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10/19/06
Hi, Jim and Rani! I hope you're
both doing well!
I'd like to tell you guys about our
Santa Catarina friend Gaspar Gonazalez Nimacachi. Jim, you probably remember Gaspar from last year; his family was the
first family that I began to work for following the storm. Also, his family was the 8th family to receive one of the
new houses you paid for.
I've been in Guatemala for a month now, and have made 3-4 brief visits to Santa Catarina so
far. On each of those visits I stopped and visited Gaspar, his wife Rosa, and/or some of their children (and have seen
other of their children in Antigua), because I've become good friends with the entire family.
Gaspar has been ill this entire time
(I'm not sure how long he'd been ill prior to my visits). His doctor in the Solola national hospital is apparently suggesting
he undergo a third stomach operation (the first two took place a few years (or more) ago, I believe). During my first
or second visit with him he asked for a Q200 loan. He was nearly out of the medicine he needed to inject himself with
daily that gives his body more vitamins and strength prior to the operation. I gave him the money instead of lending
the money. My next visit a week or two later I gave him some more money. Yesterday I visited the family again
and learned his body is too weak for the operation at present, that he would need two liters of blood. Blood in Guatemala apparently costs Q2,500 per liter, so two liters
at Q5,000 is a prohibitive cost for the family. I asked him why family members couldn't donate the blood (he would need
four donors at a half-liter per donor), and the family said that Oscar (the eldest son) offered to donate blood the previous
time he had an operation but he was not allowed to donate on account of weighing only 120 pounds. A person must
weigh at least 140 pounds to donate blood, according to the family. So I asked why other relatives or friends in Santa
Catarina couldn't help by donating blood, and the family answered that that's not something people do for free--they would
expect to be paid.
The family said his blood was weak,
with a lot of water in it. They also said something about his blood level being 90 at present, and that it would need
to reach 120 before he could have the operation. (Are they talking about blood pressure here? or something else?)
Jim, I have with me a photocopy of
the sheet of paper Gaspar received as a result of his September 27 ultrasound exam ("Ultrasonido Hepatico y Vias Biliares")
at the hospital. (He also has about four X-ray photos from that exam, which I don't have copies of presently.)
The sheet I have gives a description of his illness, which is about 1-2 paragraphs in length. Following that is the
diagnosis, as follows:
1. Colecistitis Cronica Calculosa
2. Vesicula Biliar Escleroatrofica
I'm not able to translate the first
diagnosis. For the second diagnosis I am able to translate only the first word, which is gall bladder.
Jim, since you'll be arriving with
a team of doctors in less than two months, perhaps one of those doctors could help us out beforehand with Gaspar. I
could type out the 1-2-paragraph-long description of Gaspar's problem so that someone on your end could translate it (and
the above diagnosis) for us; or I could seek professional help on this end for a translation of the document. I could
also fax the page I have from Gaspar's Solola doctor along with a copy of the photos from his ultrasound exam. Armed
with this information possibly one of the doctors from your team could take a look at the info. and offer us his/her insights?
If no member of your team of doctors
is able to review Gaspar's case before coming here, my other thought is what we might be able to do about Gaspar's
need for two liters of blood. Paying nearly $700 for the blood seems like way too much. Maybe your team of doctors
could bring the two liters of blood with them when they fly here, assuming blood can be acquired much more cheaply (or free?)
back home? Or, maybe with the help of four foreigners, i.e., myself, Rani
(who'll be arriving soon), and two others in the Lake Atitlan area, we could go to the Solola hospital with Gaspar and see
if our blood is compatible with Gaspar's (who has O positive blood) and, if so, donate our blood for Gaspar? Quite possibly
by posting a few notices in Panajachel and another Lake Atitlan tourist town or two to seek volunteers to offer their
blood, we could find a few foreign volunteers interested in helping.
From yesterday's visit with Gaspar's
family it sounds like they'd ideally like to avoid the operation. They're hoping that with just the right medicine,
i.e., something that perhaps one of our U.S.
doctors could offer us, and/or with new blood, he could be cured without having to go through another surgery. His family
fears, and perhaps his Solola doctor does too, that he might not survive another operation.
That's enough info. for now!
I thank you guys in advance for any ideas/help you're able to offer Gaspar and his family.
P.S. I'm in Nebaj at present,
but expect to return to the Lake Atitlan/Antigua areas within two weeks. Certainly I'll return to Santa Catarina on
very short notice, Jim, if your doctors have urgent advice/information for Gaspar. Also, Gaspar's son Juventino,
who lives with them in Santa Catarina, has a cell phone. That number is 5840-9326.
