2010 Dental / Medical / Surgical Expedition to Nubra Valley Ladakh

September 6, 2010

On July 17, 2010, Dr. Myra Elliott returned to Ladakh for the third consecutive year in order to continue her follow-up efforts to bring a wide range of dental and medical health care treatment to the people living in one of the most remote areas of the Himalayas.

After a year of post-expedition analysis and objective planning upon returning to Singapore from the 2009 dental/medical camp in Nubra Valley, Dr. Elliott once again mobilized a team of skilled and dedicated specialists to return in 2010 and aggressively address many of the vision related, gynecological and medical maladies that her team from the previous year discovered during the 2009 camp.

In preparation for the ambitious objective to perform as many cataract operations as possible,a portable optical microscope was purchased from an internationally renowned manufacturer of precision surgical equipment located in India. The Appasamy Optical Company headed by Mr. Jeyaraj, played a wonderfully supportive role in making it possible to purchase and take delivery of this invaluable surgical component prior to the team's arrival from Singapore.

Dr. Elliott arrived in Leh on July 17, 2010. After an entire day of packing, sorting and loading three large cargo trucks with over 1,000 kg of portable dental and medical equipment, medications and surgical supplies, the entire team of 22 dentists, physicians, gynecologists, dermatologists and surgeons once again drove over the highest motorable road in the world to the remote region of Nubra Valley.

Dr Elliott and her team of 22 physicians, dentists & surgeons arrive in Leh, Ladakh

Because of the ambitious objectives of the 2010 expedition which included surgical procedures for the treatment of cataract patients, it was necessary to seek the invitation and authorization from the highest level political and medical leaders in Ladakh. Unconditional cooperation was extended and the team was able to utilize the surgical theaters, examination and treatment rooms as well as the trained medical staff of the small government hospital in the village of Disket.

After once again driving from Leh over the 19,000 ft Kardong la pass, Dr Elliott and her team were welcomed at the hospital in Disket, Nubra Valley

Dr. Elliott met with the hospital director Dr Manzoor, to plan the most effect strategy for utilizing the skills of her team members as well as the facilities at the hospital to treat the hundreds of locals who came to be examined and treated for a wide range of injuries and ailments

The team immediately broke up into their specialties and went to work setting up micro clinics within the hospital to offer their skills to the local people who waited patiently for the opportunity to be seen by the individual physicians

As had been reveled and clearly understood from the two previous expeditions to Ladakh, dental problems were severe, wide spread and epidemic among the entire Ladakhi population. The dedicated team of 6 dentists treated over 700 patients during the week in Nubra Valley

One of the most deficient areas of medical care in the remote region of Ladakh is that of women's health. In a ground breaking initiative, gynecologists Dr. Chua Yang and Dr. Quek Swee Chong initiated public teaching efforts and also examined and treated over 300 woman of all ages and cultural backgrounds. Thirty patients with pre-cancerous lesions were diagnosed and were surgically treated during the camp. On the final day of the treatments, the doctors were receiving young female patients who were coming to the hospital for routine examinations which was a ground breaking cultural development. Every effort will be supported to continue this trend of preventative examination andtreatment to help stem the epidemic tide of fatal cervical cancer rates amongst the women of Ladakh.

The doctors conducting basic woman's health care instruction to the patients at the hospital

Dr. Nordan, Dr. Chua Yang and Dr Elliott discussing strategies for making the women's health aspect of the expedition more effective and far reaching

The team of three general physicians examined hundreds of patients with a wide range of illnesses and injuries. Very often patients came into the hospital from distant village locations with a multitude of complaints. They were offered treatments and free medications by Dr Siang-Yo Kung and his colleagues or referred to other members of the team for their more specialized treatments.

In some cases the patients required emergency surgery and arrangements were made for them to be flown to Chandigarh or Delhi for their more advanced and complicated conditions.

Hundreds of people came to the hospital for treatments after hearing about the opportunity over region-wide broadcasts over All India Radio

Dermatologist Dr. Wong Siew Nee examined and treated many patients who came to the hospital with severe skin afflictions. The harsh environmental conditions, lack of hygiene and congenital predispositions made this specialty one of the most actively sought out by the patients. Especially heartbreaking was this young boy who was completely covered in a growth of unknown origin. His excruciating physical and emotional discomfort touched everyone connected with his case. We will do everything possible to see that he receives follow up treatment and care.

