and Arabic writing - containing 3,000 casts, had been
delivered to the team.
Then there was the baby admitted
with severe gastric problems, with congenital lack of vitamin K. This is highly
uncommon in the West and potentially fatal. Pumping plasma into the child was
the solution. One of the attending physicians was quick to donate 20ccs of his
own blood.
The baby was sent home a day later.
This was made all easier by the
fact that the Israelis began the entire set up with an interconnected
computerized system of 20 laptops - one for each tent in the field hospital.
All of the patients were bar coded in order to streamline treatment, keeping
track of each patient as they received various treatments.
“We didn’t have to tell the story
over and over, or have to do any translating. They had a barcode to tell us,”
said Dr. Merin.
In terms of what was accomplished
in those ten days in Haiti,
Dr. Merin’s team performed extraordinary feats of medical wonders, making a
world of difference to thousands of people a half a world away.
To add to their generosity, the
Israelis decided to head back with an empty cargo plane, leaving all of their
state-of-the-art medical equipment to those who needed it desperately more.
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