Leprosy Mailing List – February 18, 2016
Ref.: (LML) 19th International Leprosy Congress Beijing 2016
From: Ben Naafs, Munnekesburen, the Netherlands
Dear Pieter,
I cannot agree more with Wim Theuvenet (LML, 16 February 2016). Leprosy without nerve involvement would be an innocent skin disease.
I also agree with the fact that there is too much emphasis on early diagnosis and treatment, forgetting clinical diagnosis and careful follow up and when needed extra treatment. Most of the money goes in laboratory tests and the use of these tests in the field in the hope that they will work, and not in teaching and patient care during (and after) treatment. In most places there is only limited care for people suffering from the sequelae of leprosy and there is where reconstructive surgeons should come in.
Control managers are preoccupied with point of care tests because they are not (anymore) working in the field and do net see the reality: patients damaged due to lack of clinical knowledge, lack of basic care and interest.
Was it not Lenin who stated that good doctors should never become party members? They feel for the individual and not for the general problem. Communism lost from individualism. I do not think that is the solution. But the present “market” leaders should ask themselves why do we fail and what can we do better. Should we look more after the individual?
As you may have noticed I got to organize a workshop on clinical problems. These clinical problems are akin to the problems Wim Theuvenet indicated. It may be a step forward to ask the organizers to allow Wim to organize a workshop on “surgical problems after being “cured” of the bacteriological disease leprosy.
Hoping to see Wim and his fellow reconstructive surgeons in Beijing.
From Tanzania, teaching skin diseases and foremost clinical leprosy.
Ben
PS. I am not like Monsanto effective killing the bees.
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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