Like many aspects of life in West Africa, otolaryngology training is difficult. Unlike the U.S., where most otolaryngology residency programs have facilities to teach temporal bone anatomy and dissection, West Africa until recently has had only a single two-station lab located in Lagos, Nigeria. As a result, basic otologic procedures such as tympanoplasty and mastoidectomy are rarely taught to residents and are only sporadically available. Read Full Article »

In the fall of 2013, Dr. Green and a few of his staff from Jacksonville Hearing and Balance Institute returned (or went for the first time!) to Nigeria to check up on their patients and train the medial community in Jos. In Part I, Dr. Green explained more about the work his team is doing. In this Q&A post with Dr. Green, learn about the cultural differences his team encountered.

Q: What is a major difference, medically, than in the United States?
A: There’s a lot of ignorance even within the medical community. For instance, in Nigeria, after you graduate from medical school, you go to a village and provide medical care for a year. You’re fresh out of medical school and doing some fairly advanced types of things, and that’s tough to do. And basically, there’s no medical liability, so people …

In the fall of 2013, Dr. Green and a few of his staff from Jacksonville Hearing and Balance Institute returned (or went for the first time!) to Nigeria to check up on their patients and train the medial community in Jos. In these two Q&A posts with Dr. Green, find out about the work conducted during the trip as well as the cultural differences his team encountered.

Q: What have you been doing in Nigeria on most of your trips?
A: We’ve been seeing potential patients whom we could bring to Florida for surgery; getting the lab established; setting up the Internet and teleconferences; often it’s basic administrative stuff like that.

Q: You mentioned the lab. What is involved in setting up the lab?
A: Well, the lab is going to be named for Dr. Jack Hough, of Oklahoma City, OK. He was the …

A visit to the United States gave these five Nigerians more than just a new cultural experience; it gave two of them their hearing. Watch the video below to find out more about their trip, and how the group is using their experience to help others back home.

Samuel Ochenehi has begun the next phase of his training and is now working in the pediatric surgical unit at the Jos Teaching Hospital in Nigeria.

In this photo, Samuel is overseeing a little girl, who is a 22-day old neonate, born with a defect on her anterior abdominal wall.  She is being managed as a case of Omphaloco.

We are all so proud of Samuel and feel confident he will be excellent with the kids.

Dr. J. Douglas Green, Jr., founder of Hearing Help for Africa and owner of Jacksonville Hearing and Balance Institute in Jacksonville, Florida, is pictured here with Ben Babson, an audiology technician from the Jos University Teaching Hospital in Jos, Nigeria.

Also pictured is Audu ­­­­­­­­­­­­Modu who is an ENT Surgical Assistant from Bingham University Teaching Hospital in Jos plateau state, Jibrin, Nigeria.

It is their hope that by learning skills under the supervision of Dr. Green, they can return to their country with knowledge that has never been utilized in Nigeria.  Dr. Green plans to continue assisting them via email and video conferencing from the states.

Before heading back to Nigeria.  Hadassah is tested on final time at The Hearing Center, Jacksonville Hearing and Balance Institute, Jacksonville, FL.  by Audiologist, Jacque Olson.

Hadassah is preparing to be tested in the sound booth.

Hadassah Alexander is a 3.5 year old female from Nigeria who was born with hearing, but following an illness shortly after birth, she became deaf. With no hearing, she has not learned to talk and no formal sign language was available. With the assistance of Dr. J. Douglas Green and the Hearing Help for Africa, Hadassah came to the United States and received a cochlear implant to the right ear on February 12, 2013. One week later, the implant was activated and Hadassah heard the sound of her mother, Maryam’s voice for the first time. Hadassah smiled and laughed, especially when hearing her foot steps on the tile floor. She was intrigued with noise toys and the sound of jingle bells.

A message from Samuel Ochenehi to Jacksonville Hearing and Balance Institute, Jacksonville, FL:

“Using the CI and E-scope has greatly enhanced my effectiveness as a house officer in Juth. Many thanks to Dr. Green and Kelley for getting me the E-scope. To Allison, thanks for always being there despite the distance, you have always kept in touch. Warm regards to everyone at JHBI, I miss ya all tons!”   ~Samuel

Samuel is examining a 43 year old retroviral disease patient who was admitted 8 days ago and is being managed for CCF secondary to DCM.　 He is examining her heart listening for heart sounds and murmur.  She has a pan-systolic murmur grade II/IV.  Photo provided by: Samuel Ochenehi, March 15, 2013.

Samuel Ochenehi with a patient