Author: teamstu

Week 3 – Ned, Lake Sebu, South Cotabato

03/21/14

10:28pm – REACH Home base – Davao City

Week 3 has been quite interesting, rewarding, and exhausting. A special guest arrived, a late night emergency patient, and hours upon hours of driving to a place you would never know existed. This week we drove high into the mountains to serve the T’boli Tribe and surrounding communities. As Dr. Sam put it, “The Google Street View car is going to have to get some new tires before it snaps a shot of where we’re going.”

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Sunday – Pastor Ian and I headed to the airport around 3pm. I assured him that our guest would be easy to spot amongst the masses exiting the terminal. Sure enough, like a palm tree in a pineapple field, there he was towering above the rest. Brad Ferguson, a long time close friend and designer of the #TeamSTU Logo, arrived bags and camera gear in hand; “Lets do this.” With the blessing of his girlfriend, a #teamSTU donor and nurse in training, as well as his perfect 2 year old son and supporting family, Brad volunteered his skills yet again. This week he will be filming a promotional video for REACH International Healthcare and Training Inc. Follow him on Facebook and online to see the generous gift he will make for REACH. www.bradleyferguson.com

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Monday – 5am departure was the perfect way to start a LONG week. 4 hours along the crazy pinoy highway, then another 4 hours up the side of a mountain. I will try to show you in my short video (I’m sure Brad will do a better job) but I doubt any of the 6 cameras we had in that Truck could do a good job at describing the roads we traveled. One lane dirt roads, small bamboo houses on cliff edges, crossing 2 rivers, passing several tiny villages, Water buffalo tilling rice terraces…. Where are we? Just about sunset we arrived in Kibang, Ned, Lake Sebu. There we found our guest house surrounded by an amazing government agricultural project. A self sustaining resource for this village included a tilapia and catfish pond, fruit trees, as well as hard wood groves. Chickens roamed freely, pigs raised. It reminded me of the fair trade farmer story. Life here seemed simple. No Facebook or fashion trends. Only one umbrella sized space where a local cellular signal could be found (literally people standing in line to use this open air / umbrella covered “phone booth”). We unloaded the truck and our first 5 patients patiently waited at our doorstep.      

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Tuesday – About 300 meters away, crossing two small bamboo bridges, and up a small hill, a stand alone class room was found surrounded by a symmetric Mahogany grove and several bunches of Giant Bamboo. In this classroom, chalk board lining its back wall, ~30 locals came to learn basic healthcare.  One of my favorite aspects of REACH is their Healthcare worker training classes.

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They empower the isolated and impoverished by teaching them about first aid, nutrition, and proper approach to common diagnosis and medication use; the perfect addition to a simple, sustainable, community lifestyle. This weeks Team Leader was Jordan RN who assigned me a topic to teach. “Right and Wrong uses of Medicine”. As you can see on the chalkboard, I’m an advocate for Doctor’s poor handwriting.

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11:45 pm That night  – Abruptly I awoke to an unfamiliar language yelling; a frantic voice under the pouring rain outside. I rushed to the front door with Jordan to find a local man sitting down, supported upright by a woman, blood dripping from his face. Details unclear, I gathered that he had been in a motorcycle accident. Knowing the REACH team was in town, he avoided a 4 hour ride (in good conditions) to the nearest clinic/hospital and came to us. Immediately we cleared a table in our dinning area, pulled gear from the truck, and set up a surgical suite. I stabilized the head, Pastor Ian the arms, 2 more locals the legs. Dr. Sam and Jordan went to work. This man lost 4 teeth, 2 deep dirty lacerations on his face, and many weeping abrasions. As we went to bed Brad asked me, “What if we weren’t here?”

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Wednesday – Today we moved to NED proper to set up clinic. On a plateau above a small village, we prepared the healthcare workers to practice their skills. A parade of patients, and those interested to see what was going on, joined us under a covered basketball court. With a translator, I helped Dada RN and Jordan RN with clinic. Dr. Jen and Nice RN assisted surgery.

