Search the web
Sign In
New User? Sign Up
emergency-nurse · The mailing list of the Emergency-Nurse web site.
? Already a member? Sign in to Yahoo!

Yahoo! Groups Tips

Did you know...
Want your group to be featured on the Yahoo! Groups website? Add a group photo to Flickr.

Best of Y! Groups

   Check them out and nominate your group.
Having problems with message search? Fill out this form to ensure your group is one of the first to be migrated to the new message search system.

Messages

  Messages Help
Advanced
Re: Doctors and others are needed for Honduras mission !   Message List  
Reply | Forward Message #5412 of 5673 |
Hi Dr Edwards,

It is great to hear of your interest in joining one of the 10 or so teams we
are hoping to have! The dates are from 15 Feb until 2 March, 2008. Yes, we
certainly can use more of your profession and eye care professionals for many
open positions on teams! Yes, we can get you and your wife on the same team
even though you would be with a med clinic and she would be with an eye team.
One location we plan to go to has both teams colocated.

Yes, we can be a little flexible on dates you can participate. Below is an
info letter I sent out before. I wrote it a couple years ago but it has a lot
of current info about the planned Feb mission. It should answer most of your
questions about all the things IHS provides to a team during the mission. Also,
I have attached 2 files including the application form fyou asked for. Before
you fill it out, contact me so I can help get you to where you want with your
spouse.

Our hope is to have 3 or 4 medical clinic teams in LaMosquitia (eastern)
Honduras and 2 or 4 in teh central mountains. The combined team is planned of
the mountain area. Currently we want to have at least one prescription eye
glasses team in the LaMosquitia where Hurricane Felix hit (we would like to
have two there) plus one in the central mountain area. So far we have just one
eye examiner and many support people signed up for the teams.

Although you are not going to a surgery site, we are hoping for another
general surgeon. So far we have one. We also have a couple OR nurses and
anesthetists signed up to support such team(s) but we could use more of them,
too. IHS also would like to sponsor an eye surgery team. Recently, we had one
in LaCeiba and it worked out well in the facilities there. Our dentist situation
is getting better. We have 4 of the 7 we need. If you know of any such
medical/surgical/dental folks, let them know of our critical need for their
skills.

Thanks for your interest in helping and for the financial support. If this
doesn not work this time, we do this the last 2 weeks of Feb. each year.

John
320-634-4386
_____________

Info letter about IHS (International Health Services)

- the first part of this letter was originally written several years ago for a
radio guy but it is still very applicable and informative, so I still use it to
give people an idea of the mission.

Since we finished our most recent medical mission to Honduras the end of
February, many amazing events are still fresh in our minds! Paul was our radio
net controller and once again he was in the thick of things. We had a medical
emergency where several ham radio operators helped to get a severe burn patient
out of the remote village of Auka and into a burn center in Tegucigalpa. That
was in the middle of seeing the thousands of patients we see on a ‘normal’
basis.

This year Bill and I were providing radio and engineering support for a
medical and dental team in the remote village of Uhi. We set up our radio gear
for shortwave radio voice communications and for e-mailing back home (yes,
e-mail through a radio system!). I also set up a smaller radio system to talk
to other nearby IHS village teams and Puerto Lempira. We got up and running
just in time for patient referrals and other critical messages.

One of the first mornings a woman showed up in a wheelbarrow because she could
not walk on her own. This is not surprising since there are no roads or
vehicles in this village (to get here we must travel by boat or use a small
plane). We did not have any adaptive devices on hand, so Jim, our doctor,
advised her to return the following week. We called in on the radio to see if a
walker could be brought by our small airplane. When the woman came back several
days later, we had a walker waiting for her. We cleared out the waiting room
and waited to witness this great event. Dr. Jim helped her out of the
wheelbarrow and tremendous joy spread over her face and all of ours as she began
to walk!! It was the greatest feeling in the world knowing that we made a big
difference in her life.

