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Dr. Rahul Jandial: It's cool being featured on these shows, but that's not really my thing. Helping people is my ambition. I never get that twisted. Recently, I received some recognition from three major institutions … medicine, surgery, and science. That meant a lot to me. Six months ago, I was accepted as a diplomate [meaning he was certified] of the American Board of Neurological Surgeons, and the US Department of Defense gave me the Breakthrough Award for my scientific work. Most importantly, my employer, City of Hope Cancer Center, promoted me after inviting outside experts to vet my resume.
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Well, first of all, it's completely under our control. INCA's out of pocket; it's our money, meaning me and Mike Levy, who's the head of pediatric neurosurgery at Rady's Children's Hospital in San Diego. The idea for the nonprofit came when I was 29 or 30 and started seeing those ads for doctors who were fixing cleft palates abroad. But the twist on that was that the things that were being done… they were elective, or what we call "schedulable." It's important, but it's not always life-or-death. So we're were like, Who's gonna do brain surgery on children? That need pops up all the time.I came up with this idea that we were gonna go to underserved countries, handle some [brain surgery] cases, give charity hospitals some of our used medical equipment—which, to them, is gold—we're going to teach local doctors certain skills they don't know through surgical collaboration, and then the local doctors will be able to keep crushing it the other 51 weeks we're not there. Our first trip was in 2003 when we went to Lima, Peru.How did you pick the hospital you worked with there?
I started sending email blasts to cities with notable academic institutions or charity hospitals because we don't want private hospital dudes trying to make money, take our donations into private practices, or take advantage of the services we're offering. I'm not judging them at all; they're under a lot of pressure. They don't make a lot of money.
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The interesting thing about these charity hospitals is you've got the building, but there's nothing inside. The kids in Lima are facing the same medical issues as kids in the States. But if a kid is sick in a place like Lima or La Paz, Bolivia, mom's gotta get the kid on a truck or a bus and bring them to the one hospital, and then there are just a handful of doctors there. So you have all of those sick kids, limited doctors, limited supply—it's a real bottleneck. But it's also, for me, a place where you can have a high impact.
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I always ask , Are you doing the most you can, using the resources you're given? Because you should go on your own time, your own dollar, and when you're there you shouldn't waste a single penny. Or, are you just going to make yourself look legit in the States? This shouldn't be something you do for self-marketing and branding. It's a life journey that sometimes gets shared.So that's one conflict and another is the follow-up. What happens when you go on a surgical mission for two or three days and leave and then there are issues? Who's gonna handle those issues? Some patients have to go back to the operating room; some patients' wounds open up. This is a structural plan that people going on surgical missions need to consider.Finally, the host neurosurgeons. Have you really picked the crew that's gonna be perpetuating the largesse and the information? Or did you just pick somebody who's receptive to you going down and taking some pictures? These are all essential questions. You can't just go down there, drop some money, do a couple things, do a photo-op, and come back.
When we went to Kiev, they picked us up in a red van with a marijuana leaf on it. And then the super, super tough-looking driver was smoking these super, super slim cigarettes. I sat in the front with him and I buckled up. And he looked at me with his slim cigarette and he was like, "Nah, nah, nah. Real men don't wear seat belts."
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I've worked with about four or five hospital in foreign countries in the past decade, but I have about 20 more on my mind. We're going to beef up these operating rooms and help these doctors become the lifesavers we know they can be once they have the right materials and training. We're going to do this at children's hospitals all around the world, and I'm trying to plough through them as my own life legacy.To learn more about INCA, Dr. Jandial's charity organization, visit the project's website here and City of Hope's website.See more photos from Dr. Jandial's surgical mission trips below.