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CURRENT NEWSLETTER: APRIL 2003 in this issue:

The Nature of the Beast
           Ten years ago I had the daily privilege of seeing first hand the results of my labor. As the years have passed, more and more is being done but often I am in meetings, writing grants and newsletters, finding solutions to problems or preventing problems from happening. The fight to give medical care to a population with 70% under-employed or unemployed can be overwhelming. So I seldom get to have hands-on experiences and see the result of the days, months, and years of work that has been invested. 
            But recently I was honored to be a part of a simple moment, but a life-changing one. Mercedes had made a bedspread for me here in Honduras during which time I had shared with her the programs of CAMO, one of which was a breast clinic and mammography program. Mercedes called me in March 2002; she had noted a change in her left breast and felt a lump. Her voice was panicked; she had been diagnosed with breast cancer. I went to her home and we sat together, and we cried. I remembered the times I had been frightened by health issues, and I was thankful that God allowed me to feel this fear so I could better serve Mercedes at this moment.
            On my return to Honduras on Feb 2, 2003, Mercedes had a left mastectomy with lymph node removal. It left her left chest and left armpit concave. She left a message for me at the Honduras office, a request for help in finding a left breast prosthesis; I called the USA CAMO office manager Helen for help. Who just happened to be sitting there? None other than Marcia Murphy, a mammography technologist who would be arriving in Honduras with the CAMO team in 3 days. Marcia went the extra miles to get the prosthetics from the American Cancer Society and arrived in Honduras with the prosthetics. 
            Monday afternoon Bonnie Medina, Marcia Murphy and myself made a surprise visit to Mercedes’ home. I had made no promises to Mercedes so this was truly an unexpected visit. Mercedes was behind her sewing machine on our arrival. All of us being so excited about the prosthesis, we asked her if she wanted to see if it fit and to make a choice between one of the two that were given to us. We went into her bedroom and the transformation began. First timid as the new bra and the prosthetic breast was shown, she showed us her incision and then put the bra with the prosthesis on. As she turned to look into the mirror her expression changed to disbelief. She touched it; it felt natural. We encouraged her to try the second one on. She did, and as she did so, her eyes welled up with tears. "It feels normal, the same weight as my own breast," she said. Again she looked at herself in the mirror. The tears were now readily flowing down her face and she started to share. "You see, I have not been able go to the market, people know that I had the surgery and they stare at me," she said. "My clothes do not cover the fact that I have no breast. I have not felt normal until now." I looked at Marcia and Bonnie we all had tears in our eyes. As we left I looked behind me and Mercedes was at her sewing machine surrounded by her friends. With a smile she began unbuttoning her blouse. I felt joy for her, and once again I thanked God for showing me why the days, months and years are all worth it.


Hondurans are Making it Happen
          It was with great concern that I was told the nurses in Honduras were going on strike. The strike would start the week of the largest training sessions and surgery schedule. As we entered the week the nurses continued to work and I thought that the national strike had not happened. I was wrong. It was going on, but the union voted and the decision was made not to honor the strike during the training week and surgical week of the CAMO teams. On Thursday I was told that the union leader was getting mandates from the capital to honor the strike; they did not. The next week on Monday they did start the strike, but the nurses crossed the picket line to help in the areas CAMO was still working. As the nurses crossed the line they did so eagerly and embarrassed that we were giving a service and education to them and that they were being forced to do something that they at that moment did not agree with. I believe the greatest gift the nurses could have given CAMO was this statement of crossing the picket line. 

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It Is Real:
             The December newsletter talked about the construction of the new distribution center and the office for CAMO. Thanks to 3 major donators who designated the funds for this project. — Dr. Arturo Rendon for the land, our dear friend in Alabama who wishes to remain nameless and McClintock Electric — the facility has been completed. But not without a challenge. On my arrival in Honduras on February 2, 2003, the building had no columns in front, no windows, no door frames, no tile in the bathrooms, no tile in the front entrance, no light fixtures and the second floor did not have the final cement pad poured. The inauguration was scheduled for February 21, 2003, so we put forth a work plan and held the local contractor to this. More Honduran workers were employed to finish the job. The painter finished at midnight on February 20. McClintock Electric of Wooster provided the electrical installation and all the material. Aaron, Scott and Tony spent a total of 3 weeks in Honduras to make this facility one of the best in the country; they also finished on February 21. 
            With each dawn’s arrival a transformation was taking place — first the doorjambs, then doors, bathrooms, windows, outside wall final stucco. Each day brought a palpable excitement. The moment it all became real was the morning of February 21. At 5:30 AM I needed to pick something up at the old warehouse for the team. On previous nights the lights had not been on, the CAMO Logo had not been mounted and the front had not had the final paint on it. The sun had barely risen and the sky was silver and gold. As I rounded the corner my eyes caught the image for the first time and I knew it was a new decade, and many dreams that could not be realized before would be within reach now. My eyes filled with tears.

