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TDC News September 2011 |
When It Rains, It Pours Liberia has only two seasons: dry and rainy. Like many things we find in Liberia, the season's names are as literal as they possibly could be. The birds here that show up at Christmas time (White Egrets) are called "Christmas Birds". The trees that are used for telephone poles are called… "telephone pole trees". No Fall, Summer, or Winter (definitely no winter!). Dry and Rainy. Right now, we are about to come out of the rainy season, which has no official dates, but the best we can put together after being here for six years is about mid-April to mid-October. One thing common to the rainy season (obviously apart from the rain that makes Monrovia the wettest capital city on earth) is poor health. More rain means less work for people. Less work means less money, which means less food. Combine less food with cooler temperatures and poor living conditions including leaky roofs and you've got a lot of sick people. |
It is only a theory, but dental infections during rainy season seem to become more serious more quickly. For months, all seemed a bit calmer in the dental world and we felt as if we were making a huge impact in the dental health of the nation until…the 'rainy season theory' seemed to be verified. Severe swellings and infectious cases began to walk through the door at a rate that seemed unmanageable at times. In just a few weeks, more patients presented with dental infections that damaged large portions of their jaw (osteomyelitis) than had presented in the previous three months combined. |
At the end of the month, Dr. Keith will have the opportunity to travel to Leicester, England to give a report to the Christian Dental Fellowship. He'll be giving an update on the clinic, its progress and future, and will be able to catch up with several old friends who have volunteered with us in the past or with whom we worked in the Mercy Ships' dental clinic. Hopefully we will also raise a lot of interest for more dentists to come to Liberia and serve with us! Here are some encouragements we received by e-mail and Facebook about Trinity Dental Clinic: From an American teacher working in Liberia . One of her students was a young lady who suffered some trauma and lost one of her front teeth and chipped another: "I cannot tell you how many times in the past 48 [hours] I have thanked God for you and the fact that you chose to practice here in Liberia! I am terribly upset that this student sustained this injury on Thursday!!!! I cannot even tell you. She is a beautiful girl and just the night before the field trip [my husband] commented on her beautiful smile as I was showing him some pics of the kids. As you may know Sarah lives with her uncle and has not seen her parents who live in Buchanan for over 4 years. This makes me especially concerned about her emotional well being. I know she misses them so much. I am just so happy that you were in town and were able to address the issue so promptly. I am so happy that there is an option here for this young girl to have a replacement tooth made." From a young man who was in a terrible car accident and broke his lower jaw in two different places: "THIS IS THE PLACE THAT GOD SAVED MY LIFE!!!! IT IS WONDERFUL EXPERIENCE TO GET TREATMENT HERE....DOING A GREAT JOB- HEALING AND TRANSFORMING LIVES BY THE SPECIAL GRACE OF GOD" Thanks as always for everyone's prayers and support. |
One particular form of this condition in the front of the lower jaw has been very prevalent this rainy season. The gentleman shown here is one example. The image on the right was only one week after his surgery. Although osteomyelitis is well known in the medical field, this particular presentation in the mouth is highly undocumented. |
Trinity Dental has aided in a study, still in process, with a Norweigan Oral Surgeon, Shelley Godtfredsen, Mercy Ships, and Harvard Medical School, analyzing a similar form of this disease more common in the back of the jaw; and now we have begun to collect data and samples for new research to try and discover what factors might be behind this presentation of the disease in the front of the jaw. Patients often lose half or even all of their lower teeth from an infection stemming from only one tooth. |