Another time, a girl about 9 years old was brought into the clinic with a
fever of 104 and was shaking terribly. She had been vomiting, had a poor
appetite, and was not drinking anything. We immediately sprung into action, with
Dr. Jim making a consult radio call to another IHS team doctor in another
village. Dr. Jim determined she had malaria. Malaria is not very common here
but it does happen on rare occasions. Jack, our pharmacist, gave the young girl
a combination of chloroquine and primidone for the malaria. She was given
liquid Tylenol and placed in a back room with cool wet towels to reduce her
fever. Dr. Jim also started an IV to keep the girl well hydrated. In a few
hours she was improving. The next day we made a house call to the hut she lived
in and she was amazingly better. Her fever had gone down, she was drinking
water, and even eating a little. It is a good thing we can take chloroquine as
a preventative.

About the same time we saw the girl, we also had a middle-aged woman come to
the clinic with a deep cut on her forehead. She said it was from a large stick
but it looked more like a machete cut to us. Dr. Jim did a great job of
cleaning the wound and stitching her up but the lady must have been tough as
nails. She hardly flinched through the entire procedure.
Manuel was our team dentist. He is from LaCeiba, Honduras and has come with
our Uhi team for 3 years now, due to our shortage of U.S. dentists signing up.
He did great, pulling many teeth during our 10 days of work in the village.
That is about all he had time to do since there is no dental care available in
the village. The one village nurse (who is the entire medical care for the
village) has her hands full delivering babies and all the other medical care
needed. I also ended up being Manuel’s dental assistant when a squirming kid
needed to be held still plus I helped to sterilize his equipment. The kids had
no idea what was happening when Manuel came with the lidocaine needle.
Occasionally, some teams may do fillings when time permits. This year we even
had a dentist who made dentures on the Yocon team.

We also had a young lady show up with her baby that was about a month old.
The baby was not feeding properly, causing malnourishment and was in very grave
condition. Bill immediately got on the radio and again talked to Jaime, our
radio operator in Puerto Lempira, to send the small airplane to get our patient.
Within a couple hours we had the mother and the struggling baby flown to the
hospital where she now has a chance at life. A special thanks goes to Ruth our
translator who is also a nurse and helped a lot to get the baby on to the plane.
She also did a ton of good work to talk with the locals plus she helped a lot
with other babies and children. Thanks Ruth !

By the end of the mission, we had flown about 10 referral surgery patients
from Uhi to Puerto Lempira to see Dr. Tim, our surgeon with the IHS surgical
team there. Other IHS village teams did the same. It is a good thing we have a
small plane available to do this and radios to make it happen. Dr.Tim performed
many surgeries while he was there and no doubt saved lives. That makes our
medical care in that part of Honduras able to handle most anything that we see
from simple cuts to important surgical care.

Near the end of the mission we had a radio call asking if we had any spare
reading glasses. We did, so the small plane came in, got them, and took them to
another village where IHS had an Eye Glasses team. They saw many hundreds of
eye patients and distributed many prescription and reading glasses. It turns
out no one had ever been in that location before to give out glasses so they
gave out several hundred pairs of glasses. We can also thank the Lions clubs
that collect the glasses for us!

…..I could go on and on with stories of our daily work but I must also tell
you about International Health Services, the great organization that makes all
this possible…..

Are you interested in volunteer medical work or translating for a team going
to Honduras? Are you looking for a worthy place to give support or to donate
medical or radio gear? If you are considering any of these, you certainly have
come to the right place. Joining our next mission next February is easier than
you think. We are always in dire need for translators, dentists, doctors,
nurses, anesthetists, eye specialists, and pharmacists… anyone with medical
skills. We also need radio folks plus engineers and helpers. Please consider
this.
Obviously, this is an important decision for anyone who is considering going
and I want to give you as much info as needed so you can make an informed
decision. I have one warning, for most who go it is something you get hooked
on. Of those who sign up each year, over half are repeat team members. Some
will bring along friends, spouse, and mature sons and daughters. I have gone to
Honduras a dozen times and another trip is planned. In the past I have taken my
wife, my brother, two of my nieces, a teen-age Spanish student, and friends.
IHS has been doing this for about 25 years so we are very organized and have
many trusted friends in Honduras to help us. That helps so there are not a lot
of unpleasant surprises along the way (relatively speaking). Since Honduras is
the poorest country in the Western hemisphere, it is very stable and safe, even
when we get out into the local villages.

