The Lake Clinic Cambodia

Mission

noreply@blogger.com (Tobias) — Sun, 31 Dec 2017 09:47:00 +0000

The Lake Clinic is a project dedicated to bringing basic healthcare, as well as disease surveillance and proper medical referrals to a severely isolated and underserved region of Cambodia -- the Tonle Sap.

Jon Morgan, Executive Director:
January, 2007

"In 1994 I journeyed by boat from Phnom Penh to Siem Reap for the first time. This was still during the days of Cambodia’s post-UN civil war -- when each political party had its own army; before the Khmer Rouge were fully pacified, and when both roads and waterways were being closely observed by hungry people with guns.

"It was then that I had my first impression of just some of the floating villages found on the Tonle Sap lake. Within the same photo frame children were defecating into the lake’s water while others swam and some washed the family dishes. Swollen bellies either from malnutrition or worms were evident everywhere. I turned towards my wife and said, 'This is a nightmare'.

"Thirteen years later and possessing the experience, skills and access to intellectual assistance that I then lacked, I am now in a position to return to the Tonle Sap and bring to those villages some of the health services and education that is so greatly needed."

If you would like to help us and support this work, you may do so by mailing a check to:

Human Translation, Inc
1241 Adams Street, Ste 1096
Saint Helena, California 94574

Please make your check payable to:
"TLC at Human Translation"*

Thank you,

Jon

*Donations made via Human Translation are tax deductible for citizens and residents of the United States.

Overview

noreply@blogger.com (Tobias) — Sat, 30 Dec 2017 10:32:00 +0000

Satellite photo of the Tonle Sap Lake

Much is studied and written about the unique aspects of the Tonle Sap Lake and its surrounding region: its exquisite beauty; the area's biodiversity and the unique hydrodynamics that lead to the Tonle Sap providing roughly a third of the protein--from fish--for more than half of Cambodia. Little, however, is said about the people who live upon the lake in "floating villages"
and along its shores.

They are an ethnically diverse population of Khmers, Cham, and Vietnamese who experience a life isolated from both the modern world AND the progress that is happening in much of Cambodia. Many communities are hours or even more than a full day away from any medical care or expertise.

Our aim has been to create a shipboard healthcare facility that will serve the people of Cambodia living on or near the Tonle Sap Lake. The ship's design allows her to cruise even in the shallow waters found during the dry season. The Lake Clinic (TLC), is staffed by Cambodian health care providers, as well as foreign volunteers when available, and a local crew. (click here to read more)

The primary focus of TLC is to provide these isolated villagers with competent and consistent health care comparable to what can be found in a well managed health center: early diagnosis of disease; treatment on an out-patient basis; referral to a hospital (and assistance in transportation to the hospital) when necessary; health education. Additionally, dental care will be provided on a quarterly basis throughout the year.
This has been accomplished through the construction of the TLC-1 (or the "Charming Duckling" as she is sometimes known. (click here for more about the TLC-1)

Our Charming Duckling allows a basic healthcare team of one doctor, a pediatric nurse, and a widwife to travel to these remote areas and remain there for 3 days each week. The TLC-1 sleeps five people comfortably and is equipped with a kitchen, a dining area, toilet and shower. They are assisted by the ship's pilot who also performs the duties of a registrar and the ship's cook. When appropriate ex-pat professionals also join the team; doctors, dentists and physical therapists have successfully completed missions with TLC.

A vast array of other health related issues (social, economic, environmental) can be addressed while on site. With the enormity of health related problems one encounters in this part of the world, we cannot hope to meet all needs for everyone, particularly in these early stages of this project. Though the ultimate goal of this project is to build a clinic ship that is capable of providing a variety of health care interventions on a full-time basis, much can still be accomplished with this modest approach.

Acute dental disease/infections are one of the primary causes of severe pain and morbidity in undeveloped regions. In fact dental caries, abscess, and the severe pain associated with them are seemingly universal among young Cambodians. Fortunately, with The Lake Clinic as a delivery platform, they are also one of the most readily treatable healthcare issues these people face.

For people with little, or no exposure to modern health-care, Dentistry is easily understood. The relief from pain and infection in generally immediate. As an entre to modern health care, Dentistry provides just such an opportunity.

By concentrating on treating and educating about these problems we will go a long way to eliminating their day to day pain and suffering, as well as creating a foundation for lessening its prevalence in the future.

Objectives:

To provide essential medical care, public health education and dental services to poor and disenfranchised / vulnerable groups living in the Tonle Sap Lake region of Siem Reap, Battambang, and Kampong Cham provinces.

The priority being:

Children below the age of 16
Women of childbearing years[1]

To provide basic education (Primary Public Health Care) related to healthy living:

Nutrition
a. Breastfeeding, complimentary feeding
b. Floating gardens as promoted by other NGOs
Clean water

Household and village hygiene

Immunizations

Prenatal care

Birth-spacing

Critical thinking as related to family economics

To provide screening and early detection (Secondary Public Health Care) of common childhood illnesses with timely and appropriate referrals for such problems as:

Cleft lip and palates

Club foot

Neuro-disabilities

Cardiac disease

Vision impairment

To provide a venue for cooperative and complimentary activities with other NGOs whenever possible.

Water quality studies.

Lake depth and sedimentation studies.

Community development and education.

