Not every mission is going to make the headlines in national news, but our trip to Ethiopia uncovered important information for future missions of any volunteer organization providing health services in Ethiopia.
Physicians for Peace (PFP) is working with Family Health International (FHI) to assess how to better utilize volunteers in community outreach training programs. A team of two medical volunteers, Peg Matsen, a Public Health nurse from Delaware and Evelyn Tomaszewski, with the National Association of Social Workers, left on Saturday for a fact finding mission in Addis Ababa, Ethiopia. Their mission objective is to visit FHI programs and then identify needs that can be met through current Physicians for Peace programs - in particular, focusing on maternal and child health and an overall objective of incorporating volunteers.
Peg and Evelyn arrived in Addis Ababa and are texting us to say that all has gone off to a good start. Here is a synopsis of their recent report:
"The mission is significant to us both for our partnership with Family Health International as well for its incorporating social workers.
Returning to Ethiopia after 5 years, I see much improvement in society structure here. I know the "nurses" assigned to programs here are expected to handle everything. But I see with the Social Workers being graduated from the Addis Ababa University here that social work can now be more fully expanded, strengthen, and utilized.
We were met at the main office of HIV/AIDS Prevention Care & Support Organization (HAPSCO) by more than ten nurse supervisors and four Orphans and Vulnerable Children (OVC) officers and the Home and Community Based Care (HCBC) program coordinator, Ato Tadios, and as a group, had a discussion about their work and what trainings in psycho-social issues they would find most helpful. They shared great ideas and issues most relevant to them at this time:
• conflict resolution
• communication skills
• counseling techniques
• depression and anxiety for those living w/ HIV / AIDS
• child counseling for those who have lost parents
• child development and stages thru age 18 yrs
• reducing burnout
• evaluating and measuring success
• concept of volunteerism
At the end of our session/discussion, a member spokesperson expressed their deep gratitude for all the help you have provided to them. It was the biggest heart felt "Thank You" I have heard in a long time. You [Physicians for Peace] are a great leader and your staff and beneficiaries feel your understanding of their work and greatly appreciate your technical support."
This social work initiative here in Ethiopia has great possibilities and the social work trainings proposed through FHI and PFP collaboration will make a difference in how these services can be provided. We will keep you posted on this fact finding mission.
Shortly after the earthquake ripped open the heart of Haiti, Physicians for Peace responded with a fundraising drive to support its two partners in Haiti, both of which were reduced to rubble. This week, Physicians of Peace sent checks of almost $27,000 each directly to Healing Hands for Haiti and St. Vincent's School for Handicapped. These funds represented the donations collected by Physicians for Peace in the direct aftermath of the earthquake and were intended for immediate relief operations in Haiti.
Prior to the devastating earthquake, there were an estimated 800,000 disabled people in Haiti. This population was disproportionately underserved and in many cases, shunned as outcasts. To meet the needs of Haiti’s disabled, Physicians for Peace, a Norfolk, VA-based nonprofit that provides medical training for health care providers in the developing world, began working in Haiti in 2005 as part of its Walking Free program—one of a very limited number of agencies with a sustainable track record in Haiti working with amputees.
Physicians for Peace has now strategically shifted its focus from the initial relief operations to the long term rebuilding effort in support of Haiti's disabled population. All cash and material donations will be used as part of Physicians for Peace’s Walking Free program in Haitito organize, train and supply prosthetic and orthotic production and training facilities.
Walking Free—An Initiative of Hope for Haiti’s Disabled
Amputee and celebrity Heather Mills publicly launched the campaign on Larry King Live. Physicians for Peace also enlisted the aid of Hanger Orthotics and Prosthetics, the nation’s largest manufacturer, to use its 670+ sites across the nation as collection points. Dozens of cities, agencies and companies are now sponsoring local drives and Physicians for Peace has become the “go to” agency to donate desperately needed mobility equipment. Our 10,000 sq. ft. warehouse is now overflowing, and we have partnered with Arpin Van Linesand Hampton Roads Moving and Storage for additional storage capacity. These items will be shipped via container to Haiti over the coming weeks.
Physicians for Peace has formed two coalitions to ensure that amputee victims of the earthquake will soon walk again and play an active role in Haiti’s recovery. The first alliance is the Hispaniola Prosthetics and Orthotics Education Coalition with Healing Hands for Haiti and the International Society of Prosthetics and Orthotics-US. Healing Hands for Haiti has been our long-term partner in the devastated capital city Port-au-Prince and is settin up temporary (and eventually, permanent) work space in the city and will soon be able to begin prosthetic production. There are vital equipment, medical supplies and professional medical volunteers we need to send. With your generous donations, we can mobilize these efforts quickly.
Second, recognizing that considerable activity is focused in the capital city, Physicians for Peace has joined Hanger Orthopedic Group, Inc., Shepherd Spinal Center, and the Harold & Kayrita Anderson Family Foundation to launch the “Haitian Amputee Coalition” to support the central plateau region. This coalition is creating a long-term prosthetic production center at Hôpital Albert Schweitzer, an undamaged local hospital 60 miles from Port-au-Prince.
You can help Haiti’s disabled.
Your monetary donations will help restore the production, training and rehabilitation infrastructure for Haiti’s disabled and will give Physicians for Peace the leverage to adequately organize, train and supply our Walking Free program.
Thank you for all you have already done for the people in Haiti and for supporting our work.
I wanted to let you know what your Physicians for Peace has been doing since the earthquake that has so devastated Haiti.
When the earthquake struck, we acted quickly. Fully recognizing that we are not first responders, we began working with other agencies that were, including Partners In Health.
We also began a fund-raising appeal in direct support of rebuilding efforts for our two partners, St. Vincent’s School and Healing Hands, located in Port-au-Prince, and have already collected in excess of $50,000. Both agencies obviously suffered huge loss of property and lives.
But we also knew that once the relief and recovery efforts were nearing completion, our Walking Free program (established in Haiti by Physicians for Peace in 2005) would be well-positioned to help reconstruct, rebuild, and retrain. Haiti’s disabled population has obviously now grown exponentially and the needs are overwhelming. So in addition to the fund-raising appeal (which has now shifted from the immediate needs of St. Vincent’s School and Healing Hands to a more long-term rebuilding effort) we launched a campaign to collect not only desperately needed cash, but also launched a local campaign to collect prostheses, wheel chairs, crutches and other mobility devices we know will be essential to helping Haiti’s disabled.
The media and community responses were overwhelming. The local CBS affiliate held a “telethon” on our behalf and in collaboration with Old Dominion University College of Health Sciences, we held our first collection drive. Above to the left, you can see the work being done by PFP staff, volunteers and ODU students. The response was staggering, nearly 300 cars, trucks and vans dropped off much needed equipment.
