Browse content similar to Waheed's Wars - Saving Lives Across the World. Check below for episodes and series from the same categories and more!
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a telemedicine scheme which is saving lives in war zones | :00:00. | :00:00. | |
Afghanistan. A country racked by seemingly interminable war. Here, | :00:00. | :00:28. | |
there are always casualties. In hospitals they fight their own daily | :00:29. | :00:32. | |
battle against injury and disease, armed with the most basic | :00:33. | :00:40. | |
facilities. On the outskirts of the capital, Kabul, laser refugee camp | :00:41. | :00:46. | |
for around 1000 Afghan families displaced by war and poverty. -- | :00:47. | :00:55. | |
lies a. Today they have a visitor, a man who knows how it is to live in | :00:56. | :00:57. | |
the most basic of conditions. It is very sad to see this. It | :00:58. | :01:19. | |
brings all my memories back. In his kitchen, in Chester, Dr | :01:20. | :01:52. | |
Waheed Arian is taking yet another call from Afghanistan. Hospital in | :01:53. | :01:57. | |
Kabul has a problem and needs expert help. Those hot -- hospitals are | :01:58. | :02:03. | |
happy is not on speed dial. Over the past two years he has established a | :02:04. | :02:06. | |
network of around 100 volunteer doctors and consultants in the West | :02:07. | :02:14. | |
to give free advice to hospitals in war zones. It is all done by text, | :02:15. | :02:22. | |
WhatsApp, Skype and e-mail. This is telemedicine at its simplest and | :02:23. | :02:26. | |
most effective. They don't have the up-to-date technologies, they don't | :02:27. | :02:29. | |
have the cutting edge expertise, they don't have advanced evidence | :02:30. | :02:35. | |
-based medicine. So they need any expertise or any advice that's more | :02:36. | :02:41. | |
world class here, that's very useful for them. Just to make sure the | :02:42. | :02:48. | |
child as well. The child is stable. They send us the cases immediately | :02:49. | :02:52. | |
on the phone and our specialist then look at those cases and then give | :02:53. | :03:01. | |
them advice. What do we have here? What images? For the last three | :03:02. | :03:08. | |
years Dr Arian has been based at a hospital in Liverpool but his life | :03:09. | :03:12. | |
is still dominated by Afghanistan. Born in Kabul 34 years ago, he grew | :03:13. | :03:21. | |
up knowing only war. The Afghan conflict in the 1980s made child | :03:22. | :03:27. | |
refugee. The ensuing civil war of the 1990s shaped his destiny. His | :03:28. | :03:31. | |
parents sent him to England to give him a chance of a future. They could | :03:32. | :03:36. | |
never have imagined how he would seize that opportunity and create | :03:37. | :03:40. | |
new hope for those casualties of war in his homeland and beyond. I've | :03:41. | :03:47. | |
seen so much suffering in my childhood and that suffering is | :03:48. | :03:51. | |
still very vivid in my memory and I wanted to see if I could help in any | :03:52. | :03:55. | |
way alleviate that suffering for many people who were in a similar | :03:56. | :03:59. | |
position to my as a child. And when I went back to Afghanistan I kept | :04:00. | :04:04. | |
making regular trips, I could see the people were still suffering and | :04:05. | :04:09. | |
I thought, I have to make a difference. Along with other | :04:10. | :04:13. | |
colleagues go and try to do as much as we can. He and his wife have | :04:14. | :04:31. | |
lived in Chester since 2014. Their son Zane was born two years later. | :04:32. | :04:38. | |
Waheed is a specialist registrar in radiology based at Aintree | :04:39. | :04:42. | |
University Hospital but just two years from qualifying as a | :04:43. | :04:45. | |
consultant he has taken a career break to develop his new project, | :04:46. | :04:54. | |
Arian Teleheal. He had spoken to me before he made the decision to | :04:55. | :04:58. | |
concentrate on the charity but I honestly believe that if you've got | :04:59. | :05:02. | |
a passion and you've got an idea you must fulfil it, otherwise you may | :05:03. | :05:05. | |
have regrets in later life and the fact that his passion and his idea | :05:06. | :05:09. | |
was to save millions of lives, especially in poorer countries that | :05:10. | :05:13. | |
don't have such a great facility that we have in the NHS, and because | :05:14. | :05:17. | |
the idea was so brilliant it was one of those risks that you couldn't not | :05:18. | :05:24. | |
take. So, yes, I just said, go for it. But with the charity is still in | :05:25. | :05:32. | |
