Wednesday, 31 December 2014

4. Patients at Mrauk Oo Hotel

Wednesday December 31, 2014

The Mission was signposted throughout Mrauk U and surrounding areas. The Monks also made many announcements:

At 8am the work started.
and went for most of the day.....
Dr Peter Wynn (UK) (on left) starting with a patient. Dr Tin Mar Aung (front right)
Thomas Tin Han did the blood glucose testing (testing kits courtesy of Roche diagnostics) 
The pharmacy was rather busy.
We had volunteer translators who help with explanation to patients

Later we had a New Years Evening party - Local children gave a wonderful dancing display





Many of us were tried and went to bed before midnight. Oh Dear...

Tuesday, 30 December 2014

3. To Mrauk U


Tuesday December 30, 2014


Today we set off for Sittwe (Sittway) by air, thence to Mrauk U by boat.



Departing Yangoon, me & Dr Lim
Dr Eddie Lim, sisters & brothers in law & niece.
The Monk, Uzin Blue in background.
On arrival at Sittway Airport, the Mission group assembled for a group photo
(Ever tried herding cats)

Then greeted by local dignitaries.


Next the boat trip  to Mrauk U
Our guards detail pose for a photo






The welcome at Mrauk U wharf.
Karen and Kathryn met local teachers 
Then we visit one of the many local temples

It is one of many in the vicinity
Eddie then introduced the team to most venerable Alodawpyei Sayadaw Dr. Bhaddanta Ariyawansa. whose guidance, imprimatur and influence paved the way for the mission to take place. He gives his blessing and deep thanks on behalf of the needy people of Mrauk U

Then back to our hotel and setting up the pharmacy


Ready

Some of the medications from of all our kind supporters and contributor companies




Monday, 29 December 2014

2. Meet, Greet & Orientation in Yangon

Monday December 29. 2014

At a great Chinese Banquet lunch today we met the team - Volunteers. Rotarians and donors.
Dr Eddie Lim and PDG Steve Yoshida
We learnt how the mission got started..Past District Governor, Steve Yoshida who lives in Hilo, Hawaii was Chair of the Rotary Global Peace Forum in 2013. He met Dr Eddie Lim who also lives  in Hawaii - Eddie's sister, Tin May living in Myanmar was able to make arrangements for Aung San Suu Kyi to present at the Peace Forum. The need for assistance to the poorer peoples of the county's North Eastern State, Rakhine was demonstrate.  Following considerable planning and determination the Mission came about and is now in its second year.

In addition to the Medical mission, donations for other projects were given.

Taipei Metro East Rotary Clubs: chairs, desks and whiteboards for a school.

Mr Bob Yeh handing Tin May Rotary District 3480 donation of $10,000.00 for equipment for Rakhine School

WE Rotary Club Hawaii: Kywede School water pipeline and storage tank 











Steve Yoshida presents Tim May the $7,220 donation
To obtain water for drinking, washing and using the toilet, students currently have to carry water from the collecting ponds everyday and haul it to the school, .  This is not only exhausting, but it takes up precious time that they could use for studying. The construction of a water tank and 2,600 foot connecting pipes from the ponds will be of immense benefit.
A group of us then saw some of the sights of Yangon.
Yangon is a mix of older colonial buildings, markets plus new shops and the occasional shopping mall. The streets are clean, the roads mostly well maintained and the drivers are usually courteous and careful (especially compared to most other SE Asian cities)

Chauk Htat Gyi Pagoda

A striking reclining Buddha image that measures an impressive 65 metres long and 16 metres high. Sometimes referred to by foreign visitors as the 'Sweet-Eyed Buddha, the statue's porcelain face is punctuated by expressive large eyes (made from special imported Japanese glass), vermillion lips and bright blue eyeshadow.

The Buddha's staggered feet (indicating the living state just before his death, as opposing to parallel feet, denoting his passing away) are decorated with 108 sacred Buddhist symbols. It was built at the turn of the 20th century but after years of neglect was bought to the present site in 1966.