[1] Recent studies have shown a correlation between periodontal disease and premature and low birth weight

Link: http://www.ilec.or.jp/eg/lbmi/reports/25_Lake_Tonle_Sap_27February2006.pdf

DONATIONS: If you would like to help by donating money to TLC, you may do so by mailing a check to:

Human Translation, Inc
1241 Adams Street, Ste 1096
Saint Helena, California 94574

Please make your check payable to:
"TLC at Human Translation"*

*Donations made via Human Translation are tax deductible for citizens and residents of the United States.

Team: Management

noreply@blogger.com (Jon F. Morgan, MPH) — Thu, 28 Dec 2017 18:38:00 +0000

Advisors | Directors | Management

Executive Director

Jon Morgan is executive director of the Lake Clinic Cambodia.

From 1998 to 2007, Jon was the first executive director of the Angkor Hospital for Children, in Siem Reap, Cambodia. AHC opened its doors on January 14, 1999 and has become an outstanding example of affordable, sustainable healthcare provision in the developing world. Today, AHC treats over 100,000 patients annually.

Jon first came to Cambodia in 1994, when he co-founded a local, Cambodian NGO providing development aid to people in the provinces of Siem Reap, Takeo, and Kompot. In 1998, the NGO was handed over to the local people to manage and Jon was able to join the Japanese photographer, Kenro Izu, in the founding of AHC.

After eight years running AHC, Jon has stepped down to found the Lake Clinic; he believes it is time to build on the enormous success of AHC by taking basic healthcare to some of the poorest and most deprived Cambodians – the people of the Tonle Sap Lake.

Managing Director:

Nhean Sakhem is the Managing Director of The Lake Clinic-Cambodia and responsible for the day to day operations.

Sakhem joined TLC in August of 2008. A former career military man he began working for the reconstruction of Cambodia in 1989. He has worked with a number of United Nations Organizations (UNESCO, UNDP) as well as Medicine Sans Frontier and Friends Without a Border (as Managing Director of the Capacity Building and Health Education Program, 2001-2008). He sees TLC as a new and inspiring challenge. He is 66 years young.

Medical Officer:
Korng Sambun, MD is TLC's physician and Medical Officer.

Sombun is 42 years old and has worked in both hospital administration (as a hospital director) and as a health care provider since 1985. He has two grown children who continue to live in Battambang Province. He has been with TLC since November of 2008.

Team Leader/Nurse
Uk Savann is TLC's nurse and Mission Team Leader.

Savan is a 5 year veteran of the Angkor Hospital for Children whose duties aboard the TLC-1 include not only the use of his superb clinical skills, but also the management of personnel, time and materials. As an IMCI (Integrated Management of Childhood Illness) qualified nurse he has prescriptive rights aboard the TLC-1 and treats children independently. He is 27 years old; a graduate of the Battambang Regional Nursing School and engaged to be married “soon”.

Nurse Midwife:
Pheng Ya is the third member of the clinical team.

“Ya” has been working with TLC since November of 2009. She is a graduate of the Battambang Regional Nursing School and their post-studies midwifery program. She has been working in government health sector since 1989. She has one son and one daughter.

Pilot/Registrar/Cook
Lann Aly is the pilot for the TLC-1.

“Aly” is 23 years old and has 3 sisters and 2 brothers. With just a 3rd grade education she can be described as an “over-achiever”. Born and raised in Moat Klas, a floating village, she began working for TLC as a volunteer in August 2008 when we began doing our social/health surveys. In December she became a full-time employee. Fluent as well in Vietnamese she is essential in providing services to the 10 to 20 percent of the villagers who are Vietnamese speaking. She is working diligently now to learn English.

Accountant/Office Manager:
Sorn Nisan is TLC's accountant and office manager.

“Nisan” is a 2008 graduate of Build Bright University here in Siem Reap, and has been working for TLC since September of 2009. Previously she worked as an accountant and administrative assistant for FWAB and OXFAM Australia before that. She is married and has one son.

Housekeeper:
Yen Vanna is TLC's housekeeper.

Vanna is the 3rd child in a family with 10 children. She has been working for TLC since August of 2007 and enjoys being part of a project dedicated to helping the poor. She sometimes works outside the office purchasing food for the TLC-1 and supplies for the office. She has a twin sister, Vannak, who previously worked for Jon Morgan at the Angkor Hospital for Children, and it was more than one month before Jon realized she was not her sister.

Driver: Theng Sothat

Sothat also serves as a Khmer/English translator for English speaking volunteers. He is 25 years old, and continually seeking to improve himself through education and exposure to new ideas and experiences.

Advisors | Directors | Management

Team: Board of Advisors

noreply@blogger.com (Jon F. Morgan, MPH) — Thu, 28 Dec 2017 11:05:00 +0000

Advisors | Directors | Management

Louise Myers is currently ORI Project Director for the development of the Bokamoso Private Hospital in Gaborone, Botswana, a 200-bed private, not-for-profit acute facility. Hospital commissioning target is November 2009.

Louise worked for twenty years at The George Washington University Medical Center in a series of executive management positions including Associate Administrator for Facilities Development and Associate Administrator for Operations. She has done health care and hospital development consulting work in less-developed countries including Argentina, Tanzania, Ethiopia, Cambodia and South Africa.

Louise holds graduate degrees in Health Care Administration (George Washington University) and Social Work Administration and Policy (University of Michigan). For over five years she served as the Executive Director of IONA Senior Services, a model community and home-based senior services program in Washington, DC. In 2002 Louise was an official U.S. Delegate to the United Nations World Assembly on Ageing in Madrid, Spain.

