Cambodia Mission Trip 2009
Waking up early to exercise in Cambodia has become one of the most enjoyable parts of the trip. People are able to participate in the morning routine of running, walking, dancing to music, or any other type of exercise. Furthermore, it helps everyone to get ready for the day. This morning I had the opportunity to see monkeys as they ran around looking for food.
Today I was in the operating room with Emily, and we were able to watch doctors perform a thyroidectomy. This surgery helped me review the concepts I have learned from my nursing classes this past semester, such as the risk of people developing hypothyroidism after their thyroid is removed. The doctors were very helpful in explaining the most important precautions for the particular patient too, such as hemorrhaging as a complication of HIV and multiple surgeries. The second surgery involved the doctors removing a gallbladder. For this surgery, I inserted my first NG (nasogastric tube) tube! Even though we left before the gallbladder was removed, participating in the preoperative care of the patient was exciting.
It is hard to believe that our time in Cambodia is near. We have all learned a lot—culturally, socially, and educationally. This trip is a memory we will never forget!
Category Archives: Service Learning & Medical Missions
Same Same, but different!
Cambodia Mission Trip 2009
I sit in Seoul Korea on our way back home and finally have the time to write my blog entry. We are all doing well and are looking forward to being reunited with our families and friends.
In Cambodia there is a saying “Same, same, but different”. The Khmer word for different is psame psame, but the “p” is rather silent. When we say “samething”, most Khmer people hear same same which means different. When we here them say psame psame, we think they are saying “samething”. So when you see all of us wearing our “same, same, but different” t-shirts, you will be able to laugh. Cambodia after 5 years is the same same, but different. The streets are getting a facelift and buildings are going up, but the people are still the same on the streets. Children continue to be homeless and poor without appropriate healthcare, hygeine or nutrition. My blog about our village trip that we took on Saturday.
Several people donated money for us to do some good while here and good we did. Several of us made a trip to the Orrusey Market which was quite the experience. Thankfully we took 3 of our Cambodian friends with us to help with translation. We bought school supplies (807 writing books, pencils, rulers, sharpener, eraser and bags), shoes, large book bags for honor students, toothbrushes, tooth paste and more for 269 children in a village in Kandal province about 1 hour or so outside of Phnom Penh city. Additionally, we brought rice, soy and fish sauce for the poorest of families that was to be determined by the school director. We packed our supplies and our lunch and loaded the bus with 17 of us plus several of our Cambodian friends from church and the hospital.
One Week at the Hospital Ends
Cambodia Mission Trip 2009
Today marked the completion of our first full week at the hospital. Sadly, it is also our last day at the hospital. Nursing and pharmacy students both had a very busy week ranging from HIV home visits and mobile clinics to nursing check-offs and genocide museums. It has been a challenging week both physically and emotionally.
At the Choeung Ek Genocide Museum, skulls of victims were stored in a pagoda-like monument. Victims included children and adults. I was prepared to see pits where victims were buried in mass graves. However, I was not prepared to see bones that were still scattered on the ground and clothes of victims strewn about the pits. It was hard to fathom and digest the atrocities that occurred here and amazing that the Cambodian people were able to recover.
Our time at the hospital came to an end but we still have a few activities planned for the weekend. On Saturday we will visit a small village outside the city of Phnom Penh. We will donate school supplies to students and food to poor families. The school in the village does not have a functioning bathroom. The current bathroom has been broken for some time, but with the donation from Belmont the school will now have three functioning stalls. The well, which was a source of clean water for the school, has been neglected and required repairs. This well will be functional again thanks to the donation from Belmont.
Birthday in Phnom Penh
Cambodia Mission Trip 2009
Today we had a long traveling morning. We got on the bus at 8:30am from Siem Reap and arrived in Phnom Penh around 2:30pm. On the bus, we had a nice little game of eye spy that included almost everyone in the group. It was a creative way of spicing up the 6 hour journey. Overall, sleeping was the activity of choice on the bus. When we arrived at Phnom Penh, we checked back into our hotel and resettled in our rooms. We had a small break and then met up for our daily group meeting.