One of our long term Walking Free partners has been Hanger Prosthetics and Orthotics, the nation’s leading provider. For the past ten years, we have been working with this nationwide company. Hanger and its foundation generously donated $12,500 in cash and nearly $200,000 in equipment. They are also collecting donated prostheses at more than 670 Hanger facilities throughout the U.S. (If you or you know someone who would like to donate, for a Hanger location near you).
International star and charity activist Heather Mills has now partnered with us. An amputee herself, she is using her star power to help us raise awareness for our limb drives across the U.S. She appeared on Larry King Live and really helped us start a nationwide movement to collect prostheses.
America has really stepped up to our challenge to collect mobility devices for Haiti’s disabled. Above to the right is a picture of our 10,000 square foot warehouse—literally overflowing.
In the coming weeks, we will pull together the team of medical specialists to take their teaching and clinical skills to Haiti to help rebuild the lives. The need is obvious and our long-term commitment is unwavering. We appreciate the continued support we are getting and are thankful to the many volunteers and donors who have been so helpful during this time of crisis for our friends in Haiti.
Sincerely,
Brigadier General Ron Sconyers (USAF, Ret.), President and CEO
Big news: Next Tuesday (Jan. 26), ONE will host an interactive conference call to talk about Haiti and what we can do.
Joining ONE President & CEO David Lane on the call will be Rep. Maxine Waters, a debt relief champion and driving force for legislative solutions; former Senate Majority Leader Dr. Bill Frist, a trained surgeon just returned from operating in a Haitian field hospital; Dr. Joia Mukherjee, medical director for Partners in Health, who is in Haiti right now; and David Meltzer, senior vice president for International Services for the American Red Cross, also just back from Haiti.
On the call we’ll talk about the crisis, the rebuilding, and the long-term development solutions. You can RSVP here to join us Tuesday evening at 8PM EST.
I write this e-mail to you to let you know that I am alive and all my parents and my fiancee's parents are alive.
The first bulding of St. Vincent is down and 6 kids and employees died in the earthquake. Now they are with me in the field of the College St. Pierre near the Palace. This afternoon I will have a meeting with the bishop, and I plan to propose to him to let me go with all the kid to Montrouis. I hope he agrees.
We really appreciate what Bill Squire did yesterday. He came to visit us in this difficult situation. He brought some money for us and we will use this money to feed the kids during three weeks in Montrouis.
The urgent now is to feed them. We don't have any materiels (cloths, toothbrush and toothpaste, soap). After the earthquake people got into St Vincent, so they robbed all the rest of the materials left, in my office, in the dorm, in the pharmacy, in the oparating room etc....
I hope in the next day the state will be able to pull out all the wall so we can built a new wall to protect the rest of St Vincent.
Glory to God we are safe, Glory to God He keeps the children safe. May his name be glorified everywhere.
In Christ,
Sadoni
Note: The email message above was received on January 18, 2010 from Father Sadoni, Director of St. Vincent's Center. Montrouis, where he hopes to take the children, is on the coast northwest of Port-au-Prince. The Rev. Canon Bill Squire, President of the Children's Medical Mission of Haiti, went to Haiti to assess the situation and take money to feed the children. He has since returned home saftely. Also check the CMMH website for updates. Please continue to keep Father Sadoni, the children, and staff at St. Vincent's in your prayers.
Donations collected though the Physicians for Peace Haiti Relief Fund are shared with St. Vincent's School for Handicapped Children. If you would like to contribute, make your donation here.
News continues to come in from our partners in Haiti about the incredible devastation and the challenges of treating those in need. Dr. Lisbet Hanson, an Ob/Gyn who has done extensive work in Haiti to help expectant mothers, sends these reports from her Blackberry:
"Internet out today. Too busy anyway. Going to lie down for a while, then head back to help. Delivered twins, have set bones, helped with amputations, sutured, started IVs, washed wounds, done emergency ultrasounds... So much trauma, not enough of us to go around. Mirabelais standing room only. Patients are leaving Port-au-Prince any way they can. We are triaging patients in ED and church here in Cange. Stepping over people in shock with arms dangling, bones exposed.. It's unbelievable..."
"Unbelievable day and its just getting started as people find their way out of Port-au-Prince to other hospitals. So many traumatic amputations, open fractures, puncture wounds and crush injuries.... We need orthopods and anesthesia people, lots of them. And more mattresses as wards full and churches filling. Will try to send photos when I can. If Partners In Health team can get here to replace us we are thinking of heading to DR end of the week. Will stay in touch. Thanks for support."
_______________________
This report is also in from Eric Doubt, Executive Director of Healing Hands for Haiti International, one of our Walking Free Program partners in Haiti:
To all, Lisa and I finally heard from our operations manager, Antonio. First of all, thank goodness, Antonio and his whole family are all fine. His home, car, property, all okay. He has a generator power, water, internet and VOIP telephone communications. Antonio has personally seen the following staff members who are okay: Siltane (who is living at the guest house), Noel, Joel, Jean, Soeurette, Caseus and the security guards. All of these people are unharmed. Noel unfortunately has not yet found his young daughter. Jean’s wife is injured. Antonio confirmed that Dr. Lalane and family are okay. His is the only home standing in his neighbourhood. We have no news from any others yet.
I’m sorry to report the following news: in terms of our property, the main apartment building facing the guest house is completely destroyed. Antonio does not yet know the fate of two survivors still buried alive under the rubble. As far as he knows, the other apartment dwellers got out. Our clinic and administration building are damaged with cracks and the two staircases leading to them are impassable. The clinic entrance to the physiotherapy area has collapsed. Security are ensuring nobody goes near or enters. The small private house past the pool across from the administration steps has been destroyed. The guest house is intact, but Antonio stresses it needs to be assessed. Siltane is safe in her apartment which has a locked door. There is generator electricity. Not sure about water yet.
Antonio reported that, on his walk from Petionville to our headquarters, it was as if the entire city was out in the streets. When I asked about the mood, he said very quiet because they are counting their dead. Three of the Unibanks he knows of collapsed with people inside. There is no banking, no gas available and the airport is closed except for emergency missions right now. We have asked Antonio when he returns tomorrow to take detailed photographs, to locate and report on other staff, to further assess the guest house, to secure the compound, to locate the water purification system in the guest house and make it operational for our use and the public’s if necessary. He is going to be calling Lisa and I twice a day as communications are possible to report and to take our questions. Antonio and his home are going to be the communications centre for HHHI in Haiti for the time being.