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10/28/06
Hi, Jim and Rani! Rani, the website your doctor friend offered seems to be for arranging U.S. teams of doctors to pay visits to poor countries. Since Jim is bringing
a team of doctors with him in December, maybe one of Jim's doctors could treat Gaspar's gall bladder disease. If not,
or if waiting another 5-6 weeks until those doctors arrive would risk Gaspar's life (he seems to be entirely bedridden these
several weeks that I've been here, with his wife even having to help him with bathroom duties sometimes), then I'm sure Gaspar
would opt to have his doctor at the Solola national hospital operate on him. That's where you and I can play a part,
Rani: in donating blood for him. He needs four donors, at 1/2 liter
per donor. His blood type is O positive. I don't know my blood type, nor does my father know (whom I wrote recently).
My father, however, is O positive himself, so that increases the probability that that is my blood type too. Gaspar's
donors must have either O positive or O negative blood types. Upon looking up blood-type info. in the online encyclopedia
Wikipedia (http://en.wikipedia.org/wiki/Blood_type), I found that 45% of Americans have either O positive or O negative blood types.
Here at the Nebaj national hospital
this week has been a team of doctors from Helps International. I visited the hospital Monday afternoon to ask if they
could help Gaspar. The doctors and other volunteers were eager to help; unfortunately, since Gaspar would need that
blood transfusion first, then a one or two day wait after receiving the blood before operating, combined with the fact
that he lives several hours away, just did not leave us with enough time. This was also because the operation is serious
enough that the doctors would want to monitor him for at least a couple days following the operation. Yesterday was
the doctors' last day in town. It was inspiring, however, that a couple of the translators immediately suggested
they and other volunteers could join me in donating blood for Gaspar.
Jim, any word from any of your doctors
re their ability to perform Gaspar's operation? And Rani, if Gaspar would
prefer to operate ASAP at the Solola hospital, would you be willing to join me in at least attempting to donate blood?
If you and I both have O positive or negative blood, that reduces the number of other donors we would need to two. At
first I had the idea of posting notices in English in the Panajachel area, seeking other foreign visitors to donate blood.
Then I had the idea to look for volunteer donors in my village
of Chuatuj. This was also due to reading on the Wikipedia website
that 100% of South American natives have either O positive or O negative blood. Technically Gaspar is a Central American
native, but I'd be willing to bet that Central American natives have very high percentages of O blood type too. If so,
the chances would be much greater that a native Guatemalan would have O blood type than an American or European. I told
Domingo of Chuatuj that if he and any others from Chuatuj were willing to travel to Solola with me we could turn it into a
fun trip, riding a boat across Lake Atitlan,
etc. I would pay their expenses for the trip, of course.
If Gaspar and others in Chuatuj are
not willing to help, I could spread the word around to a couple other of my villages here in search of donors. Another
possibility is a couple friends who will arrive by boat at Puerto San Jose on November 5 to visit me for two weeks.
Maybe they'd be willing to donate their blood.
That's where we stand now! I
thank you guys in advance for any ideas and help.
Brian
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10/30/06
Hi, everybody! Thanks so very much, Jim, for passing along my message to Don, Cherie, and Hector, in search for
help. I've just traveled from Nebaj to Santa Catarina today to see how Gaspar is doing. Gaspar
left me his son Juventino's cell phone number and I'd tried calling it a few times this week, but it wasn't working.
I also tried calling Matilde this morning, knowing she's been traveling to Santa from Antigua every weekend, but I couldn't
get through to her either.
Upon arriving in Santa this afternoon I ran into Matilde. She said she ran into Gaspar yesterday on the street
and therefore assumed he was doing better (it had appeared on my previous 3-4 visits these past five weeks that he'd been
entirely bedridden all this time). When visiting Gaspar moments later, he explained he was going out for short
walks from time to time purely out of boredom from all his time spent in bed.
I told him about my search for blood donors, my attempt to have the Helps International team of doctors in Nebaj this
week help him, and my being in communication with Jim and one or more of Jim's doctors. I told him we would find the
blood donors for him, including ASAP if he wishes to have the operation in the Solola national hospital. I also told
him that if he prefers to wait until December, one of Jim's doctors could look at him and even possibly (??) perform the surgery.
A final option I presented him, requiring a wait of an additional month, involves waiting for the return of Helps International on
Jan. 14 to a town near Coban. It sounded like Helps Int'l would be able to perform this surgery--we would simply
need to be ready to begin the process (blood donation, surgery, and post-surgery monitoring) first thing when
the week begins.
Gaspar says he's feeling a little better and does not want to have another surgery, especially in the Solola
hospital. He fears he won't survive it. Thus, he'd like to wait until Jim's team of doctors arrives in December.
