Firsthand accounts

 

The Impact of IMAHelps Missions

On Our Volunteers

By Carolina Vasconcelos, Dr. Jessie Davis & Jeff Crider, November 2023

 

As every IMAHelps volunteer knows, working on a medical mission can be as life-changing for our volunteers as it is for our patients.

But in the rush of taking care of patients, we don’t always get a chance to learn how these missions have changed us, and continue to shape our lives, both personally and professionally.

With this in mind, we plan to share first-person accounts from IMAHelps volunteers in each newsletter, starting with Carolina Vasconcelos, a San Dimas-based dental assistant who now oversees our dental team, and Dr. Jessie Davis, an emergency department physician from JFK Memorial Hospital in Indio.

Carolina started volunteering with IMAHelps on our 2011 mission to Esteli, Nicaragua and has been with us on every mission since. Dr. Davis was still in residency at Desert Regional Medical Center in Palm Springs when she started volunteering with us in Luque, Paraguay in 2018. Last summer, she helped supervise our entire team, coordinating patient care for all of our medical specialties. Here are their stories:

 

The Car Crash That Changed My Life

        By Carolina Vasconcelos

 

On St. Patrick's Day 2010, after having dinner out with the family, we were struck by a drunk driver on our way home.

The impact was so strong it caused our car to flip. My husband and I suffered major injuries. Thankfully, because my two little girls were in car seats, they only suffered some bruising.

It was the next day when I tried opening my eyes and found myself in a hospital bed being told of what had happened. I had been unconscious and not yet aware of the severity of my injuries. I suffered a few fractures and facial degloving, meaning that part of my face and scalp had peeled off.

Dr. Christopher Tiner, a plastic and maxillofacial surgeon from Pasadena, was the on-call surgeon that night. I underwent the first of six surgeries which involved putting my face and scalp back into place. From there on, I had weekly visits and treatment with Dr. Tiner. His genuine personality and true dedication for his patients is felt immediately as you hear his voice. 

A few months later, a friend of mine mentioned to me that she had seen some YouTube videos of Dr. Tiner doing humanitarian work. He had done some amazing work on a young gentleman in Nicaragua who was involved in an accident and was missing part of his forehead. This got my attention. The group was called IMAHelps, and I learned that they provided medical and dental care for people in other countries. Being a dental assistant, I knew I could help. There was something for me to do. 

Carolina Vasconcelos, left, on the 2021 IMAHelps mission to Quito, Ecuador.

Photo Courtesy of Angelo DiFusco

I signed up and before I knew it I was on my way to Esteli, Nicaragua on my first mission. I was both nervous and excited, but ready to assist. As I met some of the volunteers the first day, I started to feel welcomed and embraced by people I had never met. We all had one thing in common: an open heart to help.

 
 
 

The next morning we got into the buses and headed to the hospital. I remember seeing a line of people so tightly pressed against each other, some holding their elderly mothers in their arms, others with their children over their shoulders. My heart dropped. I had never seen anything like that. We now had driven past a few blocks and the line kept going. I wasn't sure if I was ready to handle something like this. I couldn't believe that this existed in the same universe I lived in. I was an experience I wasn't prepared for, but I was ready to take it on. I quickly learned it was OK to let a few tears just roll off your face and keep working.

I have had the opportunity and privilege to volunteer with IMAHelps for the past 12 years in Nicaragua, El Salvador, Peru, Paraguay and Ecuador. I've learned so much from patients in these countries, their struggles, their pride for their country and their gratitude for the help received.  I remember seeing a patient during their exam and finding that they had a tooth extracted just a few days ago. Asking him about it, he explained that he was in such tremendous pain he didn't have a choice but to grab some pliers and pull the tooth out himself. Of course, this brought complications since the tooth broke and the pliers were not sterile. His gratitude after we treated him was so great and that tight sincere hug he gave me is one of the reasons why I love being part of this organization. It's a priceless feeling. 

Every medical mission is unique. Each will have its challenges and moments where we have to improvise and think of a Plan B. This is when the fun begins and the stress kicks in, but somehow we make it happen.  As the years have passed, I've picked up a few responsibilities in the Dental Department and now as the Dental Coordinator. I’ll be honest, it brings me joy when it's time to start making lists for the next mission. I've been very lucky to have met many dental volunteers that also shared the same feeling. 

