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Coming upon poverty reminds us of our own fortune; knowing our own fortune reminds us to treasure it
August 10-12 2007 in Bolivia

By Meishiang Hsieh

Considering my own endurance and adaptability, I had long been hesitant to participate in any international disaster relief lest I, myself, became a liability for the team. However, I gradually gained more confidence in my own physical conditions by scrapping through larger and longer workshops in the last two years. It has also dawned on me that if I don't grasp the ever-shrinking opportunities with my age, I may find regret at the very end.

Inspired by Sister Hui-Ru Lin & Dr. Xu's fifteen oral hygiene training sessions in the Northern California branch offices, I signed up for Bolivia Disaster Relief. With my minimal study in Spanish, I translated the PowerPoint oral hygiene educational materials into Spanish. In the short span of my translation, helping hands emerged one after another, and the mysteriously opportune moments made me perceive the meaning of "Believing that one can avoid selfishness, and believing in the love and care of others."

Through tremendous help from three Mexican Americans in our continuous effort in translating and proofreading, each PowerPoint slide had a verbal translation attached. These translators are our angelic helping hands appearing at the perfect time. We gave these USB-based oral hygiene care kits, compiled before the outreach, to the local dentists as their educational material when we left Mairana, Bolivia. To our greater delight, our Tzu Chi volunteers in Argentina and Paraguay also needed this material. We hope our initiative will induce more participation to its continuous improvement. The joy of this work is beyond description.

Retracing Our 3-day Free Clinic Activities

Closing my eyes on the plane back to the US, I mentally replayed blow-by-blow the activities in the last three days. I saw villagers drawing out long lines back-to-back under the scorching sun, waiting for free treatment and supply distribution.

Most people's skin was engraved by perennial exposure to the hostile climate, women wore braids under their hats and their feet were covered in thick calluses. Their body odor was the result of their poverty and the lack of sanitary facilities. My mind was also full of pictures of infants wrapped tightly in baby sling, who later grew into bare-foot children laden with dried snot on the face and decayed teeth in the mouth.

I started from San Francisco International Airport at around ten in the morning on August 8th 2007. I missed my connecting flight in Houston because the airport was too big and I had only less than 34 minutes to go from one terminal to the other. I was close to tears when seeing the gate to my connecting flight closed in front of me. In the first place, I had worried that my luggages, loaded with disaster relief kits, might not be able to make the transfer flight, but it turned out being my person who missed the flight. While waiting for the next flight, I noticed that the person sitting next to me looked Latino. After self-introductions, I found that he happened to be from Bolivia, so I asked him to record the last section of the Spanish version of the oral hygiene. My little inconvenience in missing my connection flight turned out to be a great benefit to my work. It was already 11:40 pm when I arrived in Miami. Thanks to Brother Tsai & Sister Shu to pick me up and take me to their place to stay for the night. The whole team convened at nine next morning. At our destination Santa Cruz airport, the media was already waiting outside. Thanks to our forerunner team, we smoothly checked in the hotel in darkness after midnight. Regardless of what time it was, we had to get up at 4 and set out at 5 in the morning.

Early in the morning on August 10, our car reeled through the winding mountain road. It was already broad daylight when we arrived.

Expecting to be greeted by excited villagers, I envisioned the grand-opening local hospital to be a tower block with air-conditioning, all kinds of medical devices, and disinfectants. But, the reality fell far from my expectations.

The free clinic was held in the hospital as well as the elementary school's classrooms. Supply distribution took place in the middle school's gymnasium. At either place, people had to wait outside the gate for security reasons. The anxious crowd, bearing the scorching sun and lining up close to one another with expectant faces, made me feel deeply sorry for them.

Once we arrived at the hospital, everyone started to set up equipment based on their individual assignments. Due to the difference in voltage, we had prepared transformers and converted two-prong connections to three-prong ones. Every step was successfully completed through perfect teamwork in advance. I felt the instant appreciation when I finally saw the oral hygiene pictures projected on the wall.

After putting his posters on the wall around where the patients were waiting in line, Dr. Xu, the dentist in our team, spontaneously took this very opportunity to interact with the patients and showed them oral hygiene tips. In watching him administer his ever-ready demonstrating how to brush teeth either one-on-one or in a group, it dawned on me the importance of interpersonal interactions in our Dharma practice. Yet he is a practicing Christian, and his wisdom and modesty are truly respectable.

Led by Dr. Xu, we carried our tooth brush and backpack next day to the primary school's classroom in another free clinic area. In order to avoid interfering with the free clinic activities, we conducted "mobile" oral hygiene teaching amongst different departments of the free clinic wherever time and space allowed. Our first visit was in Pediatrics, where we showed children how to use the soft brush. With a 45 degree angle, the right way to brush is circling the brush from inner side of the gum to the outer side, gently massaging every gum and naturally keeping the brush at its proper place.

A lot of adults only had 2 or 3 or even no teeth left, making us feel frustrated and helpless. Our experience accumulated over time; we learned how to size up the patients. For the elderly whose cheeks were concave from missing teeth, what they needed were dentures. Oral hygiene needs to start from a young age. So, we looked for kids to demonstrate to them. To our surprise, most kids' molar teeth had been emptied from decay. Endless questions arose in mind, such as "if they had ever brushed their teeth?" "Were they too poor to afford toothbrushes and toothpaste?" No wonder most adults have no teeth at all.

Interactions with Children

It dawned on Brother Stephen Huang when we were folding the Spanish version of "Still Thought" paper that we should ask the children to help us. Using basic Spanish, I asked the children for help. We then gathered more children around to practice the song "The Three No's". Accompanied by Dr. Shi's keyboard, sadly discordant, the kids resounded sincerely without hesitation. I believe the meaning of The Three No's in Spanish "There is no one that I don't love, there is no one that I don't trust, there is no one that I don't forgive" has ingrained in all attendants' mind. At last, we distributed Dr. Lin's gifts from New York of stationery boxes to the children. The line for this gift got longer and longer after a while. This gift attracted children and adults alike, and even the local work staff hoped to get one.

Free clinic and neighborhood visits

Dr. Hui-Ru Lin convened all the local dentists and asked Dr. Xu to offer them oral hygiene education. The emphasis is to infuse the community with prevention knowledge. Hopefully, the local dentists can educate the general public about the right way to brush their teeth. We were glad that we could give them the Spanish version PowerPoint slides for their future reference.

The neighborhood visiting was led by two local councilmen. The first household was located in a disheveled house made of dirt with the meager size of ten square meters. Nine people took two beds; the kitchen was outside. Both parents were out working at their temporary jobs, and the barefooted children at home were aged from three to twelve. We gave them the rations and then taught them how to use toothbrushes and tooth paste. With their stark conditions, I wondered how the local volunteers could possibly follow up after our initial outreach.

When seeing their sheer poverty, I became very appreciative of what I have: Coming upon poverty reminds us of our own fortune; knowing our own fortune reminds us to treasure it; we must be assiduous in spreading further good fortune.

After word

Thanks to the tireless effort from brothers and sisters in the forerunning team to look after us during the outreach. Thanks to the volunteer cooking team to prepare abundant food which we accepted with great indebtedness.

Sharing by Meishiang Hsieh


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