Currently she serves as a Director of the Better Way Foundation and has been actively involved in grantee site visits, research, monitoring and evaluation of Most-Vulnerable Children Projects funded by the foundation in Uganda (northern war region), Zambia and Tanzania.

George Cooper Esq. is a graduate of the University of Hawaii law school and a lawyer with almost thirty years’ experience, specializing in land rights and environmental issues.

After twenty years in private practice in the United States, George moved to Cambodia in 1998, where he is currently senior legal advisor to the GTZ (the international development agency of the German federal government) Cambodia Land Management Project.

From 1998 to 2002, George was a legal advisor to Legal Aid of Cambodia, an NGO providing free legal services to the poor – primarily in land ownership disputes.

Dr. Caroline Dueger is program director for Pediatrics Overseas in Cambodia.

A clinical pediatrician with over 42 years’ experience (31 of those as a staff physician at Concord Hospital, Concord, NH), and a former adjunct professor of clinical medicine at Dartmouth Medical School, Caroline retired from full-time practice in 1993. Since then, she has devoted her time to improving primary healthcare provision for underserved children in developing countries all over the world.

Since 1991, Caroline has taught or practiced in fifteen countries, including Belize, Guatemala, Nepal, Papua New Guinea, South Africa and Cambodia, where she served until February of 2007 as a board member of Friends Without A Border – the fundraising arm of Angkor Hospital for Children, in Siem Reap.

From 2000 to 2005, Caroline also served as a member of the pediatric advisory board of Health Volunteers Overseas and as a board member of Himalayan HealthCare in Nepal for seven years. She is currently an executive committee member of the American Academy of Pediatrics Section on International Child Health and is a diplomate of the Royal Society for Tropical Medicine.

Professor Varun Kumar, M.D. is a clinical pediatrician and an assistant professor of clinical pediatrics at Brown University Medical School, in Providence, RI.

A native of Washington D.C., Varun was raised in Maryland and has a Bachelor of Arts degree from Cornell University in Ithaca, NY, a Medical Degree from Washington University School of Medicine in St. Louis, MO and was a resident pediatrician at Brown University from 2002 until 2005.

Varun has been living and working in Cambodia for two years, where he is serving as the Medical Advisor at Angkor Hospital for Children.

Hal Kussick is a general dentist and a member of both the American and Singapore Dental Associations. After 12 years of general dental practice in Seattle, Washington, Hal moved to Singapore in 2005, where he has spent the last two years practising dentistry.
Raised in New Jersey, Hal received his undergraduate degree from the University of California, Santa Barbara. After four years in construction management, he attended the University of Washington School of Dentistry, graduating in 1993.
Since moving to Southeast Asia, Hal has been able to work more frequently at Angkor Hospital for Children, where he first volunteered as a dentist in 2004. Hal has also pledged his services as a volunteer to the Lake Clinic.
In November 2007, Hal made a 2,500 mile journey across Australia - on a bicycle!
Click here to read about it.

Michael Owen is a principal and co-founder of Baystrategy, LLC a management consulting firm based in Los Angeles.

Specializing in the provision of interim management services, strategic planning and debt and equity fundraising in the U.S.A. and the European Union, Baystrategy also provides general and technical project management services.

Michael currently serves as a non-executive director of Premier Mission Group Ltd, a London based brand development company, where he advises on strategy and alliances; and Bayskills Inc, a Los Angeles based executive search and IT contract staffing company. Michael is a member of the advisory boards of several companies in Germany, the U.K. and the U.S.A., and a co-founder of WHS Fund, a not-for-profit venture capital fund based in Cambodia.

Professor Walter Patrick, M.D., PhD has worked as a primary care physician in several Asian Countries. He is a distinguished medical and public health educator, having served as Visiting Professor in ten universities in Asia, and now heads the Global Health and Medicine Program at the John A Burns School of Medicine, University of Hawaii, where he served as mentor-advisor to Jon Morgan, TLC's founder and executive director.

Professor Patrick serves as the Secretary General of the prestigious Asia Pacific Academic Consortium of Public Health – a 60 member university consortium from 20 countries extending across the Asia Pacific region, from Kazakhstan to USA and Japan to Australia.

Having served as advisor to WHO, UNICEF and many NGOs in primary healthcare, child survival and issues such as improving gender equity in health in Asia, he has contributed to health development in many disadvantaged community settings.

Ralf Regitz is managing director of ewerk in Berlin, Germany.

In the 1990s, fueled by youthful idealism, Ralf and his team founded the "E-Werk" techno club, which they parlayed into a worldwide techno brand. Five years ago, Ralf began the transformation of ewerk into one of Berlin's most popular event venues.

Ralf is a very experienced yachtsman and a regular visitor to the Tonle Sap, where his advice has been instrumental in the ongoing development of the TLC1.

Kaoru Sato is an IT logistics specialist with over fifteen years’ experience of financial and operational management in the banking, software and entertainment sectors. From March 2007 until April 2009 she was working as a full-time volunteer at the Angkor Hospital for Children in Siem Reap, where she assisted in streamlining budgeting and administrative procedures.

Prior to this, Kaoru worked for Morgan Stanley in Tokyo for nine years, where she worked in risk management, equity options trading support and latterly as IT logistics manager. From 1997 to 1998, Kaoru was finance and operations manager of the Japanese subsidiary of web imaging solutions provider, Live Picture Corp.

