tv Waheeds Wars - Saving Lives Across... BBC News August 5, 2017 12:30am-1:01am BST
he said the leaks hurt the united states and undermined attempts to protect the country. venezuela's controversial constituent assembly has been inaugurated despite widespread criticism at home and abroad. the swearing in ceremony came as president maduro‘s opponents clashed with police. health warnings have been issued across europe as the dangerous heatwave continues. in parts of italy, spain and the balkans, temperatures have soared into the high forties. the world's most expensive footballer, neymar, says hejoined the french club, paris st—germain, because he wanted a new challenge. now on bbc news, time for a special programme. john simpson tells the remarkable story of waheed arian, the doctor from chester whose life has been defined by war in afghanistan. the former child refugee and teenage asylum seeker has now launched a telemedicine scheme
which is saving lives in war zones across the world. afghanistan. a country racked by seemingly interminable war. here, there are always casualties. in hospitals they fight their own daily battle against injury and disease, armed with the most basic facilities. on the outskirts of the capital, kabul, laser refugee camp for around 1000 afghan families displaced by war and poverty. —— lies a. today they have a visitor, a man who knows how it is to live in the most basic of conditions.
happy is not on speed dial. over the past two years he has established a network of around 100 volunteer doctors and consultants in the west to give free advice to hospitals in war zones. to give free advice to hospitals in war zones. it is all done by text, whatsapp, skype and e—mail. this is telemedicine at its simplest and most effective. they don't have the up—to—date technologies, they don't have the cutting edge expertise, they don't have advanced evidence —based medicine. so they need any expertise or any advice that's more world class here, that's very useful for them. just to make sure the child as well. the child is stable. they send us the cases immediately on the phone and our specialist then look at those cases and then give them advice. what do we have here?
what images? for the last three yea rs what images? for the last three years dr arian has been based at a hospital in liverpool but his life is still dominated by afghanistan. born in kabul 3a years ago, he grew up born in kabul 3a years ago, he grew up knowing only war. the afghan conflict in the 1980s made child refugee. the ensuing civil war of the 1990s shaped his destiny. his pa rents the 1990s shaped his destiny. his parents sent him to england to give him a chance of a future. they could never have imagined how he would seize that opportunity and create new hope for those casualties of war in his homeland and beyond. i've seen in his homeland and beyond. i've seen so in his homeland and beyond. i've seen so much suffering in my childhood and that suffering is still very vivid in my memory and i wa nted still very vivid in my memory and i wanted to see if i could help in any way alleviate that suffering for many people who were in a similar position to my as a child. and when
i went back to afghanistan i kept making regular trips, i could see the people were still suffering and i thought, i the people were still suffering and ithought, i have the people were still suffering and i thought, i have to make a difference. along with other collea g u es difference. along with other colleagues go and try to do as much as we can. he and his wife have lived in chester since 2014. their son zane was born two years later. waheed is a specialist registrar in radiology based at aintree university hospital but just radiology based at aintree university hospital butjust two yea rs university hospital butjust two years from qualifying as a co nsulta nt years from qualifying as a consultant he has taken a career break to develop his new project, arian teleheal. he had spoken to me before he made the decision to concentrate on the charity but i
honestly believe that if you've got a passion and you've got an idea you must fulfil it, otherwise you may have regrets in later life and the fa ct have regrets in later life and the fact that his passion and his idea was to save millions of lives, especially in poorer countries that don't have such a great facility that we have in the nhs, and because the idea was so brilliant it was one of those risks that you couldn't not take. so, yes, ijust said, go for it. but with the charity is still in its infancy, he doesn't have funding to pay himself a salary. so either lie on working friday, saturday and sunday is in emergency departments asa sunday is in emergency departments as a senior sunday is in emergency departments as a senior emergency sunday is in emergency departments as a senior emergency doctor and that actually provides me the expenses to be able to support my family, to be able to support myself as well as to cater for all the trips that i do. i'm off to kabul, afghanistan, from manchester
