As the Crow Flies

“As the crow flies…” is a great expression, probably a little bit overused in the US.  We don’t hear the expression here in Honduras very much. Primarily, I guess, because we don’t have too many crows. We do have vultures, “zopilotes” we call them, and they fly across the mountains with great ease. Perhaps that’s more the reason why the expression doesn’t get used that often here. It is just a little too depressing to think on how quickly a zopilote crosses from one mountain peak to the other, a matter of a minute or two, and then to think that the same trip takes up to an hour or two in a four-wheel drive pickup. It’s just a little bit too humbling to think that nature is that far ahead of human ingenuity. Here, the terrain and the elements of the natural world continue to present tremendous challenges to human dominance. Perhaps not so much in the US. Here, we prefer to not remind ourselves how much easier it is to be a crow or a zopilote.

View from Pinares Clinic
View from Pinares Clinic

The Frontera is a really small place, less than 700 square kilometers, smaller than El Paso, Texas. But, there are no straight lines and nothing is ever level. One goes north to arrive at a destination to the south, or up in order to go down. This counterintuitive travel is yet worsened by roads that would not merit the designation of a road in the US.  Steep volcanic mountains are breathtakingly beautiful, but living within them is hardly practical.
San Marcos de La Sierra is the first municipality that one encounters in the Frontera, driving south from La Esperanza. The road here is still at a high elevation and one doesn’t really see any evidence that people live here. Virginia Commonwealth University and Fairfax Family Practices have been coming to this area three times a year for many years. They were just here once again. We dropped them off at the school and clinic in Pinares and we came back about a week or so later to pick them up. If we didn’t know what they do while they are there, we might assume they just hang out and admire the tremendous vistas they are privileged to view. But we do know better.

Old Woman with walking stick
Old Woman with walking stick

Hiding behind those mountains, across ravines and beyond the treacherous slopes, are about 9000 residents. Few of them make their way to the health clinic. This is not surprising. They are poor, simple people. They have all they can do to maintain a small home and, if they are fortunate, a small plot of land on which to farm. They travel to a river for water. They collect wood for a fire to cook humble meals.  They battle daily with a harsh, unforgiving environment so that they can stay ahead of a mortality curve. They remain unseen, forgotten, abandoned, invisible if you will, except for the zopilote vultures that circle their heads. If anyone is going to know these people, if anyone is going to care for them, treat their illnesses, recognize their dignity, then it demands going to them. They can’t come to us.

VCU / Fairfax inside the clinic
VCU / Fairfax inside the clinic

We sometimes look naively upon a just response to inequity and poverty. It would be easy to sit outside the school at Pinares where VCU / Fairfax houses their service team and admire the beauty of majestic mountains. It takes insight, compassion, and even sacrifice to gain the view of a zopilote that flies beyond the mountains with ease. For the doctors, students, translators and volunteers, they brave the rough terrain to make their way to unseen, ignored people who live in poverty. They climb into the beds of pickup trucks, squished in among the bins of medical supplies, and bump along to destinations where most anyone would not dare to go. They stare down the cliffs as they go. They stop when they can go no further with a car because the road has fallen down the mountain. They sling their supplies over their shoulders and into backpacks. Then they walk. Perhaps even as they trek along, they wonder about this odd journey:  going south to arrive to the north, and up in order to get down. Then they finally arrive in a little village, a place mostly unknown. Maybe they look up and see a zopilote circling their heads. Perhaps they indulge themselves with a knowing smile.

Community Meeting
Community Meeting

This is how we discover people. We make our way along treacherous journeys. Once again, VCU / Fairfax has made their journey to reach a poor, forgotten, invisible people. The people they have met are happy and grateful for the encounter. For this journey, to have arrived to where the crow flies, everyone has been enriched.

