komal-kumar

Komal Kumar

Komal Kumar obtained her MPH in Epidemiology & Biostatistics from Johns Hopkins Bloomberg School of Public Health. She is a researcher, public health advocate, and a 2017-2018 Fulbright Scholar to South Africa.

http://www.koandkompany.com

Applying the Philosophy of Ubuntu to Medicine

Ubuntu is a word that I formally learned in beginners Xhosa class and informally through the people in which I engaged. The direct translation of this Xhosa word is: I am because we are. It is a philosophy that encourages humanity and interconnectedness. Little did I know that when I signed up for beginners Xhosa class in order to greet the patients I would meet in the clinic, I would learn of a philosophy that could heal the US healthcare system. Interconnectedness of Diseases The complex reality is that diseases are not isolated medical problems. They are medical problems in the context of interconnected biological systems that construct the human body. When we focus on treating diseases in isolation, we get a myopic view of the problem and thus a partial solution. Interconnectedness of Determinants Much like America, South Africa is a country with diverse identities, a sensitive history, and an environment segregated by race and social status. And much like America, these factors complicate healthcare access, equity, and outcomes. Throughout my time working in and navigating medical spaces within historically complex cities, I have learned to comprehend human disease within a context that encompasses, rather than sequesters, social issues. Interconnectedness of Departments Specialization in medicine has fragmented patient care and created silos. Collective wisdom will help heal the fragmented health care system. Previously independent fields are now integrating...

Part 2: How Filming a Documentary prepared me for Medicine

#5 Be Curious Before an interview, I would prepare a list of questions that I should ask specifically for that interviewee. In the beginning, the back and forth of questions and answers were scripted at first then gradually improvised and tailored to what was revealed prior. The lesson here is to be prepared but also be adaptable. By being curious, you will get all of the answers you need. “Listen to your patient, he is telling you the diagnosis.” -William Osler  #6 Understand each piece of the puzzle One of the greatest responsibilities of a filmmaker is to serve as an advocate for each unique story so that it is holistically and accurately displayed. Documentary film as a medium allows one to showcase a representative experience. While the filmmaker presents the facts, the audience is left to make their own opinion. To do this with the utmost integrity, one must understand each voice in the choir. “The value of experience is not in seeing much, but in seeing wisely.” -William Osler #7 What to keep and what to cut When creating a documentary, you have the choice of what story you want to tell. And when editing, you have the choice of what footage you want to show. This can be dangerous. There is a delicate balance of facts vs. opinions to maintain so the message won’t be misconstrued. Err...

Part 1: How Filming a Documentary Prepared me for Medicine

I embarked on unknown territory and began filming a documentary. During the process, it reminded me of the various intricacies of the role of a physician that I admire. Here are some things I learned from filming and how it applies to medicine.   #1 Be cognizant of your presence Depending on the shoot, you could be navigating places where you are technically not allowed to be (i.e. an operating room to film a surgery). In this space, be cognizant of yourself, your team, and your equipment. You will be disruptive no matter how discreet you try to be, so acknowledge that and be aware. “There is no more difficult art to acquire than the art of observation…” -William Osler #2 Recognize the interviewees’ discomfort As we were setting up for an interview, it wasn’t lost on me that there were four additional people hovering, cameras positioned from various angles, lapel microphones, and extra wires throughout the room. As the director, I was reminded that within a foreign environment of technology and cords it was my responsibility to ensure that the interviewee was comfortable enough to share their vulnerability with me. While my team set up the equipment, I focused on talking to the interviewee and preparing them for what’s to come. Show some compassion and be patient. “Every patient you see is a lesson in much more than...

The Muller Effect: 10-year Anniversary of HIV-to-HIV Transplantation

10 years ago, a fearless surgeon performed the world’s first transplant of an HIV+ kidney into an HIV+ recipient at Groote Schuur Hospital in South Africa. Where many in her place would step back, she stepped forward. When institutions built walls around her, she continued to break them down. When government officials threatened her career, she persevered. “I started to realize I am so often refusing organs from a patient because they have HIV. I started to think this doesn’t make sense because we have all these patients with HIV who we can’t give dialysis to and on the other side of the coin I’m denying donors to donate and this was a simple way of solving the problem that drove the process.” –Dr. Elmi Muller At a time of HIV denialism in South Africa, where patients with end-stage renal disease and HIV had no option but to die, she pioneered an established procedure on a stigmatized population. This past year I was privileged to serve as a Fulbright Scholar in South Africa under the mentorship of Dr. Elmi Muller. Prior to my arrival, what I knew of the pioneering procedure was limited to the scarce reports by the media and a handful of publications in the literature. But when Elmi first told me her journey, I knew that there was more to this story that people needed to...