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Bye Team 2!

Team 2 heads off to TL this Saturday. Dr John Moran will be joined by his usual side-kick, Dr John Whyte, and super-dental assistant, Bella Miller, who is heading out for a second ride! John’s team will, once again, be the guests of Father Bong and his merry men in Railaco. They will be the second team to work with Nico. Have fun team!

The Sublime Grace of Good Friends

Team 1 has returned from a fortnight of fun, food and friendship with our Timorese friends in Maubara and Maubisse. On this trip, our 3-person contingent from Australia (Dr Mary Tuituinnik, Dr Blanche Tsetong and Mrs Yvette Young), was happily far-outnumbered by the Timorese part of the team. (Pic above: Gentle Tino; below: The beautiful Sisters in Maubisse: Sr Eva, Sr Rosa, Sr Inacia, Sr Loudres, Sr Helena – with Yvette, Blanche and Mary)

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Amongst our team members in Maubisse, were Dr Inda Zulmira Dias, the new dentist in Maubisse Hospital, as well as Armando da Costa Martins and Ricardo Mendonça, the Maubisse Hospital dental therapists. In addition to our usual tasks, the TLDP is currently assisting the Bendigo-Maubisse Friendship Group, who has been asked by the Maubisse Hospital Director to help improve dental services in Maubisse District. Hence, this trip we worked with the Maubisse dental team to develop a plan about how this could be achieved.  Dr Inda is a young and enthusiastic dentist, educated in the Phillipines and full of great ideas and a passion for promoting good oral health. (Pic: Clinical supervision in Maubisse Hospital)

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In Maubisse, we were also joined for a day by the bubbly, Ana Tilman, a dental therapist who works with the Kose Nehan group out of Aileu. She was super-fun and a joy to work with. Team 1 also had the task of ‘road testing’ a Timorese dental therapist, Nicolau Tolentino Faria Pires (aka Nico), that we hoped to employ for the TLDP. Nico has a couple of years’ experience, has worked for a couple of other NGOs previously, and has been recommended to us by our mate, Dili dentist, Dr Fernando. Our last team member in Maubisse was our driver, Dionisius Gonsalves (Dion). (Pic: Ana and Nico)

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We were so fortunate to have the opportunity to mentor so many clinicians at the same time!  We had three days of treatment and clinical supervision in Maubisse, peppered with lots of treats – joyful, delicious and noisy dinners with the Sisters, a soujourn at the Maubisse branch of AHHA helping young Timorese learn English, listening to the haunting notes of the Sisters’ singing early in the mornings, Mary and Dion’s afternoon jaunt with Sr Lourdes to deliver meals (on wheels) – and an oral health workshop for the community thrown in at the end! (Pic above: Dr Inda presenting at the Oral Health workshop; below: Ricardo welcomes the community at our workshop)

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For their last 2 days in the mountains, Dr Inda organised an outreach clinic in Hatubulico, a beautiful, extremely peaceful village at the foot of Mt Ramelau, Timor’s highest mountain. Like Mt Fuji, Mt Ramelau has a very particular shape and is instantly recognisable – over the years we have been lucky to view it from all sides. Hatubulico is a 2 hour, super rocky drive from Maubisse, with plenty of spectacular scenery, narrow roads and sharp drop offs to occupy passengers and drivers alike. (Pic: Mt Ramelau from Hatubulico)

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As is the case in many remote communities, the dental need is massive and we had a very busy couple of days – four clinicians working, two in ‘normal’ chairs (oh, our backs!!), one dentist supervising the therapists, Yvette assisting everyone, checking the post operative conditions of the patients and sterilising instruments, and Dion doing admin and a very relaxed kind of crowd control. (Pic: Our alfresco clinic – 2 chairs manned by Nico and Ricardo)

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We always love alfresco clinics! The team had fun in Hatubulico. We stayed in a pretty swish place (despite the need to share beds and a dearth of blankets, it had running hot water showers that mostly worked!), enjoyed the views and friendly locals whilst walking to work, and even attempted the gnarly track to the start of the Ramelau ascent path (we had to abort halfway because Sister’s car threw a hissy fit. (Pic: Inda and Blanche – impromptu checkups for the crowd)