We told Antonio to communicate to his family, our staff and all our associates that we are setting up an emergency relief fund for staff and families and that we are planning for deploying an emergency response and reconnaissance mission as soon as it is humanly possible. We assured him of the massive worldwide support that we are witnessing in the media. We told him to be safe and take no chances and thanked him on everyone’s behalf for his calmness and compassion. This news came in after our emergency board meeting tonight. We are holding a second such meeting tomorrow, Thursday night and will provide you more details as we receive them on a regular basis. You may, of course, have received some of this information already. Feel free to pass any of it on to others.
On a positive note, donations via the web site and in person are substantial and rising and we are flooded with material and volunteer offers which we are coordinating. The best advice we have is to tell everyone the most important thing we need is money and to go to the web site. Regarding material donations, people can be thanked and asked to hold onto them until we can get back and coordinate. Major donations can be referred to Physicians for Peace. We advise volunteers to fill out the form on the web site stating their specialties, as we will be requiring numerous teams to be deployed throughout the year. We’re also categorizing specialties and providing contact information to the Canadian and U.S. Red Cross and MSF."
Physicians for Peace is currently collecting donations to help with the relief efforts of our partners in Haiti. 100% of these funds will go directly to help Haitians in crisis -
Dr. Lisbet Hanson, an Ob/Gyn who is in Haiti working with Partners In Health, sent this update to Physicians for Peace last night to report on conditions on the ground:
"Many many thanks for your help. we are fine, trying to work with PIH to help in any way we can. Cange seems fairly calm and no major destruction here, though a lot of panic initially. Patients may be mobilized to Cange and Hinche: There is only one general surgeon and the Haitian ob/gyns are anxious to leave to check on their families in Port au Prince as they have had no contact. Sometime today I will have a better idea of what is happening. Thanks for your prayers and all that you do. I hear the devastation in Port au Prince is huge.
Very bizarre, surreal experience sitting here in the Friendship House listening to the ZL (Zanmi Lasante, Partners in Health, Haiti) staff roll out their plan and hear as news trickles in about the airport tower collapse, the palace destruction, the UN destruction with many unaccounted for, the prison collapse, etc. Have heard that Loune and Louise in Port au Prince are OK. Everyone is very emotional, there is a lot of passion. 23 people from ZL including Paul and Ophelia are having a skype conference trying to figure out how to get in through the Dominican Republic and bring helicopters into Port au Prince to begin triaging patients, then airlifting them to Cange or Hinche where teams of surgeons will be wlling to care for them. Cange is worried that they don't have enough fuel for the generator. The dam is down, there is no power so everything is running off the generator. The water purification system requires electricity to work. And there is only so much fuel. I have offered to scrub, hold retractors, donate blood, help in post op. I think in a few days there will be many people here as volunteers stream in but in the first few days perhaps I can help and not just be in the way. Thinking of you all."
Physicians for Peace has set up a special relief fund for the victims of yesterday’s earthquake in Haiti:
Physicians for Peace has been providing medical education and training in Haiti for several years, particularly in rehabilitation for trauma victims through its internationally recognized Walking Free program.
Through Physicians for Peace’s partner network of Healing Hands for Haiti and St. Vincent’s School for Handicapped Children (and others), both in the capital city of Port au Prince, donations will go directly to provide immediate trauma relief as well as longer term assistance for amputees.
Healing Hands for Haiti has been providing Orthotic and Prosthetic services to the people of Haiti since 1998 using both US and Haiti specialists. St. Vincents School for Handicapped Children is a multi-service facility that provides preschool through high school education, vocational training, physical therapy and medical care. The medical clinic, which includes a small surgical suite, sees over 1000 patients a month for primary care, developmental evaluation and 20-30 corrective surgical procedures.
“Obviously, such a devastating force of nature has caused incalculable loss of life as well as countless traumatic injuries, particularly amputations,” said Physicians for Peace President and CEO, Brig Gen Ron Sconyers (USAF, Ret.). “Because of our experience in working with amputees around the world, and particularly in Haiti, and our close alliances there with highly capable medical partners on the ground, we are in a position to give some immediate medical help.”
Left to Right: Carolyn Papafil; Brig. Gen. Ron Sconyers (USAF, Ret.) President and CEO of Physicians for Peace; Elizabeth Woods, President of the Hellenic Women's Club of Norfolk; Sam Hill, Development Officer, Physicians for Peace.
Last month, Physicians for Peace was proud to receive a donation of $2,500 from the Hellenic Women's Club of Norfolk. The gift was presented by Carolyn Papafil and Club President Elizabeth Woods.
All of this was made possible by the generous spirit of Carolyn, a Past President of the Women's Club, who nominated Physicians for Peace to be the beneficiary of their annual fundraising dinner, "A Touch of Greece." The dinner, held on December 4th, 2009, with the support of Annunciation Greek Orthodox Cathedral on Granby Street in Norfolk, was a great success. Guests enjoyed Greek cuisine and live entertainment from the Norfolk community.
We are grateful for this show of support by this caring and generous group, who clearly shares our mission of building peace and international friendships.
For anyone in the Norfolk, Virginia area, you can sample the authentic Greek cuisine of Carolyn Papafil at her son's restaurant, the Norfolk Grill, located in the Wainwright building on West Bute Street.
To Carolyn, her friends and family, and all those involved with the Hellenic Women's Club, from all of us at Physicians for Peace - Thank you!
If you would like to join the Greek community of Norfolk in supporting out volunteer medical missions in international health education, click here to make your donation.
A young girl in Nigeria awaits care from medical volunteers. Physicians for Peace creates stories of hope and healing each day all over the world.
Recently, we shared the story on our blog of Maryam, a woman whose life was saved by having access to proper medical care while delivering her baby boy. Life-changing stories like Maryam’s have been documented all year by Physicians for Peace medical volunteers around the world . . .
Like that of Tarek, a 14 year old from the West Bank who was injured by a grenade on his way to school. He received a revision and skin graft surgery from Physicians for Peace, allowing him full use of his hand again.
Like that of Kissairis from Santo Domingo, Dominican Republic. Drawing on her experience as a once scared and pregnant teen, the now young adult mom is a “Resource Mother” in the Physicians for Peace Resource Mothers Program, mentoring young pregnant women on the importance of pre- and post-natal care, as well as the first year of childhood. She plans to go to medical school to become a physician because of her training with Physicians for Peace.
There are so many Physicians for Peace stories like these. Many that we don’t even hear. As you know, Physicians for Peace not only provides primary and specialty patient care, but promotes sustainable health programs in our partner countries though medical education and training, as well as the medicines and equipment we leave behind.
This means that many of these life-changing stories will continue to happen, even after we’ve gone.
The global health crisis can only be solved if we create self-sustaining medical programs in the regions of the world that need it most.
