Getting up close and personal
Transcription
Getting up close and personal
VOLUME 2, WINTER 2009 IMPROVING LIVES THROUGH MEDICAL MISSIONS Getting up close and personal Teen writes of her experiences as a volunteer in Peru BY ANNEMARIE KEMP Patient and volunteer stories from the field Editor’s note: In the fast-paced world of medicine, it’s easy to find statistics about patient care. Harder to do, particularly in 21st century healthcare – governed by rules and regulations related to patient privacy – is to find stories about actual patients. But for many of the volunteers who participate in 10-YEAR-OLD CYNTHIA SHARES A HUG WITH NEWSLETTER EDITOR AND CGHI Centura Global Health VOLUNTEER ANNE KEMP Initiatives medical mission trips, it is these patients’ stories that leave the most lasting impression. Elke is an attractive, soft-spoken woman, Periodically, Amazing Journeys offers possibly in her 30s (she’s not exactly sure profiles of the patients who are part of the of her age). She attends a health clinic landscape of the medical mission program. in Manco Capac, a relatively large village This article shares the stories of three such of approximately 200 families along the patients during the August, 2009 medical Amazon River one hour by fast boat mission trip to Iquitos, Peru attended mainfrom Iquitos. She is waiting for her ly by physicians, staff and volunteers from daughter to be seen Parker Adventist Hospital. Continued on page 2 BY ALEX CATTICH I always had a desire to travel out of the country, but quite frankly I thought it would be to France, Italy or Mexico, places where a lot of people travel for fun. However, when my mother proposed the idea of going to Peru, I had no idea what this trip would actually consist of. Really, all I knew about Peru was that it was in South America and that the people spoke Spanish. Because I didn’t know much about what my role would be I was really Cynthia ALEX AND CHILD Continued on page 4 TABLE OF CONTENTS 1 > People’s Stories Changing lives Alex’s Insights I would do it again in a heartbeat...” 2 > Greg’s Jungle Notes 5 > All I Want For Christmas Meaningful giving, unforgettable help 6 > News & Notes A birdseye view of what’s going on in each country People’s stories Continued from page 1 Jungle notes Ever since our medical mission project began in Peru in 2006, I have felt the need of having someone on-site who could work full-time to coordinate our activities along the Amazon and Napo Rivers, as well as to follow-up with patients who need additional care and to provide education to villagers. This idea was confirmed by our “blueribbon” panel of experts who drafted a three-year Action Plan which listed this on-site health coordinator as one of the first priorities in developing an effective program. by one of the volunteer physicians. Elke, heavy with child, already has four active daughters playing at her feet. One in particular has commanded the attention of the volunteers – she is Cynthia, who will become well known to the team over the days to come. Off in a corner of the open-air cement school building that is serving as a makeshift clinic is a small stash of stuffed animals, set aside for children who are terrified of the doctors or who are ill and in need of something to cuddle. Cynthia has spotted one and is loudly making her interest known. The volunteers are riveted by her – first for the noise in this stifling, humid building; second, for her appearance. While ten years of age, Cynthia weighs only 22 pounds. She is dainty, almost doll-like. Her sisters take turns carrying her as she’s not strong enough to walk unassisted. After several months of searching, I am pleased to announce that Jimmy Barrera has been employed as Centura Health’s on-site health coordinator in Iquitos, Peru. Jimmy has worked for several years with foreign teams who come to Iquitos for various projects, as well as having lived in the United States for two years. Jimmy has some great qualities to bring to this job, and I am excited that he has accepted our offer. As you can imagine, though, Jimmy’s employment comes at a price. We need to raise $12,000 for Jimmy’s salary and travel expenses in 2010. Being able to travel to the various villages along the river is expensive…more than the cost of Jimmy’s salary. Yet these visits to the villages are key to a successful program. JIMMY BARRERA IS CENTURA’S You will find a list of NEW HEALTH COORDINATOR project needs in this IN IQUITOS, PERU. edition of the Amazing Journeys newsletter. Jimmy is just one of the needs we have in the various countries where Centura Health is active. Please be generous in your support of these projects. Greg Hodgson Director, Global Health Initiatives ELKE & CYNTHIA. MANY CHILDREN IN THE AMAZON RAINFOREST NEVER SEE THE INSIDE OF A HOSPITAL, OR A STUFFED ANIMAL – AFTER THIS VISIT TO CLINICA ANA STAHL, CYNTHIA CAN LAY CLAIM TO BOTH “FIRSTS” Dr. Todd Mydler, pediatrician and chief medical officer at Porter Adventist Hospital, is the first to examine Cynthia. He takes note of Elke’s pregnancy with Cynthia and the birth process. Dr. Mydler is concerned about a possible heart murmur. With the encouragement of the local technico and midwife in the village, Elke is convinced to take Cynthia to Clinica Ana Stahl. The volunteers quickly assemble enough money (about 70 soles, or $25 US) to cover the cost of their trip and an overnight stay at the hospital. Will Elke use the money for its intended purpose? Upon returning to the hospital the next day, the team is relieved to learn that Cynthia and her mother had 2 come and were resting after a day of scans, blood work and x-rays. Dr. Mydler consulted with Dr. J. Flores, the staff pediatrician at Clinica Ana Stahl. Dr. Flores suspects Dubowitz Syndrome, a rare genetic condition. Although the heart murmur is confirmed, it is not a great health risk. have this surgery. She was overwhelmed when her child was born and had no idea how to care for a child with a cleft lip. Sandra feels that her baby’s opportunity to receive treatment by the medical mission team was a special gift. Lauro Elke is very grateful to Dr. Mydler and Clinica Ana Stahl for their diagnosis. Ever since Cynthia was born Elke wondered what was wrong with her child. It will be a long trip home, but Elke is eager to share the good news that, despite her genetic condition, Cynthia is well. Lauro has a story to tell, and he’s eager for you to hear it – in detail. He is an animated 65-year-old widower who lives about four hours by fast boat from Iquitos on the Rio Itaya. Lauro is a cane farmer who suffered from a hernia, making it virtually impossible for him to cut cane, firewood, or raise crops. He was brought by a naval boat to Iquitos for medical care at the government-run BABY BRUCE DEMONSTRATES HIS MOUTH IS WORKING PERFECTLY AFTER CLEFT It is hard to believe that the LIP REPAIR. hospital because his niece chubby, squealing five-monthGabby lives in Iquitos. He spent old baby sitting in his mother’s the last year raising chickens to sell in Iquitos to pay for his surlap had cleft lip surgery less than eight weeks ago. Aside from a gery. When he arrived at the government hospital, he was devsmall blister that has developed below his nostril, Bruce has no astated to learn the he didn’t even have enough money (180 visible signs of a scar. Dr. Victoria King, otolaryngologist and soles, or $60 US) to buy undergarments to relieve his pain. chief medical officer at St. Thomas More Hospital in Cañon Lauro was referred to Clinica Ana Stahl by a nurse at the governCity, performed surgery on Bruce in June. Due to the transient ment hospital because she’d heard that American doctors were nature of medical mission work, Dr. King was unable to follow in town to operate. In fact, the mission trip physicians are often up with her patient once she returned to Colorado. The baby’s invited to appear on local TV during the care was turned over to the staff at course of their stay, making news of their Clinica Ana Stahl. work well known around the city. One of the challenges of medical mission Lauro came to the emergency room at work is continuity of care. While the visitClinica Ana Stahl in terrible pain. Dr. John ing surgeons and physicians do their best Sun, proctologist and general surgeon at to bring colleagues at the local hospitals Parker Adventist Hospital, examined and up to speed regarding treatment plans, eventually operated on Lauro. His appreeven routine post-op care can be a ciation is effusive; his emotions, contachallenge. By US standards, the cost of gious. Upon discharge, Lauro sought out medical treatment in Peru is nominal, but CGHI director, Greg Hodgson, for one remains out of reach for many sick peomore chance to say thank you to the ple. Patients seen by volunteer teams have team for his life-altering surgery. Decked their costs covered by the mission proout in a red baseball hat with a sparkly gram and are considered “charity care” butterfly on the brim, Lauro exclaims by the hospital. Keeping track of patients that without the medical mission team, for follow up care can be a daunting task, he would be dead. As Gabby helps her but for Bruce, follow-up with the next grateful uncle to the exit, she turns visiting team wasn’t an issue. back to whisper a less effusive but Bruce’s mother, Sandra, talked about A RARE REFLECTIVE MOMENT FOR GRATEFUL PATIENT LAURO. genuine,“Gracias.” what it meant to her