March 2021 Newsletter

What is it really like to be a doctor in a war zone?

Welcome to the David Nott Foundation’s February update. The pandemic has given us the time to reflect on the amazing doctors that we have trained on past HEST courses. Each one of them has a story to tell. Some go to work every day while bullets tear through the walls of their operating theatres; some fight to save lives while armed groups fight each other in the streets. In this booklet, we highlight eight such doctors and give them the platform they deserve. READ: ‘War Doctor Heroes’ photobooklet on the DNF website with foreword from Elly Nott.

 


 

 

Thank you, Wellcome Staff

Our partnership with Wellcome will have a profound and lasting impact on both war doctors and their patients in conflict zones. Today we say thank you and recognise the huge and very real impact that Wellcome’s generosity will have on our work.

Last year, the staff of Wellcome chose the David Nott Foundation as their charity of the year for 2020/21. Since then, they have consistently given outstanding effort to the cause, from completing challenge events to auctioning lunches with Director Sir Jeremy Farrar.

To each and every member of Wellcome’s staff: thank you. Your effort will reverberate around the world as we train more war doctors, and they save more lives.

For small charities like the David Nott Foundation, every donation can have a disproportionately large impact. Every sponsored run, bake sale or event goes a long way to delivering vital surgical training in locations that need it.

 


 

David Nott Wins Human Rights Award

On the 2nd of February, David Nott was awarded the Hans Albrecht Foundation’s Human Rights Award for 2021. The award was presented by Lord Daniel Finkelstein.

The Hans Albrecht Foundation’s mission is to advance human rights in the UK, particularly with regards to children, equalities, those with disabilities and refugees. The Award honours individuals or organisations that have made outstanding contributions to the field of human rights. Read more about the Hans Albrecht Foundation on their website.

 


 

US Supporters Have New Way to Donate

Supporters who are tax-payers in the USA can support the David Nott Foundation through the British Schools and Universities Foundation (BSUF) Inc.

This is a charitable organisation recognised by the US Internal Revenue Service under Section 501 (c) (3) and was founded over 40 years ago to enable US residents to support British organisations in a tax efficient manner.

As a result of our membership, you will be able to receive full tax exemption status. To donate from the USA, please go to the new dedicated section of our website.


FDNF Societies Inspire the Next Generation of Humanitarians

Our Friends of the David Nott Foundation societies are taking universities by storm all over the country, with requests to start new societies coming through thick and fast. We are so proud of the work that they do to spread the word of the Foundation’s work, and inspire the next generation of humanitarians.

Earlier this month, FDNF Manchester hosted a fantastic conference entitled: ‘MDT On the Front Line’. This was a stimulating day of speeches and workshops led by some of the field’s most distinguished practitioners. Alongside David Nott was our own Jon Barden, leading a workshop on humanitarian operations delivery, and DNF Faculty colleague Ammar Darwish who also led a workshop.

 


 

Make Someone’s Day This Easter

Easter is a perfect time to reach out to loved ones and friends. In this time of social distancing, a handwritten card feels like an authentic connection in a way that an email cannot. Make someone's day with this beautiful card by Peter Suart, or choose from our extensive range on our website - proceeds from which will benefit the David Nott Foundation.

 


 


Wellcome Staff Charity of the Year

Our partnership with Wellcome will have a profound and lasting impact on both war doctors and their patients in conflict zones. Today we say thank you and recognise the huge and very real impact that Wellcome’s generosity will have on our work.

Last year, the staff of Wellcome chose the David Nott Foundation as their charity of the year for 2020/21. Since then, they have consistently given outstanding effort to the cause, from completing challenge events to auctioning lunches with Director Sir Jeremy Farrar. Particular congratulations go to Mala Gaonkar for winning the latter - we can only imagine how fascinating that conversation will be! Mala is a philanthropist and leader in the field of public health, and we are proud to be associated with her as a result of Wellcome's auction.

To each and every member of Wellcome’s staff: thank you. Your effort will reverberate around the world as we train more war doctors, and they save more lives.

For small charities like the David Nott Foundation, every donation can have a disproportionately large impact. Every sponsored run, bake sale or ticket sale goes a long way to delivering vital surgical training in locations that need it.


Elly Nott Leads DNF's Celebration of International Women's Day 2021

To mark International Women's Day 2021, David Nott Foundation Co-Founder Elly Nott writes:

 

This International Women’s Day I will be thinking about Mariam, Aiya, Aesha and Farida.

 

Mariam lives in Palestine, Aiya and Aesha in Libya and Farida in Syria but I have had the honour to meet them all at courses run by the David Nott Foundation (DNF), the charity I Co-Founded in 2015.