By the end of this year, Physicians for Peace will have completed nearly 50 missions in 20 countries, changing countless thousands of lives along the way. You can help send the next Physicians for Peace medical mission team to a developing nation that desperately needs training and supplies to create a sustainable healthcare system.
We ask you to help us create the next story.
Your donation can save a life like that of Maryam’s, or inspire a life like that of Kissairis, or heal a wound like that of Don Filepe’s.
As 2009 comes to a close and you look to make your year-end charitable gifts, please consider Physicians for Peace. Your donation will create a story that will change someone’s life forever. Please take a moment to fill out the form and send your tax-deductible gift in by December 31. With your help, we can combat the global health crisis, one mission at a time.
To support our medical mission trips and international health education programs, make your donation here.
From all of us at Physicians for Peace, we thank you for your support during 2009, our 20th Anniversary year. Mostly, we wish you and your family a joyous holiday season!
Physicians for Peace volunteers, Dr. Keith Goss and Dr. Justin Faul, on a surgery mission in Eritrea in October. Without volunteers like these, Physicians for Peace would not be able to carry out its mission of building peace and international friendships.
Every month during this 20th Anniversary year, Physicians for Peace has honored special individuals who have given their time and talent to help treat those with little or no access to medical care and provide specialized training to countless medical professionals. This month, as the year comes to an end, and we reflect on the work we have done, it becomes clear that our "20 Years of Heroes" campaign would not be complete without honoring every single person who has contributed to Physicians for Peace as a volunteer.
At Physicians for Peace, all of our work in the field, touching people's lives and improving their chances for a better future, is done by volunteers. Every day, in faraway corners of the world, they continue to follow the example set by our founder, Dr. Charles Horton, of compassion and self-sacrifice. We could not accomplish our mission without them.
This year, 202 volunteers went on 49 missions in 20 countries, helping thousands of people in need. Our volunteers are truly heroes!
On behalf of the Physicians for Peace staff, THANK YOU for a great year, and have a healthy and happy Holiday Season!
For the past few years, Physicians for Peace has been working in partnership with the government of Eritrea and The George Washington University Medical Center to bring post-graduate medical education to Asmara. Last week, a dream was realized for The Partnership for Eritrea, as the Orotta Medical School graduated its first class of doctors and pediatricians, a priceless contribution to the health care system of a country affected by years of conflict. President and CEO of Physicians for Peace, Brig. Gen. Ron Sconyers (USAF, Ret.) attended the graduation, which marked an important milestone for medical education in Africa. He shares his thoughts on this experience:
I have just returned from Eritrea…after a most stirring and historical experience.
When Dr. Horton conceived Physicians for Peace, it was his vision to build international peace and lasting friendships by bringing America’s best medical talent together with the medical talent of the world’s underserved to not only heal and teach, but through “people to people” outreach, create unwavering friendships, regardless of politics, geography, religion, or other artificial boundaries. What transpired this past weekend sets the standard for Dr. Horton’s vision of medical diplomacy.
Picture this: the dais at the graduation ceremony of the first class of Eritrea’s new medical school. Eight dignitaries prepare to convey degrees on 31 medical doctors and 8 pediatricians. Four of those about to honor these students are directly affiliated with Physicians for Peace; three are from Eritrea, a country with “not so good” relationships with America (but life long friends of PFP); and one from Cuba (and new PFP friend), who in fact is the Dean of Eritrea’s Orotta School of Medicine…another country with severely strained relationships with its neighbor to the North. But here they stood, as friends and colleagues, in the name of medicine. No politics, no animosity. Just a common cause of bringing the best medicine to a nation’s people.
In 2001, PFP, under the leadership of Dr. Haile Mezghebe, of Howard University (and personally recruited by Dr. Horton) began a series of medical missions to Eritrea that opened doors and hearts to the way of PFP. And then in 2005, PFP joined forces with The George Washington University Medical Center to establish the Partnership for Eritrea, bringing the first post graduate medical education to this nation…in the face of severe challenges and uncertainty.
Today, 31 new Eritrean doctors and 8 new Eritrean pediatricians begin their lives anew, fulfilling their aspirations to serve others. And Physicians for Peace yet again demonstrates that if you heal a man, you heal only one, but if you teach a man to heal, you heal many. Today, thousands will be healed in Eritrea.
We can take great pride in our work there! While it remains unfinished, this is a milestone of watershed proportions.
As I gather more of my thoughts, more will follow. But just know that what has been accomplished in Eritrea is game-changing.
You can help us improve health care in developing countries through international health education by supporting our training programs and medical mission trips in Africa.
Last month, a team of Physicians for Peace volunteers traveled to Santiago, Dominican Republic to provide burn care training at the local hospital. The ABIQ training program (Atención Básica Inicial del Quemado,) is similar to the US Advanced Burn Life Support (ABLS) training but adapted for latin America. The Advanced Burn Life Support (ABLS) courses provide guidelines in assessment and management of burn patients from the scene of the burn injury through the first 24 hours post-injury. The courses are open to MDs, RNs, LPNs, physician assistants, nurse practitioners, therapists, paramedics, fire service, and other emergency care personnel.
Dr. Ramon Lopez, Director of Physicians for Peace for the Americas, tells about the success of this training mission:
"On Thursday morning we got into the Burn Unit Dr. Thelma Rosario of the Hospital Regional Universitario Dr. Arturo Grullón. Dr. Ariel Miranda Altamirano and I were received by the Director, Dr. Renata Quintana, and had a tour through the unit. Dr. Miranda was very pleased to see how the Unit is set up. After the visit to the unit, we had a lunch meeting to discuss all the expectations for the ABIQ training and all the details. >At 3:25 p.m. Lic. Alba Rony landed in Santiago. At night we had a welcome dinner with the President of the Voluntariado Jesus con los Niños, Vilena Comas de Stern and her team. On Friday we started the ABIQ training at the Pontificia Universidad Catolica Madre y Maestra with the presence of Dr. Rosa Morel, the Director of the children's hospital, plus a significant participation of the staff of the Burn Unit which included more than 70 participants.
The ABIQ training, according to the evaluation of the participants, was very successful and filled all the expectations. Dr. Quintana and her team want the ABIQ training twice a year and asked to DR. Miranda and I to come on February for other training. The participation of Haitians students was significant and Dr. Miranda is willing to go to Haiti to offer the ABIQ. At the end of the ABIQ, 69 doctors, residents, last year students, and nurses took the exam and were certified with the ABIQ.
