Category Archives: Liberia
The entire CSI 2018 Liberia team has arrived, and today we were up well before the sun and the settling of the dew. After a hearty breakfast at the Guesthouse, we headed for the hospital for our patient-screening day. Our usual route has changed due to the collapse of the bridge over the Du River in June. It now takes about 40 minutes to get to and from the hospital on a very bumpy road.
We evaluated 105 patients, some of whom had been waiting for two days. We are able to treat a fairly wide range of surgical problems, thanks to the variety of specialties our surgeons represent: Dr. Vandersteen and Dr. Fox (urology), Dr. Andrews (general surgery) and Dr. Roby (ENT). Pediatricians Dr. Wood and Dr. Hennum, along with our nursing staff, worked together to make sure the kids are healthy enough for surgery. Our schedule for the week was quickly filled with 89 children.
An orphanage caregiver arrived with three young children after traveling 80 km, hoping for life-changing surgeries. One of the boys had been just recently taken into the orphanage and has no family. We are hopeful to offer surgery to two of these children. They really looked out for each other today during screening, referring to each other as brother and sister.
While patients were being screened, the pediatric ward, pre-op and recovery rooms were readied and the anesthesia and OR staff unpacked and prepared supplies for our first surgical day tomorrow. Our teams don’t want to put any unnecessary stress of the limited resources of the hospital, so we bring nearly all of our own supplies. Getting set up for a large number of surgeries in a few short days is a big job!
Tomorrow will be a busy and exciting surgery day.
See more photos from screening day here.
We were up early again and off to three community centers to continue our deworming initiative. We treated more than 2,500 children today, working alongside local community leaders and teachers. The children’s teachers were so happy for the care, because the children have no access to health care and many of them have chronic problems with vomiting and diarrhea that keep them from their studies. By giving them this simple and relatively inexpensive oral medication, their chances of improved nutrition, growth and school performance are significantly improved.
To finish off the day, we stopped by Firestone Duside Hospital to check on our equipment and supplies. Everything has arrived safely from the United States, including the 17 bikes that pediatrician Tim Woods’ friends and neighbors donated in Minnesota!
Many families have already started to arrive in and around the hospital. Many travel long distances to see us and arrive well in advance in hopes of gaining access to care. Fortunately, Firestone provides a place for them to sleep while they wait for screening/evaluation day on Sunday. Leon Randall, our biomedical expert, has all the equipment tuned up and ready for surgeries to start on Monday.
We are looking forward to the rest of the CSI team to arrive tonight. Tomorrow the U.S. and German ambassadors to Liberia are coming to meet us for lunch. This is a great opportunity for the ambassadors to see what Firestone does for children in their country and the plans CSI has for life-changing surgeries this week.
These two days have been hard but rewarding work. We would like to express a huge thank you to all the donors at CSI for their support so we can provide care to children in this impoverished community.
See more photos from our busy day here.
The first group of the CSI Liberia 2018 surgical team (Lora Koppel, Anna Koppel, Mike Tveite, Mary Johnson, Laura Michaud, Louann Randall and Dody Barr) arrived at the Firestone Guesthouse in Harbel at 1 a.m. Thursday. Our Firestone hosts Don and Janet Darden stayed awake to greet us, and after a light meal we were ready for some rest.
The following morning we were off with our Firestone co-workers to visit four schools identified as high need. Intestinal parasites are a significant public health problem in developing countries, including Liberia. This affliction can affect a large percentage of children and causes significant problems such as malnutrition, poor growth and even learning difficulties. We distributed deworming pills to about 1,500 children, and everyone who received the medication got a sucker to help the medicine go down!
Schools are a great place for us to treat the children. By school I mean a one-room cement building with only a chalkboard and no books. Children come with a notebook and pencil and bring their own chair to school. The children sang to us, and only a few of the younger ones were afraid of us. Firestone’s Sargent Caesar is in charge of this outreach program, and she will talk to us later in the week about what the word “family” means to Liberians.
Back at the Firestone Guesthouse, we enjoyed a delicious home-cooked meal. We were joined by Ed Garcia, President and Managing Director of Firestone Liberia, who thanked us and welcomed us back to Liberia.
Tomorrow we will visit three more communities and expect to treat 1,500 more children for intestinal parasites. In addition to surgeries, it’s great for our small group to get out into the community, where we get a chance to see the children in their school neighborhoods.
The rest of the Liberia surgical team is en route to meet us here. The current screening list has 180 kids waiting for us to evaluate!
Check out our photos!
It’s the final day in Liberia for our CSI surgical team. Children walking to school greeted us along our route to the hospital this morning, as they have done everyday. Today we surprised them by tossing soccer balls out the bus windows. They were ecstatic to say the least. It was a thrill to see there happy faces.