Dr Myra Elliott and other skilled physicians on the team also performed many surgeries for local people suffering from small tumors, lesions and injuries

Certainly the most ambitious aspect of the 2010 medical expedition was in the field of vision care. In previous years of mobilizing the dental/medical camps it was abundantly clear that even the most basic optical care was tragically lacking throughout the region. Local Ladakhi people urgently required not only corrective eyeglasses, but also surgical treatments for more severe conditions such as cataracts.

During the July 17>23, 2010 expedition another major effort was made to examine and treat hundreds of people who required simple eyeglass prescriptions and/or reading glasses. Over 700 pairs of reading glasses were distributed and 100 additional patients will be re-examined by a trained optometrist and provided with their new prescription eyeglasses free of charge.

Volunteer Pennie Jackson helping to conduct the 100s of eye exams that were performed

Over 700 pair of corrective eyeglasses and sunglasses were distributed after the examinations

The most ambitious effort of the entire expedition was the mobilization of a complete surgical team led by Dr. Pauline Cheong and Dr Ranjana Mathur to undertake the sight restoring procedure of cataract surgery. Because of the complete lack of an adequate surgical microscope at the hospital in Disket, a new one had to be purchased for the surgeon's use. Special gratitude must be extended to Mr. Jeyaraj of the Appasamy Optical Company in India for his efforts to facilitate this purchase and assure that it was delivered to Ladakh in time to be utilized by the surgeons. It performed brilliantly despite the basic conditions of the Disket Hospital.

Dr. Ranjana examining a patient prior to cataract surgery

Dr. Pauline Cheong conducting tests for glaucoma on a patient in Nubra Valley

Utilizing the new Appasamy surgical microscope, as well as the skilled members of their support team, Dr Ranjana and Dr Cheong performed many successful cataract surgeries

The heartfelt gratitude of the patients who received complex eye surgeries or procedures as simple as filling a decayed tooth, were the ultimate reward for the dedicated members of the team

The entire 2010 Dental / Medical Expedition team back in Stok Village ready to return to Singapore, the UK, the USA, Nepal and New Zealand after another successful mission to Ladakh

Team leader and inspiration Dr. Myra Elliott

(click to enlarge)

2010 Dental / Medical / Surgical Team

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Individual dentists & doctors committed to come to Ladakh for the Medical/Dental project in 2010.

March 7, 2010

Dr. Myra Elliott has committed to bringing another Dental / Medical team to Ladakh in August 2010.  This will include a major cataract surgical team led by Dr. Ranjana Sanjay Mathur, director of the Singapore National Eye Center. Dr. Marcus Ang diagnosed over 50 cases of severe cataract conditions during the 2009 expedition and now we are going to try and treat each and every one of them with this skilled team of surgical specialists

Dr. Chua Yang, a noted gynecologist and veteran of the 2009 team that came to Nubra Valley is mobilizing a team of woman’s health care specialists to return to Nubra Valley in 2010 to implement the first ever wide spread cervical cancer screening program.  This tragic disease is the number one cause of fatal illness among Ladakhi woman and Dr. Chua Yang is determined to implement a regular screening program to diagnose the illness in it’s early, treatable stages.

Dr Chua Yang
A Clinic for Woman - Singapore

Dentists:

Ally Ellmers and Kate Arlidge are final year dental students from Dunedin, New Zealand.  They are setting out on an adventure to India in June>July that includes volunteering two weeks in Ladakh and helping with the Himalayan Dental Project. We look forward to their arrival and will be utilizing their dental skills and enthusiasm to examine and treat young children in another remote region of Ladakh.

Dr. Madeleine Aslund

Dr. Steve Rogers is a renown specialist in oral & maxillofacial surgery.  Dr Rogers lives in Bend, Oregon and has traveled extensively in the Himalayas of Nepal offering his sophisticated skills to the people of the Himalayas.  Dr. Rogers is planning to come to Ladakh in 2010 and treat some of the more complex cases we have encountered during our remote village examination expeditions.

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