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The extraordinary nature of Serendipity

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A late nani tasi

Team 3 returned to Australia last week following a productive fortnight. This was team leader Blanche Tsetong’s tenth trip to TL, so for her, this trip had a celebratory glow from the outset!

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Lunch in Loes

The team also comprised Dr Wayne Pearson – on his 8th trip – and Sally Stephens – already on her 3rd trip in one year! The team was joined by Aida in the first week and together they treated patients in Maubara Clinic, Pauirobo Primary School and Loes High School. Blanche and Aida tag-teamed a chair, while Sally and Wayne made a dynamic duo. The team were particularly impressed with the kids’ teeth at Loes. This school had last been visited by one of our dental teams in 2010, however, it was also one of those schools targeted by a oral health education workshop run in 2008 by Sandra Meihubers and Timorese dental therapist, Elisabeth, as well as a toothbrushing program run by Sr Filomena. The team was pleased that the fillings that the dentists had placed were still there – good quality work – but they were even more impressed that the oral hygiene and decay rate had dropped significantly – evidence of the importance of education. Plans are afoot for Aida, Blanche and Sr Filomena to do a refresher workshop next year and will involve not only school teachers, but also local doctors and nurses.

Aida with some help from Mom
Aida and a helpful Mom

Aida’s skills in diagnosis have improved dramatically and she is now a dab hand at extractions (although she says that her confidence diminishes without the team’s ‘safety net’). We are now working on increasing her experience with fillings in the front teeth. She is a great clinician and the team thoroughly enjoyed their week with her.

The first week was plagued by team erosion – Sr Filomena is now the Big Boss at Maubara and so she had to attend several meetings over the week; Sally was struck by a lurgy which took her out of active service for a day (although she spent that day doing more stocktaking than resting!), nevertheless, the team still managed to finish treating all the students in Loes, in part due to exceptional teacher management.

P1010791 P1010768The end of the first week marked the 25th anniversary of Sr Filomena’s entry into the Carmelite order. This extraordinary woman has been serving the Timorese people for a quarter of a century and she remains humble, joyous and full of love and energy. All who have participated in the program feel truly privileged to have spent time with her. Congratulations Sr Filomena! Felicidades! Parabéns!

Night work in Letefoho
Night work in Letefoho

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Week 2 was spent in Letefoho subdistrict, where the team worked again in their room-with-a-view under the imposing Letefoho church, and visited the nearby villages of Lakau and Lauana. It was a busy, tiring, amazing week. The team arrived in Letefoho just in time to witness the celebration of the Bishop’s inaugural visit – they spent half a day immersed in the spectacle of the crowds, the traditional music and dancing, soaking up the fervour. Once mass was over, the crowds progressed to the dental clinic – the team worked late that night.

Pre- Sr Bernadette
With Sr Bernadette
With Sr Bernadette

For the rest of the week, the team was joined by the ebullient Sr Bernadette, who undertook the tasks of patient registration, catering, drug, sticker and toothbrush dispensing, and crowd control – the team was Organised! Her happy company lifted our hearts the entire week.

Our Lakau clinic
Our Lakau clinic

The visits to Lakau (8.6km) and Lauana (17.8km) were each an hour’s worth of 4WD adventures away from Letefoho. Lakau was extremely windy, perched on the side of a mountain and the team worked in a little bamboo building with a metal roof that threatened to take off with each gust. Lauana, at a little lower altitude, was surrounded by towering Madre de Cacao trees; the church at the top of its steep streets commanding beautiful views over the valley.

The team with the Maubisse boys
The team with the Maubisse boys

The team was in for yet another happy surprise that week. Tino (the Timorese dental therapist we support in Gleno), who had been unable to accompany us due to illness, showed up on Wednesday with Armando, the Timorese therapist we support in Maubisse, who had also brought Ricardo Mendonça, the new dental therapist working with him! Tino was still sick, but was needed as a guide for the Maubisse boys.

With wonderful Tino
With wonderful Tino

Armando felt that he urgently needed more tuition in extractions and reasoned that the 3 hours they spent with the team was worth the 8 hour round trip from Maubisse. It is such dedication that inspires and motivates us in the TLDP. It was a fabulous treat for the team to reconnect with all our Timorese dental therapists in one trip, as well as to meet a new one!

