Tag Archives: David Digges

On the Road…again – memoirs from Team 2

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How quickly the months roll around.

It seems that I’d only just finished taking my antimalarials from my last visit to TL, when it was time to visit the Doctor to get a new prescription and update my shots. 

Of course, there had been a preamble for months. Organising our new team members, a flurry of emails from Blanche, the program coordinator, various docs for various bureaucrats, the logistics around stock and equipment and then who will transport what from where.

Team 2 consisted of the old guard Henry Gilkes, David Digges, Ana Tilman, Ana Martins, and Nico Pires, with the new faces of Rupa Mannan in the first week and Niamh Grant and Ben Abbott in the second.

Henry and David arrived into Dili on Friday, June 23 to be met by Mario, our Rotary man on the ground. Troopy delivered into our hands, we set off for the Timor Plaza Hotel to negotiate an upgrade to our budget single room. Fortunately, success was on our side. We also had the pleasure of catching up with Isa, a long-time helper of the TLDP, and meeting her very partner Levi. Isa regaled us with tales of her busy life, juggling work and studies.

Next morning it was an early start in the Troopy, picking up Ana Tilman (AT) and Ana Martins (AM) on our way to Maubara to collect the Sisters’ car and load both with our equipment. We’re met by Nico and in his usual efficient manner both cars are loaded with everything but the surgery kitchen sink and we set off back toward Dili. With a little time to kill, we visit the Carmelite stronghold at Fatuhada to fly the flag and chat with the Sisters and some of the young adults who live there whilst studying. 

As ever, David managed to pull a crowd! 

We split into two – Sisters’ car departed for the airport, raiding the Leader supermarket on route before collecting Rupa with her cargo of stock, whilst the Troopy headed up the mountain to get a head start on our portable surgery setup at the Jesuit stronghold in Railaco.

Reunited somewhat later, we completed the finishing touches, testing the equipment to find that the much travelled refurbished triple syringe was still misbehaving. Rupa was acquainted with the bathroom facilities and relived school camp by bunking with AT and AM in the dorm. We suspect there was a lot of talking after lights out! 

Catching up with Father Bong and the other Jesuit priests for the evening meal before an early night to ready ourselves for the next day.

Somehow the news of our dental caravan is woven into Sunday mass and we hit the tools as soon as people left the church and wandered across to our clinic. No rest for the wicked – we had a full day of patients in their finest church attire.

Our working days start typically around 8am, usually rolling in to a group of locals who gather patiently at the clinic awaiting our arrival. 

Our primary objective in Railaco was to work our way through the school students at the nearby Jesuit boarding school, finishing the job that we started last year.

With 6 operators we sent three of us on the 5 minute walk through the cemetery to the school. AT marshalled the children, they fill in brief details on a chit and then filed past two of us to be examined by headlight and loupes using a no-touch technique. 

Having now created 2 groups, the “neehan diak” (good teeth) group wandered back to the classroom whilst we escorted those selected for treatment back to the clinic.

There is much nervous chatter discussing whether their paper says “solda” (filling) or “fokit” (extraction). The children face the dental unknowns ahead with stoicism, you can’t help but wonder how this would be going down in Australia. 

We see many instances of children who have had chronic pain for months, unable to eat properly and surely affecting their academic performance.

The days settled into a similar clinical pattern, 4 chairs working generally flat out until we ran out of patients around 5.30. We rotated operators as needed, particularly when there was something interesting happening where we could observe and offer guidance to our local colleagues. We can see an improvement in their clinical skills from last year, Nico proving to be a master of extractions and AT revelled in rebuilding smiles!

After our last patient, floors are mopped, benches tidied and we hit the bathroom to wash off the daily grime. Dinner with our hosts with wide ranging discussions and then sometimes a quick tutorial about something pertinent such as nerve blocks and filling techniques. 

One evening a guitar was procured and Rupa and AT regaled us all with their lovely voices and impressive musical prowess. 