What we do... about 100 volunteers will go to Honduras the last two weeks of
February. We usually have 2 surgery teams and about 6 or 7 medical/dental
clinics. In addition, we usually send 1 or 2 eyeglasses clinics. We would have
more teams if enough people signed up. The village clinic teams typically have
one or two doctors, one or two nurses, a pharmacist, a dentist, sometimes a
dental assistant, a ham radio operator, an engineer, 1 or 2 translators, and 2
or 3 general helpers. Depending on the qualifications of those who apply,
sometimes a person may do two positions. I am a ham radio operator but I
usually do the engineer job and some general helper tasks as well. The engineer
work is just a basic task of keeping the small generator going and other basic
handy-man tasks. In that capacity I have repaired many things including door
handles, installed shower curtains, put up a clothes lines, repaired LP
cooksets, and other basic fix-it tasks besides keeping my own
gear in good repair. For the general helpers and others there is a LOT of
miscellaneous work to do to assist the doctors, dentists, and pharmacists to
keep them going in a busy day. So, if you have someone who wants to go with you
(spouse/friend) they can usually fit on to the same team as you. Once we get to
a village, we all tend to share the work so we all get a hand in doing many
different things. Each village is different but generally we will have a
medical clinic open for about 10 full days plus at most sites we will also have
a dental clinic. Most years we will also have two surgery sites. At those
locations we will have one or two surgeons, two O.R. nurses, an anesthetist, a
radio person, one or two general helpers and in some locations, an engineer.
For radio operators plus the doctors, nurses, and other medical folks, we do
need to have copies of licenses in advance to give to officials in Honduras to
get everyone certified for operations there.
Normally, copies get sent in with applications and when the October logistics
team travels to LaCeiba, Honduras, all the papers are filed. That is good, all
we do is turn in the paperwork and the rest is taken care of.

Where do we go... we have a variety of locations. We have a couple
medical/dental clinic teams that go to the mountain areas of central Honduras.
There, it is semi-modern (relatively speaking) usually with local electricity
available some of the day. Other clinic teams are in small remote villages in
the eastern ‘LaMosquitia’ region where there are very few roads and no phones or
local electricity. In these places we bring our own generator and a radio for
communications. We do use a few trucks and buses but our transportation is
mostly by large and small airplanes. The Wings of Hope and other organizations
donate the use of their small planes during the days of our mission. Because of
this, we can bring all the supplies we need such as our food, gear, personal
items, and medical supplies. We have been doing this for 25 years so we have a
good idea what we need. We send out a detailed Orientation information to give
you a lot of detailed info including what IHS
provides each team.

Radio operations… while each of us are with our team in a village we mostly
use basic HF voice operations on 40 meters to contact our local net three times
a day. We will also have e-mail capability in most of the villages through our
radio. We will use the e-mail for IHS work and for personal e-mails back home
to family and friends. IHS has a 2 Icom IC-706 transceivers plus all the needed
antennas, power supplies, and miscellaneous gear. Since about 8 or 9 sites
require a radio, most operators choose to bring their own HF transceiver along.
We try to keep the amount of gear that has to be brought with us from the U.S.
to a minimum but still enough to handle all our needs. Each team will get a
Comm box issued to them that has all the basic radio gear needed for HF voice
ops except the transceiver. We also provide generators to team sites that will
need them. Each team will also get an Engineering box which is stocked with
many common hand tools plus commonly
needed supplies of nails, wire, rope, extension cords, water purifier kit, and
the like.

