00:15
[Music]
00:31
I think we're ready to go
00:44
[Music]
01:08
when we first began there wasn't a lot
01:10
of infrastructure so basically we would
01:12
get on a plane and go down to a hospital
01:15
in the capital city of beliefs that we'd
01:17
formed a relationship with so it was
01:19
very very basic at that plane and it was
01:22
just him and I at that point
01:25
the first trip was was difficult it was
01:29
logistics were very difficult and just
01:32
getting from place to place and making
01:35
sure that we had the equipment and we
01:36
needed to have I experienced something
01:39
new down there which was simply talking
01:41
to somebody for 10 minutes and giving
01:42
them your time and saying I'm listening
01:44
to you let me see what I can do to
01:46
provide advice even if it's not operate
01:48
it meant the world to them so some
01:51
background there is really one urologist
01:54
in the country of police and so to put
01:56
that in perspective they have I believe
01:58
over three hundred thousand people in
02:00
the US we tend to have about a minimum
02:05
of neurologists per 10,000 people what
02:07
was more notable was yes there were
02:10
complicated surgeries that needed to be
02:11
done but there were also very basic
02:13
surgeries that weren't being done that
02:17
in the US will be done as an outpatient
02:19
in five minutes but down in beliefs can
02:21
cause lifelong disability or even death
02:24
and that was really shocking to me
02:28
suffering from being in her bladder warm
02:37
right he ate we came we came to
02:39
emergency here for the director because
02:42
the mostess and they referred us to if
02:44
you guys were constant actually I was
02:46
peeing myself constantly that I had to
02:49
walk wrong with a big purse with pads on
02:53
and every minute I had to change my path
02:55
I guess you were just coming down the
02:58
line
03:06
[Music]
03:14
at the beginning of the week we all meet
03:17
and our first day is basically spent
03:19
inventory the equipment getting it
03:21
unpacked so it takes several hours to
03:30
get the equipment unloaded make sure we
03:32
have what we need for the clinics and
03:35
the operating rooms and so that's
03:36
typically the first day and then we have
03:40
a big clinic
03:53
friend seven minibar when we arrive we
04:06
typically say clinic of anywhere between
04:09
30 and 70 patients just depends one who
04:12
shows up and after we've seen all the
04:14
patients generally the surgeons whether
04:16
it's Dave and I or whoever else is there
04:18
we will take all of the patients that
04:21
we've seen that our surgical candidates
04:23
and we basically triage them and we say
04:26
which ones are the most critical which
04:28
ones are the ones that we are going to
04:29
be able to make the biggest change at
04:32
the end of each day we call the patients
04:35
that are on the schedule for the next
04:36
day and let them know and then we
04:38
operate generally for four or five days
04:42
and we do as many cases as we can
04:49
right
04:56
sorry back down
05:05
probably still livable
05:09
over the years we've developed a
05:11
standard team for each mission again it
05:14
is a surgeon or two typically two
05:17
surgeons and anesthesiologist a scrub
05:19
nurse and a circulating nurse we learned
05:23
how to do it their way we that there's
05:26
not an infinite number of supplies we
05:29
had to process stuff in ways that I've
05:33
never done things before and we get so
05:37
used to being in this disposable society
05:39
that we live in where we throw
05:40
everything away there they save and
05:42
reuse and and of course working with the
05:44
local physicians has been critical now
05:46
we have the support of local guide
05:49
oncologists in particular that I work
05:52
with and residents their residents most
05:56
importantly follow these patients
05:59
afterwards make sure that their hospital
06:00
stay is is optimized are responsible for
06:05
seeing them afterwards and that's that's
06:07
really critical if for some liquids this
06:10
morning so yes she does
06:13
tomorrow's when they regularly
06:17
so every morning we do is we take all
06:22
the patients that we we operated on
06:25
yesterday and we go do rounds where we
06:26
see them make sure that they're doing
06:28
okay and we'll come up with a plan for
06:30
that for that day you actually have a
06:32
big you letting growth down they're
06:35
benign not no cancer but you had a big
06:38
pocket that was coming off your urinary
06:42
tract and had a lot of stones in it yes
06:44
where are they
06:47
without souvenir
06:50
[Music]
06:56
there were actually this is roughly half
06:59
there probably so this is what was
07:05
causing the connection and that's why
07:07
you leaking all the time but we were
07:10
able to where are you going to put that
07:11
at your house here he's home
07:15
well on this last trip we had two
