First of all – I have to make an apology for taking such a long time to write this blog! There’s been a whole lot of work, and a new tiny-pawed furry addition to the family since finally landing back in Australia last month, so my hands have been kept somewhat hostage…but more on that in my next blog!
Second of all – Philippines!
I’ve been really struggling to find the right word to describe my trip to the Philippines. In reply to most people, I use the word amazing with a gushing enthusiasm and a widen-eyed conviction of the word. But even then, I know this is still an understatement. Because it was just so much more than that.
For those that have been following Life, She Wrote, you will have known that this year’s addition to Bucket List #5 came with it’s own special purpose – but for those that are new to the story, you can read about it here.
Having looked forward to trip since finding out I would be apart of it back in September, I couldn’t believe it had come round so quickly. The end of February was nearing as we all met up at a hotel near the airport in preparation for the three flights ahead of us the next morning. I had met most people prior to trip, but there were a few I hadn’t and it was nice to sit down with everyone, putting faces to names over wine, cheese and Thai.
It was still dark when our early-morning alarms sounded at 4am and we eagerly threw on our team t-shirts (bright blue and not easily missed in a crowd), making our way to the airport. With thirty-something luggage bags in tow carrying various pieces of equipment and monitors, we hustled into the group check-in and busily set about labelling and weighing bags. If I thought the amount of bags we had then and there was extravagant, I had another thing coming for me when we finally did arrive in Vigan (but that’s getting ahead of myself).
The first leg of the trip was flying into Sydney, where we met up with the two surgeons and two anaesthetists, and one other member of the team. Choosing to go it alone at the Duty Free, I managed to get myself utterly lost between terminals an hour later – but I’ll blame that on the airlines changing the terminal departure and those big electronic boards displaying way too many flights to Manilla (was there really that many people departing to Manilla?). Nevertheless, we all boarded on time and I was quite happy not to be left sitting back at terminal 34 on my lonesome.
Touching down in Manilla was a relatively smooth process. We quickly caught a bus to the hotel, with our priorities set on food, sleep and a quick 7-Eleven pitstop. I don’t remember falling asleep that night, I just figured I must have switched out as soon as my head hit that pillow and woken up 6 hours later.
After a traditional buffet breakfast we checked out and made our way back to the Manilla airport to catch our next flight to Laoag. It was a quick flight, landing beside one of the smallest airports I’ve ever seen. The little brick building, covered in pink flowering vines, could be walked end-to-end in less than five minutes. But with a large sign welcoming Helping Children Smile to the Philippines, we felt right at home.
We collected ourselves, and our many pieces of luggage, into a large coach bus which carted us on a two hour journey to Vigan – our final stop for the trip and the location of the hospital we would be performing surgery at. We stopped midway at a small village supplier for afternoon tea where we we lucky enough to try some local food. Any food at this point was a god-send after having only had a pork bun since breakfast!
We arrived at our hotel in Vigan late that afternoon and quickly changed before heading into town to see the hospital. Having never been on a mission before, I wasn’t really sure what to expect – but the hospital appeared in relatively good condition in comparison to pictures I’d seen from previous mission trips. We toured the theatre rooms, recovery and the shed-like room that would be our ward. Everyone seemed pretty happy with it’s prospects and so we went to check on the luggage. Well in addition to the bags we had brought over, there was at least a dozen more to fill three ward rooms full. How we could have ever needed this much, I’ll never quite know – but it was our way to ensuring we never had to place any cost upon the hospital by only using our own equipment and supplies.
It was still light out when we ventured back to the hotel, so we snuck in a quick swim in the pool and laughed hysterically at those game enough to take on the waterslide that ended at least a metre above the water. There were plenty bruises and red marks all round to tell the tale of that endevour.
