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Tag: Rambam Health Care Campus

Training local doctors

Training local doctors

Prof. Mark Eidelman, director of the pediatric orthopedics unit at Rambam’s Ruth Rappaport Children’s Hospital, second from the left, with African colleagues at the Black Lion Hospital in Addis Ababa. (photo from Rambam Medical Centre)

Dozens of doctors from Ethiopia and neighbouring countries recently participated in a practical course, the first of its kind, which trained them to fix pediatric orthopedic deformities. The course, held for the first time in Africa, was led by Prof. Mark Eidelman, director of the pediatric orthopedics unit at Rambam’s Ruth Rappaport Children’s Hospital.

Fifty doctors participated in the four-day course. Some of them had already completed their internships, while others were still interns. They attended lectures about different treatment types, attended workshops and participated in surgeries. The Black Lion Hospital in Addis Ababa, Ethiopia, hosted the course, which was sponsored by CURE International. CURE is a nonprofit organization that assists children in developing countries suffering from medical issues, in cooperation with POSNA, the Pediatric Orthopedics Society of North America.

The Ethiopian hospital’s pediatric orthopedic services are directed by two doctors from England who relocated to Ethiopia several years ago. The doctors created the course in order to give treatment tools to local medical teams dealing with one of the most common problems in the country.

“Against the backdrop of genetic diseases and problems, and especially since there is a great lack of knowledge, infrastructure and treatment capabilities with regard to pediatric orthopedic deformities, there are many people in Ethiopia with problems that are taken care of in other countries at much earlier stages,” said Eidelman. “In Israel, like in many other Western countries, they know how to diagnose problems … and treat them in a timely manner. This helps these patients to enjoy a higher quality of life and prevent their conditions from deteriorating. Now, for dozens of local doctors, there are tools and knowledge to help their patients.”

Joining Eidelman on this recent mission were two doctors from the United States: one who was Eidelman’s teacher, Prof. John Herzenberg, a senior doctor in the field from Baltimore; and Prof. Christof Radler, who is also renowned in his field.

According to Eidelman, the main problem in training African doctors is the difficulty of traveling to the United States to receive training there. “The institutions in Baltimore are considered the best in the field in terms of training and teaching, and the city hosts the leading conferences and courses,” he said. “Unfortunately, most of these doctors don’t manage to secure entry visas for the U.S. and, as such, are denied access to this information. This is the reason why we decided to bring the training to them. At the end of a successful course, we decided to continue with this initiative and, in the near future, I’m supposed to return to Ethiopia in order to train additional doctors.”

Format ImagePosted on November 30, 2018November 29, 2018Author American Friends of RambamCategories WorldTags Africa, Ethiopia, healthcare, Mark Eidelman, orthopedic, pediatrics, Rambam Health Care Campus
Implant first in world

Implant first in world

Cardiologist Gil Bolotin checks patient Robert MacLachlan, the first in the world to receive the CORolla implant, at Rambam hospital. (photo by Pioter Fliter/RHCC)

A 72-year-old Canadian man has become the world’s first recipient of an Israeli-developed implant to treat diastolic heart failure, a fairly common condition for which there is no effective long-term treatment.

The minimally invasive surgery was performed on July 26 at Rambam Health Care Campus, a medical centre in Haifa, by a multidisciplinary team led by cardiologists Gil Bolotin, director of cardiac surgery, and Arthur Kerner, senior physician in the interventional cardiology unit.

The implant, called CORolla, was developed by Israeli startup CorAssist Cardiovascular of Haifa. The elastic device is implanted inside the left ventricle of the heart and can improve cardiac diastolic function by applying direct expansion force on the ventricle wall to help the heart fill with blood. The CorAssist technology was invented by Dr. Yair Feld, a Rambam cardiologist, with doctors Yotam Reisner and Shay Dubi.

The patient, Robert MacLachlan, explained that he had run out of treatment options in Canada for his diastolic heart failure. His wife had read about the CORolla implant on the internet and contacted Dr. Karen Bitton Worms, head of research in the department of cardiac surgery at Rambam. MacLachlan’s cardiologist encouraged him to apply to have the experimental procedure in Israel.

Bolotin said that, while many potential applicants were interested in the procedure, no one wanted to be first until MacLachlan came along.

