Wednesday, April 25, 2018

Medical Mission: The Clinic

In my previous post I shared some thoughts and emotions from my medical mission trip to Bangladesh, to volunteer at the Rohingya refugee camps. In this one, I will share a little about how this trip came to be, as well as more about the clinic itself.

Since August 2017, hundreds of thousands of Rohingya Muslims have fled from Burma due to violence and persecution, and have found temporary refuge in camps in Bangladesh. The number of displaced Rohingya varies based on different sources, but according to UNICEF, the number is about 655,000. Other estimates are closer to 800,000, and some close to 1 million. Nonetheless, these numbers give an idea of the immense magnitude of the displaced, of which about half are children. This map gives a perspective:

I learned about MedGlobal's Rohingya mission during some fundraising efforts in a group I am a member of. Donating money is one thing, but as I read into the details, I realized that this is a place where I would be able to donate my skills and gifts I have been given. I had never been on a medical mission before, although I have been volunteering as a family physician at a free clinic, quite consistently over the past 4-5 years. As I delved into the details of the project, I became determined to become a part of it. With my part time hours at work, being self-employed, and having a very supportive spouse who would be willing to hold the fort for a week or two, I almost had no excuse not to. So, bit by bit, the details fell into place, and I had the honor to become part of this project in April 2018.

MedGlobal collaborates with the HOPE Foundation whose mission is to provide medical care to needy people in Bangladesh. The clinic I worked at was run by the HOPE Foundation, located close to a main thoroughfare, instead of deep inside the camps as certain other clinics were located. This allowed for the needy local population, as well as the refugees, to access medical services when needed.

The clinic inside is laid out as many others in the western world would be, with a large waiting area, a row of exam rooms and even a medicine and supply closet. What is novel, are the materials use in construction. One would see a lot of corrugated metal and bamboo. This is the exam room assigned to me:

My desk and the exam table, and the supply closet:

All patient photos on this blog have been posted with permission. As far as patients go, I saw mostly adults, and particularly women, since there was also a pediatrician in our group of physicians. The ratio of women to men patients was a little over 2:1, based on my estimates from the daily census. A lot of the medical conditions that I saw were not very different from what I might see in my daily clinic; such as gastroenterological complaints, high blood pressure, and diabetes, with some exceptions. These diseases we managed with a much more limited formulary, and I saw massive thyroid enlargements, as well as many incidental enlarged thyroids. These are mostly a consequence of iodine deficiency, although there are government programs in place to provide iodized salt. This lady did not have symptoms of an overactive or underactive thyroid, but had pressure symptoms in her throat due to the immense size of the gland.

I also saw a patient with end stage Hepatitis C, who was also seeing another physician in a nearby town, and had just had her eight paracentesis (fluid drawn off her abdomen) two days prior.

 I saw many patients with asthma, made worse by the dusty conditions in the camp, and the fires that were lit to cook food. Educating them to use inhalers was quite a challenge, but our amazing nurse, also a volunteer from the United States, was very patient with them. The pediatrician saw many acute illnesses, that we typically only see in textbooks, thanks to immunization rates in the United States, such as chicken pox, measles, and mumps. There had been an outbreak of diphtheria not long before we arrived in the camps, and this has a very high mortality rate among young children, but we did not see any active cases during the time we were there. There was also malnutrition, mostly among lactating women, and some children; the primary food source is rice, with very little protein in the diet.

I worked with Ayaz, my interpreter for the entire duration of the trip, a bright young man who aspires to work for a UN agency. He was great with the patients, particularly explaining the mostly illiterate population, how to take their medications.

This is an example of direction marked clearly on a bag of dispensed medications:

Take one a day, in the morning (hence the sun), and the 'x' inside the circle signified on an empty stomach. If a medication were to be taken after meals, the circle would be filled in.

This gentleman was quite inspiring to me; he was able to speak 3 languages, had set up a madrassa in the camps for young children, and was also raising his orphan niece as his own:

The children were precious, and interacting with them was the highlight of every day. This little guy was thrilled by the 'puppet' I made him to play with.