P1020054 The team had a great time in Letefoho. Despite the bracingly cold showers in 12 degree temps (the Fathers are hardcore!), our host, Father Elio, was great company and the hospitality of his crew was second-to-none. Now that he has built a new guesthouse, larger teams will also be able to experience this beautiful area with it’s friendly people.

As always there were the equipment issues particular to working in TL – leaking foot pedals, out-of-control algal growths, the mysterious and inexplicable disappearance of an oil cap after leaving it aside for 60 seconds – but the team took it all in their stride. It was a successful trip – Team 3 treated 516 people, did 370 examinations, 393 extractions, 186 fillings and 169 preventive treatments. Well done team! Thank you to the Maubara crew – Sr Cecilia, Sr Filomena and Idalina; the Letefoho crew – Fr Elio, Fr Ino, Fr Eduardo, Fr Alberto, Mana Lulu and Sr Bernadette; and our Dili crew – Daryl – for making this trip so memorable.

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In the Land with no Tourists…

Team 3 returned home late last night. While you await their report, you may find the following article an interesting read – written last year by a member of 2015’s teams, Anneli Knight, for The Guardian, but only published this month.

http://www.theguardian.com/travel/2015/aug/05/timor-leste-what-its-like-to-travel-in-a-land-without-tourists

I can tell you that there are tourists now…….. but not many…..TL is still significantly off-the-beaten-track and not quite ready for the glamorous and the glitzy.

Team 3 READY

The TLDP sends another team to TL’s fair shores this week. Close buddies, Wayne Pearson and Blanche Tsetong, first met in TL many years ago while serving in a dental team headed by program founder, Sandra Meihubers. With one exception, the pair have formed the core of a team every year since. This year, the pair was to be joined by newbies Beth Bowen and Mary Tuituinnik, however, both gals have had family issues and have had to bow out, leaving the redoubtable Sally Stephens to fill the breach. Sally continues to amaze us all with her dedication and enthusiasm and I am sure this team will have a ball in her company. As this team is tiny, it gets to got to Letefoho! Scenic, airy and peaceful, with Ramelau within spitting distance, Letefoho is one of the most stunning places the teams have had the privilege to visit. The region also has some of the worst roads and, as a result, is very isolated. Lots of work. Lucky Team 3! Wayne leaves his cattle in Grafton, and Blanche, her renovations in the Sunshine Coast, to fly to Darwin this Friday and onward to TL Saturday morning.

Final Stats in for Tireless Team 2

After much wrestling with the not-unusual sketchy communications which are a characteristic of this line of work, the final stats for Team 2 have hit Australian networks! Even though they had only 8 days to work in (given the surprise public holidays) they examined 354 patients, extracted 230 painful teeth and filled 193 less painful teeth. They also carried out 275 preventive treatments on teeth that could be saved. Well done Team!

The Charming Quirks of working in Timor

John Whyte, Sally, Sam and John Moran
John Whyte, Sally, Sam & John Moran

The second team to Timor for 2015 returned home 2 weeks ago after another successful trip delivering dental care to the people of Liquiça, Bazatete and Maubara subdistricts. The team consisted of newcomers, Dr John Whyte and dental assistant, Laura Laycock, veteran Team Leader Dr John Moran and his talented daughter, Sam Moran. Dili-based dental assistant extraordinaire, Sally Stephens – helping out for the second time this year – joined the team part-way through their trip. The team was beset by challenges almost from the moment they set foot on TL soil. Despite carrying a letter from Sr Filomena, they were unable to convince airport customs officials that the dental materials in their luggage were not for commercial use. The team was detained at the airport for 3 hours until The Boss (Sr Filomena) was able to verbally verify their story. In the meantime, the Timorese representative charged with meeting the team with Troopie 2 had made an independent assessment that the team had missed the plane and so had returned home, leaving them stranded. After many hours and several emails and phone calls, along with a couple of wrong turns, the Team managed to reach Maubara late at night.