A Gentle Breeze

We’re in the midst of our brigade season. We started February with UHMLA’s tremendously successful surgery brigade in La Esperanza. At the same time we welcomed the Brown / Wingate team to their clinic in Guachipilincito. Dr. Harris came a week early for that trip, and Dr. Tanksley has stayed on and will be there until May. The small MSHEC brigade, that I’ll speak about more, came just as the first two brigades were leaving. VCU / Fairfax / SAGE is presently working in Pinares. Board members and a whole bunch of good hearted individuals interested in assisting us in our education and nutrition missions are arriving this week. When they leave, we’ll transport our new mission partner, Ohio State University, to Santa Lucia for their generous medical mission. When they finish up, Wyoming will travel to their clinic in Agua Salada. That gets us finally to April, and Laura and I will finally breathe.

Health Fair at San Juan de Dios
Health Fair at San Juan de Dios

Don’t get me wrong, all of these people are incredible and they do incredible work. It’s just that we find ourselves a bit overwhelmed in February and March with the barrage of these groups. And where everything is new for all of them, Laura and I find ourselves doing the same things over and over for two months straight. It’s oddly ironic that this onslaught corresponds with the start of February and Groundhog Day. We pick up, transport, and drop off the various groups that all begin to look the same. We give them the same orientation, the same history of Shoulder to Shoulder, and when we answer the same question for the twenty-seventh time, we do our best to make it seem like we’ve never heard the question before, “Is it safe where we’ll be staying?” But these people have generous hearts, they are providing invaluable services, and just because things are commonplace to us, we need to be aware that these are once-in-a-lifetime experiences that inspire, enrich, and enliven those who come here and those whom they serve. We do our best to keep that attitude in the front of our minds. Still, we find ourselves yearning for the unique experience that can touch us as powerfully as it touches them and those they serve.

Dr. Kyle with a patient
Dr. Kyle with a patient

And how will that happen: with a lightning bolt, or by way of an earth shaking event? Elijah looks for God in the strong wind tearing apart the mountains, then in an earthquake, and then in a fire. God is not there, but God is found in a gentle breeze (1Kings 19:11-13). MAHEC came to Camasca and every afternoon they sat on our porch. Ostensibly, they came to use our internet that by luck is better than any internet available in the town. But for us, their daily presence was a gentle breeze that reminded us that there is a sweetness to life that should not be sacrificed for all the tremendous work that we are given to accomplish. It was an opportunity for us to find something much more profound than all the important work that we do. We became invested in coming to know a few very special people. It is the gentle breeze of friendship.

Braxton at the bilingual school
Braxton at the bilingual school

There were only seven of them: doctors Keith, Kyle, Winona, and Amy; the pharmacist Irene, the pharmacy student Melissa, and Amy’s 13 year old son Braxton (who spent his days at our bilingual school). They were humble and unassuming, four of them veterans to Camasca and the MAHEC brigades. They fit in to Camasca as if they were already residents and family of this town. Because they were so unassuming, it would be easy to forget the great service they provided. Every day they went off to the surrounding communities with Dr. Rolyn, the medical director for Shoulder to Shoulder here in Camasca, to provide field clinics and home visits for many who had not even seen doctors for years. They held a health fair in San Juan de Dios and that community received them with music, food, joy and appreciation. Braxton had a great time with the younger children at our school. On Saturday we brought  them to the waterfall just over the border in El Salvador. On Sunday, Laura joined them on the climb up the Cerro Brujo (Witch’s Mountain). But every afternoon, they sat on our porch, stretched out in a hammock, and watched folks pass by on the main street below our house; a gentle breeze that softens and sweetens life.

Mahec with friends at the waterfall
Mahec with friends at the waterfall

For Laura and me, MAHEC gave us a great gift by the ease of their presence. We want to thank them. For Camasca, MAHEC’s service was exceptional. But here too, I think it is the gentle breeze that will be missed. Amy, Winona, Keith, Kyle, Irene, Melissa, and Braxton are friends of so many here in this small, quaint town of Camasca. The only payment for friendship is friendship. It is not something achieved, but only enjoyed as a gift of the heart. I walk out on my porch every afternoon and I feel their absence. I smile to know that they will return again. The gentle breeze focuses me on what is truly important.

 

Is it a Miracle?

