Jennifer Bager, chief, Tripler Army Medical Center's (TAMC) Otolaryngology Clinic, and Nathaniel Duff, Physician's Assistant with the TAMC Ear, Nose and Throat Clinic, screens a patient for possible surgery during a recent mission to the island natio...
Anthony Tolisano, chief resident with the Tripler Army Medical Center's Ear, Nose and Throat Clinic, inserts tubes into a child's ear drum to drain the fluid build-up in his ear. Tolisano was in Palau as part of a mission requested by the Palau Mini...
Nathanial Duff, Physician's Assistant with the Tripler Army Medical Center's (TAMC) Ear, Nose and Throat Clinic performs a screening for possible surgery during a recent mission to the island nation of Palau. Recently, the TAMC Ear, Nose and Throat ...
HONOLULU (November 1, 2016) -- On the small Pacific island of Palau medical care can be limited. Although the island has a hospital and multiple clinics, specialty care such as cardiology, urology and ear, nose and throat (ENT) doctors are in short supply.
In conjunction with the Palau Ministry of Health, the specialty clinics at Tripler Army Medical Center, also known as TAMC, are making care more easily accessible to the island nation.
Recently, the ENT clinic conducted a rotation to Palau to perform screenings and surgeries on patients that needed this type of specialty care.
David Ngeskesuk, a 10 year-old boy from Koror, Palau, showed up on the first day of screening with a little more than just an ear infection.
"David had hearing loss because of the fluid in his ears, he was falling asleep in class because his severely enlarged tonsils was causing sleep apnea at night and he had significant drainage from his nose because of his enlarged adenoids," said Jennifer Bager, Chief of the TAMC Ear, Nose and Throat Clinic.
All of these issues combined made it difficult for David to hear in school and made him more prone to infections in this area. David's tonsils and adenoids were removed and tubes were put in his ears to drain the fluid that caused the hearing loss.
"I am so very happy now," said Everlyne Ngeskesuk, David's mother. "He can actually hear me now without having to scream at him. I know that it is supposed to take some healing time before he fully recovers, but I can already tell the difference in his abilities."
Global health engagements (GHE) enhance ready and deployable medical forces by placing Soldiers in more austere environments while meeting medical training requirements. These activities also present opportunities for key medical professionals to deploy in support of their operational unit, thereby further developing relationships in times of peace.
"Because of the limited access to care on the island, this mission gives us the opportunity to treat and learn about ear disease that is commonly not seen in the U.S.," said Anthony Tolisano, chief resident with the TAMC Ear, Nose and Throat Clinic. "We train and prepare for large-scale deployments in the military to provide care to the local populace in a resource constrained environment; these types of missions prepare you for that."
During this trip, the ENT team conducted 110 audiograms, screened and evaluated 247 patients and performed nearly 50 surgeries.
"This gives me a great opportunity to truly improve the quality of life for an underserved population," said Bager. "This isn't lifesaving surgery that we are doing here, but we are definitely improving the quality of life for the people that we help."
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