CAMO Work Accomplished in 4 Weeks:

CAMO is a diverse group of volunteers, and this diversity helps us to deliver many needed services and to do it with open minds. Eighty volunteers worked for four weeks to help in development and counterpart relationships. Each service below involved counterparts who are Honduran. Our Honduran friends and counterparts worked beside us to learn new skills and to serve their own people. Our volunteers came from many specialties and from around the world. Places represented included Maryland, West Virginia, Ohio, Pennsylvania, Delaware, Puerto Rico, Mexico, England, Colorado, Florida, North Carolina, Kansas and Arkansas. The volunteers demonstrated such willingness to serve long hours without complaint, dealing with frustration at times, seeing so much that can be done and needs to be done. CAMO’s commitment to the professionals who volunteer and our counterparts in Honduras is to provide them with the resources they require to solve the problems they are faced with daily. Each one of you who have donated to us has helped in this developmental concept.
 
Administrative:  Team Prep and Management  320 hrs. $8,000
Support Staff  State Side & Honduras 320 hrs. $8,000
Audiometry Donation Hearing Aids
Education Audiometry Room
Development 
40 hrs $8,750

$3,700

Bilingual  School Research Needs and University Partnership 32 hrs. $ 800
Biomedical 8 Biomedical Engineers
Repair of 27 pieces of equipment
 
$6,326
Burn Development  Rounds and development of
Burn protocols 
163 hrs.  $7,385
Carpentry & Repairs  Audiometry Sound Proof Room
Rack System; Set up of offices 
394 hrs. $7,890
Computer  Installation of Network System
Programming all the computers 
Server with back-up systems 
100 hrs. $3,100
Cultural Center  Ballet Dance Classes 
30 Students 
30 hrs. $ 903
Cystoscopy

 

44 Consultations 
11 Surgeries
Introduction of new Scope Equip.
  $21,280
Data Entry  4 weeks of work documentation  27.5 hr. $ 412.50
Dental Program  Patients Treated 275 
Extractions 126 
Fillings 325 
4 dentist
1 Hygienist
2 Dental Assist. 
$40,160
Documentation  2 week Journal with Photos  80 hrs. $5,650
Electrical l2 Electricians
1 Communication Systems Technician
141 hr.  $6,486
Eye Clinic  EyeExams 280
Eye Glasses 187
Eye Medicine 99 
240 hr.   $34,368
Pediatric Eye Surgery  26 surgeries  2 surgeons
1 Anesthesiologist
2 nurses 
$89,570
General Eye Surgery  38 surgeries  2 surgeons
1 Anesthesiologist
2 Nurses 
$60,627
General Surgery  14 General Surgeries
Mentoring young Surgeon 
  $7,740
Gastroenterology  Stomach Bands for Esophageal Bleeds 
Continued Research on Gastric Cancer 
  $1,800
$4,000
Labor & Delivery  3 Fetone Monitors donated
40 hours Education (18 staff members) 
  $4,612
Library  2 Medical Librarian 
Set up of Catalog System in Medical Library
80 hrs. $2,000
Mammography  2 Mammo Technologist
Training in Mammography Tech 
80 hrs. $2,062.50
Massage Therapy  18 Massages
Classes 
  $ 770
Neonatal Education  NALS Instructor & Translator 160 hrs. $5544
Orthopedics  Consultations 75 
Surgeries 25
320 hrs. $95,645
Plastic Surgery  Consultations 54
Surgeries 34 
  $58,850
Prosthetic Lab  Consultations 29
Fittings & Services 
  $7,176.25
Respiratory Education  Ventilator education on LP6 
MAI with patient management classes 
80 hr. $3,740
Wheelchair Program  Counter part training 
Program development 
120 hr. $2,336
TOTAL $509,683.25


