Dr. Dale's Reflections

Dr. Dale Heisinger recently sent us some reflections on his experience in eight of our PeaceHealth Missions.  Dale is both a great pediatrician and a kid magnet - it helps to look a bit like Santa Claus, no doubt.  Here's what he has to say:

I must admit that I was at first somewhat apprehensive about going to a 3rd world country, but those fears were laid to rest very soon after meeting Kathy and Sister Eleanor.  Their organizational skills and the thoroughness of their preparation laid to rest any fears that I harbored.  The change in leadership from Sister Eleanor to Sister Susan, and now to Darren Streff did not in any way deter from the integrity of the Mission.  

Each trip generated wonderful memories of encounters that forever left their mark on me. The cultural differences between El Salvador and the United States are stark, but the contacts with the people showed me how closely as human beings we are all connected. Salvadorans are a warm, compassionate people who were so appreciative of our being there; many shared gifts that were modest, but given with such sincerity that they remain some of my most treasured possessions.  

I saw many disorders that were rare in the US and many that were medically challenging. For instance, parasitic disease is rampant in the children since the water is untreated, and exposure to cooking smoke generates prevalent reactive airway disease.   I frequently saw GI illness due to poor sanitation and many skin conditions (mostly infection) because of lack of hygiene.  And there were those cases of rare diseases that were quite challenging; i.e., congenital hypothyroidism (cretin), undiagnosed encephalocoele, retrolental fibroplasia, SLE, arthrogryposis multiplex congenita, and the list goes on.

All of us who participated came away from the mission better global citizens, perhaps more compassionate about the international human condition, and appreciative of the strength and courage of people who endure in conditions that most of us have not seen nor experienced.  In addition we developed an appreciation for cultural diversity and learned to practice medicine with limited resources and lack of support diagnostic services (imagine, no access to MRI, etc.!)  For many, it was a spiritual experience. I feel strongly that all of us who practice medicine from every discipline should participate in international medicine….all will be better human beings for doing so.  

And for those skeptics who feel that we really can't do much with such compromised infrastructure, and lack of services I would counter with a statement from Sister Margaret Jane Kling whom I met in El Salvador:  I had told her that I wasn't sure that I did very much to improve the health of the people, to which she replied:  "it isn't what you do, it's who you are."

Moving Days

On Monday, with the help of two big trucks and four hombres plus Darren, we moved the contents of the Suchitoto house to the new PazSalud base house in San Salvador.  That was a lot of stuff!  Fourteen years of PazSalud, and beyond the tubs full of mission medications and equipment, we've accumulated a small mountain of kitchen equipment, books, bedding, etc.  Especially etcetera... mosquito nets, flashlights, a tub of red curry paste, a potato masher....

Then we got down to San Salvador and los hombres unloaded the lot, while I stood in line for Chory hotdogs for all.  These are a Salvadoran speciality, 80 cents the hotdog, and it was great fun to watch the cook do his elaborate dance - bun from the steamer, open, squirt ketchup and mayo, hotdog from the fryer, top with onions, curtido, and more ketchup and mayo, bag up, add napkins, take payment, wipe cart, next.  He worked so fast and so energetically, and I can imagine for what small earnings.  He made our 17 Chorydogs (three for each of the guys and two for me) in about 5 minutes; with six Cokes, the total was $18.30.

And now we're unpacking.  Fortunately the new house has more built-in storage than I have ever seen anywhere in El Salvador.  Or perhaps it's fortunate - Darren is a bit horrified at the sheer amount of stuff that is now occupying that storage.  I trust that in time the duplicates will find new homes and Darren will feel free to simplify the household.  Here's the kitchen in progress:

But for a more serene view, here's St. Francis presiding over one of the patios:

Along with all the moving, we've done a lot of official business. Darren is heading out to the airport to pick up Kathy Garcia, and we're beginning to get ready for the Open House on Saturday.

And then, on Monday morning early, I'll head for Seattle.  Hard to believe.  I think it's going to take me quite a while to catch up with myself.

- Susan Dewitt

Winter Green

I left El Salvador early in May and it was still summer, aka the dry season, though a few scatterings of rain had fallen.  Everything was dry and looked dry: dry brown grass on the sides of the roads, trees with few leaves or none (though many trees here are green year-round), bare and burned patches that would become milpas of corn and beans or hectares of sugar cane.  Dry, hot, smoky...April is most everyone's unfavorite month here.

