Sunday, December 15, 2013

That Was Fun


1.  Chirundu Dental Outreach

Paul always enjoys venturing out into the bush, providing dental care to the needy. In the middle of October, he headed out with a team from Oregon, International Caring Hands, headed by Dr. Matt Hayden and Mr. Randy Meyer, who have brought out a fully fitted mobile dental clinic for the work in Zambia.  
Out of this mobile clinic, the team was able to have a fully functioning, generator run, comfortably air-conditioned two-chair dental clinic in the middle of nowhere.  


2. Senanga Eye/Dental Camp

On a Tuesday morning in the month of October, at the early hour of 05:00 am before the crushing Zambian summer heat had a chance to raise its head, our team of 10 individuals boarded a bus for yet another eye/dental camp experience.  This time, the team included Mom & Dad.  Their first mission trip of their lives.  And of course, our nanny and Jaycee tagged along.  
We were off to a remote area in Western Province.  A total of 10 hours by bus – 8 hours west to Mongu, through the Kafue National Park, then another 2 hours south to a little town called Senanga – the trip seemed to last forever.  We passed mile after mile of mud huts with thatched roofs, children sitting in the shade of the shelter, smiling and waving carefreely as our bus zoomed by – as if they knew us and that we were there to help their people.  Barber shops and makeshift tuck shops along the side of the road.  Huge bundles of charcoal for sale for any interested passers-by.  The sleepy villages awakened as we sped by, and soon the heat of the day beat down relentlessly upon our Eye Hospital bus.  Windows were cracked open for any relief from the heat, and we slowly inched away from the window that exposed us to the hot October African sun.

Finally, covered in dirt, with blackened nostrils, we arrived in Senanga.  Almost on cue, after parking the bus in front of the district hospital and unloading all of our eye equipment, we were greeted with a sudden torrent of rain and fierce wind.  “You’ve brought the rains!” happily exclaimed one of the locals from Senanga to our team.  It was the first rains after the more-than-six-months period of a dry season.  And, indeed, it felt refreshing to feel the moisture fill the atmosphere after such a period of arid heat. 

We settled into our guesthouse (definitely not five stars by any means).  Feel free to place your own star rating based on this picture of our bathroom sink faucet. 
The mosquito net seemed a bit too small for two.  The evangelistic crusade 3 blocks away seemed to be just outside our windows, with the loudspeakers blaring singing and preaching into our room until late at night.  Finally, we drifted off to a deep, exhausted sleep – a sweet, refreshing sleep after a long day of traveling. 

The next day, our eye team prepared for a long day of surgery, while Paul’s team prepared for their dental work.  
We completed surgeries on 23 patients, most of whom had very mature, dense, rock-hard cataracts (aka “cata-rocks”).  What an experience – for the first time in our lives to work side by side with my own mother (who has been a registered nurse for years - OR scrub nurse and circulating nurse, in addition to post-op care nurse) – out in the bush of Africa. 


 
Thursday, we saw all the post-ops – my favorite part of any eye camp.  Hearing patients say, “I can see,” never gets tiring. 
Before their postop check, they were asked to wash the ointment out of their eyes.  They obediently did so, gathered around an outdoor tap.

We had saved Thursday for the second eyes of patients who had bilateral cataracts.  So 6 patients that had been completely blind in both eyes just two days earlier ended up getting this sight-restoring surgery in their other eye.  A girl who had undergone trauma with a stick from a tree just two days earlier during the sudden downpour and storm underwent an exploration; fortunately her globe was intact and not ruptured.  Friday morning, we quickly saw our post-ops and made some purchases (the local staff all bought plenty of fish; we all got rice and mangos) before making the long trip back to Lusaka.  And by God’s grace, we made it back safely. 

3. South Luangwa National Park
My parents had not yet seen the beauty and majesty of South Luangwa National Park, so as their treat and reward for so diligently babysitting and cooking for our family for two whole months we decided to head to the Eastern Province for a few days of rest, relaxation, and game-viewing.  
 
