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Ecuador - Trip Report
Misahualli, Ecuador
Feb - April 2008
By: Andi Michels (DS2) & Daniel Zech (DS2)

Dental Clinic
Famulaturbericht: Ecuador February / March / April 2008

Contrast vs. capital. Jungle
After the decision to Ecuador as Famulaturland had fallen, we had to a large e-mail contact with Health Care Volunteer (Contact at the end) the great good fortune, 2 contacts to identify, making it possible for us was at 2 different locations within the country to famulieren: 1 ) Capital Quito 2) rain forest area Misahualli The contrast vs. big city. Rain forest was perfect!

Quito

We flew from Frankfurt via Miami to Quito, where we directly at the airport by the clinic director Dra. Esmeralda Garcia and their daughter Maria warmly received and to a good and cheap hotel (quarter for only 2 nights) driven. The following day was already at 7 am clock continues: Esmeralda brought us in a hotel, led us to "Fundacion Jose Maria", an aid organization for girls, the young age become pregnant, a project for general practitioners, educators and social Teachers would be interesting and we, as dentists, unfortunately, very helpless. (Contact at the end) then went directly into the clinic, where a breakfast awaited us. In addition to medical facilities, the hospital dental unit, under the direction of Dr. Roberto Osario operation. This holds mostly rather in the background, but helps with problems very happy to answer all questions and give advice, so that an independent work in a great working atmosphere prevails. Our daily work consisted mainly of fillings (i-Tüpferl: Vollkompositmodellation 11 completely to pin structure, separated from a needle was Endo) and prophylactic measures. Extractions were only little of the agenda. Despite some adverse working conditions (suckers little or no function, no poly-lamp (or brought LED lamp)), the work here with the entire staff a huge fun. In addition, we could after 2 nights in the hotel right to move into the clinic, where a small daily breakfast and lunch awaited. By evening we were very warmly supports: Roberto has a city tour and pub crawl with us. Esmeralda organised a trip to Midad del Mundo, right on the equator, their grandchildren Fausto took time to work with us on the nearby Indian market to drive to Otavalo. Since the clinic with a poster on our free activities attention, we could never complain of lack of patients, on the contrary! Because the hospital so socially weaker in the southern part of the city, we were able to about 10 patients a day to help their teeth in general condition was relatively good, apart from some disasters.

Misahualli

After 6-hour bus ride from Quito, we were able to all our warm clothes aside, now dominated T-shirt and short, Quito in 2800 m adé! We purchased our immediately beforehand by the tooth doctor reserved hotel (with Pepe, highly recommended, $ 10 including breakfast, lunch and dinner) and provided us with a first, very pleasant impression of the 800 souls village with a few bars, restaurants and Cafes and a beach on the 2 rivers flow into each other. This impression was confirmed when we Subcentro de Salud of Dra. Monica Vergas, the extremely likeable tooth doctor on the spot, received. First was interesting and unusual to us that normally Monica WITHOUT assistant works! Surprisingly manner stood in the rain forest here a new, well-functioning KAVO unit and a lamp to polymerization, which is working very relieved and pleasantly decorated. This was different here than in Quito, since the average bite is much worse and was Lückengebisse on the agenda. In the foreground integration, is now extractions, followed by a few fillings. In addition to Organized Monica 2 days treatment with a mobile unit at the College and the local elementary school, where we have to 2 dental chairs (one fillings, extractions the other) must be treated separately and therefore more work. An experience for life was when we in the schools of the German Dental Company (Nenedent and M + C Schiffer) donated 35 Kg toothpaste and toothbrushes austeilten and the radiant faces of the children were allowed to look. During the treatment, it was very sobering, some desolate hygiene and caries status of the kids to inspect so often - because of the absence of an x-ray machine for Endos - the aching tooth had to be removed. Misahualli was what the dental claim, the greater challenge, the numerous extractions were very informative and we were even in the "pleasure", a hemisection carry. The attractions can be in Misahualli very pleasant: Relaxing after work on the beach, trip to Tena, nahgelegener waterfall or you can simply how we deal with old car tires hinabtreiben the river and will be supported by the village youth accompanied, for which the the largest Pleasure.

The country and its people

Ecuador offers naturell pretty much everything the heart desires: to 4000m altitude mountains, volcanoes, lowland rain forest, coast and the Galapagos Islands, all in an area as large as the former West Germany. The payment is U.S. dollars, we thank the course as we were ;-) money to get in every major city of Misahualli must get to Tena. TIP: VISA card by the DKB, free of charge worldwide fly! The people are very open and friendly, and always on its own for a conversation. In Quito you should, especially in the southern part where the hospital is located, cautious and pickpockets before the eyes open.

And finally

Finally, we can absolutely recommend Famulatur and they would also make themselves at any time, simply because the possibility of taking the time Quito - Misahualli any aufzusplitten and in a country at 2 different locations to treat what our view is very impressive. In addition, even pointed out that in two hospitals, both dentists and staff on a daily basis an easy cordiality and warmth to have got that we otherwise could only dream of, and so on the positive success of our Famulatur the equator have contributed.

For questions and more photos you just apply to us: Daniel Zech (University of Regensburg) danielz @ Gmx.net Andi Michels (University of Regensburg) andi.michels @ web.de Contacts:

1) General:

Our thanks also following us material support companies (large donations highlighted). Incidentally mentioned: Sorry, that the giant GABA is not even begin to demonstrate. Henry licence Dental Depot (University Hospital Regensburg), Sigma Dental Systems, Harvard Dental, Dr. Rudolf love, Bausch dental, dental cosmetics (adult toothpaste), Dent Inox (NENEDENT children's toothpaste), M + C Schiffer GmbH (200 children's toothbrushes), EM Euro Medical ( Latex gloves), Transcoject (needles and syringes), Henke Sass Wolf (needles and syringes), Sanofia Aventis (UDS + UDS forte), Lege Artis, VOCO, Comet (Fa Brasseler, drills), Hahnenkratt (mouth mirror and instruments), Poly Rapid , Kentler Kaschner Dental, Martin, coltène Whale Dent You can we send you a list, if you for your Famulatur contacts with companies.

Tourism Opportunities
1) Amazon jungle tour is available through Pepe
2) Visit the butterfly garden in Misahualli
3) Village has a sandy beach on the river, right outside town where you can go for a swim in the Rio Misahualli. The Rio Napo is accessible by canoes and offers excellent tourism opportunities
4) See the monkeys running around at the central plaza, visit local indigenous communities by canoe
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