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The Rest of the Story: 
                   The period of time that the teams are working gets 99% of the media coverage, but in reality it is a small part of what is actually happening. Every day of the year CAMO is touching someone’s life in Honduras.
March 19, 2003: 
     Today someone has been diagnosed with stomach cancer, another young man will have surgery on a broken leg that needs special plates and screw, and a child has received hearing aids. Twenty-five children have been screened for hearing problems. Five dental clinics are operational and each has seen 20 children today. Two people had eye surgery, 6 people had ultrasounds done. Breathing treatments: 30 today. Patients on ventilators today number 4. $1,000 worth of medication was delivered to the health clinic. This is just to mention a few of our services that transpired this day, March 19, 2003.
Unsung Heros:
     In the USA we take for granted the ability to get replacement parts and replace items readily. The silent volunteers who work behind the screen are the biomedical engineers. They meet as a group at the CAMO USA warehouse every Wednesday evening. They fix the incoming donated equipment and also come to Honduras to make sure the equipment is maintained. It is these silent heroes who keep the dental equipment working, the hearing department functioning, the ultrasound machine diagnosing and the breathing machine saving lives. Thank you for being unsung heroes.



The Joy of a Smile 
It is not about pulling teeth. The dental team is a very special group of people who understand the importance of a simple smile. It takes less time to pull a tooth then it does to clean and do fillings. The CAMO dental team could pull thousand of teeth if that was the goal, but it is not. 
 
Ted Crawford and Cindy Mullet  Patient before Patient after

It is about teaching children to take care of their teeth. About relieving pain but allowing the person to still feel good about how they look. To let them eat with their teeth and not their gums. It is about basic health, and taking the time to provide a full service to the children and poor adults in the rural areas.



Do You Have Any Shoes?
            It is difficult to describe the work that goes on and the profound change that takes place due to the services and equipment donated. Dr. Dona Alvarez an orthopedic surgeon from Oakland, Maryland came to me excited, amazed and with tearful eyes. Her first words were do you have any shoes in the warehouse and then the explosion of explanation. "I did this surgery yesterday, it is a painful surgery, the 40 year old farmer had broken his upper leg (femur) and it had not been fixed due to not having the plates, nails etc.…. He has been unable to work for a year and his leg was about 3 inches shorter, well yesterday I placed a bone graft with plates and screws to the bone. Today I went into the ward to check on him. He immediately asks me when he could go home. In the states people are in so much pain they will not put weight on a leg after surgery for several days, so I told him when he could walk to the door of the ward he could go home. The man got up and walked, beading with sweat and pale, put he did it." Kathy I am going to let him go home but we need shoes for him. I spent about two hours with this gentleman his name is Pastor and his wife. Sharing time with them I find out they have 2 children and he has not been able to work due to his broken leg, his wife will wash clothes for the next year to pay the fee of a pick-up truck that brought him to us and returned him home. They live three hours from Santa Rosa. 
            I want you to really think about this. On faith they came to us. It was not a sure thing that we could fix the leg or that there would be surgical space for him. His wife committed to work for the next year just for the chance of fixing her husbands leg. What an honor to be able to provide a service for people that have no safety net other then their great inner strength and faith.


Changes
            The Audiometry and Prosthetic departments have been moved to CAMO’s new facility. CAMO would like to extend a special thank you to Teleton for allowing us to use their facility for the last 7 years and their assistance in the development of these services. 
            The move of Audiometry went smoothly and the department is up and running. We have been able to do a lot of work in the past month in our new facility. The hearing screening programs in the schools are functioning with 50 children per week being screened. By October all the children in first grade will have been tested for hearing impairment. The teachers are becoming more involved with the students that are hearing impaired. We have seen a drastic increase in the number of patients coming to us for hearing impairment. 
            The prosthetic lab is being prepared; it will be in the area that was the old offices and warehouse space located on the grounds of the public hospital. This is located 100 yards from our new facility and will allow us to take care of new amputees and work hand in hand with the orthopedic department at the public hospital. We expect this move to happen by May 1, 2003.