its infancy, he doesn't have funding to pay himself a salary. So either | :05:33. | :05:38. | |
lie on working Friday, Saturday and Sunday is in emergency departments | :05:39. | :05:43. | |
as a senior emergency doctor and that actually provides me the | :05:44. | :05:46. | |
expenses to be able to support my family, to be able to support myself | :05:47. | :05:51. | |
as well as to cater for all the trips that I do. I'm off to Kabul, | :05:52. | :05:59. | |
Afghanistan, from Manchester airport. I've had an invitation from | :06:00. | :06:03. | |
the minister of health in order to review our work with telemedicine in | :06:04. | :06:09. | |
hospitals and the expanded throughout Afghanistan in the near | :06:10. | :06:13. | |
future. Unhappy that I will be able to see my family again tomorrow. -- | :06:14. | :06:22. | |
I am very happy. When he was born in 1983 the Soviet Afghan war was | :06:23. | :06:26. | |
already in its fourth year. By the time he was five, his family decided | :06:27. | :06:33. | |
to escape to Pakistan. They subsequently spent three years in a | :06:34. | :06:38. | |
refugee camp near Peshawar. Today, back at the family home in Kabul, | :06:39. | :06:44. | |
Waheed and his parents reminisce about their terrifying journey on | :06:45. | :06:47. | |
foot and on donkeys through the mountains near the past. Most | :06:48. | :06:54. | |
frightening of all was when they were almost killed by a Russian | :06:55. | :07:00. | |
helicopter gunships. TRANSLATION: We thought that we would all be killed | :07:01. | :07:05. | |
and this would be our last breath. All I was thinking was finding a way | :07:06. | :07:10. | |
to save you. The plane fired a rocket which destroyed the house | :07:11. | :07:14. | |
where we were hiding. I told you, if I am killed, go back to Kabul. Don't | :07:15. | :07:16. | |
go anywhere else. On most trips home, Waheed takes | :07:17. | :07:33. | |
close to distribute at the refugee camp in Kabul. The memories of his | :07:34. | :07:37. | |
childhood years in Pakistan are always with him. The living | :07:38. | :07:41. | |
conditions in a refugee camp are not humane. As a family of ten we were | :07:42. | :07:47. | |
living in one mighty brew with just one carpet -- muddy room. If you | :07:48. | :07:54. | |
clothes, no mattresses. The temperatures would rise up to 45 | :07:55. | :07:58. | |
degrees. We suffered malaria many times, like many other refugees in | :07:59. | :08:03. | |
the camp. And I contracted tuberculosis which lasted for about | :08:04. | :08:06. | |
two years. I was being treated by one of the doctors in the refugee | :08:07. | :08:09. | |
camp and that's when I became inspired to become a doctor. So that | :08:10. | :08:15. | |
I could help myself, my family and many other people like myself who | :08:16. | :08:21. | |
were suffering. After three years in the camp, the family returned to | :08:22. | :08:27. | |
Kabul. The Russians had gone, but civil war now breached through the | :08:28. | :08:34. | |
country. This is where I used to live between the age of eight and | :08:35. | :08:39. | |
15. All this area used to be all flat and destroyed by the war. We | :08:40. | :08:45. | |
had to move from our house to another area near the mountains over | :08:46. | :08:50. | |
their and from there we have to move behind the mountains over there. | :08:51. | :08:55. | |
Because of the war. Then we have to move from there all the way to the | :08:56. | :09:01. | |
other side of Kabul, just to hide from the shillings and bombing that | :09:02. | :09:05. | |
were happening on a daily basis. -- shillings. Eventually his parents | :09:06. | :09:11. | |
would take the decision to send him abroad and his life would never be | :09:12. | :09:18. | |
the same again. But in 2017 he no longer runs from war, he confronts | :09:19. | :09:23. | |
it and today in Afghanistan there's war on two fronts. The Taliban never | :09:24. | :09:28. | |
went away and now the situation is further complicated by new | :09:29. | :09:35. | |
insurgents. More than 30 people have been killed and dozens wounded in an | :09:36. | :09:39. | |
attack by so-called Islamic State militance of a hospital near the | :09:40. | :09:43. | |
Afghan capital. Local officials say the three gunmen were dressed as | :09:44. | :09:48. | |
doctors... Waheed was actually in this hospital just 24 hours before | :09:49. | :09:53. | |
the Isis attack. His younger brother, a junior doctor, was | :09:54. | :09:56. | |
moments from death. Everybody was running to save their lives and we | :09:57. | :10:01. | |
