Uncategorized

Jodi Yingling, BSN RN CNOR RNFA

Brett Yingling, BSN RN

When DeNese asked us to write a blog for our most recent Surgicorps trip to Guatemala, I felt that I needed to give everyone a background of how this all began for us.

I had always had a goal to do a mission trip to a foreign country to help those less fortunate than myself by donating my time and talents in Operating room nursing. Traveling back about 25 years, another RN and myself were discussing my wish in the Operating Room when she told me that she knew just the organization that I needed to contact to make my wishes come true. She wrote down the name of Surgicorps and Dr. Jack Demos’ name and told me that they were traveling to other countries to provide free surgical services to people in need. Our children were young at the time and I could not plan a mission at that time. I always carried that piece of paper in my wallet, moving it everytime I changed wallets.

Fast forward 25 years, our kids are out of college and the house. I pulled that piece of paper out of my wallet and told my husband that it was time and I was going to apply for a mission trip with Surgicorps. I applied and was accepted to go to Guatemala in 2017. My husband supported my decision and drove me to the Pittsburgh airport, dropped me off and said Goodbye.

I didn’t know anyone on the team and roomed with an Occupational Therapist from Boston. The week was life changing for me. I got to do what I love, (Surgeries), and felt blessed with a full heart when I returned.

My husband is also a Registered Nurse in Surgical Trauma ICU. When he saw my excitement to return to Guatemala to do another mission trip, he said he wanted to volunteer as well. He said, “I’m not an Operating Room Nurse, but I’m sure there is something that I can do”. So, he applied as well and was accepted to go to Guatemala the following year. Our team became unexpectedly short on OR nurses, so Stephanie, the trip coordinator, asked my husband if he would be willing to “fill in” as an OR nurse. He chuckled and said “I will do anything you need as long as the surgeon knows I’m not an OR nurse”. So, he became an OR nurse for the week. The surgeons were all very patient and kind and he found his niche.

Two more Guatemala trips since that time, and we feel like a well oiled machine with a family that work together with a common goal in mind. After completing 105 surgeries this year with a lean crew, we left Guatemala with tired legs and achy feet, but a very full heart. And completing the 100th Surgicorps mission was the icing on the cake for all!

We are so appreciative to have the opportunity to help the people of Guatemala receive the care they need, and we are grateful to Surgicorps for allowing us to fulfill our humanitarian service. We look forward to future mission trips with Surgicorps!

Elizabeth Andrew 

Medical assistant  

When I was five years old, I had an accident in a Kenya boarding school. I severely broke my left arm. The doctors wanted to amputate my arm. A group of volunteer nuns believed I had a chance to have a full recovery  with orthopedic surgery and follow-up intensive physical therapy. I believe God used those nuns to give hope to my parents. Today, I am a miracle that testifies to the goodness of humanitarian people who had faith of what is possible. I have deep passion when it comes to children. To see a child smile and not be worried about life is the greatest joy that fills my heart. I was a member of the Surgicorps Zambia team of 21 volunteers that brought hope to the children and their parents for a chance, with surgery, for a normal life.

Wahamba nathi, oh wahamba nathi (You walked with us, oh you walked with us) 

Oh, wahamba nathi, siyabonga (Oh you walked with us, we thank you) 

 
This song expressing gratitude was sung in harmony together as we were walking through the childrens’ ward at The Beit Cure Hospital in Lusaka, Zambia on the final day of our mission. The voices……a combination of children, their families, the hospital staff and our Surgicorps team. We sang and danced. Our hearts were full of joy and laughter as we celebrated side by side with the people of Zambia. 

Walking together on day one…….We screened over 150 cases, many of them heart-breaking, and yet there was hope! Parents walked with hope from the screening rooms to see the anesthesia team, waiting for that final OK for the surgery their children so desperately needed.

Walking together day two to day five  

The surgeries were from Monday to Friday with dressing changes also on Friday. I was expectedly nervous on the first day, but those butterflies quickly disappeared. Everyone on the team in the operating room walked together with the purpose of changing one child at a time.  My emotions welled up seeing such treatable disabilities, but due to hard circumstances, the children had been living with these conditions. Eighty-one successful surgeries were performed on children ranging from one year old to eighteen years. I was amazed at the dedication of our team and the CURE hospital staff in walking together to care for each child.