An equally noteworthy event took place during our time in Railaco, when an Australian couple, who had sponsored AM throughout her three-year dental hygiene course in Kupang, paid us a visit. Emotions ran high as AM, who had limited contact with her sponsors over the years, finally had the opportunity to showcase the skills her benefactors’ gift had bestowed upon her as a young woman from the Maubara orphanage.

Dr David and Ana Martin, her two benefactors, and Father Bong

Halfway through the first week, we received disconcerting news about our planned access to the Maliana Hospital in our second week. A high-ranking bureaucrat at the Ministry of Health (MoH) had taken it upon himself to disregard all previous correspondence regarding our legitimacy and insisted on additional documentation. It appeared that the change in government had brought everything to a grinding halt. Determined to resolve the matter, we procured necessary numbers, made calls, and engaged in back-and-forth discussions with the Carmelite Sisters. Finally, a vague promise was made that a decision would be reached by the end of the week.

By Wednesday afternoon we had finished in Railaco, so the next morning, we trundled down the mountain stopping for some photos in a traditional village, to the expansive Jesuit institution at Kasait.

Ensconced in the medical clinic, we unpacked and saw a trickle of patients who magically appeared.  Treating ourselves to a pizza dinner at the nearby Lauhota Beach Bar in the late afternoon we found daylight fading early with a swiftly appearing thunderstorm. Note to self: driving at night is not much fun with other traffic sometimes having no lights and the Sisters’ car headlights powered by votive candles.

Friday saw a full day of children, arriving with their very organised signed parental consent forms.

Still, the decision from the MoH remained elusive. In a stroke of genius, we reached out to the Director of the Maliana Hospital, Dr. Monez. A call was made to the MoH, and later that day, we received the long-awaited good news: we would be welcomed with open arms.

Saturday morning saw the team arrive back at our “home base” in Maubara clinic. Our plan was to only see the orphanage kids and any Sisters that might require some dental attention. We are trying to teach the local community that our two Timorese colleagues are more than competent to treat them and not to wait until the foreigners come before seeking treatment.

Rupa enjoyed looking after her cute little patients before it was time to whizz her into Dili for her flight back to Darwin. In a seamless transition we also picked up Niamh and Ben from the airport with their much needed cargo of gauze. Then back to Maubara we went – it’s becoming a familiar trip with us now knowing the potholes on a first name basis.

We retired up to the peaceful surroundings at the Carmelite stronghold of Fatubese. Perched up on the ridge with lovely views over the ocean, its a pleasant introduction to life on tour for our new crew.

Back to the orphanage for dinner with the highlight being the distribution of presents to the assembled children. There is much excitement as balls are thrown, bubbles blown and T shirts tried on. Good luck getting them to bed early that night!

Sunday morning saw us on the long and adventurous drive to Maliana. It’s quite a picturesque journey, initially following the coast south toward the border with expansive views toward offshore islands and then passing large swathes of rice paddies. Coastal villages whizz by with their slowly drying fish dangling in bunches and newly minted bags of salt set neatly in rows. Children line the road in their Sunday best clothes, returning from church, often walking barefoot and carrying their high heel shoes.

At Batugade the road turns away from the coast and ascends the mountain toward Balibo. Memories of bitumen with a white line are soon forgotten and it’s slow driving with the road no more than a rutted gravel track with some forlorn strips of old tar. 

The reward is a lunch of pizza and beer at the Fort Hotel in Balibo, an unlikely oasis in this rural part of Timor Leste. It’s also an opportunity for our new team members to visit “Australia House” and read the history of the 5 journalists who lost their lives here in 1975. A poignant place that has a small dental surgery attached, supported by dentists and donations from Victoria.

Then it’s back down the other side of the mountain, across the long bridge over the wide pebbled river, skirting the Indonesian border and we arrive into Maliana. With much low rise housing and  plenty of trees, it is hard to see how this is Timor-Leste’s third biggest city.

Met at the hospital by Mia, our friend and local organiser, we were shown to our new clinical home for the next week – the hospital’s new Covid annex, purpose built a couple of years ago it sits unused, full of fancy hospital beds, flushing toilets and air-conditioned. Laying out our instruments and consumables, setting up our portable chairs in this perfect situation it seemed strange that until a couple of days ago the MoH was making our life very difficult.

