Global Surgery, University of Tennessee and an upcoming mission!

We have so much to report on, friends! But, I will keep it brief.

First, we are embarking on our next mission to serve the community of Iligan, Mindanao, Philippines in the coming month! We are so excited to serve this community, who has been waiting for us, as they initially experienced travesty and tragedy in 2011. Frequently, communities require immediate response with emergency type relief after such a disaster.

Check out the news post here: http://www.nbcnews.com/id/45721519/ns/weather/t/nearly-dead-after-philippines-typhoon-disaster-agency-reports/

We help in this disaster relief as much as possible. But as you are aware, our gifts are more of the ongoing variety, with our offered help in the area of surgery and medical care, long-delayed due to economic, social and resource barriers.

The community of Iligan has been preparing for us and others for the past 4 years, rebuilding and creating infrastructure to be able to receive and benefit from our investment of time, resources and care. We are so excited to respond to their stated need, and hope to assist in their long-term vision of care for their community.

Speaking of long term work, for the past year and a half, we (the Zalamea Fam) have been visioning, discussing, collecting ideas and in general, praying and listening, to ways in which we might be able to progress our work, or even focus it, on a single community for the purpose of long-term investment. This could look like many things, but in our minds and hearts, would be a way for us to bring the best of what we have to the table, be it relationships, physical resources, infrastructure, or direct care. The dream would be to bring all of the aforementioned to a single center, developed and built by the mission group, and designed for and with a single community.

Would it be a hospital? Or would it be a surgery center? Would it be a clinic? I think the answer to this is dependent on the needs of the community chosen. It would depend on the immediate needs, as well as the long-term challenges. We know from our public health friends that the ultimate determinants of health are not just biology, genetics and life choices. We know that life CHANCES, shaped by the social circumstances of education, work, social place and setting, as well as physical environment, all play an important role in the ultimate health of a community down to the individual level.

So, if we were to build say, a surgery center, and conduct multiple surgical and medical missions each year, could this recurring theme ultimately influence the long term health of a community? We think it could, and this would be a place to start. But, we wouldn’t want to begin there. We would want to build a facility that would immediately be capable of doing more, and for more people, but begin in a most humble way. Through friendships and agreements, we would want to grow to deliver more comprehensive care as deemed necessary by the community.

We would want to engage in educational partnerships for the benefit of training and inspiring learning surgeons and physicians to ultimately take over and replace us. In fact, this partnership is already beginning. With my work at the University of Tennessee Health Sciences Center, we are launching a Global Surgery Initiative, with the goals of providing infrastructure, mission/vision, and growth opportunities for all within UTHSC to engage in and learn from international work for the underserved. We would match this US-based educational partnership with a Philippines-based partnership as well.

The mission hospital would be a convener of ideas, care, and innovation for the poor. But more importantly, it would be a place where we can serve, stay true to our mission, and bring the best of what the Lord has given us! We would hope that by building such a facility in a place of particular need, we would invite others to join us: industry, technology, education, early childhood development and care, faith communities, etc.

Where do we begin? We begin where we currently stand. We start with the relationships and the communities we have been serving for the past 17 years. We begin by continuing the conversations with our friends from medical device industries, medical and surgical education, civic organizations, faith based friends, volunteers, and most importantly, the communities we have been serving.

Excitedly, and with much anticipation, therefore, we will be doing site visits to 3-4 communities in the Philippines after this next mission. We will present a map of possibilities, which will include every relationship and possibility we have explored and from whom we have received positive feedback and support. We will then listen. We will listen for a common vision and mission. We will listen for mutual respect. We will listen for a community that is committed to solidarity with the poor, with compassion and empathy. We will listen for a place to call the mission home.

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Mission 2015!

Hi y’all!

Can’t believe we are a mere 4 weeks away from our next mission trip to the Philippines. Much has happened since my last post.

  1. Medical Licenses: for the first time in almost a decade we have been asked to obtain a temporary medical license for our mission trip. All in all a good thing that the community is asking for a vetting process, though challenging since it is not electronic. Pray for us on this one. We would love to see a smoother process around this moving forward.
  2. Bovie machines! We received a generous donation from Methodist University Hospital in Memphis which included three very important bovie machines! This is typically a limited resource that we have had to share between surgical teams. Now we have enough for each team! AMEN!
  3. New mission family! I am SO excited that three people dear to me are coming with us on this next mission! One is my former medical student, Taylor Walsh, who worked with me when I was in practice in Southwest Virginia. The other is my partner, John Nelson of Resurrection Health, who is an incredible human and grounded surgeon. Can’t wait to get to know them in a different light! Lastly, one of our star nurses from the Church Health Center, Amber-Rose King, is also joining us and I know will be an incredible asset to the team!! (One of the secrets of mission work is that once you do mission work together, you share a special bond. Like band camp but not….more like servethepoorcamp which is much more wonderful)
  4. New site: for those of you who participated in the Gofundme campaign, you already know that due to licensing delays and logistics, we had to divert our mission from Iligan to Victorias City in Negros Occidental! This is a community we have served in the past, grounded in sugar cane agriculture and with a beautiful sense of community. We hope to maintain a long-term relationship with Victorias and are so excited about serving there again this year!
  5. Lastly, not to be too vague, but we are looking at new potential partnerships, some involving heath care institutions, other with educational institutions. Primarily looking at strategy in long-term sustainable work, and of course wanting to create a stable home and destination for the mission. LOTS of prayers on this please. 🙂