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What Is It All About?
          It was a normal day of getting patients ready for surgery and follow-up with the previous day’s consults. Dr. Paul Crowley was concerned about a patient named Selvinda Esperanza. She was only 13, but her face showed a life of pain and sadness. My first impression of her was a very small, thin, pale child struggling to exist. She had bedsores on both shoulders and on the bony areas of her back. An open area on her lower abdomen was draining urine. Selvinda had been struck by a car February 7, 2003 and now, with a broken pelvis and internal injuries, she looked as if she was slowly and painfully dying. Dr. Crowley made the decision to take a look and did surgery on Selvinda. On February 26, 2003, a surgery was done involving repairs of a fistula and cleaning up a lot of internal infection. After the surgery the orthopedic surgeon, Dr. Dona Alvarez, followed up with the pelvic fractures. Sara, a young volunteer, started to encourage Selvinda on a daily basis to get out of bed and start walking. Vitamins were provided and the recovery began; we had all but forgotten about her after she left the Hospital. Recently Selvinda visited the Fundacion CAMO. She no longer had the face of pain, and there were no signs of the dying Selvinda that I saw exactly one month before. She walked in with her father, flashed a smile that would melt you and said thank you. That "thank you" is for each one of you who are involved with supporting CAMO and the work that is being done.


January 1, 2002-December 31, 2002
Programs Patients Served
Audiometry  804
Wheel chairs (Wheels of Hope)  72
Prosthetics & Orthotics  438
Dental  2,814
Ultrasound (Public Health)  345
Ultrasound/Echo (Hospital)  555
Gastroenterlogy (Endoscopy)  416
Eye Clinic  1,854
Eye Surgery  247
Urology Surgery  58
Mammography  777
Ventilator (Adult, pediatrics, infant)  250 (Represents lives saved)
Procedures done with CAMO equipment  35,205
Please note that these statistics for the year represent work being done daily by the Hondurans who have received the
equipment and the training to care for themselves. This is the dream — that each specialty has what they need both in education and supplies to render the care at hand.


Closing Comments
In all my years of experience (24 years) in Honduras I have never seen so many people asking for work. Professional university graduates are asking to clean floors or do anything for a wage. The lack of industry and commerce is staggering. The wage for a secretary is L2,500 ($144 ) per month. The average wage for social a worker; for example is L3,500 ($202) per month. A professional nurse makes L7,000 ($404) per month. Housing is about L3000.00 ($173) per month. For one person to eat basic food for a month you need about L800.00 ($46). Sales tax is 12%. The world is living in a different condition than the USA. I ask, during these times of war and self interest, that we do not forget that we have it all. It doesn’t hurt to share what excess we have. If we do not, I as a citizen of the USA, feel the world will have reason to hate us.
In Service,
Kathy Tschiegg
Endowment Camo Fund
All the programs discussed in this newsletter are established programs. The CAMO funds with the Greater Wayne County Foundation (GWCF) will help to secure the future of all these programs. To make donations to the Fund, make checks payable to the Greater Wayne County Foundation, please note in the memo area of your check "Benefit of CAMO Fund". Please mail your checks to Greater Wayne County Foundation, P.O. Box 201, 133 S Market Street, Wooster OH 44691. For questions about this fund, feel free to call Diane Gordon at the GWCF: 330-262-3877 or Kathy Tschiegg at the CAMO office.

 
TOGETHER WE CAN MAKE A DIFFERENCE
Please continue to support us with your prayers and gifts. Please don't forget us.
This newsletter is only being sent to supporters of Central American Medical Outreach. If you know of someone who would he interested in our projects please share this newsletter.

If you are interested in speaking for CAMO, please let us know. We have a Power Point program computerized with music. The song was composed and sung by local talent Becca Rossiter. If you need a program for your group or club, call the office at 330-683-5956.



Calendar of events:

April 30 -- CAMO fiscal year end
May 17 -- CAMO USA Board Meeting
June 15 -- Loading of the 48 foot container for July teams
July 1 -- Closing doors of container
July 15 -- Dispatch container for Honduras
July 21 -- Team to Honduras
September 11 -- Wayne County Fair
September 15 -- Loading of the 48 foot container for October teams
October 1 -- Closing doors of container
October 15 -- Dispatch container to Honduras
October 19 -- Teams to Honduras
 

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