Accommodation was up the hill at Bethania, a partially used seminary and not a hardship posting. A wide bed, air-con and mozzie screens left Niamh and Ben wondering what I was on about with my pre-team missives about the challenges of life on the road. To Niamh’s relief, we were yet to meet a crocodile, although it was early days.

Our brief for the next 5 days was to screen and treat the children in a local middle school, see the community who invariably arrives after hearing of us on the bush telegraph and minister to the young hospital staff.

Starting early, the team splits into those who start on already-formed queue we encounter as we arrived and those who head to the school in the Troopy.

At school, Ana Tilman works her magic, taking names and ages whilst those with loupes and lights pass down the row of desks, the children standing and opening wide to expose their teeth. Once we had a suitable number for the Troopy ( a number not found in the Toyota manual but we suspect close to 20) they were shepherded outside and transported back to our makeshift clinic. Clasping their small chits inscribed with their fate, they cluster in the hallway under Mia’s watchful eye.

How many kids fit in a troopy? https://vimeo.com/849710805?share=copy

Tuesday saw Dr David leave in a thunderstorm for the long trip back to Dili, an unenviable journey in wet and gloomy conditions. Thankfully, he survived!

By the end of the week we were a well-oiled machine, our favourable working conditions enabling a lot of dentistry to be performed.

Just as Rupa had shown our local colleagues some tips and tricks, Niamh’s oral surgery skills and knowledge provided valuable insights for us all. One lucky banana skin is still in ICU after being put back together in our evening tutorial.

Finishing our school project in the nick of time on the Friday afternoon, we carefully packed up after the last patient, took the obligatory photos with the local dignitaries and got ready to hit the town for a big night out in Maliana. 

For the two Ana’s, this involved a mysterious ritual known as “preperating” that involved hair washing, a selfie, clothes trying on and selection, more selfies, makeup application, a final selfie for the road and then appearing fashionably late! 

An early start on the Saturday for our trip back to Dili enabled us to call into a small orphanage in the Loes area to remove any painful teeth and perform some basic silver fluoride treatments.

We continued on to Maubara to unload the cars, stocktake and sterilise our recently used instruments. Delivering the Sisters’ car back to the Sisters, we farewelled Nico to bike it back to his family in Dili, while we continue on in the Troopy. Those sitting on the rear bench seats discover that leaf springs and potholes make sports bra wearing mandatory. And that was just the for the guys!

Spying a large plot of flat land near the road, Dr Ben provided some driving instruction to Ana Tilman who is becoming more accomplished (or less dangerous) every year.

Foregoing mass, we took a Sunday drive to the Cristo Rei statue with its views over the bay toward Dili before heading back to the airport, delivering the Troopy to Mario, expressing fond farewells and suddenly it’s all over.

Team 2 examined 1126 patients in our two weeks, removed 592 teeth, filled 173 teeth, sealed 470 fissured teeth, silver fluorided at least 520 teeth, and provided a clean for 52 new friends.

In addition, we had Ana Tilman stand in front of various groups of children to provide oral hygiene instruction, whilst in the clinic we pleaded “decrease your sugar intake” and “could you please limit your betel nut chewing to one a day”.

Of course none of this would be possible without those that sponsor us, in particular Henry Schein and Southern Dental Industries ( providers of the wonderful silver fluoride/potassium iodide). Also we operate under the aegis of the Rotary Club of Chatswood / Roseville which provides insurance cover for the team and a mechanism for tax deductible donations to the TLDP.

To all those who have donated, your contributions have been instrumental in supporting education, salaries for our Timorese staff, and the procurement of essential anaesthetics and dental supplies.

timordentalprogram.org/donate-now

Finally, a big shout out to our program coordinator, who finds time in her busy life to marshal the teams, deal with sponsors, herd the cats, grey her hair with bureaucratic dimwittery, point the Carmelites in the right direction, WhatsApp the local crew and occasionally stamp her foot when required. (Thanks Henry-B)

Henry, July 2023

GO BIG OR GO HOME

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After the administrative frustrations experienced by Team 1 and the continuing logistical uncertainties that the TLDP is navigating, Team 2 faced our second post-Covid trip to TL with not a small amount of trepidation. Nevertheless, off they went to Dili, buoyed by an ocean of phone calls, emails, messages and video conferences via Whatsapp and Messenger. 

