Never To Be The Same

If you follow these blogs you will know that the last blog featured MAHEC’s five person brigade in the small community of Camasca. They did excellent work, but their presence was subtle. Shortly after they left, Dr. Brent Burkey and the brigade he put together from Cleveland Clinic and Christ Church arrived in the same community of Camasca. This brigade was anything but subtle. When they agreed to add seven pharmacy students from the University of Michigan, the brigade totaled 34 persons. In this little town of Camasca, the presence of 35 North Americans speaking English does not go unnoticed. The 34 managed to stay at a church in the center of town, but the translators they hired needed to be housed in local homes. For the ten days they were here, Laura and I had a lot of fun just walking into the town and seeing them. They were all over the place, walking about in small groups, hanging out in the central plaza, and engaging the townspeople. For that short period of time it seemed as if Camasca had become Main Street, USA.

At the church
At the church

Of course they did so much more than just walk around and hang out. The medical teams went out in two groups every day to the smaller surrounding communities. They saw and treated patients, held health fairs, and established empowering relationships. The community service folks spent time every day at our bilingual school offering a day camp with music, storytelling, and art projects. They also involved themselves with projects in the town, the most prominent of which was the mural painting of the walls to the town’s sport center. For all of the brigade members, there was a spirit of joy and celebration that imbued their time with the people of Camasca. The town sponsored a welcome party. At the going away party everyone took part. The brigade members witnessed traditional Honduran music and dance while the town enjoyed some folk and perhaps a little rock and roll.

On the Road
On the Road

This celebratory spirit seemed to grow and transform the town. Perhaps the symbolic metaphor of that was the painting of the sport’s center wall. Bright colors replaced the chipped and faded paint and icons of faith, peace, service, and community were prominently displayed; a permanent gift of remembrance and hope. One particular project on the wall seemed particularly poignant. One late morning the children at the bilingual school were bussed down to the wall in small groups of four. Each child from the school and other children from the town got to dunk his or her hand into a can of paint and leave his or her impression against the wall. The hands formed a snaky trail along the wall. It expressed the wonder of the journey of life.

Celebrating
Celebrating

When people come to know one another, when they move beyond differences and fear, something truly wonderful occurs. Things get built, people get served, celebrations erupt, but most importantly the beauty of life is revealed. One of the young women on the brigade, a student at the University of Michigan, wrote a thank you note to the mayor Julio and his wife Iris. Iris and Julio have long been faithful and committed partners with the work of Shoulder to Shoulder. Iris shared with us the thank you note. The young woman writes, “It was an honor to have been able to come to your town and serve your people. I hope and pray that I can one day return to Camasca and see its beauty again.” Camasca is indeed beautiful, even more so now for having enjoyed the experience of finding new friends.

Symbols on the wall
Symbols on the wall
Hands
Hands

Photography courtesy of James McClintock

Don't Mind Us, We're Fine

Did you ever feel like you were getting lost in the shuffle?  Mountain Area Health Education Center (MAHEC) must have felt that way while they were visiting Camasca on their brigade a few weeks ago. They were here for two full weeks, doing amazing work, but we must apologize for not giving them a lot of attention. I feel like I need to put some effort in my excuse for being so inconsiderate. There were only five of them:  three physicians, one pharmacist, and one exceptionally talented fifteen-year old named Henry (son of Amy, one of the physicians). Five people can easily get lost, right? Besides, the whole time they were here, we had all sorts of other, bigger brigades coming and going.  Our first ever surgical brigade demanded a great deal of our attention. Not to mention Brown/Wingate in Guachipilincito, VCU/FFPCS in Pinares, and a dental brigade jumping back and forth between Concepcion and Santa Lucia. February was one tremendously busy month. So, if the five people who spent time in Camasca felt as if they were neglected, you are probably right, and we’re sorry. But no one ever complained.