After gaining a degree in Sociology at the State University of NY, Kaoru worked in New York City for five years – initially in financial operations for Dai-Ichi Kangyo Bank (1991-1993), and subsequently as coordinator of international operations for MTV Networks (1993-1995).

Advisors | Directors | Management

Team: Board of Directors

noreply@blogger.com (Jon F. Morgan, MPH) — Wed, 27 Dec 2017 11:06:00 +0000

Advisors | Directors | Management

Professor Varun Kumar, M.D. is a clinical pediatrician and an assistant professor of clinical pediatrics at Brown University Medical School, in Providence, RI.

Varun has been living and working in Cambodia for two years, where he is serving as the Medical Advisor at Angkor Hospital for Children.

Hal Kussick is a general dentist and a member of both the American and Singapore Dental Associations. After 12 years of general dental practice in Seattle, Washington, Hal moved to Singapore in 2005, where he has spent the last two years practising dentistry.

Raised in New Jersey, Hal received his undergraduate degree from the University of California, Santa Barbara. After four years in construction management, he attended the University of Washington School of Dentistry, graduating in 1993.

Since moving to Southeast Asia, Hal has been able to work more frequently at Angkor Hospital for Children, where he first volunteered as a dentist in 2004. Hal has also pledged his services as a volunteer to the Lake Clinic.

In late 2007, Hal completed a 2,500 mile journey across Australia - on a bicycle!

Click here to read about it.

Jon Morgan is executive director of the Lake Clinic Cambodia.

Dr. Ngoun Pheaktra, M.D. is the medical director at Angkor Hospital for Children in Siem Reap.

Born and raised in Cambodia, Pheaktra was educated in Cambodia and Thailand, with a degree in general medicine from the University of Health Sciences, Phnom Penh (1997) and a degree in pediatrics from the Chulalongkorn University, Thailand.

Pheaktra joined the staff of AHC as a junior pediatrician in 1999. In 2001, he was appointed senior pediatrician; in 2002, chief of the emergency department; and medical director in 2004.

Michael Owen is a principal and co-founder of Baystrategy, LLC a management consulting firm based in Los Angeles.

Michael currently serves as a non-executive director of Premier Mission Group Ltd, a London based brand development company, where he advises on strategy and alliances; and Bayskills Inc, a Los Angeles based executive search and IT contract staffing company. Michael is a member of the advisory boards of several companies, both in the U.K. and U.S.A. and a co-founder of WHS Fund, a non-profit venture capital fund based in Cambodia.

With over twenty years’ experience as entrepreneur, senior executive and consultant, Michael has lived and worked throughout the U.S.A. and Europe. During this time he has founded, co-founded, managed or advised many successful businesses.

Prak Manila is currently Nursing Education Coordinator at Angkor Hospital for Children in Siem Reap, where she has been employed in various nursing roles since February 1999.

A native of Cambodia, Manila graduated from the Nursing School, Battambang in 1989 and served a two year internship in the maternity and pediatric department of Siem Reap Provincial Hospital (1990 to 1991). Subsequently, Manila served for over seven years as a pediatric nurse and birth spacing counselor at the Siem Reap Health Center from 1992 to 1999.

Dr. Sar Vuthy, M.D. is currently serving as the chief surgeon and vice medical director at Angkor Hospital for Children in Siem Reap.

A native of Cambodia, Vuthy graduated from the University of Health Sciences, Phnom Penh in 1994 and was a resident pediatrician and obstetric gynecologist at the Calmette & National Pediatric Hospitals, Phnom Penh from 1993 to 1994.

Following two years in general medicine in the Siem Reap and Kra Lanh Referral Hospitals, he began training as a surgeon in 1995 at Siem Reap Provincial Hospital, joining the staff of AHC as a trainee pediatric surgeon in 1998. In 1999, Vuthy was appointed as a surgeon at AHC, becoming chief surgeon in 2003.

Kaoru Sato is an IT logistics specialist with over fifteen years’ experience of financial and operational management in the banking, software and entertainment sectors. Since moving to Cambodia in March 2007, she has been working as a full-time volunteer at the Angkor Hospital for Children in Siem Reap, where she has been streamlining budgeting and administrative procedures.

Mr. Som Sophal is currently the Director of Nursing at the Angkor Hospital for Children. He is one of the first nurses hired at AHC in 1998, and quickly advanced into a management position. Sophal is also the first nurse to actually be selected to represent The Cambodian Nursing Association at an international conference.

A native of Siem Reap Province, Sophal prior to working at AHC was the Supervisor for the Provincial Hansen's Disease Department, and prior to that worked as the Information Officer of the Siem Reap Provincial Health Department from 1994 to 1996. He has continued his education; recently receiving his Bachelor's degree in Business Administration.

Tep Navy is currently assistant director of nursing and coordinator of clinical training at Angkor Hospital for Children in Siem Reap, where he has been employed in various nursing roles since February 1999.

Navy graduated from the Nursing School, Battambang in 1995 and served as a nurse in the Sothnikum District Hospital until 1998, when he was appointed deputy director of Sothnikum Health Center. Navy has also studied in Thailand and the Philippines and holds a bachelor’s degree in business administration from the Build Bright University in Siem Reap, Cambodia.