airport. i've had an invitation from the minister of health in order to review our work with telemedicine in hospitals and the expanded throughout afghanistan in the near future. unhappy that i will be able to see my family again tomorrow. —— iam very to see my family again tomorrow. —— i am very happy. when he was born in 1983 the soviet afghan war was already in its fourth year. by the time he was five, his family decided to escape to pakistan. they subsequently spent three years in a refugee camp near peshawar. today, back at the family home in kabul, waheed and his parents reminisce about their terrifying journey on foot and on donkeys through the mountains near the past. most frightening of all was when they we re frightening of all was when they were almost killed by a russian helicopter gunships. translation: we
thought that we would all be killed and this would be our last breath. all i was thinking was finding a way to save you. the plane fired a rocket which destroyed the house where we were hiding. i told you, if iam where we were hiding. i told you, if i am killed, where we were hiding. i told you, if iam killed, go where we were hiding. i told you, if i am killed, go back to kabul. don't go anywhere else. on most trips home, waheed takes close to distribute at the refugee camp in kabul. the memories of his childhood years in pakistan are a lwa ys childhood years in pakistan are always with him. the living conditions in a refugee camp are not humane. as a family of ten we were living in one mighty brew with just one carpet —— muddy room. if you clothes, no mattresses. the temperatures would rise up to 45 degrees. we suffered malaria many
times, like many other refugees in the camp. and i contracted tuberculosis which lasted for about two years. tuberculosis which lasted for about two yea rs. i tuberculosis which lasted for about two years. i was being treated by one of the doctors in the refugee camp and that's when i became inspired to become a doctor. so that i could help myself, my family and many other people like myself who we re many other people like myself who were suffering. after three years in the camp, the family returned to kabul. the russians had gone, but civil war now breached through the country. this is where i used to live between the age of eight and 15. all this area used to be all flat and destroyed by the war. we had to move from our house to another area near the mountains over their and from there we have to move behind the mountains over there. because of the war. then we have to move from there all the way to the other side of kabul, just to hide
from the shillings and bombing that we re from the shillings and bombing that were happening on a daily basis. —— shillings. eventually his parents would take the decision to send him abroad and his life would never be the same again. but in 2017 he no longer runs from war, he confronts it and today in afghanistan there's war on two fronts. the taliban never went away and now the situation is further complicated by new insurgents. more than 30 people have been killed and dozens wounded in an attack by so—called islamic state militance of a hospital near the afg ha n militance of a hospital near the afghan capital. local officials say the three gunmen were dressed as doctors... waheed was actually in this hospital just doctors... waheed was actually in this hospitaljust 24 hours before the isis attack. his younger brother, a junior doctor, was moments from death. everybody was running to save their lives and we
couldn't find a way to help. we found a door. we smashed the door and after that we all were running. u nfortu nately, and after that we all were running. unfortunately, i lost my two friends who were my class fellows and i lost those friends in the hospital. we will all upper house waiting to hear the bad news. my parents were distraught. my mother was crying non—stop. we were in a shock situation, just waiting near the phone, complete shock, utter shock, how something like that unexpectedly could happen at any moment and that's why it is so dangerous. the attack was a stark reminder of what hospitals in afghanistan are up against. but it's notjust the direct results of terror attacks that need attention. with poor sanitation, scarce resources and a
low standard of medical training, there are numerous problems which just don't occur in the developed world. on waheed's latest trip he visits a number of hospitals to check on the progress of his telemedicines scheme and inevitably encounters new cases. waheed's telemedicines scheme is deliberately nonpolitical and nonreligious and when it unreliable afg ha n nonreligious and when it unreliable afghan telephone system allows it gets results. translation: although our hospitals receive complicated cases, almost all maternity hospitals have emergencies. two of our cases in particular were covered very well and we received very good information. with one of our patients, we weren't sure what the problems were. we sent the symptoms and after discussing with international doctors we started the procedure and the patient recovered
well and was discharged. the green and white matter differentiation is maintained. as you can see there is no high density to indicate that there is any leads in the end of cranial or extracranial bleeds. waheed also met with the head of emergency and intensive care services for the whole of afghanistan. she has a direct line to the health minister, so she's a vital contact.
