Today was a very eye opening day for Diane, Julia, and myself as we did HIV home visits with the hospital’s social worker. Before heading to the homes we stopped at the market to buy apples and sardines for the families to eat. I feel that out of the homes we visited the first was the most heart wrenching. I would not even consider the first home a home but a shack. It was a bamboo plank raised off the ground with different plastic pieces of trash connected as a roof. One family’s 6×6 area was connected to the next family’s area. We arrived to a mother who was 25 and has AID. At home with her was her 10 year old son who does not have HIV, her 17 month old daughter who has HIV, and her 7 month old daughter who has HIV. The father was at work making $2.50 per day. As I looked around at their “house” I was blown away. I just could not believe that a family of five could live in such a small rundown space. We have tool sheds in America that are more stable than their home. I was also astonished to learn that they pay $25 a month to rent it! Words and pictures do not even begin to describe how sad their situation is. The social worker began to explain to us that the mother also has TB. She is on the hospitals DOTS program which means she must come to the outpatient clinic everyday for someone to directly observe her take her TB medication. However, she does not regularly make it to the clinic so her children have now all acquired TB as well. Also, the 10 year old boy had to stop going to school because it cost $10 a month and they could not afford for him to continue to attend. This made all three of us very sad because we knew without and education he has barely any opportunity to better his future living conditions. Our other visits were much like the first and we left feeling emotionally drained and wishing we could do more than give apples and sardines.

On a different note I know that our trip to the village is coming close and we are all very excited. We know that God has something very special to show us because there have been so many doors opened for us. However, there are still a few things we are not sure about and I would like to ask everyone to please pray for everything to fall into place the way God has planned and help us to trust in him.

We miss everyone at home and want you to know that your comments brighten our days and greatly encourage us and your continual prayers are needed.
Matthew 17:20 “The simple truth is that if you had a mere kernel of faith, a poppy seed, say, you would tell this mountain, ‘Move!’ and it would move. There is nothing you wouldn’t be able to tackle.”

Wow…..what a trip so far! Today has been so full, I feel like we have had 2 or 3 days in one. So many things to share about that I will put them under subheadings. The morning began early at 0530 with the whole group going out to exercise. We witnessed a beautiful sunrise and then joined a group of Cambodians exercising in the form of dancing along the river front. The tall women from America were a big hit and we did the macarena (sp?) and some Khmer dancing. It was a great start for the day.
OUR PRAYERS: We have been praying together for our work in the hospital and village trying to focus on God’s ability to heal through us as well as healing that comes through the love of Christ. Our prayers have been specific that God give us the wisdom, compassion and love we need to make a difference in the places we go.
THE MOBILE CLINIC: HOPE has started a mobile clinic that consists of a truck with supplies, a doctor, nurse and other helpers. It travels around the city providing free medical care to the poor and needy, children and adults alike. We were asked if we wanted to join and of course we did. None of us including myself had any idea of what to expect. It was totally and completely amazing. We went to the area of Stung Mean Chay which is the city dump. It is the area the children come from in the orphanage we have visited in the past years. We walked in and were greeted by small children from the local school running to hug us. Later, the Khmer physician who runs the mobile clinic set up an area for me to see patients! He asked me if I would like to see them myself or together with him. I was a little nervous at first, but realized that God was providing me an opportunity to learn about the types of illnesses we would see next week in the village. We decided my Khmer language skills were not good enough to see patients without translation, so we settled on seeing them together. The group played with the kids and then helped triage the patients into the clinic. It has built the faith of each one of us to see how readily God is providing us with the wisdom we need to treat the children in the village. I learned so much about the medication available and types of illnesses we will see; most of which are due to such poor nutrition. Anson was able to use her PT skills and I realized today how valuable that will be in the village as many women came with sciatic pain or other overuse type ailments. During our discussion tonight of our “highs”and “lows”of our day, the mobile clinic and how God is providing was at the top of each list.
THE HOSPITAL: After the clinic was over and we had a wonderful lunch at a favorite restaurant, we went back to spend a few hours at the hospital. As the group was all off doing their “thing”, I headed to talk to the pharmacist about helping us to order some medications to take to the village. The idea was to purchase some de-worming medications, antihistamines (it is allergy season here), antibiotics and a few others. Well, God showed his love for the poor once again and HOPE is donating most all of the medication! They are providing enough medicaiton to treat 500 children for worms, antibitiotics, tylenol, pre-natal vitamins and more. So, far the only purchase of medications we will need to make will be for flagyl. Another prayer we have had is to provide us with a Khmer nurse to go with us to the village. I will admit, I was a little skeptical because I understand the issues with staffing at HOPE and we would be asking someone to volunteer their time as well. God is amazing and it was so easy. I did not even ask for a nurse to go, I was offered one! So, one of my dear Khmer friends who is a nurse educator at HOPE and a Christian will be coming with us to help in the village!
THE CHURCH: We attended church on Sunday and again tonight. The trip to church was miserably long due to rush hour traffic that is total chaos, but we finally made it and were happy to see everyone. After you read this next part, close your eyes an imagine this: Sitting in plastic chairs outside with fans blowing on you. The preacher is speaking in Khmer and there is a translator talking over the sound of the fans. Mosquitoes are biting at your ankles. The heat is still considerable even with the fans. Electricity goes out two to three times during service. A bat flies over the group a few times and then the large rat runs up the side and across the front behind the preacher. We think the rat is a cat, but realize it is not.
The church is actually doing great! There have been many teens baptized over the past year. The church that was planted from Phnom Penh in Siem Reap has grown from 7 to 24! There is much joy and excitement among the disciples and we have felt their love. They have come to pick us up for church in the van each time and then drive us all the way back to our hotel. I mentioned the village trip to Sovann and Sopheap (leaders of the church) and from the very first Sopheap wanted to come help translate. Prayerfully, she will be able to join us. I can see us in the village provided physical and spiritual help the the poor in health and spirit. Our God is a mighty and loving God who will do great things here.
THANKS: To each of you who has made this trip possible through allowing your daughters to come, donating money and supplies, supporting us with encouragement and prayers. We feel your prayers and rejoice in them. We are receiving Mannah from heaven and I pray that we remember the gifts God is lavishing on us now when we come to a time of suffering and need. We love you all!