MAHEC brigade at the bilingual school
MAHEC brigade at the bilingual school

Perhaps I’m being a bit hard on myself. Truly, these five individuals were not at all demanding. If the squeaky wheel gets the grease, the quiet wheel simply turns unnoticed. The MAHEC brigade members unpretentiously arrived in town and checked into the local hotel. They got all their meals at the restaurant. Every day, they simply walked over to the health clinic or they spent some time at our bilingual school doing health screenings and playing with the kids. Henry, the fifteen year old who has fallen in love with the little town of Camasca, spent his days at the bilingual school. Henry was doing so well at the bilingual school that we were trying to sign him up as a volunteer. There’s that crazy little catch about having to finish High School.
Down time at the school
Down time at the school

He and his mom had been here before. MAHEC is very familiar with and well known by the town of Camasca. It wasn’t any big deal for them. I guess they just kind of blended in.  Their service was actually profound, but it was administered with such subtlety that it demanded no praise. I realize now why it was that the few times I had the fortune to visit with them I felt so relaxed. It was as if they were saying to me, “Look, just leave the special china in the cabinet. We’re good with the plastic ware.”  There’s an integrity in such service that we would all do well to emulate.
Henry with the kids
Henry with the kids

They seemed to do it all on their own with very little help from us. But lest you all think that we didn’t notice the amazing work you did, the beauty of the just relationships you committed yourselves to, and the special place you hold in the hearts of the people of Camasca and particularly the students at our bilingual school, we just want to say THANK YOU. I’m sure you’ll be back. Don’t forget to tell us when you’re coming.

Acceptance

Eleven years ago over Christmas I was feeling ill in my stomach. I had to be convinced to go to an emergency room. I drove myself up there. Seven hours later I was waking up in an operating recovery room with the loss of about sixteen inches of large intestines and my appendix and the gain of a colostomy bag. I had a perforated bowel. Who knew? The colostomy bag was successfully reversed some two months later, thank God. Then about five years ago, I was diagnosed with kidney cancer. A kidney along with the cancer was removed, and I have not had any further difficulties. My first thought in reflecting on those experiences is how grueling and anxiety provoking were those periods of my life. My second thought, a little less self-pitying, is to be grateful for the treatment that in both instances saved my life. Imagine how fortunate I am. Two professional surgeons with years of training and experience were readily available to cut out significant organs from my body. I had health insurance to cover the extreme cost of such an important intervention. It is an incredible world we live in when such highly specialized skilled services can be channeled with ease in order to benefit someone who suffers great physical discomfort even to the risk of death.

Surgery in Honduras by UHMLA
Surgery in Honduras by UHMLA

But, this is not so the world over, and it is certainly not the case for us here in this isolated and often forgotten territory of Honduras. For people here, there simply is no access to surgery. The closest hospital might be six hours away. Even so, the surgery may not be available there and the cost would be absolutely prohibitive. Many simply have to accept living with great discomfort, and in some cases there are much worse consequences including shortened life-spans. Having lived in a land of such fortune as the United States, it bears heavy on one’s conscience to witness such inequity. Some might shrug their shoulders and say that things are the way they are, and there is little to do to change it. Others find it unacceptable to shrug their shoulders, but instead shoulder the burden. They provide the witness that the inequity does not need to be.
UHMLA / StoS Team
UHMLA / StoS Team

Such a witness is Dr. Rolando Rolandelli and his surgical team from Unidad Hospitalia Móvil de Latino América (UHMLA). Sixteen persons (four surgeons, three anesthesiologists, one assisting physician, three recovery nurses, three operating nurses, one floating nurse, and one translator) came to La Esperanza, HN to provide gastro-intestinal surgeries through the week of March 20 through March 26. They united their good-will with Shoulder to Shoulder and the hospital surgery team and staff. They performed sixty-two procedures (50 surgeries and 12 office procedures). For these sixty-two persons this was not even the most remote possibility, and yet it has happened.  Many of these persons literally owe their lives to this incredible undertaking.
Dr Rolandelli with young patient
Dr Rolandelli with young patient

“The only thing necessary for the triumph of evil is that good men (sic) do nothing.”
It is not clear who first said this, but John F. Kennedy often cited it. It is a very interesting quote in its premise. It does not attribute the triumph of evil to a lack of good persons, but rather to the lack of good persons’ actions. Most of us are good, but too few of us actually act. Dr. Rolandelli and his team do not accept the inevitability of inequality. They are unwilling to do nothing. What they did, and what they continue to do, actually changes the world. It is not our goodness that is laudatory; it is the willingness to act. Perhaps someday even the people who live in the Frontera of Intibucá will also not need to accept living in physical discomfort and the threat of death when the resources to treat them are readily available in other parts of the world.
Dr. Rolandelli with Dr. Susan Kaye
Dr. Rolandelli with Dr. Susan Kaye

There are at least sixty-two persons who have benefitted because a few good-willed persons did not accept inequality.
 
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photos courtesy of UHMLA via Facebook page