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    Surgery On Conscious Patients by Dr Naga of Burma
    Surgery On Conscious Patients by Dr Naga of Burma
    Surgery On Conscious Patients by Dr Naga of Burma
    Ebook152 pages55 minutes

    Surgery On Conscious Patients by Dr Naga of Burma

    By Heiko Rudolph

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    About this ebook

    In the 1960's Dr Naga was transferred to a hospital which was not used much. None of the local people went to hospitals, despite their need for medical help.
    So Dr Naga walked to the villages where the people lived.
    He often dressed like them and walked all over Nagaland, operating on those who had real problems.

    In January 2011, Cathy Win and Heiko Rudolph met Dr Naga, and he told us his story about traveling from village to village in the Nagaland hills of Burma from the 1960's to 2005 removing tumors, goiters, growths and "lumps and bumps".

    He has developed some useful surgical methods:
    His patients are conscious while he operates using local nerve block, he even asks them to sing, count and drink water while they are on the table.

    We decided to publish his story as a book in the hope that others follow him. At a guess ~80% of the money and effort is spent on ~20% of the problems, and the need of the poor people in the villages is still unmet (Pareto principle).

    Dr Naga's story is now a book written by Gregory Kleiman and edited by Heiko Rudolph. Greg spent 15 years as monk in Myanmar.

    Dr Naga is now 78, still operating. Greg and Heiko are publishing his work so others can learn about his work.

    LanguageEnglish
    PublisherHeiko Rudolph
    Release dateOct 1, 2011
    ISBN9781465909695
    Surgery On Conscious Patients by Dr Naga of Burma
    Author

    Heiko Rudolph

    Made in Germany, exported to Australia, working in Asia. Engineer, writer, Chi Gong practitioner. Lover of tea, good Cafes & good friends. Haiko Writing of numinous beauty that sends a shiver down your spine... Following my heros and masters of the craft: Lafacadio Hearn http://en.wikipedia.org/wiki/Lafcadio_Hearn George MacDonald http://en.wikipedia.org/wiki/George_MacDonald

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    • 4/5
      This dude is amazing and shows that anatomical knowledge, surgical aptitude and ability to utilise limited resources can result in disadvantaged people getting the treatment they require. I like his illustrations and will make some of my own based on what I see from his to help teach juniors
      Earl Gardner

    Book preview

    Surgery On Conscious Patients by Dr Naga of Burma - Heiko Rudolph

    Surgery on Conscious Patients: Ambulatory Surgery in the Bumese Naga Lands.

    By Dr Naga Thein Hlaing, Gregory Kleiman, Heiko Rudolph (ed.).

    Copyright Dr Naga Thein Hlaing

    Published by Heiko Rudolph.

    Smashwords Edition, License Notes

    This ebook is licensed for your personal enjoyment only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader. Give it to one close friend for free, if you like. If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy. Thank you for respecting the hard work of this author.

    PREFACE by Greg Kleiman,

    I have met some pretty remarkable people in my visits to Myanmar over the last 28 years. One of my favourite finds is Dr Naga Thein Hlaing. He is a 76 year old practising surgeon who has developed his own surgical techniques to suit the remote, poor, and primitive area of Naga Hills that he was posted to in 1965-1971. He has continued to practise the same techniques since then so he has more than 40 years' experience now as a surgeon. He is always telling me that a surgeon needs to have: the heart of a lion, eyes of an eagle, the hands of a lady, and the mouth of an angel. You should be able to gauge a little of these qualities from the photos and documents attached.

    There are only a few simple tricks he has used to perform his surgery. The most important is that he uses local anaesthesia to operate on his patients. This means that his patients are conscious while he operates on them. He is able to perform all types of surgery except chest surgery and brain, using local nerve block techniques. The advantage of this is that he can operate single handed and the patient is not in any danger from the side effects of general anaesthetics. He can constantly monitor the patients status by talking to them which makes it easier to do goitre operations and not cut the nerves associated with voice box function. The patient is able to get up and walk out of the operating theatre at the end of the operation and eat immediately.

    They do not need to stay in a hospital, he can operate on people in their own homes or villages as long as the place is reasonably clean.

    Where he worked in the Naga Hills there was no real hospital in our sense of the word and no supplies of blood. So he used a little lateral thought and developed a method where he sews before he cuts a blood vessel. A normal surgeon would cut a vessel first and then suture the ends of it. He sutures where the ends will be and then cuts. This means he doesn't have hardly any blood loss for the patient.

    One of his last tricks is to give an antihistamine at the same time as he uses the local anaesthetic and this increases the time that the anaesthetic lasts by about 4 times.

    He has used this type of surgery to become proficient in goitre operations which is his speciality. He has operated on thousands of goitres in both Naga Hills and also in other parts of Burma.

    One of the things I like about him is his honesty and sincere regard for his patients. When he lived in Naga hills he developed a respect for them as people and even went around dressed as one of them sometimes. He travelled the area on foot from village to village for there were no roads there.

    He has this wonderful collection of old photos from the region. Many of them are before and after shots of people he operated on and so are a bit gruesome, but they are a real and valid record of the area. Oh did I forget to mention the Nagas are head hunters!

    I have edited and compiled this document of his work and photos. Hoping that some doctors out there may find the information contained to be useful and informative. Be warned some pictures show a real operation with a conscious patient! They are even sticking their tongues out in the few of them. Remember that although this is not what you are used to thinking about operations you go to the dentist and they do most of their work under local. Just imagine your doctor did the same it is not that hard if you have

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