During our visit to the Hospital Regional Universitario yesterday, we were welcomed by Dr. Rosa Maria Morel, who is the General Director. She was so excited about the outcome of the ABIQ and also wants us to continue the Physicians for Peace Seeing Clearly mission. In addition, they need urgently some missions for PALS and NALS for both the Hospital and the Burn Unit.
As you know, Dr. Ariel Miranda and I we were the instructors of the ABIQ and Lic. Alba Rony presented the conference of Post Traumatic Stress Disorder in Children with Burns and their family."
Burn care training is an important part of Physicians for Peace efforts to improve patient care in under-served regions through international health education. 95% of deaths from burns worldwide occur in lower or middle income countries. You can help support our volunteer medical missions in burn care training and prevention education. Click here to make your donation.
Women helping women: Physicians for Peace volunteers with patients at Segou Hospital.
Laura Gwathmey and Laura Fine-Morrison are traveling with our VVF surgery team on the ground now in Segou, Mali. Here is their latest report, which shares their observations of both the patients and the staff they have encountered at Segou Hospital:
Our work here in Mali makes us realize how lucky we are to live in a country that allows women equal status. Here, women have little control over their lives. Most of the patients we've encountered have scarring from female genital mutilation. One member of our team, the only female doctor on staff at the hospital, told us the story of her own experience with FGM. As a child, she was subjected to the practice, and decided very quickly that she would not want her own child to suffer as she did. Unfortunately, the Malian custom is that the husband's family gets to decide the fate of a female child, not the parents. Despite our team member's best efforts, her husband's mother decided that the practice would be contined with her grandchild, our teammate's daughter, at the age of 2. In reality, our teammate told us, she could accept it only knowing that uncircumcised girls, as they are known in Mali, never get the opportunity to marry or have a family. The choice is stark: genital mutiliation or a solitary life.
We're here hoping to change that through our actions. Many of the patients we've seen require hysterectomies because of their extensive and prolongued conditions. Those for whom we recommended treatment all told us that they must ask their husbands before they can consent, and their husbands must sign the consent form, not the women themselves. As I write, one man is traveling to Segou to give consent for his brother's wife to receive a hysterectomy. As you can imagine, many husbands do not give consent, and their wives must live with an incomplete solution to their conditions. Through the actions of our all-women surgical team, working with local Malians, we hope to show that women can still be desirable and feminine while actively serving as role models.
- Laura Gwathmey
My experience of the hospital staff is that they care very much about their patients. The nurses and doctors joke around with them when appropriate, to put them at ease. A nurse or anesthesiologist will talk gently with a patient, and may touch her on the shoulder or arm if they see that she is nervous during surgery (in most cases the patients are not under general anesthesia.) And they work hard to educate patients about their treatment options as well as how to care for themselves post-operatively.
How hard it must be for the staff, then, to have to work under conditions that often don’t allow them to provide their patients with very good care. The patients come in malnourished and often lack funds for food and medications post-operatively, including pain meds and antibiotics. The staff are tired, as they get very little time off (doctors, for example, work 7 days a week; nurses work 5 days per week but are on call every 3rd night, which they must spend at the hospital). And the staff are well aware that what is available medically in other parts of the world is far greater than what doctors can offer here.
One doctor came over to me in the hospital break room while I was writing. He sat down next to me and asked what I was writing. When I told him, he said that what I wrote was very true.
And he said things are going to get better. How did he know, I asked him. His response was that one has to be optimistic in life. Things will get better, he repeated, before walking out to attend to his next patient.
- Laura Fine-Morrison ____________________________________________________________
In May 2009, Physicians for Peace sent a team to Segou, Mali (Read about the first mission to Mali.) to help with efforts to address the widespread problem of VVF. (Read more about VVF and our surgery program.) Last week, Physicians for Peace volunteers returned to Segou to help more women get the surgery they need to heal this devastating condition.
You can help mothers in poverty by supporting our volunteer medical missions in Africa. Donate now or visit www.physiciansforpeace.org to find out how to make a medical donation to our gifts in kind program.
Today was another successful surgery day in Mali. We saw 6 patients, each of whom required extensive surgery and reconstruction. We also encountered a patient from our May mission who had returned to accompany her friend for fistula repair! She was completely cured and had encouraged her friends to travel to Segou for the same care. What a treat to see how our mission had changed her life! She was outgoing and talkative, unlike many of our current patients, who are shy and say little. Since the surgery, she seems to have come out of her shell.
There is so much more work to be done. I've included a photo of the welcome sign that the hospital and the Millennium Villages Initiative made for us. We will be here through November 17 and seek to complete the daunting task of reconstructive surgeries for 50 patients. Wish us luck and please keep checking back for more updates!
In May 2009, Physicians for Peace sent a team to Segou, Mali (Read about the first mission to Mali.) to help with efforts to address the widespread problem of VVF. (Read more about VVF and our surgery program.) This week, Physicians for Peace volunteers returned to Segou to help more women get the surgery they need to heal this devastating condition. Laura Gwathmey, student of International Studies at Old Dominion University, is traveling with our medical volunteers to report on the progress of this mission. Check the blog for regular updates.
You can help mothers in poverty by supporting our volunteer medical missions in Africa. Donate now or visitwww.physiciansforpeace.org to find out how to make a medical donation to our gifts in kind program.
Diane Strout (center), Chair of Physicians for Peace's Global Nurse Education Committee, making friends with nurses from Algeria, Philippines, Egypt and Libya during a recent mission to Libya International Medical University in Benghazi.
In honor of our 20th anniversary,we have been recognizing those whose work has contributed to the success of Physicians for Peace. It would be impossible to talk about the heroes of medical volunteer work without giving credit to the nurses who devote their time, hard work, and expertise to Physicians for Peace programs.
Nurses are a vital part of every surgery mission, but that is only the beginning of the important contributions they provide. As an organization focused on medical education, we could not do the work we do without the help of volunteer nurses. The Physicians for Peace Global Nurse Education Committee has developed curriculae for teaching a variety of medical skills in resource-poor settings. Creating these replicable programs in medical education has enabled thousands of medical professionals in the developing world to gain life-saving information which they have used to improve the quality of care in their communities. These training programs, which cover everything from midwifery skills to treatment of pediatric burns, have also allowed more volunteers to effectively teach around the world, reaching more people in need.
The Global Nurse Education Committee (GNEC), part of the Physicians for Peace Medical Operations Committee (MOC), is comprised of nurses practicing in a variety of fields, representing hospitals, universities, and medical schools throughout Virginia. But its members are not only concerned with training and academia. They are the ones on the ground in the developing world, working side by side with their in-country counterparts caring for patients, delivering medical supplies and medicines, and helping to establish self-sustaining clinics and treatment centers around the world. These ambassadors of international health education also exchange cultural awareness and develop valuable friendships.
