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CURRENT NEWSLETTER: APRIL 2005 in this issue:

We Are Doing It! -- But We Are Not Done

Many people ask me what makes CAMO different from other organizations.  Many organizations give you 80-90 cents on your dollar. We are able to take your donation and turn each dollar into four dollars of assistance.  How is this possible?   First, we use existing infrastructures and contract with other organizations for the human resources.  In this manner we are able to keep our overhead down.  Our in-kind donations are accepted only if they can support and be of use to our Honduran counterparts.  As a result, we are able to do more with your donation.  The chart below illustrates the cost per person per program and the number of people served in 2004.  With the tsunami tragedy our funding took an enormous hit.  We continue to operate, but with a skeleton staff.  There is so much more to be done and with your support it becomes possible…and as always it is greatly appreciated.
 
CAMO YEARLY PROGRAM COSTS
  Programs   Cost/person    # of Patients     Annual Cost 
Dental $3  6700  $20,100
Eye Surgery $210 202 $42,420
Gastric $18.80 850 $15,977
Day Care  $ 240 25 $6,000
Ultrasound  $8.50 883  $7,505
Audiometry  $4.16  1863 $7,756
Mammo  $26.31  1136  $29,888
Surgical  $105.25  518  $54,519
Maternity  $2.00  272  $544
Respiratory  $75.00  253  $18,975
Prosthetics  $26.81  865  $23,194
CPR  $26.40  226  $6,000
Equipment  $.21  70,868  $15,000


A MOST DIFFICULT PROJECT: EMERGENCY MEDICINE
Primary Building Blocks of the 
Emergency Medical System:
  • Emergency department development
  • Paramedic training programs
  • Creation of a dispatch
  • Tax base funding
  • Community education 
  • Government cooperation
  • Medical association approval of protocols
Imagine you are in an accident, on the road or at home, with no phone and no car. You only option is to wait until someone finds you. When they do there is no one trained to stabilize you.  If you somehow get to the hospital you would find an emergency room crowded with no system for receiving a patient in serious condition, no triage protocol.   This lack of basic infrastructure for a pre-hospital setting here in Honduras is one of the next obstacles CAMO has joined in to address.   In Santa Rosa we are working with the police, fire, Red Cross and a small group of volunteers that have had ambulances donated to them to create an emergency medical system.   It is an ambitious project and start up costs will start at $1,000,000.00 but it can be done.  The system will be the first of its kind in Honduras and perhaps in Central America.  I as the founder of CAMO know that  it is the most difficult project that I have ever tried to support but feel its necessity outweighs the obstacles. 
            Perhaps this will take the rest of my life to see it become a reality, but it will save so many lives. We have a good start with CAMO being the National Registry for Coronary Pulmonary Resuscitations for Honduras certified under the American Heart Association. This is one small part, but an essential part.  We need our US community to help us accomplish this goal.  If you know of a organization or company that would be interested in helping design, outfit or fund this type of project please let us know. 


 
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New Group Project: Women’s Sewing Program

The prison system in Central America is known for its deplorable conditions.  Exacerbating the circumstances for the inmates is the lack of a fair and balanced justice system. These two factors create a reality for women in the system that is filled with frustration and despair.  CAMO came in contact with this reality face to face in February when the Santa Rosa jail called to ask for help.  The women’s block was hoping to find someone who was willing to help them create an avenue for education and commerce.  Living in cramped quarters in triple decker bunk beds, the women are held in jail until their families can come up with the money to either bribe the guards or the judge.  Justice works, for the most part, not on guilt or innocence but influence.  The result is a group of poor women who have been forgotten in jail.  What they’ve asked CAMO to do is supply them with sewing materials to make clothes and other home-made items.  They plan to donate a portion of their goods to the needy that CAMO treats, the other portion of their goods they will sell in order to help the families they’ve left behind and to buy replacement supplies to continue sewing.  As an example of their work, the women anxiously showed us their embroidery work. They used their pillowcases, bed sheets and lace from the clothes they wore to jail for material and embroidered beautiful creations. 
The men in the jail have a wood working shop and fishnet making contract on which to work and learn new skills.  The women are asking for that same chance with sewing.  CAMO would like to help these women have a second chance at life.  Please consider donating any of the following items to help:
 

Requested Sewing Supplies:

1) Sewing Machines – in good working order with appropriate bobbins and needles.
2) Cotton or Cotton-blend material that is easy to work with for beginner sewers.
3) Patterns for easy-to-make children’s clothing to be donated to needy families in Santa Rosa
4) Needle and Thread – for embroidery work and general sewing Zippers, buttons, Velcro and other sewing notions 

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2005 Spring Team Services Rendered

This year’s spring teams delivered the following services. This represents the value of service if the same procedure had been done in the USA.  Keep in mind that the team members provide services otherwise unavailable to these patients, procedures just not done the rest of the year. The other great part of the teams’ job is to make sure that the Honduran facility, staff or organization has what they need to continue to give services throughout the year.  The team touched 3,400 patients’ lives directly during their stay, but by the years end we will have touched more than 90,000 people through direct contact.