Advisors | Directors | Management

Ship's Design

noreply@blogger.com (Jon F. Morgan, MPH) — Tue, 26 Dec 2017 03:32:00 +0000

The Swan
TLC-2

Launch date: 2010

Now in its conceptual stage. Come back when the engineering is complete.

Financial Realities

noreply@blogger.com (Jon F. Morgan, MPH) — Mon, 25 Dec 2017 07:56:00 +0000

Summary of TLC expenditure for 2009.

January 31, 2009: we have begun the year with a surplus of $49,336 - this, together with $80,000 of funds pledged, covers 57% of our 2009 budget - once again, a big thank you to the organizations and individuals who have supported us over the past year!

2009 Budget: $226,586 U.S.*
*In 2009, we will focus on:

expanding the coverage of our operations aboard the TLC1 thru an awareness program among village chiefs;

increasing TLC clinical capacity thru expanded use of volunteer health professionals;

introducing quarterly eye-care missions and other local specialist involvement;

developing a network of Village Health Volunteers (VHVs) within our target areas;

enhancing our relationship with government ministries;

bringing health ministry core activities to our target areas, via expanded cooperation with local health centers;

creating a drama group to assist in health education.

***CLICK HERE TO DOWNLOAD OUR 2009 BUDGET.

DONATIONS: If you would like to donate money to TLC, you may do so by mailing a check to:

Human Translation, Inc
1241 Adams Street, Ste 1096
Saint Helena, California 94574

Please make your check payable to:
"TLC at Human Translation"*

*Donations made via Human Translation are tax deductible for citizens and residents of the United States.

Smart Questions

noreply@blogger.com (Jon F. Morgan, MPH) — Sun, 24 Dec 2017 07:45:00 +0000

Rather than present the usual FAQs, this is a compilation of email Q and A's with colleagues in the health field.

Hal Kussick, DDS: "How much money will it take to get the clinic to be operational?"

**We have to talk in terms of “Phases”. Phase One can be accomplished with the purchase of a fast, shallow draft boat that would provide the means to bring volunteers to outlying villages without having most of the day spent getting there. Traditional “long-tail” boats may require a four hour trip just to go one way. With a different boat we can bring that trip to under an hour and thus maximize the time actually spent providing care. The cost of that kind of boat, second hand is about $10,000.00.

**Phase Two would see a houseboat, or houseboats that would provide specialized care. Each houseboat dedicated specifically say to dentistry or ophthalmology or to pediatrics and such. This would allow us to have staff/volunteers stay on board for several days at a time and remain in one location for a period of days. Presently friends in Australia are looking into the possibility of having such a houseboat donated to TLC. At the same time we are looking into the possibility of constructing locally along more traditional lines.

**Phase Three, of course, is the clinic ship that will serve as a poly-clinic; being able to provide treatment and education in a variety of specialties. This is a big project. The ship itself will cost over $500,000.00 and almost a full year to construct.

**Note, the present overhead of the TLC office and its minimal staff is $1,500.00per month.

Hal: "How often will the clinic be treating people, and for how much of the year?"

**The demand for service is constant. Ultimately, with Phase Three we will be able to maintain an accessible presence Monday through Friday.

Hal: "How big an area, with how many people will it be able to cover?"

**The Tonle Sap covers approximately 2,500 hectares (6,200 acres) at the waters’ lowest point. It actually quadruples in size during the rainy season. There are about 1.1 million people living on its shores with 60 floating villages on the lake itself.

Hal: "Why bring dentists instead of a boat full for physicians?"

**Dentistry holds a unique place in medicine as the basic concepts and principles are easily explained and understood by uneducated people. They know that they have pain. They go to the dentist and pain is taken away. There is a sense of immediacy about this; something that other medical fields do not have. For people who have never had contact with modern health care, Dentistry is an access point.

**Until will have the clinic ship, our ability to provide medical care will be restricted to those conditions that can be diagnosed and treated with a single visit. This isn’t optimum, but it will be the best that we can do without the possibility of follow-up.

Hal: "Why are teeth in Cambodia in such bad condition?"

**Ignorance and poverty. There is a general lack of awareness and access to preventative dentistry such that many children have never seen a toothbrush, never mind how to use one correctly. There is also a lack of knowledge of the direct link between general diet and tooth decay

Hal: "Will there be a medical doctor on board?"

**When possible yes, either a pediatrician or a general practitioner will be along. By “possible”, I mean as volunteers. The Clinic Ship is being conceived now as a nursing-centric project that will provide care comparable (and better) than what is found at the government health centers where nurses provide all the care, including diagnosis and treatment. These nurses can prescribe medication. An equally important component of their job will be in the identification of medical conditions that do require a physician and to make referrals to an appropriate hospital or land-based clinic.

Hal: "What if you encounter a person with a true medical emergency?"

**We would medically stabilize that person to the best of our abilities, and then provide transportation back to town and an appropriate health center.

Hal: "What will the public health mission of the clinic include?"

**Education, education, education. Early diagnosis of chronic and or severe illnesses. Immunization, and of course oral health.

Hal: "How will you continue to finance operations one the clinic is afloat?"

**A review of the clinic ship’s plans will show that we have included four “staterooms” that can be rented out to eco- and adventure tourists. They are also available to paying volunteers as well as researchers from other NGOs or academic institutions. The income from these rooms will go towards the physical maintenance of the ship.