The DNF has a simple mission; to equip doctors with the skills they need to save more lives in areas affected by conflict and natural disaster. In these places, resources are often scarce, and medical education and training disrupted. We believe everyone deserves access to high-quality care, from highly-trained professionals, no matter where they live. Our impact resonates long after our team has left because the knowledge and techniques we teach are shared and go on to improve the lives of whole communities for years to come.

 

It remains a fact that whilst women form 70% of workers in the health and social sector[1] worldwide, they are underrepresented in surgery, particularly at the most senior levels. Worldwide statistics are difficult to obtain but in the UK women made up 13.2% of consultant surgeons in England in 2020, according the to the Royal College of Surgeons of England (RCS).[2]

 

Knowing the sort of statistics that exist, we as an organisation are eager to encourage the participation of women in all our courses and particularly to apply for our scholarship programme which, pre-COVID, brought doctors from around the world for a weeks’ intensive training in partnership with the RCS. We were also proud to have a 50-50 male-female teaching Faculty on our last mission abroad, to Yemen in 2020.

 

Our courses are a two-way process. We share knowledge; knowledge that is the product of decades’ experience in areas affected by conflict and catastrophe, and invite discussion. Our Faculty never stop learning and return from every course energised by the doctors they meet, ready to adapt future teaching to be as relevant and applicable as it can be.

I first met Farida during specialist obstetric and neonatal resuscitation training we held in collaboration with Hand in Hand for Aid and Development in Gaziantep in September 2018. Of the participants, 90% were women and I remember watching as they debated with the faculty throughout lectures and on into the coffee breaks. Aiya and Aesha attended the course we ran in Misrata, Libya, in March 2018, Aesha driving some 1000km from Sabha, in the south of the country, to attend. We encouraged them to apply for scholarships and after some major efforts to secure their visas, we welcomed them to the UK for further training. I shall never forget the knock on our door at home and answering it to see Aiya holding up two bags of gifts she had brought for my young daughters.

Mariam, I first met in Ramallah in March 2017. It was a memorable first meeting as that afternoon there was a boiler explosion in the venue we held the teaching. The lights went out, alarms sounded and all around there was chaos but in the darkness an arm linked in mine and guided me through to safety. It was Mariam, with whom I remain in touch and continue to follow her progress and commitment to her career as a surgeon.

 

We #ChooseToChallenge the under-representation of women in surgery and we #ChooseToChallenge the preconception of what a humanitarian surgeon looks like.

 

[1] https://apps.who.int/iris/bitstream/handle/10665/311314/WHO-HIS-HWF-Gender-WP1-2019.1-eng.pdf

[2] https://www.rcseng.ac.uk/careers-in-surgery/women-in-surgery/statistics/


January 2021 Newsletter

 

While you're here... if you enjoy this newsletter from the DNF, sign up using the form at the end of this page to ensure that you never miss an update from us.

 

 

29 countries in two days: here’s how we did it.

Welcome to the David Nott Foundation’s January update. While 2020 was gloomy, 2021 offers renewed hope. Planning is already underway for new surgical training courses to be delivered in some of the most austere regions in the world, and our pilot digital course yielded promising results.

We would like to thank you for your continued loyalty to the Foundation. It is truly felt by all of us and makes a tangible difference to the lives of doctors in conflict zones and their patients.

DigiHEST: our latest approach to humanitarian surgical training.

The David Nott Foundation recently completed our first digital, live-streamed surgical training course: DigiHEST.

DigiHEST saw 100+ attendees tuning in from up to 29 countries, including many existing members of the David Nott Foundation family in countries that we have previously delivered courses in. This was perhaps the main benefit of a digital course: whereas before we could take our training to one location at a time, now we could bring it to 29. We welcomed surgeons, students, physicians and guests from Ethiopia to Thailand, from Syria to Nepal, from Somalia to Sri Lanka and more - as the map below shows.

 

 

Detailed feedback is being prepared on DigiHEST: how it went, what was successful and how it can be improved for next time. While we hope to be back on the road and travelling shortly, it is greatly reassuring for both our team and we hope for you - our supporters - to know that no matter the global situation the Foundation will find innovative ways to deliver our training.

New year, same mission.

In 2021 we have ambitious goals. Our Operations Director, Jon Barden, had this to say:

“Thank you for all your generous support during this very strange year. Despite not being able to travel from March onwards, we have been using the time to make improvements to our training models and make new training videos. We’ve lost count of the number of training skulls we’ve cut into pieces and posted to David so that he can make videos of how to put them back together again.

