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Guatemala, August 2010

Child with DollMother and Child

In the words of volunteer Dave Fortun

It begins in chaos and ends in tears of joy for a job well done.

That is how a Surgicorps medical mission goes.

Sunday, screening day in Antigua, Guatemala, August, 2010.

51 Surgicorps volunteers screen, photograph, and register approximately 100 of the 150 surgical candidates for a week of surgeries. Language barriers, children coloring in busy walkways, crying babies and paperwork demands equal controlled mayhem.

But it all works out, and at the end of the day, 25 Guatemalans per day have been slotted for general, gynecological, hand, or plastic surgery.

Monday morning offers more of the same challenges, as the first patients (not necessarily the patients scheduled first!) are anesthetized, the next patients are prepped, and all 51 volunteers settle into their tasks, their routines, their roles.

And so it goes, Tuesday through Friday, and when it is all done, when 100+ patients from near and far have been sent upstairs or home, and the volunteers have packed, thanked and said goodbye to their hosts for the week, it is time to shed tears of joy for another job well done, for another successful mission.
 
As has been the case with the past 5 trips to Guatemala, the team was hosted by Obras Sociales Del Santo Hermano Pedro. Seven surgeons performed over 100 surgeries and the non-medical volunteers, besides supporting the medical personnel in the hospital, also made daily visits to the hospital orphanage to feed and play with the young children there.

The 100+ surgeries were performed by 7 specialists: Dr. Victor Nieto and Dr. Marguerite Bonaventura (General); Dr. David Kim (Hand); Dr. Joanne Oleck (Gyne); and Drs. Jack Demos, Mel Spira, and Anna Wooten (Plastics).

Surgicorps will return next August 13-20 as it continues its ongoing commitment to the staff and patients of Obras and the citizens of Guatemala. If you would like to join Surgicorps on any of the medical missions, please complete a volunteer application. Please support the Surgicorps mission to provide surgical care to those in need in developing countries by making a donation today on the donation page. Surgicorps needs your support.

Bhutan, April 2010

The Kingdom of Bhutan: April 2010
In the words of Surgicorps Volunteer Lynda Dendtler

Arriving in Paro, Bhutan, from Pittsburgh, Tennessee, Virginia, Colorado and Spain, the 25 multidisciplinary Surgicorps volunteers were welcomed by 170 families eager to present themselves for surgeons Drs. Jack Demos, Sarah Pettrone and Marc Liang’s examination. Word had spread quickly in 2010 that Surgicorps was returning! With the assistance of Queen Ash’s Tarayana Foundation, families assembled from the far reaches of the kingdom in hopes of being accepted for surgical repair of a birth deformity or injury that would allow the child or adult to be able to eat or walk or use their hands and arms. And the Surgicorps team was equally eager to help as many as possible during the 2 weeks in country. Starting early in the morning and operating into the evening, some 89 surgeries provided improvement in the quality of life of these beautiful people.

During our fourth mission to this storybook kingdom, several children came for the next stage in procedures started one, two or even three years ago. Others returned to demonstrate their recovery and pride at being able to now extend and use an arm, hand or leg. One confident young boy was able to fully raise his arm above his head, no small feat for a child whose arm only last year was fused to his chest by scar tissue. His father was beaming as the boy showed his new “moves”. But the faces of the mothers whose babies and children’s cleft lips and palates repaired were the most joyful of all. After all, it fell to them to try to nourish their child since birth through badly misshapen lips that didn’t close, to keep their child from choking or starving. What could be more life changing?

Our team included doctors who made themselves available to the community at large. Upon hearing that a pediatrician was available, people lined up for Dr. Janet, who was able to confirm diagnoses or order further consultations, giving parents hope or confirmation. An anesthesiologist did not hesitate to help the staff during a crisis with a local baby in crisis. The monks of the famous Paro dzong streamed down the hillside for a “check –up” with Drs. Gino and Dr. Ron, who, in one case, solved the blurred vision of an elderly monk simply by giving up his own reading glasses!

