Day 5 Clinic

Yesterday was our last day to set up the clinic and this morning we pack and get ready for the plane ride home.

We anticipated that the number of people attending the clinic yesterday might be a little lower, but we were very surprised when we arrived and there were three people waiting. The smallest crowd we have seen waiting this week was about 50 and the biggest was around 300. The heat today, even early in the morning, was also the most oppressive we have experienced. Although the temperature was the same as other days, there was extreme humidity and absolutely no breeze; many of the clinic rooms felt like saunas.

The day started a little earlier for the dental team as we changed our logistics a little to allow them to begin treatments as soon as the set-up was complete. By that point the line had grown to 10 people and several needed dental work. We were up and running.

It would seem that slow and steady really does win the race. The line-up of 10 always stayed at 10 no matter how many we saw. By noon we had seen close to 300 patients.

Each community presented some uniqueness in terms of ailments. This area seemed to have the most diabetes and hypertension. Today we did an IV and stitches and attempted to educate people on the ill effects of constantly drinking pop instead of clean water. A steady diet of pop not only contributes to health issues like diabetes and hypertension, it is also the main reason their teeth experience so much decay.

As the day went on in the stifling heat, a small but consistent line persisted and by the end of the day we had seen 655 patients, 554 through medical and 101 through dental. This week we were fortunate to serve 3,114 patients. On our last night the Canadian contingent celebrated this success over dinner with everybody from the Guatemalan team and the host Nicaraguan team and the interpreters.

We extend a special thank you to all of our family, friends and FTC donors who have supported us. We will continue to post stories and pictures to this blog in the coming weeks and also provide updates on the next trip so please keep checking in.

The Children's Program Team:

Distribution Team

Dental Team

Medical Team

Pharmacy Team

Day 4 Clinic

Distribution of food and supplies is a big part of the work that we do here. After passing through the medical and/or dental clinic, families are referred to our distribution station for food, clothing and shoes, and even toys.

It is hard to describe the difference in lifestyle here. Even the small towns feel densely populated and crowded, and dirty and simply lacking most everything.

Janice in distribution told us today that the most sought after item in distribution was not the brand new Crocs or the sandals that had been donated, it wasn’t even the toys or soccer balls for the kids, and it wasn’t even the food, although that was a close second. It was the large boxes the Crocs shoes came in! One lady vehemently asked for a box so she could have a mattress for her and her children. It would create a barrier between them and the dirt floor they normally slept on.

Pictured below is a family receiving some food, new shoes and hand made toys from Canada.

The medical team and pharmacy were moving swiftly and effectively again today seeing 643 people, and the dental team saw an incredible 101 patients today. The team worked right until dark again. Unfortunately, today was a day that for all of our efforts, there were still at least a couple of hundred people we were not able to see.

Pictured below is Michelle from the dental clinic before the day began. Below that is a shot of the whole medical team seeing patients.

One of the tougher cases that we heard today was about a 9 year old boy with Cerebral Palsy. Christine was able to diagnose him and speak with his mother about his condition. He was confined to his wheel chair because his mother did not know that he should be encouraged to exercise. Mentally he was obviously sharp and of age, but a lack of knowledge about the disease had unfortunately ensured the family had not worked with him to make his life more normal.

In Canada someone with CP would receive physiotherapy and speech therapy among other things and that would greatly increase quality of life. That sort of treatment is not readily available here and is certainly not easily attained financially.

Susan works in the pharmacy, but by profession is a speech therapist. Today there was a unique case where a child was slow developmentally and had a very limited vocabulary. The mother and child were walked over to pharmacy and introduced to Susan. Susan was able to show the mother, through an interpreter, how this little 3 year-old could be helped to move beyond a vocabulary of just three words.

Tomorrow is a day off before our last day of clinics on Saturday, and then we return home to Canada on Sunday.

Day 3 Clinic

The mood today was a little more frenzied. The need seemed palpable in the air and there seemed to be more desperation to get help.

Today our medical team was able to see over 500 patients (final count tomorrow). And to be clear that means our pharmacy team also saw close to the same number as the doctors, nurses and paramedics. We do have the occasional patient who may have something like a common cold, and therefore no medication is prescribed, but as a general rule we need to give anti-parasites, vitamins and then something that treats a more acute condition.

Our dental team was able to see 119 people. Very few, if any, had to be turned away, so it was a great success. The dental team worked until dark, something we try to avoid, but head lamps and flashlights kept the work going and we felt the satisfaction of seeing everyone we possibly could. Today we fired up the gas powered generator because there was not enough electrical supply to run all of the machines. Once that problem was solved, we were on track to see a record number of dental patients. We have four dentists working constantly.

