P. Lloyd Hildebrand

Eyelidoc

P. Lloyd Hildebrand

Ophthalmologist joining a medical team providing clinical care and academic exchange programs in Asia, Africa and Latin America to support development of blindness prevention programs including clinical care, educational exchanges and research activities - coordinated through a team of amazing eye care professionals in government, academic, private practice and international non-governmental organization (INGOs) settings across the globe. All in the pursuit of eliminating avoidable blindness and vision loss.



Asia » India » Tamil Nadu » Madurai November 21st 2018

November 21, 2018 (Madurai, India) Cataract surgery is quite structured and one of the most common surgeries performed. An opaque natural lens is removed and replaced with an artificial one. There are two primary ways of removing them: 1) manual small incision cataract surgery (MSICS pronounced em-six) and 2) phacoemulsification. In MSICS the lens is removed through a slightly larger incision because it is removed manually. The cataractous lens has a nucleus (which is harder) and an outer layer of softer tissue (cortex). Like a peach, the nucleus would be the seed and the pulp would be the cortex. It is wrapped in a bag that has to be opened but preserved with the opening so the artificial lens can go inside the bag. In phaco surgery, the nucleus is shattered using an ultrasonic tip that ... read more
Cataract surgery

Asia » India » Tamil Nadu » Madurai November 21st 2018

November 21, 2018 (Madurai, India) Aravind has many visitors and they treat them graciously, providing housing in the Aravind guest house, with driver services to where we needed to go. Traffic seems tame compared with Dhaka, but there's plenty of cow-dodging, pot-hole swerving, and eluding tuk-tuks/bikes/pedestrians that a driver is a must. Those guys have quick reflexes, drive aggressively with a defensive approach using their horns to communicate with any potential casualty. The house isn't far from the main Aravind campus, but they insisted on driving us - nobody wants a guest lost or injured on their shift! The house provided breakfast lunch and dinner except on Sundays and had laundry services for a fee. There was internet service (most of the time) and good air conditioning. The rooms were large, beds comfortable and hot showers. ... read more
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Dining Room and Kitchen (background)
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Asia » India » Tamil Nadu » Madurai November 19th 2018

November 19, 2018 (Madurai, India) Busy and interesting day today, focused on the Aravind Eye Hospital system . Our first meeting of the day included a presentation by Aravind staff on the overall system. There are multiple layers of services centered around eye hospitals like the one in Madurai. These are called tertiary hospitals and include all subspecialties of ophthalmology. They now have six of these hospitals in southern India. They also run six secondary hospitals, which focus on cataract surgery and advanced diagnostics – referring advanced cases to the tertiary hospitals. They then have 72 vision centers – community based clinics run by mid-level ophthalmic practitioners (MLOPs) in villages that have no eye care in their proximity. These link the MLOP via telemedicine to ophthalmologists to make final treatment and recommendation decisions.... read more
Family waiting area
Vision Testing
Refraction station

Asia » India » Tamil Nadu » Madurai November 19th 2018

November 18, 2018 (Madurai, India) The Thrumalai Naiker Palace is an iconic facility designed by an Italian architect and built in 1636 by king Thrumalai Naiker. Its unique architecture blends the styles of Islamic arches, Hindu statues and cornices with Roman columns. Only a fourth of the original palace remains, and some areas are in disrepair, but overall an impressively preserved unique structure.... read more
Columns and arches
Panoramic view
Lotus leaf emblems

Asia » India » Tamil Nadu » Madurai November 18th 2018

November 18, 2018 (Madurai, India) The markets are always colorful and busy, with the cacophony of live transactions everywhere as a cross section of society meets to do business, the traffic is struggling to get through the congested streets, the smells challenging the senses and introducing new experiences!... read more
Bananas come in all colors!
Onions and shallots
Veggies