Team 
Administrative 
Assistants to Programs 
Biomedical 
Cysto 
Dental Program 
Endoscopy 
Eye Clinic 
Eye Surgery General 
Gastroenterology 
General Respiratory 
  Amount 
$8,412
$8,000
$15,646
$64,456
$70,178
$4,900
$39,069
$40,000
$4,000
$1,980
Grand Total
>>>>>>> Labor & Delivery 
Mammography 
Maintenance 
Neo-natal Education 
Orthopedic 
Plastic Surgery 
Podiatry Surgery 
Prosthetics Lab 
Respiratory Peds 
Technical School 
Telephone Lines 
$508.975.50
$8,100
$14,400
$5,049
$5,200
$68,060
$68,140
$32,340
$5,880
$1,900
$3,565
$39,700


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Coming Full Circle: Felicita and Jessica -- Submitted by Kathy Tschiegg, Founder

A wave came of memories washed over me and for an instant I was taken back to a time that I had nearly forgotten.  Twenty-five years ago I was struggling to find a simple walker for a woman who had a broken hip. She was in the last bed of a ward of 30 patients and had been in my care for over 6 months. Her name was Felicita (which means happy) but this woman in her late 60’s was far from happy. She was a challenge and well, let’s just say she broadened by Spanish vocabulary.  Her hip healed painfully slow. Twenty-five years ago in Honduras we had no pins, plates or prosthetic hips, only traction, thus Felicita and I had a long relationship.  The day I stood her up after 6 months was quite a site. I placed her feet on top of mine and we began to walk, everyday Felicita would cuss me out and then smile.  Soon she needed a walker, but there were none to be found in Honduras.  So I called home to Ohio and a walker was sent down about one month later.  When I went to get it out of customs they charged me $150.00, which was my wage for a month as a Peace Corp Volunteer, and meant that month’s meals consisted of only rice and beans for me. 

Today this memory came to me as a mother and a father carried their intelligent little Jessica to me and asked if I could help with heal a chronic wound she had on her back.  They carried the 9-year-old girl because she suffers from spina bifeda and doesn’t walk.   Again, a simple request but this time, I had resources as my disposal.  Ruth Brown was with me and we needed supplies. Instead of fighting with customs and waiting a month, we simply walked upstairs at the CAMO distribution center and found exactly what we needed, right at our fingertips.  From gauze to special material to a wheelchair that fit her perfectly, all we had to do was look. 

I kept in touch with Felicita over the years until she passed away in 1995.  Today I celebrated her life.  My experience with Felicita helped me define the needs of the community, the diet of beans and rice for me was a blessing which made human suffering a bit more personal.  As 9 year old Jessica Alvarado was placed in her new wheelchair by her mother, she immediately took to her new independence with a huge smile and rapidly sped down the hallway to her father, who waited with outstretched arms. I too smiled and silently felt a blessing from God for giving me the memory of Felicita. 

Last year through a joint effort with Wheels for the World, Wheels of Hope and Teleton, CAMO was able to repair and distribute 481 wheelchairs.  Program cost: $14,472 per year.
 


CAMO Volunteer Writings

You’re Late -- Submitted by Dr. Ron Pycraft 3/13/05
The silence was too eerie. Even the rattles of the car on the cobblestone roads of Honduras seemed strangely quiet. We are leaving more than an hour late. I wondered how they could they be late for such an important event. She was taking her son to the States for eye surgery.  The fire had disfigured his handsome face. His corneas were opaque. He had a chance though; he could still see light from the flashlight in one eye. That chance for a quality life, lays in the skilled hands of the ophthalmology team in Michigan. Arrangements had been made. How could they be late? We reach the main road to the airport finally. It is a good road even by US standards. Why did it seem so quiet?  I look at the young man. He seems emotionless. Not happy not sad. Not bouncing around the car like most 11-year-old boys. I look at his mother. She looked just like the others we pass on the street, dark eyes, pretty face that showed the strains of her life. Her clothes were clean. I wondered if she was carrying everything she owned in the small suitcase that she brought for her and her son. I see she is crying. Not just a little tear in the corner, but a full stream. She is quietly wiping with the back of her hand. It is eerily quiet. 