Everyone loved one of the restaurants that we went to the first day we arrived in Phnom Penh, so we hit up that restaurant again! I enjoyed a nice vegetarian plate where I made my own tacos. Then, the fun began!! The students, including Mrs. Dryden, went out to a dance club! It was interesting because they played ALL American music. The Khmer way of dancing is to use your hands and form worm-like motions with them, so it was a surpise to not see that. Some of the people from the hospital were also there, so it was good to be able to get to know them better. Since it was my birthday the previous day, the band played a song for me! So, Billy and I went out on the dance floor and did a little jig. Personally, I think everyone loved our dance moves. We stayed at the dance club until 11:30ish, and then we all went back to the hotel and crashed.
Overall, I am really enjoying the trip. I’m excited to work in the hospital this coming week and to meet more of the staff. Everyone is so friendly and welcoming. Even at church, some of the nurses that I have met will invite us to sit with them! This week should be exciting!
-Emily-
One in a Million
Cambodia Mission Trip 2009
What an amazing couple of days. We left the hospital yesterday afternoon, went to the ‘market” and shopped for the children at the Orphanage. At their request, we bought underwear, salt, sugar, fans and cooking oil. Then we made a stop to buy fruit, getting two “hairy eyeballs” for each child. The children are happy, cared for and well educated. We spent time playing games, singing, and also, visiting the library and their rooms. (Some were a little reluctant for us to see their room but with 5 girls to a room you can imagine!) What beautiful kids, and what a great concert they gave us. The hard part was leaving, they begged us to stay, ‘please come tomorrow’ and ran after the Tuk-Tuk as we went out of the gate; pictures that will remain with us for a long time. These are the fortunate children of Cambodia-they are safe and get an education.
Today was a trip to the ‘killing fields”. To comprehend that much cruelty is beyond my capacity. The great learning from the trip: understanding the people we are working with at the hospital. They lived through Pol Pot and have moved on with their life, now serving others on a daily basis. As I taught the supervisor class today, I had a whole new understanding of their job, their life and who they are as a people.
OBTW…TICB*
Cambodia Mission Trip 2009
Tuesday was the start of another wonderful and exciting day for each of us in Cambodia. Mrs. Dryden, Emily P., Brandon, and I rose a little earlier than the others so that we could meet the mobile clinic group at the hospital. After a few phone calls, tough communication with the nurses and staff, and some walking around, we were finally able to find out where we were supposed to be. We did have a small problem with seating though…a five person truck was supposed to hold seven of us. However, we were able to make it work! We traveled to a small and very poor village outside of Phnom Penh to provide medical care for those unable to come to the hospital. It was a new experience for the three of us, especially since most of our patients were children. Emily and I took vital signs, while Paul handled the pharmaceutical aspect of the visit. He even caught a few mistakes that were made, which shows the great training and education he has already received.
At the hospital, our instructors and student nurses assisted with check-offs. This is where all the nurses have to come in and take tests in several different areas; the subjects included blood cultures, oral care, and oxygen tubing care. Though it was a little hard to understand the nurses during the oral part of the tests, it was very exciting to see that they knew how to perform these tasks. It is obvious that this hospital is making great progress, and so many of the nurses truly know what they are doing.
Home Visits and Khmer Rouge History
Cambodia Mission Trip 2009
In Cambodia some major health care issues are HIV/AIDS, TB, and diabetes. Today students of nursing and pharmacy left the hospital to go on home visits for HIV patients. Just a few blocks away, we walked to the areas where the lowest income people live. Our job was to oversee the self-maintenance of each patient’s disease state. Without the semester 2 course, Health Assessment, I would have been unaware of the questions to ask and signs to look for in each particular case. Next we broke for lunch to enjoy a bite of homemade Khmer cuisine.
