White Coat Wanderlust

MD/MPH student in Portland, OR. I love: breakfast, exploring, health as a human right, running, and all things Northwestern.
Wandering around in the mountains.

Wandering around in the mountains.

Best view in Portland!! @trailblazers

Best view in Portland!! @trailblazers

Remembering one of my heroes, Nelson Mandela, today. This is a picture of his jail cell when I visited Robben Island five years ago—it was an incredibly moving experience. RIP Madiba.

Remembering one of my heroes, Nelson Mandela, today. This is a picture of his jail cell when I visited Robben Island five years ago—it was an incredibly moving experience. RIP Madiba.

natgeofound:

A man sells goldfish in baggies tied to a tree branch in Beirut, Lebanon, February 1983.Photograph by W. E. Garrett, National Geographic

Next place on my list to visit… hopefully this march! :)

natgeofound:

A man sells goldfish in baggies tied to a tree branch in Beirut, Lebanon, February 1983.
Photograph by W. E. Garrett, National Geographic

Next place on my list to visit… hopefully this march! :)

Falling Short of the Millennium Development Goals

savingmothers:

image

The New England Journal of Medicine put out a terrific article today on the progress (or lack thereof) that’s been made in reaching the Millennium Development Goals. Goals 4 and 5 have to do with reducing mortality in children under the age of five and reducing maternal mortality during…

Not quite the Cali beach I was frolicking on last weekend, but the OR coast in all its gray gloominess really is pretty. (at Cannon Beach)

Not quite the Cali beach I was frolicking on last weekend, but the OR coast in all its gray gloominess really is pretty. (at Cannon Beach)

nprglobalhealth:

Popping A Baby Out Like A Cork, And Other Birth Innovations

An invention to help with obstructed labor has turned some heads — and not just because the idea came from a party trick on YouTube.

The Odon Device, created by Argentine car mechanic Jorge Odon, guides a folded plastic sleeve around the baby’s head. A little bit of air is then pumped between the two plastic layers, cushioning the baby’s head and allowing it to be sucked out. This trick for removing a cork from an empty wine bottle works the same way.

The device has been embraced by the World Health Organization and is being developed by the global medical technology company BD. Once clinical trials are done, the WHO and individual countries will have to approve it before it’s sold. BD hasn’t said how much it will charge, but each one is expected to cost less than $50 to make.

"If proven safe and effective," a 2011 presentation on Odon’s invention said, “the Odon Device will be the first innovation in operative vaginal delivery since the development of forceps centuries ago and vacuum extractor decades ago.”

The Odon device shows that “good ideas can come from anyone and anywhere,” says Wendy Taylor, director of USAID’s Center for Accelerating Innovation and Impact.

If you’re in the business of innovating, she says, there’s no need to strive for mechanical complexity. Some of the biggest breakthroughs are cheap and simple. And, she says, the strategy for scaling something up for worldwide use “is just as important as the innovation itself.”

One of the crowning innovations in preventing death during childbirth was convincing doctors to wash their hands in between handling corpses and delivering babies. And many argue that fancier tools are just part of a tradition of unnecessary interference that circumvented the best tool in the box: gravity.

With that in mind, here are five ideas that struck us as innovative and surprising (some more likely to succeed than others):

1. Ready Yet?

A team at the University of California, San Francisco created a “cervical cap" to check whether a woman is about to go into labor. The device can detect changes in the collagen of the cervix. The softening of collagen as the cervix opens is a telltale sign a baby’s on its way. Information from the cap’s sensors can be transmitted to a nearby cellphone, which can send the data to a doctor. The device can be inserted briefly once a day, without a professional’s help.

2. Back To Basics

A team at Massachusetts General Hospital developed a uterine balloon kit to stop postpartum hemorrhage. It consists of a condom tied to a catheter. Water from the catheter fills the condom in the uterus, creating pressure that can stop the bleeding. The kit has been tested successfully in South Sudan and Kenya. A similar tool in the U.S. can cost more than $300 each, Mass General says, compared with less than $5 each for the simple balloon kit.

Continue reading.

Top Drawing: The Odon Device was inspired by a YouTube video about how to remove a cork from the inside of a wine bottle. (Courtesy of the Odon Device)

Bottom Drawing: A ”cervical cap" detects changes in the collagen of the cervix to determine if a baby’s on its way. Information from the cap’s sensors can be transmitted to a nearby cellphone, which can send the data to a doctor. (Courtesy of UCSF)

Some LAX—>PDX #latergrams ✈️🗻

Some LAX—>PDX #latergrams ✈️🗻