The team worked in Bazatete for the first 3 days. Sr Filomena had planned for the team to stay in Bazatete but the accommodation proved to be a little inadequate – with only 2 beds for 5 people and no provision for mozzie nets to keep the team safe from the denizens of the night, the team made the sensible decision to drive back and forth from the village daily. This also had an impact on the clinical supervision of Aida, who was reluctant to make several return trips and so decided to stay in Liquiça to work during this time. Nevertheless, the team was able to treat well over 100 patients in their first 3 days.

Sam hands out pressies
Sam hands out pressies

Clinical time was further disrupted by a day for the religious observance of Corpus Christi, and an additional public holiday for the funeral of the Minister for Education. I am pretty sure that the team made good use of that time as they headed in to the bright lights of Dili for those 2 days.

Luckily, there were almost no equipment issues for this team – there was the mysterious absence of a particular nut and screw in one of the portable dental chairs, which are essential to adjust the chair’s height. The team had to strap the chair to keep it together – in an upright position – and so it was useful (barely) for extractions only. The screw and nut went missing in the two weeks between Team 1’s departure and Team 2’s arrival! Also the lid of the portable autoclave had been mistakenly ‘taken home’ to ‘repair’ by one of the members of Team 1, so Team 2 was reduced to using the electric, slower, autoclave only. Working in TL just would not be the same without these little equipment issues which encourages ingenuity, adaptability and a good working sense of humour.

The team spent the last 4 days in the Maubara and Liquiça Primary Schools and in the clinic in Maubara, days which I believe were largely uneventful. Although the day’s records from Maubara Primary are missing, the preliminary stats from the trip record that over the rest of the trip the team examined 259 patients, carried out 192 extractions, 129 fillings and 200 preventative treatments. Well done team!

John Whyte and the 'extraction chair'
John Whyte and the ‘extraction chair’

Many thanks to our very generous donors who provide us with the funds to keep this program moving – we bought $1500 worth of local anaesthetic with your help this trip! Many, many thanks especially to our donors of equipment and materials – namely Henry Schein Halas, which donated a stack of consumables this trip, and have supported us so generously over the year, John Moran, who raided his own stores for local anaesthetic and other consumables, SDI, which keeps us stocked in Silver Fluoride/Potassium Iodide (RIVA STAR), DMS, which provided the team with triplex tips, and Blanche’s anonymous donor, who donated a number of slow speed handpieces, mirrors and probes.

Great work from a brilliant team!

Welcome Home Team 2

Team 2 hit Aussie soil again today after a quick 10 day stint in TL. We are happy that they have arrived safe and well and look forward to their report. Keep you all posted!

Team 2 Ready!

Following hard on the heels of Team 1, Team 2 leaves Oz for the sunny shores of TL in less than a week. The team is headed by TLDP veterans, John Moran and Sam Moran, who will be joined for the first time by Dr John Whyte and dental assistant, Laura Laycock. If all goes to plan, they should be spending their first week in Bazartete and their second week in Liquiça district, before flying home to Western Australia via Bali – which is faster, and less expensive, than flying via Darwin!!!!

We wish the team a safe, productive and enjoyable trip!!!!!!

TEAM 1 FLOATS HOME

Keith, Patrick, Sally and Peter
Keith, Patrick, Sally and Peter

Super-slick operators Team 1 have returned home after a hugely successful trip. As previously mentioned, the team consisted of Dr Peter Shakes, returning for the second time; equipment guru, Keith Mentiplay, on his 4th trip to TL; newcomers Patrick Fitzgerald and Sally Stephens, and their team leader, the ever-cool Dr David Sheen.

Sr Filomena doing a toothbrushing demo
Sr Filomena doing a toothbrushing demo

This team had the additional responsibility of sifting through the equipment and materials that we sent over earlier this year, determining which equipment was to stay in Railaco and transporting the rest to Maubara. After accomplishing this task on Day 1, the team spent week 1 in the Maubara and Loes districts with our indefatigable boss, Sr Filomena. They treated patients in the villages of Fau Lara, Trans and Guiço, as well as seeing the kids from Maubara Orphanage at the fixed clinic.

