FCO/HSM Belize
Eye-Care Mission 2013
So this trip wasn’t exactly a triathlon, marathon, or cycling event, but I thought it was definitely blog-worthy. In a lot of ways it was almost identical to an athletic event………………..Waking up very early, monitoring hydration/electrolytes, and constantly eating cliff bars, haha. This trip was put together through a collaborative effort between the Fellowship of Christian Optometrists, His Servants Ministry (HSM), and Kentucky Optometrist Dr. Lee Peplinski and his wife Rayanne Peplinski. Having led the trip for the last few years, the Peplinski’s had a lot of knowledge and experience to share with us. The team included The Peplinskis, Dr. Jim Luckett and his wife Lois, and two 1st year students and eight 2nd years from our school. We were thankful to have much of our required supplies for the trip donated to us from various companies. These included all of the medical eye drops (steroids, antibiotics, allergy, tears, and glaucoma), plus readers, sun and safety glasses. The HSM organization did a lot of the work organizing and promoting the clinic sites well in advance. Each clinic site was located at the main church building within each village we went to.
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| Johnny, Emily, David sorting all of the sun and safety glasses |
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| Kim & Erica sorting all of the drops that were donated |
Within the villages we served, English and Spanish were
mainly the languages spoken. At our 1st clinic site in Maya Mopan,
the patients spoke Mayan as well.
Throughout our week at clinic there was a trend in ocular
findings within our patient population. This mainly included hyperopic
astigmatism, pterygium, and nuclear sclerotic cataracts (all conditions
associated with unprotected sun exposure). We also saw patients with diabetic
retinopathy, and glaucoma, averaging over 140 patients per day overall. The
entire country of Belize has only 4 practicing Optometrists, so many of these
underprivileged people do not have access to eye care despite the progression
of various sight threatening diseases. Patients with advanced cataracts,
pterygium, and diabetes were referred/scheduled to have surgery the following
month when an Ophthalmologist would be available.
| Belize 2013! |
Day 1: Assembly
Church - Maya Mopan
We figured out how to arrange the layout to accommodate each of our stations. Our stations included a check in/dispensary, visual acuity, refraction, and ocular health. Some patients didn’t need to visit each station, so we always had a team member triaging the waiting area in order to provide care more efficiently.
| Our check in/out as well as dispensary where patients picked up their glasses and any eye drops they needed. |
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| Dr. Luckett managed to find some Kentucky fans, all the way down in Belize! |
| Dr. Luckett holding down the refraction lane |
| Retinoscopes, lens racks, and trial frames oh my! |
| Quick slit lamp exam |
Day 2: Nazarene
Church – San Roman
Today went a lot smoother than last now that we had our
rhythm down and a better understanding of teamwork & patient flow.
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| The Village of San Roman |
| Johnny & I hanging @ the dispensing station, a little slower pace than our previous day @ ocular health |

When the kids got out of school, we had a big group come to have their eyes looked at. Liz and Johnny making time to hang with a few of them......
| Sunglasses separated by gender, artificial tears for all the dry eyes. |
| David taking a look in w/ the ophthalmoscope ".3 nerve, clear macula, good to go!" |
Day 2's clinic was also about a 45 minute drive from where we were staying in Hopkins. Long, winding dirt roads, props to Dr. P for navigating less than ideal driving conditions!
| Kim checking pressures |
| Dr. P doing a quick slit lamp exam |
Day 3: Community
Centers- Placencia and Seine Bright
(Team split @ 2 sites)
Today our team was divided in two, in order to serve @ 2
different clinic sites. Other than having to separate all of our limited
equipment among the two groups, this day went very well.
| "Team Marvelous" |
| Patients waiting for the next station........ |
| Ok, what's the smallest number you can see w/ your right eye? |
| David checking visual acuity |
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| Lots of massages were given on this trip, after spending long days in less-than ergonomic positions giving eye exams.......... |
Day 4: The Sentar –
Independence
This day brought some of my most humbling clinic
experiences. We dealt with several patients who had advanced Glaucoma
(irreversible blindness), where all we could do was send them home w/ dozens of
medical drops in hopes of preserving their last bit of sight for another few
years. Had we seen them sooner, their slow loss of vision could have all been
prevented. It was hard to tell these people their circumstances, especially
because they were under the impression a simple pair of glasses was all they
needed.
| Upon arrival we had a nice crowd already lined up to greet us |
| Courtney taking case history |
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| Johnny takin a closer look, getting far out into the periphery w/ the BIO. |
| Emily taking pressures w/ the I-care Tonometer |
Day 5: Pastor
Herdie’s Church – Hopkins
This was our 5th and final day, which we were all both happy and sad about. Seeing that we were staying in Hopkins, our commute time to clinic was all of 5 minutes, a good change from the 45min to an hour commute each day prior. One unfortunate case (interesting to us students) was a patient with Usher’s Syndrome (slow loss of peripheral vision accompanied w/ deafness). We also saw more severe glaucoma and diabetic patients as well.