With the money that many of my friends donated, the clinic coordinator was able to purchase toys for the children, medical supplies and a fetal doppler for the clinic. A child's laughter at being able to play on a simple see-saw, was too precious for words.

The team of interpreters, physicians, nurse and clinic staff that I worked with were all wonderful, dedicated people. I hope that some day I have the opportunity to work with them again. I only had a week in the camps, but I feel as if I have left a little part of my heart there, and hope and pray that I get called back to serve again in the future.

Monday, April 16, 2018


It’s after one am in Cox’s Bazar, Bangladesh, while I have been lying here, trying to get some sleep for the past 3 hours or so. Sleep is elusive tonight. I just completed my second day, working at the HOPE Foundation’s clinic, at the Rohingya refugee camp. I am wide awake, although tired, with thoughts of the day spinning through my head. It was a busy day.... filled with the faces of many refugees, and a few locals, who are in need of medical care for a variety of problems, both acute, and chronic. I saw the faces of those who have been through more adversity in the last year or so, than anyone should go through in a lifetime. From the widow who witnessed the murder of her husband and is struggling to care for her four children alone in a country that is not her own, to the elderly man, whose asthma is so severe that he struggles to take a pause from his coughing..... made all the worse with the dust that is blown up with every step one takes, and the smoke that swirls, since lighting a fire is the only way one can prepare a meal.

Through the sadness and adversity, I also saw hope, an amazing resilience that these folks reflect, in spite of the displacement, the poverty, and disease. There were the faces of children, laughing, playing, just as children should; the rays of sunshine that make the days worthwhile, and bring hope for the future.

I will be sharing photos of these beautiful people soon, and sharing the stories that I can, because it is important for the world to know what they are experiencing. Honestly, my words could never do justice to their plight, and I’m sure my photos won’t be a full reflection of their experience, but I want them to know that they are not forgotten.

I want to have touched the heart of at least one suffering person today, that is all I hope and pray for. Please donate generously to their cause. I can see the amazing work being done here, and there is so much more to be acccomplished. As we go about our day, never ever pausing to wonder where the next meal might come from, please remember that there are many who do have to worry about what might seem mundane to us, just for their survival. The donation link is at the bottom of this post.

Friday, May 12, 2017

This lovely young lady... graduating with her Bachelor's degree at the end of the summer.

She is graduating a semester early, but for the purpose of graduate school, it puts her a whole year ahead. She has made the decision to stay in Auburn, since she has been accepted as a grad student in the Communications Disorders department. That works great for all of us, and she will be able to continue to live with her brother, just off campus.

We are so proud of her, and have faith that she is going to accomplish great things in her life!

Saturday, April 22, 2017

The couple that builds together.....

.... stays together.

Zakir and I spent our twenty-third wedding anniversary converting one of our kitchen drawers into a knife holder. It was an idea that evolved after searching for knife storage options on Pinterest and Google. We were tired of our old beaten up wooden knife block, and various other storage options just did not appeal to us, particularly since it would mean trying to match our kitchen decor, with another item on our counters.

So, we were able to clear a drawer that was only being used for overflow silverware, laid a 1/8 inch thick sheet of cork as a liner, cut up several additional pieces of cork, and stacked them side by side as an insert. $7 in supplies, and just under 2 hours later, we were very satisfied with the end result.

And a positive side effect, it freed up some extra counter space for the next gadget Zakir decides to buy for our kitchen!

Thursday, April 13, 2017

Spring Break- Beach vacation

Thursday morning we headed out to Destin, Florida, for the last four days of spring break week. Late March and early April may not be the best time to be at the beach if you like to go in the water, but we had done our research ahead of time, and had planned some activities even before we left.

The first stop we made we we made it down to the Gulf Coast, was Stinky's Fish Camp for lunch. The restaurant has been recommended to us in the past, but it was our first time eating there.

