Tag Archives: Aid and Development

The extraordinary nature of Serendipity

P1010738
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!

P1010766
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

IMG_4538

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.

IMG_4512

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.

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.

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

MONEY MATTERS

On behalf of all us who volunteer for the Timor Leste Dental Program I would like to offer a sincere thanks to the Chatswood Rotary Club for throwing us that marvellous bash earlier this year. Drs David Digges, David Sheen and Blanche Tsetong were invited to one of the club’s meetings at the start of this month. After giving a presentation to the attendees, they were handed a cheque for $53 000 – a significant amount of money that will help keep us going for the next few years. This is in addition to the generous donations we have received, and are continuing to receive, from our fabulous supporters.

So what are we planning on doing with the dough? We at TLDP central are planning on buying a new compressor, a new portable dental cart, paying off our loan for Troopie 2 and generally getting on with the job at hand. Thank you for your support! We could not do it without you!

A few fun facts about the program.

We sent 7 dental teams from Feb 2013 – Sept 2014

We treated 2895 Timorese people.

We extracted 2071 teeth, placed 1189 fillings and performed 1490 preventive treatments.

A conservative estimate of the cost of this treatment is $848 260.

We are in the midst of planning 2015, which is shaping up to be another exciting year! We have a whole new line-up of eager volunteers, thanks to our raised profile, and are planning additional trips!! Keep you posted!

(Picture from left: Club President, Dr Tony Basten, Dr Peter Kindred, Dr Dick Abbott, Dr David Sheen, Dr Blanche Tsetong, Mrs Coleen O’Neill, Mr Michael McQuillon, Dr David Digges)

 chatswood

The lucky team returns!

Our last team for 2014 returned from Timor Leste a couple of weeks ago, tired but triumphant. The team was exceedingly busy both weeks. In the first week our intrepid team, comprising Dr Hans Raets (Team leader), Dr Yvonne Huijser Von Reenen and Ms Breanna Martin, made the first dental visit to the village of Lebuletta, a 90 min 4WD into the hills above Maubara. We are not sure they will be invited back – by hooking up to the village’s brand new electricity supply, they blew all the fuses!

Hans, Yvonne, Sr FilomenaThat same week, the team also visited the nearby villages of Paurobo and Kaikasa where they were dismayed by the high levels of decay. They were also plagued by equipment failures – herniated air lines, seizing of high speed and slow speed handpieces and malfunctioning valves on the steriliser. Luckily the team had Breanna – a secret expert in battling recalcitrant equipment. She singlehandedly fixed both the air line and the valves.

hans team 2014In the second week, the team was joined by Dr Geoff Knight and his daughter, Anneli Knight, as well as Aida, the Timorese Dental Therapist that the program mentors, who works in Liquiça and Maubara.

The team took off to Bobonaro, a 5 hour rough journey with spectacular scenery. They made a stop in the infamous town of Balibo, where Rotary is building a guesthouse and clinic (apparently the rooms and food are 1st class! We have already volunteered to test them out). A lucky team, they were fortunate to be just in time to see the Tour de Timor cyclists cross the Stage 2 finish line!

In Bobonaro the team was swamped by work, which was dealt with most effectively by using a special treatment protocol which Geoff has helped develop. With Geoff’s tutelage, Aida, in particular, has become extremely proficient in treating decay quickly  with basic equipment. A return visit next year is on the cards to assess the 344 teeth treated in this way.

Catastrophe struck on the ‘lucky’ team’s second last day. The compressor kicked the bucket at the worst time – when they were treating Sr Fatinha, our Timorese coordinator in Bobonaro. A 5 min job became a 2 hour job. Well done Geoff!

hotspringDespite equipment failures and  the bells and the dogs of Bobonaro, the team managed to maintain their remarkable spirit and goodwill throughout the trip. Could it be because of Anneli’s sterilisation efficiency  keeping them amply supplied with cold steel? Or was it super-dental assistant Breanna, with her continual rendition of AFL songs? Perhaps it was the pilgrimage with Sr Mendes  to the hotsprings at nearby Marobo? No matter what the reason, they were a great team!

Another successful trip despite many trials. The team treated a total of 578 patients. They extracted 321 teeth, filled 226 teeth and performed 438 preventive operations. Well done Hans, Yvonne, Breanna, Geoff, Anneli, Aida,  Sr Filomena and Sr Fatinha!

Final 2014 Team READY!

