Tuesday, March 3, 2009

It Takes a Village

As we enter the house made of mud and sticks, a member of our crew turns to me and says, "This is one of the nicer ones. Look at the metal roof. Often it's just a tarp." Sandra and Osian, two very talented filmmakers who are documenting the World Surgical Foundation's mission to Ethiopia, set up in the kitchen.

When we arrive at Tariktu's little village on the outskirts of Mojo, we don't hear the word "ferengi" which means "foreigner," a phrase some of us have become quite accustomed to hearing within the city limits of Addis. But we know they must have been thinking it. A busload of white faces speaking English with camera gear dangling from every arm, we might as well have dropped in from outer space. A scene right out of Stephen Spielberg's Close Encounters of the Third Kind, a gaggle of intergalactic diplomats exiting a spacecraft onto the tarmac of Devil's Tower.

Our senses are overwhelmed. The dust. The heat. The flies. Children gather around with feverish excitement. They all want their pictures taken. They all want to see themselves instantaneously immortalized in the tiny screen on the back of my digital camera. "One more, please! One more!" I am surrounded. I feel a kiss on the back of my neck. I am from outer space.

The mud house sits on roughly an eighth of an acre of dry soil. Chickens cluck out back and a small brown calf wanders out of the brush into a clearing. Someone feverishly sweeps the inside of the house with a straw broom. Guests have arrived.

The inside of the house is dark and dusty. It takes a moment for our eyes to adjust to the light. There is a small mattress on the floor in the corner of the main room. A dresser at the far wall holds a small radio. I still can't see where it plugs in. Children with toothy smiles rush in to sneak a peek and race out again. Tariktu's mother stands quietly holding a toddler. The small child clings possessively to her mother and nurses, always with one suspicious eye on her mother's visitors. We all move into the kitchen. That's where the interview will occur. We're all along for the big story, from examination room to recovery room. The drama is tangible. Act II is unfolding before our eyes. The experience is surreal. Small boys peer in through the kitchen window as Don explains to us what each utensil is for. A sign on the front door tells passers-by that bread is made and sold here. All the necessary equipment is present. The traditional coffee
pots and clay stove are neatly set up on the floor in the corner. The house is sturdy. The walls, a matrix of straw and manure, are firmly packed and dry, ready to withstand years of weather and toil.

The dust. The flies. Disease? I can't help but think about the opening in Taritku's belly. How do they keep things out? The village school certainly keeps Taritku out. Children with Taritku's condition are often excluded from participating in the basic communal activities such as attending school. As one would imagine, anal atresia is often messy and the smell can easily offend others. Whether these children are not welcome at school or parents keep them home to avoid offending others, the child inevitably suffers from ever-increasing isolation and missed opportunities.

An old woman holds a small child. She has smile from ear to ear. She willingly poses for a picture. She is wearing her best; a dress with a blue and white flower pattern, a necklace adorned with large wooden beads, and a hat. There's a nervous energy in the kitchen. They're checking the lighting and getting ready for "mom's" interview. The natural light coming in through the kitchen window is perfect. Three boys poke their heads in through the open window to get a glimpse of the excitement. Aliens are in their house.

This is where Tariktu lives. This is where so many of the people of Ethiopia live. I dare not judge their standard of living. After all, they appear to be very happy. They have family and neighbors and houses and land. But what about Tariktu? Is he missing out on some of the basic components of happiness? He can't go to school. He can't learn to read or add triple digits. He can't develop relationships with his schoolmates. What does his life look like further down the road? A wife? Children? Work? Perhaps one operation could change the course of his life and provide some of the materials he needs to build the shelter of his happiness.

Children are everywhere. One child holds a puppy and brings it over to show me how it wriggles around when he rubs its belly. I ask where the bathroom is. I'm on the moon. Where does one go to the bathroom on the moon? "Out back" of course. "Go anywhere you want." Don gently encourages me. "When in Rome!" Out of practicality I have to quickly overcome my refinements. Finally, I get up the courage go "out back" and investigate. I am accompanied by a small band of curious children. I walk faster. I take a few more pictures and show them the tiny screen on the back of the camera. I turn around again and walk rapidly toward the fence at the rear boundary of the farm. They seem to get the picture.

I stand by a row of bushes and attempt to relax. I imagine that I am alone in the private restroom of my hotel back in Addis. Suddenly, the vegetation to my right shakes violently and a large half growl, half whinny comes from behind the bushes. A donkey? I have little previous experience with the species. Then I notice two individuals walking toward me. The village is a hive of activity. We are the main event. It was foolish to think that I would go unnoticed back here by my personal patch of sage scrub. "Selam!" I say as I quickly zip up my fly. I ask myself whether it was "selam" or "salem?" I can't remember. Seems like I don't know much about anything today.