We stayed at a hotel that was just across the road from the beach, with its own private access, so we headed to check it out not long after we arrived.

Then Bilal and I let Baba rest for a while, and I took him down to the pool for a swim. It may be an outdoor pool, and it may have only been March, but he thought the water temperature was perfect!

We took a trip to the outlets in the evening, and got stuck in a thunderstorm while we were there, but those couple of hours were the only time the weather wasn't perfect for our vacation.

Another trip to the beach, after finding Bilal the perfect pair of goggles.

Harborwalk Village was another great place to visit, with various activities to keep our guy entertained. Ziplining!

Rock wall climbing!

And lots of quaint shops to browse around the marina.

Lunch was funnel cake. Only on vacation!

In the evening we visited the Village at Baytowne Wharf, which we realized, is actually a lot more enjoyable in the summer even though the crowds are a lot bigger. Still the walk towards the Marina was lovely.

The next day, we ventured out  to a small amusement park called The Track. Go-karts and putt-putt golf, what's not to enjoy?

Another trip to the beach, and another day doing some shopping.

Plus a delicious sashimi dinner; the platter looked almost to pretty to eat!

Bilal enjoyed having Mama and Baba's undivided attention, without his older siblings around. But he admitted that it would have been more fun with them! Sadly, vacations as a family of five are becoming quite infrequent, since Safa is at school all this summer, and spring/fall breaks all fall on different weeks. In fact, for the five of us to all be under the same roof is not too common anymore. Such is life, when our children grow up.

Monday, April 10, 2017

Spring Break- the staycation

Spring Break was staggered this year; Safa and Hamza were back in college before Bilal even had a day off. That puts a damper in things when you're trying to plan a family vacation. However, this year we decided to go out of town for a few days, even if it would just be with Bilal. We decided to split the week, and stay home for the first half. I worked Monday and took the rest of the week off to hang out with the little guy.

On Tuesday, we put the dog and the bike into the car, and headed to Railroad Park. The weather was perfect!

As you can see, Atlas loves his occasional car rides (as long as he's not headed to the vet's office!) At the park I enjoyed a stroll with the dog, while Bilal zoomed ahead on his bike.

 We paused to watch the freight trains go by.

After the park, we stopped off for special treats on the way home. Oreo cheesecake milkshake for B!

Wednesday was spent packing, and mostly around the house. We dropped Atlas off at the kennel in the afternoon, and spent the evening walking around the neighborhood. Part 2 of Spring Break soon to come!

Tuesday, March 7, 2017

Out with a bang!

2017 is Bilal's third year doing GaTE marketplace, the fundraiser for Trussville City Schools' Gifted and Talented Education program. And by now, he's a pro. In third grade his waffle business turned a $77 profit for the program, but was a lot of hard work (especially for the moms). The fourth grade guitar pick jewelry was a lot less work during the day of Marketplace, but the $68 profit (after donating the cost of supplies) was a little more modest. This year's product was a bit of a hybrid, some at-home prep and on-site cooking. But quite a successful one. We again capitalized on the human olfactory sense, and it didn't fail us. The business, called 'Wacky Wings', was another hit!  This is one of the ads posted as we entered the lunchroom, where the businesses were set up.

Bilal worked in a partnership with two other classmates, selling chicken wings. The wings were baked at home and transported to the school, along with an induction hotplate, serving supplies, and three different types of sauces: honey barbecue, honey mustard and teriyaki.

Here are the business owners, just before the customers started lining up:

Each sauce was heated in a separate pot, and the wings were tossed in the heated up sauce before being served to the customers. The moms were able to stand behind, while the boys got to work, with minimal supervision.

As soon as the honey barbecue sauce aroma started wafting through the lunchroom, the customers started lining up. Less than one hour later, (including a bidding war for the last two chicken wings, which resulted in them selling for $4 each instead of $1 each), the wings were sold out, with a $82.75 profit to show for it.

So Bilal's third, and final, marketplace came to an end in a good way. Next up, preparing for middle school!

Related Posts with Thumbnails