**As the average daily income in our target area is roughly $0.40, the idea that the populace being served will somehow pay for their care is not very realistic. As TLC-Cambodia grows and matures we envision ourselves becoming more adept and sophisticated at fundraising and grant writing. In the end, TLC, like so many charitable organizations will have to rely on the generosity of others to help.

Caroline Dueger, MD, FAAP, MPH, DTM&H: "How will you integrate or coexist with government clinics, which we were once told float up and down the river with the seasons. Do they still exist? I'm sure there is no dental care but do they object to you giving immunizations? Maybe vitamin A and zinc would be useful and you could do Hbs screening, and give iron if needed."

**The plan now is that TLC will be serving a given area from Monday morning until Friday afternoon, and during that period a staff person from the Health Center that is supposed to be providing coverage will be aboard--providing the immunizations; updating the famous “yellow card”; and just being a member of the staff for that time period. Of course that person will receive a per-diem for their involvement. There is only one “floating health center” and it is permanently based at the Port of Siem Reap. For many of the floating villages, the nearest Health Center is 40-50km away by both boat and motorcycle. Involving a staff member from THAT Health Center will keep the Ministry of Health involved as a partner.

Caroline: "Will you have medications? Keep records? Do you plan to have regular staff with you most of the time (dental hygienist? maternal/child nurse? MD?)? Eventually you will probably have a motorized dinghy to use as an ambulance!"

**That’s a lot of questions! I am confident that the Ministry of Health will supply TLC with “essential drugs”; the same drugs that are available at any government health center I want the basic drugs that can be administered by IMCI trained nurses, as that level of nurse will be permanent members of the clinic staff.

**Records will be both paper and on computer. The Ministry of Health has been trying to create a basic DB for their hospitals and if that does get developed then that will be used.

**Staff, as opposed to crew, will be comprised of three dental nurses, 2 IMCI trained nurses, and a “clerk”. Everyone will have to multi-task as much as possible; meaning even the volunteer dentist will have to help scrub and sterilize instruments and nurses will all need to be involved in housekeeping and maintaining the clinic area. These positions will all be permanent with a “competitive salary” (they will be required to live aboard for 4 nights each week); they will be well fed--the cook is the most essential member of the crew--and hopefully feel very satisfied with the work and the adventure of it.

**Staterooms will be reserved for paying volunteers or guests, such as ornithologists, biologists, sociologists, anthropologists who want to use the Lake Clinic as a base.

**My mailing list is rather heavily loaded these days with dentists.

**The budget is actually calling for a couple of fast, Boston Whaler-type boats; shallow draft and high speed. In addition, there is an Australian project that is bringing hovercraft into the region. These boats fly--literally, and have the potential to also provide ambulance and rescue service as well.

Caroline: "Will the gardens float up and down the river with the house boats? We saw these in Myanmar and were hugely impressed but I think they were anchored."

**The gardens that Osmose and others are promoting are anchored and tied off alongside each houseboat. We will not be setting up such gardens, but encouraging the local community to take interest in, and to take part in these projects. As you know, approximately two-thirds of Cambodian children are clinically mal-nourished. Home-gardening, even on the lake, is one intervention that we know can work.

Caroline: "Are there families who live on the banks of the river (not necessarily on the boats) who are also accessible? How far will you range?"

**The Tonle Sap increases 4 times its dry season size at the height of the rainy season. There are numerous communities that live along the banks of the lake at some point in the season as the lake rises and falls. They all share the same problem of “access to health care” as the families living on the lake.

**I’m envisioning that the range will be determined not only by water levels but by Ministry of Health priorities, and want to negotiate with them perhaps 12 locations; one per week, and then repeat the cycle so that each area is visited 4 times in one year—roughly. That provides some follow-up as well as some measurement of our effectiveness. The LAKE CLINIC will be moved from one area to the next over the weekend when the clinic staff is on-shore.

Caroline: "Will you be able to operate year round?"

On the lake for 11 months. Probably the month of April--Khmer New Year--we will bring the boat down to Phnom Penh for overall maintenance. During that time the staff will have their New Year holiday, and be available for additional training either in Siem Reap or elsewhere.

Caroline: "How often do you expect to resupply in Siem Reap (and pick up/drop off the paying guests/ volunteers)?"

**Hopefully, just once a week for resupply. Each time the staff and volunteers go out to the LAKE CLINIC the needed supplies will come along with them. This is particularly feasible if I can contract with the hovercraft people.

**Paying guests will be brought out and in whenever they want--they’ll be paying for that service.

**Another scenario is that the resupply logistics could happen over the weekends.

Caroline: "Will you have telephone or radio communication?"

**The Country Manager for Cambodia’s biggest ISP, "Online", has promised to provide the LAKE CLINIC and the land based office with FREE internet access, thus internet phone access as well. He is also a… "gas engineer" and has agreed to design a "small, 2000 degree waste incinerator". This (medical waste) was actually one of my biggest headaches.

Caroline: "How soon do you expect to be operational?"

**We're planning to start operating the land-based clinic and a limited ship-board (on a small houseboat) service early in 2008. We hope to build our ship during the course of the next year, and launch it in 2009.

Caroline: "How much money do you need?????"

**It’s going to take approximately $500K to build the craft from the hull up. Another $250K per annum to operate.

Caroline: "As you know many NGOs charge volunteers and in this situation I think you will want to do that. After all it's a boat tour. We did this once on the Amazon with a group that kept medical records on patients in all the different little villages - stored them on land until they were headed to that area. Every doc who volunteered wanted to go on the boat trips."