The Australian contingent of Team 2 comprised Team Leader, Dr David Digges, Dr Henry Gilkes and Dr William Hariman. As is quickly becoming a trend for 2022, Day 1 was taken up by meetings.  

First, the team met with Dr Sanjay Mathew, who heads the oral health program for Maluk Timor, another NGO with which the TLDP collaborates. There was a lively discussion about the issues facing dental care in TL. 

This was followed by another meeting with the Big Bosses at the Carmelite HQ in Fatuhada. The aim was to discuss the program’s challenges and to agree upon future directions. However, the meeting also came with a lovely surprise for the team; Sr Inacia and Sr Santina were accompanied by one of the TLDP’s founders, our beloved Sr Filomena, who is now in charge of the running of Fatuhada. After so many years, they were thrilled to be reunited with our dynamic friend. 

Sr Filomena, Sr Santina, Dr David, Dr William, Ana Tilman, Sr Inacia

Administrative tasks complete, the team then collected Ana Tilman and Ana Martins, did the shopping, and headed to Maubara, where they had another joyful reunion – this time with Sr Fabiola, the former ‘Big Boss’ of the Carmelites in TL.  She is now a member of their World Leadership Council, based in Spain. Anyone involved in our program over the years would remember her dynamic spirit and her supportive, can-do attitude, especially when it came to the TLDP.

Sr Fabiola and Dr David meet again!

By Day 2 – Sunday – the team was all together – the Timorese contingent comprised our full-time dental therapists, Nico Pires and Ana Tilman, as well as newbie, Ana Martins, who graduated as a dental therapist from Kupang last year. The team packed up and set off for Maliana near the West Timor border. They stopped for lunch in Balibo; a town that achieved notoriety after five Australian journalists were murdered by Indonesian troops during the Indonesian invasion in 1975. 

Nico Pires, Dr William, Ana Martins, Ana Tilman and Dr David – tourists in Balibo

On arrival in Maliana, the team was met by Noemia Pereira Noronha, aka Mia, the younger sister of our much-loved Isa. Like her sister, she has exceptional translating and organising skills and made the team’s lives substantially easier. For the 3 days the team spent in Maliana, they were accommodated in the Seminary – the food was good and excellent lighting for Dr. Henry’s nightly tutorials for the crew, which covered everything from how to give injections to dental emergencies.

Nightly tutorials with Dr Henry

The team worked out of Maliana hospital for 2 days and were extremely busy seeing the community. They happily shared some preventive dental knowledge with the hospital doctors and also provided much-needed clinical supervision and support for the newly graduated local Timorese dentists, Drs Nelia and Maria. They then spent a day working in the nearby village of Cailaco – they found it was faster to follow the riverbed than to use the roads – it still took them over 2 hours to get there!

Dr William wth new graduate, Dr Maria

On Thursday the team headed slowly over the mountains up to Bobonaro where they worked in the Sister’s Clinic over the next 3 days. There were some concerns about the possible lack of patients due to the visit landing squarely in school holidays. They needn’t have worried; there were plenty of patients and the team’s young crew thrived and developed well during these few days. As always, the sisters spoiled them with excellent food and lively company. 

Joy personified – AT, Dr Wiliam and Mia

On Sunday, the team farewelled Mia in Maliana – she was needed back at her mother’s restaurant. She was such a great addition to the team – she was sorely missed during the seond week. Dr William also headed back to Dili to catch a flight to Sydney the next day. Feeling short-staffed, the rest of the team dropped the gear in Loes on the way back home to Maubara.

During the second week, the team spent the first 3 days in Loes where they worked in an outdoor village clinic in very hot conditions. Loes is located inland at sea-level, so it doesn’t seem to get any sea breezes and hasn’t got any of the advantages of elevation. They treated children from a local orphanage, as well as the general community, which included members of water police force, who we have never come across before.