Their on-going work is invaluable to the mission of Physicians for Peace, and we honor them as our heroes!
An important focus of Physicians for Peace Maternal and Child Health Programs is treatment and prevention of VVF and RVF (vesicovaginal fistula and rectovaginal fistula.) These serious complications of childbirth occur during prolonged labor, resulting in serious tissue damage to the mother. The condition occurs more often in developing countries where women become pregnant at a very young age. Read more about our VVF Surgery program.
In May 2009, Physicians for Peace sent a team to Segou, Mali to help with efforts to address this widespread problem. (Read about the first mission to Mali.) This week, Physicians for Peace volunteers returned to Segou to help more women get the surgery they need to heal this devastating condition.
Laura Gwathmey, student of International Studies at Old Dominion University, is traveling with our medical volunteers to report on the progress of this mission. She sends her first update:
Greetings from Mali! We've arrived in Segou and begun setting up at the hospital today. The staff and the Millennium Development office had arranged for a welcome banner for our group! I'll be sure to send pictures soon. We also began pre-screening fistula patients today. We expected approximately 30 patients, but when we arrived, we found 57 waiting for us and many more on the way. Apparently, the patients from Physicians for Peace's May 2009 mission were so pleased with their care that they passed along the word, and we have more patients than we can handle! We're also seeing a greater variety of patients than previously - we've had many fistulas, but also many children, one with complications from genital mutilation, and several male prostates. Several of the women have been living with fistula for years; we met one woman today who has been living with fistula for 20 years! They have traveled for days to reach us and sleep on hospital grounds awaiting treatment.
We also met with the governor of the Segou region and several local health officials today, pleading our case for greater support and assistance for the people of Mali. All of the officials agreed that there is much work to be done to help prevent and treat cases of fistula.
We begin surgery tomorrow morning at 7 am and will continue until dark. Each day seems to bring a new challenge and a new heart wrenching story.
You can help mothers in poverty by supporting our volunteer medical missions in Africa. Donate now or visit www.physiciansforpeace.org to find out how to make a medical donation to our gifts in kind program.
This week wasn’t nearly as exciting as last week - No births at the clinic. We did see a woman who said she had been leaking fluid for two days. She wasn’t in labor so we referred her to the hospital, after we found her husband who was off working in a neighboring field. She went to the hospital on Tuesday for induction of labor. Today she returned to the village with her beautiful, healthy baby!
A woman we referred for an ultrasound last week found me and gave me the report. When we examined her we could only feel the baby below her belly button and we heard the baby’s heart beat on the left and right side. Not sure if the baby was lying horizontally or there might be twins. The report came back that the baby is transverse (horizontal). She is about 8 months pregnant. We will watch her closely - if the baby doesn’t turn head down we will refer her for a Cesarean delivery.
Our babies from last week came back for weight checks and vaccines. The little girl who weighed 2.3 kg at birth was down to 2 kg so we reviewed breastfeeding with Mom. This is her first baby. She came back the next day and the baby had gained. No signs of dehydration. Mom brought me a bag of ground nuts (peanuts) as thanks. My “grandson” gained .25 kg. I gave his mom a bag with powdered milk (for her, not the baby), another protein based beverage powder and 4 cans of sardines. After all her blood loss, we want to build her back up. We are encouraging greens and liver also. Maryam #2 gave me another bag of ground nuts and 6 bars of soap. I was overwhelmed - they have so very little. 70% of the people in the village are living on less than $1/day, and they are giving me gifts!
I have been walking every day and said I wanted to walk from Pampaida to Saulawa. Everyone kept telling me it is too far, too hot, etc. Yesterday, Dr. Ojo left to go to another clinic to get vaccines for our new babies (we don’t have a refrigerator). I got bored waiting for him - and decided to trek to Saulawa to help with the prenatal clinic. Several people stopped on motorcycles and offered me a ride. Thank you, no! I did it. I walked 9 kilometers. I think I probably sweat 3 liters, but I did it! Dr. Ojo started teasing Banke (she is 25) that the elderly woman is more fit than she is! I could be their mother, but elderly? Though 48 is the typical life span here, and I am 52.
This weekend, I am taking Dr. Ojo and Banke to dinner. There is a Chinese buffet, but they want to go to Chicken Republic. I will let you know if it is like our KFC! They also want to go to a photographer and get a formal picture of the three of us. “The Pampaida Birth Team." Also, Banke and I plan to go to the market this weekend to see if I can find something for Matt’s (my son-in-law) wall. He is a history/geography teacher. Also my “sister” Joy wants some Nigerian fabric for a quilt. So we will go exploring.
I am counting down the days until I go home - in 8 days I will be on the plane. It will be a bittersweet farewell. I have made some lifelong friends here. Mary, from Physicians for Peace, is already starting to talk about my next trip. Right now, I just want to spend some quality time with my family.
Not sure if I will write again before I return. I promise to post lots of pictures when I get back.
Robin Jones, Registered Nurse and Women's Health Care Nurse Practitioner, has been writing about her experiences in the Millennium Village of Pampaida in Zaria, Nigeria. If you would like to make a donation to help mothers in poverty and support volunteers like Robin on our medical missions in Africa, visit our web site at www.physiciansforpeace.org.
We couldn’t go to Saulawa for clinic today because the ambulance driver was no where to be found and no one knew where the keys to the vehicle were. I was resting from our first delivery, when Banke woke me around noon and said we had another woman in labor.
Her name was also Maryam. She is 20 years old and this is her 5th pregnancy. It seems she only has one living child, and we never did find out what the circumstances were of the deaths of the other 3. She has a 4 year old daughter.
She was dilated 5 cm and Dr. Ojo said her bag of waters had ruptured 2 hours earlier. We started monitoring her contractions and the baby’s heartbeat every 30 minutes. We are committed to being more diligent with the partograph. It was decided that we will have Banke “catch” this baby. Maryam was on the bed. The contractions were only 2 in 10 minutes, so we decided to walk a bit. These women make very little noise during the labor. I would occasionally see a grimace, or more likely I would see her just bend over when she got a contraction. Around 4 we checked her progress - only 8 cm. She is going slower than we expected. Dr Ojo decided to go play some soccer. We told him to be sure to be back before dark to start up the generator so we could have some light.
We just hung out walking with Maryam, setting up our equipment and patiently waiting. At around 8, we checked her again - only 9 cm. Hmm, time to consider a plan. Baby’s heartbeat was beautiful. We felt Mom might be anxious, so we would be patient. (And still no driver or vehicle keys) Around 10, I noticed Maryam had some vaginal bleeding - a little more than we normally see. Baby looked great, but she really wasn’t pushing effectively. As the head moved down, Banke assumed the “Catcher’s” position. She did a beautiful job! At 10:35 pm, a beautiful baby boy was born. No lacerations, either. He was a nice 3.5 Kg (7 ½ pounds). I took him and did the ‘baby stuff’ while Dr. Ojo and Banke took care of Mom. The placenta delivered intact 10 minutes later.
