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Dr. Jennifer Wilson

Life And Death

2015/11/12 By Dr. Jennifer Wilson

Elvis is a toddler we brought back with us from Nyamboi with severe pneumonia. He became so unwell late last night that at one point there were 6 doctors and 4 nurses supporting Dr. Jo and Joan who were looking after him. We finally left him on oxygen with mom in our surgical ward at midnight and prayed he would survive the night. This morning his fever was down and he was no longer requiring his oxygen. Tonight he is running around the courtyard ready to return home tomorrow. Life.

All team members reported to breakfast at 0600 feeling strong and healthy. The surgical team set to work early and had a full day of hernia repairs. Just as they closed up and left for dinner at 7:30pm one of the patients booked for surgery tomorrow developed a strangulated hernia. Back to the OR. Life.

Martin and Marion began the laser eye program today. Six patients received vision-saving laser surgery and Dr. Toylin has a full list for tomorrow. Martin said he had so much fun playing “laser tag” all day while Gene Paisley, Brenda’s dad, watched on.

The medical, dental and eye teams hit the road for Asantekwa. The crowds were massive and we were anxious to get to work; however protocol prevailed. The drums were beating and the women were dancing with joy over our arrival and we were expected to join in (quite a sight). After the dance, the chief presented us with a ram, yams, oranges, apples and bananas and could not stop expressing his gratitude. I had the pleasure of presenting some of our rookie team members who represented the different sectors of our clinic to the chief today including Dr. Tom (physician), Valerie (Nursing), Eni (Pharmacy), Dr. Kristel (Eye team), Dr. Ambareen (Surgery) and Elena (volunteers) — all who bravely stepped forward in front of the chief, Queen Mother and elders of the village. We, too, presented gifts and a comical moment ensued when Dr. Tom, presenting to the Queen Mother, offered the gift to the wrong woman! The villagers thought that was hilarious.

Our physician team was all together today in one room which was lots of fun. Once again, before set-up was complete, a critical incident occurred when an elderly woman collapsed unresponsive on the floor. She was treated and was able to go home later in the day. Life.

We had a special moment together when Dr. Bill led us in a moment of silence at 11:00 and all of our patients stood with us.

The eye team functioned amazingly well without their chiefs Dr. Martin and Marion, and the patients they could not get to will make the 2-hour trek to Yaara to be seen tomorrow.

Today was the first day our dental team didn’t get rained on. They finally had to retreat to an indoor classroom (94 degrees F) as the temperature outside was just too unbearable. All in all, our team saw just shy of 500 patients and at least that many were seen and treated by our wonderful triage team of Beth, Leslie and Val. What a tough job they have screening these massive crowds. Pharmacy finished in record time at 4:30 and we hit the road for home well before dark.

I do wish I could end this blog with a happy ending, but I cannot. Lydia died in the clinic today. Lydia was 22 years old and fell ill a week ago. She went to two different hospitals in the North and was sent home without treatment. I’m not sure she was even seen by a doctor. Her family, hearing we were nearby, carried her to our clinic. Despite aggressive resuscitation with our state of the art drugs and equipment, we could not save her. She arrived too late. Our local nurses, who had never witnessed CPR, defibrillation and resuscitation asked me why it is that we all cried when someone we didn’t even know died. A question worth pondering.

Lydia’s death is unacceptable. The deaths that would have occurred, like Elvis and countless others, had we not been here these 3 days are unacceptable too. While it is difficult for us to process the reality of this place, it is a reality that we all must face. This region needs a well-run hospital if these unnecessary deaths are to be prevented. After 8 years of our health team’s involvement here, GRID and NEA are moving forward to build and staff a model hospital right here in Carpenter that will be supported by people like us. Until this vision becomes a reality, people like Lydia will continue to die unnecessarily. Please check our the hospital plans on the GRID website and help us help NEA get this hospital built. Please.