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Thursday – Clinic and Surgery day 2, Dr. Jen and I switched. Brad even got a shot at assisting in a Surgery! Serving a smaller crowd than the day before, we packed up the Truck around 1pm and departed for Lake Sebu. One of the municipality officials was pleased to extend to us lodging at a scenic guest house and VIP tickets to the Highest ZIP-LINE in ASIA the following morning.

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260 free clinic patients – 13 free surgeries

Hours of professional video footage and interviews – A promotional fundraising video in the making

*** This week NO WATER FILTERS WERE DISTRIBUTED  ***

These people have the blessing of safe clean spring water. Being on the top of the mountains also provides them some safety from flooding. Pastor Ian assured me the remaining filters would be better served at our site next week as their water supply has been seriously affected by flooding.

Instead, with donor support, we were able to distribute much needed personal hygiene items. This included 180 toothbrushes with toothpaste, as well as some body soap and petroleum jelly. Access to oral and skin care is something I think many of us back home take for granted. Imagine for a second, what if you couldn’t brush your teeth for a year because there were no toothbrushes available? That isn’t the exact reality here. People might have some access to these products. The real question is weather or not paying for dinner that night is more important.

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Friday – Long story short… The Zip line was “Under Repair” (good and bad news I suppose). We took a walk through the grounds and viewed several beautiful waterfalls before piling back into the truck for a LOOOOONG 8 hour drive home. The 1 minute video at the end of this post shows my delirium. 

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Saturday – All good things must eventually come to an end. Early this morning Dr. Jen departed back to the US. I can tell her time here was greatly appreciated by the REACH staff. Her compassion to serve these isolated and impoverished people is so motivating to watch. I’m sad to see a friend depart, but I know she’s off to do more good. I have no doubt she will be back again to serve the Philippines.

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Later that night Brad and I were treated to a true feast, the Filipino way. In honor of Pastor Ian’s sister graduating from Nursing school a gathering was held at the REACH Homebase. Lumpia, Mango Float, Chop suey, Lechon, Quail egg, rice, and Dr. Sam’s special (a rare delicacy in the Philippines) Fettuccini alfredo, were just some of the treat. Enjoying each other’s company and delaying the bitter sweet departure of a best friend, Jordan leaned over to me, ear to ear smile, and said, “We eat well tonight so we can avoid Breakfast in the morning! And if you choose to not fill your stomach, surly there will be leftovers waiting.”

A 20 min car ride to the airport, filled with laugher, singing, and reminiscing the week that passed with the blink of an eye. Although we live so many miles apart, we will always be connected, Pastor Ian, Jordan, Brad and myself. Brought together with sincere intentions to do something good, we were rewarded with something great. New, renewed, life-long friendships. We each offered Brad a hug and safe travels. A palm tree among pineapple fields, he disappeared into the terminal. Thank you so much for volunteering your time, skills, and heart by coming to the Philippines and doing so much good, Brad.

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Leaving the airport Jordan pointed out, “We’re one less band member. Who will replace him?” Our week’s theme song still on repeat in the background… No longer a sing a long… A solemn drive back to home base.

“Close your eyes I want to see you tonight in my sweet dreams “

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Check out this 1 minute clip from the car ride home to lift the mood 🙂

Listening to Air Supply – Sweet Dreams

Week 2 – Cambanogoy Outreach

3/14/14 – 10:43 PM – REACH Home base Davao City

With the conclusion of week 2 I am pleased to announce another successful outing. We were able to address the needs of many people. Here is a short breakdown of our outreach!

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Tuesday – 3pm departure for Cambanogoy, Asuncion, Davao del Norte. A 2-hour drive with five people in the back of the Range Rover was rather comfortable (Credit to Ian for fixing the AirCon). For me day 1 of an outreach is always an adventure. No matter how detailed the description, I’m always amazed at the location we end up. Once a village in the jungle, last week (as you saw) a small town among rice fields with a river running through. This week we arrived at a small Baptist church. Greeted with exotic fruits and coffee, we unloaded the trailer, set up our mosquito nets and sleeping bags on the church floor, and discussed our game plan for clinic the next day.

