Impressions of an otolaryngologist on a mission

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Returning from the health mission organized by Sosan in Morocco in October 2018 here are some personal considerations of the Otorino Nicola Tricarico. I state that I am altogether satisfied with how the mission was carried out in general and also for the work done in my field. I am a physician specializing in otorhinolaryngology that for over 35 years carries out daily in Italy such profession in hospital. These were days of intense work, entirely dedicated to outpatient consultations in favour of the populations residing in the area of Azilal, a town located in the interior of Morocco on the edge of the Atlas mountain range at about 1,400 Feet high; It is a fairly poor city and many rural communities in the district are headed. For the consultations fortunately I had gone with me a fairly complete instrumentation that occupied most of my personal baggage (I say fortunately for what I am exposing).  I believe that the feedback given by the people visited and also by the governmental and administrative authorities of the place has been more than positive judging by the words and expressions of esteem and affection received at the end of the mission. Certainly something more and better could be done. First you could know better the place where you had to go and what we would find as structures and equipment present (on this aspect, exhaustive is the report of Trigona explaining how, for reasons of force majeure, the mission has been reinvented Only a few hours before departure); It remains indispensable, in order to optimize a mission, the detailed knowledge of the place where one will go and what will be found in terms of instrumental resources and also human. The hospital of Azilal where we worked is an old hospital, undergoing renovation and work in progress, I do not know well the health realities of the country (I think it is in line with the health facilities in Morocco), but the limit with the standards Minimum requirements for a structure that operates in health care; I found surgeries to say the least crumbling and without a minimum of general equipment, completely absent those that served to carry out my visits. Instead, definitely good and efficient was the hospital of Demnate, where he operated the team of abdominal surgeons, so if I can express my opinion is there that hopefully you will be coming soon if you want to perform also performance Higher level of assistance.  Another negative point of my experience was the absolute hiding of the local medical colleagues, who after the first day, were completely defilted. This aspect is not to be neglected for the future, because the collaboration of the attentive local medical-nursing staff is fundamental to ensure a profitable job and becomes indispensable where you want to perform even surgeries. Another aspect concerns the cooperation offered by the volunteer staff present. Very valuable the contribution provided by the volunteers of the local Red Cross and the representatives of the Italo-Moroccan Association of Mr. Buazza. They were all very helpful and present, sometimes poorly organized and confusing, but armed with a great deal of goodwill and indispensable for translations from the Arabic and Berber languages in Italian and vice versa. They would have wanted us to visit many more people because the number of patients increased day by day and, despite the goodwill and willingness, every day we were forced to postpone many people back. We have also tried to make it clear, without success, to the many patients waiting for us to give precedence to those who really need it, but sometimes the desire to be visited by Italian doctors for free has nullified all our recommendations. This too if we want has been a criticality, namely the disproportion between the amount of work required and the presence of voluntary doctors present able to meet the request, so in the future or reduce and regulate better the first or increase the second. It all depends on what you want to do. The activity of the otolaryngologist was remarkable coming to almost 400 visits, about sixty audiometric examinations, about fifty ear washes, about twenty prescription of hearing aids for a total of over 530 performances. Some sixty surgical interventions have been recommended, including tonsillectomy, nasal septum correction, tympanoplasty, stapedioplasty for Otosclerosis, thyroidectomy. PDG Lion Nicola Tricarico, otorhinolaryngologist Specialist      

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