After a delicious dinner (including mushroom soup from the NEA mushroom farm and fresh Tilapia from the fish pond) and wonderful speeches from David and the team leaders, and … wait for it … a priceless Girl Guide song called “Lavatory Man” sung by the one and only Leslie, we retired to our residence to visit with one another. With Michael strumming the tunes on the guitar, Dr. Sue cracking out a big puzzle for us to work on, and Dr. Anthony making instant coffee, we are all refreshed and ready for whatever tomorrow brings.

At 3:00pm every day, Kim drops us off an inspirational quote prepared by former team member Dr Sarah from Stouffville. It is a fitting ending to today’s very long blog:

It’s the action, not the fruit of the action, that’s important. You have to do the right thing. It may not be in your power and may not be in your time that there’ll be any fruit. But that doesn’t mean you stop doing the right thing. You may never know what results come from your action. But if you do nothing, there will be no result. — M. Gandhi

PS: we are loving your messages to the team and they are all being relayed. I’ve officially designated Dr. Carlye to read them out to the team as I turn into a blubbering mess when I try to read them. Surprise, surprise.

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2015 Health Team Updates

Nyamboi, Nov 10
Carpenter, Nov 9
Carpenter, Nov 8
Accra, Nov 7
Toronto, Nov 6

Filed Under: 2015 Health Team

David Mensah Says It’s Hot …

2015/11/10 By Dr. Jennifer Wilson

In the 8 years since I have been coming to Ghana I have never heard Dr. David Mensah, Director of NEA, say “it is hot”. Well today he said it. Dr. Kyle’s thermometer read 100 degrees in the shade and 120 degrees in the sun. That’s hot.

The surgical program had a fantastic first full day and is in full swing. What an incredible team, led by Dr. Magdi and supported by a big team of NEA volunteers. Together, they changed the lives of over 30 people in one day. One of our surgeons, Dr. Kathryn, joined us in the village today and added another 44 patients to the list. Dr. Kat happens to specialize in pediatric urology and wouldn’t you know it, we had a little boy with a urologic problem. In Canada, a pediatric urology consult would take months. I was able to consult with her in 1 minute.

The medical/dental/eye team had a fantastic day in Nyamboi villlage. As our team approached the chief and elders to greet them, the village linguist asked each team member to state their name, after which he told it to the drummer who “drummed” the names. What a welcome.

We saw huge volumes of patients despite a 30-minute rainstorm. It was so fierce that is was unsafe to be outside, so within minutes, all the patients were crammed into all our consultation rooms, pharmacy, and nursing station. Classic Ghana. Our newcomers were oriented to the most important procedure of using a latrine (a cement floor with a deep hole … and lots of flies buzzing down in that hole).

The eye clinic is running so well and they are seeing so much glaucoma that Dr. Martin is starting his laser surgeries tomorrow instead of waiting until next week!

It was a great day and once again, I’m reflecting on how special it is to watch this many people collaborate together with such joy and such energy toward a common purpose. When we gather for dinner in the dining hall at the end of a very long day, the room is full of conversation and laughter as we share our stories with one another.

To those of you who are commenting on this blog, I am receiving the comments and messages you are sending and I and reading them out at breakfast each morning. We are renaming the blog “Carly’s blog” since she is getting the most messages. By the way, Carly’s family will be thrilled to know she pulled her first tooth today!

Until next time …

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Filed Under: 2015 Health Team

The Bending of Time

2015/11/09 By Dr. Jennifer Wilson

Monday was a day where time seemed to bend. It does not seem possible that so much action, so many activities, so many memorable moments could have taken place in the span of a day.

After a sleep in, a beatiful devotional time with the NEA staff and a delicious breakfast at 0730 our new team members toured the compound and witnessed the incredible development work happening here.* The old timers were tasked at finishing unpacking and then we all set up for a half-day clinic to see the development staff. Over 300 patients were seen by our doctors, nurses, dentist, eye team and surgical team! All areas of the clinic were in full swing!

The defining moment for me today involved watching our team kick into action when an semi-responsive child was carried into our clinic before we had even set up. Dr. Bill took charge of this boy who had severe malaria. Nurse Lynda got the malaria test done in a snap while Nurse Leslie got a very challenging IV going. Nurse Val in consultation with Linda from pharmacy prepared an injectable anti-malarial. Two hours later the boy was sitting up asking for water. He spent the afternoon under the watchful care of our nurses and by the end of the day was ready to return home to continue treatment there. A life saved before our eyes. One can’t help reflect on the timing of this massive medical team being here on the very day this boy developed severe malaria.

