By Donna Miles
American Forces Press Service
MEDETE, Panama, June 10, 2013 – Army Maj. William Baker and his
fellow service members knew they had a successful mission on their hands
when hundreds of excited people arrived for the opening of each Beyond
the Horizon medical readiness training exercise here. Some had awakened
at 2 a.m. and walked six hours in their finest clothing to reach them.
 Army
Spc. Souheil Sarrouh gives medication to a child during Beyond the
Horizon 2013 in Torti, Panama, June 4, 2013. U.S. Southern Command
sponsors the joint field training and humanitarian exercise, which
provides engineering, construction and health care services to
communities, as well as deployment training for participants. Sarrouh is
a combat medic assigned to the 256th Combat Support Hospital. U.S. Army
photo by Sgt. 1st Class Walter E. Van Ochten (Click photo for screen-resolution image);high-resolution image available. |
|
As medical officer in charge of Beyond the Horizon 2013 Panama,
Baker recently wrapped up the last of three medical exercises here,
which included 11 days of free services in three remote Panamanian
provinces.
Throughout the four-month mission, U.S. soldiers and
airmen trained in a broad range of specialties worked hand in hand with
medical professionals from Panama’s Health Ministry, delivering care to
about 13,000 people.
“It was like being Santa Claus for
Christmas,” Baker said of the opportunity to provide the care to people
in poor regions with little access to specialized medical care.
The medical exercises, which included general medicine, dentistry,
optometry, pediatrics, dermatology, obstetrics and gynecological, and
pharmacy services, were part of U.S. Southern Command’s largest annual
humanitarian civic assistance mission in Latin America.
Beyond
the Horizon Panama also includes veterinary services and construction
projects, and a similar four-month mission also is underway in El
Salvador.
From its earliest planning stages, Beyond the Horizon
2013 Panama’s medical missions were seen as a win-win for everyone
involved, explained Lt. Col. Malcolm Walker, an Army reservist from the
Denver-based 244th Engineer Battalion serving as commander of Joint Task
Force Panama.
The medical professionals, initially active-duty
airmen from Maxwell Air Force Base, Ala., followed by Army reservists
predominantly from Ohio and Texas for the subsequent rotations, tested
out their ability to deploy and set up operations in austere overseas
environments, he said. Typically working in schools, clinics and even
tents converted into makeshift medical facilities, they treated patients
with conditions not commonly seen in the United States: tropical
diseases, leishmaniasis and worms, among them.
For the Panamanian
government, the exercises dovetailed with a national campaign to extend
the reach of medical services provided to citizens in some of the
country’s most remote regions, said Dr. Alex Gonzalez Hidalgo, a special
advisor to the health minister.
After a successful Beyond the
Horizon 2010, also conducted in Panama, the ministry jumped at the
opportunity to participate in this year’s mission to provide care in
underserved areas. The staff selected eight exercise sites -- most in
difficult-to-reach rural locations in the easternmost part of the
country -- where populations tend to be poor and health care providers,
particularly specialists, are few and far between, Gonzalez said.
Typically operating in schools temporarily converted into medical
clinics, the Panamanian medical staff and military members worked side
by side to deliver patient care. The Health Ministry workers gave
immunizations to everyone who arrived for treatment, and also conducted
preventive medicine classes that highlighted hygiene and healthy
lifestyle choices.
From there, patients moved into a triage area,
where the military specialists identified their medical needs and
directed them to the appropriate treatment areas.
For many of the
military members providing that care, including those with combat
deployments under their belts, it was their first chance to practice
medicine during a humanitarian assistance mission. Among them was Army
Spc. Matthew Parker, an Army Reserve pharmacy technician from the 256th
Combat Support Hospital in Ohio, who said he relished putting his skills
to work in such a gratifying way.
Rather than setting up a mock
hospital at a training post, issuing candy in lieu of real medications
to role-playing patients suffering simulated traumas, Parker said, he’s
getting to help real people with real medical needs.
“This is
close to the heart,” Parker said. “It makes me extremely proud seeing
how much help we can give in such a short amount of time.”
“I
love it,” agreed Army Spc. Souheil Sarrouh, a combat medic from the
256th CSH on his first deployment since joining the Army in 2009. “I
love this place, and I love what the Army is doing here. We are making a
difference in people’s lives.”
Sarrouh said he joined the Army
wanting to make that difference -- not just keeping the United States
secure, but also demonstrating its heart to the rest of the world.
Their appreciation came in the fruit the local people carried to the
sites to present their caregivers, and on the faces of the people they
treated, particularly the children.
“They might not have had shoes on, but they were still smiling,” Sarrouh said.
Army Sgt. Geoffrey Erwin, an optometry technician from the
Michigan-based 148th Medical Detachment, watched his patients’ faces
light up as they tried on their new glasses for the first time.
“You’d see big smiles” as their worlds suddenly come into focus, he
said. “It’s amazing what a pair of glasses can do in improving someone’s
quality of life.”
For Army Lt. Col. (Dr.) Jim Hirsch, a dentist
from the Army Reserve’s 965th Dental Company in Texas, the defining
moments of the missions came each time he extracted a tooth. One patient
came to the clinic with his teeth so rotted that he gladly had 13
pulled in one sitting.
“These people have lives with toothache
and chronic pain for years and years,” Hirsch said. “We are relieving
them of all that, and they are so appreciative of what we are doing
here.”
Army Capt. Sarah Lewis, a critical care nurse from the 256th
CSH, said she realized just how much of an impact she was having when a
grateful patient informed her that she had named her newborn in her
honor.
“Being a part of all this has been amazing,” Lewis said. “With what we have done here, we all gave them a little hope.”
While most of the medical staff treated human patients, Capt. (Dr.)
John Turco, an Army Reserve veterinarian from Rhode Island serving in
the 719th Medical Detachment Veterinary Services, was part of a
four-person team that conducted veterinary services for pets and
livestock.
It’s a mission that took them to some of the most
remote areas of Panama, requiring them to travel up mountainsides,
through cornfields and often far from the nearest roads. They fanned out
across the region, providing vaccinations, deworming and parasite
control for cattle, horses and other large animals.
“This was a
great experience to put what I learned in school to use,” said Army Pfc.
Brittany Walton, on her first deployment as a member of the veterinary
team. “Being able to help other people is a great feeling.”
Panamanian Health Ministry officials said they, too, are excited about
the outreach made during Beyond the Horizon 2013. Their goal, explained
Dr. Iritzel Santamaria, a ministry planner and analyst, is to build on
the foundation laid to extend more consistent medical services into the
regions. By 2015, the government aims to reduce the ratio of medical
providers to citizens in these areas from the current 1-to-3,000 to
1-to-500, she said.
In the meantime, she praised the infusion of
services the troops provided during Beyond the Horizon -- and the
long-term impact it will have. Local communities will benefit, not just
from immediate care provided during the exercise, but also because it
attracted people so they could get immunizations and preventive health
education, she said.
“This mission has had a high positive impact
on the population,” she added. “Both teams came together and developed a
great working relationship that has been a tremendous benefit to the
communities served.”
Participants in Beyond the Horizon said they’re gratified to make a lasting contribution to the Panamanians.
“It’s all about helping people, no matter where we are in the world,” said Turco. “That’s what it is all about.”
“We are here to help,” echoed Baker. “And when you are helping someone,
providing something that they need, providing it for free and providing
the best care we possibly can, it’s a great feeling.”