family for Bruce to Bruce 3 Teen’s experiences Continued from page 1 not all that excited to go, but this was just at the beginning. As our “take-off date” slowly came closer, I began to realize that I would be in a different part of the world, in a different hemisphere, and in a place that not many of my friends will ever get to see. You can’t cry, you can’t feel sorry, you can’t sympathize, you can’t take one child home, you simply feel helpless. But when you give them something as simple as soap, you feel like you are a part of a moment that made their life better. We distributed toothbrushes and toothpaste, as well as soap. All the parents and kids were so welcoming to us, and they loved the games and activities that we taught them. My mother’s group went out on the river everyday as well. They distributed vitamins and they did basic check-ups on hundreds of villagers. We also had a surgical team with us, but they stayed at Clinica Ana Stahl every day. They performed over 30 surgeries in five days! It was so cool to hear the final numbers of the people and villages that we helped. Although it was super humid and hot, and we sweated buckets every hour, the effect on us as the privileged people from America, and the effect on the villagers is life changing. As we think of how other people are suffering, we stop worrying about ourselves and our own probBELEN - A FLOATING “SHANTYTOWN” ON THE OUTSKIRTS OF IQUITOS ALONG lems seem less consequential. When I saw these little kids who A TRIBUTARY OF THE AMAZON RIVER. may not have eaten in a day, or only had one pair of clothes that were ripped and no shoes, my own personal problems of Once we arrived in Iquitos, after a day of sightseeing in Lima, trying to fit in with the world of high school seemed shallow in we piled into two vans and headed to our hotel. As I looked comparison. I was astounded when I heard my mother talk out the window I saw things I never dreamed of like a family of about some of the villagers’ life stories she had heard. She met four balanced precariously on a motorcycle. an elderly woman Another strange site was to see the houses in one of the vilthat many of the families lived in. These lages who was 74 ramshackle houses made by recovered years old and she materials like old bare wood and corrugated had lived in the metal, looked like they could be destroyed village her whole in just one wind storm. I was in awe that life, so that is all people could actually live like this and it she knew. She had made me pause and reflect on the blessings 14 kids and only that I have. four are living to During my ten day mission trip, a group of this day. I cannot seven teens and I set out each morning to even begin to teach villagers basic hygiene such as brushimagine what my ing their teeth and washing their hands. At life would be like one of the villages, I was helping a beautiful if I was born into little girl wash her hands. When I grabbed a family that her hands I realized she only had one hand, lived on the LEFT TO RIGHT: ANNIE HODGSON (12), AUTHOR ALEX (15) AND KATIE KEMP (12) the other one was just a stub. This little girl WITH A GROUP OF CHILDREN IN ONE OF THE VILLAGES. Amazon River. could not have been more than 5 years old. This experience to As much as I wanted to cry I knew I couldn’t. At those very me was life changing, and I would do it again in a heartbeat. moments I realized that no matter what our imperfections may I believe that everyone needs an opportunity like this that will be or where we live, we are all equal. While we were helping change their worldly perspective. I have truly been personally and playing with the children in the villages, I gained a new blessed by this opportunity to serve in a far away country, and feeling of love towards these people that I had never before I also know that language need not be a barrier. felt: service to others felt wonderful. 4 All I Want For Christmas Make a gift to the world this holiday season $75 p Belize : L er pat costs ient F aboratory of nec u work n e ds to ssary receiv offset labora ing C t h t G o e HI sur ry wo in San rk for geries ta Ele patien at La na, Be Loma ts lize. Haiti: Luz H ospita Healt l Provid h4Ha es me i t i d $ ic 500 p ations Haitia ns wh and s er pa o atte upplie tient nd th s f o Nepa r e Prim 500-7 l: Wo 00 ary C are C $600 men’s linics. per p H e a atien l es to t h Initia t Provid wome tive n suff es no are us e r in c o g st sur ed to f r o m gical pay fo uterin and o servic r trav e pro ther e el, lod lapse. xpens g F in u n g es rela ds , mea Peru: ted to ls, me dicine treatm Comm s e $230 n t u . nity H cover s exp ealth benef enses Coord its, tra for on v e inato e wee l expen “on th k, inc