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Surgicorps International – Zambia 2019 – by Denis Childs, CRNA
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Hmmmm. Where do I begin? Sitting down and writing about my experience in Zambia is proving to be the most difficult part of my Zambia mission because every keystroke, sentence, and paragraph ends up falling short of the actual experience. Simply put, and at the risk of sounding cliche, participating in this mission was one of the best experiences of my life.
Zambia was my third medical mission, but my first as a civilian, and my first with Surgicorps International. My two previous missions were with the US Navy. One mission was a month long trip to Mali, along the Niger River providing primary care, immunizations, and medical education. The other was to Turkey as part of an emergency surgical response team that flew to Izmit after the devastating earthquake that killed approximately 45,000 people in 1999. So it was with this lens that I applied to Surgicorps, both hoping to recapture the importance and sense of purpose that I felt in the Navy, but also a little nervous that the trip would not live up to my expectations.
Any fears I had about this mission being somehow “less” were extinguished on day one. From our first team meeting the excitement of the returning volunteers was palpable. Most of us are familiar with Margaret Mead’s quote, “Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.” Now imagine what can happen when you have twenty like-minded, highly-skilled, and motivated individuals working together towards the common goal of bringing life-changing surgery to the most underserved populations around the world. Good intentions, however, do not always translate to effective and efficient delivery of care, so I was pleasantly surprised by how quickly our group of strangers coalesced into a healthcare team. I credit not only the individual volunteers but also the leadership team that carefully planned and facilitated all of the on-the-ground logistics.
So, is it worth it? Is it worth the time away from family, the time away from work, the expense of travel, the 2am wake ups to call home and hear about the kids’ day at school? Absolutely. We performed 101 surgeries in Zambia this year, and to say we changed 101 lives fails to capture the change felt by our patients’ families, and it fails to capture how the lives of the 20 volunteers were forever changed. I made new friends. I fell in love with my career again. I demonstrated to my daughters what it means to be a global citizen. And I found a team of incredible healthcare providers that I cannot wait to work with again. Until next year – Natotela Zambia.
SPOTLIGHT ON 2019 SURGICORPS VIETNAM TEAM MEMBERS
Surgicorps International is preparing for its 17th trip to Vietnam from October 26th-November 5th. This will be our final trip of 2019.
Surgicorps will return to the Ho Chi Minh City Orthopedics and Rehabilitation Hospital. This hospital has made it possible for Surgicorps to expand its specialty services in HCM to include hand surgery for the 2nd year.
Our 28 team members hail from California, Florida, Massachusetts, New Hampshire, New York and Pennsylvania. Return team members include Neal Armagost, Thanh Armagost, Tu Armagost, Cathy Beatty, Mary Bernacki, Donna Bookwalter, Bill Bookwalter, Joanie Dunn, Elise Dunn, David Kim, Guy Leone, Kim Leone, Richard Montilla, Bernadette Montilla, DeNese Olson, Scott Pearson, Karen Pitbladdo and Ron Stiller.
We welcome several new team members this year as well: Donna Biersack, Susan DeGregorio, Scott Licata, Michael Nussbaum, Kate Petty, Tom Taylor, Dakota Wheeler and Nick Yoakum.
Jack Demos will lead the team as Medical Director and Linda Esposto will ensure things run smoothly on all fronts as our Trip Coordinator.
Best wishes team Vietnam 2019 as you set out to improve many lives. Stay tuned and follow us, for trip updates and pictures, on Facebook, Twitter and Instagram!
Surgicorps Guatemala 2019: Seamless Humanitarian Integration – In the words of team member, Patricia Ferrer, PA-C
Being part of the Surgicorps International 2019 Guatemala team felt like being with my family. We are a group of medical professionals sharing a common goal: to care for those without access to surgical and medical healthcare. Without knowing anyone on the team it seems we all knew each other, found our positions, and got to work. It was a week of seamless integration and collaboration with the Obras Sociales hospital team. As the days rolled on everyone smoothly found the void they could fill to yield the best outcomes, naturally.
Sunday was screening day and the waiting area was packed with triaged patients to be examined by our surgical specialties: general, hand, gynecology, and plastics. The surgical candidates were identified and respectively scheduled for the week by our trip coordinator, Stephanie and her son Dylan.
‘Seamless’ describes working with the Obras Sociales hospital team. They received our group as if we’d been there for years: they knew our positions/places and theirs with little said. The patients were calm and prepared for surgery and cared for compassionately by their and our recovery room staff.
My first two days were spent with plastic surgeon Dr. Carlos Mata in the OR as he separated fingers (syndactyly), removed extra fingers (polydactyly), and repaired cleft lips. On Wednesday Stephanie asked me to join Dr. Bob Schemmer, a Canadian Dermatologist, in his clinic as his patient load was increasing daily. As a dermatology PA this was my comfort zone and we were able to see more patients and keep a flow going while also documenting in the hospital’s EHR system, in Spanish. With hospital RN Sylvia, the 3 of us worked well together.
On Thursday, our dermatology clinic ended at 2pm and Dr. Schemmer recommended we go to Obras Sociales auxiliary hospital for disabilities, where wheelchair bound children and adults resided due to various life-long disabilities (cerebral palsy, microcephaly, etc). The hospital arranged transportation and took us directly to the facility.