Shwedagon Pagoda



Considered one of the wonders of the religious world, the magnificent Shwedagon rises majestically over Singuttara Hill to the north of central Yangon, casting its golden gleam over the low-lying capital. The site that can take days to fully explore. 

Shwedagon Pagoda or Paya as it is known locally is a 100-metre high bell-shape structure that sits atop an octagonal base. Its complex structure is plated in gold, and the upper dome is studded with more than 5,000 diamonds and precious gems. At the tip of the stupa, a single 76-carat diamond graces this magnificent structure.

This 2,500-year old structure, contains the relics of four Buddhas, is the guardian temple of Yangon and is the most sacred site for the people of Myanmar. 




L to R: Dr Joseph Chu( Hawaii), Jane Little (Alaska), Kathryn Hester (Queensland), Karen Kankkunen(Queensland),
Dr Sheila Hurst ( California), U Toe (Yangon), Dr Josephine Waite (UK), Dr. Vernon Ansdell (UK)

Saturday, 20 December 2014

1. Myanmar



Myanmar is short for the Republic of the Union of Myanmar -  previously called Burma.


It is the second largest country in South East Asia.
Along Western Coastline is Andaman Sea and the Bay of Bengal. The land borders Bangladesh, India, China, Laos and Thailand.

A Rich History Earlier civilisations were followed by the Bagan (or Pagan) Empire that started in the middle of the 11th century.  This formed the foundation of the Burmese language and culture and Theravada Buddhism was established; however the Mongol invasions and a number of warring states led to the downfall of the Bagan empire within 250 years. 

tangoo Dynasty 1580
Taungoo Dynasty
The Taungoo Dynasty reunified the country from the mid 16th century for the next 200 years. At its peak, it was the largest empire in the history of Southeast Asia including Upper and Lower Burma, Dehong (region of Yunnan), Siam (Thailand), Manipur (NE India) and Lan Xing (a large region of Laos). This dominance was short lived,  when in 1599 the kingdom became smaller and more manageable. A legal and political system where heredity chieftainship were replaced by appointed Governors was introduced. The administrative reforms greatly reduced the hereditary rights of Shan chiefs and resulted in improved trade and economic conditions and that lasted well into the 19th century when the Konbaug Dynasty came into power.

 

The British conquered Burma after three Anglo-Burmese Wars in the 19th century and the country became a British colony. Burma became an independent nation in 1948, initially as a democratic nation and then, following a coup in 1962, a military dictatorship which formally ended in 2011.

The Road Ahead Today the countryside is adorned with beautiful towering gilded pagodas, spectacular archeological sites and beautiful beaches and stunning mountains together with a backdrop of a rich and fascinating culture. Despite the blight of civil war and economic stagnation, the future looks bright and tourist numbers are increasing. A sense of optimism for the future exists and both the press and people openly debate the country's politics - topics such as reforms and a new constitution are now openly discussed by people in a way they haven't dared to for over a generation.

However, Myanmar today has one of the world's widest income gaps due to a large proportion of the economy being controlled by supporters of the former military government. A very low level of human development has left a large part of the population with inadequate basic needs. Spending on the armed forces is in excess of 20% of total Government outlay whilst Healthcare is only 4%. Urgent assistance to improve the general health of the peoples in the poorer regions together with the need for humanitarian works is acknowledged by most NGOs and welfare aid organisations.

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Service above Self

 

Rotary:"Service above Self"

In a word, the guiding concept of Rotary is Service. 
Great humanitarian work is undertaken in both local communities and internationally by 1.2 million Rotary club members around the world.




