Dr. James Orbinski, and the documentary “Triage”

Click the link for the full film: http://www.nfb.ca/film/triage-trailer/ *

It was an honour today to hear Dr. James Orbinski in my lecture today.  After hearing him, I felt compelled to do some research on him and came across the film Triage, linked above.

(for a brief bio, scroll to the bottom of the post)

Watching the film was not always easy, but I would say it’s a must-watch.  It ought to be noted that it must be approached with reverence — his journey is eye-opening, traumatizing, beautiful, and very real.  It’s fascinating to see him revisit the places he served, to see some people/patients who remembered him, and his old friends.  It’s troubling to see some of the damage that was done, along with the ignorance of a new hospital executive who had no idea of what occurred in Kigali and the state of the hospital during the genocide.

I don’t have regrets about the decisions [I had to make], I have complete outrage at the circumstances in which these decisions had to be made.  I still have, and I always will I think, a nearly uncontainable rage about what happened in Rwanda, in Somalia and in many other parts of the world and about what’s happening now in many parts of the world. To see mothers and fathers and children dying of indifference, dying of neglect, of abuse, of somebody’s political calculation, that that doesn’t matter. It fills me first of all with just profound sorrow that they have to live that and die it. And then it fills me with rage, frankly. And the question then is what do you do? What do you do with that?

He ends the film with these remarks:

On a personal level, I’m definitely writing for my children. I want them to know who their father is.  How I have really struggled to live in a way I think is right and that I feel is right, and I want them to understand there’s no perfect answer.  But there’s the right question, and theres a right way to live your question, and a right way therefore  to live your life.

There are so many crucial issues that have to be addressed: global warming, the war on terror, the use of torture, just a litany of issues. None of these issues will be addressed unless we take our responsibility as human beings and from a place that respects the dignity of others – including our enemies.  And I think this becomes more and more clear to me with each passing day.  This is the lens, this is the way with which to see the world.

He has witnessed the worst of what mankind can do: famine, epidemics of preventable diseases, war and its crimes, and genocide; political failure and the struggle to be fully human when it does; an endless catalogue of terrors, and in these things seeing himself, knowing that he might be merely a spectator to them, that he might suffer them, collaborate with or inflict them on others.

Watch the film, let me know what you think.

Other information on Dr. Orbinski:

His work with Médecins Sans Frontières (MSF, or Doctors Without Borders) began in 1992, where he worked in Baidoa, Somalia during the civil war and famine,  in Goma, Zaire (Congo) with Rwandan refugees in 1996; and in Kigali, Rwanda, during the genocide as Head of Mission for MSF.

He then became the president of MSF in 1998 until 2001 and accepted the Nobel Peace Prize in 1999 on behalf of the organization.

From 2001-2004 he co-chaired the working group which created and launched the Drugs for Neglected Diseases Initiative (DNDi): a global not-for-profit drug development organization that develops medicines and other health technologies for diseases largely neglected by profit driven research and development companies.

Dr. Orbinski is a founding board member of the Global Alliance for TB Drug Development, and the Stephen Lewis Foundation and Canadian Doctors for Medicare He is a founding member of the editorial boards of Open Medicine and Conflict and Health, two new independent, peer-reviewed open access on-line medical journals that are committed to the best science and that see health in its larger political and human context. He also sits on the editorial board of Ars Medica, a new journal that explores the interface between the arts and medicine, and examines what makes medicine an art. (info from National Speakers Bureau)

He is now an associate professor of medicine and political science at the University of Toronto.  He is also a Senior Fellow at the U of T’s Massey College, and at the Munk Centre for International Studies where he is focusing on Global Health and international affairs.

* National Film Board of Canada = awesome.

The Occupy Movement

Occupy Wall StreetI’m certain there’s a lot of things I could say about the Occupy Movements – the original Occupy Wall Street, and the subsequent occupancies around the world, including my local Toronto – but I’d like to be somewhat brief in my thoughts (pithy enough to be engaging and to keep your attention). Continue reading “The Occupy Movement”

Case Study for Educators: A Moral Dilemma

Mr. Davids is one of four vice principals in a large urban high schools of twenty five hundred students.  One of his many duties is to make follow up phone calls to parents informing them of their son or daughters absence.

One morning, he finds a very distraught grade eleven female student waiting at his office door.  The day before, he had called her home to indicate that she had been absent for two consecutive days as he had been unable to make contact on the first day.  The student, through her sobbing and irregular breathing, explains that she just had a miscarriage.  She had left her home the last two mornings as usual, but instead of going to school, she was at a friend’s house whose parents were away, recovering.  Tearfully, she explains that because of her cultural background and her father’s temper, “He will kill me if he finds out.”  She begs Mr. Davis to call her home and explain that it was a computer error and that she was at school for those two days.

She doesn’t have a record of previous absences, and is a good student. She has received proper medical care.

What should he do?

If you were the vice-principal, what would you do with this dilemma?

We can choose to believe her story.  To make up such a story, to avoid a phone call home because of truancy, seems rather far-fetched.  She appears sincere.

Would you call her home?  Potentially sending her home to be “killed” by her father, or thrown out of her house?  Would you call her parents to the office and talk to them about it?

Or, would you, as a professional, lie?  She suggests contriving the lie of a “computer error”. Would this raise any of your doubts — or is she simply thinking of a believable lie?

What would you do?