A typical day has the radio voice net operate once in the morning, once at
noon and once around 5:00 p.m. to pass along general info on how the team is
doing and to receive news and information from our net control. Our village
teams also use the radio to call for the small plane when we get a very serious
patient that needs to get to our surgery site. In between those three net
times, radio operators will help out others in doing whatever needs to be done.
Since we talk on the radio just to other IHS teams, knowing Spanish is not
necessary for the radio part of the work. If you do know some Spanish, that is
nice for doing some of the other helper work. This past year we had many teams
with two radio operators. One ‘officially’ was designated as the radio operator
and the other was assigned as the team engineer who basically does a lot of
handy man work.

In some ways the radio work has similarities to ‘Field Day’ and from this
perspective we will put a less experienced person on a team with someone with a
lot of HF voice expertise (when we have more radio people apply then the number
of teams that need them). The past few years nearly all the teams also brought
some Pactor gear and they were able to send and receive e-mail messages for all
their team members. That helped us stay in touch with families back home. It
even helped when there was a medical emergency back in the U.S. Our net control
in LaCeiba has daily radio and telephone contact with the U.S. but for team
members in a village, getting and sending e-mails a few times sure is nice when
you are away from home. We have a lot of interest in ham folks signing up to go
but we do try to get at least one ham with Pactor e-mail/messaging capability on
each team and they usually get assigned the team radio operator position.

Giving support... this can be done easily and fills a vital need of support
for our mission. Many folks realize the true value of the work we do.
Unfortunately, some can not actually go, so they help out those that can in
several ways. Whether it is financial support or vitally needed donated
equipment, you can contact us at the addresses at the bottom of this letter. I
also have an official address for you to send financial support to. All
appropriate medical and radio gear can be sent to IHS but call or write me first
to see where is best. For radio gear, we are mostly in need of laptops, portable
HF transceivers, and pactor controllers (SCS pactor III preferred) and we sure
can use a lot of other support items as well. Since we are a bonafied charitable
organization, all donations are tax deductible and donators will get a nice
thank you letter with the official tax deduction information. More importantly,
you will be helping your fellow medical and radio folks to
give quality medical and dental care to people who desperately need it and
appreciate it. Just check out their smiling faces on the web site or CD
mentioned below.

Costs... the project fee is about $500. This is actually a bargain since this
is less than half of the total average cost to send someone. With that fee, and
many large and small donations from organizations and friends, we are able to
take care of nearly all of your basic needs for the entire two weeks you are on
the mission. It also helps us to buy needed medical and pharmacy supplies. It
is only logical to bring the necessary medications to treat what the doctors
find with the patients they see. On the average, each of the clinic teams will
receive over $4500 in medical supplies. From your project fee, you receive a
lot. From the time you arrive in LaCeiba, all food, transportation, and basic
housing are taken care of. When in small villages, it is obviously NOT in a
Raddison Hotel but it is in a clean facility of some type. For example, many
choose to stay with a host family while we are in LaCeiba. They are VERY nice
homes and are close to the Hotel Paris,
our headquarters and radio net control for the mission. The other expense to
participants of the mission is transportation from our homes in the U.S (or
wherever you live), to LaCeiba, Honduras and return. Some people choose to make
their own plans because there are many great sites to see and places to go
before or after the mission. Diving or checking the beach on Roatan Island,
visiting the Copan Mayan ruins, visiting a rain forest park, white water
rafting, sightseeing in the mountains, or just shopping for bargains are some
things people do. 75% of the IHS people do some little venture, usually after
the mission. Obviously our main purpose is not to just go and have fun, we have
very important work to do in the villages, etc. However, after 2 weeks of work
it is nice to take a day or two and relax. We do have a group travel plan that
has various arrival and departure dates to accommodate some of these side
adventures. It goes from Minneapolis through Houston to
San Pedro Sula, Honduras and return on Continental Airlines. Donna Bench, our
agent, can also connect other cities through Houston. Also note that flights to
San Pedro Sula can go on Delta via Miami and on American via Miami so you have
some options. I do have a handy letter that describes how to get your airline
tickets to and from Honduras.… just let me know if you want it and I can e-mail
that to you. Karen and I lived in England for four years and did a lot of
travelling, but I can honestly say, this is the best two week trip we ever do
for the price, even though it is work.