After lunch, we left the medical world to learn more about culture and history in Cambodia. During the reign of the Khmer Rouge, genocide camps were spread all over the country. The one we had visited was called Office S.21, today known as Tuol Sleng. Formerly a high school (a place for learning and growth), the Khmer Rouge overtook the facility and held over 5,000 prisoners here by 1978. All but 7 of these prisoners were killed. Taking this historical era made me realize this event affected people just a generation ahead of my own.
It was a fulfilling day incorporating both health care and history. From today’s experience I have made it a promise to serve the people of Cambodia to the fullest until it is time to depart.
A New City to Explore
Cambodia Mission Trip 2009
Rise and shine! It was an early morning for the group as we packed our bags for Siem Reap. Having been in Phnom Penh for the past three days, we were prepared to explore a new city. Our first introduction was sunset at the ancient temples. After we climed the steep stairs, we found ourselves surrounded by people from around the world. The sunset was beautiful, but the view of Cambodia’s heartland was even more remarkable. Knowing the country’s past, the evening was a reminder that even amidst turmoil and pain, restoration is possible. “In the world you will have trouble; but be courageous, I have overcome the world!” (John 16:33).
On a side note, one of the funniest parts of the day was our bus ride. Wide awake, we managed to find minor pieces of amusement…from snacking on crickets to our exciting interpretations of Cambodian music videos. Still tired from the early morning rise, others chose a more peaceful route…

All in all, the trip to Siem Reap will be a great memory for all of us. The trip is far from over, though. We look forward to returning to the hospital and working alongside our new friends once again. They have such wonderful hearts, and I pray that we will all take a piece of that with us.
– Anna –
Sunday in Cambodia
Cambodia Mission Trip 2009
We began our day with worship at the church where Susan’s family attended and were very involved in while they lived in Phnom Penh. We were all warmly greeted and welcomed! It was especially heartwarming to see Susan greeted and embraced by so many of her dear friends. The church is alive and growing…worshipers of all ages. In a country where there is much sadness and hopelessness, it is so encouraging to be in a place of worship and see the hearts of the members of the congregation! Later in the afternoon, when we were at the market shopping (more on that later!), a member of the church spotted us and we had a conversation with him about the growth of the church in Cambodia. There is no interference at all by the government towards Christianity and it is growing by leaps and bounds. That was good news!
We went different directions for lunch…some eating Indian and some eating French. Then it was time to re-group and head out for an afternoon of shopping at the Russian market. There were literally hundreds of vendors all very close together…it was like being in a maze with something new at every turn. It was hot and the vendors are very persistent in pursuing their customers. Bargains were made and bags were filled with all sorts of purchases. I have not quite conquered the art of negotiation…so I will probably need to return to see if I can do better next time! It would be easy to fill a suitcase because there really are so many wonderful things to see and buy. The treat after shopping was iced Cambodian coffee…it was rich, sweet and delicious.
Temples in Siem Reap
Cambodia Mission Trip 2009
This morning all but four of us left the Red Piano Hotel in Siem Reap at 5:00 AM to see the sunrise at Ankor Wat, one of the famous temples in Cambodia. Unfortunately, there were clouds and we couldn’t see the wonderful sunrise but it was still worth it and fun any ways. We then toured another one of the ancient temples before meeting up with the four people who stayed behind. They then brought us our breakfast (french bread and freshly sliced fruit) and we ate at a little restaurant where we got iced coffee Cambodian style. The coffee was delicious! It is basically iced coffee with sweetened condensed milk for sweetener.
