You are a visiting health care provider in an Asian country. You are seeing a 74 year old male who presents with hoarseness, pain and mild dysphagia that has been slowly progressive over 4 months. You can see a large mass in the posterior pharynx and palpate enlarged nodes in the right neck. You suspect laryngeal cancer, likely squamous cell carcinoma. Chemo-radiation is not an option in this setting, but you feel that there is a good chance of cure with a total laryngectomy and selective neck dissection. Before you talk to the patient, his three daughters who flew in from Australis ask you not to tell their father that he has cancer, as it will make him depressed and he will give up.

What would you tell his daughters?
What would you tell the patient?
What things would you consider in making your decision on what to tell the patient and family?

Please chose one or two to answer:

What are some key principles to consider when planning a global health program?
How would you use one or more program management tools in a future global health project?
If you already use of one these tools, how might you adapt or enhance it after the videos and readings for this session?
Are there considerations that should be kept in mind when using program management tools? What are some possible risks or limitations?

Why has it taken so long for global surgery and obstetrics to gain attention on the public health agenda for the world?

Pick one of the patients below and discuss the specific health concerns that may affect them as a migrant (refugee, asylum seeker or economic migrant) as well as specific tools that you can utilize to tailor their care and advocate for them:
a. 6 year old girl born in Honduras who has been in the US for one year and is trying to enroll in kindergarten
b. 20 year old female who is 28 weeks pregnant with her first child; she just arrived in the US as a refugee from Syria
c. Mother, father and 2 young children from Haiti who were just allowed asylum in the US after being detained at the US/Mexico border for three weeks

Sub-boards: Discussion Question 1, Discussion Question 2

Sub-boards: Discussion 4 , Discussion 3, Discussion 2 , Discussion 1

You can talk about anything here.

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