Tag Archives: Maubara

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!

July Team arrives back Home

The tiny team of Linda Veloskey and Blanche Tsetong touched down on Australian soil on Saturday, after a massive delay caused by cranky computers and lack of a fax machine in Dili Airport.

LV and BT

As you all know, Team 3 had the excitement of test driving the ‘new’ car and we can report that with the exception of an errant horn, lack of a jack, mismatched noisy tyres, a sticky back door and the unwise use of dodgy fuel, Troopie 2 was a dream ride!

Work locations:  Maubara Clinic, Liquiça Hospital, Vatuvou School, Maubisse Hospital.

The team worked again in Liquiça with Aida, who is fast becoming a tooth extractor

Aida does her first filling on a front tooth
Aida does her first filling on a front tooth

extraordinaire and is now working on her filling techniques. The best bit about the Maubara/Liquiça area, is its proximity to the ocean – an arvo swim is the best balm to a 8 hours standing in 30 degree heat.

squashy Liquica
Squashy Liquica Clinic
Armando
Armando in action

Our second week was spent in the cold mountain town of Maubisse, which despite its lack of beach had a number of advantages – a lower mozzie count, cooler temps to work in, and Armando Da Costa Martins, the new Timorese dental therapist at the hospital – like Tino and Aida, he is super keen to learn!!! Like the others, he also missing a stack of basic dental equipment and materials.

The boss changes gauze on an extraction patient
The boss changes gauze on an extraction patient

 Drill bits (he also has a new chair), suction tips, local anaesthesia and filling materials were only a few of the materials we brought him to get him going! This visit we concentrated on local anaesthetic techniques and infection control, but with a bare 3 days of contact, the learning curve was steep. Nevertheless, Armando took it all in his stride, always smiling and laughing when the going got tough!

Thanks HSH!
Thanks HSH!

In total, the team treated 209 patients, carrying out 134 exams, 210 extractions, 97 fillings, and 20 preventative services. Thank you to Henry Schein Halas for their continued support this trip – we used all that free stuff!!!!