The group then saw several more temples, one of which included where they filmed the movie Tomb Raider. We then came back to Siem Reap and most of us got a foot massage from this great place down the street. We were so relaxed! Lunch followed, then free time to explore the town. Melissa, Hannah, Kristian, Emily P., and I went to the local market and had a fun time bartering for goods. As soon as we were done it started pouring down rain, so we hired a Tuk Tuk, a Cambodian motorbike driver with a cart hitched on for passengers, to take us back to the hotel (which was quite an experience…). At the end of the day, we went to a dinner and traditional Khmer dance and now off to bed for yet another day of traveling…
The Center of Hope…and the Power of Togetherness
Cambodia Mission Trip 2009
Today was a very tiring and busy day, but it ended in the most refreshing of ways. To start, a group of us went on a 4 mile walk/run at 5:30 a.m., in which we enjoyed watching the city wake up and get ready for another long, humid workday. Some of us even jumped right in to a yoga class with the local Cambodians on the side of the road. Other interesting sights included the “town elephant” who was taking a stroll down to the king’s palace.
Later this morning, we headed off to Center of Hope for our second day in the hospital. We did similar kind of work as the previous day, but everyone rotated to a different department in the hospital to gain new experience. Anna even took control of many positions (Charge Nurse, Physical Therapist, RN, Nursing Student, etc…) all by herself. The pharmacy students were able to soak in an immense amount of information by following an Australian doctor during his rounds who was very generous in his teaching.
Today was also the first day for surgery (yesterday was the King’s birthday and no surgeries were to be performed), and Melissa and Halli enjoyed watching a thyroidectomy. This particular thyroidectomy was completed by a Cambodian surgeon and Claudine (the first assistant), who just completed medical school in the UK, and is now here volunteering at Center of Hope as well as serving Phnom Penh Church of Christ. The surgery was a great learning experience because the thyroid was the size of a small softball which usually would not get that big in the states due to early recognition. However, Cambodians are not so fortunate with early blood tests and other various methods to diagnose promptly. Also, Cambodians just recently started adding iodized salt into their diets, and many who have lived without this salt have not received sufficient iodide. Thus, their thyroid tissue compensates by enlarging and forming a “goiter”.
Hi from Siem Reap
Cambodia Mission Trip 2009
We are in Siem Reap this weekend. The Temples are unbelievable from a history perspective. ‘Got some rain this afternoon but not for long.
To all you parents out there who have kids on this trip–what an awesome group!! They are some of the finest kids I have met in a long time. They are great travelers and so excited about the work they are doing. You are blessed to have them, be proud and I am blessed to be able to share this experience with them.
First Day at the Hospital…a Wonderful Team
Cambodia Mission Trip 2009
Today was our first day in the hospital. We were all anxious to see the hospital and to see what our roles would be. As the largest group Belmont has sent to Cambodia it was interesting figuring out where each person would go in the small hospital in order to balance experiences and staffing. The group began the day by touring the hospital areas including ER, OR, surgical ward, medical ward, pharmacy, outpatient clinic and chronic care facility. We met many of the staff who are familiar with the Belmont groups and they welcomed us graciously.
After we split up into groups, I took three students with me to the Emergency Room/Wound Care area. The emergency room is divided into four areas: triage, main ER, infectious disease, and wound care clinic. All patients admitted through the hospital are triaged through the ER. The day began busily with many patients waiting outside for triage through the ER and several patients already inside. One student was paired with a nurse in the infectious disease area where she was able to work with acutely ill HIV patients and patients suspected of having tuberculosis, meningitis and other tropical infections. Several severely ill patients came into this area who were admitted to the hospital. One young woman came in with a high fever, low blood pressure, tachypnea and decreased level of consciousness. After working with the patient, drawing blood, and admitting her it was later found out that she has septic pneumocystis pneumonia as a complication of late stage AIDS.
Hello from Chiang Mai, Thailand!
Cambodia Mission Trip 2009
After close to 40 hours of traveling, we arrived in Chiang Mai with jet lag and excitement as the realization that we had reached our first destination halfway around the globe began to sink in. I can’t begin to describe how surreal this whole experience has been thus far. None of the group meetings and discussions could fully prepare me for the shock of being immersed in another country and culture. It’s such a unique experience to not only be an ethnic minority, but also to have a complete language barrier between myself and those surrounding me. Despite the differences, it is obvious how valued respect is in this culture. I am reminded that I need to be just as respectful of their culture. As an outsider, it is so easy to judge their culture by our Western standards but God is constantly reminding me to keep my eyes open to what He has to reveal and the beauty of His creation even on the other side of the world. Please continue to pray that we would see Him revealed even in the small things on this trip.