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Week 2 saw the team descending from the cool mountain air into the miasma of the coast. The heat and humidity affected us all, but struck down Yvette one day and Mary the next. The sea, usually a welcome relief, was lukewarm and full of debris and sea-lice. Still, we soldiered on and the second week proved just as exciting as the first. Tino joined the team on the Tuesday and Bony rocked up on Wednesday night. It was lovely to see them both! During the week, the team worked in Maubara Clinic for 2 days, giving the two therapists (Tino and Nico) the benefit of working under Mary’s exacting eye, and Blanche, the opportunity to effect some repairs. (Pic: Yvette, Nico, Blanche, Dion and Mary)

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The team also spent a day in Lebotelo treating the primary school and the community and a day in Loes SMP School – both journeys took longer than before. Road degradation continues on apace in Timor! Lebotelo is now a 90 min journey via goat track, not a 30 min soireé up the hill from Maubara, and the road to Loes is literally falling into the sea!

The team fell into a natural rhythm: Sr Filomena and Tino screened the kids, Bony did admin duties and tag-teamed with Tino to give toothbrush instruction, and Nico (tag-teaming with Tino), Blanche, Mary and Yvette got the treatment done – a well-oiled machine!

20170504_100551 (2)The only thing that went slightly awry was in Loes when Yvette – driving Sister’s car – temporarily forgot the existence of those rather large drains. Nobody was hurt and there no damage to the car, but Yvette provided a whole bunch of entertainment for the locals at the cost of a slightly bruised street cred.

Although Bony and Tino are old mates, they soon took Nico under their wing and all three were soon carrying on like long lost brothers. Nico was a super hard worker and a careful clinician. We are sure that he will make a good addition to our program. From now on, he will be permanently employed by the program to work both in the clinic and the surrounding Loes/Maubara subdistricts, as well as to work with the teams when they are in Timor. For now, we have enrolled him in English classes in Dili. Hopefully, he will have picked up a word or two by the time John’s team rolls into town in 9 days! All he needs is “No worries!”

IMG_8658 (2)Many thanks to all our team members, and to their families, who support them, to our lovely Sr Filomena, Sr Joaninha, and to the Maubisse Sisters. Thankyou to Mario and Judite in the Rotary Liaison office in Dili – your help is essential to our work, and thank you to Henry Schein Halas, who continues to support our program. (Pic left: Novagenerian who fought with the Australians in WW2; right: Full of grace, Sr Filomena and everybody’s favorite dish, Brinzela)20170505_145409 (2)

21 days and counting

It’s less than 3 weeks until the first team of the year hits the sunny shores of TL, and it’s already shaping up to be a busy 2 weeks. Team 1 consists of only 3 people this year – Dr Blanche Tsetong, Dr Mary Tuituinnik, who has been a long-standing supporter of the program, and has attempted to volunteer with us twice before, but has still yet to set foot on TL soil (third time lucky!); and another newbie, dental assistant extraordinaire, Mrs Yvette Young.

As usual, the team will be laden with all manner of materials destined for our own program, as well as for the clinics in Maubisse Hospital and Gleno Hospital. The dental clinicians that we support have all put in their requests for much-needed materials and equipment. Some things are easier to obtain than others – Armando and Ricardo’s request for needles and filling materials is much easier to attend to than Tino’s request for a headlight! But we do our best! As the time draws nearer, some of the committee members are scrambling to source much needed items – Dr David Sheen has been trying in vain to contact a supplier in India to obtain autoclave seals, and Dr Wayne Pearson is attempting to track down a suitable storage container for our suction unit, as well as Tino’s headlight. Thanks guys!

Many exciting things are happening this year. Our program has been on the lookout for several years for a Timorese dental therapist that we can employ full-time – someone who is not subject to the whims and vagaries of the Health Dept of TL. We have had some good news – our friend, Dr Fernando, thinks he has found us someone who will fit our requirements – a newly graduated Timorese dental therapist, who we will be meeting for the first time this trip. We will be subjecting him to a trial by fire – hope he doesn’t crack!