r ses, a e gro lu n d u d in nd” s g wag overh in Iqu e r e v e a ic s, itos, P d for es of the eru. a fullt im e coo Rwan rdinat da: “ or St Fu e nd (to p in a treat New “Club c onge Direc foot” n i tion” t ) $1 al def a New , 2 o 0 r m 0 Direct i p t y er pa ion” f clubfo tient , known as und p ot in r chil ve E ry gi ft ovid The es cor “Step dren rectiv and y in Vietn e surg oung am: ery fo a dults Meds $25 C r in Rw overs anda. for ru the av r both a l erage healt surgic cost o h pro al and f drug comm ject s n e u c nity essa rura l Vietn am. co un ts ry for health patien ts in Every gift counts. A contribution in any amount, directed to the project of your choice or to the Global Health Initiatives general fund, is greatly appreciated. To make a gift: • Return the enclosed response envelope with a check or credit card information • Check by mail to: Centura Global Health Initiatives 7995 E. Prentice Avenue, Ste. 204 Greenwood Village, CO 80111 • Online at www.centuraglobalhealth.org All contributions to Centura Global Health Initiative are tax-deductible to the amount allowed by law. Our tax-exempt ID number is 84-0745018. For questions regarding charitable contributions, contact your tax professional. 5 N E W S :PEOPLE: Dr. John Sun received the first Parker Adventist Hospital Humanitarian Award at a Physician Celebration dinner sponsored by the Physician Well-Being Committee on October 15. Dr. Sun is a colorectal specialist and general surgeon who has been very active in international medical mission projects throughout his career. In May 2009, Dr. Sun and his :PLACES: PERU & N O T E S sister, Dr. Susanna Choi (Chair of the Department of Woman and Children Services at Parker), participated in a medical mission to North Korea. In August, Dr. Sun and his son, Gabriel, joined the Centura Health medical mission to Peru. Dr. Sun exemplifies Centura’s mission of extending the healing ministry of Christ to our communities, both locally and globally. DR. JOHN SUN (RIGHT) RECEIVING THE HUMANITARIAN AWARD FROM CEO TERRY FORDE (MIDDLE) AND DR. TODD MYDLER, PARKER ADVENTIST HOSPITAL CMO (LEFT) > Iquitos, Peru — For the second year in a row, medical students from the University of Colorado’s Health Sciences > Iquitos, Peru — Dr. Tori King (CMO at St. Thomas More Hospital), the Hospital Foundation, and the Rotary Club in Cañon City raised funds to purchase and transport a new suction machine for Clinica Adventista Ana Stahl (CAAS) in Iquitos, Peru. The hospital administrators from Iquitos visited St. Thomas More Hospital on August 24. CU MEDICAL STUDENTS (FROM LEFT TO RIGHT) BLAIR WOODBURY, TIN HANGOC, JESSICA MILLER AND JASON MURPHY PROVIDED VALUABLE ASSISTANCE TO THE PROJECT IN PERU. Center joined the Peru medical mission teams. The students are involved in a variety of activities, from direct patient care and surgical support to finding ways to help advance the strategic goals and vision of CGHI. PHYSICIANS AND STAFF FROM THREE ADVENTIST HOSPITALS IN PERU VISIT COLORADO IN AUGUST. PICTURED HERE WITH DR. KING (CENTER) AND GREG HODGSON (LOWER RIGHT) IN CAÑON CITY. This summer, in addition to their medical activities, Jason, Jessica, Tin and Blair developed a handbook for future mission teams and the advisory group to the Peru program. This 20 page document covers everything from the Peruvian healthcare system – insurance, health facilities, and a list of other nongovernmental organizations (NGOs) working in the region to details about how the surgical program at Clinica Adventista Ana Stahl operates. Intended both as a guide for other mission trip participants and an educational tool for the program as a whole, this handbook has already become an invaluable resource. Jason and Jessica, who took the lead on developing the handbook, are pleased to know that it’s being put to good use. Dr. David Ehrenberger, CMO at Avista Adventist Hospital, has further edited the document and provided copies to trip participants in the October 2009 medical mission to Iquitios. HAITI Former Prime Minister of Haiti, Jacques-Edouard Alexis, was the guest speaker at the Health4Haiti fundraising dinner in Pueblo on Oct. 2. $28,300 LEFT TO RIGHT: LISA DREW, CLINICAL COORDINATOR FOR THE HAITI PROJECT, JACQUESEDOUARD ALEXIS, DR. JIM SMITH, SURGICAL COORDINATOR FOR THE HAITI PROJECT (PHOTO BY CHARLOTTE BURROUS) 4 6 N E W S & N O T E S was raised to support the medical mission project in Gonaives. According to a recent article by reporter James Amos in the Pueblo Chieftain, “Health4Haiti started ten years ago and now is a joint project between doctors and other medical professionals from St. Mary-Corwin Medical Center and other medical practices and programs. Each year, doctors and