Already today we have had incredible opportunities to explore this country as we recover from jet lag before heading to Phnom Penh. This morning we woke up and took a rather frightening hour long van ride on the left side of the road to Maetang Elephant Park. Motos here do not have their own lanes but instead tend to follow the fastest course, even if that means riding the dotted line between two lanes and several trucks. Once at the elephant park, we all got to travel two by two on our very own elephants through the foot hills in the Chiang Mai Provence. This countryside seemed to preserve much of the Thai tradition, including huts with thatched roofs on stilts in rice paddies. The guides were unbelievably hospitable to us and served us a wonderful Thai lunch including fresh mango! I think we’ve already been spoiled by the delicious fresh fruit Thailand has to offer!
Bangkok – A Familiar Layover Airport
Cambodia Mission Trip 2009
After two days in Chiang Mai, we jumped on another plan to get to Phnom Penh. Somehow, the airports and planes feel more familiar than our hotel room. We had a four hour layover in Bangkok. It apparently is our layover city for the trip. We spied the corner that we slept in on our way to Chiang Mai, and I was particularly grateful for the daytime layover. One of my personal favorite parts of the day was when we played cards to pass the time. We played Egyptian Rat Race and B.S. Brandon also taught us how to play Copi, a Libyan card game taught to him by a friend. We were being international all around. It was a fun time to make memories as well as remember home, for card games are a family tradition during my family reunions. Other memories were made as well. Christine bought a block-type Rubik cube that we all became obsessed with. Almost every person tried at least once, with Brandon, Billy, and Bounchan spending a good amount of our flight and layover trying to tackle it. The worst part of it was that the girl who sold it was five and could complete the puzzle in under a minute. We have yet to solve it. I guess that will be our entertainment for the rest of the trip.
Dr. Sharon Dowdy Talks About the 2009 Trip to Cambodia
Cambodia Mission Trip 2009
Safely Home
2009 Mission Trip to Guatemala
The Team arrived back in Nashville safe and sound in the early hours of Sunday morning. We had a fabulous trip. We are grateful for all the prayers and support and well wishes throughout the trip. We were so blessed by the experience and hope that we were able to contribute to the people of Guatemala in some small way.
Saying Hasta Luega
2009 Mission Trip to Guatemala
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We went back to the hospital on Friday morning to say goodbye to the staff. We had the opportunity to see the children again and help with their treatments. The OTs had an interesting experience. In Guatemala, when it is someone’s birthday, they set off firecrackers. So, Friday must have been someone’s birthday because firecrackers went off close to the OT room, but the OT students thought it was gun fire and they all “hit the deck”. After they realized that it was firecrackers, the staff and the students all had a good laugh! After that, the OT students and staff discussed the similarities and differences in their schooling and professional careers. They talked about using their resources and being creative to make whatever they need for therapy without funding.
The PTs treated some of the patients again, and then had a “goodbye” party with their new amigas and colleagues. They made traditional Guatemalan snack for us: tostadas. Our speech therapist, Gwen, fed a baby who was usually taking an hour and a half to eat. With Gwen’s help, the baby was eating in 20 minutes. The mother was so grateful! It was a great morning.
In the afternoon, we went to Antigua for “retail therapy” (tourism). Finally, we went to the Casa Santa Domingo for dinner. This restaurant is inside the monastery and hotel, where you must make reservations a year in advance to stay there. It was a perfect end to a beautiful week!