Today was our first full day of working in the hospital. Some of what we see and experience is similar to the US but much is different! In both venues, we see caring health care providers, sick patients, loving families. In Cambodia, however, families are feeding, bathing, and turning their family members who are sick; nurses are regulating IV rates by counting drips rather than using IV pumps; medical decisions are being made with less sophisticated equipment (X-rays rather than CT scans and a plastic chair on wheels rather than a wheelchair, for example.) One patient that we saw today (left image above) had a leg wound that had been treated months earlier in the hospital but who had then resorted to Cambodian traditional medicine, having the leg wrapped in a grass bandage. By the time he was brought back to the hospital, he was disoriented and the infection had spread throughout his body.
Another patient had a textbook case of ascites (right image above). We have many opportunities for learning–about skills, culture, and even about ourselves. Our group is awesome and positive even in the face of obstacles such as transportation and scheduling issues. Thank you for your prayers and continued support. Continue to pray for us and the people of Cambodia.
Click images for enlarged versions.

We knew that today was going to be exciting when we saw both an elephant and a park full of monkeys on our morning run.
The hospital where we will be for the next few weeks is run by the Center of Hope Worldwide. It offers the only free healthcare for adults in the country. The building was larger than I expected. It has 2 operating rooms, an ER and surgery room with 10-15 beds in each room, a new x-ray machine, and even an air-conditioned lab. The staff warmly greeted us, and were very excited to see the return of Ms. Taplin, who acted as the head of nursing for 2 years. We spoke with the staff to see where they needed our help, and it seems like we will be doing a bit of everything. Tomorrow we will put in a full day at the hospital and will really see what it is like.

In the late afternoon, we traveled to Toul Sleng, or the S-21 Prison. Brief history – in the mid to late 1970s, civil war broke out in Cambodia. Pol Pot headed what is known as the Khmer Rouge and began taking control of the country. Their communist agenda was to move people out of the cities and into the rural areas. The genocide that followed killed almost 2 million Cambodians. S-21 Prison was an school transformed into a building of torture. People were tortured until they agreed to sign documents claiming they committed crimes against the government. They were then taken to the Killing Fields about 15km outside of the city.
To see the pictures of the men, women, and children who were tortured and killed in that very building was quite moving. Many of the cells where they were chained in were only a few feet wide. I find it interesting that a mass genocide that happened only 30 years ago is not more well known. Everyday people in this country lived though the Khmer Rouge. We were at the hospital today and one of the workers shared his story of the Khmer Rouge. He was separated from his family at the age of 14. For 3 yrs, 8 mo, and 20 days, he worked to build a dam, receiving only one bowl of rice soup a day. This strong, successful man is now only in his early 40s. It was amazing to hear such a story straight from the source. We all admire his strength and bravery for surving and sharing his story with us.
Today was an educational, eventful day. We learned much about the culture and history of this country. Tomorrow should bring more knowledge and excitement….

We arrived to Phnom Penh late afternoon yesterday after a fun stop at the Bangkok airport. We were greeted at the airport by our hotel bus and then we checked in to the Golden Gate Hotel.