Another bit of good news is that Maubisse Hospital has recently employed a new dentist! Dr Inda Zulmira Dias is from Los Palos and studied in the Phillipines. This is exciting because for a program to be sustainable, it requires local ownership – now that Maubisse has 2 dental therapists and a dentist, they will be the ones doing the driving! Hence, another task for Team 1 is to collaborate with Dr Inda, Armand and Ricardo to establish how best we can support them in the future.

Between our school and community oral health workshops, clinical and teaching duties and meetings, meetings and more meetings, these are going to be 3 very busy girls! Bring it on!

 

 

 

2017, here we come!

It’s a new year and with it comes new opportunities, new directions and new friendships. Our year started in Hollywood-fashion, with Sr Filomena (Timorese Coordinator), Bony (intrepid translator and natural showman) and Tino (dental therapist extraordinaire) taking a turn in front of the cameras to showcase our program in a 360° Virtual Reality documentary. Thanks to our mate, Daryl Mills, who, even when he is not living in TL, is still thinking of us!

An serendipitous start to what promises to be an exciting year. This year we are teaming up with the Bendigo Maubisse Friendship Group to improve dental services to the community in the subdistrict of Maubisse, which lies to the south of Dili in the mountains. Up to now, our program has only managed to visit Maubisse once a year; we are hoping that this partnership will significantly increase our capacity to deliver treatment and to better mentor and support the two dental therapists who currently work in the hospital, Armando and Ricardo.

We have 5 teams this year and apart from Maubisse, we will be heading out to Atauro (Dr Wayne loves those huts at Barry’s), Oecusse and Railaco, with the rest of the itinerary to be unveiled by The Boss (Sr Filomena) as the year unfolds. First team kicks off in April. Watch this space!

 

 

GOODBYE AND GOOD LUCK

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David Digges, Daryl and Adji

Very, very, very sadly, the Timor Leste Dental Program farewells a dear friend from TL, Daryl Mills, who has been the Rotary Liaison Officer, ROMAC coordinator and general fixer for all Rotary projects in Timor Leste since time immemorial. Daryl has met teams at airports, organised accommodation, arranged emergency medical care, sorted out repairs for equipment, sourced us a new car and facilitated its purchase, paid our bills, been our TL banker, shown us all the good spots to eat, unloaded our stuff from shipping containers and ferried it to wherever it had to go, smoothed our way through customs, helped us with visa issues and generally been an irreplaceable, good-natured, super-helpful mate who we loved to hang out with. We also enjoyed the company of Daryl’s wife, the lovely, kind-hearted Widya, who worked at the Australian embassy, and has always had a finger on the pulse of TL life and a big sense of humour; and we have watched their son, Adji, grow into a very mischievous 7 year old. We will miss them all!

The family is planning on eventually heading to the WW1 &2 battlefields of France to start a tour business there – Daryl knows more about WW1 and WW2 battlefields than I could have ever imagined! For now – they are in Indonesia, dealing with the congestion and bureaucracy of Indonesian life.  Our deepest thanks to you Daryl, for your help, good-humour  and friendship. We wish you, Widya and Adji all the best and hope to visit you in France soon!

All work and no play….

Enroute to Maliana - DD, LE, AF
Enroute to Maliana – DD, LE, AF

If it is true that what doesn’t kill you makes you stronger, the six members of Team 4 must be exceedingly fortified after their stint in TL. Headed by frequent flyer, Dr David Digges, the team consisted of first-timer, Dr Ashley Freeman, our translator, Mr Bonifacio Cardoso Martins (Bony), and tag-teamers, Mrs Liz Eberl, Ms Aisling Digges (both on their 2nd trip) and Dr Geoff Knight (on his 4th trip).

flagThe team spent the first week in Maliana, which is a 5 hour scenic drive west from our base in Maubara. On their way, they stopped at the historic village of Balibo, where they had lunch at the restored Balibo Fort and visited the newly opened dental clinic, managed by the Balibo House Trust. They are also looking for volunteer dentists and the accommodation is 4-star!

