Time lapse video of surgical case at Moore Pediatric Surgery Center, Guatemala City. Umbilical hernia repair with Dr. Sanchez and Dr. Fausto. Dell Children”s Global Surgical Outreach team from Austin, TX, USA.
Dell Children’s Medical Center in a partnership with the Shalom Foundation was proud to send its first team of nineteen to The Moore Pediatric Surgery Center in Guatemala City in December 2012.
Julie Sanchez Pediatric General Surgeon
George Seremetis Pediatric Urologist
Meena Iyer Pediatrician
Wayne Porter Pediatric Anesthesiologist
Les Garson Pediatric Anesthesiologist
Jeff Klein Pediatric Anesthesiologist
Nola Ray Pediatric Nurse Anesthetist
Dan Ernst Pediatric Nurse Anesthetist
Katie Patten OR Nurse
Sheri Valencia OR Nurse
Leilani Briseño Surgical Tech & Administrator
Sara Jones Surgical Tech
Dinah Olguin Surgical Tech
Wanda Whitaker Surgical Tech
Mary Kay Lauden Pediatric Nurse, Pain Service
Alma Ojeda Recovery Nurse
Delores Garza Recovery Nurse
Brigham Cook Pharmacist
Kevin Sweeney Photographer/Blogger
And special thanks to Dr. Tory Meyer for all of the administrative work. We missed you on the trip.
Photographs of the team from our December 2012 surgical mission trip to the Moore Pediatric Surgery Center in Guatemala City.
Photographs from the last day at the Moore Pediatric Surgery Center.
On our last day of surgery we got an early start. Dr. Seremetis arrived early to start a hypospadius that was bumped from the day before. We’re trying to get at many cases done as possible but time and supplies are limited at this point. Patients have done well after surgery. Pain medications and fluids are helping for good initial outcomes allowing most patients to recover well and be discharged quickly. While the team is tired there is an energy reserve since this is our last day to help people. We’ll push through and do as much as we can with the time we have.
In total the team performed 61 cases. Dr. Sanchez considered it the A-team from Dell Children’s because everyone is highly skilled, motivated, hard-working and in sync. Having a team that is familiar and responsive makes the operating and recovery rooms run efficiently and attentively. When a team runs smoothly, the cases get done without staff burnout or errors.
Dr. Porter observed that it is amazing how two teams can mesh together so well to get so much done. The Moore Center has a great place but needs surgeons and our surgical team is willing to help and in need of a quality environment. Because of the exceptional nature of the surgery center, our team was able to outperform its expectations. And it is extremely important that the Moore Center will follow-up with patients after we leave and continue patient care.
Our team couldn’t have done it without the staff and volunteers at the Moore Center. We have to give a big thanks to the physicians, residents, nurses, translators, and drivers that supported our team every day. The Shalom Foundation has created a wonderful environment for patients and surgical teams and we look forward to returning next October.
View more photographs from Day 6
Photographs from Day 5 of the DCSGO surgical mission to Guatemala City.
Read updates from Day 5.
Photographs from Day 4 of the DCSGO surgical mission to Guatemala City.
Read update from Day 4.
Today the team packed up and left Guatemala City for the colonial town of Antigua. It is a picturesque town with cobblestone streets with a views of two volcanoes. This is is the first chance many of our team has had to really get out and see a part of Guatemala. Even though Antigua is a top tourist destination it has a quiet pace and lots to look at. We all split up to explore the city as we wish with many going to the artisan market to shop for gifts. Some ventured out to witness la quema de diablo, a ceremonial burning of a devil. The statue was ignited in front of a large crowd and supervised by the local firefighters. Traditionally paper mâché devils are burned on December 7 at 6 PM. It is supposed signify getting rid of all the bad things to prepare for the new and in anticipation of the feast of the Immaculate Conception. The ritual was accompanied by fireworks, firecrackers, a band, and street vendors. A group had dinner in the roof if Sky Cafe and watch the fireworks above the Antigua.
It was nice to unwind a little and get some local color. We head home to Austin on Saturday. Everyone is eager to get back to family and friends and hopefully we will all have lots if stories to tell.
This is the first trip for the Dell Children’s Surgical Global Outreach team. The first priority is of course providing care for children who otherwise wouldn’t have access to it. But popping in and out of Guatemala to do surgeries doesn’t help the system. So we are taking notes, seeing what works and what doesn’t, providing ideas about the processes. Behind the surgeries are procedures, management of resources, documentation, organization, and education. One item of emphasis for our team is also education. Our hope is to transfer our knowledge of best practices in Austin to the staff and patients in Guatemala City. For instance our team talks to families about child safety, proper diet, child advocacy, infection control, hydration, pain management. The Moore Center has a wonderful staff and outstanding facility and together with the DCSGO team we hope to help improve processes and communication that lead to the best care possible.
View photographs from Day 5.
On the second day of surgery the operating rooms were running more efficiently. Dr Sanchez had two rooms going one after the other, mostly hernias. Dr. Seremetis worked through lunch and late into the afternoon doing hernias, orchiopexy, phimosis, hydroelectomy, and an add-on cystoscopy. All in all twenty cases from two surgeons and three operating rooms.
There are two waiting rooms at the Moore Center. The main sala de esperais a large room and a place of transition and interaction. Family members wait to be registered or wait to be discharged. Everyone passes through here in there way to play in the courtyard or to the unit. It is a congregation point as well as an arrival and departure point.
To enter the surgery waiting room you must pass a line in the floor that says no pasar and put on sterile gowns, hats and shoe covers. It is set up in a small room outside of the chapel room and illuminated by a large wall of glass blocks. The conversation in this room is quiet. The people waiting to go to surgery have different thoughts than those waiting for a child already in surgery. Here there is a nervous unease behind the smiles. There is a sensitivity to sounds and their meaning. This is a different kind of waiting. Waiting for the elevator to open. Waiting for the doctor to see you. Wondering when your child can eat. Waiting to be taken up to surgery. Handing your child off to a trusted stranger to preform surgery. A child’s dismay upon separation. Tears. Many prayers. Quiet tears. Waiting for news, any news about your child. Wondering. Waiting. Then hearing the news post-op and seeing your child. Sometimes still in pain or afraid. Sometimes like new and smiling. Always happy to see mom or dad. Thankful.
Above the quiet, surgeons, techs, nurses, anesthesiologists, methodically prep perform surgery, and comfort patients. One after the other, as fast as they can. Though the patients are in surgery and recovery for a relatively short time, it seems like an eternity for the parents.