Al fresco in Loes – Dr Henry supervising Ana Martins

Although Tuesday was a public holiday in TL (Independence Day), there was no rest for this Aussie-based team, who worked through to 4pm before taking a late lunch at the Lauhata Beach Resort. This proved to be serendipitous for the team because they then had the extraordinary privilege of meeting the President of Timor-Leste, Dr. Hose Ramos Horta! It was a great joy for both Ana’s not only to meet their President, but to also be allowed to have a photo with him. Dr Henry and Dr David took the opportunity to speak to him about the TLDP, and he expressed his thanks for our efforts and stressed the need for us to continue our program. He even suggested that if we continued having difficulties, he could make available space in the Presidential Palace! 

AT and AM with the President

The following 2 days were spent in the TLDP base clinic in Maubara in sweltering heat. The effects of the pandemic were very much evident with more patients than ever before, queuing for hours to be seen. The Sisters were thrilled to see Ana Martins working with the team. Ana grew up in the Carmelite sisters’ orphanage in Maubara, and so she occupies a special place in their hearts. The pandemonium at the clinic increased even more when the other children from the orphanage arrived for their checkups! The team’s highlight that week was dinner with the kids at the orphanage – despite having taken out some of the kids’ teeth that day, they were still greeted with smiles.

Queues at Maubara

The last 2 days were spent in Railaco with the Jesuit mission, which functions like a well-oiled machine. After a spectacular drive up into the mountains, the rapidly tiring team were greeted with beers. The indefatigable Father Bong always knows how to make our job easier, and any team hosted by him can expect seamless support. The team was very happy to follow up Team 1’s trip, to continue working their way through the very large Covid backlog, before heading back to Maubara and then home.

This was a mammoth trip for Team 2, even by their own standards. It was longer than normal, and busier than normal, which in the heat is even more difficult physically and mentally. In total, Team 2 carried out 754 check-ups, extracted 528 teeth, placed 193 fillings, and did 240 preventive treatments. It was an enormous effort all round. Well done! 

The Power of Many

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Team 2 has returned home safe and sound. In the past couple of years, our teams seem to have become quite large as a general rule, as our Australian volunteers are matched in numbers by Timorese employees. This team consisted of Australian volunteers, Dr David Digges (Team Leader), Dr Henry Gilkes, Ms Liz Eberl, and the tag teamers – Dr Geoff Knight and newcomer, Dr William Hariman. The Timorese contingent consisted of Ana de Jesus Barreto Tilman (AT), Ana Paula Dos Santos Tavares Salgado (AT), Nicolau Tolentino Faria Pires (Nico), Isabel Noronha Pereira De Lima Maia (Isa), Bonifacio Cardoso Martins (Bony), and Diamantino Correia Morais (Tino). Hence, at any given moment, this team had 3 dentists, 2 or 3 dental therapists, a dental assistant/steri nurse and 2 translators/dental assistants/admin officers. A massive team!

DD, HG, Isa, AP, AT, LE, Nico, GK

The team spent the first few days hosted by the Sisters in Bobonaro. The girls got to stay with the Sisters themselves, but the boys were housed in the Sisters’Tuberculosis clinic  – we suspect that they will be looking for some new digs next year! The team spent the first 2 days operating in the meeting room of Gumer Primary School, with the nearby High School kids walking over. Gumer is an isolated valley between Bobonaro and Maliana and  there are 800 children in these 2 schools, many of whom have very poor oral health. The team soon realised that on Day 1, but were able to broaden their scope on Day 2. 

The fabulous GK in action with the equally fabulous Isa

For the remainder of the week, the team shifted accommodation to Maliana –  this is the Big Smoke in this area, and the team gets to enjoy a little luxury. Isa’s Mom runs Restaurant Maliana, so the team is well-fed when they live here. Day 3 and 4 saw the team working out of a very impoverished village called Memo, 30 minutes west of Maliana and within spitting distance of the Indonesian border. They found it a little unerving to be able to see an Indonesian Military checkpoint from the school where they set up. The villagers here had never seen a dentist.