couldn't find a way to help. We found a door. We smashed the door | :10:02. | :10:08. | |
and after that we all were running. Unfortunately, I lost my two friends | :10:09. | :10:17. | |
who were my class fellows and I lost those friends in the hospital. We | :10:18. | :10:23. | |
will all upper house waiting to hear the bad news. My parents were | :10:24. | :10:27. | |
distraught. My mother was crying non-stop. We were in a shock | :10:28. | :10:32. | |
situation, just waiting near the phone, complete shock, utter shock, | :10:33. | :10:39. | |
how something like that unexpectedly could happen at any moment and | :10:40. | :10:44. | |
that's why it is so dangerous. The attack was a stark reminder of what | :10:45. | :10:47. | |
hospitals in Afghanistan are up against. But it's not just the | :10:48. | :10:52. | |
direct results of terror attacks that need attention. With poor | :10:53. | :10:58. | |
sanitation, scarce resources and a low standard of medical training, | :10:59. | :11:02. | |
there are numerous problems which just don't occur in the developed | :11:03. | :11:08. | |
world. On Waheed's latest trip he visits a number of hospitals to | :11:09. | :11:14. | |
check on the progress of his telemedicines scheme and inevitably | :11:15. | :11:15. | |
encounters new cases. Waheed's telemedicines scheme is | :11:16. | :12:29. | |
deliberately nonpolitical and nonreligious and when it unreliable | :12:30. | :12:33. | |
Afghan telephone system allows it gets results. | :12:34. | :12:39. | |
TRANSLATION: Although our hospitals receive complicated cases, almost | :12:40. | :12:44. | |
all maternity hospitals have emergencies. Two of our cases in | :12:45. | :12:48. | |
particular were covered very well and we received very good | :12:49. | :12:51. | |
information. With one of our patients, we weren't sure what the | :12:52. | :12:58. | |
problems were. We sent the symptoms and after discussing with | :12:59. | :13:04. | |
international doctors we started the procedure and the patient recovered | :13:05. | :13:10. | |
well and was discharged. The green and white matter differentiation is | :13:11. | :13:15. | |
maintained. As you can see there is no high density to indicate that | :13:16. | :13:21. | |
there is any leads in the end of cranial or extracranial bleeds. | :13:22. | :13:41. | |
Waheed also met with the head of emergency and intensive care | :13:42. | :13:46. | |
services for the whole of Afghanistan. She has a direct line | :13:47. | :13:50. | |
to the health minister, so she's a vital contact. | :13:51. | :14:11. | |
All of this became possible because of Waheed's parents decision to send | :14:12. | :14:34. | |
him to London in 1999. TRANSLATION: He was 15 years old when the | :14:35. | :14:38. | |
fighting got worse. This time it was due to the Taliban. I had a | :14:39. | :14:42. | |
discussion with my friend and told him that my son is very clever and | :14:43. | :14:48. | |
very intelligent. And my friends helped me and told me they would | :14:49. | :14:51. | |
tending to a foreign country. They took into Pakistan and their he went | :14:52. | :14:57. | |
abroad. TRANSLATION: My son was very smart and he wanted to study. But I | :14:58. | :15:02. | |
did not want to send him anywhere. We had a house which we sold, so we | :15:03. | :15:07. | |
could send him to London. I became very depressed. | :15:08. | :15:21. | |
So, the 15-year-old Waheed arrived in a new land and asylum seeker, not | :15:22. | :15:29. | |
knowing what the future would hold. We had one contact in London and | :15:30. | :15:33. | |
that was a family friend, and that was on Portobello, and then after a | :15:34. | :15:39. | |
week I found a job for myself, and that turned into three jobs, but | :15:40. | :15:44. | |
that was my primary mission to be able to support my family members. | :15:45. | :15:47. | |
Always thinking that I had to educate myself as well, now that I | :15:48. | :15:51. | |
have got the opportunities. The education began in earnest, he | :15:52. | :15:54. | |
taught himself English and science and was soon studying for five | :15:55. | :15:59. | |
A-levels at night school. By now he was also looking after his younger | :16:00. | :16:03. | |
brother who had come to join him in London. But nothing was going to | :16:04. | :16:14. | |
deter him. Five a grades were good enough to get him an interview to a | :16:15. | :16:22. | |
place at Trinity Hall Cambridge. When I came for my interview I did | :16:23. | :16:28. | |
not even know how to do my tie. So one of the parents for another | :16:29. | :16:31. | |