**The idea of paying guests and paying volunteers was to create at least partial sustainability, even if it’s only to maintain and improve the boat from year to year. If the staterooms can be kept occupied, then we can even talk about paying additional overhead.

Caroline: "Times like this I wish we were richer."

**Times like this I wish I had been more motivated by earning money in my youth as well. Thus in my middle years I find that the price of service and adventure is to be forever holding your hand out.

Which leads me neatly onto the last question:

"HOW DO I GIVE MONEY TO TLC?"

**You may do so by mailing a check to:

Human Translation, Inc
1241 Adams Street, Ste 1096
Saint Helena, California 94574

Please make your check payable to:
"TLC at Human Translation"*

*Donations made via Human Translation are tax deductible for citizens and residents of the United States.

Photo Album

noreply@blogger.com (Jon F. Morgan, MPH) — Sat, 23 Dec 2017 07:54:00 +0000

People of the Tonle Sap Lake.

Photo: Daniel C. Rothenberg, (photoasia.org),

I've often been asked, "What is the greatest health problem in Cambodia?" Expecting to hear about diseases, many are surprised to hear me say; "Ignorance and poverty."

Children die in large numbers from respiratory diseases, such as pneumonia and from diarrhea; both either preventable or easily treated in their early stages.

Photo: Kaoru Sato

Photo: Dr. William Duke

DONATIONS: If you would like to donate money to TLC, you may do so by mailing a check to:

Human Translation, Inc

1241 Adams Street, Ste 1096
Saint Helena, California 94574

Please make your check payable to:
"TLC at Human Translation"*

*Donations made via Human Translation are tax deductible for citizens and residents of the United States.

Hal's Journey

noreply@blogger.com (Jon F. Morgan, MPH) — Sat, 23 Dec 2017 07:16:00 +0000

On the 29th of September, Dr. Hal Kussick made a decision to bicycle across Australia in the hope of raising both awareness for The Lake Clinic-Cambodia and money--of course.

The Route...

The following are e-mails that he is sending to keep us up to date on his adventure thus far.

16 October, 2007

Greetings from australia,

I'm 5 days into the ride(rode 4 of them). I started in fremantle, on the indian ocean, and have gone about 600k east so far. today's a rest day, as 188k into a brutal headwind yesterday wore me out. also, I figure a few rest days early on while my conditioning builds will be helpful.

it's pretty desolate out here. a 150k or more between very small towns, or even simple roadhouses is common. it will be like this for at least the next 10-12 days. as long as the headwinds relent, all should be fine.

I'll keep you posted as internet access permits. thanks for all your encouragement,
Hal

29 October, 2007

had a good 167k today. will need to do 192k tomo to get to a roadhouse to stay. sorry about the camera. hope to sort it soon. I may be out of cell or computer range for the next 8-9 days.

my mantra: the pain is temporary; quiting stays w/ you forever. one day at a time. somehow I'll get there.

30 October, 2007

hello again,

I'm finally back in a place where there's e-mail; the first town of any kind in 7 days. Since I last checked in, I've managed to advance the things a bit further east. After 11 days of riding I'm 1960km/1225miles along. I just finished crossing the Nullarbor Plain; 1200km of unpopulated bush.

The only civilization are widely spaced roadhouses with marginal quality motels attached. Since I'm traveling very light; with only about 6-7kg of gear and clothes, I'm obliged to stay in them.

Riding conditions have improved considerably since last week. I've been averaging 180k/111miles a day. And last Saturday I logged a day for the ages. The biking stars and planets aligned perfectly; yielding smooth, straight roads, good weather, a cyclist(me) in improving condition, and a biblical tail wind.

Sensing something big could happen, I decided to stay on the bike as long as daylight and a reasonably placed stopping point permitted. 11 hrs later(9hrs 40min in the saddle) I was 351k/218miles closer to Sydney. This is a day I'm sure I will NEVER be able to repeat. This is 130k/80miles further than I've ever done in one day on a bicycle.

I'm now in the small town of Ceduna, along the south coast. Two days ago I saw the sea cliffed coast line of the Southern Ocean; the most spectacular coast I've ever seen.

Unfortunately, most of the wildlife I've seen has been road-kill. At one point there was a smashed kangaroo every 500 meters for sevral hundred km. I understand now why the locals here put 'roo bars' on their cars.

Remember; if you can smell the road-kill before you see it, you're fighting a headwind!

Physically, I'm still hanging in there. Although my neck has been a bit of trouble, and I had some knee pain. Every thing hurts about what I expected. I've lost a bit of hand strength/feeling from compressing the nerves on the handlebars; but this happened years ago as well, when I rode across the US. It recovered completely a few weeks after I finished.

Otherwise; the people are friendly, the weather's ok, and the food unhealthy.

more later, hal

7 November, 2007

The Wind Giveth and the Wind Taketh Away

hi there,

a quick update, as the tele-center in balranald, australia where I am now, closes in 15 mins.

in the 9 days since I last checked in I've covered a fair amount of ground. I'm about 3150km in. about 900km, or so, to sydney; and am in the state of new south wales

the main turn of events is the weather.

last week I spend a whole day in driving rains(their first in 10 months!) and now the wind has changed direction so that it has been directly in my face a 20-30kph for the last 4 days. I had lost a days time to it, as it has slowed me some much, but yesterday the wind relented just a bit so I decided to suck-it-up, and bring this thing to its knees.

