A Dental MASH Unit in Gwo Jan

While on leave in the United States, Dr. Trey Wilson ordered some dental supplies for Joseph Antony, one of the Haitian dentists who participated in the Tabasamu dental clinic and T3 training in May. I brought them back with me and called Joseph to schedule a time for him to pick them up. When he stopped by, Joseph mentioned that he was organizing a dental clinic in Gwo Jean during the third week of August. He had brought a beautiful young woman with him, Falide, who was also a dentist and his girlfriend. I was thrilled about the dental camp in Gwo Jean and asked if I could be of assistance. We decided to meet the following week and finalize all the details.

Joseph had already done most of the planning for the clinic. I made a few suggestions and offered to help on the first day. The only remaining concern was transportation (Surprise! Surprise!). I offered to contact one of the drivers who drove to Gwo Jan on a regular basis. However, Joseph assured me that he was pursuing some options.

In the course of the final e-mails the week of the clinic, I learned that the clinic was going to be held at St. John the Baptist Catholic Church. I envisioned providing important dental care amidst pews and altar, truly sacred space where God was laying his healing hand upon those who required it.

The first day of the clinic arrived. I had done all the necessary shopping, including the purchase of an Igloo and cooler (not easy commodities to find in Haiti!) and was ready to be picked up. Joseph’s friend had been unavailable to drive, so he secured a tap tap driver. I wondered if this driver was actually familiar with the final road to Gwo Jean- a decidedly steep and rocky climb. However, I decided to keep my thoughts to myself. As was the case with the reforestation initiative, we found ourselves about ½ to Gwo Jean when the chauffeur pulled over and began to negotiate for a higher wage. At this point, he argued that he had not been aware of the distance. His attempts failed and, soon, we were back on our way. As we made the arduous ascent to Gwo Jean, there were another 2-3 occasions when the chauffeur stopped and groused about the condition of the road, the challenge to his brakes etc. Ultimately, however, he continued to drive us to our final destination. He backed the tap tap up to a little incline to the left hand side of the road. A small group of volunteers appeared and, as we unloaded the supplies, willingly took items and started to walk up the hill. I was a little surprised that there was no road access to the church. However, I folded in and went along with everyone else, taking pictures along the way.

As we arrived at the crest of the hill, I saw before me not a bricks and mortar structure but, rather, a mission church created from woven palms and supported with small tree trunks. I had to laugh- I had lived in Haiti for 9 months and it never occurred to me to ask about the physical construction of the church. Silly me, I should have known better!

In approaching the church, I could see that the right front corner had been designated as the operatory. Volunteers had already created a sterile space with sheets. They had also placed a sheet over that section of roof to reduce the intensity of the sun’s heat.

Before Joseph and Falide set up the operatory, we added a second sheet to the ceiling. Though it was only 9:30 a.m., the sun was already beating down on the church. Joseph also switched out one of the sheets on the back wall for a sterile covering typically placed over a patient during surgery. Joseph and Falide unpacked and organized all the instruments and set up the collapsible dental chairs. Simultaneously, the registration volunteers reviewed the list of patients and created additional numbers for “walk-ins”. Within about 30 minutes, we were ready to see the first two patients.

Before receiving those patients, Falide stepped outside of the operatory and made some introductory remarks. I beckoned Joseph who introduced himself and shared a few details about the schedule for the day. I was taking pictures during their presentation. When they had finished speaking, the three of us started to re-enter the operatory. An older gentleman shouted out something in Creole. Joseph apologized and told me that the man wanted to know who I was. They introduced me and then it was time to begin.

My responsibilities included sterilizing instruments, providing patients with bibs (paper towels) & cups of water for patients and disposing of cups filled with spit. At the end of each cleaning and/or evaluation, I presented the patient with a toothbrush and two instruction sheets, translated into Creole, on how to brush teeth and general dental hygiene. Of course, I also documented the day with lots of pictures.

Around noon, a 3rd dentist, Francois, made the scene. He had spent the morning in his clinic at the hospital in Pernier. He would now spend the afternoon volunteering with us.

Despite the cramped quarters, everyone honored their own space and the operatory remained remarkably sterile. I kept thinking of “MASH”, one of my favorite movies and TV series. This experience gave me a glimpse into what it must have been like to offer medical care in what some might define as a “hostile environment”. Though the setting was rustic, the atmosphere was anything but hostile. There was a true sense of partnership and teamwork. Laughter and lively conversation filled the operatory. There was also important care given to each patient, including counsel on ways to improve their oral hygiene and more complicated dental issues that could not be addressed during this particular clinic.