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Wednesday – Our accomadations included the collaborative effort of 12 Churches. This included housing, 3 meals a day, as well as “marienda” (SNACK TIME!) 2-3 times a day. It was through these churches, a local radio station, and word of mouth that people heard of our free clinic and surgery outreach. People came from near and far (far as in — walked most of the day and had to be seen Thursday). This included the Mayor of Asuncion.

Highlights for me this day included reading a gentleman his Lab results, assuring him his tuberculosis was inactive and his pneumonia resolved. People interested in wilderness medicine: Never underestimate the use of your headlamp! Those extra lumens come in handy when reading an X-ray in the field!

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I was also pleased with a patient whose chief complaint was unilateral (Right side only) hearing loss for 5 years. Maybe I should say he was pleased with us. On inspection I found his right ear canal to be completely impacted with wax. Determined, we flushed and flushed his ear with little progress. Confident, I requested the needle nose hemostat. Minutes later I removed a 1cm thick, hard, horribly odorous piece of wax. The reward was worth the smell as an ear to ear smile exclaimed “I can hear!”

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Dr. Jenn also found hidden treasure that day. A small stick had been irritating this little guy for 2 years. A white grainy substance, possibly sand, was found in the other.

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Today we offered free clinic to 130 patients. 26 more came the next day.

Last event of the day, my water filter presentation. This area announced significant interest to receive water filters due to flooding. Twelve pastors from churches spread throughout the municipality came to receive and distribute this “blessing” (as they termed it).

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Flooding of their farmland and water sources had burdened them with parasites (Schistomomiasis and Giardia) as well as bacterial sickness, especially diarrhea. Forced to buy water from the big city vendors, consider the following:

–       The average Pastor income MIGHT be 5,000 Philippine Pesos or $110 USD a month.

–       A 5 Gallon water cooler Jug costs 17 Pesos / $0.38 each

–       They use 1-3 Jugs a day –> 51 PHP  or  $1.14

–       30 days a month –> 1,530 PHP or $34.20

–       1,530 / 5,000 = 30.6% of Monthly income spent on safe drinking water

I had seen the WELL used by the church home for cleaning clothes, dishes, and bathing, the afternoon we arrived. I vividly recall the scene: In the back of the church, behind the house, aside a chicken coup with the Rooster and biggest hens roaming freely. Several cats also came and went as they pleased. The well was concrete with moss and sludge lining its sides and an unappealing odor floating aloft its diameter.  A video plays over and over in my head of REACH Pastor Ian saying, “You’ll be drinking this water, with your filter, while you’re here.”

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That night I wrote this in my iPhone:

3/11/14 – Feeling disturbed/in doubt when I was asked to use my own filter for drinking the water here for several days. I can’t help but think of the book “The Hot Zone” and Ebola Virus. What if I were to get really sick here?!

Thursday – Today was surgery day. Mind you, surgery and clinic were conducted in the same space of this open air church. Tables simply rearranged and sterile fields adjusted. Surgical complaints consisted mainly of cyst removals a majority of which were located on the head/neck oddly enough.

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The main event was found on Surgery table #3. A 4 year old boy who presented with his mother the day before. I had seen him in the room but he was not my patient. I didn’t even think he was there to be seen, rather his mother getting attention. Noticeably, he had a cleft lip. Maybe you know someone who has been affected by this anatomical difference. In cultures across the world perception of this abnormality can range from unnoticed to isolating and rejecting.

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I was excising a thigh cyst on table #1 at the time (Picture above). For the next 2 hours I was thankful I didn’t understand the local language. Using only local anesthesia, with the help of pastor Ian and 4-5 other locals to hold the young boy still, Dr. Sam and Dr. Jenn carefully…..patiently….. adamantly reconstructed his lip. The result speaks for itself.

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An important and challenging lesson taught to all Doctors; Be able to separate your emotions when assessing your ability to preform a skillful task. This procedure, considering the conditions, is advanced to say the least. I feel very lucky to have the opportunity to train under the guidance of Dr. Sam. He has experienced more unique situations during his 12 years here in the Philippines then I could imagine. I hope to one day serve my patients with as much compassion as I see him providing these Philippine people.

Final Thoughts:

~   156 free clinic patients  –  13 free surgeries  –  1,200 people now have access to clean, safe drinking water   ~

   ~   YOU are helping 12 Churches in need SAVE a collective 220,320 PHP over the next YEAR   ~

Thats nearly $5,000 USD !!!

