{"html":{"tagName":"DIV","attributes":{"id":"content","class":"","tabindex":"0"},"children":[{"tagName":"H1","attributes":{"id":"id1","class":"blog_title","style":"","tabindex":"0","contenteditable":"false"},"children":[]},{"tagName":"H1","attributes":{"id":"MtcvCXBqHbUvihzYJ4w0xI6rOstgHiDw","class":"blog_title","style":"","contenteditable":"false","tabindex":"0"},"children":[{"tagName":"___text___","content":"Los geht's"}]},{"tagName":"P","attributes":{"id":"6OhPXlPmK44vka7LnTSG0Z15qDNq5QXA","class":"blog_text","style":"","contenteditable":"false","tabindex":"0"},"children":[{"tagName":"___text___","content":"03.05.2025"},{"tagName":"DIV","attributes":{},"children":[{"tagName":"___text___","content":"Ein gemütliches Frühstück wartet auf uns, anschliessend ein Bad im Swimming Pool bevor uns Aggrey (zukünftiger Unfallchirurg) und Emmanuel (Innere Medizin) um elf besuchen kommen. Sie berichten von ihrem beschwerlichen Studium bei welchem der Unterricht teilweise um 6 Uhr in der früh beginnt, gefolgt von Praktika am anderen Ende der Stadt und teilweise gleichzeitigen Diensten. Vergangene Woche hatten sie ihre Zwischenprüfungen weshalb sie dieses Wochenende ausnahmsweise frei haben. Aggrey ist ganz glücklich, dass er nach der vielen Theorie endlich wieder im OP arbeiten darf. Das Studium ist hier in Tanzania somit ganz offensichtlich strenger als bei uns in der Schweiz. Aggrey der in Ifisi sehnlich erwartet wird hat Glück, dass es aktuell noch drei Jahre dauert, künftig wird die Facharztausbildung auf vier Jahre verlängert werden. Wir nehmen Aggrey und Emmanuel ein Stück unseres Weges zum Flughafen mit, was nur möglich ist da Bettina noch eine Woche in Zanzibar anhängt und heute separat zum Hafen fährt. Wir quetschen die Zwei auf den Hintersitz und lassen sie mit guten Wünschen unterwegs aussteigen. 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Zusammen mit den Vertreternder verschiedenen Fachdisziplinen besprechen wir die vergangenen knapp zweiWochen, was war gut, was ist uns aufgefallen, wo sind Verbesserungen notwendig,muss medizinisches Material ergänzt oder besorgt werden. Was davon kann im Land selbstgekauft werden und was ist sinnvoll in der Schweiz zu besorgen, respektive welcheAnschaffungen sind bereits am Laufen oder müssen noch in Angriff genommenwerden. Da keine neuen Kandidaten fürMeducation vorgeschlagen werden aber einige Fachspezialisten ans Spitalzurückkehren und andere bereits über das Spital oder anderweitig direkt finanziertwerden, sollte es somit möglich sein, dass sich ZMT am Kauf der notwendigenGerätschaften beteiligt. So ist neben einem neuwertigenUltraschallgerät für das twenty4forty Projekt, dessen Finanzierung Dank derKirche in Oetwil am See ermöglicht wurde, auch der Transport von zweiOxygenatoren (mobilen Sauerstoffkonzentratoren) für die nächsten Tageorganisiert. Ebenso ist einUntersuchungsstuhl für die Gynäkologie durch zweckgebundene Spenden bezahlt wordenund sollte nächste Woche geliefert werden. Die Anschaffung von Monitorenfür die neue intermediate care, neue gut funktionierende Laryngoskope für die Anästhesisten"},{"tagName":"BR","attributes":{},"children":[]},{"tagName":"___text___","content":"und ein Diathermiegerät zur Verödung von Gefässen für die chirurgischenFachdisziplinen ist dringend notwendig. Leider kommt auch dieehemalige Röntgenanlage aus dem Kantonsspital Winterthur früher oder später anihr „end of life“, vor allem weil sich keine Ersatzteile mehr dafür auftreibenlassen. Ihre Finanzierung wird eine neueHerausforderung, der Ersatz sollte aber bereits jetzt in die Wege geleitetwerden, da ein Ausfall jederzeit möglich und zu befürchten ist. Bevor wir zum Flughafengebracht werden sitzen wir noch mit unseren Schweizer Freunden kurz zusammenund planen den nächsten Einsatz von Mitte Oktober. 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Anschliessend fuhren wir in die Utungule Kaffeefarm wo uns Monika und Hans erwarteten, um uns einen Einblick  in die Kaffeewelt zu geben. Wir durften auch selber die Beeren pflücken und haben uns nach der harten Arbeit ein schönes Mittagessen gegönnt."},{"tagName":"DIV","attributes":{},"children":[{"tagName":"___text___","content":"Am Nachmittag ging es für alle ans Packen und unsere ersten 4 (Eveline, Rolf, Tabea und Klaus) haben uns verlassen um ihre Rückreise anzutreten. Der Abschied fiel uns ein bisschen schwer. 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Das Gelenk wurde durch Schrauben versteift, was der Frau die Schmerzen nehmen soll."