CSI team members continued our education mission with two classes today. Operating room nurse Nancy Corcoran taught CPR to about 50 Liberian healthcare professionals. She donated two adult and two child CPR mannequins to Duside Hospital. Mission clinical lead Lora Koppel, RN taught a class in pediatric pain management. Our ENT and urology surgeons made their final rounds, checking on post-operative children, and we said a final farewell to our patients and their grateful families.
Over the course of the week, our team evaluated nearly 100 children, performed 57 surgeries (41 urology plus 16 craniofacial), and performed 15 various other procedures and observations.
Children and their families traveled from as close as the Firestone property and as far away as the furthest borders of Liberia, with some traveling up to four days to reach us. Resources have been severely limited in Liberia since the civil war ended 20 years ago, made only more drastic following the recent Ebola crisis. According to the Liberia Medical and Dental Council, there are currently fewer than 300 MD’s in the entire country.
The resiliency and joy of the people of Liberia is remarkable. Despite the significant challenges they face as a result of poverty, unemployment, disease, and lack of what most people see as essential resources – they are quick to share a loving, joyful and open spirit.
Our week ended with a moving closing and farewell ceremony, which was attended by the Liberian Vice President and the U.S. ambassador to Liberia. A Liberian drum and dance group provided entertainment. Expressions of gratitude were shared by members of the CSI team and Liberian hospital and government officials. It was hard to discern who was more grateful – them or us!
We certainly are grateful to Don and Janet Darden, along with Firestone Natural Rubber, for hosting us in Liberia again, and for all the support provided. Their ongoing commitment to CSI is much appreciated. We look forward to returning in 2018!
View photos from the entire trip here.
We have had a wonderful, emotional and successful last two days of surgeries here at Firestone Duside Hospital! Thanks to the generosity of Lube Tech employees and the Bame Foundation, all of Wednesday’s surgeries were supported by Lube Tech! Some of the children and families whose lives were changed thanks to Lube Tech’s generosity, include:
- Three-month-old Pauline came to us with a painful umbilical hernia. Her mom, Catherine, told us she heard CSI was coming and they’ve been waiting anxiously for us to arrive. Catherine is unemployed, and dad is a rubber tree tapper for Firestone. They have very little money. She told us she was very scared at first but now is grateful and happy we could help her daughter. Catherine said as we were leaving her and Pauline: “Please come back so you can help others.”
- Habakkuk’s cleft lip surgery was so successful and his appearance so transformed even his mother almost didn’t recognize him afterward. In the recovery room after surgery, she fed him his first real bottle of formula, and he took it like a champ. Mom Ruth, 19, and Habakkuk traveled more than 4 hours to get here – she is so grateful: “Thank you Thank you!!!” she said.
- One of the most heartbreaking stories we heard this week was about five-year-old Daniel. Daniel has an inguinal hernia. He came to Firestone Duside Hospital with his father Stephen – they traveled two days by bus and spent their savings to get here. He heard about us from his sister who heard about it on the radio. Daniel’s parents can’t find steady work (unemployment in Liberia is at least 75%) and any money they make goes to feed the family and pay for housing. They’ve been saving up for three years, hoping CSI would one day return after the Ebola crisis ended. Daniel’s surgery was successful and he will live pain free from this moment on. His dad Stephen says “Thank you to the whole family of Lube Tech for coming here and helping him.”
- Thirteen year old Marie came to us with a large mass in her neck. ENT Drs. Phillip and Jon Robitschek spent three hours in surgery with her. Unchecked, we can expect the mass would have become even more large, painful, and increasingly subject to infection. Marie came through the surgery brilliantly, and is now recovering in the pediatric ward.
- Korpo and Peter are siblings, brought to us by their mother. Her husband is a driver for Firestone. “Thank you so very much for this very happiest of days!” she exclaimed.
- Nine year old A.B. came with his aunt Gorma, A.B. was born with a cleft lip. He is mocked at school and has difficulty eating and speaking. His aunt heard about the mission on the radio. She’s very happy: “For my “son” I say thank you!” Now that he has received this surgery, he will likely return to his mother who he misses very much.
In addition to these amazing life-changing surgeries, the CSI team has been busy working alongside their Liberian colleagues, providing education and training. Each day includes lectures and hands-on training at all stages of care. Topics included airway management, pain management, facial nerve disorders, caring for the child with hypospadias, pediatric urology and more.
More photos from Liberia.
How can you pick something about today to highlight, when every moment has been spectacular?! How do you choose one patient to feature, when each precious face has made life so much sweeter?
