loading up some of the the 54 hockey bags weighing 50lbs each
Changing the tire Nica style with us all on the bus
Lots of printing needs to be done
Some of the teens
Jackie, Lisa, Cindy, Maria and Angie enjoy a much needed break

Blog entry - January 29 - 30

The COMMIT team made an early start to their trip early Friday morning by gathering at three locations to make their way to the airport. Dr Harry picked up Keagan, Heather, Diane and Danielle. They rendezvoused with Pam, Riley, Nancy, Morgan, Cindy, Laura and Sophia in Sebringville for the first stop for our charter bus. Meanwhile at the next stop Dr Doug’s in Stratford members of the team were gathering to help take over 50 hockey bags of medical supplies, clothes, toys, school supplies and sports equipment to the curb to be loaded into the bus. Doug had some overnight guests as the Grey Bruce contingent of Patrick, Steven, and Maurice arrived Thursday evening to ensure the weather would not delay their arrival. Also gathered for a 3:00 a.m. pick up time were Dr Peter, Kate, Maria, Mary, Angie, Lisa, Catrina, and Jackie. Not all the bags fit below in the storage area so the first few seats were filled with hockey bags as well. We then headed to the K-W area to pick up Milla - who is continuing a strong family tradition of joining her aunts and cousins in this international humanitarian effort.

A smooth ride to Terminal 1 was next and then a well orchestrated unloading as team members secured about twenty baggage carts to haul their supplies to the Copa Airlines registration desks. A few members remarked about the cold Toronto air as they were dressed for their destination and over a thirty degree anticipated difference in temperature. The folks at COPA were very patient with our large group as everyone was trying to max their allowable checked and hand baggage. Next step was customs and security and it went quite well considering the removal of belts, shoes, coats and any pocket contents that set off the sensors.

Once we gathered in the loading area some members  grabbed a bite to eat, others checked emails and text messages while others relaxed or chatted to others. We were all asked to wear our new green and blue COMMIT team shirts that promoted a sense of unity and fellowship and had a few travellers asking questions so that promoted some opportunities to educate and inform others about the purpose of our trip.

Our boarding occurred on schedule but a delay of almost an hour on the tarmac required our plane to need to be de-iced prior to take-off. A smooth flight ensued and we were able to make up time in flight and arrive in Panama basically on time. An early afternoon temperature of 34 degrees was a welcome bonus upon arrival. A lay-over of a couple of hours went by quickly and we were then on our way to Managua - the capital of Nicaragua on a smaller plane. We knew we were going to touch down in San Jose Costa Rica but thought we were allowed to stay on the plane but that changed and we ended up going through customs and security in Costa Rica and then reboarding the same plane an hour or so later. We were treated well by Copa staff with food and refreshments on all three legs of our journey. Thanks Copa!

When we reached our destination we were greeted by a very happy Janice and Bryan Rauser, along with Ken, Antonio, Edgar and Roman our trusted bus driver. After  a short distance we needed to stop to fix a flat tire on one of the buses rear dual tires, Fortunately there was an enterprising man who had a makeshift tire repair shop right on our journey and after a little over a half hour we were back on the road.

When we reached the orphanage we quickly unloaded the bags and we were extremely fortunate that our beds - complete with mosquito nets were all made up when we arrived. Many people headed to bed early after a short night of sleep the night before and a long day of travel.

Our first full day at Casa Madre Theresa was a bit of a staggered start to the day as people arose when they woke up. We had a breakfast of cereal, fresh fruit, toast and peanut butter. Ken and Janice gave us an orientation during breakfast. Janice had us organized into work groups as to what needed to be done in preparation for the first clinic on Monday. Some groups were involved with:

  • assembling medical bags of supplies for Monday including sheets, towels, tarps, rope, duct tape, garbage bags, anti septic pumps, clothespins and a variety  of other items required to set up partitions for the clinic and supplies for the doctors and nurses.
  • assembling a construction kit with hammers, tool bags, levels etc for the outdoor toilets we will be building in some communities.
  • labelling and re-packaging pharmacy supplies with instructions in spanish
  • assembling supplies for the dental clinic
  • getting the sewing machines out and making sure they were working properly. Also sorting through all the material that was donated
  • sorting out school supplies to donate to a few area poor schools. These supplies included  paper, pencils, construction paper, crayons, pens, notebooks and various arts and crafts materials.      
  • sorting and counting tooth brushes and tooth pastes again with the hope of donating one to each person attending the clinic
  • sorting the previous intake sheets from our cliinics last year and separating to the location they were seen at  last year.
  • sorting the hundreds of reading glasses and prescription glasses for the clinics to assist people with vision issues.
  • Making name tags for the clinics including all team members, our interpreters, and community members.   
  • A shopping trip in town to get some clinic supplies that we did not have available and needed based on our experience last year.
  • sorting and counting baseball hats. We had a great number donated and it was our hope to take 300 to each clinic to donate to the children and adults attending the  clinics

Most of the first time visitors went on a tour of the orphanage in the morning and were very impressed with the size of the property. Some  children are home visiting family as school doesn’t start until next week and this is their summer vacation.  

