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E.N.T. Mission Includes
Some Surprises

March 3, 2003

Ever have someone pull a quarter out of your ear?  This humorous sleight of hand is a well-known source of delight  for many people, especially children.

The visit of a Canvasback ear, nose and throat team to Pohnpei in February, 2003, turned up surprises of a non-humorous sort when doctors pulled foreign objects out of the ears of several children, including pebbles, erasers, and even several dead cockroaches!

While it is not unusual for children to put things in their ears, the cockroaches were definitely uninvited guests. Most of the children who came to the clinic had multiple chronic ear infections resulting in perforated eardrums. These holes in the membrane protecting the inner ear not only cause loss of hearing, they open the door to further infections from water contamination through swimming and bathing.

 

Dr. Jim Reese pulled out an inch-long cockroach from the ear of this young teen.  Later on, two other children were brought in with hearing problems . . . and two more cockroaches were retrieved!

The team had their hands full for the two short weeks they were in Pohnpei.  By often working 12-hour days, this tireless group of dedicated volunteers was able to treat more than 400 patients and perform 70 surgeries. Sadly, there were far more patients than they could treat.  Nearly 40 patients are on a waiting list for Canvasback's next E.N.T. mission to Pohnpei.  In all, nearly  $200,000 worth of care was delivered to the island people.

A hard-working team of volunteers plus island medical staff, from left:
James Sadoyama, M.D.; Donna Reese; James Reese, M.D.;

Lauren Petford, R.N.; Mary Lou Hawley, Pohnpei Chief of Primary Health
Care; Winston Likaksa, Pohnpei Medical Officer; Simao Nanpei, Director
of Pohnpei State Health Services; Steve Haskil, R.N., Jacque Spence,
Canvasback Co-founder; and Randy Waring, M.D.

 

Fishbone Tales

Another interesting case was that of the librarian and English teacher of the Pohnpei SDA School.  Josie had swallowed a large fish bone the week before and it had lodged in her throat.  She had seen three doctors but no one had been able to remove it.  When the team met her at the school, she had an IV access in her arm, because she couldn't eat or take her medicines by mouth.

The bone was stuck deep in her esophagus, and Dr. Jim Reese didn't think he had an instrument long enough to get it out. But the team trusted that God would take care of it, and sure enough, when Josie came to the hospital, Dr. Reese was able to remove a 1-1/2 inch fishbone from her throat. Josie was overjoyed! 

Dr. Reese had removed a fish bone from a patient on a previous mission, so he came prepared with the proper instrument. Still, the bone was lodged so far down that he wasn't sure he would be able to get it out. 

But there was more. Josie later returned to the clinic to reveal an enlarged parotid (saliva) gland which the doctors were also able to remove making her one very happy woman.

Is it Cancer?

A serious concern arose when the team examined a two-year-old boy named Keanu. His mother brought him to the clinic because she was very concerned about the large swellings on his neck. On examining him, the Canvasback doctors suspected that he had lymphoma, a type of cancer.

Research revealed that the local doctor had examined Keanu back in November 2002, and performed a biopsy because he suspected cancer too. Tragically, the biopsy was never sent off to Honolulu for diagnosis because the airlines considered it "bio-hazardous material" and refused to take the specimen on board.

The team was so concerned about Keanu that they made arrangements to bring the biopsy back to Honolulu for analysis. Without a biopsy report, the islands would have to send the boy on an expensive trip to the Philippines for diagnosis.

The whole team fell in love with little Keanu, and prayed to be able to help him.

Thankfully, the biopsy report was negative. It turned out that Keanu had "cat scratch fever," a condition easily treated by antibiotics. With that word, months of worry and fear ended for his parents, who were greatly relieved.

Medtronic - A Company With a Heart

Although most of Canvasback's missions last only a few weeks, they require many months of advance preparation--making travel arrangements, procuring, organizing and packing supplies, assembling lists of patients screened for surgery, etc. For the E.N.T. mission, as in all of them, God’s hand was seen long before the team left home.

Here's one example. For this E.N.T. mission, we needed to procure a long list of supplies, including specialized items like ear tubes and tonsil cautery equipment. In November, our medical coordinator Lauren Petford, R.N. remembered a medical supply representative she met in Jacksonville, FL, who had donated E.N.T. supplies two years earlier. She called and told him about our upcoming mission needs and he referred her to a company called Metronic that specializes in E.N.T. products.

Lauren sent a request to the company and the company support supervisor got very excited about the project. So excited, in fact, that a group of employees even went in on a weekend to package supplies.  They sent several trays of brand new instruments and  also loaned some expensive equipment needed for specialized surgeries.

Medtronic generously sent more supplies than needed for one mission, a real blessing since Canvasback is now preparing to send an E.N.T. team to the Marshall Islands later this year.

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Assisting Other Island Ministries

Ayesha Fuka is a medical officer and wife of local pastor in Yap.  After years of working in the island hospital, Ayesha left to begin her own self-supporting clinic.  She charges only $2 per visit, and depends heavily on donated medicines and supplies to carry on her work.  Most of the island women go to her. 

This month, Canvasback was very pleased to be able to bless Ayesha with $7,000 worth of medicines and supplies for her clinic.

Medical officer Ayesha Fuka has
a heart to meet the physical and spiritual needs of her patients.