Just before the last two patients, around 3:30 p.m., we took a break for lunch. The timing was perfect, as I was starving. We all ate quickly and then Joseph and Falide treated the final patients. We packed everything up and left most of the supplies in Gwo Jean for the next day. The tap tap driver arrived, loaded the few things we were taking to Port au Prince and we headed home.

It had been a good day. We treated about 20 patients. We might have treated more if we had not charged them. However, we felt it was important to set a small fee for the dental care that they received. This also helped to offset the cost of the program. Joseph and Falide treated about the same number of patients the next day. Since then, word of the quality care that the patients received has spread and there is a cry for a second clinic in Gwo Jean. Joseph, Falide and I hope this can happen in the next couple of months.

Joseph, Falide and Francois represent the wonderful spirit of Haitian people and the incredible ingenuity and determination of their generation of young professionals. I think it is very important to encourage their commitment and vision, for they are truly the future of Haiti. Joseph, in particular, has a contagious energy and important understanding of the need to lend a hand to serve the underserved while pursuing one's professional dreams. It is a joy and blessing to work with Joseph and all the special young adults that he brings to his initiatives.

Meeting Milhous Rabel in Thiotte

Today’s technology has revolutionized the way we interact and also the capacity to connect and re-connect with others. When I prepared to depart for Haiti, Hannah Powell, one of Trinity’s youth group members, urged me to establish a blog and get on Facebook. I took her advice on both and, through these forms of electronic communication, I have met new people and had others long since absent return to my life.

My 35th high school reunion was last April. A member of my class set up a Facebook page and, within a very short period of time, names and faces of people who I hadn’t seen or heard from for over three decades, began to surface. It was wonderful. Along with this pre-reunion reunion came a string of old photographs that prompted all kinds of great memories and much laughter.

Since I was not able to attend the reunion, I sent a message to my fellow classmates, sharing a little bit about my work in Haiti and letting them know that they would be in my thoughts and prayers as they came together. This e-mail prompted a response from Jeannette Pittman. Now living in England, Jeannette sponsors two children through an organization called ActionAid (www.actionaid.org). One of these children is located in Rwanda and the other in Haiti. When I learned this, I let her known that I had visited a child in Nairobi, Kenya sponsored by the sister of a friend of mine through another organization. I offered to visit Jeannette’s child in Haiti. I explained that, in such cases, the sponsor needed to make the request of the organization.

Jeannette was excited by such a prospect and said that she would contact ActionAid. Some time passed, during which Jeannette sent a couple of e-mails to me expressing diminished confidence that this was going to happen. Eventually, though, she did receive a response from ActionAid and, almost simultaneously, so did I.

Edithe Mathieu, Sponsorship Junior Officer in the ActionAid Port au Prince offices, became my contact. She was extremely efficient, both in terms of communication and also making all the necessary arrangements. We began the planning before I departed for my leave in July. I learned that the little girl’s name was Milhous Rabel. She was 9 years old and lived in a town called Thiotte. Thiotte is in South Haiti, about 3 ½ hours from Port au Prince. It is the #1 producer of coffee in Haiti and about a 2-hour drive from the border of the Dominican Republic.

As I investigated transportation options, I learned that a journey from Port au Prince to Thiotte required changing buses three times. Since I was not familiar with this part of Haiti, and still somewhat limited in speaking Creole, I decided that this was not viable for me. I contacted Edithe and asked if someone from ActionAid might be traveling to and from Thiotte and could give me a ride. She responded by saying that round trip transportation would be provided by ActionAid. As a result of the distance and the length of the visit with Milhous, Edithe said that we would spend the night at a Guest House in Thiotte and return the next morning. We set the date for August 18.

Time passed quickly and, soon, I was back from leave and ready to finalize the details for the visit with Milhous. ActionAid does not endorse having a single child receive gifts or benefits over and above others. Along with Milhous, I would meet with 9 other children. I was invited to sponsor a pizza and ice cream lunch and/or bring small gifts for all of them. I chose to do both.

August 18 arrived and I was picked up by Edithe and another gentleman. I quickly learned that we needed to purchase the ice cream and pizza in Port au Prince. It was another reminder how much Americans take for granted with regard to easy and immediate access to virtually all things. We picked up the ice cream at one of my usual markets, Piyay National. Then it was on to Epidor for two large home made pizza pies.

Once we had the essential items for the party, we began to creep our way out of Port au Prince and through Croix de Bouquets (the home of Haiti’s beautifully crafted iron art) during the morning traffic. After Croix de Bouquets, the road started to open up. After we drove past Fon Parisien, the rest of the trip was going to be uncharted territory for me. And uncharted it was. I have traveled on some pretty bad roads in Kenya, Guatemala and Haiti. However, this trip was, without a doubt, on the worst roads that I have experienced.