Around 11, Banke was cleaning instruments, Dr. Ojo was in the hall chatting with family, and I went to check the Mom. She was lying in a pool of blood. She was starting to go unconscious. We put in an IV, gave her 10 Units of Pitocin in 500 cc of IV fluid rapidly to contract the uterus and drained her bladder with a catheter. So glad the class this week was on Post Partum Hemorrhage. We responded quickly without wasting any time. Mom’s pulse and blood pressure stayed normal. We put the baby to breast, elevated Mom’s legs and continued to monitor closely. The uterus firmed up for a short time, but the bleeding continued. We decided to give another drug - Misoprostel to firm up the uterus. This worked very nicely. We reexamined the cervix and birth canal for any tears that might have been missed. None.
By around 2:30 things had calmed down. Maryam’s pulse and blood pressure remained stable and the bleeding had become normal. In all, we estimated she lost a little over a liter of blood. Everyone was exhausted. I told the others to go to bed for a couple of hours and I would stay up. The generator ran out of fuel at 4:17 am. So my checks were done by lantern light. The baby nursed again. Maryam was resting comfortably.
Dr. Ojo relieved me at 6. When I went back to check on them at 8, Maryam had gotten up to go to relieve herself and had eaten some food. She is pale and will be on iron supplements for a while. God was definitely with us. We have no doubt if she would have stayed home to deliver, she would not be alive today. We are hoping that this will encourage more women to come to the clinic to deliver.
That is the story of Pampaida ‘s second delivery! The training prepared us for this emergency. We are reminded to always be alert and ready to respond in a systematic, calm manner.
I have claimed this little boy as my African grandson. I will post pictures when I get back home.
Robin Jones, Registered Nurse and Women's Health Care Nurse Practitioner, has been writing about her experiences in the Millennium Village of Pampaida in Zaria Nigeria. If you would like to make a donation to help mothers in poverty and support volunteers like Robin on our medical missions in Africa, visit our web site at www.physiciansforpeace.org.
I am finally able to write of the first ever birth at Pampaida Health Clinic, New Millenium Village, Nigeria!
Maryam is a 17 year old mother with her first pregnancy. The team tonight consisted of Dr. Ojo, Banke, the nurse, a CHEW-community health worker, and me. Maryam had her mother-in-law, aunt, husband, a niece and nephew and about 5 other men in her entourage. The men and children quickly found a bench or position on the floor and went to sleep.
We timed her contractions. This was something I hadn’t done in about 8 years. I had really become dependent on the fetal monitors for telling me when contractions we occurring and how long they were lasting. She was having 2 contractions in 10 minutes. They were only lasting about 30 seconds. We started a partograph to frequently record information on the labor. The baby’s heart rate was wonderful and the head was well down in the pelvis. Maryam’s blood pressure was a little high at 142/90 and she had a little protein in her urine. We would have to watch her closely.
Around 1 am, we saw much more restlessness and quiet moaning. Maryam would grab her back during a contraction. I started apply pressure on her lower back or squeezing her hips to help relieve her discomfort. The two men were busy playing video games on their cell phones. I guess some things are just universal!!!
We let Maryam push as she felt the need. No coaching, yelling or bright lights! So nice. The baby’s head slowly came out. The rest of the baby followed quickly. Time of birth 2:12 am Oct 27, 2009! We dried off the baby girl. She had a nice strong cry. Banke and I tended to the baby. Her Apgars were 8 and 9. This is a scale to determine how well the baby is adapting to life outside the womb. She was doing great! We tied off the cord with a fine string that had been soaked in alcohol (Spirits). Dr Ojo checked to make sure there were no more babies and gave Maryam 3 tablets of Misoprostel. This is a drug to help contract the uterus, deliver the placenta and prevent excessive bleeding.
For the next two hours we continued to monitor Maryam and the baby. They were doing well, so after cleaning up we went to bed at 4 am. I woke up at 6, checked Mom and baby were doing well.
We had breakfast, saw 28 women in prenatal clinic and then went to discharge the new family. We did a discharge physical on both mother and baby and taught Maryam, her husband and the mother-in-law what to expect, when to return if certain signs developed, how to monitor the baby for dehydration and how to take care of the umbilical cord. We will see the baby back in 1 week. We will check her weight. Her birth weight was 2.3 kg - just a smidge over 5 pounds. She will get her BCG vaccine (to prevent TB), a Hepatitis B vaccine and her oral polio vaccine. Ideally, she would have received these right after birth but we have no refrigerator to store the vaccines so we have to get them from the clinic in Ikara and carry them in a cooler. Maryam will return for a check in 2 weeks.
We were all exhausted. So after pictures with the family, we sent them home in the ambulance (Maryam wasn’t quite ready to travel on the back of a motor bike), we all went to take a much deserved nap.
Robin Jones, Registered Nurse and Women's Health Care Nurse Practitioner, has been writing about her experiences in the Millennium Village of Pampaida in Zaria Nigeria. If you would like to make a donation to help mothers in poverty and support volunteers like Robin on our medical missions in Africa, visit our web site at www.physiciansforpeace.org.
We have posted many stories from our recent medical mission to the Philippines. Our volunteers worked with patients in our on-going programs there, Walking Free and Seeing Clearly. Their trip was even more important because they were able to lend a hand with relief efforts in the aftermath of the typhoons that had hit the area only a week before. Ken Hudson, Physicians for Peace Gifts in Kind Manager, was there to witness a population bonding together in the face of loss and tragedy. He shares his personal story of what it was like trying to deliver food and water to families in need:
The first couple of days of our mission to the Philippines focused on the “Walking Free” program and how we could better meet the needs of its patients. We had visited the facilities at PGH (Philippine General Hospital) and Clark Air Field. Today would be different since we would be participating in a relief effort which is something that we normally do not do - Physicians for Peace is an organization that focuses primarily on medical education.
During this part of the mission we were supposed to visit the area of the Philippines called Northern Luzon. Unfortunately we were not able to do so because of the damage that the area had sustained from typhoons Ondong and Pepeng. Lyne Abanilla, PFP’s representative on the ground in the Philippines, asked our team if we would like to help hand out relief supplies to victims of the recent flooding caused by the typhoons. The effort would be in Pasig which is part of Metro Manila. We jumped at the chance to help.