The skills, compassion and dedication of each volunteer combined to gain the trust of a people who, though largely self reliant, hope for surgical intervention that is not yet widely available to all citizens of this kingdom. Every year children all over the world are born with a congenital lip and/or palate deformity (1 in 700). With the commitment of Surgicorps, many people of Bhutan need no longer face the social isolation, fear and health impairment that such a deformity can bring

Bhutan measures its citizens “Gross National Happiness”. One young mother shared details of her journey home following her son’s operation: 2 full days on a bus to the end of the line, then walking through the mountains from sunrise into the dark of night to her village, child wrapped in a shawl on her back. “But,” she said, “I am so happy…now he will be able to eat!” Surgicorps is pleased to be able to raise the measure of GNH in Bhutan in 2010!

Ethiopia, February 2010

In the words of Surgicorps Volunteer Melinda Handler:

Ethiopia was an exciting new destination for Surgicorps this February, 2010.

Dr Jack Demos and Dr Paul Kim once again performed operations on those who could not otherwise afford them. The two surgeons were assisted by a team of fourteen who accompanied them from the USA.

In order to be screened for possible care, many natives travelled from rural villages. Some walked up to two days just to reach a smaller city center. From there bus is standard transport, a ride that could last several days. The hospital was situated in the heart of Addis Ababa, the capital of Ethiopia. It is hard to imagine the fear or unease that must lie within oneself upon such a journey, the uncertainty of newly chartered territory. Still, hope must be ever present for the slight chance at change. They arrive tired and weary into our care. We are told many, due to their physical deformity, are rarely looked at, talked to or smiled upon within their community. Our smiles are wide and hugs are warm. It takes time for them to trust and to tell their story.

Twenty eight patients received fifty one procedures successfully over the course of five days. The majority of cases were cleft lips and cleft palates. We saw more adults than children, which meant these birth defects lasted well into their 20’s and 30’s (some suffered past that point.) In more developed countries, a defect such as a cleft palate is rectified at birth or soon after. Imagine, living through adulthood with a large open cavity at the roof of your mouth. The simple act of eating, (chewing and swallowing) is nearly impossible. The majority of food slips through the open gap, at times funneling through the nose. A surgery such as this can last between 2 to 4 hours, yet brings about significant change.

Every day a particular experience tugged at our hearts. There was the young, sweet 4 year old girl with a cleft lip. She had become a sort of mascot for the team, full of personality and energy. Her spirit was contagious. The surgery however, was canceled the morning of, due to testing positive for Malaria. Her family was obviously devastated by the news but the young girl still managed to smile and spread joy.

Another occasion involved two preteen girls who kept their facial deformities covered by wearing a wrap exposing only their dark eyes and long beautiful braids. On one particular morning the hospital staff discovered lice on both their scalps. A decision was made to shave their heads to prevent spreading within the ward. The girls were saddened by the thought of losing their feminine locks and how it would only add to the torture of an already visual affliction. Members of our team provided them with colorful silk scarves bought from the local market to help soften the blow.

On any Surgicorps mission a volunteer cannot help but be moved and affected by personal stories such as these.

By week’s end our goals were accomplished and all 28 patients were discharged and provided with follow up care. Once again they began their long journeys home, this time perhaps leaving with more confidence than before and with a better outlook for tomorrow.

In the words of Helen Keller- “Life is either a daring adventure or nothing. To keep our faces toward change and behave like free spirits in the presence of fate is strength undefeatable.”

Guatemala 2009

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A cleft palate is a cleft palate.

But the patients are always different.

They come from different towns with different stories and different faces. And that is why each trip to the same city, Antigua, is different – but just as rewarding as the last.

On August 15, 2009, a Surgicorps team of 47 volunteers (25 on their first mission) from Pittsburgh, Philadelphia, Florida, Colorado, Utah, Boston, Connecticut and California met in Guatemala for a week-long mission of surgeries and related medical care. Same hospital, same host staff – different patients, different lives to be impacted.

Seven days and 86 surgeries later, the team returned to the United States, and Surgicorps International added 86 names to the list of thousands whose lives have been improved in Central and South America, Africa, and Asia over the past 15 years.

Doctors, nurses, medical students, non-medical volunteers, all working daily in some large or small role to achieve the same goal: an improved life for someone in need. All working daily to feel what one volunteer, 16-year old Aarthi Ramesh, felt after working with her mother, an anesthesiologist, and her father, a general surgeon: “This might have been the best day of my life.”

Volunteer Gillian Roy shares her Bhutan experience

I knew that at some point I would sign on for a Surgicorps trip; its reputation is impeccable, its track record beyond impressive and besides, who can argue with the clarity and resolve of its mission?