We were sent home with 2 chickens as a “Thank you”

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We acted as first responders to a motorcycle accident on our way home (abrasions only)

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And we concluded the white sand from the child’s ear looked a lot like the sugar on these fried Banannas!

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We are working hard to prepare for a very special outreach next week! Joining us will be the creator of our #TeamSTU Logo, a close friend, Brad Ferguson! He flies into Davao City Sunday and everyone here is overjoyed to receive him!

– Stu

Listening to: Tyler Stafford – “Lime Tree” off the Album ‘On A String’

https://itunes.apple.com/us/artist/tyler-stafford/id518367936?ign-mpt=uo%3D4

** Big THANKS to Jennifer Harrison and Dada Buenviaje Tenajeros for letting me use several of their amazing pictures!

This Room

03/09/14

Sunday – 11:58pm – REACH home base Davao City

Sitting at the dinning room table, second story. The air is moist and thick and hot. My shirt, although clean and fresh, feels like its been pulled too early from the dryer. A heavy, sticky feeling. My eyes feel dry, wind blown, dust accumulating in the corners. I smell fresh roasted peanuts, delivered to Dr. Sam from a tenant downstairs. They were over salted and oily while still crunchy and rich in flavor. Another deep breath begs for sea breeze, but returns nothing. I have never craved a cool crisp refreshing salad more in my life. Through the open french like doors to the balcony I hear intermittent traffic; tricycles, taxis, speeding trucks. Cool air passes by on its way through to the open back door. For a moment everything is quiet. The neighbors to my right have 2 dogs, a beagle and german shepherd, they start to bark. I cant wait for a good nights rest to settle my over fed stomach. Chicken adobo, garlic rice, pancet, Siopao*, Lumpia. My computer fan kicks into overdrive. I’ve been working on this Video for 3 days now. Hesitant to release, yet excited to share. Hoping for a emotional, rewarding, happy/sad response. This is as raw as I could describe. This is real life. I couldn’t imagine filling my mouth with the water from that well. I’ll take the dry, salty, oily taste instead.  

Week 1 – Veruela Outreach

03/07/14

Friday – 5:35pm – REACH home base Davao City

Week 1 has flown by and I’m just starting to feel situated. Last night we returned from our first medical outreach and given the impact REACH International Healthcare and training has made, I feel an overwhelming task to paint a good picture for #TeamSTU.

#TeamSTU was created for several reasons:

1)   How often do you hear people share sympathies and desire to help a cause but either don’t know how or are hesitant because they don’t know where their money is going?

2)   As Jon Rose, Creator of Waves 4 Water, would say; “Do what you love, and help along the way.” Traveling, Volunteering, helping others, getting people involved and excited… This is what I love.

My part of showing #TeamSTU Donors and Members exactly where their donation is going will come through pictures, videos, GPS (which I HOPE you are checking out!), and this blog. You already know this… I’m bantering.. here is a quick breakdown of the last few days. Enjoy!

Sunday – I got sick… I’m talking Montezuma’s Revenge meets the Flu and “The Hangover” sick (no drugs or Etoh involved). This lasted from ~6pm to 2pm the next day.

Monday – 2pm came with a decision to make. “Do I get in the Range Rover or not” Honestly I was not feeling up to going anywhere except back to bed. With minutes to spare, and the pressure of keeping my word to #TeamSTU, I got in the car… Puke bag in hand… and we drove 4 hours to Veruela, Agusan del Sur.

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Tuesday – Time and time again I am caught off guard by the Philippines’ unique beauty in simplicity. Atop a small hill, surrounded by small houses, places of work, an elementary, in a Barangay Office Building, The REACH team set up a classroom and a surgical suite. This day, 27 local healthcare worker students received lecture. Taught with the vision to stay and serve their community, they would practice medical interviewing for the next days to come. Across the hall, Dr. Sam, Jordan RN, and yours truly, provided free surgeries for 6 patients.

