Planning and Executing Medical Missions Trips and Telemedicine

Planning a medical missions trip to another country? Unsure which medications to put on the formulary? Concerned about how to handle malpractice and other regulatory requirements? Looking for inexpensive medication, equipment, and supplies? Need to know what other services would be useful to make available? Wanting to integrate telemedicine?

By Mark D. Harris, MD, MPH, MBA, MDiv, ThM, PhD, DBA

Christ told His disciples to go into all the earth and make disciples of all nations. For millennia, medical care has been a reliable and fruitful way that Christians have obeyed His commands. Medical missions, however, are increasingly fraught with difficulties. Can we make the standard of care in the developing world the same as the developed world? Will we undermine the local medical system and economy by providing treatment that the locals would have otherwise done? What if the locals cannot provide the same standard of care that foreigners can? How can our doctors, often US-based, practice medicine on patients they cannot understand in countries in which they are not licensed?

Sample Formulary

Medications are a large part of clinical medicine. Health care providers do more with medications than just about any other intervention. Patients often expect medication when they walk out. This sample formulary should be modified to meet the needs of the people at the trip location.

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Abortion – Questions and Answers

Real answers for Christians on tough questions about abortion. What are we being told by pro-abortion forces? What is the truth? What does the Bible say? What does (real) science say?

By Mark D. Harris, MD, MPH, MBA, MDiv, ThM, PhD, DBA

From a Christian perspective, a preborn child is a complete human person (Psalm 139:13-18). The most questioned Biblical passage on abortion (Exodus 21:22-23), when correctly interpreted, supports the personhood of the pre-born. Therefore, abortion is murder. Though Christian women have abortions, and people who claim to be Christians work at abortion clinics, there is no question that abortion is antithetical to Christianity and cannot be countenanced. To participate in abortion in any way is a grave sin.

Isn’t abortion a modern issue?

Abortion has been around for thousands of years.

“…we are not permitted, since murder has been prohibited to us once and for all, even to destroy the fetus in the womb… It makes no difference whether one destroys a life that has already been born or one that is in the process of birth.” Tertullian, Apology 9.8.

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The Shoulder – dynamic management

Tips from an experienced strength and conditioning coach and personal trainer on shoulder health, rehabilitation, and development. Dynamic management of the shoulder is vital to help athletes reach their goals despite injuries.

By Matthew Morris, BA CSCS

The most mobile large joint in the human body and arguably the most susceptible to dysfunction is the shoulder. The shoulder is comprised of well over a dozen parts working together within a framework of bones, tendons, ligaments, and muscles. These all intersect to make a quasi-ball and socket joint that allows a wonderfully wide range of mobility, though perhaps at the expense of stability.

Nearly any arm movement involves the shoulder, brushing your teeth, combing your hair, holding your phone, and carrying a suitcase. Even sleeping requires a particular shoulder position. Athletic performance requires that shoulder function jumps to another level. The risk of acute injury also jumps just as high. Think about Olympic weightlifters holding hundreds of pounds overhead, football players smashing into one another, the repetitive range of motion (ROM) for baseball players, swimmers, and volleyball athletes.

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Macronutrients – Questions and Answers

macronutrients

Macronutrients, including proteins, carbohydrates, and lipids, are the building blocks of diet. Patients, families, and physicians need to understand macronutrients to craft themselves a diet that will be delicious, nutritious, inexpensive, easy to prepare, and acceptable to others with whom they eat.

By Mark D. Harris, MD, MPH, MBA, MDiv, ThM, PhD, DBA

Look down the street on a busy day. In the US, on average, nearly three out of every four people you see will be overweight (body mass index 25-30) or obese (BMI 30+). More than 70% of young adults are too unfit to serve in the military due to their weight. Black and Hispanic Americans are more likely to be obese and overweight than white or Asian Americans. Everyone, from individuals to families to health care providers, must engage to fix this problem. Understanding macronutrients is a start.

What are macronutrients?

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Mallet Finger – Diagnosis, Treatment, and Rehabilitation

How to take care of and recover from a common but sometimes vexing finger injury.[1]

By Mark D, Harris, MD, MPH, MBA, MDiv, ThM, PhD, DBA

Mallet finger usually results from forced flexion of the distal (most distant) part of the finger (distal phalanx – DP) during active extension of the DP. The condition is caused by a rupture of the extensor tendon (on the back of the finger) that crosses the distal interphalangeal joint (DIPJ) from the proximal phalanx (PP) to the DP. Part of the bone may also be avulsed (pulled away). Mallet finger is the most common closed tendon injury in athletes.[2] Often, patients explain that a ball hit their partially flexed fingertip. Patients complain of pain, swelling, and an inability to fully extend their DP.

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Why is Research Less Respected Today?

The scientific method, and the discoveries in science and technology that have resulted from its use, have revolutionized the world. Why does it seem to be less respected today?

By Mark D, Harris, MD, MPH, MBA, MDiv, ThM, PhD, DBA

Research brought the world scientific and technological advances that have changed the lives of men and women forever. During the period characterized by the philosophy of modernism, from roughly 1750 to 1950, conventional wisdom expected that science would solve all the problems of mankind, both material and moral/ethical. Scientific and social research, which would lead to technological supremacy over the physical world and enlightened policies in every society, would usher in a utopia. World War II, the Holocaust, and the atomic bomb shattered these hopes, demonstrating that science and technology, and the research behind it, can destroy as easily as they can save. Though we prate about following “science,” in the past 70 years, research has lost respect.[1]

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