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Thursday’s Adventures
2009 Mission Trip to Guatemala
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Just Pictures
A Day of Change
2009 Mission Trip to Guatemala
Today the group that has been going to the hospital in the morning instead went to the university to take a tour and get more information about the physical therapy program. The other group that was at the Shalom School yesterday went to the hospital this morning. The group that went to the hospital was able to see some great collaboration between our PT’s and PT students and the Guatemalan PT’s and PT students. Today Judi, a PT from Vanderbilt, assisted a blind young child in walking. This patient was walking before we came to Guatemala but the PT’s were having a hard time figuring out the best way to assist him. With some great collaboration between all people involved he was able to walk.
Then there was a young boy that was using a walker incorrectly and again we were able to help the therapist by correcting the height of the walker and helping to improve his posture. Then we were able to experience and assist in a dance therapy class with patients in wheelchairs. We learned some dance moves and were spinning the children around in their chairs. It was a powerful, inspirational experience where we were able to see the children truly happy. There was a part of the class where we closed our eyes and just held the hand of the patient that we were dancing with and tried to connect just by touch, it was an amazing experience that touched all of us more than we could have expected. After the dance class we attended a lecture on malnutrition where we learned that over 80% of children in Guatemala are malnourished. The time today at the hospital was exciting and very encouraging because the knowledge that we have can be shared with others.
Our group was able to go and visit the university again. I was really impressed with their program that sends them t o rural areas in Guatemala. This experience challenges them as a PT and helps them grow as a person. Many of them have to travel through the countryside to help fellow countrymen that have never had PT before in their life. We were also able to go to the soup kitchen again and we served over 500 people last night. Our group felt more comfortable working with the staff and talking to the people that came through the door. Each time we have worked there I am touched by the faces of the people. As we were leaving, our bus driver was able to talk to two women who had come out of the kitchen. He started to talk to them about Jesus and God used him to lead them to Christ. We were all very excited about this news. One of the women was 80 years old.
Sarah Jo and Rachel S.
From Jack Turner
2009 Mission Trip to Guatemala
Yesterday,there was a woman at the soup kitchen complaining of pain in her arm, so I went and got Marsey. She asked the lady a lot of questions but we weren’t able to really pinpoint what the problem was, but we were able to give her an exercise to do at home that might help. She came in again and I asked her how she was doing. She said she had done the exercise we recommended at home and she had increased mobility and decreased pain already.
She was so grateful.
-Jack Turner
Making a Difference
2009 Mission Trip to Guatemala
This afternoon the local PT school (La Universidad Mariano Galvez) invited us to come and give a few guest lectures. Gwen, Judy, and Susan gave a lecture on the Interdisciplinary Treatment Approach and how occupational therapy, physical therapy, and speech pathology work together hand in hand. After the lecture a couple of the university students commented that in their clinical sites there is no corroboration between the teams. They both commented on how looking forward to being able to make a difference in their own clinics upon graduation. Great to see forward thinking!
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Day 2
2009 Mission Trip to Guatemala
First Day of Action
2009 Mission Trip to Guatemala
Monday March 9, 2009 – Our first full day…and it definitely was full! We were put into smaller groups, and were very busy! One group went to the Universidad Mariano Gavelz, which is the university for the physical therapy students. They were given a tour of the school led by its director, and were able to listen to a presentation led one of the students at the university. The school also has a clinic, and hopefully a group will be able to see patients sometime during the trip.
The other members of the team were at the Children’s Hospital. They were all given a tour of the facility led by the director of the rehabilitation area of the hospital. The Belmont OT and PT students observed treatment by the hospital staff and OT and PT students. The clinicians assisted with some treatments; one of the PTs on our team gave a presentation on NDT, a specific treatment technique. This year we have our first speech therapist on the team; she also observed the therapists and assisted with treating the children and parent education.
This year we had the awesome opportunity to volunteer at The Lord’s Kitchen, a soup kitchen that serves approximately 400 people in a two hour period each day. Some served food, others washed dishes, wiped tables, and cleaned the facility after dinner.
Even though our days will be packed, we know it will be worthwhile at the end of the week. Adios!
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