Medical Mission Preparations

One of the things that makes PazSalud unique is that we work closely with community leaders, long before the medical mission ever begins, to pool our collective resources in order to create the best medical brigades possible.  Comasagua - the site for our 2016 General Medical Mission - has some remarkably enthusiastic and motivated leaders happy to partner with PazSalud to bring our services to the most patients we can.

For the past several months I've been working to put together a team of local entities that will help us pull off the massive undertaking that is a PazSalud February mission.  Below I'm meeting with the mayor (center, yellow shirt), the Director of the municipal health clinic (center, plaid shirt), the local CIS health promoter/volunteer coordinator (right, plaid shirt) and a room full of nurses and health care outreach workers.

Optometry mission with the Lions

PazSalud just completed it's third and final mission of 2015.  Partnering with various U.S. Lions Clubs, we brought an optometry mission to Tamanique with the goal of helping the patients we weren't able to see during our February mission.  The Lions brought prescription, reading and sun glasses for the community and over the course of 4.5 days, we were able to provide thorough eye exams and glasses to 471 patients, far surpassing our projected patient totals. 

In addition, working with local physicians, we were able to provide 35 needy patients with referrals into the Salvadoran national health care system so they can seek treatment for special medical conditions our mission wasn't equipped to address.  Referrals may seem routine to those of us used to modern western health care but in El Salvador, it's a significant, often difficult to obtain step forward in treating a medical issue and one were proud and happy to provide.

Setting up glasses the day before the mission starts

A young patient with her mother

A volunteer interpreter working with a patient

A Lions volunteer discussing a patient referral with a Salvadoran doctor

Water Filters to Tamanique

PazSalud is committed to improving the short-term and long-term health of every community we serve.  During our General Medical Missions in February our physicians 'prescribe' water filters to families suffering the effects of consuming El Salvador's polluted water.  With this list of patients, PazSalud works with CIS' community water filter program to raise awareness of the vital link between clean water and public health and to train families on how to use the Sawyer water filter. 

PazSalud donates 100 water filters to every community that hosts our medical missions and we help them get into the hands of people who need them the most.

The first patient meeting

Luis and Maira from CIS training patient on how to use the PazSalud-donated water filters

Learning to assemble and care for the filter

ASAPROSAR

On one of Kathy's recent trips to El Salvador we were invited to visit ASAPROSAR; a local NGO based in Santa Ana.  The mission of ASAPROSAR is to work with the neediest families in El Salvador to improve their quality of life and empower them through health care, youth leadership training, environmental and nutritional education, micro-credit, and community development.  Among their many development programs, ASAPROSAR specializes in visual health and has a permanent clinic in Santa Ana that Kathy and I visited for the day.  The scale of their efforts is impressive and their dedication is inspiring and perhaps PazSalud will have an opportunity to partner with them on an eye surgery mission one day.

Entrance to ASAPROSAR

Eye clinic entrance

Exam room

Eyeglasses shop

Kathy and a nurse in one of their operating rooms

Operating room

 

Clean water for Estanzuelas Families

One of the cornerstones of PazSalud's work in El Salvador is our commitment to our mission communities well after our two main medical brigades are completed.  We live that commitment in a number of ways: one of the most significant is working with a local NGO to provide water filters to families.

During PazSalud's February General Medical Mission, our medical team identifies patients - especially children - who suffer serious health effects from drinking contaminated water and 'prescribes' them a filter.  We then work with our local mission coordinator to follow-up with these families by training them on the need for, and use of, a water filter.  Simultaneously PazSalud raises funds to purchase the excellent and easy-to-use Sawyer water filters (http://sawyer.com/international/products/sawyer-pointone-filter-with-bucket-adapter-kit-3-ft-hose/) in the U.S.  Our goal is to provide 100 filters to every mission community we work with.

We collaborate with the CIS (Centro de Intercambio y Solidaridad) to provide the training that makes the water filter project work.  Participants are required to come to three sessions, in which they learn why clean water is essential, and how to install, use and clean the Sawyer filters.  A local Water Committee is formed that visits all the families to make sure they are using the filters correctly.

Here are scenes from the training sessions in Estanzuelas, our 2013 Mission site:

This woman is drilling a hole in her bucket (the filter packets come complete with a small hand drill) as preparation for installing the filter.

The completed assembly: the Sawyer system works with two buckets, with water fed by gravity from a higher bucket through the filter and into a lower bucket.  The group photo below shows what the completed system looks like:

Mission Accomplished!

We can say, with some pride and a great deal of satisfaction, that we completed our General Medical Mission to San Pedro Perulapan on Valentine's Day, February 14th, after seeing 1,647 people, many of them in two or more clinics.  The week was full of memorable moments - Kathy Garcia enjoyed more than her usual quota of babies to cuddle:

Rosa Aguiar, our team member from Comasagua, El Salvador, signed up a record number of patients for cataract surgery - 81 (we wouldn't be able to handle that many cases, but the list typically shrinks between sign-up time and show-up time):

Ray Moore, Supply Chain Contracts Manager in his PeaceHealth life, took breaks from looking for optical prescriptions to delight children with a magic book that opened onto either blank pages or drawings, depending on....well, that part's the magic.  Ray's kneeling at the center of the photo. Sr. Andrea Nenzel, left, and optician Jackie Kersten, right, are enjoying the show:

Cecilia Jacobson, also part of our Optical Shop team, enjoyed the new look of one of her young clients:

 Dr. Adriana Linares, who mentors new resident physicians, found a possible future student in this little guy with his firm grip on her stethoscope:

The joyful moments continued during our weekend of sightseeing, shopping and relaxation.  The funniest came at the airport, at about 6 AM, when Sr. Amalia Camacho, aided by Dr. Charlotte Ransom, left, finally fulfilled her wish to eat Pollo Campero - for breakfast:

There are thousands more special moments to be shared with family and friends and colleagues in the coming weeks and months, moments from a memorable week. 

A present for our friends in Santiago de Maria

Many Salvadoran hospitals have allowed us to use an operating room for our week of eye surgeries - and they've never charged us for the space or the time they spend to coordinate with our mission.  The latest of these happy relationships was with the small National Hospital at Santiago de Maria, where we held our April, 2013 eye surgery week.  We always try to return the favor in some way by giving the hospital some useful gifts and a financial donation.  When we asked Dr. Gonzáles, the Director of the Santiago de Maria hospital, what would be helpful to them, he swallowed hard and said that they really, really needed a new autoclave (sterilizer).  Their old one had given up entirely.  We said we'd try, but weren't sure we'd have enough donations to purchase an autoclave of the size they needed.
Happily, when we checked our donations at the end of the year, we did have the funds needed to purchase a new autoclave for Santiago de Maria, and here it is, with one of our favorite nurses showing it off to Kathy Garcia.
The new autoclave will mean sterile instruments for all the surgeries at Santiago de Maria.  We can't think of a better way we could have helped the hospital - and helped the needs of the community they serve.