07:18
missions running simultaneously so one
07:21
was up in Belize City and one was two
07:23
hours south and on griga and that was
07:25
really exciting because a lot of the
07:27
people in Belize can't make the trip up
07:29
to up to police and so we had for our
07:32
first ever mission there but we chose to
07:35
do them simultaneously you taking care
07:42
of they'll be like I said oh there's
07:43
gonna be a little cut right there I'm
07:44
gonna sew everything up there'll be some
07:46
bandages on there
07:47
okay no I got one already okay well
07:50
there's gonna be a bandage over that and
07:53
you just take that off after 24 hours
07:56
tomorrow you can take that bandage off
07:58
underneath there'll be some paper
08:00
bandages leave those alone if they fall
08:02
off they fall off that's fine I'm gonna
08:05
give you some antibiotics for three days
08:06
and you just take ibuprofen you can get
08:09
that in the pharmacy ibuprofen 600
08:12
milligrams twice a day
08:14
[Music]
08:20
[Music]
08:29
one-eighty
08:31
[Music]
08:47
that's a big one here
08:57
one day we got a call from the doctor
08:59
down in Don griga saying that the camera
09:02
didn't work and that camera was
09:04
necessary for bladder surgery we have
09:06
endoscopic cameras that we take out
09:08
bladder tumors with and do prostate
09:09
surgery and they're actually absolutely
09:12
critical for our surgeries but we also
09:14
got a call from that doctor saying that
09:16
he had a patient that needed a more
09:18
complicated kidney removal that couldn't
09:20
be done down there because of the
09:21
resources it's better not to use the
09:26
equipment that I have unless I can get
09:29
something different with diabetes I
09:32
don't want to put you at increased risk
09:33
because that can increase the risk of
09:34
infection and I had some trouble with
09:37
this last one just because of the
09:38
equipment so what I'm gonna try to do is
09:39
one of two things either may go do the
09:42
Belize City he's there and we they have
09:46
some equipment there or I might have
09:48
them ship it down I don't know just yet
09:50
but I don't think it's safe to do it
09:52
today okay so we then arrange for him to
09:57
get on a plane fly up and that patient
09:59
to meet us up in Belize City so that
10:03
that big surgery could be done but at
10:05
the same time that physician told us
10:07
that there were three surgeries female
10:10
pelvic surgeries which is my specialty
10:12
and I was up in Belize City but they
10:16
needed to be done in done griga so I
10:18
jumped on a plane got down there that
10:20
night and operated on those patients the
10:22
next day so that was a lot of bouncing
10:28
around and I think that that is very
10:30
common Freese trip so a lot of what we
10:33
do down there is kind of navigating
10:35
different things and trying to make them
10:37
happen
10:37
and we do the best we can
10:38
[Music]
11:12
again I'm happening it was a very smooth
11:15
surgery this is gonna do great just
11:16
please make sure that she rests stress
11:20
it while it's healing a big letdown okay
11:24
all right I'm gonna go back with the
11:27
next case but it was real nice meeting
11:29
you and doctors come here to help the
11:39
sick people that's a big help for us
11:42
because for example a surgery some
11:45
surgery cost eight thousand ten thousand
11:48
dollars in a private clinic and
11:51
sometimes you can afford to pay that now
11:54
I feel really good like it's nothing
11:57
happen breathe I don't have no pain that
12:02
is really good I would really like to
12:05
see see this charity grow I think we can
12:09
accomplish tremendous things if we had
12:11
more resources I would love to expand
12:14
our mission reach in Belize to include
12:17
more of these rural communities I think
12:22
there is so much room to grow the
12:24
surgical infrastructure through building
12:27
operative facilities and providing
12:29
equipment that could really change the
12:32
lives of many I think at this point we
12:35
are considered to be an invaluable
12:37
resource to them coming down there it
12:40
started out with just two guys trying to
12:42
come down and do what we can and now I
12:44
think they rely on when our services and
12:47
it's at the point where we've been able
12:49
to expand and send multiple teams down
12:51
there now multiple times per year and
12:53
hopefully we're going to be able to
12:55
expand into other countries and other
12:57
regions it's amazing what they did for
13:00
me
13:00
but man a thing did you know did a
13:04
surgery and now I'm free and you have to
13:07
walk around with a big purse and I don't
13:09
even have to wear panty liners some do
13:12
rates including my red car funny no
13:16
accident some very happy about it I
13:18
really appreciate your help guys
13:21
I hope that you guys can come back on
13:24
car putters
13:25
[Music]