This is my first experience with Children’s Surgery International AND my first trip to Liberia, which is amazing because I am Firestone’s very own Mrs. Don Darden. My husband is the Director of Administrative Operations for Firestone Natural Rubber Company, and is here in Liberia almost as much as he is home!
Today was my chance to be in the operating room with the CSI staff and our Liberian patients! The first patient was Habakkak, a sweet, tiny 3-month-old baby boy. He was having a unilateral cleft lip repair. I watched as ENT Drs. Phillip Chaffin and Jon Robitschek worked their magic and perform what most certainly was a life-changing operation on such a little one.
Next up was AB, a 9-year-old boy having the same type of surgery. He had been mocked in his community, and has had significant difficulty eating and speaking. When his aunt came to the post-op room to see him after surgery, she smiled the most radiant smile. “Now, AB can go to school,” she said. He has never attended school because of his medical problems!
￼These dedicated CSI medical professionals give up the comforts of home to travel great distances (using their hard-earned vacation days) and donate their services so children – and sometimes adults – can live a better life! To see these doctors and nurses carrying their young patients in their arms to and from the operating room is something I will never forget! CSI is making a difference in Liberia and across the world. I just hope I get the chance to serve with them again very soon!
– Janet Darden, CSI Volunteer
more photos from Liberia.
-Edmonia is a 14-year-old girl who has been incontinent her entire life due to a kidney birth defect. For what could have been a long and complicated surgery, Dr. David Vandersteen and Dr. Janelle Fox were pleased to report the procedure was a success. Now, instead of being ostracized by her peers and feeling ashamed, Edmonia’s quality of life has been transformed, making her one of our biggest successes. Her life was truly changed today.
-Newborn Lucia, you may recall she had surgery yesterday for omphalocele, is recovering well. She is successfully nursing and bonding with her mother.
-CSI ward nurse Louann Randall and Tetee Urey-Morris, charge nurse for Duside Firestone’s women’s unit, presented washable feminine hygiene kits to about 20 post-natal moms at the hospital and taught them how to use them. The kits were from Days for Girls, an international nonprofit organization that distributes the kits in Third World countries.
-Dr. Phil Chaffin lectured on cleft lip and cleft palate to about 30 Liberian nurses, physicians, nurse practitioners and students.
Amid the successes, all of us see multiple reminders of how much need is here that we cannot attend to, due to limited time, medical personnel and financial resources. Our hearts have been broken by a 1-year-old girl with a large cancerous tumor and a 4-year-old girl hospitalized after being sexually assaulted. But while we are facing the realities of the world, we feel grateful to be here doing what we can.
Sally Lannin and three other CSI team members (Ellen Hoeg, Janet Darden and Zanny Lannin) had the opportunity to visit the West Point area of Monrovia today, ground zero for the Ebola epidemic. This community has 100,000 residents packed into a very small area with one physician. Open sewage, school children with no books, and shacks made of corrugated metal sheets are facts of life in their community. Katie Meyler (featured last November in People magazine’s article 25 Women Who Are Changing The World) was their guide. See morethanme.org to learn more, and understand why she received this honor. Katie’s school, More Than Me Academy, provides high quality education for 180 girls. We were able to donate medications, and we gave them personal hygiene kits made by DaysForGirls.org. These kits are intended to prevent infection, and promote school attendance during menstruation. Thanks to team member, Louann Randall RN, for bringing the kits from the U.S.
We are networking with key community leaders here in Liberia to be sure the neediest kids get connected to us.
Check out more photos
The team got down to work bright and early. Twelve surgeries were on the schedule for children ranging in age from 8 months to 16 years. As always, things changed.
Shortly after we arrived, we learned that a baby girl had been born yesterday with an omphalocele (exposed abdominal cavity). The surgical team examined her and agreed that we could add her to the schedule… today. Liberian babies are not named until they are taken home to their village, so we called her Lucia, her mother’s name. Without surgery, Lucia’s chances of survival were virtually nonexistent. She came through the surgery successfully!
In other happy news, 8-month-old Samuel stole everyone’s hearts as he waited patiently for his surgery. He was soon upstaged by his mother, Lovetee. We wish you could have seen her seemingly never-ending dance, hugging team members and thanking them when she learned that her son’s surgery was successful.
Another patient, Sackie, was born with a cleft lip, just like her grandmother. Sackie’s mother, Mary, cried and lamented when she saw Sackie’s cleft, fearing the family could not afford or find someone with the skills to repair it. They live four hours from Firestone Duside and are farmers who grow rice, peppers and plantains. She heard about CSI on the radio and emotionally shared that despite the fact that she “is scared, she gets her strength through God.”