I returned in June and it's winter - invierno - which means the rainy season here.  All the roadsides are bursting with thick green grasses and the horses and cattle are staked out to take advantage of the free salad.  Most, like this white horse I met along the road to Suchitoto, have ribs showing from the scant provender of summer, but soon they'll fatten up.

As always, the rain falls mostly in the late afternoons and evenings, so the mornings are available for drying clothes, walking, enjoying the coolness that follows a rainstorm.  When it rains the heavens open and a temporary river roars down my street (which is why our house is about 4 feet above street level), waterfalls gush from the stairs to our upstairs deck, all the plants rejoice and all the humans head for shelter.  Everything, everything gets soggy - even crackers supposedly completely wrapped in plastic.  Often, out here in the country, the lights go out, as they did the other night, for 3-4 hours and there you are, enjoying the rain by candlelight.  It's a wonderful time, the font of life here, the green winter.

- Susan

Tumultuous Times

This past month has been absolutely wonderful and - at the same time - somewhat terrible. 

Wonderful: I spent an amazing four days seeing the best of Ireland with Sr. Andrea Nenzel.  Our hosts, Joy and Michael Moore, turned themselves inside out for us, and shared their family stories and histories as well as the sights with us. 

And wonderful: Ireland was followed by our Sisters of St. Joseph of Peace Contemplative Retreat in Loughborough, England - the last of the three Contemplative Retreats, and an amazing experience of gathering ourselves as a community to take what our facilitator, Sr. Nancy Sylvester, calls "a long, loving look at the real.-

And wonderful: I got to spend time at St. Mary-on-the Lake in Bellevue on either end of those travels - time to visit with the Sisters and with my sister, time to pack up for my July move to a community house in Seattle.

And wonderful: while all this was going on, Darren had located the perfect base house in San Salvador, with plenty of space for all our tubs and equipment, and even for a few guests.

And wonderful: Darren flew north for meetings with PeaceHealth and we had an excellent meeting with our El Salvador Advisory Group, got many details straightened out, and continued what's been a great experience of transitioning from me to Darren as our in-country Coordinator.

But somewhat terrible: I came back to the northwest in early May barely breathing.  Seemed that my bronchial stent had become completely plugged.  Fixing that required two rigid bronchoscopies (full anesthesia), the first followed by a night in the hospital.  Breathing got better, then worse again, and not long after my return from England I ended up in another hospital with a pneumonia diagnosis. 

Now, thanks be to God, things seem to be mending.  I'm breathing well, I'm headed back to El Salvador on the red-eye tonight.  For the next four weeks, we'll be busy moving to the new San Salvador house - and I'll be connecting with as many friends as possible.  It's another whirlwind, and there's even a few days in Cartagena, Colombia tucked into the mix (a visit with my niece Carol and her husband Gus Aponte)....  It should be wonderful, but I imagine quite a few tears may also be shed.

-  Susan

Welcome

Welcome to PazSalud in El Salvador, our new blog for PeaceHealth's El Salvador Health Mission!  We'll be posting about life and work and mission in El Salvador as we carry the Health Mission forward.

PeaceHealth and the Sisters of St. Joseph of Peace have been connected to El Salvador since 1985, when Sisters Andrea Nenzel and Margaret Jane Kling accompanied refugees, providing an international presence in the Calle Real Refugee Camp.  In the late 1980s Sisters Eleanor Gilmore and Margaret Byrne worked with Jesuit Refugee Services to help wounded civilians get health care. 

The El Salvador Health Mission began in 2000, when Sisters of St. Joseph of Peace Eleanor Gilmore and Grace Didomenicantonio moved to San Salvador to coordinate the work of volunteers from PeaceHealth.  The mission's first volunteers helped with emergency medical assistance following the devasting earthquakes of 2001. 

As the Health Mission in El Salvador evolved, PazSalud began to offer regular opportunities for PeaceHealth staff and Sisters to participate in general medical missions, eye screenings, and eye surgeries.  Our assistance to the communities we serve has expanded to include followup for special cases, a water filter program and community education.

And we continue to evolve with Kathy Garcia, PeaceHealth's Director of International Missions, with Darren Streff, PazSalud's new In-Country Coordinator, and with Sister Susan Dewitt, Communications Assistant.