Asante sana (thank you very much) sincerely to be part of the humanitarian kindness to these beautiful children.   

 
I wanted to thank God for this opportunity to be able to go to Zambia to minister to the children and they ministered to my heart. They opened my mind to wanting to return to be with them, walk with them again, and celebrate their progress. I look forward to seeing all of them, especially Kevin, a 12-year-old boy, who said he wants to become a doctor. I connected to his passion to care for others. He now will be able to grow up, go to school, not be worried about his scars and dream about becoming someone great to change the world. 

Opportunity is everything. Surgicorps gave me an opportunity to travel to Zambia in April 2023. That opportunity turned out to be a gift—a chance to meet and learn from the Surgicorps team, the staff at Beit CURE Children’s Hospital of Zambia, and the patients and their families.

The opportunity to receive treatment from a surgeon in the U.S. is available if a child is born without all the bones in her forearms necessary to hold her hands straight or born with fingers or toes fused together or an extra digit or two. And the opportunity for treatment is readily available in the U.S. if a child suffers severe burns—treatment that minimizes scarring and the loss of mobility. In Zambia, however, the opportunity for treatment is limited. More than ten years ago, Jack Demos, the founder of Surgicorps, saw the need in Zambia, and just as he has done in other places around the world, he set out to provide opportunities for children to get the surgery they need. April 2023 was Dr. Demos’s 13th mission trip to Zambia. Surgicorps now has given hundreds of Zambian children the opportunity to live more confidently, with less pain and more freedom of movement. 

DeNese Olson coordinated the April 2023 trip and ran the mission with exceptional grace and compassion—and like a well-oiled machine. The Surgicorps team which included Jack, DeNese, Anne, David, Aamir, Tom, Kelsey, Scott, Pete, Jacob, Eric, Kate, Jenny, Kelly, Lori, Jenn, Lesley, Elizabeth, Lonnie, and Agnus went above and beyond and used their skills to provide opportunities to others in extraordinary ways. In Zambia, they dedicated themselves to providing the same excellent quality of care their patients receive in the U.S. 

The week in Zambia began with screening day, when more than 150 children came to be evaluated for surgery. I worried that some would be turned away, but only those for whom surgery was not medically indicated and those who were told to come back for a specific kind of surgery when Surgicorps returns in September were sent home. Surgicorps gave everyone else—81 children—an opportunity to receive the surgery they needed. The medical team, with the assistance of the Beit CURE staff, treated them all with great skill and compassion.

All of these children were memorable, but one will stick with me forever. On screening day, Jeff walked into the evaluation room wearing a long-sleeved hoodie with the hood up, covering most of his head and face. He didn’t complain about the burn scars on his face, neck, arms and chest, or the large keloids on his ears—he covered them up, but he didn’t complain. He didn’t complain about the accident that left these scars, the horrific pain he had suffered, or the inability to fully lift his arms because of the scarring. We tapped a ball back and forth to pass the time as he waited for surgery, and after surgery, he taught me how to play Crazy Eights. He didn’t complain before the surgery, and he didn’t complain after surgery, even though surgery meant cutting his ears, under his arms, and near his elbow and taking a graft from his leg. Without saying anything, he taught me what resiliency and strength look like. 

Before the Surgicorps team left Zambia, we joined the Beit CURE staff for a celebration of the week’s accomplishments, and Jeff danced with the Surgicorps team, wearing a sleeveless shirt, no hoodie, and a smile. I’m grateful that I was given the opportunity to meet Jeff and the other children and see the opportunities and joy that the Surgicorps medical team gave them.

I hold patients’ hands. It’s just what I do. Big hands, small hands, calloused hands, manicured hands, I hold them all. Why? Because every hand deserves to be held, especially when that person is about to undergo general anesthesia for an operation.

Sometimes patients ask me if they will wake up. Sometimes they cry. Sometimes they make jokes to mask fear or uncertainty. Sometimes they say nothing but smile silently through their surgical mask. It is astonishing what a simple gesture of comfort can do.