So many stories I could tell about today, including Dr. Chin winning a wet t-shirt contest when his dental tent was hit by a monsoon … but breakfast is at 0600 and we depart for a village clinic at 0630! I wonder what tomorrow will bring!

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*For a glimpse of the development work that team members would have seen today, watch our Sustainable Health video.

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2015 Health Team Updates

Carpenter, Nov 8
Accra, Nov 7
Toronto, Nov 6

Filed Under: 2015 Health Team

The Beating of the Drums

2015/11/08 By Dr. Jennifer Wilson

It is hard to put into words — hard to describe — our arrival in Carpenter. The drums were beating to a seldom-heard rhythm that is usually reserved for chiefs alone. David was dressed in his chief regalia and danced a symbolic dance to welcome our team. The 55 of us made our way through the receiving line of over 50 NEA staff and it was a very sweet moment. For many of us, these people are our dear friends that we have not seen for two years now. Only in Ghana do you get a welcome like this.

After an authentic Ghanaian dinner (actually it was spaghetti!) and speeches of welcome we went to work unpacking the hundreds of bags and boxes. Tasks like that seem easy with this incredible group of leaders and team members.

Some of us enjoyed showers, then the water “went down” so bucket baths had to do for the rest! We are completely exhausted but entirely content.

Connectivity is sparse so do not worry if you don’t hear anything for a couple of days. We are all fine and send our love back home! Until tomorrow … or the next day … or the next day … gotta love Ghana!

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2015 Health Team Updates

Accra, Nov 7
Toronto, Nov 6

Filed Under: 2015 Health Team

We Are All In!

2015/11/07 By Dr. Jennifer Wilson

GHT 2015 Accra Arrival

As they say in Ghana, “we are all in!”

How amazing that every team member travelling in from Amsterdam, London, Lisbon, Spain and Germany arrived within one hour of one another! Every piece of the Canadian luggage, including “our precious” — the eye laser — arrived intact. Our British team is missing a few boxes that should arrive tomorrow. We were expecting a challenge getting through customs but we were waved through without a single question being asked or bag being opened. Amazing.

The day was seamless due to an incredible group of people who seem to be able to tackle any given task with absolute ease and efficiency. The Accra airport is quite an experience in and of itself and I hope you enjoy some of the moments that our team member Erika Jensen captured so vividly through her camera lens. We will sleep for a bit and then journey by bus to the North to begin this very special mission.

I’m sending love to all our family and friends who have made it possible for us to be here.

Jennifer

Carlye Jensen and others helping with luggage

Loading luggage

Kim Lawson leading roll call

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Filed Under: 2015 Health Team

Ghana, here we come!

2015/11/06 By Dr. Jennifer Wilson

2015 Health Team Members at Pearson

This mission is off to the best start! Due to an incredible team effort, 36 team members and 138 hockey bags were seamlessly processed by KLM in under an hour! We are pumped!

Our pharmacy team used our extra time at the airport to go over final details.

Pharmacists

Ghana here we come!!

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Filed Under: 2015 Health Team

Out of Africa

2013/04/28 By Dr. Jennifer Wilson

The first half of our journey to Accra was smooth and uneventful.

Until … the 11 passenger van broke down. For one last time this incredible team had to dig deep and pull together as we created seats down the aisle of the coach and all 63 of us travelled the final four hours together.

We arrived in Accra where half of us relaxed and swam at the hotel while the other half headed to the market. Our flight to London was uneventful and we have just parted with our dear UK friends and those remaining in London. The rest of us are relaxing and ready to board BA 93, which looks like it may be delayed by an hour.

Don’t forget to pick us up!

Homeward bound!!!

Filed Under: Team Updates

Life At Their Doorstep

2013/04/27 By Dr. Jennifer Wilson

As I write this, our last update to you, we are on the bus returning to Accra. Our work is now complete and our thoughts are turning towards home.