We then ate lunch with the children at the Ranchon (an open air multi purpose building). It was  a typical Nicaragua meal of rice and beans, some tomatoes, peppers and a small piece of meat.

After lunch we continued to sort the supplies and finish up tasks from the morning. We were able to accomplish a great deal as well as sort out supplies from previous years.

We attended Mass at 6:00 p.m. followed by supper at the Ranchon. This time we had Gallo Pinto with plantain chips and fresh salsa.               

Our day ended with some quiet time at the visitors house as some chose to connect with family, play cards, read or relax. A very productive and fun first day for our team!

Adios

Maurice

Today the COMMIT team vaccinated 6 local dogs to prevent the spread of the rabies viral disease. According to the Center for Disease Control and Prevention (CDC), the rabies disease is most commonly transmitted through the bite of an infected animal.

The country of Nicaragua has a tremendous amount of abandoned dogs that can subject the children of NPH Nicaragua to the contraction of the preventable disease. The rabies virus can cause damage to the central nervous system and lead to further complications in other vital organs. These include headaches, fever, and many other symptoms. 

The COMMIT group, through the help of NPH Nicaragua staff, identified 6 dogs that either serve as work dogs or recreational pets. The purpose of this exercise is to prevent future complications and potential illnesses among the children inside the home. 

According to a member of the COMMIT team Riley Murray, “it was a good experience to help the dogs prevent them from spreading rabies.” Murray, the youngest member of member of the team, is currently on his first trip to Nicaragua. The COMMIT team will be in Nicaragua for the next two weeks helping the less fortunate people of Nicaragua improve their health habits.

In addition to the local communities, the COMMIT team is dedicated towards educating the local communities about responsible health practices.  One of the services of the team is to assist the communities in long-term healthcare. The Vaccinations of 6 dogs will put a small dent in the rabies problem in Nicaragua.

Below are photos of the team helping the local dogs prevent the spread of rabies and other preventable diseases. 

Buenos noches!

-Danielle y Diane

Monday, February 1, 2016

Hola

After a wonderful sleep, our day began in full swing. As today is going to be our first day of our opening clinic in San Luis. After getting up at 6am, the majority of us loaded the bus with hockey bags full of medical supplies, lots of agua(water), dentist chair, and other much needed supplies. While others were busy making peanut butter sandwiches. After eating our hearty breakfast the bus left the orphanage at 7:55(only 25 minutes late(nicca time!!). We stopped at a local hospital to pick up Nicaraguan minsa nurses, doctors, dentists and most importantly translators(without them we would be lost).

We spend the next hour travelling the dirt roads of Nicaragua, the destination being San Luis. After driving through the national reserve we found the school that was appointed for our clinic. The bus was unloaded smoothly, and everything found its proper place. The locals started gathering around registration to be seen by the COMMIT team. After each patient had gone through all the stations; registration, hand washing, dental hygiene, blood pressure/weight check, vision check, nurses, doctors, dentists, they came to see us at "la farmacia"! They were greeted by our translator/bodyguard/spanish teacher - Jimmy. The patients arrived with prescriptions prescribed by doctors and medical directors chosen by nurses. Than Louis, Danielle and Diane filled and double checked the prescriptions. It was then handed off to Jimmy who gave it to the patient, explaining the proper use of the medication in Spanish. After spending 4-5 hours the last prescription was filled, we packed up and headed back to the casa for a well needed shower! Everyone replenished their stations and prepared for Nandorola, our second clinic. Once everyone's daily tasks were completed we enjoyed a meal at "La Rancheon" for a much deserved team meal. Everyone was tucked back in to the casa around 11pm. Getting recharged for the next day.

Things moved swiftly this morning and we left in good time.  After a brief stop in Nandaime to pack the bus with bodies, we started off to Nandarola down a picturesque and dusty road.  This included having to hop off the bus to allow it to climb a hill on the way.  Apparently 50 people on a school bus loaded with roof toppers and tons of equipment was too much. Everyone took the brief hike with ease (for some).