In Vietnam, I held every hand too, including one so badly burned, I wondered how I would hold it. This patient had suffered severe upper body burns from a gasoline fire. His left hand was contorted, inflexible and scarred in deformity. His fingers were frozen, his wrist locked in flexion from thick contracture scars.

It didn’t matter. I held his hand anyway. It wasn’t easy. I could not interlock my fingers in his, or easily offer a gentle squeeze to let him know he mattered to me. He may not have been able to even feel my touch but I held his hand anyway. It was important to me and the right thing to do.

Volunteering in Vietnam on a surgical mission was also important and the right thing to do for 27 other pairs of hands. These collective hands were nothing short of amazing. They held scalpels, placed IVs, tied sutures, administered anesthesia, cleaned instruments, made custom splints, wheeled beds, typed daily operating room schedules, hauled supplies, carried children and performed a myriad of other tasks. They were hands that woke up eager to help and hands that went to bed tired. The end result of 56 hands working together – 74 life-improving surgeries for people suffering with burns and deformities, and a lifetime of memories for the hands that gave selflessly of their skills and kindness.

It is all about the kid!!  Their lives and the lives of their parents and family members have been changed forever because of the amazing service the Surgicorps team provided at the Beit CURE Children’s Hospital.

My husband, Dave, is a Certified Registered Nurse Anesthetist and I am a Certified Registered Nurse Practitioner. We were privileged to be members of the September 2022 Zambia team.  Upon being accepted to join the team, we immediately began to prepare for our trip.  Uncertainty, nervousness, excitement, and even some fear were all part of our emotions of what to expect upon arriving in Zambia.  All those worries went out the door after seeing the smiles on the children’s faces and the humility and graciousness expressed from the parents on Screening Sunday.

All this wouldn’t be possible without the amazing leadership of Surgicorps.  Starting from the top, Jack Demos, who is the foundation for the team.  DeNese Olson, coordinator, united and motivated each team member.  Her daily quotes were a true inspiration. Michael Best and Lori Ellis were invaluable resources in this new environment for many of us.

Each of the twenty Surgicorps team members as well as hospital staff demonstrated patience, kindness, flexibility, compassion, expertise, and most importantly love and respect for one another and the patients.

Dave and I hoped to make a difference in the lives of the children we served.  In reality, they made a difference in our lives.  Truly a Life Changing Experience!  Our rewards were seen in the surgical outcomes and smiles of the children, parents, and staffs faces that were impacted in one short week.

Our prayer and hope is that with this short-term mission trip to Zambia, the Surgicorps International Team has made a long-term impact on the lives of those we served.

Quotes from Mother Teresa:

“Not all of us can do great things.  But we can do small things with great love.”

“I can do things you cannot, you can do things I cannot; together we can do great things.”

“I alone cannot change the world, but I can cast a stone across the waters to create many ripples.”

Thank you,

Judy and Dave Kelley

My first introduction to Surgicorps happened, as many life-changing moments do, serendipitously. I was a 17-year-old high school student, sitting (begrudgingly) in a clinic waiting room, accompanying my mom on her annual GYN appointment. I had protested this excursion (as any teenager would), but my mom stood firm, insisting that I just had to meet her doctor, Dr. Joanne Oleck. There was just something about her strong character and decisive personality, my mom said, that would do me good to see. And, as is usually the case, my mom was right.

As Dr. Oleck wrapped up the appointment, she turned to me and asked about my interests. I told her that I was planning on studying pre-med in college, and that I also spoke Spanish and was planning to double-major. Without hesitation, she remarked “Oh, you should come to Guatemala with me!” My mom and I both looked at each other, thinking that she couldn’t be serious, but a few seconds later she was writing down the name of an organization, Surgicorps, that she traveled with. She told me to fill out an application and mention her as a reference. And so, a few months later in August 2013, made my first trip to Guatemala as an interpreter. And now, in August 2022, I just completed my 6^th trip, now as a 4^th year medical student and first-time official member of the medical team. 