We convinced our friends, the Minor family, to join us in our adventures, so that made the trip even more enjoyable.  This was Jaycee’s first safari where she was aware enough of animals to point to every single impala, bird, elephant, and lion.  Emphatically.  Vocalizing the same word over and over: “eun-ttah.”  One day, when she’s more verbal, I’d like to ask her for a literal translation of “eun-ttah.”  This is Jaycee pointing at a sleeping lion.

Getting to see the pride of 21 lions on several different occasions was a treat.  This is the lions devouring a baby hippo.
 And this is what they look like after their huge meal.
The view of animals from our lodge was absolutely amazing, with all kinds of game passing by constantly to drink from the stream.  You'll notice the zebras in the background. 
Besides the pain of getting eaten alive by Tsetse flies (and having such a bad allergic reaction that my ankles swelled to double its size), it was a lovely vacation.  I even got a birthday surprise with all the waiters singing a Zambian twist to the birthday song and a nice birthday cake!


4. Christian Medical Fellowship of Zambia
During the first weekend of November, our family had the opportunity to attend the National Conference for the Christian Medical Fellowship of Zambia.  It was held in a lovely location, Fringilla Farm, and the theme of the conference was, “Practicing Medicine in the Image of Christ.”  We had the opportunity to meet and fellowship with other Christian doctors and medical students in the country, and it was a chance to get away from Lusaka to listen to some inspiring messages.  Jaycee especially enjoyed the gigantic playground. 


So much so, she didn't want to leave.

5.  Loma Linda University International Ophthalmology Rotation
As we said goodbye to my parents at the end of October, we awaited yet another guest into our home.  Nicole Kohan, a senior ophthalmology resident from Loma Linda University, is the second resident to come all the way from Loma Linda to Zambia for her international elective.  
Her stay was the highlight of our month of November. We spent quite a lot of time together in the operating theatre, in clinic, and over the dinner table chatting about the meaning of life and our future goals and dreams.  She advanced quickly in her surgical skills and competence, especially in the manual small incision cataract surgery technique.  
I especially enjoyed her work of art during her lecture to the clinicians during our Thursday lecture sessions.   
The month passed quickly, and before we knew it, Nicole’s husband, Emil, all too soon had arrived so they could spend the last week traveling together, and then he whisked her away back to the U.S.   
She had quickly become part of our family, and so we miss her dearly. 

6.  Peace Corps Volunteer
We also had the pleasure of hosting Brian Lee, a Peace Corps volunteer working in Rwanda, for a few days during the Thanksgiving holidays.  After hearing about his situation in Rwanda (cooking and even baking over a charcoal fire, etc.), it reminded me never to complain about my oven-that-doesn’t-shut-off-when-it-reaches-a-certain-temperature.  I’m just lucky to have an oven.  And electricity.  Although I’m a missionary living in Africa, I still have so many luxuries life has to offer.  Its always good to put things into perspective, remind myself that I should complain less and always be thankful for what I have.


Brian’s presence added one number to our low-key festivities for the Thanksgiving holidays.  Thanksgiving Day was directly preceded by Paul’s birthday this year, so Brian got to join us in that small celebration as well. 


7.  Annie Yoo
The start of December not only brought in the festive month, but also my mother-in-law! Besides the fact that during one layover in Beijing she had an encounter with a smooth-talking Chinese man who demanded $100 from her for helping transport her from one terminal to the next and attempted to take her luggage hostage while she screamed for help with her powerful singer’s voice until he ran away, she has arrived safely and happily into Lusaka.

What a blessing it is to have her here for the next 5½ months!  She is able to help take care of Jaycee while we’re at work.  Plus, makes the most awesome food.  Nom, nom, nom! 

8.  Visiting Ophthalmologist
Drs. Omar Hanuch and Andrea Sandoz in addition to their three children, from Rochester, NY, have arrived in Lusaka today!  We look forward to these next few weeks of serving with them. 

9.   It’s Lonely at the Top
As we reflect on the last year of both institutions – Lusaka Eye Hospital and Lusaka Adventist Dental Services – we are thankful for the steady growth and progress that we have seen.  Both institutions continue to be financially stable. 