We meet Lyne at the Manila Bulletin which is where she works. The Manila Bulletin is the nation’s second oldest newspaper and claims the second largest circulation in the Phlippines. The paper is located in the historic Intramuros section of Manila.
When we arrive we are noisily greeted by a room full of volunteers that are busy packing the supplies that will be taken to Pasig. The volunteers include Rotarians, business owners, and doctors. The volunteers are eagerly making and packing peanut butter sandwiches. We quickly pitch in, and in no time everything is finished and ready for transport. Once loaded, we head for the police station to pick up our police escort and the truck that will transport the supplies and the volunteers.
Once we get to Pasig, we are greeted by our security escorts. Our truck that will carry the volunteers and supplies is a standard troop/personnel carrier. There will be seats for 8 people but about a dozen or so of the volunteers will have to stand up during the trip with only the wire from the surrounding cage to hang on to.
We are escorted by two police vehicles as we leave the compound. As we slowly make our way through traffic we notice that we are waved through at every intersection by the local traffic cops. Apparently word has been sent ahead in order to help ease our way through the heavy traffic.
The traffic, which is always backed up, becomes even harder to work our way through. We realize that this is due to the roads being closed due to the flooding and landslides. Then traffic comes to an abrupt halt. Right in front of us is a section of road that is completely submerged. Our escorts slowly ease their way through the water and for a while look as if they are getting ready to float away. We are nervous and are sure that they are not going to make it but eventually they are out of the water. As we inch our way forward, we are greeted by people in boats and tricycles. Some people are actually swimming or wading in the dirty water. To the left of us we notice personnel bridges made of two by fours supported by wooden bases that have been hastily constructed so that people can get in and out of the area. This is a scene that I had never witnessed and am once again awestruck at the ingenuity of the Filipino people.
Once we make it out of the water we arrive at our destination. Suddenly we are greeted by a large crowd that starts cheering and waving. These are the people that we have been sent to help.
Suddenly we are out of the truck and on the ground. The supplies are taken off of the truck and moved to a gymnasium that will be the main distribution point. There are also a large number of people in the gym. We are told that the people outside have suffered some damage to their homes but their homes are still habitable. The people inside the gym have lost most of their possessions and their homes were destroyed or almost completely destroyed.
While everyone is busy getting the supplies ready for distribution I grab my camera and spot a set of stairs inside the gym where I can get a few good pictures of what is going on inside. As soon as I get to the top of the stairs, a door flies open and I am greeted by a young man. I realize that I am invading someone’s “home”. But instead of being angry, the young man asks if I can take a picture of his family. I agree and suddenly they are all in front of me eagerly posing for the camera. Once again, here is a family that instead of focusing on their terrible loss, are instead trying to have fun by posing for a picture.
I quickly turn around and start snapping pictures of the scene on the gym floor. The sight that appears before me is shocking. These are families that have been dislocated. It looks as if some of them had little or no time to grab anything of value. Dirty blankets and sheets have been erected in an attempt at privacy. Some of the people look as if they do not have any clean clothes. Children are running in and out of the makeshift dwellings playing and laughing. The crowd is starting to murmur with anticipation of a chance to receive some water and a little bit of food.
As I make my way to the floor and start walking in and out of the dwellings, I am greeted by calls of “hello sir”, “good evening sir”, and “how are you doing sir”. Everyone has a smile as I greet them.
After taking pictures for a few minutes I notice that Lyne has the volunteers ready to hand out the supplies to the people inside the gym. I run over and grab a big box of bottled water and drag it on the floor as someone else passes out the bottles. We are told to try to limit each family to one bottle. We need to make sure that everyone, including the people outside, receives their fair share of supplies. The first box empties rather quickly and then we start working on a second box of water. Suddenly people start running up to me and asking “tubig please”, water please. Though I know that every family should have received a bottle of water I cannot turn them down. What if their family is very large? How long has it been since they had fresh drinking water? What if they have small children? So I give them some more. Once again I hear many “thank you sirs” and “salamat po”. Then I spot Doc Montero who is also busy handing out water. Someone is asking him to limit the amount of water that he is giving away. He shouts back that the children keep asking him for water and how can he turn them down. My thoughts exactly.
Eventually mats and blankets are also passed out. A small amount of cooked noodles and bread with peanut butter is given to each family. We are finished handing out supplies to the “residents” of the gym.
Now we shift to the people waiting outside. Everyone is standing in two lines. The supplies start moving down the line but we need to move a little quicker. These people have been waiting for quite some time and we want to make sure that they get their fair share. Lyne is urging everyone to move a little quicker. We certainly don’t want anyone to think that they are going to be left out. It seems that the supplies move a little quicker this time and before we know it we are finished. Through all of the commotion there is no pushing, shoving, fighting or cursing. Everyone is well-behaved and courteous.
Night has come, so we start to gather the few supplies that we have left and put them on the truck. As we make our way to the truck to leave we are greeted with “thank you ate” (older sister), “thank you kuya” (older brother), “thank you sir” or salamat po. Some of the volunteers are on the truck. As I get ready to climb on I hear a child call out “tanapay sir”, “bread please sir”. I notice a box of bread at the end of the truck. I hand the little boy a roll. Then where there was one hand there are now two. So I hand out two more rolls. Now there are four more hands stretched out toward me, so I give up four more rolls. Now there are six and then eight more hands. So I hand out more bread. The people inside the truck are telling me that we need to leave because it is getting late. Suddenly there is a hand around my right arm and then one on my left. Then there is a hand from behind and then I am in the truck.
As we start to leave we pass by a crowd of people. Some of them are cheering while others are waving. I hear some goodbyes and few more salamats and then we are gone.
Our trip out of the flooded area is a bit quicker since it is late and there is a lot less traffic. Once again we receive a free pass because of our escort and because of our mission.
Once we arrive back at the police station it is decided that we will all meet somewhere to eat. We are all thirsty, hungry, and tired. The restaurant of choice is Jolibees. This is the Philippines version of KFC.
When I receive my order and start to eat, I can’t help but wonder how easy it is for me to take for granted that I have the ability to eat anything that I want at anytime but that there were going to be many mouths tonight that would not be fed. Even though I finish my meal, it seems that it is a little harder to swallow than usual.
P.S. - At some point during the relief mission in Pasig a woman handed me a note. The note had her name and phone number. On it she stated that her daughter had scoliosis (curvature of the spine) and asks for help. When I meet Dr. Pipo Bundoc the next day and ask him if he could help he tells me “I can do this”. Once again our friends in the Philippines will come through.
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The work of Physicians for Peace to improve third world health care is vital to those in need. Find out more about our medical missions in the Philippines and how you can make a medical donation to support our international health programs there - visit www.physiciansforpeace.org
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