As soon as we possibly can we want to get back on the road and delivering HEST face to face. We’ve got courses lined up for places like Afghanistan, Democratic Republic of Congo, Iraq, Somaliland and South Sudan so that as soon as we can we’ll be adding another 150 surgeons to the DNF family.

Everyone connected with the David Nott Foundation is looking forward to getting back out there and providing the life-saving surgical training that your fantastic support makes possible. Please consider donating in this new year to get our team back on the road.

Happy new year | عام سَعيد | bonne année


DigiHEST: How we reached 29 countries in two days.

In December, we piloted our first ever Digital Hostile Environment Surgical Training (DigiHEST) course. We transformed an office space, generously provided by Whitby Wood, into an operating theatre and our friends at Redux Content decked the place out as a recording set.

 

Over the course of a weekend, David Nott was joined by DNF faculty members Ammar Darwish, Rebekka Troller and Pete Mathew to present an ambitious programme of surgical training that was live streamed around the world. Modules covered included abdominal trauma, neurosurgery, maxillofacial surgery, ballistics and more. David was also joined by special guest lecturers Mounir Hakimi (orthopaedics) and Shehan Hettiaratchy (plastics) to form a world-class team of surgical specialists ready to reach out to surgeons in conflict zones and austere environments.

We were joined by up to 100 doctors from around 29 countries over the course the weekend, who were additionally able to pose their questions in real-time to the presenters and ask for advice on cases presenting to them in their localities.

 

COVID-19 has changed the way that we are able to deliver our training courses in 2020/21. The DigiHEST pilot study is extremely encouraging to our team as it shows that not only can we continue to deliver a high quality training product, but the use of live-streaming technology has implications for the future democratisation of surgical training for the austere environment. Our aim is to get back on the road and delivering face-to-face courses around the world again as soon as possible, but the hard work that has gone into piloting the concept of DigiHEST will inform how we can best deliver training in the future.

 


Cycling across Europe!

Beginning on 1st September, a group of friends from the USA and the UK, will be taking on the “challenge and opportunity of a lifetime” to raise funds for the David Nott Foundation and STAR, Inc.

Led by Tony Williams and Tom Nero, the team had planned to cycle Route 20, the longest road in the US, starting in Massachusetts on the east coast and finishing in Oregon on the west. However, due to Covid-19 movement restrictions being imposed in various states, the itinerary had to be rearranged and the team are now circum-cycling Italy.

The route will take the team from Milan, anti-clockwise around Italy. The distance is over 2,000 miles with 19 miles of ascent, making it the toughest challenge event taken on for the DNF so far!

The team have set an ambitious target of $250,000 to match the extraordinary scale of this challenge.

As they prepare for “Over 3,000 miles of saddle soreness,” Tony is proud to announce, “With only two months to go till we start our cycle ride, I am very excited that we now have pledges and donations exceeding $157,000 (split almost equally between the US and the UK charities). This is HUGE and a true reflection of the worthy causes we are supporting. A $50,000 challenge gift will match future donations up to that amount.”

We are completely bowled over by their support and cannot wait to update you on their journey across Europe. The team have also set up their own website dedicated to bringing you the latest news on their once-in-a-lifetime trip. Check it out by clicking here.

If you're feeling inspired, please get in touch with your own fundraising challenges - we love to hear from you!


War Doctor Heroes: Meet Dr Marah

Dr Marah, a medical student from Homs, Syria knows that no matter how young a physician is, they should always be updated with the best skills and practices.

The shortage of medical staff, surgical equipment and training programmes are significant barriers to quality healthcare in her region, and these problems are worsened by a poor socioeconomic situation.

After studying medicine for only two years, Marah assisted in a Mastectomy operation on a fifty-year-old woman. Owing to the anaesthetist’s lack of experience, the patient was not under good anaesthesia and experienced a great deal of pain during the procedure. Although Marah was very anxious, she looked after the patient and decided that surgery was what she wanted to do for the rest of her life.

In 2019, we invited Marah to attend our overseas HEST course in Lebanon where she was taught how to perform many complex surgical procedures and was able to build up her confidence. She told us that the training course inspired her to “use every source of power I have to help the patients and that no matter how hard the situation is we should always remember that patients must be our first priority.”

Marah hopes her country finds peace soon and believes that by working together and supporting each other, her people can improve their future. We are confident that Marah will make a brilliant surgeon and we are proud to be supporting her on this journey.


July 2020 Newsletter

Hello and welcome to our latest newsletter.