“I am proud that Rambam offers treatments to patients not available anywhere else in the world,” said Dr. Rafi Beyar, director and chief executive officer of Rambam.

The hospital did not comment on the condition of the patient, but, in a video released a month after the procedure, MacLachlan said he already feels better and has noticed that his skin colour looks healthy for the first time in a long time.

The Israel Ministry of Health has authorized up to 10 clinical trials at Rambam to test the efficacy of cardiac catheterization for placement of the CORolla implant. The potential market for the device is large. It is estimated that more than 23 million people worldwide suffer from heart failure, a condition in which the heart fails to pump sufficient oxygenated blood to meet the body’s needs. Approximately half of heart failure patients suffer from diastolic heart failure, in which the left ventricle fails to relax and adequately refill with blood, resulting in a high filling pressure, congestion and shortness of breath. This is the condition for which the CORolla device was invented.

To watch the video about the surgery, which includes an interview with MacLachlan, and how the medical procedure works, visit israel21c.org/haifa-hospital-tests-first-implant-for-heart-failure.

Israel21c is a nonprofit educational foundation with a mission to focus media and public attention on the 21st-century Israel that exists beyond the conflict. For more, or to donate, visit israel21c.org.

Format ImagePosted on September 15, 2017September 14, 2017Author ISRAEL21CCategories IsraelTags CORolla, healthcare, Rambam Health Care Campus, technology
Haifa’s Rambam practises medicine without borders

Haifa’s Rambam practises medicine without borders

The parking lot at the Rambam Health Care Campus is a dual-purpose facility capable of converting into a fortified 2,000-bed underground hospital in times of conflict. (photo from Rambam Health Care Campus)

Not unexpectedly, southern Israel suffered more than other areas of the Jewish state during this summer’s conflict with Hamas. Yet up in northern Israel, 30 doctors from the Haifa-based Rambam Health Care Campus (RHCC) were drafted into the Israel Defence Forces (IDF).

“Israel is a small country, so everything affects you whether you are in the conflict or not,” Prof. Rafael (Rafi) Beyar, a renowned cardiologist and the director general of RHCC, told this reporter.

Now, in the aftermath of the 50-day summer war, RHCC is proving that medicine has “no borders,” in Beyar’s words. The week of this interview, doctors at the hospital conducted a successful kidney transplant on a 14-year-old boy from Gaza.

photo - The robotic catheterization system allows the doctor to open heart blockages and implant stents in patients remotely
The robotic catheterization system allows the doctor to open heart blockages and implant stents in patients remotely. (photo from Rambam Health Care Campus)

The largest hospital in northern Israel, RHCC serves more than two million residents and functions as the primary medical facility for the Northern Command of the IDF. In addition to treating Gazan patients and training Palestinian physicians, the hospital is receiving wounded Syrian refugees.

Many of RHCC’s Gazan patients are children facing cancer and kidney diseases.

“These kids don’t have any other solutions,” Beyar said.

While suffering from kidney failure, the Gaza boy treated this week also had a blood condition that obstructed some of his blood vessels. Doctors first needed to check for useable blood vessels, and only then could they transplant his sister’s kidney into his body. When it became clear that the boy’s functioning blood vessels could not sustain the new kidney, doctors implanted a synthetic connector that saved his life.

On the Syrian front, RHCC has received nearly 100 wounded refugees over the past few months. IDF soldiers provide the necessary immediate treatment for injured refugees at the Israel-Syria border in the Golan Heights, and then bring them to the hospital. Most of the Syrian patients have sustained injuries from shock, bombs and other blasts. When they are treated and recover, most return to Syria, but some don’t want to go back, said Beyar.

Like the patients from Syria, most of the Gazan patients are thankful for the treatment they receive from RHCC. Although Beyar doesn’t know what happens to the patients once they return to Gaza, he said, “Someone who is treated and whose life is saved knows how to appreciate that.” Beyar added that he believes Israeli medical treatment of Gazans “has a long-term impact” on how Palestinian civilians view Israel.

Read more at jns.org.

Format ImagePosted on September 19, 2014September 18, 2014Author Alina Dain Sharon JNS.ORGCategories WorldTags Gaza, Palestinians, Rafael Beyar, Rafi Beyar, Rambam Health Care Campus, RHCC, Syria
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