I tell my good friends, Drs Hector and Lourdes Robles that the mom is having a problem, Lourdes gives the mom a Kleenex. Hector speaks with her in a low tone in Spanish.  Damn, why didn’t I pay more attention in my high school Spanish class?  I try to understand, but I cannot. Then the silence returns.  The kind you do not want to break. Our car stops at the next village.  Hector gets out of the car with out a word. Still that eerie silence.  He talks to a group of hombres (men), reaches in his pocket and gives them some money. He comes back to the car. Nothing is said. We drive on toward the airport. Several minutes go by, it seemed like hours.  Mom is still dabbing tears. The young man still shows no emotion. I pat his knee and tell myself it will be all right. After all, he is going to the States and we can fix everything. Finally, I cannot take it any more, I ask Hector what just happened. He tells me that mom is a widow and she is leaving behind three young children. The oldest is fourteen. They only have enough food and money for five days. Mom will be gone at least a month. The silence is back. I try to think. We drive on. Now I am the one that needs the Kleenex.

I am often asked why I go to Honduras. It is not only for the love and respect that I come to know for the people there. But because as a very wise woman recently told me when I asked her why she volunteers for Hospice, “True service is not about what you want.” I cannot say it better than that. 


Twelve Years and Counting: Submitted by Robin Hauenstein 2/28/2005

The work of the CAMO in Honduras has been well documented over the past 12 years, and many people throughout the United States have opened their hearts and generously embraced the people of northwest Honduras.  The success of CAMO here in Santa Rosa is all the proof needed.  CAMO volunteers are the link between the First and Third worlds, and it is a bond that draws us back year after year, bringing little pieces of our world to share. 

If you don’t fall in love with the Honduras people, you simply haven’t opened your ears or eyes.  Warm, gracious, funny, smart and giving are words that almost seem trite as I try to describe them.  They care for each other, and look out for an anonymous brother or sister when others may not. 

When I go back home, it is easy to tell stories about the medical miracles of CAMO, and the work of doctors/magicians like plastic surgeon Les Mohler.  Humble to a fault, Les travels around the word, performing plastic surgery miracles, but he never trumpets his success.  The retired Columbus doctor and his wife, Rosie, simply smile, and let their work speak.  You want to share stories of his work, or of any CAMO team. Photos sell the program, which funds the work done here in Honduras.  But to be honest, it is hard to capture the pain.  Before the triumphs of Les Mohler’s work, there were years of pain and deformity.  People come to CAMO’s medical foundation offices in pain, seeking respite. 

I don’t know if I can describe the enormous weight of poverty.  Friday, our eye team made a rare trip out of the Santa Rosa hospital to join the dental team caravan into the mountains for a day out.  In the tiny, dusty town of Saint Augustine, we set up shop in a school, dispensing eye drops and glasses.  Finishing early, I found myself surrounded by kids and dispatched every piece of candy, granola bar, or pack of cookies in my backpack.   One boy, whose pants were literally a bunch of rags patched together, stood watching the other children. Covered in dirt and red clay dust, he watched me.  Finally, he approached and I gave him my last tootsie pop, which he carefully placed in a pocket and darted off as I snapped his photo.  I felt ashamed.  Yes, that photo will “sell” the program.  But there’s so much more to that boy I want to tell you. 

Our modern American lives are so complicated, mostly by our own design.  We have the means and desire for what we buy, where we work, live and play.  In Honduras, a day is one more collection of how to survive, find work, and feed your family.  Kathy Byrnes is a registered nurse in Providence, Rhode Island.  She and CAMO founder Kathy Tschiegg worked together 25 years ago in the Santa Rosa hospital as Peace Corps volunteers, and Byrnes has returned nearly every year as a CAMO eye team member, since 1993. She has seen the advanced state of medical care in Honduras, courtesy of CAMO, but laments the growing divide in economic classes and increased levels of crime and poverty.  However, she doesn’t stop coming back because she loves the people. 

At the end of the week, we all are laughing, crying and sharing stories about the people of Honduras.  I wish I could bring some of that magic home, and I know many, if not all, team members feel the same.  We come with faith driven desire and/or medical know-how to heal the sick.  We leave with our own hearts healed by the never-ending love of our Honduran friends. 
 


Others' Reality Becoming Ours

Sue Crawford recently told me that not until she had a problem with her vision did she fully understand the reality of how our eye program here in Honduras has changed people’s lives. We see 2- 3 blind individuals per week; the sad part is that many of these cases need not be blind.  A simple 30-minute cataract removal procedure and vision can be restored.  Here in Honduras children and adults walk around the mountains everyday and their vision becomes more and more blurred and eventually they become legally blind.   They often do not have the money to come for help, or no one to literally lead the way.  We have now started to use the CAMO Honduras Medical teams that go out to the remote village to identify these patients and assist them in getting to the eye clinic.  Our dental teams also goes out 2 days a week to the rural areas, to help identify the more remote village medical needs. Cover you eyes just for a moment and consider a lifetime without sight, it might give you a new appreciation for the blessing of your vision, an insight into why we are working so hard to give sight to the blind. 

