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 would be
a true test of what good it can do.

My address is:
John Kirckof
21594 Memorial Drive
Glenwood, MN 56334

When I get it, I will take it to the Board meeting (20 Dec) and see what they
want to do in regards to buying more copies. So, do send ordering instructions
in that regard. I can also show others during my travells and time in teh
village. If you want it returned after the trip, I can do that.

Again, thanks so much !!

John
320-634-4386

"m.h.graham@..." <m.h.graham@...> wrote:
John ,

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 wrote:
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.


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