Wednesday, March 19, 2008

Second Mission Trip To Bethesda Mission Hospital

In March 2007, Dr Simon Wong Ching King, Dr Lee Khoon Siew and me made our first trip to Bethesda Mission Hospital in Serukam, West Kalimantan. We went on behalf of the medical and health team of the Trinity Methodist Church, Kuching.


(This video contains all the pictures we took during the trip and my favourite song `His Strength Is Perfect' by Steven Curtis Chapman)

We came at the time when MMC (Medical Mission Course) was held. MMC was into second year of running in 2007. It gathered young medical graudates from Indonesian medical schools for a time of christian fellowship, spiritual equipping and clinical training before they are allocated a place in Indonesian government hospital for internship. Most chose to go to the most remote places in Indonesia like Irian Jaya, Nusa Tenggara, Lombok, West Timor to serve the people's medical needs in affirmation with their calling from the Lord. Some also came to work in Serukam in response to their calling as medical missionary.

We had a blessed time in 2007, we received more spiritual encouragement from the brothers and sisters here. We shared with them our medical knowledge and skills. Dr Simon Wong gave talks on kidney diseases whilst Dr Tang shared with them in the area of cardiology. Dr Lee led them in the devotion and shared during the Wednesday chapel service. She also imparted her knowledge about medical administration.

The Christian hospital was started by Dr Wendell Geary (US trained surgeon) and his wife, Marjorie Geary (Registered nurse) in early 1960s (even before I was born!). They have been faithfully serving among the Dayak tribe for the last 45 years. Currently the hospital is also staff by local doctors and specialists. They are the most wonderful people you ever meet on earth. They serve and treat each patient with the heart of Christ.

The trip from 2nd to 6th of March 2008 is the second for me and Dr Tan Poh Ting (she came here in 1999/2000) and first time for Dr Simon HUANG (don't confuse with Simon WONG - both are separate individuals with distinctive personalities, they will be offended if you think both HUANG & WONG are the same fellow).

We were warmly welcomed by the people there. Dr Tan taught them in the area of paediatric and gave them her books and some antibiotics. Dr Simon Huang taught them gastroenterology and hepatology. He also assisted in performing ERCP and endoscopy. I taught them cardiology and demonstrated the techniques of echocardiography to the physician and medical officers.


(Video of pictures of 2008 trips)

They were many patients with cardiac problems. 70% of patients who underwent echocardiography for heart failure have severe cor pulmonale almost end stage. You could see gigantic RV with severely compressed LV, plethoric IVC and dilated coronary sinus. Common causes are heavy smoking, post tuberculosis fibrothorax and chronic exposure to smog/smoke from cooking using burning wood. I also did echo on patients with rheumatic valvular problem and congenital heart diseases like ventricular septal defect.

It was truly a rewarding time. We also had Dr Stephen Nash (FRCS London) who is an emergency physician from UK, he teaches emergency medicine to the MMC doctors every year for the last 3 years.

I hope more specialist doctors can join me in making another trip this year, may be June or July 2008. To God be the glory!

Sie Hing

P/S: We fly Batavia Air from Kuching to Pontianak (45 minutes flight). We travel by land from Pontianak to Singkawang (3.5 hours) and from there inland (1 hour) to Serukam. (You can use google map to locate these places.) We pay for our own trip estimated less than $500 ringgits each but we are so richly blessed by the brothers and sisters in Serukam.

Saturday, March 15, 2008

Angelic Voice From West Kalimantan



Angelic voice from Serukam. Trainee nurses preparing for their graduation ceremony.
The voice is so pure and sweet.

Friday, March 14, 2008

The People & The Hospital

Kids in the outpatient corridor.
Posed for the camera.
Close up of these kampung kids.
Have I scared them off??
Hospital lawnSign Post outside ER Radiology and Pharmarcy Sections of The Hospital
Dr Ivan & his son Darren
(they are returning to Bandung and Jolo in Java after serving here for 3.5 years)
2 months old Darren
Abdominal & Pelvic Ultrasound
Dr Dainwaty is learning echocardiography using this old Acuson Echo machine.
This 7 year old girl just recovered from pulmonary tuberculosis weighs 15 kg only. My daughter Carissa is 19 months old and she weighs 11 kg.
She has flow murmur due to hyperdynamic cardiac output.

On The Road

Small truck with so so so many people on it speeding from Menpawah to Pontianak in the rain.
Sometimes it drive in the middle of the road!!! Road fatalities? Why not!
They are enjoying trip on the truck, I counted they are at least 20 people on the truck!!
This truck also carries at least 20 people. It reminds me of lorry with foreign construction workers in Singapore! I hope they outlawed this practice in Singapore already.
Bridge across Menpawah river - previous Malay sultanate stronghold.
Dayak paddy fields.
Road out of Serukam to Singkawang.
Road to Serukam.

Coach from Sambas to Pontianak. Some people rather sit on top with free air-condition and shower!!
The people on top with their driver overtaking a lorry. Road fatalities, matter of time!!
Close up of people on coach.
Small chinese settlement along the coast.
Chinese settlement. Resembles any town in Sarawak??



All About Dr. Simon Huang Siong Sing

Simon teaches MMC doctors on patient with liver disease.
Simon answers questions from MMC doctors in ER.
The doctors basically glued to him in ER.
He is so relieved as he can go and do ERCP and sigmoidoscopy in OT.
Simon lectures to the doctors.
Simon receives token of appreciation from MMC doctor.
Simon is hungry for food.
Dr Indra (general surgeon), Dr Wendell Geary (Surgeon and physician par excellence) and Simon.
Dr Tang, Fransciso (hospital administrator who brings us back to Pontianak) and Simon.
Dr Wendell Geary presents token of appreciation on behalf of the hospital to Simon.


All about Dr. Tan Poh Tin

Dr Tan presents her gifts of antibiotics and books to the doctors and the hospital.
MMC doctor presents token of appreciation to Dr Tan.
Dr Tan shares with Dr Stephen Nash FRCS (London) Emergency Physician from UK regarding her experience in Afghanistan and Aceh.
Dr Stephen Nash comes every year in the last 3 years and teaches in the MMC.
Dr Tan lectures on important topics in paediatric.

Bethesda Mission Hospital Emergency Department

Emergency Department Entrance
Government Hospital Ambulance transfers patient to come here.

Some use private van to bring patients here, often take more than one day.

ER Waiting Area
It is raining outside the ER waiting area.

Resuscitation couches
Doctor performs incision and drainage of right foot cellulitis and pus collection under LA.


Dr. Dianwaty performs knee aspiration in this lady with rheumatoid arthritis.ER nurse does triage on this lady with heart failure and pneumonia.

Doctor attends to her whose saturation on room air 48% !!

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