In an effort to meet demand, we are currently installing advanced eye surgery equipment in Santa Rosa. Thanks to a very generous donation from a long-time supporter in Alabama,  CAMO was able to purchase an upgraded microscope and lazer which will allow the surgeons to restore sight to those who previously were untreatable. Dr. John Thomas will work with Dr. Robles to install the new equipment and train the local staff how to use it.  This is another important step towards local sustainability and we thank our donors for making this a reality.
 



Earning Trust

For years on our departure the question that hung in the expressions and the eyes of the people we served was “will I ever see you again?”  “Are you coming back”?  As counterparts would leave in the years passed we would assure them that we were there for them.  We have tried to always be an organization that would help address the long-term needs of the community, not one searching for immediate self-gratification, but of people who shared a dream of development, of higher education and independence with a long-term commitment to this dream.  After 12 years, I feel confident in saying that CAMO has earned the trust of the community that comes with time and perseverance.   The trust is built on the commitment of our volunteers.  Susan Shetter from Pennsylvania has been coming for 5 years and is now quite literally part of the staff. This year when she finished her training with the nurses they did not ask if she was coming back, they simply stated that next year she’ll teach them more about managing children on ventilators. Susan has earned their trust.   Tim Larson and Sue Edwards are an important part of the Respiratory and Neonatal training program and they have been with us from the beginning and continue to be a vital part of the trust that has been earned by the Hondurans. Paul Potter and Jeff Keller have had similar experiences.  They have both worked with the Honduran anesthesia staff over many years to improve the quality of care available to patients.  They have become part of this hospital and the local staff are now looking forward to the information and continuing education that they can acquire through their dedication. 

The USA CAMO team members have earned the respect and trust of their counterparts.  Their Honduran counterparts have the absolute knowledge that they are not alone and we are there for them in so many ways, and they are there for us.  As the next world crisis takes the front page, we will remain committed to them.   There is so much more that needs to be developed, and we will continue to honor our promise to them.





Updates on Last newsletter

ELECTRICAL PROJECT WELL ON ITS WAY
You might remember in the last newsletter we spoke of the crisis with the electrical system in the Hospital.  Thanks to a consortium of donors, including the Noble Foundation, many individual donations and the International Development bank for Central America we are now 3 months into the 8-month project.  McClintock Electric is helping with this project and has sent an employee for 8 months to Honduras to supervise this project.  We are very thankful for the continued support and from both McClintock Electric, a company with a heart for service and the Noble foundation. 


OB/GYN ADVANCEMENTS 
The Public Health clinic is now able to give treatment to women for abnormal cervical cells.  The clinic in the first three months of this year has detected and treated 20 women with abnormal cervical cells; before October of last year these cases would have when untreated.  The outcome of untreated cancerous cervical cells is most often death.  Our goal with this project is to educate more gynecologists in colposcopy and cryotherapy.  Currently, we there are only two qualified physicians for a population of approximately 150,000 women.   Each clinic set up costs is averaging us $4,000.



 
COMMUNITY CENTER/GYM IS BUSY
The primary elections were in Februaru and the Community Center was used as the collection location for all the votes for western Honduras.  It is good to see the Center being used for the process of democracy

The center is also being used to dispatch the community ambulance service.  Of course it is full of school activities during the day and the evening there is always a game going on.


DAY CARE CENTER
The kitchen is completed!  A special Thank You is extended to committed individual donors and the Jack Taylor DeLoss foundation for making this a reality.  We are moving onto the water system and bathroom improvements and we are looking for funds to do this project.  We are in need of $8,200 to get started.  The Cistern will provide a constant and safe water source for the 122 children served by this daycare.   The project also hopes to improve the bathrooms, where currently there is one functional toilet and no sinks to wash their hands. Please help us to change these conditions for these children.

COMMUNITY STOVE PROJECTS
Thanks to your support we were able to improve 50 family wood burning stoves.  The Peace Corps Volunteer has finished her service and trained the local women on how to build their own stove.  The women have promised to continue with education of other families.


 
Upcoming Events:
April 30 – CAMO fiscal year end
May 2 – Director returns to Ohio
May 6 – Trailer departs for Honduras
May 14 – CAMO Board Meeting
Aug 8 –  Presentation  - Presbyterian Women
Aug 10-20 –  Director to Honduras
Sept 10-15 –  Wayne County Fair
Sept 14 –   Loading container for Oct teams
Oct 8 – Dispatch container to Honduras
Oct 23-Nov 6 –  Teams to Honduras (tentative date)





 
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