Luke Myhre, MD — Kenya
Luke's Personal Background
- Grew up in Bundibugyo, Uganda and attended boarding school in Kenya.
- Parents are both physicians who still work in East Africa (public health, family medicine/obstetrics and pediatrics/neonatology).
- Worked at Kijabe Hospital when he was in college and completed a project on spinabifida incidence and on use of traditional medicines.
- Observed orthopaedic care in a unique international setting in a private hospital with highly trained specialists who served a rural and poor population.
- Laid groundwork for future data collection and research collaboration with residents.
- Spent two days in the clinic and operating room seeing many patients with untreated chronic conditions such as osteomyelitis, arthritis, and dysplasia.
- Attended meetings with the Medical Director, Chair of Orthopedics, Research nurse, Head of Medical Education and made connections with the orthopaedic faculty.
- Shortage of faculty mentors with international research experience and interest.
- Paper charting in international hospitals, cultural differences in importance of records.
- Dichotomy between practical desperation for resources, time, and energy to treat overflowing clinics and ORs, without added burden of “Research”.
- Rules of engagement are different — finite resources necessitate difficult decisions
- E.g. Operations that NEED to happen, things that CAN be fixed, often are not. Kids lose limbs they wouldn’t if their parents made more money. People spend years in wheelchairs.)
- Stakes are high — There is not much of a social safety net, those that are disabled stop being able to provide for their family. People drop out of school. Families bankrupt themselves to pay fees for care.