More people, more children, and the kids program was vivacious again. A great story from the kids program came in from yesterday. Leah Katerberg, who works for FTC Canada, has been working in the kids program with Anne Stewart a volunteer and retired teacher from Oakville.

Yesterday they had children doing crafts, playing games, singing songs, and receiving face painting. In keeping with the trend of not being able to see everyone for dental medical care, as the end of the day neared it seemed that Leah was not going to be able to finish painting all the children’s faces. A little girl of about 7 or 8 had been helping Leah all day by holding the face crayons. She had not even had her turn yet. It occurred to Leah to teach her how to put a butterfly on a face so she could get more faces painted. She was timid, but Leah kindly insisted. Humorously, it seemed the training had already been done; having observed for a couple of hours, she simply took another crayon and began to paint faces as well!

Another integral part of the missions is our interpreters, many of whom are volunteers themselves from Nicaragua or a neighbouring country. Below, pictured with Anne and sharing a quiet moment, is Diana the interpreter for the children's program, . It has already been such a pleasure to team up with so many willing and skilled volunteers form Canada, Nicaragua and Guatemala.

Day 2 Clinic

Day 2 saw bigger crowds and unfortunately, we had to turn away many. Nevertheless, we were able to see 429 patients through the medical clinic and 102 through the dental clinic.

The work being done is really amazing. In the medical clinic everything from normal procedures (for us in Canada) like checking on the health of a newborn baby were being done, to more serious treatments of skin issues, and treatment of parasites, a common ailment down here.


Seeing Dr. Jack and his team work with the slightly to very nervous children is wonderful. The dentists are helping so many, but they are showing wonderful care and concern all the while.

The children’s program was terrific today! With three stations including crafts, games and face painting, it was a great treat for the kids and certainly a lot of fun. The children are able to take part in the program before and after medical treatment throughout the day.

Moreover, many families received food, we also gave toys, soccer balls and shoes to those in need.

Tomorrow we are going further out from Managua, so the drive will be a long one. More on that tomorrow.

Day 1 Clinic

Today we were in Villanueva at a little complex called Eden, a suburb of Managua. The lady who labours here is named Theresa. She runs a school the midst of unimaginable poverty. As part of her work she runs a feeding program three times a week which Feed the Children Nicaragua helps support.

Today we were able to see everybody who came. This is a first for our medical-dental trips so far. We arrived around 8:45am and were able to get started relatively quickly after set-up.

The three dentists were extremely busy, closing shop just after dark (our goal is to stop by dark) after seeing over 70 patients. They performed extractions and restorative work.

Our three doctors, three nurses and three paramedics were able to see over 355 patients who were then sent to pharmacy for the medicines and vitamins that were prescribed.

The children's program brings energy and distraction for the kids as we endeavour to process the crowds through the medical-dental stations. There is also a distribution station where food, clothing, and some age appropriate toys are distributed.

Today, a very young lady came to the clinic afraid that she was pregnant; a product of robbery and rape. Thankfully she was tested and was not pregnant. We were able to pray with her, encourage her and give her some preventative medicines as well.

Personal note. We are fortunate to have the opportunity to serve our humanity in this way. We do not want to bring anything to them they do not want (Western culture etc.) but we do want to bring health and love. [Note posted by Cliff Cline, FTC Canada's Director, Canadian Operations]

Here are some pictures from our day in Eden:

Before and After:







Helping through an interpreter:

Helping and remembering:

Pharmacy:

Medical-Dental Team Nicaragua 2008

The team has arrived safe and sound and we are currently settling into our hotel. It has been a long day of travel. Here are a few photos I took when we landed. We are a big team - 21 people, 39 bags, plus carry-ons and a massive amount of anticipation for what is to come.

Our Central Americal Director, Efrain, with some of his team.

A few members of the team on the way to hotel .


Dr.Tony and Efrain figuring something out.


And more to come. Tomorrow is orientation and planning and Monday is the first day of clinics.

Nicaragua Team departs October 25

It seems that we just returned from Guatemala, and already we are beginning to plan the schedule for our next project in Nicaragua.

Dr. Tony and I will be visiting Nicaragua in July to identify the five communities that will be visited by our team in late October. This will be done in cooperation with the Feed The Children Central America director, Efrain.

The Nicaragua team is in place. About one half of the 22 people involved are new. For some, it will be their third time on the team. Our team will include 3 doctors, a dentist, dental assistant, paramedics, 2 pharmacist and several nurses, complimented by several support staff. We will be joined by a dentist from El Salvador and other local support staff and translators.

While the clinics are going on each day, we will provide an exciting program for the children.

Along with medicines and vitamins, we will be distributing food and clothing.

All this takes money, so if you want to help support this project, please go to our web site and make a donation. Contact us if you have any questions.

Keep your eye on this blog, as we will be reporting activities before and after the trip.

Ken Dick, FTC President.