Category: Brigades

I have written a blog for every one of the brigade groups that have visited us in Honduras since Laura and I came to Shoulder to Shoulder almost three years ago. First, I think it is the least that we can do to celebrate and thank these groups that offer so much in the ongoing presence and mission of Shoulder to Shoulder. Second, I take some personal pride in being able to do this. But, on occasion we have not been as present to the brigade groups as we would like to be. That, unfortunately, was the case with the Virginia Commonwealth University / Fairfax Family Practice Centers / SAGE who were recently with us at their clinic in Pinares, San Marcos de La Sierra. Laura and I took a short vacation to the United States the day after they arrived.

We were fortunate to spend some time with the group on their first night in a hotel in La Esperanza. But we were off very early the next morning to catch our plane while they headed in the opposite direction to serve the people of Pinares. We had opportunity to speak with some of the leaders of the brigade about their ongoing work in Pinares. We are excited and encouraged by the continuing plans SAGE has to service the people of Pinares in development work even when the brigades are not here.

I don’t have much more to report other than what has been related to me by others. Jett is the pharmacist who has now come to Pinares twice with the group. The photos that you are enjoying have come courtesy of him. He was gracious in offering them to me, and as I asked him how the brigade went, he reported, “This brigade was certainly fantastic. The providers and students showed that a real team based healthcare system can work and that it can benefit any community.” This is certainly always true of VCU / FFPC / SAGE. There were a lot of teenagers on this trip, acting as translators and volunteering with the children. They seemed to bring a youthful spark to the activities. Jett’s photos certainly suggest that the smiles and laughter accompanied the brigade and extended to the children and families.

Edman, our Brigade Coordinator, shared with me that the brigade went well. Because I know them so well, I’m sure it was true. Still, Edman also shared that it rained constantly. Well, it is the rainy season and we get even more of it in this part of Honduras than others. The rain might have dampened the grounds, but never the spirits. Perhaps it even made some roads impassable by vehicle, but not by foot. It couldn’t stop VCU / FFPC from getting to where they were needed most, even when it took them three hours of hiking. It couldn’t stop their enthusiasm, and it certainly couldn’t stop the laughter and joy the group always creates.

Thanks for coming. We’ll be sure to be here when you come again.

photographs courtesy of Jett Nymann Paraoan

 

The boys had been there all day long; three scruffy looking kids, probably 9, 10, or 11, years old, inseparable, taking in all of the unique goings-on. The Americans had come to their small village of Matazanos and had set up their health clinic at their school. The Maine Dartmouth Family Medicine Residency program and Long Island University, School of Pharmacy, had teamed up for the third year to offer medical services in and around the municipality of Colomoncagua. This would be their last full day of their trip, and Laura and I had tagged along with them. It would turn out to be a most successful day, seeing over 100 patients in this very remote area.

Matazanos is one of these tiny villages splattered all over the remote area of Southern Intibucá, never far in distance from the central municipality, but always a memorable trip. We took two pick-ups. With the team, the supplies, and the translators, the cabs and the beds of the pickups were packed tight. As we wound along the narrow, rutted out, washed out, muddy pass, I would hear whoops and hollers from the passengers in the bed as we slipped into a rut, climbed steeply up a hill, or passed under branches.  The road is here for the occasional truck — never a car — that has to bring something in or out of Matazanos. The locals walk trails that are more direct, and probably in much better condition. In any case, the less than seven mile journey, even less on a straight line, took us about forty-five minutes before we reached Matazanos at the end of the road.

We arrived at the school, first through sixth (they were building the kindergarten), to a throng of children who, thanks to us, had the day off. The group panicked at first, thinking they needed to see each of the kids. But that would not be the case, they’d only see the kids who had health complaints. About mid-morning, all the kids got treated to a yoga session where they got to stretch like the mountains, the sun, cows, dogs, and cats, and make wonderful sounds. It was great exercise, disguised as a fun game (or perhaps a fun game disguised as a great exercise). The kids loved it.

I kept noticing the three young boys. They played in the yoga game, and loved it. Unlike the other kids who wandered in and out of the school, these three hung out all day long and seemed to be having the time of their lives.  At one point, the three of them were lined up with their faces pressed against the bars of the window to one of the classrooms. Inside, the pharmacists and the pharmacy students were preparing the medications for the providers’ prescriptions. They were reading books and using apps on their telephones to understand the medications. The young boys had never seen anything like this. For them, it was the magic of alchemy. The Americans might just as well have been performing brain surgery.
Around lunch time I got a couple of minutes to speak with them. Their first question to me was where I and the visitors had learned English. I don’t think they understood when I answered that English was their first language, just as Spanish was theirs. As we were packing up, the boys were finally getting ready to leave. I got a few more minutes with them. I learned their names and a few other things. They wondered what the United States was like, but they had absolutely no context in which they could understand. All three of them had traveled to Colomoncagua (a one hour walk) which, for them, was the city. Though one of them had been to Camasca (a 45 minute car ride), that was as far as they had traveled. None had ever been to La Esperanza, the one place in the whole area that actually could qualify as a very small city. I asked them what they hoped to do when they grew up. They answered by way of their experience – they wanted to be farmers. I asked about being a policeman, or even a doctor like the ones they were seeing today. They giggled, such a fanciful idea from the strange gringo.

