Surgeons in the developing world
You can combine surgery in the West with work in the developing world, reports Christopher Hands
Throughout Africa and the developing world there is a desperate shortage of adequately trained surgeons to deal with the high rates of road trauma, congenital malformations, and many other surgical problems rarely seen in the West. As an increasing number of clinicians move from the developing to the developed world, some UK surgeons have travelled to poor countries to offer help where it is most needed.
An old man with deep lines scored in his face shuffles across the crowded consultation room, leaning heavily on his stick. He has travelled for a week from his home in the west of Sudan to reach the clinic. He sits on a chair next to the house officer and begins to unwrap the thick bandage on his foot. The deeper layers are stained dark brown, and his foot is bent and twisted by disease and marked by multiple discharging sinuses. He has mycetoma,