What he's really hoping for is a miracle pill that will make him feel better. Who knows--perhaps Jim's doctors will
have just the pill?
I'd given Gaspar Q400 (U.S. $53) earlier this month, and handed him another Q400 today. This was because I asked
if he was still taking the injections of vitamins to fortify his body, which I had previously thought he was self-administering
on a daily basis. Today, however, he noted that a doctor does this for him, on an every-other-day basis, at a cost of
Q105 per doctor visit. Was he stretching the truth a bit here to get me to feel sorry for him and offer money once again?
Who knows? He didn't ask for money this time; in fact, only once in my three latest visits did he ask for money,
and then it was to borrow Q200. So I'm inclined to believe everything he's telling me. I note these possible doubts
only because a couple of his wife's younger sisters and their mother buttonholed me after my visit with Gaspar and
asked for money too, which I didn't give. When I told them I was helping Gaspar because he could be dying, they
hinted that he's doing a lot better now. There's a lot of jealousy, behind-the-back bad-mouthing, etc. that goes on
here in Guatemala, including among family members. I've seen a lot of it in my village of Xexocom and plenty too among
Santa Catarina folks. Remember, Q800 is at least three weeks' salary around here for those lucky enough to have a salaried
job, explaining people's jealousy.
Today I questioned Gaspar re his other stomach operation(s). His first was 12 years ago, at the Xela national
hospital. (He also seemed to indicate that the doctors at the Solola hospital were having trouble locating
the exam results from that 12-years-earlier surgery at a different hospital, something they would like to see.) Two
years after that first surgery he was a passenger in a bus accident, causing the artificial tubes from that earlier surgery
to come apart, requiring another surgery. (Or something like that.)
Gaspar has in his possession the photographs from his Sept. 27 ultrasound at the Solola national hospital. Don
and Cherie, if either of you or any of the other doctors would like to see these photos before coming to Guatemala, I'm
sure Jim, Rani, or I could fax them to the States. Just let us know. Furthermore, Gaspar and his wife today mentioned
they were thinking now about having another ultrasound done soon to see if improvements could be found.
Jim and Rani, Juventino's correct phone number is 5840-9327. I'll most likely be up in the Nebaj area for most
of the next two months organizing stove projects (not reachable by phone but almost always reachable by e-mail). I will pass
through Pana and Santa sometime soon on account of picking up two friends at Puerto San Jose next Sunday. And surely
I'll pass through the area on average every 2-4 weeks. Otherwise, Jim and Rani, you both (and Hector too) would
sure help me a lot if you could monitor Gaspar's situation these next several weeks since you'll be in the area. Try
not to freely hand out cash unless absolutely necessary, on account of my already handing out a lot (by Guatemalan standards),
which has caused friction among family members and neighbors, and on account of Gaspar and family possibly trying to reel
us in for more money. But I'll leave that up to you!
If the doctors back in the States feel he should have the surgery ASAP, and/or if Gaspar feels worse and wishes
this, and blood is needed, please contact me Jim and Rani and I'd be happy to donate (if my blood is compatible). And
possibly either/both of my friends could too. And, if you guys can't find donors among your SJ1010 friends, I could
possibly round up another donor or two in the Nebaj area.
Thanks to all of you for your help!!!
Best wishes,
Brian
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10/31/06
Brian,
I am so glad that Gaspar is feeling better. Praise the Lord! I would really love a copy of the ultrasound
report as well as any past records that Gaspar can get to me. I am not an MD but rather an NP so I will bring the information
home with me and confer with a radiologist, GI specialist, etc to find the best course of action. As long is he is feeling
better (and since he is apprehensive about another surgery) I would ask that you also contact Helps international and
provide the ultrasound results and records to them as well. That way if he needs the surgery they will be able to provide
it.
God bless your work,
Don
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11/01/06
Hi, Don! Thanks so much for your speedy reply! Re getting a copy of the ultrasound report to you as well
as any past records of Gaspar, are you requesting those copies now (by fax?), or not until your arrival in December?
If now by fax, I'm sure that won't be a problem. I already have a copy of the 1/3-page-long ultrasound report (in Spanish,
of course). I don't have a copy of the photos of that ultrasound yet, but we could certainly photocopy those too.
Re previous records, it sounds like Gaspar's doctor at the Solola national hospital is having trouble herself in securing
the records from Gaspar's previous operation(s) 10-12 years earlier at the Xela national hospital. But I'll get whatever
I can for you. Or if you simply would like to pick up these photocopies when you and your team arrive next month, that's
also no problem. I'll see that photocopies are made of everything Gaspar has and will leave this with Jim while he awaits
your arrival.
Thank you!
Best wishes,
Brian
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