In this update, we celebrate our 5th year anniversary, share a Yemeni surgeon's story and recognise all that our Friends of David Nott Foundation student societies have achieved.

Thank you for your continued support and generosity. We hope you have a lovely weekend!


Taking our Training Online

 

Five years ago, David and Elly founded the David Nott Foundation with a simple mission: to provide the surgeons and medical professionals working in the most hostile environments with the skills and the confidence to save more lives.

Thanks to your support and generosity, we have now delivered 28 surgical training courses, teaching over 800 doctors from some of the world's most austere environments. These surgeons go on to teach their colleagues life-saving medical skills, building a legacy of improved health outcomes in the communities that need it the most.

Over the last five years, our work has benefitted an estimated 2.2 million patients around the world. None of this would have been possible without your help.

To celebrate this special occasion, we’re asking you to help us raise more funds to deliver more training by donating around the theme of five. It costs £50 to purchase two silicon vena cavae, £500 to purchase two model skins, and £5,000 to bring a surgeon to the UK for our renowned trauma course. If you feel able to, please consider donating today.


Spotlight on Dr Ahmed

In this latest instalment of our #wardoctorheroes series, we're proud to introduce Dr Ahmed from Yemen.

Since 2015, Yemen has been devastated by a civil war which has left 80% of the population in need of urgent humanitarian aid. Dr Ahmed is on the frontlines of this conflict, performing life-saving operations on a daily basis.

Earlier this year, we were able to offer Ahmed a place on our overseas HEST course in Yemen. Here, he learnt how to perform a thoracotomy, alongside other vascular interventions that he has since used many times to treat war victims.

One patient that he treated recently was an eight-year-old girl who came to his hospital with a severe foot wound and a fractured tibia and fibula. The standard treatment in other hospitals would have been an amputation, but Dr Ahmed knew her foot could be saved.

Using the skills learnt on the HEST course, Ahmed and his team externally fixated her leg in order to heal the bone and then successfully performed a cross leg flap to cover the foot wound.

Thanks to Ahmed's quick thinking, the little girl has started walking again.

You can read the full story and hear about our other war doctors by clicking here. 


Spotlight on our FDNF Student Socieities

 

Last Summer, we were contacted by Ellen Young, a medical student at the University of Manchester, with the brilliant idea of forming a Friends of David Nott Foundation student society. Inspired by War Doctor, Ellen wanted to create a space for students to learn more about humanitarian surgery, international aid and to hear from speakers in the field.

Fast forward one year, and we now have five FDNF societies across UK universities. Together, they have raised over £2,500 for the David Nott Foundation, a colossal feat, especially given the constraints of Covid-19.

We are so proud of all their hard work, and are thrilled to have their support. We cannot wait to see what these aspiring war doctors do next. 

If you would like to set up an FDNF society at your university, you can visit our FDNF Page here for more information.

 


Behind the Knife Podcast

 

If you want a more in-depth insight into David Nott's trauma surgery, then do have a listen to his podcast interview with Patrick Georgoff. 

The Behind The Knife team take a closer look at some of David's most memorable operations, as well as his early motivations for becoming a humanitarian surgeon. 

 


 



War Doctor Heroes: Meet Dr Ahmed

We are proud to introduce Dr Ahmed from Yemen, our latest war doctor hero.

Since 2015, Yemen has been devastated by a civil war which has left 80% of the population in need of urgent humanitarian aid. Dr Ahmed has been on the frontlines of this conflict since he qualified as a surgeon, and performs life-saving trauma operations on a daily basis.

Despite medical shortages posing an enormous obstacle to healthcare, Ahmed and his colleagues do everything they can to treat their patients, against the odds. He told us: “It is our responsibility to help the patients affected by this war, so we must keep learning to improve our skills."

Earlier this year, we were able to offer Dr Ahmed a place on our overseas HEST course in Yemen. Here, he learnt how to perform a thoracotomy, alongside other vascular interventions that he has since used many times to treat war wounds.

One patient that he treated recently was an eight-year-old girl who came to his hospital with a severe foot wound and a fractured tibia and fibula. The standard treatment in other hospitals would have been an amputation, but Dr Ahmed knew her foot could be saved.

Using the skills learnt on the HEST course, Dr Ahmed and his team externally fixated her leg in order to heal the bone and then successfully performed a cross leg flap to cover the foot wound.

Thanks to Ahmed's quick thinking, the little girl recently started walking again.

Surgeons like Dr Ahmed lie at the heart of everything that the Foundation seeks to achieve. To help us train more surgeons like him, please consider donating today.