The sun was bright and hot by early morning.  Nandarola is a special community for the group. This is where we are trying to provide sustainable changes.  Cindy and her sewing team, including Morgan, Mary and Steven, intiated education for some of the women in the village.  They are continuing their work in Nandarola for the next three days.

The clinic was busy- seeing 215 patients today. The flow worked well at the site, efficiently moving people though handwashing education to triage and then on to the doctors.  The pharmacy and physio, Lisa , were busy today.  Kate and I handed out lots of glasses today.  Everyone was so appreciative for their improved sight.  We had a wonderful experience with a 16 year old young man sent to clinic by the local health authorities.  He was profoundly hard of hearing, his range including decibels consistent with clapping.  We were able to provide him with two in ear aids that instantly improved his functional hearing.  Thanks to Hear More in Stratford for their generous donation of hearing aids and batteries. It created a really emotional experience and hopefully improved his life.

Maurice and his construction crew (Heather) have run into some hurdles with the logistics of Nicaragua.  They are coordinating the deliver of materials for the outhouses- where the difficulties of government in Central America become more apparent.

The highlight of the day was the celebration and dedication of the new well in Nandarola donated by Dr. Paul MacArthur, a physician in Walkerton.  The community was so appreciative of the donation of clean water.  Doug Thompson and Janice Rauser spoke to the projects and fundraising efforts of the COMMIT team.  Local dignitaries spoke about the importance of the well.  They also thanked the COMMIT team for providing the medical clinics on a recurring basis.  They were so thankful for the sewing program.  The concept of local women teaching other local women to sew and create a sustainable industry was exciting to the dignitaries.  They reasured us that the building mateials will be organized soon for our outhouse project.

Feb. 2, 2016

After a great meal, having welcomed back our cook, Eva, we were ready for a deep sleep.  Hopefully to regain some energy for a busy tomorrow.

Peter Brooks

Feb. 4, 2016

Today we went off on a mission of our own. As the other members of our contingent boarded the bus and drove away, we (Morgan, Mary, Steven and our group leader Cindy) waited all alone for our driver Mincho to come and whisk us away to the remote village of Nandarola. Moments later, he pulled up, and we sped off for Nandaime Hospital, to collect our translator, Adela. Once she joined us (and we grabbed a donut) we set off down the dirt road. It should be noted that the truck ride was much faster than the bus yesterday... no walking up hills!

               When we pulled into Nandarola, we started our day with a miscommunication, which led us to load and unload materials at the same spot- the house of the local mayor. As we set up our workshop, on a small porch, with a shaky table, local ladies poured in for sewing lessons. Much to our surprise, most of the ladies didn't need sewing lessons. In fact, one of the ladies had a very old Singer Treadle Sewing Machine (circa early 1920's) and was quick to help the other ladies. All they really needed was equipment in good working order.  After being shown how to safely operate the machines, they went to work.  Mary was busy working on making pin cushions, Morgan took initiative to sew an apron, Cindy continued to help with machine operation and Steven snapped photos and kept little Miguel busy. It was a bustling yard, with mothers sewing, and children playing- not to mention the parrot which sang and danced!

               At 3:00 PM, the workshop ended, with the local ladies enthusiastic to continue in the future. We, with the help of Adela, made plans to have an organizing committee in the town, for the  up and coming sewing projects. On that note, we packed up and waited for Mincho to come back. Our day alone in the village was a success, and we are eager to return tomorrow and continue to work hand in hand with the women in Nandarola.

 Now, time for some music and refrescos! Buenas Noches!


               Mary Shean, Morgan Simpson, Cindy Otten, Steven James Travale

Meanwhile the rest of the group boarded the bus and headed to Nandaime. After picking up our dentist Augusto, three MINSA nurses and the MINSA doctor, we were on our way to the remote village of El Descanzo. The bus was crowded with most having three people to a seat. The bus wove down the dusty, very hilly road and we arrived at the village an hour later to see thirty to forty people already there waiting for us. Being our third day we were able to unload the bus and set up in record time. Keagan and Augusto were very busy pulling teeth, 53 patients in all. Many more were very disappointed to not be able to see the dentist but we simply could not see them all. Hopefully tomorrow will be better with two extra dentists along.The nurses and doctors were kept busy seeing paitent with ailments from headaches, sore muscles, coughs, pneumonia, yeast infections, UTIs and worms. Many were sent to Lisa our physiotherapist who massaged and stretched and showed them exercises. We saw a total of 250 patients today with a 19 month old child being the sickest. We  called the ambulance to transport her to the Nandaime hospital and all said a prayer that everything would be okay. Getting transportation in the village was not possible even though there was a car and four motorcycles sitting there. The drivers of such vehicles had no licience so thus avoided the highways where the police were bound to stop them. Othewise oxen driven wagaons and horses were the only means of travel. We finally packed up at 5;50 pm and headed back to NPH for a delicious meal cooked by our Eva.