Asia » India » Tamil Nadu » Madurai November 18th 2018

November 18, 2018 (Madurai, India) We left Dhaka and it took the better part of the day Saturday to get to Madurai, located in Tamil Nadu province in southern India. Landing among a series of thunderheads, the weather here is noticeably warmer and humid than Dhaka. Notably different, we've gone from a Muslim culture to a Hindu culture and into a more developed country which Bangladesh is working toward. The goal here is to visit and research the Aravind Eye Hospitals and its affiliates LAICO (consulting arm for AEH) and AuroLab (manufacturing of ophthalmic supplies/equipment). We are being housed at the Aravind guest house which offer great accommodations near their facilities. Sunday was a day off to explore a bit and I was able to see some of the local sites: the Thrumalai Naiker Pal... read more
Aravind Eye Hospital
The Palace
Banana market

Asia » Bangladesh » Dhaka November 16th 2018

November 12, 2018 (Dhaka, Bangladesh) When I say I'm in Bangladesh to work with BRAC, many people wonder what the acronym is. When it was first established it went through several acronym iterations (Building Resources Across Communities, Bangladesh Rehabilitation Assistance Committee, Bangladesh Rural Advancement Committee) but now is simply BRAC. Its hot magenta colored loco with lower case letters is familiar in Bangladesh. For its size and impact globally, it seems relatively unknown outside of this region. But it is impressive. Certainly in Bangladesh it is ubiquitous throughout all aspects of the infrastructure. BRAC is an international development organization based in Dhaka. It is the largest development organization in the world employing over 100,000 people (70 percent are women) and reaching 150 million people with its services. Founder url=h... read more
BRAC Humanitarian Relief HQ
BRAC Humanitarian Relief HQ

Asia » Bangladesh » Cox's Bazar November 13th 2018

November 13, 2018 (Cox's Bazar) Camp 1 of the Rohingya Refugee camp is at the northern end of the camp and the most established one. There are 20 camps and some of them have been split into East and West sides (Camps 1, 2, and 8). The Camp designation has organizational and political structure implications with representative committees, NGO assignments using these designations. The overall management is now coordinated by the United Nations Refugee Agency (UNHCR), but is heavily reliant still on the infrastructure and operational commitment that BRAC established in the initial phases. The job is tireless for the Head of BRAC's Humanitarian Relief Programme (Mr. Salam). On Tuesday morning, escorted by BRAC staff we were invited visit the camp and see the infrastructure, its operational landscape and get an framework for some of the ... read more
A Map of the Rohingya Refugee Camps
Grocery Store
A Camp "Street"

Asia » Bangladesh » Cox's Bazar » Coxs Bazar November 13th 2018

November 12, 2018 (Cox's Bazar, Bangladesh) A mass human migration began on 25 August 2017 following retaliation by Rohingya Arsa militants who launched deadly attacks on more than 30 police post. Rohingyas began arriving Cox's Bazaar district of Bangladesh that borders Myanmar after troops, backed by local Buddhist mobs, burned their villages, attacked and killed civilians. Nearly 7,000 Rohingya (including more than 700 children under the age of five) were killed after the violence broke out, and there was widespread rape and abuse Rohingya women and girls reported. Nearly 300 villages were partially or totally burned down in northern Rakhine. Satellite images show many places where Rohingya villages were burned down, while nearby ethnic Rakhine villages are intact. This began a massive refugees escape, reaching Bangladesh with barely any belongings. Happening during the rainy season, t ... read more

Asia » Bangladesh » Cox's Bazar » Coxs Bazar November 12th 2018

November 12, 2018 (Cox's Bazar, Bangladesh) I think the name url=https://www.google.com/maps/place/Cox's+Bazar/@21.622673,91.3071882,8.77z/data=!4m5!3m4!1s0x30adc7ea2ab928c3:0x3b539e0a68970810!8m2!3d21.4272283!4d92.0058074Cox's Bazar is strange in a cool and exotic way. It was a place I'd not heard of before considering going to Bangladesh on this trip, but a place that has been entangled in a humanitarian crisis of historic proportions since August of last year. It derives its name from Captain Hiram Cox, an officer of the British East India Company. To commemorate his role in refugee rehabilitation work in the late 1700's, a market was established and named Cox's Bazar after him a colonial name that is still retained. It is a popular tourist destinations for Bangladeshis. It is a major fishing port, tourism center and a district headquarters in southeastern Bangladesh that sha... read more
The long beach at Cox's Bazar
Fishing boats on the beach




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