Cambodia - Patients

Had a great translator named Muny who was very patient with me and taught me some Khmer words so I could greet each of my patients and ask what the problem was.

Susday - Hello
Aukun - Thank you
Chum Reap Sue - greeting
Chiin Awaii - pain
Saat - cute
Min pan ya haa awaii- what is your problem


Saw lots of patients every day but a few really stood out to me.  A woman with 15 children who came in complaining of exhaustion.  Oldest child was 20 youngest was 2.  On top of that she gave birth to triplets 15 years ago! I was exhausted just hearing about her life.  Sadly I had to tell her we had no medicine to give her enough energy to care for 15 children but I did give her a decent supply of iron and multivitamins.


 Because Poipet is a city on the border with Thailand many parents will sneak across the (land mine riddled) border to work for several months on end leaving their children alone at home.  I saw several kids as young as 6 years old who came to the clinic by themselves to be seen.  It was pretty obvious they had never seen a doctor before and they tried so hard to be brave.  When I told them I was going to listen to their hearts they had no idea if it was going to hurt or not and they would stand there with huge eyes shaking a little bit but trying to be so stoic.  Their little hearts would always race the first minute I listened and after they realized it wasn't going to hurt the heart rate would finally slow down.
 Twins - mom says she can't even tell them apart but they are 7 years old and look like they are around 4. Treated them both for worms so hopefully they will start putting on some weight.

 The little boy in the picture above was brought in by his neighbor. He is 8 years old, his mother is dead and his father works in Thailand for months on end.  So this little boy takes care of his 4 year old and 2 year old sisters at home...all by himself. He does not go to school and was very malnourished.  The neighbor says she checks on them when she can but has her own kids to take care of.  He looked so serious and sad...  I just wanted to take him and sisters home with me so he could learn how to be a little boy again without the weight of feeding and caring for his siblings on his shoulders.

There were so many heartbreaking stories but also many good things like cute healthy babies - which always cheered me up when I started to feel overwhelmed.  Mom's would wait hours in the hot sun just to have their children and babies examined by a doctor.  After a thorough physical exam I would tell the moms that the kids/babies looked very healthy and what a good job they were doing which brought tears to many mothers eyes.  They would tell me - thank you thats all I needed to hear.   I kept thinking to myself if I had a child and they had never been seen by a doctor before I would probably wait hours in the hot sun just to make sure everything was okay.

We had an eye Optometrist on the team who gave out over 1000 pairs of glasses while we were there. This woman received glasses and was able to read clearly for the first time she was so happy she couldn't stop thanking us.


Cambodia - Clinics

First day of clinic we arrived to find hundreds of patients waiting in the hot sun to be seen by our team.  With only myself and one other MD on the team able to see patients I was a little intimidated by the task. And yes the thought "what I have I gotten myself into" did cross my mind...many times!


 My little exam room had one of the few working fans - one of the local dogs figured this out and made his home under my exam table.

The day started off a little rocky as the sickest patients were the first to be seen but over time we got into a good clinic flow.  Between Dr. Susy and I we saw around 300 patients per day.  It was mentally, physically and emotional draining but also incredibly rewarding. 
Two short video clips showing patients waiting outside the clinics and the pharmacy volunteers in action. 



Cambodia - Border Crossing

Just returned from an 8 day trip to Poipet Cambodia with a medical team from the US called Project Compassion. Ever since our trip to Cambodia several months ago I have been wanting to go back to do some medical work there and the group Project Compassion was going at the perfect time so I was able to meet up with them and become part of the team.

I met up with the team in Bangkok - which was interesting because there is so much flooding right now and the news has advised people not to go there.  My flight from Singapore to Bangkok was the emptiest flight I have every been on.  I think there were around 12 other passengers on the entire flight.  Which was a little eerie but also kinda nice to have a whole row to my self.  Coming in to land in Bangkok I got a chance to see some of the flooded areas. A little worrisome since the plan was to drive from Bangkok to Cambodia.  Poipet the city where we were working is right on the border.


The trip to the border was thankfully uneventful, I didnt see any flooding at all once on the ground.  At the border we had to unload all the baggage and put it on a cart to be wheeled across the border. Which was no small feat with a total of 27 bags!! The most amazing part was that one man pulled the cart across the border.



Eventually made it into Cambodia and checked into the nicest hotel in Poipet which also happens to be a Casino. Got accustom to falling asleep to the sound of slot machines!

Hong Kong - Highlights

Other highlights of the Hong Kong trip.


Meeting my friend Kate's baby Rocky for the first time.  He is so darn cute!!

 City view from our hotel room.
 These are key chains made to look and feel like sweet bread rolls....safe to say I got my Christmas shopping out of the way!!


 The travelators in the Mid-levels up to Soho and an awesome Italian lunch. Ordered the Mozza Caprese for a starter which was so good!


Hong Kong - Simple things

Some people need a lot to keep them entertained, Kingsley and I...maybe not so much.  We found this very novel curved escalator at Times Square and proceeded to ride it top to bottom several times.  At the bottom of our "special" escalator was a fantastic grocery store called City Super which quite frankly put Whole Foods to shame. There was the most amazing selection of organic/specialty food from all over the world and the produce was to die for!! I could have spent a serious amount of time ambling through the aisles...why is this not in Singapore?!


Video footage is of Kingsley's second time around so he is not as impressed as the first time around!

 This yogurt is made in Japan in a very special place called Hiruzen where our family used to go every winter for skiing and sledding.

Jumbo pack - Shark fin flavored pretzel sticks - this is a top seller!

Hong Kong - Fresh Fish Sold Here

In Asia it is incredibly important that food is fresh...very fresh.  In the US we have come to prefer our food to look a little less like its original form (i.e. head not attached) but in Asia that would mean a serious compromise in freshness.  So heads, feet, scales and feathers are kept intact for as long as possible.  Which makes for more excitement than the grocery store!



Cat guarding the crab stall at the market

Fish is so fresh its still flopping.

Hong Kong - Squash

We were in Hong Kong over the weekend for a squash tournament.  Kingsley was asked to represent the Singapore Cricket Club and played in top form winning both of his match games.

It was fun to meet some of the team members from the Hong Kong team and great to watch Kingsley win!