I wander back to the hut. People are congregating in the front of the house. The filmmakers are setting up the final interview. Lighting is checked. Don holds a piece of equipment that reflects the sunlight toward the subject being filmed. I am asked to take stills of the interview, "production photos." Sandra and Osian go over the interview questions one last time. Everyone is watching. Tesfa stands waiting. A quick sound check and the first question is asked. Like a miracle, the fire wells up and words emanate from her effortlessly and fly out to the world. Tesfa's story is Yeab Sera's story is Tariktu's story, the story of her people. Suddenly, Osian backs up and accidently knocks over a bottle of water belonging to Tariktu's mother. He apologizes profusely. I begin to say that I have water. "It's a large bottle and it's back in the…in the…?" At once, I realize that the few words that I need for the moment are gone, lost in
the dust.

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How to Use this Blog

Read about the World Surgical Foundation and its mission to Ethiopia under the entry entitled "Overview of the World Surgical Foundation's..." below.

The Ethiopia mission blog posts begin at the top of the page starting with the most recent post.

Some brief advice on reading blog posts.
1. Go to the top of the page to find the most recent post.
2. Read the date at the top of the latest entry.
3. Read the entries from the bottom up for each date. Each entry posted on that date will be time stamped. This will help you read the posts in order (this may be relevant if we are following a particular story of a patient or event).
4. To find a list of all blog posts, go to the bottom right hand side of the blog. The entries are listed by date and title.

Overview of the World Surgical Foundation's Mission to Ethiopia

Read about the World Surgical Foundation and its exciting upcoming mission to Ethiopia.

Addis Ababa

The Mission

From February 13 - 26, 2009 the World Surgical Foundation will bring its medical team to Addis Abab, Ethiopia. According to a report by the United Nations Centre for Human Settlements in January of 2000 "Addis Ababa...shows a paradoxical situation in Ethiopia. On one hand it, with the highest concentration of facilities per population than other centers in the country, enjoys a privileged position. On the other hand the city is not capable of accommodating the increasing population that is being attracted by the luring facilities and seemingly employment opportunity. Hence poverty is rampant and widespread in the city...urban poverty beleaguers the city and requires serious attention to curb the consequential disaster."

The Blog: February 14th - 25th, 2009

This blog will chronicle the daily achievements of the World Surgical Team in Addis Ababa from February 14 - 25, 2009. Here you will meet the doctors and nurses of the mission and read about them in action. Here you will meet the patients, each with his or her own unique story to tell. Here you will read about the surgeries, each promising to deliver an account of healing and transformation. Please tune in!

The World Surgical Foundation

Created in 1997, the World Surgical Foundation inc. (formerly World Mission of Central PA), serves people in developing or impoverished countries where modern healthcare is not available or is too costly. This volunteer organization of surgeons, anesthesiologists, nurse anesthetists, nurses and other caregivers performs at least one surgical mission per year to bring hope and improve the quality of life for hundreds of people who could not otherwise receive surgical care. The WSF also provides teaching, supplies and equipment for hospitals and medical facilities around the world and supports smaller groups or individuals with the same goal or mission in the United States and abroad.

We Need Your Help!

Dear Friends of the World Surgical Foundation,

We have seen that great acts occur when caring individuals just like you join together in support of building—and in many cases—rebuilding community.

You are needed for our mission to Ethiopia! This is a volunteer mission, and as always the Word Surgical Foundation relies on the generosity of its donors in order to bring life-changing surgery to those who need it most. The doctors and nurses of WSF are poised and ready to bring a better quality of life to the underserved people of Addis Ababa. The Addis Ababa University Medical School has arranged for the WSF to work in area hospitals in order to assist them with their tremendous overflow of patients. Most of the patients who will be served by the mission will have no hope of ever receiving the surgical procedures they need without the WSF. These people are quite literally waiting for our help!

This is a tremendous opportunity for both the health care professionals who serve on the mission as well as those who support it financially to transform the lives of people in need.

The mission to Ethiopia is still in need of essential funds for the following items.

1) Funds to ship a 40 square ft. of cargo at a cost of $11,000.00
2) Operating tables costing $4,000.00 each (5 tables = $20,000.00)
3) Anesthesia machines at $6,000.00 each (we need 4).
4) Laparoscopic equipment totalling $13,000.00.
5) Other equipment and supplies totalling $50,000.00.
6) Support expenses for nurses and others volunteers who have insufficient funds.

In total $100,000.00 needs to be raised in order to make the mission to Ethiopia a success.

Please join us in creating transformation for the people of Addis Ababa and Ethiopia. We invite you to send any amount that works for you. Any gift amount will get us one step closer to raising $100,000, and helping to rebuild and transform lives. We will then share with the people of Addis Ababa your generosity and let them know that they, their families and their community have never been alone.

Sincerely,

Dr. Domingo T. Alvear
President, World Surgical Foundation

Please Send Donations To:

World Surgical Foundation
P.O. Box 1006
Camp Hill, PA 17001

For more information, you can reach the World Surgical Foundation by sending an email to mail@worldsurgicalfoundation.org, calling Nancy Cohen at (717) 232-1404 or visiting our website at http://www.worldsurgicalfoundation.org.