all of this became possible because of waheed's parents decision to send him to london in 1999. translation: he was 15 years old when the fighting got worse. this time it was due to the taliban. i had a discussion with my friend and told him that my son is very clever and very intelligent. and my friends helped me and told me they would tending to a foreign country. they took into pakistan and their he went abroad. translation: my son was very smart and he wanted to study. but i did not want to send him anywhere. we had a house which we sold, so we
could send him to london. i became very depressed. so, the 15—year—old waheed arrived ina new land so, the 15—year—old waheed arrived in a new land and asylum seeker, not knowing what the future would hold. we had one contact in london and that was a family friend, and that was on portobello, and then after a week i found a job for myself, and that turned into three jobs, but that turned into three jobs, but that was my primary mission to be able to support my family members. always thinking that i had to educate myself as well, now that i have got the opportunities. the education began in earnest, he taught himself english and science and was soon studying for five a—levels at night school. by now he was also looking after his younger brother who had come tojoin him in london. but nothing was going to deter him. five a grades were good
enough to get him an interview to a place at trinity hall cambridge. when i came for my interview i did not even know how to do my tie. so one of the parents for another student who was there for the interview, i asked them, if he could help me with the tie, so he helped me with my tie. after a few days i received a letter and the letter said "we are very delighted to offer you a place to study medicine at cambridge university." i think that was one of the happiest days of my life, certainly. hello, i am... nice to meet you. do you have a case to
discuss today? yeah, we have an important case that i want to discuss. today they had a challenge for us, they discussed a very unusual case, some kind of... this is where we learn from outside as well, because such cases, we discuss them among our group of specialists here, we go back and we look at our literature, and then we give them the best advice that we can. they are also competent clinicians, the problem lies often in lack of resources , problem lies often in lack of resources, and sometimes in lack of experience, in some cases that are not straightforward. waheed's network of volunteer consultants and doctors has grown to around 100. he is clearly very persuasive. he is particular good at engaging people's attention. so what he does, he tells
people about the plight of war—torn countries and the lack of medical facilities. and he is very enthusiastic about getting people involved, to the point that he has spread his neck quite widely. -- net. he has identified a little need, radiology is very important to nearly all cases that come into a hospital, particularly in an area where there is poverty or a war zone. and it is really collocated stuff. —— complicated stuff. we'll need some help and we are working in these hospitals, so it no —— comes as no surprise to me that people in these countries are looking around for help when it gets collocated. there are some places where tele— medicine is the only line of support for beleaguered doctors. kunduz in
afghanistan represents the frontline of the battle the taliban. here in 2015 trauma centre was destroyed in error by a us bomb psych which killed 42 people. —— strike. in kunduz, normal rules don't apply. translation: sometimes we get a patient who comes in with 20 or more guards, and they threaten the doctors. the dock is not safe. —— doctors. the dock is not safe. —— doctors. what we require is emergency help. we receive help from doctor arian's tele— medicine team, they help us diagnose cases we are not able to solve due to lack of the right equipment. we send our examinations to them and they give us examinations to them and they give us advice. we thank them from the bottom of our hearts because they help selflessly and they have helped war—torn kunduz. waheed is back in london for an
important meeting tomorrow morning. but overnight the calls keep coming the next day, he meets the most senior doctor in the uk, sir bruce keogh, the medical director of the national health service. he wants to hear more about waheed's work, and what the nhs can learn from it. grab a seat. he brings an enormous sympathy to the approach, and i think there is a lot we can learn from that —— simplicity. and i hope that by bringing together the experiences of other people that have tried similar things around the nhs, along with waheed, that we can ca ta lys e nhs, along with waheed, that we can catalyse the uptake of this technology. port of our patients. we are getting a glimpse of the future here, andi are getting a glimpse of the future here, and i think what he is doing represents something that is very