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| Not your typical Optometrist's office : ) |
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| David double checking things w/ Dr. P |
| Emily takin a look inside with her Oscope |
| Emily, Kim, Johnny, Erica, Kevin, Laura |
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| Erica & her new friends |
| After our 5th and final day of clinic, looking forward to taking a breather! |
Day 6 :
Fun/Rest/Relax Day
So we ended up having the last day of our trip (Saturday) as
an opportunity to explore Belize and partake in any fun activities we wanted.
Some of the team went zip lining, some went rappelling down a 1000ft waterfall,
and some of us just stayed at the beach and relaxed.
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| David, Kim, Courtney, Johnny, and Dr. P, after their waterfall repelling adventure |
After a week straight of
16 hour days, I opted to sit still on the beach and do absolutely nothing,
haha. I wasn’t alone and joined a few others from our group doing the same. We
also came across a few rare hamburger seabeans and which are “good luck” tokens
washed in from sea, also used to make jewelry www.seabean.com
.
| Sometimes the best activity to do is nothing at all : ) |
Later that afternoon, the ocean was very calm, almost glass-like, which made
it hard to resist going for a swim (and trying out my new Garmin triathlon
watch). I recruited Emily to be my kayak chaperone as I proposed a 1 mile ocean
swim, parallel to shore (.5mi out, .5 back)
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| Map uploaded from watch, after the swim! |
The 1st half of the swim went great! I stopped to
stretch and hit the Gatorade before heading back, all was well. Within just a
few moments of swimming back out to meet my kayak leader, I felt a sudden,
intense stinging sensation across my face, ear, and left arm. JELLYFISH!!!
There was no second guessing if I was getting stung or not, this thing was as
obvious (and invisible) as possible. Determined to finish, I continued to swim
back, luckily avoiding any of his siblings. For the remainder of the night, I
walked around looking like Rudolph the red nosed reindeer………..not cool!
| Carla, thanks for cooking for us each night! |
Overall, we had an amazing experience on this trip. Despite
the relentless mosquitoes, sand fleas, scorpions and geckos, I feel like we all
came back with new perspective. Several members of our team had asked me what I
learned in the last week. Aside from the confidence boost in my clinical skills
and judgment (and the fact that you can never carry enough cliff bars!), I walked
away learning how to better appreciate life. 99% of the 700+ patients we saw,
despite how poor or unhealthy, were always smiling and seemed so content, and
happy.
| My front yard for a week......... |
| Another one of the beach huts our team stayed in |
| David, Johnny, and I on our 1st day there, Naive to all mosquitoes & sand fleas as we wear shorts. All proceeding days we wore pants and sweatshirts for protection.......... |
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| As a treat for our last night in Belize, the Peplinskis brought in some authentic Garifuna musicians to perform for us |
| Dr. Luckett & Emily shopping with some of the locals selling their jewelry and pottery "Will you accept sunglasses & artificial tears over cash?" |
We took a detour en route to one of our clinic sites and stopped to see what coconuts tasted like......
| Care to try some coconut? |
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| Sure! |
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| One just wasn't enough for Emily! |
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| Back @ the airport on our way back, Kim coping w/ bug bites head to toe while I embrace an extra large philly cheesesteak w/ fries |
Dr. Jamara, Tiffany Khong, Dr. Patel, Brian Nguyen and
VOSH, Heine, Keeler, Dr. Scott, Dr. Fisch, Barbara
McGinley, Camille Ruan, Dr. Farkash, Dr. Comerford,
Dr. Thorn, Dr. Potaznick, Dr. Contardo, Dr. Haney,
Hilary Mota (Absolutely Delicious), Matt & Kim©, Diana
Vivirito, Jungle Jeanie’s Hotel and Resort, Cindy Grant,
Kathy Kantor and Lombart Instruments, The Lions Club
and District 33K, Restoring Vision, Bausch & Lomb,
Alcon Laboratories, Allergan USA, Merck, The Home
Depot, The National Braille Press, Hilco/Wilson
Ophthalmic, Jennifer Daugherty/Thirty-One Gifts,
Chipotle, Starbucks, Zinga, Cafeteria on Newbury, our
classmates and fellow optometry students, the previous
teams and their leaders, the supporting friends, families,
and loved ones. Thank you for believing in this trip!