Reflecting back on my prior trips, it is incredible to see the transition from then to now. For one thing, when the dinner conversation switches to discussion of the intricacies of cases or physiology, I actually understand what is going on, which is really cool. I can dictate a medical note, I can answer patient’s questions about a procedure, I can read a chart and pick out the relevant findings and pertinent information, I can take a detailed history and do a physical exam, I can collect the instruments needed for a procedure, and I can look at the screen during a laparoscopic procedure and actually identify relevant anatomy instead of just seeing a bunch of pink blobs. All of these skills are things I’ve learned gradually over the past 4 years of school, without really noticing my progress. However, when I compare this past trip to my previous trips, I can see in a new light just how far I’ve come. When I was 17, I dreamed of being exactly where I am today. And that is an incredible feeling to reflect on.

One thing that I know for sure is that I would not be where I am today without Surgicorps and all of the incredible mentors I’ve met along the way. First and foremost, I will never be able to express the gratitude I have for Dr. Oleck taking a chance on me and going out of her way to include me on the team at just 17 years old. She was the first mentor in medicine I ever had, and her strength and perseverance have inspired me to this day. She even went as far as to be my roommate on my first trip, sending her husband, Mike, off to a different room for the week so I would be allowed to attend as a minor. I still have the Spanish medical dictionary she gave to me on that first trip; one of the many reminders of her that I will treasure and carry with me throughout my career.

Although Dr. Oleck is no longer with us, I’m sure that she would be proud that on any trip, you are most likely to find me in the GYN OR. This is thanks to Drs. Farzi Nabizadeh and Anne Hardart, who picked up right where Dr. Oleck left off and took me under their wings from the beginning. I have learned so much from Farzi and Anne, both academically, but also interpersonally in watching how they connect with patients through clear and understandable explanations, and a kindness and lightheartedness that make a big surgery feel a little less scary. Their guidance, teaching, and friendship over the years has shown me the type of doctor I hope to be one day, and has also cemented my decision to incorporate women’s health as a large part of my future practice. In speaking of strong female mentors, I can’t go without mentioning Linda, DeNese, and Stephanie, whose decisiveness, organization, and ability to lead have given me something to aspire to from a young age. I also so admire Dr. David Kim both as a surgeon and a teacher. I still remember on my first trip, when I came down with mild cellulitis after getting innumerable mosquito bites on my ankle, Dr. Kim drew me a diagram of the inflammatory response on a recycled piece of surgical drape to help me better understand what was going on physiologically. I later went on to major in Immunology, but still remember Dr. Kim’s explanation as one of the most clear and understandable descriptions of this complex cascade. The anesthesia team has also been a memorable component of all of my trips, always ready to talk physiology with me and answer my questions if I peek my head around to their side of the drape. I still have a note on my phone from 8/9/17 titled “Anesthesia Meds” where I jotted down all of the details of our conversations about the mechanisms of action of Neostigmine, Rocuronium, and Propofol to name a few. Dave Metro and Brian Gierl are a blast to work with and have taught me so much. Post-op is my other favorite place to be on each trip, and I can’t thank Amy and Cathy enough for teaching me that sometimes, the best medicine is just holding someone’s hand and making them smile. As this long paragraph reveals, I’ve had no shortage of mentors through my experiences with Surgicorps, and each person on each trip has helped me to become the person that I am today.

It might be surprising to learn that, even after 6 surgical missions, I don’t plan to become a surgeon. But I fully credit my experience with Surgicorps with helping me to discover the areas of medicine that inspire me most: building relationships with patients, understanding how a person’s circumstances influence their health, and focusing on education and comprehensive care. Additionally, learning from Guatemalan patients and hospital workers over the years has greatly enhanced my understanding of the practice and perception of medicine outside of the US. All together, these experiences have inspired me to pursue Family Medicine, centering my future practice around Spanish-speaking communities and caring for every member of the family while providing complete, one-stop, in-office care to combat the barriers of language access, cost, and limited time that disproportionately affect underserved communities. Eventually, I also hope to practice internationally, moving to Paraguay with my husband, Alejandro, and focusing on advocacy projects by partnering with and teaching at local medical schools, and working within the public healthcare sector to provide care to those most in need. But, I will always also leave a little room for serendipity, trusting that the most formative and life-changing opportunities will come about on their own, just like this one did 9 years ago. 

And of course, my 6^th trip with Surgicorps will definitely not be my last. I am looking forward to being a continued member of the medical team and helping in any capacity I can.