}]},{"tagName":"DIV","attributes":{"style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s;"},"children":[{"tagName":"DIV","attributes":{"class":"AppleOriginalContents","style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); direction: ltr;"},"children":[{"tagName":"FONT","attributes":{"color":"#070d13","face":"Titillium Web, sans-serif","style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s; font-size: 12px;"},"children":[{"tagName":"SPAN","attributes":{"style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s; caret-color: rgb(7, 13, 19); font-size: 17.68034px;"},"children":[{"tagName":"___text___","content":"Am Nachmittag besuchte ich die HopeGroupe in Mbalizi. Miriel führte mich herum, erklärte mir dies und jenes. Die beiden Köchinnen zeigten mir stolz den Reis und das Fleisch in Sauce, das je in einem Kessel in einem Unterstand vor sich hin köchelte und auf die Schüler wartete. Es trudelten immer mehr Kinder ein. Sie spielten Fussball, gireizten, gigampften und rutschten vergnügt die Rutschbahn runter. Es berührte mich sehr wie hier jedes einzelne Kind mit seiner eigenen tragischen Schicksalsgeschichte einen Ort gefunden hat, an dem es sich aufgehoben  und geliebt fühlen kann!"},{"tagName":"BR","attributes":{"style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s;"},"children":[]},{"tagName":"___text___","content":"Am Abend fand das berühmte Swiss-Tanzanien-Dinner statt!"},{"tagName":"BR","attributes":{"style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s;"},"children":[]},{"tagName":"___text___","content":"Das Schweizerteam, unter der Führung von Catarina, bereitete die Schweizer Spezialitäten vor, während unsere tanzianischen Gäste typische afrikanische Speisen mitbrachten. 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OP-Programm hat sich am Freitagmorgen von geplanten 4 Programmpunkten auf eine abdominale Sekundärenaht reduziert. Doch bevor wir im OP beginnen konnten hiess es erst einmal Warten... Warten bis die Klimaanlage im OP gereinigt und repariert war. Um 10 Uhr konnten wir dann loslegen. Am Nachmittag waren wir dann im Wundambulatorium und halten dort mit. Spannend war ein Patient, der aufgrund schwerer Herzinsuffizienz sein Ulkus cruris nicht in i.v. Sedation debriediern bekommen konnte. Wir konnten dafür einen Femoralisblock stechen und die Wunde konnte so gut gesäubert und verbunden werden."}]},{"tagName":"BR","attributes":{},"children":[]}]}]},{"tagName":"P","attributes":{"id":"S9xDiwoDoqHFr5Bxvmd6uIjizcWYwEpt","class":"blog_text","contenteditable":"false","style":"","tabindex":"0"},"children":[{"tagName":"___text___","content":"24.04.2025"},{"tagName":"BR","attributes":{},"children":[]},{"tagName":"___text___","content":"Vor 12 Jahren das erste Mal mit einem jungen Team in Tanzania, wo sehr viel selber operiert wurde, hat sich aus chirurgischer Sicht doch einiges getan. So sind wir heute vermehrt in einer Support-Funktion dabei. Patienten werden kompetent betreut, auch wenn wir nicht da sind. László hat heute Dr. Amos Mbowella (Viszeralchirurg dessen Ausbildung von zmt finanziert wurde) bei einer Schilddrüsen Operation assistiert. Die Operation verlief ohne Zwischenfälle und reibungslos, sodass László  nie das Gefühl hatte eingreifen zu müssen. Dieser Aufenthalt wird deshalb vor allem genutzt um neue Projekte zu besprechen und Ideen auszutauschen. 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Zur Vorbereitung der langen OP muss man sich ja mal entlasten. Aber hoppla kein WC Papier...Schnitt dann 08.30 Uhr oder später. Die nette Patientin wird vor der OP begrüsst und der Anästhesie übergeben. Das Abdecken mit Tüchern ist bereits die erste Herausforderung. Nach dem Team Timeout kann es dann endlich losgehen. Meine erste Knie-OP ohne Elektrokauter. Ben mein Assistent macht dieses Handicap aber mehr als weg. Jede Blutung wird gekonnt mit einer Klemme versehen. Die Operation verlief dann problemlos, ausser dass aus den geplanten 90 Minuten 240 Minuten wurden. Alle Schrauben (16 an der Zahl) wurden von Hand eingedreht. Die Klimaanlage stand leider auf der Seite der Anästhesie, was diese zum frieren barachte aber keinen Einfluss auf unserer Seite hatte. Die OP-Kleider waren am Ende durchgeschwitzt und die Schuhe voll Schweiss. Aber es hat sich gelohnt, das Ergebnis lässt sich sehen."}]},{"tagName":"DIV","attributes":{"style":"transition-timing-function: ease, ease; transition-delay: 0s, 0s; font-size: 17.68034px;"},"children":[{"tagName":"___text___","content":"Nach einem herrlichen lokalen Mittagessen ging es dann gestärkt in die zweite OP. 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Einsatz April 2025

Unsere Reise beginnt

Autor: Das ZMT-Team

Gepostet am 06. Mai 2025 um 08:19:29