student who was there for the interview, I asked them, if he could | :16:32. | :16:36. | |
help me with the tie, so he helped me with my tie. After a few days I | :16:37. | :16:43. | |
received a letter and the letter said "We are very delighted to offer | :16:44. | :16:48. | |
you a place to study medicine at Cambridge University." I think that | :16:49. | :16:51. | |
was one of the happiest days of my life, certainly. Hello, I am... Nice | :16:52. | :17:05. | |
to meet you. Do you have a case to discuss today? Yeah, we have an | :17:06. | :17:09. | |
important case that I want to discuss. Today they had a challenge | :17:10. | :17:15. | |
for us, they discussed a very unusual case, some kind of... This | :17:16. | :17:23. | |
is where we learn from outside as well, because such cases, we discuss | :17:24. | :17:29. | |
them among our group of specialists here, we go back and we look at our | :17:30. | :17:33. | |
literature, and then we give them the best advice that we can. They | :17:34. | :17:39. | |
are also competent clinicians, the problem lies often in lack of | :17:40. | :17:46. | |
resources, and sometimes in lack of experience, in some cases that are | :17:47. | :17:53. | |
not straightforward. Waheed's network of volunteer consultants and | :17:54. | :17:58. | |
doctors has grown to around 100. He is clearly very persuasive. He is | :17:59. | :18:03. | |
particular good at engaging people's attention. So what he does, he tells | :18:04. | :18:10. | |
people about the plight of war-torn countries and the lack of medical | :18:11. | :18:15. | |
facilities. And he is very enthusiastic about getting people | :18:16. | :18:20. | |
involved, to the point that he has spread his neck quite widely. -- | :18:21. | :18:26. | |
net. He has identified a little need, radiology is very important to | :18:27. | :18:31. | |
nearly all cases that come into a hospital, particularly in an area | :18:32. | :18:35. | |
where there is poverty or a war zone. And it is really collocated | :18:36. | :18:39. | |
stuff. -- complicated stuff. We'll need some help and we are working in | :18:40. | :18:48. | |
these hospitals, so it no -- comes as no surprise to me that people in | :18:49. | :18:52. | |
these countries are looking around for help when it gets collocated. | :18:53. | :18:55. | |
There are some places where tele- medicine is the only line of support | :18:56. | :19:05. | |
for beleaguered doctors. Kunduz in Afghanistan represents the frontline | :19:06. | :19:10. | |
of the battle the Taliban. Here in 2015 trauma centre was destroyed in | :19:11. | :19:14. | |
error by a US bomb psych which killed 42 people. -- strike. In | :19:15. | :19:21. | |
Kunduz, normal rules don't apply. TRANSLATION: Sometimes we get a | :19:22. | :19:25. | |
patient who comes in with 20 or more guards, and they threaten the | :19:26. | :19:29. | |
doctors. The dock is not safe. -- doctors. What we require is | :19:30. | :19:37. | |
emergency help. We receive help from Doctor Arian's tele- medicine team, | :19:38. | :19:42. | |
they help us diagnose cases we are not able to solve due to lack of the | :19:43. | :19:47. | |
right equipment. We send our examinations to them and they give | :19:48. | :19:51. | |
us advice. We thank them from the bottom of our hearts because they | :19:52. | :19:54. | |
help selflessly and they have helped war-torn Kunduz. | :19:55. | :20:07. | |
Waheed is back in London for an important meeting tomorrow morning. | :20:08. | :20:13. | |
But overnight the calls keep coming in. | :20:14. | :20:58. | |
The next day, he meets the most senior doctor in the UK, Sir Bruce | :20:59. | :21:06. | |
Keogh, the medical director of the National Health Service. He wants to | :21:07. | :21:09. | |
hear more about Waheed's work, and what the NHS can learn from it. Grab | :21:10. | :21:20. | |
a seat. He brings an enormous sympathy to the approach, and I | :21:21. | :21:23. | |
think there is a lot we can learn from that -- simplicity. And I hope | :21:24. | :21:27. | |
that by bringing together the experiences of other people that | :21:28. | :21:32. | |
have tried similar things around the NHS, along with Waheed, that we can | :21:33. | :21:39. | |
catalyse the uptake of this technology. Port of our patients. We | :21:40. | :21:43. | |
are getting a glimpse of the future here, and I think what he is doing | :21:44. | :21:47. | |
represents something that is very special. Healthcare systems around | :21:48. | :21:53. | |
the world are all constrained by their national boundaries. But the | :21:54. | :21:57. | |