other medical staff travel to Gonaives, Haiti, to hold clinics, operate on residents who need it and, recently, build a primary-care clinic.” RWANDA Emmanuel, a boy with a severe case of club feet, traveled the end of August with his mother to a clinic outside Kigali for four months of surgery to correct his condition. After being diagnosed with pneumonia, Emmanuel was sent home, but has now been rescheduled for surgery starting the end of October. The Mugonero team EMMANUEL WITH HIS MAKESHIFT SANDALS raised $1,100 to support the surgical and living expenses during the four months. BELIZE Santa Elena, Belize —- For this first time since a partnership was established between Centura Global Health Initiatives and La Loma Luz Hospital, COLORADO SURGEON DR. REBECCA KNIGHT WITH SOME OF THE EQUIPMENT BEING UNLOADED FROM THE CONTAINER SHIPPED TO BELIZE BY CENTURA HEALTH AND PROJECT C.U.R.E. a container of medical equipment and supplies has arrived to support the work of the hospital and mission teams. The container was a joint project of Centura Health and Project C.U.R.E. The container, valued at over $500,000, arrived at La Loma Luz Hospital on October 15. In other news, according to local hospital administrator Grant McPherson, La Loma Luz Hospital recently learned that its bid to become a Dialysis Center for Belize has been accepted by the Ministry of Health. Once open, the Center will treat approximately 32 patients a week. The hospital hopes to have the center up and running by April 2010. Belize is an especially attractive medical mission destination because of its rain forests, huge Belize Barrier Reef, and close proximity to the United States. For medical mission volunteers, Belize offers a unique experience that does not require Spanish fluency. La Loma Luz Adventist Hospital is a small, general medical care facility that provides outpatient care, satellite clinics, obstetrics, and general surgery. The next scheduled medical mission trip to Belize is February 28 – March 7, 2010. For more information, please contact Greg Hodgson, Director of Centura Global Health Initiatives, at 303-441-4386 or visit the CGHI website at: www.centuraglobalhealth.org. VIETNAM A pediatric symposium was presented on November 5 – 6 at the Bach Mai Hospital in Hanoi, Vietnam. Dr. Carl Bartecchi organized the symposium. Speakers included physicians from St. Anthony Central Hospital, the Children's Hospital in Denver, the US Public Health Service, and the Mayo Clinic in Rochester, Minnesota. The first course for Basic EMT will be held in Vietnam from November 16 to December 11, and will be overseen by Roger Japp, head of St. Anthony Hospital Paramedic Program. BACH MAI HOSPITAL IN HANOI How to submit: Send items of interest and high-res photos to annekemp@comcast.net. Submission deadline for Spring 2010: January 31. 7 2010 Global Health Initiative Projects MISSIONS & COMMUNITY HEALTH Smiles erase the miles DATE LOCATION PROJECT JAN. 21-31 FEB. 3-15 Haiti St. Mary-Corwin Group Rwanda FEB. 10-22 Nepal FEB. 28 - MAR. 7 Belize APRIL, DATE TBD APRIL 9-19 Vietnam Peru Porter Group Peru Parker Group Surgery Team Community Health Team Orthopedic Surgery Team Community Health Team GYN Surgery Team Community Health Team General Surgery Team Community Health Team Physician Training Symposium Surgery Team Community Health Team Surgery Team Community Health Team Family Trip Surgery Team Community Health Team Family Trip Surgery Team Community Health Team Surgery Team Community Health Team Family Trip Surgery Team Community Health Team Family Trip Surgery Team Community Health Team Surgery Team Community Health Team GYN Surgery Team Community Health Team General Surgery Team Community Health Team Physician Training Symposium JUNE 11-21 JULY 4-11 Belize JULY 15-25 Haiti St. Mary-Corwin Group Peru Avista Group JULY 30 - AUG. 9 Nurses Lynn Ehrenberger and Ingrid Ingham-Barker with Peruvian patient during October 2009 medical mission. Contact Information Greg Hodgson, Director, Global Health Initiatives email: greghodgson@centura.org www.centuraglobalhealth.org 100 Health Park Drive Louisville, CO 80027 303-661-4138 AUG. 18-30 Rwanda SEPT. 15-27 Vietnam OCT. 8-18 OCT. 27 - NOV. 8 Peru Littleton Group Nepal OCT. 31 - NOV. 7 Belize NOV., DATE TBD Vietnam This newsletter is a publication of Centura Global Health Initiatives, a 501(c)(3) non-profit organization. Please direct questions or comments to Anne Kemp, Editor, at 303-775-7324 or via email at annekemp@comcast.net. To unsubscribe, please call Rhonda Cooperman at 303-715-7600. 7995 E. Prentice Ave., Suite 204, Greenwood Village, CO 80111 Live the mission. Change a life. Change yourself.
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