The next six days were a bit of a blur. But after setting up our recovery room on Monday, we were straight to work with two surgeries that afternoon. Back home, recovery spans across almost a whole floor catering for well over twenty patients. In Vigan, the recovery room was no more than 4 metres by 4 metres, perhaps smaller. It had two small beds either side of the room, with a cupboard in the corner and a cabinet full of drugs at the tail-end. We commandeered two small tables and set them up between each bed, tetras-packing them with our equipment. And we made-do. Theatre was much the same, simplistic, but functional – and from all accounts, better than expected.
It was such a rush to see it all play out, and then to be a part of it. Carrying the children in their hands, the anaesthetic nurse would rush out of the OT into our small recovery placing the child onto one of the beds. In a swift rush, the pulse oximeter and oxygen mask would be connected and we would intently monitor their small airways until they woke.
Waking up from the anaesthetic in the Philippines was a little rougher than at home, and so as soon as our little ones opened their eyes, we would whisk them off the trolleys and into our arms to rock and soothe. Their were plenty of wrigglers and plenty of tears, but that all got a little better as soon as mum arrived to hold there hands. After a quick dose of pain relief and a drink of water, we let them return to the ward.
Upstairs in the ward, it became a noisy collection of people after the third day. Families consisting of parents, siblings, uncles and aunties would squeeze into the same bed offering support to the children, becoming the ultimate nursing team. We would leave instructions for the parents in regards to pain relief; how much and how often, each night and return each morning to do a quick round and see how they had progressed.
The children were beautiful. And again, this too feels to be a rather large understatement. I fell in love with them the moment I met them. Their tiny faces that lit up the moment you gave them a smile, or handed them something as little as a toy car, had my heart bursting at it’s seams. These children were just so grateful for the things that many children here take for granted, and I couldn’t help but be in awe of their strength despite their circumstances.
Before each surgery we would adorn them with a little material cape made by volunteers here in Australia, and help them believe in superheroes. We would place little coins called ‘lucky money’ in their hands when they went to sleep, and would make sure they woke up with the lucky money still there. It was these little things that made surgery feel a little less frightening, and helped them feel a little more brave.
The differences to the their lips and palates were remarkable, and being a part of a process that changed each of their lives in the most unbelievable way has undoubtedly changed my perspective on my own world immensely.
After six days, we had performed over thirty operations. The hospital had kindly provided food each day and made every sacrifice possible to ensure our operations went smoothly. We were truly spoilt to have been able to work in Vigan, and were treated to dinner each night in the small town by different members of the Vigan Rotary Club.
On our last few days, we had enough downtime to do some exploring throughout the Provence of Vigan, a budding city on the tourist hot-spot list. From Dancing Fountain Shows to historical 17th Century walkways, monumental buildings to heritage listed sites – we were privileged to see so much in such a short time frame. And as we drunk a San Miguel (apple flavoured, for me) Beer at sunset on the beach, I think each one of us counted ourselves as lucky to have been on this trip.
After a heart wrenching clinic morning, checking up on the kids after their surgeries and waving goodbye to the children that had changed our lives perhaps even more so than we had changed theirs, we packed our bags and set off on the long journey home.
There aren’t enough words to describe the fullness of my heart, or the awe I have in the strength of these little ones and their parents. I am so proud to have been able to work alongside some of the most amazing clinicians and to have had the opportunity to utilise my own nursing career in a corner of the world that really needed it.
This trip has taught me that there is so much kindness, courage and generosity still to be shared in this world, and that it sometimes comes most from those who have far less than you.
For more information about the Helping Children Smile Organisation, or to donate to the cause for next year’s mission, click here. I cannot express how much of a difference surgery for these children makes in simple tasks such as eating and speaking, nor the happiness it brings to a part of the world who truely appreciate it.
For more details about visiting Vigan and Manilla, where to go and what to do – head over to The Travel Log!
And to have a sneak peak at the trip, the children we operated on and the places we managed to visit after-hours all in colour motion, you can head to my YouTube Channel!
This has been the most rewarding bucket list ‘check’ yet, and I really do hope to go again next year!
#5: Travel to a new place every year – check!