Luke Mhyre with hospital team in Kijabe, Kenya

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.

Trip Accomplishments

  • 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.

Rotation Challenges

  • 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”.

Lessons Learned

  • 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.

Welcome from Our Global Health Chair

Ortho Chair - Saltzman

Douglas Hutchinson, MD 
Department of Orthopaedics

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