What is happening right now. We are actively seeking applications right now.
We would like to have all applications for a February mission by mid September
due to our need to collect names of applicants and then complete a roster of
team assignments before our October planning team leaves for Honduras. From
that schedule many things get done prior to February on a time line that is
important to get all our gear, supplies, and participants to Honduras and get
everyone well informed about the mission. Later applications get accepted, too,
but then it is to fill in spots on teams where they still need people. Besides
our need for experienced medical folks and radio operators, we are currently
looking for medical and radio equipment. With a very tight budget, we can not
afford to purchase a lot of new and expensive gear yet we do want to provide
good team support.

When to apply…. We receive the bulk of our applications in July through
September for a February mission although a person can apply anytime before then
if they know they will be available. After September, applications will get
taken to fill empty team positions. Actually, we prefer early applications so
we can pass on a lot of information. We also want to work with people to get
them up to speed on our particular routine of doing things and getting them
familiar with specific places and such. Each place has a unique work situation
and good preparation makes for a great mission with few surprises… there are no
Radio Shack or other stores in those remote villages! Each village has its own
unique medical needs as well. On the application form, there is a place where
you can put down the names of someone you may want to be on a team with. So,
you need to fill that in if you want to be with someone you know. Getting
assigned to one of the many teams mostly depends on
how well qualified you are to handle the job you are applying for. Most people
who contact me about radio jobs will put on their application that they are
willing to be a radio operator or an engineer or a general helper. Applying for
all positions a person is qualified helps if certain jobs are filled early. For
example, this past mission had 7 radio operators but we also had many other
“extra” hams assigned other positions on the team (mostly engineers and general
helpers). So, applying for several positions is obviously beneficial to go on
the mission. Another consideration is which team location you want to get
assigned to. Some teams take a boat up a river, many teams use a small plane to
get to their remote village, some travel into the mountains by bus. Obviously
surgical teams will be in less primitive conditions since they need to be at an
adequate facility to do their work. In my opinion all locations are good.
Obviously, later applicants (after
October) will have less selection of places to go and job positions since they
will be assigned to the teams that are missing certain positions, if there are
any. If you need an application, a good place to get one is from our IHS web
site (IHSOFMN mentioned below). Just click on “Contact IHS” and download the
application (.pdf or Word file).

Radio personnel - We SOMETIMES have a large number of IHS hams who go. At those
times we fill many of the team radio operator and other positions. One benefit
for a newcomer to be a team radio operator is if they have pactor/Winlink
experience and gear but it is not a requirment. If you are a ham and you get
assigned on a team with another radio person, you will actually share the radio
work and other tasks regardless of which title you have on the paperwork.

Shipping items to Honduras….. yes we can. Dole Fruit graciously lets us use
several of their containers to send down our gear, personal items, purchased
medical supplies, food, and lots of medical equipment (for hospitals and
clinics). We will send down our IHS radios plus any donated and other
replacement gear. Larry, our shipping guy, buys a lot of the food for each
team. He will buy soups, and a lot of dehydrated type things that actually cook
up pretty good, at least it is better than beans and rice every day. Most of
that is shipped in the container although some beans and rice, plus a lot of
other fruits and vegetables get purchased in LaCeiba on the first day down
there. Each year we also get generators and such things purchased or donated
and they get shipped as well. So, if you want to send some clothes or whatever,
so you have less to drag through the airport, that is fine. Your personal box
or tub needs to be sent to our collection point in Minneapolis
by the end of December. The only thing to remember is that the shipment is one
way. If you want to get items back home, it has to come back with you. Many
people send clothes and other items that they just give to the local people when
they leave, so their suitcase stays light coming home, too.

