Tag Archives: Maubara

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).

A final note: In my excitement, I forgot the all important stats! Team 1 saw 540 patients, did 378 examinations, filled 94 teeth, extracted 234 teeth,  and carried out 21 preventive treatments.20170505_145409 (2)

Dental care in Motion

Team 2 returned from another productive trip in TL 2 weeks ago – we have yet to hear the official ‘down low’ from them, so stay tuned. Meanwhile, it is rumoured that the ship that carries TLDP’s precious supplies (which were sent in February) has docked – finally – in Dili. Accidentally mixed in with the goods destined for the new Balibo Dental Clinic, another Rotary initiative, they will be then delivered to Balibo. Our good friend, Ricardo Krauskopf, who will be sorting out the mess at the Balibo end, has volunteered to personally deliver our supplies to Maubara – Yaaaay!

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Bony, Tino’s wife, Ghya, Tino and Blanche

 

Team 3 has lost a team member, but is otherwise ready to head off in July. The usual crew of Dr’s Wayne Pearson and Blanche Tsetong will be joined by super-enthusiastic dental nurse, Eve Sheppard. Together with the redoubtable Sr Filomena, Aida, Tino, Bony and Blanche are presenting an Oral Health workshop to health workers and youth workers this visit. It has been an enjoyable challenge producing the Powerpoint presentation and handout for the workshop. Apart from the meetings with Sr Filomena, Aida, Tino and Bony in April to discuss content and translation, the air has been burning with the number of WhatsApp messages and emails crossing the atmosphere! A huge thank you to Ligia Ximenes, an aide to the Timorese Consul General in Sydney, who generously volunteered her time for the huge task of the initial translation. Thank you so much Ligia!!!

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The Luscious Luxury of Language

(Photo: Neil Langley, Macu, Sr Filomena, Bony, Denise Salvestro, David Sheen, Ben Sheen)

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Team 1 has returned from a vastly entertaining, happy and successful trip to TL. They lost a team member before they had left the country – seemingly a very common occurrence for this program – Dr Mary Tuituinnik had to again bow out due to illness (we hope you feel better soon!); nevertheless, by all accounts, the team revelled in each other’s company and work proceeded it its normal chaotic fashion. In the first week, the team consisted of Dr David Sheen, Patrick Fitzgerald on his second trip, and Dr Neil Langley – he and his wife, Dr Denise Salvestr0, are both dentists in remote Northern Territory and long-time advocates for indigenous health. They were joined by Bonifacio Cardoso Martins (aka Bony), who was recommended to us by our friend, Mimi Chungue, as a translator. Bony is a student at the University of Timor Leste and is studying Linguistics. Bony kept the team’s spirits high with his cheerful, helpful nature. He was so enthusiastic that he ended up staying with the team for almost the entire trip! (Pic: Patrick and Co. at the Poussada)

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In the second week, the Team farewelled Patrick, and welcomed David’s son, Ben Sheen, and Dr Denise Salvestro to the workforce. They were also joined by another student recommended by Mimi, Immaculada (aka Macu) for a few days. According to Sr Filomena, they were a boisterous bunch, who worked hard during the day and stayed up all night carousing!(Pic: Bony registering kids at Tapamanolu)

Usually our two week program consists of the first week in the Maubara/Liquiça subdistricts followed by a week in a more remote community; however, Sr Filomena has decided to reverse this structure, thereby preventing the disorderly haste (and accompanying mess) when returning from afar and closing down the program. She’s not just a pretty face! Hence, Team 1 spent the first week in Maubisse, treating patients at the hospital clinic and in the health post of the more remote village of Maulau. Neil did the bulk of the slog, ably assisted by Patrick and Bony, while David got down to the nitty gritty of supervising Armando Martins and Ricardo Mendonça.

You may remember these infamous Maubisse boys – enthusiastic dental therapists, so dedicated to learning that last year they took the 8 hour return trip to Letefoho to work with Team 3 for half a day. David gave them valuable experience and knowledge in tooth extraction methods as well as in the use of different filling materials and preventive measures. They would have loved working with David and his team! (Pic: Denise, Neil, Bony)

 

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Week 2 saw the team back in Maubara clinic, as well as in the Loes area, where they spent 3 days in Tapamanolu School and a day in Guiço School. They spent the last morning visiting the kids at the orphanage in Maubara, where Bony added his own special flavour to toothbrushing instruction. The team especially enjoyed Bony’s company, his exuberance and work ethic, so we have asked him to join us; he will be working with all future teams, except those heading out to Railaco – Father Bong has translators aplenty. Welcome to the TLDP, Bony! (Pic: Guiço gals)

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The team had surprisingly few problems with equipment this trip. The ultrasonic scaler refused to work, and one generator was on the blink, but everything else must have shared in the general mood of this team and just worked!

Overall the team saw 456 patients, extracted 306 teeth, placed 196 fillings, and  carried out 223 preventive treatments. Good going Team! Thank you to you all for such wonderful work! (Pic: Bony demos toothbrushing)

The team, along with all of us at the TLDP would like to thank Sr Inacia, Sr Lourdes, Sr Rosa and Sr Eva in Maubisse for their hospitality and their delicious food – the team certainly did not starve over there. Thank you to Bony and Macu who helped the team tremendously not only with translation, but with a myriad of other tasks, which made their job much easier. Thank you to Sr Filomena who rules us with her heart of gold. It is always a privilege to spend time with her. Thank you to Daryl and Mario for keeping our car in top shape and making sure that our battery doesn’t die between trips. And a massive thank you to Henry Schein Halas, particularly Kelly Wood, for dealing with our latest disaster (the boat we sent with our supplies in February is seemingly on a worldwide cruise and we can expect to see our gear in July-ish). Thank you to everyone that makes our work possible.

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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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!

MERRY CHRISTMAS FROM THE TLDP

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!