Keith works his magic
Keith works his magic

As usual, the team was confronted by equipment issues – a flat battery in T2, misbehaving generators and a troublesome compressor. Luckily for this team, they had a not-so-secret weapon – Keith – who spent all hours day and night fixing and upgrading our equipment, as well as installing the new chair and compressor in Railaco and fixing equipment issues in our Lions partner’s Klinik Pas. He did a lot of travelling – Keith had a hectic 6 days before leaving TL at the end of Week 1. He probably needed a holiday! Thanks Keith!

Father Bong with Patrick and Peter
Father Bong with Patrick and Peter

The following week, Sr Filomena handed the team over to the Jesuit crew in the Railaco. Lucky Team 1 had the opportunity to enjoy the unparalleled hospitality of the enthusiastic Fathers Bong, Bert and Phuong, Sr Rita, and the company of a chorus of others, including the high school principal, Michael, and a visiting Aussie nurse, Jenny. The team treated patients in Railaco Leten, Railaco vila, Cocoa vila and Gleno. This area has beautiful scenery and the temperate weather is a welcome relief from the sweltering coast. They were fortunate to have the help of friendly English-speaking locals, Victor and Noberto, who provided assistance with communication.

Tino and Victor at Cocoa Vila
Tino and Victor at Cocoa Vila

To the team’s disappointment, both Aida and Tino – the Timorese dental therapists whom we mentor – both had to attend a Dept of Health inservice for almost the entire time the team was in TL. Fortuitously, Tino (who is stationed  at Ermera) returned to base on the team’s penultimate day and everyone had the opportunity to work together. We first met Tino in Liquiça and is great to hear that he is still as dedicated and enthusiastic in helping his community as ever.

Superslick Team 1 in operation
Superslick Team 1 in operation

According to reports, this team never lacked for enthusiasm or the will to do some hard graft. Patrick, a builder by trade, proved he was a truly multi-talented individual, becoming an excellent dental assistant, sterilisation expert and roadie overnight, while entertaining the team with his Irish humour. Sally proved to be one of those dental assistants that we dentists refer to as Supernurses – able to handle anything and everything with good humour and ease. She kindly made her car available for the team’s use during the trip. Thanks Sally! Also,she is so enthusiastic that she has already volunteered to work with the next couple of teams as well as to do their inventories and sort out the clinic once they depart. We may have to decline or be spoilt forever. Peter Shakes (the quiet achiever and smooth operator, who gets the job done) and Sally were the ‘Dream team’, doing the bulk of the clinical work.

Thanks HSH!
David, Sally and Peter with kids say, “Thanks HSH! “

All up, the team saw over 356 patients. They extracted 305 teeth, and despite the breakdown of our remaining slow speed handpieces, restored 127 teeth and carried out 47 preventative treatments. Thanks to David, Peter, Sally, Keith and Patrick for all your hard work and adaptability. Your humble and helpful natures contribute to the building of peace and trust in TL.  Thanks also to Sr Filomena, Father Bong, Tino and all the other Jesuits and Carmelites whose dedication and patience continues to make this program possible. Lastly, thankyou to Henry Schein Halas for continuing to support our program with much needed materials and equipment, which allows us to continue to help the East Timorese people.

TEAM 1 to KICKSTART 2015

This Sunday our first team for 2015 heads to Timor Leste’s sunny shores. The team, led by Dr David Sheen, has the important tasks of touching base with our network in TL, as well as the installation of the dental chair in Railaco, on top of the usual tasks of treating the East Timorese and mentoring Timorese Dental Therapists that are our everyday challenges. David is joined by new volunteer, Patrick Fitzgerald, and by Keith Mentiplay and Dr Peter Shakes. We are also very lucky to have Sally Stephens join the team for the first time. She is an Aussie dental nurse who currently resides in Dili.

We wish them a safe and productive trip and hope that their interactions with everyday East Timorese continues to build peace, understanding and resilience within this still very young nation.

Dental equipment reaches Railaco

As promised, Father Bong and his merry band picked up the equipment for the Timor Leste Dental Program on Sunday and hauled it to Railaco. The heavy weight and unwieldiness of the items proved no obstacle to team’s determination and cooperative efforts to move them into the clinic. Thank you to Father Bong and his team and to Daryl Mills and his team, without whom these dental materials and equipment would still be sitting on the dock in Dili.Jan container 2