Save Bairo Pite Clinic

Update posted by JK Clare On Aug 01, 2019

Approaching the death knell. Yesterday staff voted to continue working as total volunteers...that is no compensation whatsoever or hope of compensation...amazing commitment shown in the face of next to nothing in funding despite our ongoing best efforts. This is because they are extremely professional and see the miraculous results we produce on a daily basis. Never underestimate the will power of a people who have been victimized by the worst genocide in the world in the last hundred years. I stand humbled by their stalwart example.

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Update posted by JK Clare On Jul 29, 2019

大家好:

這是一個緊急援助的呼籲:我是位於偏遠的東帝汶診所的義務醫生,這診所特為當地貧苦大眾而設立的,目的是向他們提供免費醫療服務。早於1510年,已有不同的華藉商人一直幫助這個地方,供應生活必需品給當地貧困人士,至今仍沒停斷。不過,這些支援行動卻受到很多軍事力量的干預,甚至施行人道援助的華籍人士被軍方處死!最大的華人墓園正座落於東帝汶首都帝力。因著這些華人過去對這地方的慷慨捐輸,為這地方作出不少的建設,至今天也幫助了東帝汶經濟上的發展。因著很多華人對這地方作出的貢獻,我們位於東帝汶帝利診所(Bairo Pite Clinic),特為中國人贈醫施藥,讓人們生命得著幫助。面對財政上的需要,我們深切盼望大家伸出扶手,慷慨解囊,使診所得以繼續運作。即使些微的捐助,也能拯救一個患病的孩子或母親。大家可透過以下連結,作直接捐助。

如捐助,請以美元為貨幣幣值。

https://gogetfunding.com/save-bairo-pite-clinic/ 

衷心感謝大家的幫忙。

東帝汶帝利診所Dan Murphy醫生

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Update posted by JK Clare On Jul 29, 2019

(The patient.) A most difficult case 3 days ago...young man semi-comatose for 2 days...or is he just depressed and hysterical? Well no this patient was fading into unresponsiveness...then quick screening revealed immunodeficiency and an emergency CT of the brain(yes, it's available at present) revealed a 4 cm mass...probably lymphoma. Sadly he didn't last the day. More sadly this is most assuredly the future of healthcare in this beloved country as the epidemic rears its ugly head. We are not even close to being able to deal with it.

(Q & A #1) An epidemic of lymphoma? How does that come to be?

  • The HIV/AIDS epidemic is still in it's growth phase here. Very unlikely that we can modify its course. Lymphoma is one of the opportunistic complications found much more frequently when infected with the virus.

(Q & A #2) Forgive the utter ignorance, but can’t HIV generally be managed these days with a daily pill/pills? I take it this is an epidemic of people who have never been tested and don’t seek treatment until things are acute?

  • You are so right. And patients on properly managed treatment are at reduced risk of developing AIDS and reduced risk of transmission to their partners. But many of the public are unaware of the virus.. even some doctors. As awareness grows there are still challenges in ensuring supplies of tests and treatment. And conflicting influences between evidence based responses and moral judgement of those affected leading to stigma. There are, nonetheless, some amazing Timorese campaigners working closely with the Ministry of Health, to improve the prevention and treatment of HIV, meanwhile patients present very late as in the case sadly reported by Dan.
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Update posted by JK Clare On Jul 29, 2019

A very small 11 year old boy...from a distant village...4 years of swelling of his left thigh now 3 times the normal size...then 4 draining sinuses coming from the bone...yet he smiles as he limps along. We managed to get an x-ray and no tumor but very weak bones near the joints and fuzzy lining along the bone edges. Got to be TB osteomyelitis...all along the femur...now I can report after a week of standard TB treatment the thigh is dramatically reduced in size and he walks with a gimp not a limp. So happy for him. (Dr. Dan)

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Update posted by JK Clare On Jul 29, 2019

(Dr. Dan - June 29) Very complimentary message from an Australian recently-graduated doctor who rotated at BPC earlier this year.

"First week in PNG at a district hospital in Kiunga, on the border of West Papua. Plenty of TB. Already seen paeds cases of M ulcerans and primary yaws. The way things are run here has given me a huge appreciation for how dedicated, efficient and knowledgeable the staff are at BPC.

Hope you and the team are going well and keeping up the good work. Hoping to see you later in the year.

Gunn"

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Update posted by JK Clare On Jul 29, 2019

Bouncing out of the mountains on treacherous tracks we had traversed TL north to south. We bypassed Zumbalai amidst water buffalo and scattered dwellings made of the simplest materials. Suddenly we hit the most modern super highway imaginable! Bye bye bucolic hello asphalt. Shocking contrast. Then on to the most isolated part of Suai District...until 2 hours in with continuous rain the road became impassible despite prayer and traction. Stuck! Well someone suggested look for the nearest available health post. Hello Laulala..never heard of it. What a welcome. Health education and 80 patients later our program was back on track. Gotta be flexible in this business. We gave them hope..a wonderful connection. Back to Suai village exhausted but excited. Anxious to see what tomorrow brings. (Dr. Dan)

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Update posted by JK Clare On Jul 29, 2019

Great Sunday morning rounds with visiting radiologist and infectious disease specialist. Learning together, looking to collaborate, sharing ideas. Also an opportunity to showcase the difficulties, challenges and successes we experience regularly. This highlights the unconscionable gap in quality of care available here and just hours away in Australia . May access to quality care become a reality and fundamental right for people everywhere! (Dr. Dan)

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Update posted by JK Clare On Jul 29, 2019

Today we celebrate the independence of Timor-Leste . Gerald Ford and Henry Kissinger were in Indonesia the day before the massive invasion of this beloved half island. Then followed 24 years of brutal military genocide in which one third of the population died. Every family suffered. But they persisted and never surrendered to the inevitable. I was present for the last two years of this epic brave struggle and saw innumerable catastrophic injuries. The ultimate victory sets an example unmatched in modern history. For this we celebrate and never forget. (Dr. Dan)

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Update posted by JK Clare On Jul 29, 2019

Young Timorese woman immunodeficient with no previous treatment. Temperature 40 Celsius. Mouth and throat filled with white sticky lesions. Chest x-ray has bilateral perihilar infiltrates. Respiratory rate is 60 per minute. Monumental challenge anywhere but especially where many tests and treatments are unavailable. Fortunately after 4 days she seems to be improving.

Diagnosis: HIV/AIDS, Pneumocystis pneumonia, TBC, Candidiasis, Sepsis.

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Update posted by JK Clare On Jul 29, 2019

We're not like other clinics. All day long we see the most challenging cases. Many have been to multiple providers with no success. And we see miracles, over and over. Why is this you ask. First the most dedicated professionalism. It is our mantra. People must feel like this is a place that cares. Second awareness of history, culture, and language all at high levels. Finally we have learned our trade through the accumulation of intense experience with a vast multitude of clinical presentations. This is our legacy and our contribution to the well being of Timorese citizens. (Dr. Dan)

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