Tino and the omnipresent Ana Tilman!

Day 5 was changeover day – the team started working out of Maliana Hospital. Bony and Tino arrived together on what would have been a very long, dusty and bumpy tandem ride from Dili. Bony still managed to look immaculate coming off that bike – some people just have that knack! Geoff headed back to Dili – any team lucky enough to have Geoff with them benefits from his wealth of knowledge, especially with Silver Fluoride, which we use extensively in our work over in TL. William had been picked up from the airport by one of Isa’s friends and was put straight on the tools when he arrived in Maliana – no problem for William!

The team spent the next 2 days treating the community as well as students from the High School. This team is impressive with its logistics. They split into two teams, with screening and transportation of the students carried out by Bony, Willian, Tino and Liz, and treatment carried out in the hospital by Nico, Henry and David. Translation, sterilisation and patient marshalling were efficiently handled by AP, Isa and AT. After working late, the team had sunset drinks on the rooftop terrace – a last hurrah with Isa, who is now employed by Maluk Timor as the Oral Health Coordinator for all the dental charities that come to TL – we wish her well, but are very sad that she will no longer be spending so much time with us!

Week 2 was spent closer to our home base, Maubara. Three days were spent visiting Loes Orphanage, which we have never been before, Loes School (one of our regular schools) and Tapamanolu School (last seen in 2012 – very hard to get to). This involved a commute of 40 min along the crumbling coast road. The last 2 days were spent in Ediri School, one of the schools in our program.

The team with HG, WH and DD on the tools

What a hectic schedule!!! The team did a fabulous job – there was heaps of mentoring for Nico, Tino, Ana Tilman and Ana Paula, a whole stack of work got done, and they all had a great time! Henry did a super job of keeping us updated on social media. What more could we ask for?

Back in Maubara with Sister

The TLDP is exceedingly lucky to have so many dedicated volunteers who continue to come back year after year. We are even luckier that we are supported in our work by dental companies such as Henry Schein and SDI. And we are the luckiest to have so many enthusiastic, hardworking, talented  Timorese people working with us. We are immensely grateful in particular, to our primary partners, The Carmelite Sisters, who smooth our way through the bureaucracy of TL. Our program has carried on unabated despite constant changes in the Ministry of Health over the past few years.

The home team watched over by Henry

Nico and AT have become an excellent home team. They are in charge of the Maubara Clinic and our school dental program – Nico is an excellent operator and has the confidence of the Sisters – that is a HUGE endorsement! Although we initially employed Ana Tilman as a dental assistant, she too is trained as a dental therapist and so is now also benefitting from mentoring within the team environment. Her skills are on the up!

We are especially lucky to have an unofficial Timorese Committee of bright, young people – AP, AT, Nico, Tino, Bony and Isa – they are expert problem-solvers and can-do people. They are unstoppable!

Henry trials the new hand washing unit

Team 2 itself was pretty lucky – there were minimal repair issues, although they did get a flat tyre on the way home from Maliana – changing tyres in the dust and heat could not have been fun. They also were the first to try out our brand new custom-made portable hand washing unit – for all those places with no running water (it was a hit! Conceived in the Sunshine Coast, Made in Grafton), and they were the first team to wear our new spic uniforms!! 

Overall, the team examined 1350 people, they extracted 467 teeth, placed 770 fillings, and carried out 722 preventive treatments. Well done Team!

THANKYOU AND MERRY CHRISTMAS!

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It seems that the years fly by faster and faster as we get older. Here we are again at the end of the year, with the silly season looming. At this time, I reflect upon everything that has happened during the year – good and bad – all our achievements, all our losses, and how we have handled it all.

