The British-Pakistani doctors saving lives in two countries
By Secunder Kirmani
From his laptop at his home just outside London, Dr Tahir Akhtar is helping treat a coronavirus patient in Lahore, Pakistan. Via a video link, a doctor there shows Dr Akhtar around the intensive care unit at the city’s Jinnah Hospital.
Dr Akhtar is an intensive care unit consultant in Britain’s National Health Service, and has helped lead the response to Covid-19 in Essex, where he lives.
Now, in his free time, he is using telemedicine software to share his experiences with counterparts in his country of birth, Pakistan – advising doctors on the best way to treat their patients.
“We are very proud of the NHS service we are giving here,” Dr Akhtar said. “And because of our relationships both in medicine and otherwise, it was very important for us to help our colleagues and to help the people of Pakistan.”
Dr Akhtar told the BBC the huge number of coronavirus cases meant that even in the UK it was not possible for intensive care doctors alone to treat seriously ill patients – doctors from different specialties also had to be drafted in. In Pakistan, the difficulties would be amplified, he said, making it useful for those doctors to have “someone they can talk to, someone they can take advice from”.
Dr Muhammad Ashraf Zia, who heads the Covid-19 ICU in Jinnah Hospital, told the BBC it was “very useful” to exchange ideas with Dr Akhtar – even though he is a senior doctor himself, as coronavirus is such a new disease. He said his team had begun using certain medicines to treat patients that they previously had not, and they were now producing “very good results”.
There have been about 250,000 coronavirus cases and 5,000 deaths recorded in Pakistan. That’s substantially lower than in Britain, where more than 44,000 people have died, even though it is likely fatalities in Pakistan have been undercounted.
However, Pakistan has far fewer doctors per capita than the UK, and at times hospitals there have been stretched. According to the World Health Organization, there are under 10 medical doctors per 10,000 of the population in Pakistan, about three times fewer than in the UK.
Dr Suhail Chughtai, another UK-based doctor of Pakistani origin, built the telemedicine software used to connect to the intensive care unit in Lahore. The software allows doctors to talk via video link and exchange copies of case notes as they speak. His aim was “to plug the gap” in Pakistan caused by a relative lack of intensive care specialists, by “importing” those doctors from the UK via telemedicine, he said.