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Medical Gira (Tour)

June 2013

As Peace Corps Volunteers we are often presented with opportunities to help other NGOs working in Panamá with their projects.  One of the opportunities frequently presented to us is to work as translators for groups of traveling doctors (usually from the US), which travel to underserved communities to provide free basic health care.

Last year I worked as a translator for a group of optomolegists that came to Panamá from throughout the United States through the Lion’s Club, to provide eye exams and free glasses for rural Panamanians.  This past June, Chelsea, a Peace Corps Volunteer from my group, invited a group of traveling doctors to come to her community to provide basic dental and health care.  I jumped at the opportunity to help when Chelsea asked me if I’d like to translate for the medical gira (tour).  Not only is it a very rewarding experience to be able to help people receive the health care that they need, but it was also an opportunity to visit her community Nueva Paraiso (new paradise).  Nueva Paraiso is on the much less visited and developed east side of the country; her community is situated along a lake and is only accessible by a one-hour boat ride from the “mainland.” I had heard that her community was filled with beautiful jungle caves, which made me even more eager to visit.

We arrived by boat early in the morning with the doctors (who were mainly from rural Alabama and Louisiana).  Once we arrived and set up, I was assigned to work with the dentist.  The dentist, Denis, and his wife/assistant Carla, were a very friendly and kind couple in their mid sixties.  They told me that this was their 12th “tour” in Latin America, but it also may be one of their last.  The dentist told me that although he knows the work he’s doing is very important, it is also very difficult for him to provide the care that needs to be given without the necessary instruments.  He explained that the only service he was able to provide in a place like this was to remove rotten teeth using, equipped only with local antithetic and what looked to me like fancy pliers.  He said that two days ago he was pulling out an 11 year old boy’s tooth that was so decayed on the inside that it shattered when he was trying to extract it.  For the next 45 minutes he had to pull out the shards of the tooth that were still attached to the boy’s jaw.  The young boy wailed and continually called for his mother during the whole ordeal.  The dentist told me that he had to take a 20-minute break after that while he wept and asked God for guidance.

After that motivating story, Denis told me that I would be his sole translator for the day and that we were going to try to treat up to 50 patients (ages 12-75).  The day started out pretty smoothly, I explained to the patients what they were in store for, tried to sooth them as he extracted their teeth, and explain how they should care for themselves in the coming hours and days.  After the first 2 ½ hours we had our first tough patient, she was a youthful mother of two that had three rotten teeth.  The first two teeth came out relatively easily but the roots of the third were strongly attached to her jawbone.  For the next 15 minutes the dentist tried to torque the tooth from various angles to pry it loose.  After many winces from the young lady and lots of sweat from the dentist, he finally managed to pry it loose.  The toughest extraction of the day came right after lunch (luckily), it was a 10 year old boy named Carlos whose tooth also shattered as soon as the Denis gripped it with the pliers.  Much like the boy from the his story, Carlos cried in agony, squeezed his mother’s hand, and pleaded for Denis to stop for close to an hour. Meanwhile Denis tried his best to minimize Carlos’s pain and remove the shards of his tooth as quickly as possible.  I tried to comfort Denis and Carlos by slightly adjusting the messages they were giving one another, but I’m pretty sure that my work was in vain.  After that experience I fully understood what Denis had told me in the morning, he is providing a vital service, but after watching it in action I couldn’t blame anyone for not wanting to be the one to keep providing it.  At the end of the day Denis had treated 46 patients and removed 67 teeth, all in under 8 hours!


Traveling to Nuevo Paraiso

Unloading Medical Supplies





Andrew Explaining to the Doctor the Issues the Woman is Having with Her Legs


The next day was much less productive, but a lot more fun.  We spent the morning trekking down a river that wove through beautiful caves and lush tropical forest.  They eventually led to a set of swimming holes and cliff that coulf be jumped from.  Along the way we saw tucans, parriots, bats, a range of small river fishes, fresh water crabs and an Equis (X, for the x like design on its skin) snake (Equis are one of the most deadly and aggressive snakes to be found in Panamá).  Instead of trying to describe this experience through words, I’ll allow the pictures to speak for themselves.


Chelsea's Front Porch




Equis Snake Just Before We Kill It







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