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From Bloomfield Hills to Nepal’s primitive huts

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For nine months of each year Dr. Richard Keidan is an elite physician in an upscale Detroit suburb, a surgeon who specializes in removing cancer.

But every three months or so, he flies across the globe to Nepal, lands in Kathmandu, and then trudges into the interior. He climbs mountains, endures high altitudes and stiff winds, and then pitches a tent among the primitive huts of villagers.

And for the next month, he will try to do what he can to improve public health, medicine and hygiene in rural Nepal, through the organization he began three years ago, the Miles Levin Nepal Foundation for Health and Education. “This is really my life’s work,” he said over lunch a few days ago. Yes, he is a surgical oncologist, and by all accounts a superb one. Keidan is head of William Beaumont Hospital’s multidisciplinary melanoma clinic.

He has written dozens of scientific articles, and is a professor of surgery at two medical schools, Wayne State University and Oakland University’s new school of medicine.

But his heart is more than 7,500 miles away, with his Nepalese foundation partner, Namgyal Sherpa, who has led many an expedition up Mt. Everest and then gone back to retrieve the bodies and gear of those who didn’t survive.

And though he was trained to perform some of the most elite surgery, Richard Keidan has come to believe that those in charge of practising medicine in this country might learn something from the situation in Nepal. For one thing, he believes the best thing any society can do is invest in basic medical care.

“Maybe I should say public health even before medical care,” said Keidan, a 56-year-old graduate of the University of Michigan.

If you’ve watched a number of the GOP presidential debates this year, you might have the impression that physicians unanimously hate what the candidates sneeringly call “Obamacare.”

Not so. “I may be in a minority among my colleagues at Beaumont, but I am a strong supporter of President Obama,” Keidan said. “It is absolutely indefensible that people don’t automatically have access to primary health care in this country.”

He does understand what Nepal needs. “You get a far bigger bang for your buck by putting money into primary care and, especially, public health services,” he said.

What Keidan doesn’t do in Nepal, surprisingly, is surgery. Doctors have often travelled to developing countries to provide medical services for a few days or weeks at a time.

This physician thinks that’s the wrong idea. “You help a few people, yes. But when you leave, nothing really changes.”

Instead, he and his foundation are in the business of helping the rural Nepalese to help themselves. They are building a new school in a town called Dipru, and helping kids pay to attend it.

And perhaps most importantly, the foundation is working with a new medical school called the Patan Academy for Health Sciences, designed to train doctors in rural settings, doctors who then promise to spend at least four years in rural areas.

Richard Keidan has been in love with Nepal, a nation of 30 million in a space slightly larger than Michigan, ever since he took a year off as a young doctor trying to find himself and trekked through it with Betsy, who is now his wife, nearly three decades ago.

Article source: http://www.windsorstar.com/health/From+Bloomfield+Hills+Nepal+primitive+huts/6076106/story.html


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