Following the lead of some well-traveled and trustworthy friends, I made my first foray into this world of “voluntourism,” a week of service at your own expense in a foreign country. Now Bhutan was never on my travel hit parade, but I was jazzed about all the “firsts”: new place, people and challenges and all as part of a “medical” team.
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I also was a little unsure of my own ability to do whatever was asked of me and not faint at the sight of – what? Let go, breathe, trust….

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Bhutan Culture

bhutan-dancer

In the midst of all the hard work, Surgicorps Team members had the opportunity to experience some of the traditions of Bhutan. At a local monastery, the team enjoyed a performance of local singers and dancers.

Kimley

kimley-before-1

Kimley is a five-year old future basketball star, who entertained Team members with his hoop skills while waiting for his surgery time. Kimley was burned by an open fire, and the scar left him unable to fully extend his left arm. Surgicorps sees many burns from open fires in Bhutan and other developing countries.

After surgery and a splint on his arm, he was still able to charm Her Majesty Ashi Dorji Wangmo Wangchuk, Queen Mother, when she stopped by for a visit.

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Queen Visits Patients

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Her Majesty Ashi Dorji Wangmo Wangchuk, Queen Mother, visited Paro Hospital to meet many of Surgicorps’ patients during our Medical Mission Trip to Bhutan in April. She stopped by the bedside and talked with each patient. Her Majesty received a case update from Dr. Demos and Dr. Kim. The Royal Family is greatly loved by the people of Bhutan and many of the patients and family members were overwhelmed by her generosity and kindness.

After visiting with the patients, she hosted tea for the Surgicorps Team and the Paro Hospital staff to thank us for our work and make plans for the 2010 visit.

Update on Tandin Dorji

7-year old Tandin Dorji before his second surgery for to reconstruct his nose after a bob cat attack.

We first met Tandin Dorji two years ago when he was smiling and racing around Paro Hospital waiting for reconstructive surgery for a new nose. He had been attacked by a bobcat as an infant.

During our April 2009 Medical Mission Trip, Tandin was back to continue his reconstructive surgery. Now seven years old, he is pictured here waiting for his surgery.

Kiran

kiran-before

During the April 2009 Medical Mission Trip to Bhutan, Surgicorps performed 62 life-change surgeries, a majority of which were for cleft lips.

2-year old Kiran, pictured here in before and after photos, was one of our patients. The team was able to repair his lip, helping him to better take nourishment, and improve his overall quality of life.

kiran-after

Luncheon with Royal Family

During its April Medical Mission trip to Paro, Bhutan, the team was received by His Majesty the Fourth Druk Gyalpo and Their Majesties the Queen Mothers for a special luncheon in Dechencholing Palace in Thimphu. His Majesty expressed his appreciation to Surgicorps International for the good work they did through these camps in many different parts of the developing world in general and the work they are doing in Bhutan in particular.

Surgicorps Team was received by His Majesty the Fourth Druk Gyalpo and Their Majesties the Queen Mothers for a special luncheon in Dechencholing Palace in Thimphu.

This was a great honor for the Surgicorps Team – much like meeting the President of the United States. To add to the excitement, team members donned the traditional clothing of a gho for the men and a kira for the women. After a week of scrubs, it was fun to see everyone dressed-up. After meeting the Royal Family, we better understand why they are so well loved by their people, and we were impressed by their graciousness.

Also attending the luncheon was Lyonpo Zangley Drukpa, the Minister for Health and Dr. Gado Tshering, Secretary, Ministry of Health.

Bhutan: April 10-22, 2009

Bhutan is a landlocked nation in South Asia, located on the eastern end of the Himalaya Mountains. The country has limited health care services and physicians to meet the medical and surgical needs of its population. Surgicorps medical and non-medical volunteers work with the Bhutanese medical professionals to provide surgical services and share knowledge to help improve medical services in this mountain kingdom.

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Mangnezig Mollel

We are the brothers of Mangnezig. We are from the Masaii Tribe and our family raises cattle. Our family was herding our cattle across a stream during the monsoon. The fast water carried away one of our young cows. Mangnezig grabbed the cow by the tail to try and save it, but the cow and our brother were carried down stream. Our brother is very strong and he did not let go. When we found him, the cow was dead; both of Mangnezig’s arms were broken and most of the skin was missing from his back and legs.

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