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Bony’s family

Bony and Tino  had organised the team’s accommodation and program in Maliana well in advance. The team were met by the welcome party of Bony’s family, who live in Maliana, and stayed in a lovely guesthouse surrounded by mountains, with sweeping views over rice paddies. They spent the first 2.5 days working at the hospital, where they were able to spend some time upskilling Jose, the resident dental therapist. Jose used to work with Australian-trained dentist Dr Amelia Barreto, but like many professionals, she quite rapidly shed her clinical position, moving to Dili to work in the Health Ministry.

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Bony and the masses

The work became a battle when the team moved to the largest conjoined primary and secondary school in Maliana – 1500 children.  This is Bony’s alma mater and three of his siblings still attend school there. Team 4 was treated to their first full Bony experience – given a microphone, Bony launched into his usual routine – an encouraging speech, oral hygiene demonstration and the ‘Brushing Song’. No one can withstand his natural charm and enthusiasm!

dd-and-af-in-malianaNotwithstanding the fun atmosphere, the team was in for a gruelling 2.5 days. They treated so many children that the days passed in a blur! Surprisingly, all the equipment held up under the stress, with only one thing marring the otherwise seamless week – Someone locked the keys in the car. This necessitated the convening of a village think-tank and a search through the underbelly of Maliana for one with the necessary skills to retrieve the keys.

The middle weekend is important to the teams. It is the changeover weekend – of people, equipment and locations. It gives us at least a day to recharge ourselves, to effect any urgent maintenance and repairs, and restock our depleted supplies for the following week. Team 4’s weekend was filled with visits to the Maubara orphanage, to the ‘head office’ convent at Fatuhada, showers and internet in Dili (aaaahhhh!!), and lunch with our mate, Mimi Chungue (who found Bony for us – thank you Mimi!). They farewelled Liz and picked up Aisling and Geoff, then headed into Week 2 on the  flawless  3 year old road to Railaco.

Railaco clinic
Railaco clinic

The teams who have worked with Geoff Knight have always commented on how much they learn from him, especially with regards to using Silver Fluoride/Potassium Iodide to save teeth from the bucket. With continuing donations from SDI, which markets AgF/KI as Riva Star, our teams have enthusiastically added this product, and the treatment protocol developed by Geoff, to our dental ‘toolkit’, both in TL and at home. We are deeply grateful to both Geoff and SDI for their support.

Hence, while the Team sorely missed the presence of Tino, whose baby was hospitalised at the time, they continued to benefit from Geoff’s expertise – Geoff even treated David’s mortally wounded finger with AgF – preventing amputation or worse!

A clinic with a view
A clinic with a view

The team shifted a lot this week. The first 3 days they were hosted by the indefatigable Father Bong, who organised the team to work on someone’s balcony in  Nasutu the first morning,  then spend that afternoon and the following day in Railaco Clinic. The third day the team worked on the back deck of the church in Railaco Leten, which is reached by a very steep, very windy road with stunning views to be enjoyed by everyone except the white-knuckled driver.

cheeky-boysThe last 2 days the team was sent back down the hill to Kasait, which is near the shipyards on the way to Maubara. The Jesuits have been busy building a clinic and a school there. The team was coddled by Sr Eliza, who is also a registered nurse, and were wined and dined by the Jesuits up above, in Montserrat, a monastery that, like the original, has stunning views over the coast. The team treated both community members and school children, and was ably  assisted by a young Jesuit intern, Brother Francisco from Portugal. Again, their seemed to be no problems with equipment this week. Yet again, only one thing marred the seamless nature of the operation – Someone (and I think it was the same ‘someone’) was a tad lackadaisical in the packing of T2, which resulted in the totally preventable breaking of the Bundy bottles and an obscene wastage of good rum!

The team worked their fingers to the bone. Their massive effort saw 973 examined, 427 extractions, 353 teeth filled, 18 cleans and 227 preventive treatments. Well done Team 4! Luckily, they seemed to have also had a fabulous time, hence, they are in no danger of becoming dull anytime soon.

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The last hurrah at Black Rock

Thank you again to SDI and also to Henry Schein Halas, who also give us huge amounts of materials throughout the year – we would quickly grind to a halt without you. Thank you to all our supporters and to Sr Filomena and Father Bong for organising us while in TL. Our last thank you goes to Bony – whose enthusiasm, good humour and sheer hard work has helped each and every team do their job more effectively this year.