To say it was an intense final day of clinic in Carpenter would be an understatement. Volumes of patients hit an all time high. 700 patients were seen by the combined medical/dental/eye team and our surgical team concluded the mission with a total of 271 surgeries! Our “gazebo nursing station” had IV’s hanging down from many rafters as seriously ill children were being treated.

One severely dehydrated child was brought to our dear Dr. Gillian who immediately took her to our nursing station as she required emergency resuscitation. She was too dehydrated to find a vein for an IV so Dr. Jerry our ER doc put in an interosseous line (needle through the lower leg into the bone marrow) so that life saving fluid and medication could be administered. The resuscitation team also included my Olivia who, together with nurse Margaret, translated for the french speaking mother. That gazebo full of very ill children from diarrhea and malaria was such a reminder to us that these two illnesses alone are two of the leading causes of death under age 5 in most African countries. Many of these kids in our gazebo would have died that day. Our nurses conduct so much education with mothers on the principles of clean drinking water, proper hand hygiene, and of ORS (oral rehydration solution) so that they will know how to prevent and treat diarrhea next time.

The surgical patient that required a bowel resection is doing miraculously well. His bowels started moving yesterday for which we all heaved a collective sigh of relief and he is now stable and eating. He will be left in the care of local nurses until he is fully recovered. Our medical colleagues here in Ghana keep repeating that this man should have been buried by now. None of the district hospitals could have handled this surgery and the doctors in the major hospitals are on strike … not that he would have ever made it to hospital. This was not his time to die.

Yesterday the entire team inventoried and packed all our supplies and equipment to be ready for the next mission. Duffle bags of medicine and supplies were distributed to all the local village clinics. In the middle of all of this, a man with a massive dental abscess that was starting to block off his airway arrived. Dr. Charlie, working together with our dentists, conducted a massive I&D (incision and drainage) and extraction of teeth in the corner of our packing room while we all tried not to notice the smell. He was kept overnight for observation and will be left in the care of one of the local nurses Mariamma in the next village.

Last night we had a wonderful but bittersweet party with entire NEA staff and every single volunteer who helped us on our mission. It was a beautiful sight to see Ghanaians, Canadians and British team members sitting at the tables together as we dined on goat, beef, fufu, pancake soup, grilled vegetables and fresh avocado and pineapple. Dessert was like ice cream which shocked us all as it was the first cold food we have eaten in 2 weeks. Speeches were made and gifts were exchanged. David’s mother stood on behalf of the tribe to thank us for bringing life to their doorstep. She blessed us and she blessed our families and friends who helped make it possible for us to come. We thought the night was over but then local drummers arrived and we all danced together under the stars. It was quite a sight watching these people dance and watching us TRY to dance.

I have two closing thoughts:

It really is incredible what a small, committed group of people with a common focus can accomplish when everyone plays their role to the best of their ability. This mission really required the combined expertise and skills of all our physicians, surgeons, anesthetist, dentists, eye team, nurses, pharmacists, volunteers, pastors and local Ghanaian health professionals. Every single team member was needed on this mission. “No one can whistle a symphony,” and this truly was a symphony. It has been such a privilege to work together in this unique way.

My concluding observation is that we are now connecting and networking and partnering with the medical system in Ghana in a deeper way. This year we were so privileged to work with a team of local nurses, a medical assistant, an optometrist, an optician and Dr. Nina, the first doctor to join us. She said it felt like an internship working with us and she was so grateful for all she had learned. The Medical and Dental Council of Ghana and well as District Medical Directors visited us this year and toured our clinics. They seem very committed to working with NEA to find a way to allow more of their doctors to train with us. This is a very important step toward the ultimate goal of sustainable health care in this region.

So, we are en route home and everyone is healthy. We will all take our deworming tablets tonight so we will be fresh and ready to greet you all soon!

Thank you so much for following us along and supporting us with your thoughts and prayers that so significantly contributed to the success of this mission. We are thankful to God for every good thing that has happened in this place at this time.

Until 2014,

Jennifer
on behalf of the entire team

Filed Under: Team Updates

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