Tag Archives: Railaco

CONVIVIALITY OVER FRUSTRATION

Team 2 returned from TL on the 6thJune after a 10-day whirlwind trip. The team consisted of team leader, Dr John Moran, his steadfast mate, Dr John Whyte, newbie volunteer, Emma Whyte, the TLDP’s dental therapist, Nicolau Tolentino Pires (Nico), and Australian-trained, Timorese dental assistant, Ana Paula dos Santos Tavares Salgado.

This team is well known for its efficiency. They covered a lot of ground; dividing their time between the Railaco, Kasait and Maubara areas. In Railaco, they were hosted by our Jesuit partners, and as usual were kept thoroughly fed, watered and entertained by the ebullient Father Bong, with his team, Fathers Truong, Phong, Siriak and Sagi, plus trainee Jesuit, Ismal. Lively dinner discussions, well-oiled by wine, ranging from attitudes towards eating pets, to a coffee delicacy produced from predigested coffee beans, and libido-limiting fruit, kept the team recharged during their stay in Railaco.

The first 2 days were spent treating patients in the Railaco Parish Clinic Centre, where the team treated patients from the local community. The team was augmented by Ismal and a local man, Victor, who performed the vital task of interpreting – neither Nico, nor Ana Paula, are from Railaco, so they don’t speak the local language of Railaco.  Timor has 2 official languages – Portuguese and Tetum, but there are also scores of local languages, or what the people call ‘mother tongues’. Many people struggle with Portugese, and even Tetum can become sketchy the further out one ventures. In most of the tiny, remote villages, knowledge of the local language is essential. (Pic: Emma Whyte, John Whyte, Fr Bong, Ana Paula, John Moran, Nico)

The team had a single day before equipment issues started rolling in. Day 2 saw the foot pedal of one of our dental units go bust, necessitating a 4 am dash back to Maubara for Nico on Day 3 to get the spare. Luckily for this team, Railaco is one of the closest locations to Maubara. Nico was back 3 ½ hours later, the offending foot pedal fixed, and the team headed off to Railaco Leten, almost 2 hours drive away.

The team worked in the Sacred Heart of Jesus chapel in Railaco Leten, which is a lovely space and has great views; however, electricity is dodgy in Railaco Leten and this played havoc with the electric autoclave that the team had chosen to take with them. This meant that the team spent most of the night sterilising on their return to Railaco, where the electricity is more reliable. (Pic: Our Steri-Room)

Day 4 saw the team heading up the hill to Tocoluli, where they worked in a community hall overlooking Mt Ramelau. At this point they started to run out some of the anaesthetic. Despite being small in height, many Timorese, especially the ones in the remote areas, have large teeth, with massive roots, and need more anaesthetic. It must have been a very tiring day, but at night, the team were rewarded with a feast at the Order of St Paul of Chartres Convent – the sisters are superb cooks and their singing is a real treat. (Pic: John Whyte in his room with a view)

Day 5 was a day of endurance and patience for the team – they had to set up and break down the portable clinic twice. Their clinic in Nasuta was stymmied not only by yet another new public holiday – Children’s Day – but also the Sacred Heart of Jesus Procession. After only a few patients, the team packed up and headed back down the hill and spent the rest of the day in Railaco Parish Clinic Centre.

Days 6 and 7 were spent in Kasait, back on the coast. The two days were productive and busy and were only marred by the suction motor burning out on the first day. Nico, with local, Nani, drove the suction motor and one of our generators to Dili for repair. The suction unit’s motor was replaced with a vacuum cleaner motor overnight and was in action again the following day (albeit with less power)! (Pic: The team about to farewell Kasait)

The final 2 days were spent in Maubara, first at the senior high school, then finishing up at our base clinic. The team experienced their final breakdown – one of the dental carts turned up its toes – but reached the finish line with their good humour unscathed! They spent some time at the Maubara Orphanage, where they were treated to a coffee, biscuits and a little concert. A fabulous way to end a visit!

Overall the team did 849 treatments, including 266 fillings, 229 extractions, and 132 preventive treatments. The two Johns are also great teachers and they spent a large amount of time with Nico, honing his restorative skills. Despite the setbacks, the entire team had a fantastic time and enjoyed working and living together immensely. Go Team 2!

 

 

All work and no play….

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.

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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.

 

 

TEAM 2 ARE GO

(Pic: The view out to Atauro from the Tibar-Railaco Road)

The WA (Western Australia) contingent which comprises TLDP’s second team for 2016 sets off this Saturday. This team consists of team leader, Dr John Moran, his trusty sidekick, Dr John Whyte, and newcomer, Bella Miller. Flying to Dili via Bali, they arrive Sunday afternoon, ready to tackle the onslaught of patients in Railaco, where they will be spending the majority of their time this trip. But never fear, there will be no dull boys and girls on their return home – the hospitality of Father Bong and his crew in Railaco is second-to-none – there will be lots of fun to be had! Hopefully, the team will also get to work with Tino, who is currently in Gleno. Fingers crossed! Good luck Team 2! Safe travels!

Team 4 ready

Our next team is ready to hit the road this Friday. The dynamic duo, Dr Andy Moran and Dr Gordon Saggers, is our Railaco-specific team this year. They will spend their entire 2 weeks in the company of the fabulous Father Bong and his merry crew. They will be taking over a new pressure cooker autoclave that we have just purchased from India. This autoclave will live in Railaco, which will mean that Tino (the super-dedicated Timorese dental therapist we mentor), who lives in nearby Gleno, can run a regular outreach clinic there. Good luck and have fun Team 4!

TEAM 1 to KICKSTART 2015

This Sunday our first team for 2015 heads to Timor Leste’s sunny shores. The team, led by Dr David Sheen, has the important tasks of touching base with our network in TL, as well as the installation of the dental chair in Railaco, on top of the usual tasks of treating the East Timorese and mentoring Timorese Dental Therapists that are our everyday challenges. David is joined by new volunteer, Patrick Fitzgerald, and by Keith Mentiplay and Dr Peter Shakes. We are also very lucky to have Sally Stephens join the team for the first time. She is an Aussie dental nurse who currently resides in Dili.

We wish them a safe and productive trip and hope that their interactions with everyday East Timorese continues to build peace, understanding and resilience within this still very young nation.

Container Arrives Unscathed

Our amazing friend Daryl Mills, the hardworking Rotary Liaison in Timor Leste, has informed us that the container carrying our precious equipment and materials has arrived unscathed! Our partners in Railaco, Father Bong and his team, will be taking it all to Railaco for our first team to sort when they arrive. Just in the nick of time! Team 1 hits Timor Leste’s sunny shores on the 20th April, in just over a week.

As we are creating a new fixed dental clinic in Railaco, to be used by the team when in the area, the refurbished dental chair, drill unit and suction unit will be installed there permanently – Team 1’s Keith Mentiplay’s first job! The remainder of the materials and equipment will be taken by the team back to Maubara.

Equipment in TL must be hardy – it must be able to cope with the humidity, the heat, the dusty conditions and uncertain electrical currents. But its first challenge is to withstand Timor’s roads.

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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!