LADS has been doing very well financially.  This supports our suspicion that the local patient population is now beginning to trust the Lusaka Adventist Dental Services once again.  Paul is definitely doing his best to provide quality care for each of his patients.  Word of mouth is strong here, as Lusaka is really “one big village.”  The Dental side has also spent some funds on capital projects this year: building a wall fence around their back property, reroofing the dental clinic, repainting much of the clinic, and purchasing attractive mirrors and décor for the inside.  They have also managed to fit their clinic with an all-digital x-ray system as well as fix their Panorex machine.   
Ultradent (a quality dental supplies company) has generously donated supplies and material for the work out here.  Another great recent development has been the sponsorship of Beit Trust to purchase and install two new Adec dental chairs for the clinic.

LEH continues to work with different donors and partners (Radian Stores/LG, Colin Glassco Foundation, Standard Chartered Bank, Sightsavers International, and Cheshire Homes).  We have obtained donations from the Loma Linda University School of Medicine’s National Auxiliary (B scan and portable A scan machine), Loma Linda University/Adventist Health International (surgical microinstruments, gloves, disposables), Alcon (cataract kits), and individuals (thank you, Enoch, Kar-Yee, and Mervyn).  We have been able to upgrade equipment (including the purchase of much-needed computers for or hospital, fixing one small autoclave, fixing our hospital-grade washing machine, etc.). We have seen staff come and go.  The dirt road to LEH has been partially tarred, which is big news for our area!  This will help improve patient access to the hospital, especially during the rainy season. New directional road signs have finally been placed (after a year of paperwork through the Town Council).  We have even managed to create a new logo for Lusaka Eye Hospital!

And we continue to have successes, but we also continue to have struggles.  Trying to guide and lead an institution in the African/Zambian cultural context has not been easy.  No matter what you do, it seems to be wrong.  My administrative committee worked very hard last year to create a working policy with the hope of protecting the institution and placing some guidelines that we can follow, but now some individuals are wanting to get rid of policies. We have tried so hard to increase staff salaries and benefits, despite our difficult financial situation, but some still complain about their paycheck.  I have tried to lead the institution prayerfully and transparently, cleaning up our books, having each department give regular reports, and I have been accused of being power-hungry, overstepping my boundaries, and not trusting the local Zambian staff.  The best intentions of any leader often go misunderstood, which is why it is often lonely at the top.  But despite our challenges, I see how far we have come in this past year, and I believe the Lord will continue to guide our future.  

Please continue to keep our institutions in prayer, as that is what keeps us going!


Sunday, September 22, 2013

What a difference a year makes...

Time for yet another update!  This last month has been packed with fun, friends, and fruitful endeavors. 

1.   The Loma Linda University (LLU) International Ophthalmology Elective Rotation has officially begun!  In August, Howard Guan, a senior ophthalmology resident at LLU, was the first resident to come through for his month-long rotation at Lusaka Eye Hospital.  He was a great resident and fun to teach.  I’m sure he can attest to the fact that the eye pathology we see here in Lusaka is at a level that we don’t normally see back home in the U.S.  It was rewarding to watch him master, in just a few days, the surgical skills necessary to perform small incision cataract surgery.   

\ 
We look forward to hosting our next ophthalmology resident, Nicole Kohan, who will be coming in November.  

2.   From 12 – 16 August 2013, we held the Chibombo eye camp at Lusaka Eye Hospital.  Doctors from the U.S. came to help during that eye camp – including Nitin Shah (anesthesiologist from CA), Angela Smith (LLU anesthesia resident), and Ravi Krishnan (ophthalmologist from Texas).   
 
During that time, 82 eyes (mostly cataracts) were operated on in patients who came from different parts of Zambia (Kembe, Chibombo, etc.), and it was such a blessing to know that this small effort made a big difference in the lives of those patients.
  