Good night all

Till tomorrow Janice

Feb 4, 2016

Today we went to El Jabillo. Our usual 7:30 start got away about 8:15. We arrived at Nandaime and picked up two local dentists Luis and Augusto and some translators. Then we headed off to our 4th village. The road turned very mountainous and the bus struggled to make the hills loaded with  our team. A truck from NPH accompanied us with our supplies and a chain in case the bus was unable to make the hills. We certainly had to take a run at some of them, seemed to stress the diesel engine , clutch and brakes to the max, ask directions a couple times and play the little bus that could. The scenery through the mountains was spectacular and at the top of one mountain we had a perfect view of Mombacho Volcano in the distance. There were big ruts , winding turns and dust galore but after about 1.5 hours we reached the village. Peter Brooks and Kate had gone in a truck from the hospital to see a couple of impaired hearing  patients in the country and was able to successfully outfit them with hearing aids compliments of Hear More in Stratford. He arrived a bit later. Apparently the fittings were a total success , the patients  very grateful and Pete said he thoroughly enjoyed the air conditioned truck. When we were unloading we found one of the jugs had tipped and wet the bottom of all our supplies so everything was drying out through the morning.

The community of around 400 was made up mostly of farmers and took good care of their community.. They were delightful, cheerful , and well dressed. They  seemed to get most of their medical care from Jinoteppe but had some of the same issues with not being able to afford drugs..

We set up in a school with 3 large classrooms . All the specialties were very busy and we worked away until 3 PM. Being in the mountains  it was a bit cooler making it a less exhausting day. We also brought along some ice which made our usually warm water more delicious. The Nursing team from Minsa brought along some local treats and a special drink made from corn , pink in nature and very sweet and delicious. The dental team saw about 30 . Pete fitted a couple more hearing aids and several pairs of glasses. The younger members of the team entertained the children with coloring pictures in the court yard. A couple of patients who were really sick  (pneumonia and severe hypertension) had to be sent by ambulance to the hospital. The local mayor came over to thank us . He mentioned he had heard about our well in Nandarola and was very anxious to involve us in his water project. Their wells are shallow and their water sources  unreliable  so a deeper communal well was certainly needed in the future. It was a good day mired only by some politics but that is a story for another day.

The trip back was cheerful and we passed through groves of Teaka trees and meandering cows which remarkably moved for our bus only at the last moment. Another adventuresome day.

Doug T.

Blog Feb 8.

Trip to Zapatera Island cancelled . High winds and storm conditions. Nicaraguan Coast Guard cancelled all sea travel. We had to scramble to find other work. Disappointed ++. But life goes on and we always have options.

Doug

Blog Feb 9 and 10th.

The last two days on the road have been a big success! Our medical clinics wrapped up on Friday, so since the Zapatera group was stuck on land we decided to regroup and revisit both San Luis and Nandarola to provide the schools with books and other school supplies. We (B-Rauze, Carl and Lenny) were charged with running a music program in both communities with a bunch of recorders and song books provided by the Murray/Stock fam. We were stoked, since a huge part of the trip has been our nightly jam sessions under the stars on the roof of our school bus (harnessed in and helmets on of course, safety is sexy). Not only were we stoked but the kids were as well. With help from Bryan Reyes and Edgar who were able to translate and mucho enhance our lessons, we were able to interrupt at least four classes and fill the room with the squeaks and squawks of the world's worst instrument. And it was by far one of the best parts of the trip! We were able to provide nine recorders to each community and provide them with a basic understanding of musical theory that they can use to learn more songs other than Hot Cross Buns. Can't wait to come back next year and be serenaded with Mary Had A Little Lamb!

Louis, Caitriona and Bryan

Today while one group visited Nadarola , the home group which was Milla, Maria, Angie, Harry and Lisa worked with Jonathan and Saul planting an orchard. Yesterday 36 trees for NPH were purchased. They were Lemon, Mango, Papaya and Avocado. The day was hot and sweltering , we used a pic axe to hack at the "Mucho Duro" packed earth .We found soaking the soil with water made shoveling easier, eventually we worked well together  as a team digging, soaking, fertilizing, planting, all 36 of the trees. We listened to music, learned Spanish from our new friends and at the end of the day although very dirty our spirits overflowed with joy at our accomplishments.

Angie, Maria and Milia