This year has been tumultuous for the Timor Leste Dental Program; we hired a new dental therapist, Nico Pires, at the beginning of the year, in a bid to increase the local ownership for the program. He has proved to be a true asset – a hardworking and competent clinician, who is unafraid to take charge even in the presence of some extremely authoritative (bossy) Aussie dentists. We simultaneously entered into a partnership with the Maubisse-Bendigo Friendship Association, which has increased the support for the Maubisse District, but has also had the effect of increasing (temporarily, we hope!) our workload, as we bring these newcomers up to speed. Maubisse Hospital acquired a new dentist – Dr Inda Zulmira Días –  who has already shown her skill in organising the Maubisse sectors for Teams 1 and 5, as well as an ability to connect with the community though our dental workshops. Everyone who got to work with her this year fell in love with her charm and enthusiasm.

Overshadowing everything was a great deal of frustration dealing with the moving goal posts of the new Timorese dental registration process – delays, lengthy meetings with government officials, multiple trips to Dili, mountains of paperwork, and emails, and submission and resubmission of documents…this is still ongoing. All the teams felt the absence of our translator, and friend, Bony, who was in his final year at university. Although he couldn’t work with the teams, he still set aside time to help the TLDP with the registration, as well as sorting out many other details for our teams. Thank you Bony!

The TLDP sent over 5 teams this year. We had a host of new volunteers – Dr Mary Tuituinnik, Dr Marius Mocke, Mrs Yvette Young, Ms Abbey Notley, Ms Liz Thompson, Dr Mengzhu Wang, Ms Malita McCabe, Dr Andrew Frame, Dr Phil Hill and Dr Christine Underhill. It was wonderful to see the way these new volunteers took the Timorese people into their hearts. We also saw the return of our regulars – Dr John Moran, Dr David Digges, Dr Wayne Pearson, Dr Karen Sloan, Dr Geoff Knight, Dr David Sheen, Dr Blanche Tsetong, Ms Bella Miller, Dr John Whyte, Dr Ashley Freeman and Dr Peter Shakes. The people who return, year after year, is what keeps this program running. They are gold.

Sadly, two of our team leaders, Wayne Pearson and David Sheen, claimed that this was their so-called ‘last’ trip to Timor; however, it is hard to resist Timor’s siren song – we think that Timor hasn’t seen the back of them yet! However, by far the biggest blow to the program this year, was the loss of Sr Filomena da Costa – our Timorese Program Coordinator. The Carmelite exec ruled that she had to move to Oecusse to head the community over there; as a relatively young community, they need someone with her 26 years of experience. In one fall swoop we have lost our boss, the best chef in Timor, our spiritual advisor, local folklorist and a quirky, mischievous friend. No prizes for guessing that everyone will be vying for the Oecusse spot from now on! Nico and Sr Joaninha have big shoes to fill.

This year the TLDP treated over 2330 people; we extracted over 1851 teeth, placed over 937 fillings, and carried out 411 preventive treatments. This treatment is worth about $977,650. We facilitated one dental workshop and mentored 6 Timorese dental clinicians over a period of 10 weeks.

We would like to wholeheartedly thank all our fabulous volunteers, who never stint on giving their time and effort to the Timorese people. We would also like to thank their families and friends who support them – they would not be able to do what they do without you. Thank you to all our Timorese workers, partners and helpers. There are always a multitude of local people, often unsung and unseen, who help keep the program running while we are over there – they are teachers, drivers, groundsmen, elders, nurses, passersby – they give because they can, and we are awed by them.  A massive thank you to Henry Schein Halas and SDI for their extremely generous donations to our program this year – we would not be able to function without your donations of vital dental materials and equipment. Last, but not least, thank you to our donors – 97% of your valuable contributions go directly towards helping the Timorese people. We are more than grateful for your support. Your contributions pay for equipment and vehicle maintenance, for material and equipment purchases and for the salaries of Nico and other Timorese translators and fixers. Thank you. Thank you. Thank you.

From all of us at the Timor Leste Dental Program, we wish all our volunteers, our supporters, our donors, our partners and their families, a happy Christmas. We wish you all the best for the new year. Keep safe and well and we will see you in 2018.

All work and no play….

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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!

Bony's family
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.

liz-post-op

bony-and-the-masses-2
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.

At Black Rock
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.