(click images for larger version) For our first night in the city, we went to a local theater and saw a native drum performance. It was really fun and great to see a part of Cambodian culture. The performers also did a traditional “monkey dance” which was hilarious. At the end of the show, Stefani, Anson, and I got on stage and showed off our amazing drum playing skills 🙂 This morning we took a tuk tuk to the Russian Market which was a really unique experience. There was everything from sapphires to dinner plates to food. We all enjoyed it a lot and got some cool stuff but after a few hours we were ready for some refreshing lime soda. Delicious. I think we’re all very happy to be here and are making the most of this experience. Tonight we plan on going to church and then dinner before bed. Tomorrow will be our first day at the hospital for a tour and to get started working. Woo Hoo!

By the way, thank you all so much for your comments. Your support means the world to us. 🙂

Today our journey of Chaing Mai continued. We were off to and early start at 8:30 am with a full day ahead. Our first stop was at the orchid garden and butterfly farm, both of which were breathtaking.

(Click images to view larger size) We then moved on to the adventures with the elephants. This to say the least was amazing. We were all in awe of these incredible creatures that are not seen in Tennessee unless you visit the zoo. When we arrived the elephants were bathing and the river and began to playfully spray the crowd with water. We all received muddy elephant kisses and then watched the elephant show. The show consisted of elephants dancing, painting, and playing soccer. It was quite amazing and funny.

We then took an ox and wooden cart ride to a village were we then rode the elephants to our destination of lunch. We all loved riding on the elephants for we knew this is a once in a lifetime adventure. After enjoying another wonderful Thai meal we went on a thirty minute bamboo raft river ride. This was quite relaxing and a wonderful way to see the beauty of Chiang Mai. We each had a turn at steering the raft though I think Anson and Susan were by far the best. We left the river and headed to the Long Neck Village.
The Long Neck’s get their name from the women who wear medal rings around their necks, which lengthen their necks. They originally had theses ring put on because it was believed that the women were weaker than the men and would be unable to fend off a tiger attacking them. Therefore, the rings would protect their necks from tiger bites. However, they are worn today for decoration. Beginning at age five a ring or so is placed on the neck until age twenty. We learned about these people and and watched as they made beautiful and woven scarves.
Our time here in Chiang Mai hasflown by and we have enjoyed every moment of it. I sent in some pictures today so I hope they went thru okay and make it up. We are headed to Cambodia in the morning and we will keep everyone posted on the rest of our journey. Thanks again for all of your thoughts and prayers.

Greetings from Thailand! After a long journey (almost 40 hours on planes and in airports), we have arrived safely in Chiang Mai, Thailand. This is the first stop on our itinerary that takes us to Phnom Penh, Siem Reap, and a Cambodian village. After stopping in the Hong Kong airport, and a seven-hour layover in the Bangkok airport (sleeping on cold floors is not too comfortable!), we finally stepped on Thai ground around 8am yesterday.

After reaching our hotel and taking a short nap, we attended a Thai cooking class. Our instructor led us through the markets, where we learned about traditional Thai ingredients. Then, at her kitchen, we prepared various Thai dishes, such as spring rolls, green curry, and sticky rice with mango. The names of some of the other dishes I don’t know how to pronounce, much less spell, but luckily we each received a cookbook with the recipes. Now we can cook Thai for you guys back home when we return!
Today we had a very “interesting” trek through the hills around Chiang Mai to visit a hill tribe. The guide had promised us that it would be “easy,” but this was definitely not the case!. It was very steep and very long–eight and a half hours! There was lots of mud, sweat, a few tears, and pouring rain involved, but in the end we all agreed that it was a great time. The scenery was absolutely gorgeous! Tomorrow we have a day planned with elephant riding, rafting, waterfalls, and much, much more. We will definitely keep everyone updated, and we hope to get some pictures up!
Thank you all so much for your thoughts, prayers, and all your comments here! Halfway across the world, it means so much to stay in contact with you all!

I am going on this trip because I want to develop a deeper appreciation of the Cambodian culture. By opening my eyes and learning to respect the culture, people, and health care system, I will become a better physical therapist. Through cultural exchange, I will bring my knowledge to the Cambodian physical therapists, while they will teach me far more than I can imagine.

…Personal Thoughts on the Journey

I am going to Cambodia hoping to gain better insight into a complex culture. I love traveling and learning about different ways of living and different perspectives. I hope to gain some experience working in a health care setting much different than those in the United States. Because I dream of traveling as a health care professional, this study abroad trip is really a wonderful opportunity for me to get a taste of my future. Also, Cambodia is such an interesting country, with so much history and culture, I am really excited to get to see it and learn more about the people.

The team arrived safely in Hong Kong this morning and is currently waiting on their flight to Bangkok. Hopefully, the team will be posting on their own soon… ‘just a couple of small technical details to take care of first.