Their worlds are so small and their opportunities so limited. They will not go to school beyond the sixth grade. They will never travel beyond a ten to fifteen mile radius. But, oh boy, do they have curiosity! And I wondered who would ever nourish that curiosity? Who would ever help them to give some form to unfocused dreams? I0n a sense, Maine / Long Island gave them a great gift today:  the ability to catch a glimpse of possibilities. Perhaps it is only a moment, a passing entertainment; something like taking a peek behind the tent at a traveling carnival. Still, isn’t there a great deal more hidden in the curiosity of young children? Maine / Long Island opened a door, and beyond the door, an unknown world. Perhaps if Maine / Long Island continue to come and build relationships (they already have and they have every intention of continuing), one of these boys, or any number of the children who come to know them, may find a new road.

Curiosity is a powerful thing. It won’t be satisfied or stifled. It is, of course, what causes many from here to dangerously cross borders and arrive without documentation or permission in the US. But curiosity, well-formed and given proper context, yields discovery and invention.  Maybe, with the help of persons of integrity and generosity, such as those from Maine / Long Island, some of their curiosity and their dreams will flourish into new life.

It’s been a particular long and challenging brigade season. From January 7 through March 26, 2017 we have given welcome to six separate medical teams onto the Frontera. Apart from these official medical brigades, we have also hosted two groups traveling with our board president, Wayne Waite, who came to strengthen and extend our education mission, as well as a couple of special visits. During that period, there has only been about ten complete days when we were not hosting visitors, about 100 of them in all. We pick them up at the airport and transport them from there to here and all around. We make sure they have hotel rooms, tents, mattresses, mosquito netting, or at least a stretch of ground upon which to sleep. We provide them translators, or we sometimes are their translators. We make sure they have food to eat, beverages to drink, and guard against a Honduran microbe that might make them ill. We see to it that their journeys and the services they perform are meaningful for them and for us. It’s a lot of work. And so, when the Wyoming / Agua Salada brigade flew back to the States on Sunday the 26^th, we did breathe a sigh of relief to know we wouldn’t host another brigade until the last week of May. Still, it’s a bitter sweet feeling. Yes, we will have a little more time to rest, but we will also miss our friends.

Wyoming is the best example. They were the first brigade that Laura and I met when we took our position with Shoulder to Shoulder in November of 2014. Linda, the leader of the Wyoming brigade, was there then and she has been on every brigade since then, a total of six trips. Though we’ve never been to her home in Wyoming, she’s become a dear friend. The same for Ron, the doctor, and Larry the dentist, who so often travel to the small community of Agua Salada.  It’s sad to see them leave and know we have to wait another eight months for their return. We will miss them. They too, I think, will miss us.
They really can’t be called visitors anymore. There is too much familiarity. Linda, like the student that sits in the same seat in her classroom, sits on the same seat on the bus for the six hour trip to and from the airport every time.  And she scurries every time she arrives in Agua Salada so that she can place dips on her favorite place to sleep. On this trip, Ron introduced me to a man for whom he removed a skin tag from his eye years ago before the clinic was even built. Larry extracts hundreds of teeth on every trip, but on this trip he proudly announces that a few patients are asking him to save a tooth rather than simply yanking it out. This is progress — a result of years of working to change a cultural understanding of dental hygiene. Larry is also intimately familiar with the septic system at Agua Salada. It doesn’t work so well, and there is nothing that will breed familiarity better than intimacy with a broken septic system. They don’t live here, to be sure. After a week or ten days, they fly off again to homes in Wyoming, very far away from Agua Salada. But they don’t really qualify as visitors anymore. When was the last time you sent your dinner guest out to unclog your backed up toilet?

But this is what makes this service of Wyoming so special and effective in terms of a mission of development. There are a lot of brigade groups that come to Honduras. There are companies here that serve their every need. Like Laura and I and Shoulder to Shoulder, they pick them up, provide for their transportation, housing, and food, and present them to communities where they perform their services. But it is the differences between those companies and us that are striking and telling. First, that’s all they do. They have no medical mission apart from the groups they host. They have no relationships with the towns and the people they bring the groups to. The groups they bring are not committed to the people they serve. They see them once, they pull some teeth, give out some Tylenol and anti-parasitic medicine, and in one to two weeks, they are flying back to the States. This is not a bad thing to do. It’s definitely valuable service.  But, in the end all they are is visitors. Visitors are not invested, and because they are not invested, the work they do is not transformational. There is no development. Wyoming, on the other hand, comes home to Honduras. That is what makes the difference.

Larry recognizes a change in the sense of dental hygiene only after years of attempting to teach people the value of good, dental care. Ron sees a man year after year who he was fortunate to once remove a skin tag from his eye and give him better sight. Linda knows the parteras (midwifes) well enough to ask them about the children they have brought into the world. She hosts a luncheon for them. They share their stories. The eighty-six year old midwife, who has been one since she was fourteen, tells how she has never taken a payment for her work. Instead she explains to the group how after the birth, she does the laundry and cooks the meals for the mother who needs rest. Linda, well familiar with this woman’s life journey, asks her how she involves the father in the birth of the child. Then something truly incredible happens. The eighty-six year old midwife takes the role of the husband. A student takes the role of the mother.  The student taking the role of the mother sits on the midwife’s lap, who encloses her in a tight embrace. It makes us all laugh. But we see how it takes commitment and embrace to welcome life into the world.

If they were visitors, none of this would happen. Trust, dignity, and an abiding understanding of the worth of relationship is what engender development. The students that come are indeed visitors. They are there for the first, and frequently only, time. They learn techniques in the administration of medicine. They learn about the challenges of providing health care in a developing, resource challenged area. But they also learn that without an abiding commitment and the dignity of relationship, its value is limited to the effectiveness of a single intervention. But health, well-being, and development:   these things require that you take the time to become comfortable in someone else’s home. These are the things that Wyoming brings to Agua Salada.

Wyoming —  welcome home wherever that may be.