art, the science, the values of medicine no no national boundaries. | :21:58. | :22:02. | |
And if anybody exhibits that, it's Waheed and his work. It connects on | :22:03. | :22:08. | |
the top there, they scan the room, it is inside out... This simple | :22:09. | :22:13. | |
everyday mitigation methods that so impressed Sir Bruce is the mainstay | :22:14. | :22:17. | |
of Waheed's work, but he is also keen to push the boundaries. He | :22:18. | :22:21. | |
wanted to try and augmented reality telemedicine call to Afghanistan, | :22:22. | :22:26. | |
something that had not been done before. So we teamed up with a BBC | :22:27. | :22:31. | |
technology unit, to explore its potential. What they are seeing is | :22:32. | :22:36. | |
what you're seeing. So they will be able to see that as well on Skype? | :22:37. | :22:43. | |
Fantastic. In a training theatre at Aintree Hospital, Waheed wares and | :22:44. | :22:46. | |
augmented reality headset, and uses a mannequin to help illustrate | :22:47. | :22:51. | |
details of a medical procedure. In the headset, he can see the doctors | :22:52. | :22:55. | |
in couple, while almost for thousands of why -- in Afghanistan, | :22:56. | :23:01. | |
while almost 4000 miles away they can see the augmented reality he is | :23:02. | :23:05. | |
conjuring up in his headset. I will take the arrow and place it along | :23:06. | :23:09. | |
the mouth on this mannequin, and then we have to make sure that the | :23:10. | :23:20. | |
next vertebrate... We check the patient from head to to make sure | :23:21. | :23:24. | |
there are no visible injuries or broken legs, any open fractures that | :23:25. | :23:28. | |
we need to reduce before we move on, and we also check the temperature of | :23:29. | :23:33. | |
the patient. It went very well. We discussed the medical case, we solve | :23:34. | :23:36. | |
the problem, it was alive medical case in one of the hospitals in | :23:37. | :23:44. | |
carpal Afghanistan, -- couple, Afghanistan, and we talked about the | :23:45. | :23:51. | |
ways we can use this technology to advise and also educate. Waheed is | :23:52. | :23:58. | |
already working with hospitals in Syria, and has plans to expand into | :23:59. | :24:05. | |
Kashmir, Iraq and parts of Africa. He is also working with some sectors | :24:06. | :24:10. | |
of the NHS to help enhance patient care and medical training gear in | :24:11. | :24:17. | |
the UK. One penalty is any semblance of a normal family life. Now I'm | :24:18. | :24:23. | |
doing this charity work from my living room, and I'm on the Move | :24:24. | :24:30. | |
24/7, I mobile phone is with me, I co-ordinate all the activities in | :24:31. | :24:33. | |
Afghanistan, and almost all activities in Syria. Yes, he is away | :24:34. | :24:38. | |
a lot, and it can be hard and can be lonely at times, when you are on | :24:39. | :24:43. | |
your own, missing -- when you see the other families out and think it | :24:44. | :24:47. | |
would be nice to have my husband home. But on the other side, I know | :24:48. | :24:51. | |
that he is doing amazing things for humanity, he is going to be saving | :24:52. | :24:56. | |
thousands of lives, so I look at the positive and think, I have a great | :24:57. | :25:01. | |
life and what about the people who would love to have something that | :25:02. | :25:07. | |
that we have got. Shortly after Waheed's visit to Afghanistan, is | :25:08. | :25:12. | |
BBC driver was killed in a massive explosion which claimed over 150 | :25:13. | :25:19. | |
lives. And injured hundreds more. Waheed and his team were once again | :25:20. | :25:23. | |
called into action. Their work providing yet another glimpse of the | :25:24. | :25:29. | |
medical future, brought to Afghanistan by a survivor of its | :25:30. | :25:34. | |
troubled past. When I see the war-torn areas in Kabul, it brings | :25:35. | :25:42. | |
back the memories of my childhood, and I'm happy that I am able to go | :25:43. | :25:46. | |
back and help. So that is my therapy. One person can't do all | :25:47. | :25:52. | |
this. What we need now is urgent support with it technology. We have | :25:53. | :25:57. | |
come a long way in two years, and we are helping places that have no | :25:58. | :26:02. | |
other support. And this is so important. Lives are at stake. And | :26:03. | :26:10. | |
we can help save those lives. But we cannot do it on our own. | :26:11. | :26:53. | |
The weekend is by no means a write-off, but right from the word | :26:54. | :26:59. | |
go we have showers and thunderstorms rolling in across Wales | :27:00. | :27:00. |