One of the highlights of being an IMAHelps volunteer is to see the IMAHelps family once a year. It’s a bond that truly is genuine. We are united by our intentions to help those who can't help themselves.  I am grateful for the life I have and the experience I went through when I had the accident. It has taught me that I am no different than the people who line up waiting to be seen by IMAHelps doctors on each mission.

 
 

IMAHelps Has Shaped My Perspectives on Life and My Purpose

         By Dr. Jessie Davis

In the months leading to my first mission to Paraguay with IMAHelps in 2018, I remember an underlying angst — wondering if I was truly going to be able to help.

I was just about to finish my intern year as an emergency medicine resident, still learning the particulars of my chosen profession. I genuinely wanted to give to something larger than myself, but having never been on a medical mission before, I worried I might instead be more of a burden.

Dr. Jessie Davis visits with a patient during the 2019 IMAHelps mission to Luque, Paraguay.

Photo courtesy of Angelo DiFusco

Unsure where I might be of most use, I originally joined the mission to volunteer with one of the orthopedic surgeons, Dr. Todd Swenning, and Erica Pelinski, his amazing Physician Assistant. For it was during my time on the orthopedic service in residency that I first learned about IMAHelps. Despite this initial intention, once the mission began and we started seeing patients, I quickly realized the place I could contribute the most was in working triage with the other emergency and general medicine providers. I owe a great deal to Jennifer Padilla, Dr. Julius Ibañez and Dr. Dave Romness for answering my multitude of questions.

There is much that stays with me from that first year. Seeing young people with cancers, years overdue for definitive treatment. Non-healing fractures in otherwise healthy individuals, debilitated by lack of access to proper care. Facial deformities, masses and tumors, avascular necrosis, festering infections, and people who urgently needed surgical interventions.

I recall one morning, on the way to the hospital, seeing a gentleman with bilateral below-the-knee amputations, having learned to walk on his stumps using homemade, shortened crutches, just so he could continue his life. But more than anything, I remember gratitude and kindness. A woman bringing a small bag of apples as a thank you. People singing in line. Tears of hope, joy, and relief. Children playing in the field where we provided care. It was from the culmination of every experience from that first mission that I knew I’d continue to come back.

 
 

Somewhere between Paraguay and California in the summer of 2019, I found myself on a plane playing a beautiful song called “How did I get here?” on repeat. IMAHelps had just completed its third mission in Paraguay, and I recall looking out the window filled with the most sincere sense of gratitude.

I quietly settled into this amalgamation of feeling both very much at peace and enlivened to continue the path. While still quite new in volunteering with IMAHelps, I’d felt a deepening sense of purpose as well as personal responsibility, not only with fulfilling my role as a triage physician, but also in contributing more to the mission overall. It was during this mission that I began sitting in on meetings with Ines Allen and the medical director of the Hospital General de Luque. If you know Ines, you know she has an equally kind and powerful way of making someone believe they can do more than they ever thought they could. Ines knows how to gently lead others into their full potential. It was during those meetings, just days before the start of my second mission, that she tasked me with determining the location, set-up, and flow of both triage, as well as the clinics.

Dr. Jessie Davis interacts with a young girl during the IMAHelps mission to Luque, Paraguay.

Photo courtesy of Ali Curtis

Little did I know, four years later during the 2023 Ecuador mission, my role would be that of Team Lead, coordinating patient care through triage and amongst the clinics for family medicine, pediatrics, orthopedic surgery, general surgery, internal medicine, pain management, plastic surgery, psychology, and obstetrics/gynecology. As with most things in life, there exists a balance. And often, this is a moving target. It would be dishonest of me to say I felt ready to step into that role at the time. It was only through the support, resolve, and compassion of the wonderful IMAHelps volunteers that we found the balance together. I thank each of you for your incredible help.

I have been humbled during my time with IMAHelps and know that with each subsequent mission, I’ve continued to grow and learn. There are some lessons in particular that have stayed with me and remind me why I chose to pursue medicine:

— We all have the capacity to make a difference.

— Everyone plays an important role.

— Every, even seemingly small, detail matters. A simple smile and kind gesture can shape someone’s experience entirely.

— Each person we meet has a story and something to teach us.

— We are all connected.

This organization has shaped my perspective on life, purpose, meaning, and relationships. I know I would not be the physician, nor the person, I am today without IMAHelps.