The last team of 2014 is now on-track to depart from Timor Leste in a couple of weeks. It has been a bit of a ride for this last team – administration problems, recalcitrant passports containing one too many numbers for online forms and scary health issues have all contributed to the stress of preparation for this team. Nevertheless, they are still going! You’ve got to admire the dedication!

The last team consists of returning clinicians Dr Hans Raets from Northern Territory and Dr Geoffrey Knight from South Australia, as well as three eager new volunteers – Dr Yvonne Huijser Van Reenen and Ms Breanna Martin, who also reside in the balmy NT, and Ms Anneli Knight, Geoff’s intrepid daughter. It is fabulous to see that this program has true national support, with dentists participating in the program hailing from all states (except Tassie – too far for them to travel, perhaps?).

The team will arrive in Dili on the 6th September. Their first job will be to fix the portable suction unit which was discovered to be leaking on the last day by the July team. Unfortunately, Team 3 possessed neither the tools nor the hand size for the job – thankfully Team 4 consists of taller people and has had the chance to head to Bunnings!

The team will, as usual, spend the first week in the Maubara/Liquiça subdistricts and then will be heading out the hills of Bobonaro for the second week. Lucky them! The area around Bobonaro is exceedingly beautiful and Sr Fatinha and her fellow sisters will make them feel right at home. The only downside are the bells…and the dogs….a very early wakeup call. Fair warning!!

http://https://vimeo.com/103895361

NB: This video was taken from bed. Note it’s pitch black!

 

 

 

Dinner with the PM

All of us who are involved in the Timor Leste Dental Program are very excited. As all our friends and supporters are well aware, we have been looking for funding for Troopie 2, for a new compressor and for the general running of the program. Knowing this, the fabulous people from the Chatswood Rotary Club have taken it upon themselves to organise a fundraising dinner, with our dental program as the major beneficiary! The icing on the cake is that the Honourable Tony Abbott, MP, Prime Minister, will be speaking at this excellent event. The fundraiser is on August 6th.

little boys in Maubara

 

April Team returns!

David, Carolyn and Peter with the old troopie
David, Carolyn and Peter with the old troopie

 

Another successful trip. Locations attended: Maubara Clinic, Maubara High School, Ediri School, Lebotelo School, Railaco, Nasuta, Railaco Leten, Tocolulu

The team spent their first week in and around Maubara, the second around Railaco. This team consisted of dentists, Peter Shakes and David Digges, and Carolyn Digges, working as the team’s dental nurse, and two of our mentored Timorese dental therapists, Aida, who works in Liquiça and Maubara, and Tino, who is currently stationed in Gleno, as well as Louis, the driver who doubled as the sterilisation nurse. Sr Filomena coordinated the work around Maubara, whereas Fr Bong and Sr Rita coordinated in Railaco.

"Aida the extractor"
“Aida the extractor”

The Troopie was drivable this trip. Yaay! Nevertheless, as always, a number of small problems plagued the team. At Ediri School, the team almost expired from a heat that caused the generator to stall and the compressor to overheat  and, even worse, the emergency fan to die! Small repairs and adjustments to our sometimes temperamental equipment were carried out by Peter; he also organised the repair of the Troopie’s flat tyre in Railaco – we love useful, mechanically minded volunteers!

Tino and Carolyn
Tino and Carolyn on fire

Tino and Aida, both hardworking, enthusiastic and capable clinicians,  benefited greatly from working with two very experienced dentists. Peter was tireless in the support and training he gave during this visit. Like many before him, he noted that despite their impressive skills, lack of support from the Ministry of Health in terms of equipment, materials and facilities limits their capabilities to help the community.  Aida and Sr Filomena had already screened 2/3 of the massive Maubara High School prior to this team’s visit and they plan to return to finish the screening in readiness for the next team visit.

Overall, the team carried out 310 examinations, 332 extractions, 135 fillings, 87 preventative treatments – a total of 886 treatments! Well done to you all, and thank you for all your hard work!

 

 

 

Disaster strikes for the program

Out Troopie in 2012 on the way to Letefoho
Out Troopie in 2012 on the way to Letefoho
The roads are bad in Timor Leste, especially outside of Dili. Rough. Hard on vehicles (and their drivers). This year, the program’s vehicle, a Toyota Troop Carrier, finally succumbed to the pressures of being driven to remote villages in TL and kicked the bucket – AGAIN. Over the past couple of years, the ‘Troopie’ has become exponentially more expensive to repair. Now we are faced with the grim fact that we need a new – secondhand – one. With the majority of our work being in remote and rural locations, a vehicle that can carry all our equipment is essential. PLEASE HELP US TO RAISE $25 000 by next February so we can continue our work!