special. healthcare systems around the world are all constrained by their national boundaries. but the art, the science, the values of medicine no no national boundaries. and if anybody exhibits that, it's waheed and his work. it connects on the top there, they scan the room, it is inside out... this simple everyday mitigation methods that so impressed sir bruce is the mainstay of waheed's work, but he is also keen to push the boundaries. he wa nted keen to push the boundaries. he wanted to try and augmented reality telemedicine call to afghanistan, something that had not been done before. so we teamed up with a bbc technology unit, to explore its potential. what they are seeing is what you're seeing. so they will be able to see that as well on skype? fantastic. in a training theatre at aintree hospital, waheed wares and augmented reality headset, and uses augmented reality headset, and uses a mannequin to help illustrate
details of a medical procedure. in the headset, he can see the doctors in couple, while almost for thousands of why —— in afghanistan, while almost 4000 miles away they can see the augmented reality he is conjuring up in his headset. can see the augmented reality he is conjuring up in his headsetlj can see the augmented reality he is conjuring up in his headset. i will ta ke conjuring up in his headset. i will take the arrow and place it along the mouth on this mannequin, and then we have to make sure that the next vertebrate... we check the patient from head to to make sure there are no visible injuries or broken legs, any open fractures that we need to reduce before we move on, and we also check the temperature of the patient. it went very well. we discussed the medical case, we solve the problem, it was alive medical case in one of the hospitals in carpal afghanistan, —— couple, afghanistan, and we talked about the
ways we can use this technology to advise and also educate. waheed is already working with hospitals in syria, and has plans to expand into kashmir, iraq and parts of africa. he is also working with some sectors of the nhs to help enhance patient ca re of the nhs to help enhance patient care and medical training gear in the uk. one penalty is any semblance ofa the uk. one penalty is any semblance of a normal family life. the uk. one penalty is any semblance of a normalfamily life. now i'm doing this charity work from my living room, and i'm on the move 24/7, i mobile phone is with me, i co—ordinate all the activities in afghanistan, and almost all activities in syria. yes, he is away activities in syria. yes, he is away a lot, and it can be hard and can be lonely at times, when you are on your own, missing —— when you see the other families out and think it would be nice to have my husband
home. but on the other side, i know that he is doing amazing things for humanity, he is going to be saving thousands of lives, sol humanity, he is going to be saving thousands of lives, so i look at the positive and think, i have a great life and what about the people who would love to have something that that we have got. shortly after waheed's visit to afghanistan, is bbc driver was killed in a massive explosion which claimed over 150 lives. and injured hundreds more. waheed and his team were once again called into action. their work providing yet another glimpse of the medical future, providing yet another glimpse of the medicalfuture, brought providing yet another glimpse of the medical future, brought to afghanistan by a survivor of its troubled past. when i see the war—torn areas in kabul, it brings back the memories of my childhood, and i'm happy that i am able to go back and help. so that is my
therapy. one person can't do all this. what we need now is urgent support with it technology. we have come a long way in two years, and we are helping places that have no other support. and this is so important. lives are at stake. and we can help save those lives. but we cannot do it on our own. the weekend is by no means a write—off, but right from the word go we have showers and thunderstorms rolling in across wales and pushing into the midlands, and eventually come the afternoon they are all over east anglia and down into the south—east. the south—westerly the charmed life, fewer showers here and so charmed life, fewer showers here and so too in the north of england, plenty of heavy showers there across the eastern and south—eastern parts of scotla nd the eastern and south—eastern parts of scotland to finish the afternoon. the odd shower in the eastern side of northern ireland. many of those showers quit the scene and underneath the clearing skies, it will turn out to be quite a chilly
start to sunday, especially so in the countryside. single figure temperatures abounding, but at least that means plenty of sunshine with a notable exception of northern ireland, and here we have a new carrier of cloud, wind and rain moving in from the atlantic which pushes into the heart of scotland and maybe eventually gets towards the western side of england and wales as well. on monday, the front tumbles its way across the bridge aisles. —— british isles. this is bbc news. i'm alpa patel. our top stories: venezuela swears in its new constituent assembly despite widespread opposition at home and abroad. cracking down. the us attorney general charges four people over lea ks of classified government information. we will investigate and seek to bring criminals tojustice. we will not allow criminals with security clearance to sell out our country. a british computer expert appears in a us court on charges of creating software to steal bank details.