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The final event of the day would be a demonstration for #TeamSTU. Like a deer in headlights, I forgot I needed to give a presentation… What the heck am I going to say? Week 1 was a test run and I think it turned out well. We toured some local water resources, obtained a bucket of hazy water from the river, and the rest is history. (Video being made). Given I’m here for 4 weeks, 12 filters will be donated each week. This week 6 went to area representatives of small churches and 6 to the LGU (Local Government Unit) for proper distribution/assignment. You’ll be pleased to see the people in our clinics the recipients of your generosity!

They shared concern of local mines tainting the river, giardia, schistosomiasis, as well as E. coli and other bacteria troubling their river water. Small hand dug wells as alternative proved not much safer. This area also has been affected by many floods and a recent typhoon causing many homes to be damaged.

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Wednesday – 10 healthcare worker students and 2 REACH RNs (Nice and Dada) in the back, Myself and 2 REACH RNs in the front (Jordan and Earl), we drove maybe 20 minutes to the first clinic site (A small covered concrete pad, similar to a picnic area at Mission park, Spokane Valley, WA). Here we served 130 men women and, mainly children.

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Afterwards we were invited to the birthday of the most charming and energetic 3 year old I have ever met! Honored to be invited and welcomed into their home, the REACH team and I enjoyed some “as fresh as fresh gets” homemade Filipino delicacies such as Lechon and Papaitan. Google it  (http://panlasangpinoy.com/2010/07/26/papaitan-recip/) Do recall that I already paid my sickness dues and was fearless.

Thursday – Anticipating a slower day, we packed up our trailer and met the remaining healthcare worker students at the second clinic site (People who sent me their emails should be getting GPS check ins from these locations). Our prediction was slightly off. This day we were able to serve 161 people.

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After clinic knowing of our departure, I was swarmed by the masses for pictures. I even snapped a shot with the Barangay Captain (Below). As I had heard, it is rare, if ever, these people set eyes on an American. Clearly a unique find one so pale with outrageously absurd hair.

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As we drove home, my eyes couldn’t help but gaze again in awe. Miles of rice fields, lush plantations, Water Ox grazing the roadside. Silent beauty soon turned to the buzz of the city. A quick stop at the Home of Jordan, REACH RN, yielded several odd but delicious exotic fruits from his family’s farm! Another check off the list after trying the infamous Durian; “Tastes like Heaven, Smells like HELL!”

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Friday (Today) – Laundry, groceries (which means MORE BUCKETS! J ), restocking the medicines and supplies for next weeks venture took a majority of the day. Enjoying each other’s company, sporting casual attire, the REACH home base moved quick and efficient.

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1 week down – 291 patients seen – 12 Water filters distributed – 6 free surgeries – many good/new/interesting foods

Tomorrow I look forward to the arrival of a friend. A Medical Student whom I met in Chicago during a General Surgery Rotation last year. Along with the DAVAO CITY FESTIVAL (Hoping to go) and the completion of this weeks’ video, I’d say I have some work ahead of me.   Be Well!

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-Stu

First Entry from Last Sunday

03/02/14

2am – REACH home base Davao City

No huge surprise… I can’t sleep. Last time I was here was in June (2011), Rainy season. Maybe I took it for granted because I don’t remember it being this hot at night. I’m in the upstairs dorm room. Lower bunk #1. The intermittent gust of mild thick air and a continuous creak from that which it blows, my only companions.  I’ve arranged my headlamp around the bed post behind me, an honest assistant to another attempt at “House of God”. A new Suunto watch, GPS tracker, and a comical battery powered fan sway from the wooden cross panels, a generous foot and a half overhead. I find my mind racing, concern of a misplaced luggage item and the sensitivity of its contents. About 1 hour after dosing into a effortless blur I was awoken by Dr. Sam, Phone in hand. It was the Cebu representative for Korean Air, judging from voice, the same young lady who so adamantly helped me the night of my arrival. Although her words were kind, the message was sour. “Unfortunatley, we have not yet FOUND your bag. Please know we will continue to search.”

I was once told, “You wake with the attitude you take to rest.” Maybe my lack of sleep is subconscious; a reminder to relieve these worries tonight so that they do not become tomorrow’s worries as well; “For tomorrow has enough worries of its own.”