- Alumni
Dr. Paul Young '68 (right) teaches brain anatomy
in east Africa.
Dr. Paul Young '68 vividly recalls inscribing ‘Neurosurgery’ on the front of his binder in sixth grade. There was never a doubt, he says, about what he wanted to do. His father, Paul Sr., pursued medicine after graduating from SLUH in 1944 and went on to become a world renowned neuroanatomist and chair of Saint Louis University’s School of Medicine, Department of Anatomy (incredibly, he just retired this year as the most tenured professor at SLU, having taught more than 98 percent of all living graduates of SLU's School of Medicine).
“While I’ve always known I wanted to become a physician, SLUH provided me the inspiration to use medicine to make the world a better place,” says Dr. Young, who grew up in St. Dominic Savio Parish in Affton. “SLUH changed how I perceived myself in relation to the world. I graduated with the spirit of Tom Dooley in my heart and wanted to help others.”
After studying biology and graduating from SLU in just three years, he attended SLU’s School of Medicine, spent a year of internal medicine training at UCLA, and eventually did fellowship training in Switzerland with Professor M. Gazi Yasargil, widely recognized as the “Neurosurgeon of the Century.”
Equipped with hands-on training from the world’s most renowned expert, Dr. Young returned to his hometown and joined the neurosurgery faculty at SLU in 1981. “Back then,” he says, “there wasn’t any real opportunity for surgeons in practice or coming out of training to learn hands-on techniques, so I became very interested in this.”
In 1990, he started the PASE (Practical Anatomy and Surgical Education) program at SLU to provide an opportunity for surgical practice in a lab setting. PASE organizes cadaver workshops with all types of operating equipment available “to provide practice in near real-life setting.” It offers more than 30 courses per year in multiple disciplines, many of which Dr. Young has taught, though he has spent the bulk of his career in private practice.
Dr. Young operating in Africa.
Unfinished Work
Tom Dooley’s spirit rekindled his heart in 1999 when he went to Africa with his daughter, who was a senior medical student at SLU and wanted to do a month of elective pediatric training abroad.
“When we left Africa, the nurses and staff in Nairobi gave me a piece of artwork,” says Dr. Young. “When I first looked at it, I thought it was a very nice hand-carved sculpture, but I said it wasn’t finished. And they told me that was the whole point.”
Since then, Dr. Young has returned to Africa more than 25 times.
“The need in Africa is overwhelming,” says Dr. Young, who exudes a gentle yet intensely caring nature. “When I first starting going there, there was little successful brain surgery in that part of the world.” In fact, there were only a handful of neurosurgeons in east Africa, which has about 500,000,000 people, and even they were inadequately trained. By comparison, the U.S. and other developed countries have one neurosurgeon for about every 75,000 people.
“I saw many children with benign brain tumors who weren’t diagnosed or treated, and that had progressed to the point of blindness,” says Dr. Young. “It would never get to that point in the U.S.”
Over the years, Dr. Young has developed a fully accredited training program for neurosurgeons in east Africa. “It’s unique in the entire world because it offers a training program that encompasses multiple countries. Since there’s no one institution there that can fully train a neurosurgeon, individual facilities that have specific expertise work together so that trainees rotate through multiple hospitals to get certified.”
Already, the program has trained nearly a dozen neurosurgeons who are now practicing throughout east Africa.
Dr. Young likens his service work to one of his favorite hobbies. “All I had to do was ski a couple of times before it was in my blood. Similarly, after a couple of times of volunteering, it gets in your heart. It’s exciting work because, with fewer resources and equipment, it forces you to think on your toes. So, it not only makes you a better person, it makes you a better surgeon.”
Picturesque view of Ned Institute in Tanzania.
Long-Term Approach
After hauling equipment and supplies to Africa on many trips (“I was lugging operating microscopes in ski bags”), Dr. Young considered a better, more long-term approach.
“We decided the best way to build sustainability was to build a facility,” he says. “So we built the only dedicated neurosurgery hospital in east Africa. It is a freestanding building dedicated exclusively to neurosurgery with operating, recovery and clinic wards.”
The Ned Institute, which is located in Zanzibar, Tanzania and serves millions of people, has been operational for more than three years. It is run by volunteers from the U.S. (including several neurosurgeons from SLU) and Europe. “There are trainees there,” says Dr. Young, “and in a couple of years we hope to have our own full-time local people who are fully trained.”
While Dr. Young, who represents the second of four generations of Jr. Bills (Paul Sr. ‘44, Jason ‘97 and Gray ‘21), feels a sense of accomplishment, he continually seeks to do more to help others in the Ignatian spirit of the magis.
“On the last day of my trips, local mothers know a volunteer surgeon from the U.S. is leaving so they line up outside the ward, crying and wailing, ‘please help my child.’” says Dr. Young. “How do you not come back or strive to do something more?”