Mercy, age 9, a cleft lip patient, tried to get into CSI in 2013 but did not qualify for surgery. Rosetta, her mother, received a call from her friend, who had heard on the radio that CSI was returning to Liberia. Rosetta came to screening with Mercy and this year received joyous news. As this post is written, Mercy is coming out of the operating room. Her operating team included Dr. Phil Chaffin, Dr. Jon Robitschek, lead anesthesiologist Craig Smith and nurse Nancy Corcoran.
Late in the day, a mom arrived with her 5-year-old daughter, Miatta. The mother, Annie, had heard about CSI at the weekly market, where she sells peppers and cucumbers. Annie’s first husband died of Ebola, and she and her two older children spent many days in the quarantine center. She is remarried and now has young Miatta with her new husband. Given that the family lives in the furthermost interior part of Liberia, it is a minor miracle that she happened to overhear at the market that CSI was performing free surgeries. She wasn’t sure of the exact days, but she walked three hours carrying Miatta to meet someone she had heard was driving to Firestone Duside Hospital, a place she had never heard of. She found a taxi and asked the driver to follow the other vehicle to Duside. Annie came up to the admitting area, and when we told her the schedule was full, she explained what she had gone through to get here. Clinical lead Lora Koppel consulted with urologist Dr. Janelle Fox and CRNA Lynn Randall to determine if we could fit her on the schedule and if she was fit for surgery. Everyone was thrilled when she was deemed ready for surgery by pediatrician Dr. Tim Wood. Within 20 minutes of walking through the door she was being prepped for surgery to repair a hernia.
Amid it all, Dr. Jon Robitschek gave a lecture on craniofacial surgeries to Duside hospital health professionals, helping fulfill our mission of education. About 25 Duside employees attended his lecture, which focused on trauma and facial defect surgical care.
See more photos here.
Tomorrow, Day 2 of surgeries.
Although it was a scheduled day of rest, the CSI team was still hard at work on Sunday:
-Part of the team toured Monrovia, the capital of Liberia, where they saw the sights, including multiple embassies, and learned about how the country has progressed since the civil war ended.
-As part of a community health initiative some members of the team visited Frances Gaskin Orphanage, where we administered anti-parasitic to approximately 75 children (deworming). Parasitic infections are among the most common infections in developing countries, significantly impairing nutrition – which of course can lead to many other health problems. Thanks to our relationship with Orphan Relief and Rescue, we were able to return to the orphanage again this year, as we do every year. We also delivered supplies, played with the children, observed their musically focused church service and Sunday school for the younger children.
-We visited the village of Cotton-Tree at the request of the village leader to administer anti-parasitic medication to community residents. We had no idea how many people we would be serving; we were enthusiastically welcomed by about 1,500 children and adults eager to see us!
-Tomorrow is Day 1 of surgery, with the first surgeries scheduled for 7:30 a.m.
We are so grateful to Firestone Natural Rubber Company for providing our housing, food, transportation, security and so much more.
Saturday was a busy and exciting screening day for the CSI team at Duside Hospital. Seeing the faces of staff when we pulled up to the hospital was better than any reunion imaginable. They all remembered the names of those of us who were returning and were excited to meet the new among us as we return for the first time since 2013. As we walked down the halls at the hospital, conducting screening, setting up the ORs and sorting supplies, every uniformed staff person greeted us with a gracious, simple, “Thank you.”
The parents and children waited patiently with the hope of receiving good news from our team. We screened 78 patients, and have scheduled surgeries to start on Monday. The team expects to complete 55-60 procedures. One mother stood up and emotionally expressed her gratitude when she learned that her infant daughter would be receiving medical care from CSI.
We especially want to thank Firestone and Don Darden for the many months of planning that has gone into making CSI’s long-awaited return to Liberia a reality. Post-Ebola, the Duside Hospital has been repainted, including every nook and cranny. The hospital literally shines. Firestone’s Guest House, which is where we stay, has also been repainted and replanted, and all repairs glow.
When the 2013 CSI Liberia team prepared to leave the country, they stored supplies in a hospital storeroom. Of course, at the time we had no idea that the Ebola crisis would hit the region, forcing CSI to cancel missions. The hospital staff diligently guarded the supplies until our return this week. We sorted through the supplies today, and were happy to come upon donations from Dollies Making A Difference, a California non-profit group that creates dolls and bears for children around the world in need of something special. We are so grateful to them, and the many other organizations that have helped us get here.
We ended our day with a presentation from Don Darden about Firestone’s history in Liberia and the role it plays in Liberians’ lives, which is significant. We were joined at dinner by a group of Liberian Firestone employees.
Enjoy more photos from the Liberia trip here.