More info... IHS has a web site with some basic info for all applicants, it
is: www.IHSOFMN.org I suggest looking at the Newsbreak newsletters for a lot of
personal info and stories of past experiences. We also have a special link to a
site where we distibute a lot of info to inquirers and to people signed up to
go. That site is: www.groups.Yahoo.com/group/IHSmission/ Our IHS radio group
also has some info (especially radio items) on a Yahoo site. The link to that
site is: http://groups.yahoo.com/group/IHSradio/ You can see several things
there but I recommend going to the left side of the site’s home page and
clicking on PHOTO. From there you will see some of our people in action. Also,
the FILES area has a LOT of items related to the radio work of a mission plus
other things. These two sites should give you a lot of extra info plus
application forms. I also have many materials for you including a great
computer CD with lots of info on it. The photos
(hundreds of them) and journals on the CD show typical medical/dental teams in
villages plus eye care and surgery teams. The CD is packed with other info
including several super Power Point presentations that give a lot of detail in
our work. I often use the CD as orientation materials for group presentations
and for first time applicants. If you want any of these items, just let me know
what to send and where to mail them and I will send them to you right away.

When you sign up and are put on a team, you will receive a large amount of
information, usually in later November. There is a ton of handy information on
what clothes, gear, and other items to bring plus many other tips. Also, this
information will have very comprehensive Orientation information. It will give
lots of info on how to prepare for the mission and what to expect during the
trip. It also talks about health care issues, such as what vaccinations to
have, etc. Most importantly, you will get the name of your team Leader who is a
veteran going to your team location who can tell you all about the village you
are going to and other details. I am available to answer any questions that
relate to the general mission and to the radio work that goes with it. If you
have any questions related to other jobs on a team, let me know and I will pass
on the info or I will get you in touch with another Director or someone who can
get you all the latest info for that job.

Early applicants have a very good chance of going, especially if they are
flexible in what work position on the team they are willing to take. I do ask
that whether or not this mission works for you, consider passing the word along…
we can always use a few extra folks and support to help us out. If it is not
this year, we can plan ahead for next time. This is especially true for doctors,
nurses, translators, dentists, and other medical folks who we have a tougher
job in recruiting.

Most new folks have called me directly, before signing up for a mission. I
highly recommend that you do that to start with. My evening phone number is:
320-634-4386. I am home most evenings and some on weekends. You have my e-mail
address, so write whatever questions you have, if you prefer that over a phone
call.

I and the very poor of Honduras thank you so much for an interest in this very
wonderful and rewarding work!

Best regards,
John Kirckof
JMKKEK@...
Phone: 320-634-4386
IHS Board Of Directors


IRIS myhealthsense@... wrote:
DEAR SIR
I would like to sign up but send me the details. I got
<< message truncated >>




---------------------------------
Be a better Globetrotter. Get better travel answers from someone who knows.
Yahoo! Answers - Check it out.

[Non-text portions of this message have been removed]




Thu Oct 11, 2007 1:35 pm

jmkkek
Offline Offline
Send Email Send Email

Forward
Message #5412 of 5673 |
Expand Messages Author Sort by Date

Hi Dr Edwards, It is great to hear of your interest in joining one of the 10 or so teams we are hoping to have! The dates are from 15 Feb until 2 March, 2008....
John Kirckof
jmkkek
Offline Send Email
Oct 11, 2007
1:35 pm

Jon , send me your address so I can send you my new medical Spanish book for your trip. It just came out this week. Meg Graham John Kirckof <Jmkkek@...>...
m.h.graham@...
mhgraham59
Offline Send Email
Nov 20, 2007
11:48 am

Hi Meg, Thanks so much for the offer of the book. I have gone to Honduras for about 14 years but the Spanish I learn is while I am there. Having your book...
John Kirckof
jmkkek
Offline Send Email
Nov 20, 2007
3:07 pm
Advanced

Copyright © 2009 Yahoo! Inc. All rights reserved.
Privacy Policy - Terms of Service - Guidelines - Help