Tag Archives: maubisse

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)

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2017, here we come!

It’s a new year and with it comes new opportunities, new directions and new friendships. Our year started in Hollywood-fashion, with Sr Filomena (Timorese Coordinator), Bony (intrepid translator and natural showman) and Tino (dental therapist extraordinaire) taking a turn in front of the cameras to showcase our program in a 360° Virtual Reality documentary. Thanks to our mate, Daryl Mills, who, even when he is not living in TL, is still thinking of us!

An serendipitous start to what promises to be an exciting year. This year we are teaming up with the Bendigo Maubisse Friendship Group to improve dental services to the community in the subdistrict of Maubisse, which lies to the south of Dili in the mountains. Up to now, our program has only managed to visit Maubisse once a year; we are hoping that this partnership will significantly increase our capacity to deliver treatment and to better mentor and support the two dental therapists who currently work in the hospital, Armando and Ricardo.

We have 5 teams this year and apart from Maubisse, we will be heading out to Atauro (Dr Wayne loves those huts at Barry’s), Oecusse and Railaco, with the rest of the itinerary to be unveiled by The Boss (Sr Filomena) as the year unfolds. First team kicks off in April. Watch this space!

 

 

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.

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.

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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!!!!

TEAM 3 to test drive NEW TROOPIE!

Our new Troopie
Our new Troopie

The program has had a stroke of luck – we have managed to procure a 2011 Toyota Landcruiser Troop Carrier which is already in TL!! Previously owned by another NGO, Seeds of Life, the ‘new’ troopie (T2) has been paid for (thanks to a loan from our Lions partners), registered and insured – a process which has taken 2 months – just in the nick of time for Team 3 to test drive it when they arrive next week! A massive thankyou to Daryl Mills, RAWCS’s man on the ground, ROMAC coordinator and great mate, for doing all the grunt work and making T2 a reality. Without him we wouldn’t have even known a vehicle was coming up for sale!  Thanks Daryl!! (For those unfamiliar with the acronyms, RAWCS = Rotary Australia World Community Service, and ROMAC = Rotary Oceania Medical Aid for Children. GO to http://www.rawcs.com.au and http://www.romac.org.au for more info on these worthy organisations)

Team 3 consists of Dr Blanche Tsetong, who is in the process of moving back to the madness of Sydney from the glorious Sunshine Coast, and newcomer, Dr Linda Velosky, who has a practice in Redfern. This very small team will be heading to the hills in their second week in TL – to the town of Maubisse, much loved by the colonial Portuguese in the hot, dry months. While it basks in the sun in the morning, Maubisse is usually shrouded in thick cloud by midday, becoming a town of shadow and mist. Cold. V cold. Bring your Ugg boots girls!