December 2012
UNC Charlotte Publication
Mobile Surgery in Ecuador: A Summer I Will Always Remember By Anna Bawtinhimer
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own on, sandals covered, mask in place—patient number fifty-five was ready for her operation; all that remained was loading her in the van. One year ago, I would have been in complete disbelief if you told me I would be spending my third summer interning in Cuenca, Ecuador with a mobile surgery unit. The Cinterandes Foundation, founded by Ecuador’s former Minister of Health, Dr. Edgar Rodas, is a non-profit organization that provides free or low cost operations to local underserved communities. For six weeks this past summer, I was able to shadow and observe a variety of rural healthcare settings including local public health centers, regional hospitals, and native communities with the mobile surgery unit. Through school-based community health fairs, home visitations for shut-ins with pneumonia, vaccination outreach programs, and rural medical expeditions, I was able to witness the healing power of medicine on a personally engaging level. While emergency cesarean and orthopedic operations were remarkable to observe, the most enjoyable parts of my experience abroad, however, were becoming immersed in a foreign culture and learning about rural healthcare outreach programs.
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s soon as I got off the plane at the airport, I realized family and community were prominent parts of life in Cuenca. Every day I would be greeted with kisses on the cheek from aunts, uncles, grandparents, and cousins. At first, it was a bit intimidating for this firm hand-shaking American to experience such open affection with strangers, but gradually the overwhelming love and interdependence of the family and the events we shared together would become some of my most cherished memories. I learned to cook (or at least attempted to) local cuisine, salsa dance, and tell jokes. Weekends were spent shopping with the family, hiking Cajas National Park, or touring Incan ruins. Local open-air marketplaces became popular destinations, and by the second week, I felt right at home in my Andes Mountain house.
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y personal education through cultural immersion was incredible, but I’d have to say the preAnna Bawtinhimer with professional medical Dr. Edgar Rodas, President of encounters I was able The Cinterandes Foundation to observe were the highlight of my experience abroad. Some of the most lifeenhancing moments I had were those spent interacting with surgeons and patients during the medical missions. The native communities we visited were dependent on healthy farmers and fishermen. As the towns were isolated from hospitals, medical conditions requiring even minor surgical interventions often remained untreated and worsened. In two weeks, volunteer surgeons through the Cinterandes Foundation conducted fiftyfive minimally invasive operations including laparoscopic cholecystectomies, lipoma excisions, and hernia repairs. The extreme gratitude of the patients and hospitality the entire community showed to our medical team was sentimental and extremely humbling. I knew I wanted to pursue medicine before going to Ecuador, but after witnessing first-hand the healing power of healthcare in clinics, hospitals, and the back of a surgical van, I am certain I am called to become a doctor. I will continue to strive to become the quality physician and humanitarian Dr. Edgar Rodas has inspired me to be, helping the underserved in our own backyard.