Rakhine Humanitarian Medical Mission in Myanmar 2014-2015

What we set out to achieve:

"The prevalence of hypertension and Diabetes is very high in Burma, our main purpose of the medical mission is to screen, detect, educate, and treat these individuals. This will prevent them from having Stroke, Heart attack, Heart failure, Kidney failure, Blindness and certain cancers.  We will. of course, treat all the patients who attend our clinic regardless of color, race, religion, etc.
Once we detect the illnesses, we will give initial treatment and refer patients to their local doctors for follow up.
"


Dr Eddie Aung-Gyi Lim, MD, MBBS, MRCP, FRCP, BC Internal Medicine. ---(Board Certified in Internal Medicine)
Lead Physician of Rakhine Medical Mission.

How:

A mission set up by Dr Saw Mra Aung Family and Suu Foundation (in honour of Nobel Peace Laureate, Daw Aung San Suu Kyi) comprising of 54 Rotarians from 6 countries was formed and will work in Arakan/Rakhine District of NW Myanmar in Late Dec 2014 / early January 2015. Some local nurses are expected to help like from last year

Many members of this mission were previously part of the inaugural mission that took place a year earlier, so the requirements and arrangements are modelled on the previous mission's experience and learnings.

17 volunteers are on the Medical team - mostly specialists, doctors, nurses and one pharmacist. The medical team expects to treat and consult about 3,000 patients (currently registered number) over the space of 3 to 5 days. 
The other teams assembled comprised of Dental, Health education, Water Purification, Hygiene specialists; together with a Schools refurbishment project and an English camp.

The Burmese counterparts are Arakan National Party Central committee member, Mrs Tin May Aung and Influential Buddhist monk and Dean of the Monastic order and University, Vererable Ashin Kumara - UZin Blue and the most venerable Alodawpyei Sayadaw Dr. Bhaddanta Ariyawansa. whose guidance, imprimatur and influence paved the way for the mission to take place.


The Holiness Van Alodawpyei Sayadaw meeting with Daw Aung San Suu Kyi at the meditation centre.
(Picture: Alodawpyei local news, Dec 2014)

Prior Rotary sponsored support to the mission centre.




Mission Supporters

Rotary is voluntary organisation with all expenses and funds paid or collected by Rotarians fully expended on the projects and causes undertaken. All mission members paid their own airfares and related costs to come to Myanmar.


In January this year,  the team members who went reported they had to buy many supplies like pain killers (Paracetamol, Ibuprofen), stomach medicines (H2 blockers, PPIs, antacids, anti-spasmodics, anti-diarrhea), antibiotics, etc in Yangon (Rangoon) where medicine is available at somewhat cheaper prices.
However, some supplies were difficult to obtain and took a lot of time to locate and assemble. This was a drain on funds and volunteers want to arrive with as much as they could & ready to get to work. Through industry contacts and requests I have received invaluable donations and assistance from the a number of companies in Pharmaceutical Industry to lessen the financial costs that the volunteers had to pay in Yangon and ensure the products we obtain are both useful and available.

Significant Contributors:

Rotary balgowlah logo


My local Rotary club, Rotary Balgowlah,  contributed US$1000 towards the cost of internal transport and accommodation in Myanmar. They also gave me invaluable contacts and advice to  ensure success with gaining contributions and support.

 Thai International donated 30Kg of complementary air freight for our supplies to be freighted from Australia to Myanmar as accompanied baggage.
 MIMS for supplying drug information software to ensure that doctors have up to date information and references.


Thanks also to Marea O'Donnell, a recently qualified graduate Pharmacist from Sydney University who gave me some valuable reference books to take over and donate to the mission hospital staff.

Pharmacy Software supplier, FRED for the kind donation of a laptop computer to assist the mission recording patient details and facilitate the use of reference software

Stefan Topolski, MD from University of Massachusetts Medical School and a community doctor leads a team that developed Cottage Med a software based patient record package to record patient details diagnosis, doctors notes prescriptions and comments and much more

Listed below are the pharmaceutical companies that I asked for supplies and assistance and  willingly donated supplies of drugs and diagnostic aids for the mission. Their endorsement, support and considerable generosity is greatly appreciated!



 A  big THANK YOU to all our contributors

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