Doctors share their expertise and equipment with Malawi colleagues

Dr Adrian Stanley, consultant gastroenterologist at Glasgow Royal Infirmary, has once again been on his travels to Malawi, taking a number of endoscopes donated by NHSGGC with him to help local teams manage variceal bleeding and oesophageal cancer – major problems in Malawi.

This time he travelled along with two acute medical consultant colleagues from GRI, Dr Christine Aiken and Dr David Colville, after a request from clinicians at the main hospital in Northern Malawi, Mzuzu Central Hospital, for training in acute medicine in preparation for the setting up of a medical HDU there.

On arrival at Lilongwe, the doctors were shown around Kamuzu Central Hospital and talked to local staff and the hospital director about their current work, requirements and available resources.

They discussed future support and training from Glasgow, and some donated endoscopic equipment was handed over to the team.

It was then time to pack their bags and head north to Mzuzu, where they were able to give the team there three endoscopes and a large amount of related equipment donated from Glasgow.

Adrian said: “It is very humbling being able to work with and train the people who are doing the work out there in challenging conditions. However, it is fantastic and very satisfying to see the desperately needed equipment that we no longer require in Glasgow being put to good use.”

While in Mzuzu, the team were able to carry out a range of training. Adrian ran a two-day endoscopic skills enhancement course for the local endoscopists and nurses.

Christine and David led a pilot acute medicine training course covering sepsis, cardiac, respiratory, diabetes, metabolic and gastroenterology emergencies, together with interactive scenario discussions and practical training in patient monitoring.

There was great enthusiasm for the course, which was very well received by everyone who attended, with very positive feedback obtained.

The doctors also met with the Mzuzu Central Hospital hospital director and head of medicine about further support and training from Glasgow.

After arrival back in Lilongwe, Christine and David travelled home, while Adrian headed on to Blantyre. There, he helped run a two-day endoscopy foundation training course followed by a two-day endoscopy therapy course at the World Gastroenterology Organisation regional training centre, where two further endoscopes and accessories from Glasgow were also donated.

A very busy but worthwhile visit!