 

 

Last Team for 2016

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Yet again it is Dr David Digges’s team closing our volunteering year for us! The team leaves this Saturday 24 September and is another tag-team – the first week it consists of David, second-timer, Liz Erberl (a registered nurse and David’s sister), and newcomer, Dr Ashley Freeman, who hails from Darwin; the second weeks farewells Liz, and welcomes Aisling Digges and Dr Geoff Knight to the fray. The Plan (much-revised) is for the team to head to Maliana the first week (the Sisters in Bobonaro are renovating, so no Bobonaro this year) and then to Railaco the second week. Bony and Tino have spent a lot of time organising the accommodation and the program in Maliana, and it’s always fun in Railaco, thanks to the ebuliient Father Bong, so the team should have a rip-roaring time! As the last team for the year, Team 4 has the responsibility of doing the end-of-year maintenance, making sure that the equipment will be ship-shape for the next year. Good luck Team 4!

Welcome Home Team 5!

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Team 5, headed by Dr David Digges, arrived home on the weekend, safe and sound. We await their report with much anticipation, however, it may be awhile – we received an unusual call from our lovely Sr Filomena on the day that the team left. The team worked very hard, she reported, and were very tired. What dedication! Well done team and welcome home!!

Last team to TL

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Hot on the heels of Cowboy and Snake, TLDP’s last team for 2015 leaves Sydney today. After overnighting in Darwin, they will hit TL’s shores on Saturday. The team is a conglomerate of first time volunteers and seasoned TLDP-ers. Carolyn and David Digges will be joined by yet another member of the intrepid Digges family, David’s sister, Elizabeth, as well as newcomer dentist, Charmaine White. Geoff Knight will also be adding his considerable experience to this team in the second week when this team heads out to Bobonaro. Have fun team!

MERRY CHRISTMAS FROM THE TLDP

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As 2014 draws to a close, one naturally reflects upon the year which has passed so rapidly. It has been an exceedingly busy and exciting year for all of us in the Timor Leste Dental Program. We have welcomed a whole bunch of new volunteers and said our sad goodbyes to those who have called it a day. It has been a year of outrageously intense fundraising and thanks to all our supporters, we managed to not only achieve our goal of buying a new Troopie – T2 – but we have been able to raise money that will carry us forward for the next few years. Your generosity and support has been overwhelming and we are grateful not only for your financial support, but also for  your ideas and advice.

Sr teachingAs this goes to press, we are preparing to transport a second hand dental chair  (donated by Dr David Sheen) to our new partners, the Jesuit Mission in Railaco. This chair will  be useful when our teams are in Railaco and we are hoping it will also be useful for Father Bong, a medical GP, for procedural work. With the chair goes a second portable suction unit, donated by Dr Gordon Howe of Manly, and a portable dental unit as well. We are also hoping to sneak in 119 boxes of gloves with the ‘package’ so the teams don’t have to lug around so much luggage next year. Fingers crossed! The ‘package’ will be sent to Melbourne by courier, to be placed on the next shipping container to Dili.

church bellWe have had an unprecedented number of volunteers putting up their hand for 2015, and I am happy to report that our increased profile has allowed us to send 5 teams in 2015 – we may even have a 6th! Our volunteer year kicks off in late April with Team 1 being lead by David Sheen, who will be accompanied by the super enthusiastic Peter Shakes and equipment guru Keith Mentiplay. Team 2, lead by John Moran and his talented daughter, Sam, will head out in early June.  Newcomers, Dr Mary Tiutuinnik and Beth Bowen  will join Team 3 in late July, with  Blanche Tsetong and jack-of-all-trades Wayne Pearson. Team 4, lead by super chilled David Digges, with dental legend, Geoff Knight, will leave late August. Team 5, consisting of Andy Moran (Snake), Gordon Saggers (Cowboy) and Alan Christie (Agatha) will head to TL in mid- September and will be the first of our teams to work in Railaco only. For advice on those nicknames – I am reliably told it is secret Railaco business – apply to Father Bong.

Thank you to all of our volunteers, our long-suffering families, our friends and supporters for everything you have given to the program this year. We wish you all a safe, very happy Christmas and a super new year! See you all in 2015!

MONEY MATTERS

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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