3.   From 17 – 21 August 2013, the South African Society of Cataract and Refractive Surgery had its annual congress in Livingstone, Zambia.  It was a wonderful meeting with a great scientific program and really world-renowned ophthalmologists/speakers in an intimate setting.
4.   When staff writer and photographer from the LLU School of Medicine Alumni Association, Emily Wilkens, came to Lusaka earlier this year to interview us and take some photos/video footage, I was not entirely sure what she would do with it all. But recently, she revealed her creative and artistic talents in a short video she made.  Here is the link!  

5.   My parents are in town!  Paul and I are so blessed to have parents who love and support us as well as the work we are involved with.  Paul’s mother spent a total of 6 months with us, helping cook wonderful food and watching Jaycee while we were at work. 
 
Now, my parents have taken their shift and will be spending all of September and October in Zambia.  Their goal is to have Jaycee potty trained by the time they leave.  =)  
 
6.   I continue to do a lot of pediatric surgeries here in Zambia.  One of my most enjoyable surgeries to do is strabismus surgery (aka “squint surgery”), especially bilateral medial rectus recessions on little girls and boys with congenital esotropia (non-medical people: read, “correcting crossed eyes and making them straight”).  When the mother of a patient tells me words like, “It’s like a miracle that my child’s eyes are finally straight!” or “I never thought this could be fixed!” I feel that special sensation in my heart that burns whenever I realize how much I love being an ophthalmologist, being the hands of Christ in His healing ministry, and helping patients that otherwise could not have been helped.  Thank you, Lord, for allowing me to be a part of such an amazing work.  
 Beautiful child immediately before surgery
 
Same beautiful child one day post-op

7.   Just a few days ago, we launched the official beginning of our partnership with Radian Stores/LG.  From September 2013 until January 2014, LG will sponsor 100 cataract surgeries for the poor, needy patients.  

Last week, they donated and installed two large-screen television sets at the Lusaka Eye Hospital waiting rooms.  And the discounted air conditioners were installed last week as well – just in time for the heat wave that has struck Lusaka!  The press launch was graced by the presence of Honorable Deputy Minister of Health, Dr. Chikusu, as the guest of honor.  Many members of the press were present, and so in my speech I took that opportunity to ask the Deputy Minister of Health to help us in 3 important areas: building road infrastructure in the area surrounding our eye hospital (dirt + rainy season = impassible roads), financial assistance to allow Lusaka Eye Hospital to continue providing free eye care services to the vulnerable, and authorization to allow corneal tissue to be brought into Zambia so that corneal transplants can be done for those with corneal diseases.  
 
I believe that the message was well-received by the Deputy Minister of Health, and I hope that will translate into positive action that will benefit Lusaka Eye Hospital, but ultimately translate into better eye care for the Zambian people.  Regardless, it was fun to hear that the speech made radio news headlines the following day!   

8.   Last, but not least, Jaycee turned one!   
 
The expectation in Korean culture is that a big Doljanchi, or first birthday party, must be planned for any child turning one.  Had it not been for my parents insisting that Jaycee have this celebratory event, and had they not made the two-day journey to come to Africa during the month of this first birthday, Paul and I might have resorted to a small cupcake-and-candle type of event with just the three of us.  Instead, we had a Zambian Doljanchi.

 
We decided to open up the celebration for our entire eye hospital and dental clinic staff, their spouses, children, and grandchildren. Note the blow-up "jumping castle" in the background. 
The week prior was busy glue-gunning beans to a cylindrical cardboard tower, creating a photo collage of the birthday girl, pre-making 9 batches of home-made ice cream, carving a "one" into a watermelon, and participating in other arts and crafts projects for a precious girl who would never know nor remember how much work can go into planning a party like this. 
The number of guests ended up topping 100 (mainly because of the proliferation of children in each Zambian household), but fortunately there was enough food and fun for all!    
 
The day was quite tiring for the little princess, and she was a little bewildered by all the strange faces, but she seemed to enjoy it nonetheless. 

Fiinally, a Doljanchi is never complete without a Doljabi.
 
Jaycee’s choices were: stethoscope (doctor like Mommy), tooth (Dentist like daddy), pen (scholar), string (long life), money (wealthy), and music note (musician).  Guess what she picked?   
 The music note!  Looks like we’ll have a true musician in our household one day.