Brigade Surgery

The UHMLA (Unidad Hospitalaria Móvil Latino América) has completed its second, successful surgery brigade in La Esperanza, working collaboratively with Shoulder to Shoulder and the hospital HEAC (Hospital Enrique Aguilar Cerrato). They’ve made me think about miracles. At least initially, my consideration of miracles had nothing to do with the incredible work they did. Laura and I met up with them at their hotel in La Esperanza on their second night, the night of the Super Bowl. They, mostly from New Jersey, were expressively routing against the New England Patriots. Laura and I are from Massachusetts; therefore Bill Belichick and Tom Brady are practically members of our family. For three quarters they were gloating big time, while we, with nothing more than a field goal, a touchdown, and a missed extra point, suffered their premature celebrations. Of course, you know how it turned out. It got me thinking about miracles.

Julian Edelman, Keanu Nealm Ricardo Allen

I don’t believe in them, miracles that is. Life is too rich in its ordinary unfolding to wait upon supernatural interventions. But I do believe in the extraordinary. I believe that when people come together facing seemingly immovable obstacles; when they focus their talents, energies and wills on achieving something good; when they refuse to be thwarted by the refrain “that’s just the way things are and you can’t change it;” then the seemingly impossible happens. If you choose to think of that as a miracle, well so be it. I just prefer to think of it as the best of who we are, the unrealized potential of the human spirit when we act towards one another with compassion and in justice. This is what the UHMLA surgery brigade accomplished. They too made an unbelievable Super Bowl catch, and the seemingly impossible became a reality.

UHMLA Super Bowl Party
UHMLA Super Bowl Party

Shoulder to Shoulder and the hospital had candidates prepped and lined up for their surgeries before UHMLA ever arrived. But on Sunday, their first day for pre-op and screening, hundreds more arrived. There are heart wrenching stories here of people who have been living with pain for decades. For so many reasons, they simply can’t get the surgeries they need. So they lined up at the hospital. If you’ll forgive me a reference to the bible and a well related miracle –  “Here is a boy with five small barley loaves and two small fish, but how far will they go among so many? (John 6.9)” To see so many people with such intense need, but to lack the resources to respond, the members of the surgery team felt disheartened and overwhelmed. The task they faced was certainly impossible. Still, they committed themselves. They worked every day they were here from 7 AM to 9 PM with little rest. At the end of it all, the impossible happened.

Dr. Rolando Rolandelli, Mercedes Rolandelli, and Dr. Rene Ratliff
Dr. Rolando Rolandelli, Mercedes Rolandelli, and Dr. Rene Ratliff

Don Jeronimo, a 70 year old war veteran who had lost his arm in battle, suffered a hernia. He walked to the hospital from a neighboring town because he did not have the bus fare. His surgery was scheduled for Tuesday. He would not have enough money to go home and return. We put him up in a hotel along with another couple in a similar circumstance and asked them to watch out for one another. All three arrived for their surgeries on Tuesday. Another woman in her fifties came with a full uterine prolapse. The gynecologist on the brigade made her a top priority. The smile on these persons’ faces, having lived so long in pain and discomfort to have now found relief, was sufficient compensation for the brigade.

girlforstates

This little girl is seven years old. She is full of life, but a birth defect has left her incontinent and her body is unable to retain sufficient nutrients for her to grow. The surgery she needs is complex and can’t be performed locally. Dr. Rolando Rolandelli has committed to bringing her to the US.

womanwith thanks

This woman had her successful surgery last year. She heard about the brigade coming back this year so she returned in order to thank them. Good job!

boywithskintag

Dr. Susan Kay taught one of the local doctors, Dr. Mario, how to remove this boy’s growth on his face.

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Incredible things were accomplished during this surgical brigade. Miraculous? Well, for those who lived with conditions they imagined they would die with, perhaps the term fits. Yet, with good-willed, determined individuals coming together out of a compassionate and just response, working aside Shoulder to Shoulder and the talented social services doctors and medical professionals at the hospital, I prefer to think of it as overcoming the obstacles and making the impossible happen. Thanks UHMLA for your talent and dedication. We look forward to more amazing catches at the Super Bowl.

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  • Stories provided by Kate Clitheroe, consultant for Shoulder to Shoulder and aide to the surgery brigade.
  • See more photos and stories of UHMLA on their Facebook page.
  • Learn more about UHMLA on their website.