Long Road from Quito
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Long Road from Quito

Transforming Health Care in Rural Latin America

Tony Hiss

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eBook - ePub

Long Road from Quito

Transforming Health Care in Rural Latin America

Tony Hiss

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Über dieses Buch

Long Road from Quito presents a fascinating portrait of David Gaus, an unlikely trailblazer with deep ties to the University of Notre Dame and an even more compelling postgraduate life. Gaus is co-founder, with his mentor Rev. Theodore M. Hesburgh, C.S.C., of Andean Health and Development (AHD), an organization dedicated to supporting health initiatives in South America. Tony Hiss traces the trajectory of Gaus's life from an accounting undergraduate to a medical doctor committed to bringing modern medicine to poor, rural communities in Ecuador. When he began his medical practice in 1996, the best strategy in these areas consisted of providing preventive measures combined with rudimentary clinical services. Gaus, however, realized he had to take on a much more sweeping approach to best serve sick people in the countryside, who would have to take a five-hour truck ride to Quito and the nearest hospital. He decided to bring the hospital to the patients. He has now done so twice, building two top-of-the-line hospitals in Pedro Vicente Maldonado and Santo Domingo, Ecuador. The hospitals, staffed only by Ecuadorians, train local doctors through a Family Medicine residency program, and are financially self-sustaining. His work with AHD is recognized as a model for the rest of Latin America, and AHD has grown into a major player in global health, frequently partnering with the World Health Organization and other international agencies. With a charming, conversational style that is a pleasure to read, Hiss shows how Gaus's vision and determination led to these accomplishments, in a story with equal parts interest for Notre Dame readers, health practitioners, medical anthropologists, Latin American students and scholars, and the general public.

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Information

Index

achiote bush (lipstick tree), 34
Aedes aegypti mosquitoes, 74–76
Aedes albopictus (Asian tiger) mosquitoes, 74–76
Afro-Ecuadorian community, founding of, 129
AHD. See Andean Health and Development
AHI (Andean Health Institute), 188
Alfredo (boy dying of snakebite in Pedro), 56–57, 60, 145, 192
Alma-Ata conference (1978), 94–100, 101, 102, 104, 111, 186
Alvarado, Carlos, 162–63
Amerindians
Chachi people, 129
Columbian Exchange, 32, 34, 85–86, 129, 188
Maya-Kaqchikel people, 104–6
mestizaje, 31
Shuar people, 42
Tsáchila people, 24, 33–35, 38, 39, 56, 162
Andean Health and Development (AHD/Saludesa), 5, 44–45, 50, 77–78, 86, 114, 121–23, 154–56, 165
future of, 190–93
logo/crest, 44, 161
online publications, 191–92
residency/training program, 81, 172–75, 179–83, 186–87, 190
See also Hospital Hesburgh; HPVM
Andean Health Institute (AHI), 188
anemia/iron deficiency, 128, 146
Anopheles mosquitos, 73
antibiotics and antibiotic resistance, 30, 49, 57, 65, 101, 145, 162, 188
anti-venom, snake, 57–61
appendicitis and appendectomies, 25, 50, 111, 145, 163
Asian tiger (A. albopictus) mosquitoes, 74–76
Audy, J. Ralph, 170–71
autism, 67
balsa wood, 71–72, 83
Batwa pygmies, 4, 135
Behrhorst, Carroll, 104–8, 135, 141, 144
behvarzan program, Iran, 100, 186
Bill and Melinda Gates Foundation, 102–3
biopsychosocial (BPS) medical model, 110
Bitchin, Bob, 168
Black Death, 85
Bolivia, 72, 176
Boston City Hospital, 64–65
Bothrops asper (fer-de-lance/equis), 35, 55–56, 60, 76, 145
BPS (biopsychosocial) medical model, 110
Breslin, John, 137
Brezhnev, Leonid, 97
Bristol-Meyers, 134, 143
Buffett, Warren, 103
Bush, George H. W., 134
Bush, George W., 102
cabezudos, 80, 81, 84
Calmette, Albert, 58
camino a la cura, 23–25, 162
Cardijn, Joseph, 119–20
CARE International, 143
Carmen (woman dying of preeclampsia), 21, 145
Carondelet Palace (Ecuadorian White House), Quito, 5, 66, 156
Carroll, Lewis
Through the Looking Glass, 27
Carter, Jimmy, 111, 122
Catholic Worker movement, 119–20
cerebral palsy, 67
Cervero, Fernando
Understanding Pain, 139–40
Chachi people, 129
chikungunya virus (CHIKV), 72–75, 77, 78, 83
children survival revolution and selective primary health care, 101–2, 145
Chimaltenango program, Guatemala, 104–6, 107
China
Alma-Ata conference (1978) and, 95
“barefoot doctor” program, 92–94, 101, 105
diseases originating in, 72, 74
domestication of animals in, 84
Mass Education Movement, 91–92
World War I, “coolies” imported to Europe during, 90–91
Cho, Margaret, 101
citizens’ revolution in Ecuador, 28, 29
Civil Rights Act of 1964 (U. S.), 116
Clifton, Margaret, 17, 18
Cline, Barnett L., 111, 138–39
Clinton, Bill, 102
Colombia, 28, 37–38, 148
Columbian Exchange, 32, 34, 85–86, 129, 188
common cold, 84
Correa, Rafael (president of Ecuador), 28, 29, 64, 86, 108, 144, 178–79
cosmovisión (world view), 31, 161–63, 172, 181
CPR Annie or Resusci Anne, 17
C-sections, 108, 111, 163, 165
CT scanners, 49–52
Cuba, primary health care in, 100–101
curanderos, 24, 162
curative versus preventive medicine, 92, 93, 103–4, 122, 187, 190
Cutler, David, 177
Dalai Lama, 4
Darwin, Charles, 27
Declaration of Alma Ata, 94, 96, 98, 99
deforestation in Latin America, 74–75
dengue fever, 72–74, 78, 162
diabetes, 71, 82, 83, 172
diarrhea in children, 82, 101
differential diagnosis, 180
“dome of gloom,” 129, 144
domesticated animals, as disease vectors, 84–85
DĂłnde Coco. See Pescados DĂłnde Coco restaurant
Dooley, Thomas “Tom” A., III, 131, 134–36, 149
The Edge of Tomorrow, 135
Dries, Laura, 154–55
driving in Ecuador, 44–45, 47, ...

Inhaltsverzeichnis