Friday, November 30, 2012

180 Days: Operation AWESOME Smile


Operation Smile week was an amazing experience – one I will never forget.  I am truly ecstatic to volunteer with such an awesome organization – a fantastic opportunity to help make a difference.  Operation Smile goes to over 60 countries providing operations on cleft lips, cleft palates and other facial deformities.  Children who are born with cleft lips are often unable to speak, eat or smile and a forty-five minute surgery can fix that.  This year, Operation Smile South Africa made their inaugural mission to Malawi and provided 158 people with surgery (their goal was 125) and made even more people smile.

Although not 100% Kathi, since I was suffering from kidney pain (due to lack of hydrating during travel) and a possible giardia scare (still waiting on the results for that one), I still felt the awesome of the week.  I just wish I had more energy to give back some of the awesome.

Day 24 of Awesome

I had to be in Lilongwe by noon for the Operation Smile announcement.  I walked to the bus stop to find that the bus would not be running today, so I panicked and started walking.  A few hours later I got a ride to the spot where I like to hitch and got a ride (before I had a chance to open my coke) to Salima.  In Salima, I caught a ride quickly to Lilongwe and once I got to Lilongwe town, I got a direct ride to the hospital and arrived at 11:30.  The damage?  Four hundred kwacha (less than two dollars)!  I got lucky – someone was looking out for me – someone knew I was destined for this week with Operation Smile. 

I went straight to work filling out medical records for patients undergoing surgery the next day.  From there we made announcements to the families who were qualified for receiving the surgery (this can be an upsetting day for some, but usually the surgery cannot be performed because the child is too young or it is not the type of surgery that Operation Smile performs).  A day of excitement and madness – the patients cheered and rearranged their belongings (which took a lot of Chichewa translating, which is not my expertise) but finally everyone was in the right place.  I smiled at my amazing friends (Carolyn, Cassie, and Shelly) knowing we were in for a fun-filled week.

We then proceeded to eat an incredible Indian buffet at a fancy restaurant in Lilongwe – so fancy, I had never heard of it before.  I laughed and chatted with the Operation Smile team and felt great about the upcoming busy days.

Day 25

The first day is where logistics are born and it was quite hectic trying to get those straightened out.  I walked patients from surgery to the post-op ward where they would stay the night.  I only know a few phrases in Chichewa so I doubt I was much comfort to the relieved parents and drugged out children.  However, today, an 11-month old baby breast fed for the first time.  Immediately after surgery, the baby woke and her mother stood over her smiling.  The nurse told her she should breast feed her baby, but the mother was hesitant.  The nurse insisted and so she tried.  The result?  A happy mom and baby. 

Day 26

We walked through post-op this morning and I admired the little bandages covering tiny repaired lips – they looked like mustaches and made me smile.  Underneath those band-aid mustaches were tiny lips sewn together, relieving these children of ridicule and staring while giving them confidence and a smile.  It was brilliant, really and I felt giddy.

I spoke to several patients in Chitonga – which increased my sense of usefulness.  Not knowing Chichewa has been a huge struggle during the week.  I can’t help translate and I can’t provide kind words of reassurance.  I can only stare into the scared, confused eyes of patients and shrug my shoulders at the English-speaking nurses who want to know what’s going on.  However, I found my tribe – Tongas in the hospital!  I found two who thought it was amazing I could speak Tonga (as less than 1% of Malawi speaks this language) and we shared a bond.  I felt relief.

Day 27

Today I got to geek out as I scrubbed into surgery.  I sat in on a little boy with a cleft lip.  They knocked him out with gas, taped down his eyes, marked his lips for the incision, made the cuts, burned the flesh a bit to make the muscles fuse together (like my technical talk?) and sewed him up in 45 minutes.  Incredible! 

After surgery, a little girl in the recovery room reached up in the air and waved for me to come closer.  She just underwent surgery, had no signs of pain or discomfort; she just had her brave face on.  She merely wanted me to be closer and so I said the few words in Chichewa that I knew and she nodded.  Simple and sweet.

Day 28

A man from Dowa district heard about Operation Smile on the radio.  His community has many people with cleft lips and palates but were too scared that it was witchcraft.  He decided to go anyway.  He showed up in the afternoon and was immediately put through screening and operated on and low-and-behold, it was not witchcraft!  

Happy Thanksgiving!  We were treated to Thanksgiving dinner at Blue Ginger by one of the American doctors on the team, Elizabeth.  It was family-style Indian and it felt good to get dressed up for a fun night with good people.  It was a sweet treat and I know we were all grateful for the non-traditional, but very family-like Thanksgiving meal.

Day 29

One patient broke his mirror walking back to post-op.  He was busy gazing at his new smile when it fell from his hand and hit the concrete hard.  The mirror shattered and so did his smile...temporarily.  I picked up the glass pieces and promised to bring him a new mirror.  I returned with a brand-new mirror and caught him gazing at his smile once more with one of the broken shards.  I guess he held on to one of the bigger pieces of the mirror (probably half-expecting me not to replace it) and stuck it in his pocket.  With the new mirror he could see his whole face and that truly made him smile. 

BLTs were served at lunch and I almost wept.  Not to mention the pumpkin pie from the ambassador.  I felt spoiled! 

Dinner and festivities followed at the Crossroads Hotel where I received a certificate, a t-shirt and lots of hugs.  Operation Smile felt like a family.

Day 30

Happy Thanksgiving, again!  Our only day off from the busy week at Operation Smile was a Saturday and so we cooked at Irene’s house: chicken, deviled eggs, veggie salad with ranch dressing, mashed potatoes, stuffing and three kinds of pie (apple, lemon meringue and pecan) with vanilla ice cream.  We went around the table saying what we were most thankful for.  Me, myself?  I am happy and grateful to be having the Peace Corps experience I always wanted and to have amazing friends and family who support and love me.  It was exactly how Thanksgiving day is supposed to go – taking turns cooking in the kitchen while watching the Sandlot and lazily lounging on the couch.  Perfection.

Day 31

Post-op checking on the patients was not as busy as other days, but still rewarding.  We received a letter addressed to all the Operation Smile team members from the patients.  I teared up as I read how happy and grateful they are for having new smiles, more confidence and better lives.  They cheered for us, but I wanted to cheer for them.  One boy held my hand, looked into my eyes for at least one minute while he squeezed my hand.  That minute felt like the most solid connection anyone could have with another human. 

We went back to the hotel for swimming, pizza and beer.  A fantastic way to end one of our last days. 

Day 32

Last day of Post-Op was filled with happy tears – I am so lucky to have shared this experience.  Cheers rang out as patients learned that they could keep the blankets they were using at the shelter during the week.  Who would have thought such a simple gift would bring such celebration?  It reminds me to be grateful always.

Lunch was steak, potatoes and salad at the Copper Pot.  I wanted to yell out a cheer for this, as well. 

 

Thanks, Nici and the whole Operation Smile team for making the PCVs feel welcome!  We were so happy to join you on the very first mission in Malawi.

Thanks to Shelly, Carolyn and Cassie for being such a solid PCV team – you inspire me every day and I feel lucky to work beside you.  I’m proud of who you are and admire your constant enthusiasm.

 

More information on Operation Smile: www.operationsmile.org
Photos by Shelly Whittet: http://www.facebook.com/#!/media/set/?set=a.10101739854534447.3200117.8603023&type=1

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