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Photo: Entrance to Virgen del Socorro Hogar.
Virgen del Socorro Hogar de Niños y Adultos Especiales was on the edge of Antigua surrounded by beautiful lush green-belts. The buildings are 2 years new and in the typical Central American-Spanish colonial style with thick walls and central atriums and every area lit with natural lighting. The medical director took us on a tour and notified each floor to prepare any patients in need of dermatology care. Again, ‘seamlessly’ we went to each floor (they were divided by gender and age groups: babies and toddlers, children, adolescents, adults and elders), saw many common dermatitides, made our recommendations and kept moving. The ‘hogar’ was so clean and had a homey feel, the staff was attentive and caring and the medical director seemed to be a mother to all. They have 240 residents and more than 300 employees and 6 full-time rotating doctors. I wondered if we had such a place equal in the US, as this was one of the most beautiful and peaceful health institutions I’ve ever seen.
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Photo: One of several classrooms.
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Photos: All buildings had a central atrium.
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Photo: Walkway between buildings.
My single most pleasant experience was with a 59 year-old healthy female patient that presented with a 7 year history of pigmented brown macules on her lower lip, finger tips, bottom of her feet and dark streaking of a few toenails. Clinically this looked ominous but with close evaluation something did not make sense. We informed her to return 2 days later to biopsy a couple of the most suspicious lesions to rule out cancer (we suspected metastatic melanoma but her healthy disposition ruled against this). This bought me time to research and consult with a US dermatology colleague and we were able to pin the diagnosis: Laugier-Hunziker Syndrome, a rare benign condition in which no treatment is warranted. Two days later the patient returned with her daughter and we informed them of the good news and gave them literature describing the condition. They were tearfully grateful this was not grave and they had an answer. Their relief, ‘bendigas’, and ‘muchisimas gracias’, swelled my heart with joy and felt we served them well.
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Photo: Obras Sociales del Santo Hermano Pedro surgical staff.
The week closed with both US/Guatemalan teams showing appreciation and support and gratitude shown by all patients and their families. I left with the satisfaction of being part of a humanitarian family from two different parts of the world. In the end, we the givers, are the receivers.
SPOTLIGHT ON 2019 SURGICORPS ZAMBIA TEAM MEMBERS
Surgicorps Zambia 2019 Team departs on September 14th and returns on the 21nd with 20 medical and non-medical team members. We look forward to partnering again with Beit CURE International Children’s Hospital in Lusaka. Our team members hail from Pennsylvania, Massachusetts, Colorado, Arizona, Minnesota, and Ohio.
Our returning volunteers include Heather Archambeault, Diane Bremer, Tara Burns, Christine Depenthal, Lori Ellis, Brian Gierl, Betty Hearne, Derrin Jarvis, Rama Joshi, David Kim, Darren LePere, John Merrill, and Jimmy Ricciardi.
A warm welcome to our new team members this year: Denis Childs, Julie LePere, Paul Rollins, Chris Sheerer and Melissa Shelby.
Jack Demos returns as Medical Director and DeNese Olson, Director of Operations and Outreach, is the Trip Coordinator.
Thank you Team Zambia for helping Surgicorps serve people in need in Lusaka. Stay tuned and follow us, for trip updates and pictures, on Facebook, Twitter, Instagram!
SPOTLIGHT ON 2019 SURGICORPS GUATEMALA TEAM MEMBERS
Surgicorps is preparing for our 17th trip to Guatemala from August 3th-10th with a team of 36 dedicated medical and non-medical volunteers. Our team this year includes: 10 members from Pennsylvania, 24 from other states, 1 from Canada and 1 from Costa Rica.
Surgicorps looks forward to working with hospital staff at the Obras Sociales del Santo Hermano Pedro Hospital again in Antigua.
Previous Surgicorps team members include Dylan Anthony, Pat Avis, Cliff Bierman, Mary Bierman, Cathy Boyle, Kevin Cohen, Brian Gierl, Anne Hardart, Don Hare, Amy Hatch, Meghan Lauze, Carlos Mata, Farzaneh Nabizadeh, Jonathan Pelusi, Nagamalli Ramakrishna, Drake Sadler, Robert Schemmer, Sean Whelan and Etain Williams-Asplund.
We welcome several new team members this year as well: Douglas Adams, Patricia Auger, Marc Auger, Annie Bass, Cathy Beatty, Maria Beatty, Jane Camero, Alexandra Chalifoux, Beth Van Dusen, Patricia Ferrer, Michael Gemma, Deanne Hagerty, Brenda Mathews-Vitello, Julia Meisler, and Sasha Suarez-Ferreira. David Kim returns as Medical Director and Stephanie Charron will be the Trip Coordinator.
Surgicorps launched the Bon Voyage Crowdrise fundraiser and hope that the Guatemala team members, and others, will once again participate in raising money to support our general Guatemala fund. These donations support the purchase of medical supplies and shipping costs amongst other expenses.
Surgicorps is grateful to these generous individuals who help make our shared mission of serving individuals in need around the world possible through their commitment of time, energy and resources. Stay tuned and follow us, for trip updates and pictures, on Facebook, Twitter, and Instagram.