The balance of the drive was filled with narrow paths of rubble, up and down steep mountain, around hairpin turns and down into valleys, all with enough jockeying and bouncing to destroy the best of shock absorbers. Guard rails are almost non-existent in Haiti, so one was keenly aware that one sudden swerve or slip of the tires and you might well find yourself down a mountainside. One is particularly aware of this when a large truck on tap tap passed by. Thankfully, our “chauffeur” was an excellent driver.

Amidst the “adventure”, I saw the greatest spectrum of landscape-vast expanses of land devastated by deforestation and a major flood in 2004, resulting in miles of boulders and other rock where a small river and various communities once stood; a beautiful pine forest; exquisitely terraced farms; and lush, almost jungle like areas representing the heart of the coffee business.

Once in Thiotte, we first visited the regional offices. We were greeted by officials of both ActionAid and their national partner CROSE. A lovely snack of boiled eggs, fresh bananas, bread and coffee were provided. Within about 20 minutes, we were off to meet Milhous and the other students.

As we approached the school grounds, there were two brightly painted buildings, one to the left and the other to the right. In the center, there was a large tree providing significant shade. Under the tree, we found Milhous, her parents, the other 9 nine children and about half a dozen adults seated and patiently waiting.

I was first introduced to Milhous and her parents. Milhous wore a beautiful cream-colored lace dress. Her parents were also impeccably dressed. It was an emotionally charged moment for me as I became the conduit through whom Jeannette was linked to Milhous and her parents. I fought back the tears and joyfully shook their hands. I then greeted the rest of the children and adults.

After introductions, we began to serve the pizza and the ice cream, still surprising cold, to everyone. The children were incredibly well behaved, each patiently waiting to receive their serving.

Following their snack, I distributed a few gifts to each child: a beenie baby, box of crayons, pencils and 3 toothbrushes. Given my involvement with Tabasamu, I always try to provide toothbrushes wherever I visit. The children seemed to like everything. One little boy received a bright yellow duck for his beenie baby. He clung to it all afternoon, even in the group pictures. Edith Evans, my mother-in-law, had donated the beenie babies. Her loving gesture brought great joy to the lives of these children.

Since I provided dental instruction sheets in Creole, I was asked to do a small presentation on good dental care. The children were attentive, though clearly the length of the day was beginning to effect their energy level. As so often happens in Tabasamu programs geared for children, the adults who were present seized the opportunity to ask their own questions.

At the end, I asked if there were any other questions that the group had for me. Milhous’ father asked if it was possible that Jeannette might visit Haiti some day. I explained that she lived in England and that it might be difficult. I was then told that I was the first person to visit a sponsored child in Haiti. Perhaps those who are reading this posting, and who sponsor a child through ActionAid in Haiti, will consider making a visit. It was certainly a blessing for me and was clearly meaningful to Milhous, her parents and the broader community.

Following the dental program, everyone assembled for group photos. Then it was time to say goodbye and head to the micro finance coffee business. The coffee company has been in existence for several years and exports coffee to various countries, including Japan and the United States. This enterprise not only provides income to sustain ActionAid’s regional programs, it also offers employment to a significant number of parents of the sponsored children. It was an impressive operation and a wonderful example of local business supporting community development.

We left the coffee business and headed to the Esperanta Guest House, stopping briefly to purchase some of the wonderful coffee that we had witnessed in production.

Esperanta was a lovely multi-room guest house, which also hosts banquets, weddings etc. We checked in and had time to relax a bit before dinner was served. Given the altitude, the air was delightful. I sprayed the tops of my sheets and the balcony doorway, so that I could keep everything open.

Dinner was delicious-rice, beef with sauce, plantains, salad and fresh juice. After taking a shower, the rest of the evening was spent catching up on a few e-mails via my BlackBerry and reading Mountains Beyond Mountains.

Breakfast (classic Haitian spaghetti with ketchup & fresh juice) was served at 7 a.m. the next morning and we were on the road by 7:30 a.m. Edithe and the chauffeur were quite gracious in allowing me to request a stop whenever I wanted to take pictures. I took full advantage of their kindness, particularly in the forest and in the area of the terrace farming.

When we returned to Port au Prince, Edithe took me to the central office. She provided me with a full tour that ended in the sponsorship office. I completed the visit evaluation form on line and, as I got up to leave, was presented with a lovely collection of ActionAid gift items. The straw hat and the travel first aid kit would definitely come in handy! I thanked everyone for all of their efforts in making this memorable trip happen, especially Edithe. Then Edithe and the driver took me home.

Sometimes we think the world is very large and disconnected. My visit to Thiotte brought three countries together- England-Jeannette’s home; the U.S.-my home and Haiti. It took a team effort to make this amazing encounter take place. And, for a brief time, the world became very small.

Haiti should take care of disabled children - Editorials - MiamiHerald.com

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