I pedaled for 10 and 1/2 hrs. did 258k/160 miles. I managed to win back the day I lost to the winds two days before.this is my true one days record, not that 350k wind drive magic-carpet ride 10 days ago.

today the wind picked up again, and I could only manage, will everything I had, to do 21kph for 160k; and I'm thoughly cooked now. I was planning on trying top push a bit to sydney, but the wind has really taken all the fun out of it at this point(forgive my lack of enthusiasm, I've only been off the bike for 5 mins from today's ride and am still a bit frustrated by the whole thing).

we'll see what happens tomorrow.

thanks for your continuing support; especially on these sub-optimal riding days.
hal

15 November, 2007

Hi Everyone,

This past Monday I ran out of east-bound road and arrived at the end of my journey, Sydney's Bondi Beach and the Pacific Ocean.

I had set out twenty-five days, and 4026kms/2500 miles earlier from Fremantle, Western Australia and the Indian Ocean.

Due to very limited internet access I wasn't able to update you all more frequently (which you may be happy for). Remember, Australia's roughly the size of the lower 48 US states, with less than 10% of the population.

Since my last, brief update last week, here's what's happened:

The head winds ramped back up, especially as I crossed the barren 200km of the Hay Plain in New S. Wales, the day after my last update. There was a strong high pressure system locked-in off the south coast which created unusual anti-clockwise easterly winds. With nothing to block the strong easterly winds(this is a place where you see tumbleweeds), I was forced to use maximum energy to maintain a depressing 20kph/12.5mph pace.

Five straight days of this was really demoralizing, especially as I'd hoped to finish the last 1000kms strongly, with some big days, as my fitness level was getting pretty high by this point. You have to have a short memory I think, to get back on the bike everyday when it's like this. The increased, accumulated fatigue made my legs feel a bit like lead, especially when starting up again after a stop.

I figure the wind added one to two extra days to the final 1500kms. At least I finally saw some living wildlife; emus, kangaroos and wallabies, and eagles. None of them seemed to be too bothered by the wind.

The last few days before Sydney, the wind started to abate as I left the wheat fields and the plains, and entered the hills of the Great Dividing Range and then the Blue Mts. I put together a few big days here (196k/122mls followed by 225k/140mls), to set things up to be in Sydney on Monday, the 12th.

When I booked my return flight some time back, I, somewhat optimistically, gave myself only 27 days, returning to Singapore on Nov. 14th. I also wanted at least a full day in Sydney to see the sights; so I was now pushing it a bit to make the "crime fit the sentence", so-to-speak.

I only took two rest days, on the 5th and 16th days of the trip. I may have also gotten a bit caught up in that obsession of some east-coast(U.S.) drivers of "making good time", too. In the end, I did make the flight with a day to spare, and got to fly on SIA's new double decker Airbus A380 as well.

The final day and a half were a mixture of good and bad. I was happy that the wind had fallen off, and the scenery had greatly improved over the drought plagued center of the country. I was even enjoying the hills.

Unfortunately, the traffic had really increased, and the roads were perhaps the most unsafe I've ever ridden. Very poor pavement quality and potholes(almost 3rd world-esque), coupled with large stretches of road without a shoulder of any kind, and some huge trucks made this really un-fun.

The only break from this came from the 40kms I spent on the M4 motorway (Sydney's version of I-90). On the final bit through Sydney's CBD to Bondi Beach, I stayed right on the tail of a city bus to blaze a clear path for me as there was no extra space on the side of the road for a bike. Upon reaching the Ocean, I think I mostly felt relief from just finishing these last sections of the ride safely, more than any great elation.

All-in-all, it took twenty-three riding days, and twenty-five days total to do the trip. I averaged 175k/109miles a day on the days I rode.

I got four flat tires, but otherwise had no mechanical issues. Other than the weakness in my hands right now from nerve compression against the handlebars, I feel pretty good, and am looking forward to running again now. My pre-trip issues of neck and knee pain while training, actually improved during the ride. Once your body adapts a bit, it's not as hard as you'd think to spend the whole day on a bicycle.

If you were wondering; no, I didn't have any great any epiphanies during the long hours of riding. I usually occupied my mind with time/distance calculations, listening to my Ipod, the occasional daydream, or thinking about how to adjust my positioning on the bike to relieve some ache or soreness.

Everything really went as smoothly as I could have ever hoped for, and with all of your help, we raised/are still raising quite a bit of money for a great cause. The ride will be a great, life-long memory for me. I, of course, already knew that there's still plenty of good fun to be had after forty, but it's always good to have a success to reinforce it. And, if nothing else, the north(left) side of my body got a great tan.
In the next day or so, I'll get all the needed financial details for all of you who so generously supported me and the Lake Clinic. Knowing that you were behind me DEFINITELY helped me immensely, especially during some of the lower points of the journey. I really appreciated all the messages of support as well.

Perhaps in the next few weeks I'll organize a brief presentation(in Singapore) about the trip.

Gratefully,
Hal

DONATIONS:

For those citizens of the United States wishing to reward Hal's incredible commitment as well as his heroic effort, checks can be made out to:

"TLC at Human Translation"

Please mail to:

Human Translation, Inc
1241 Adams Street, Ste 1096
Saint Helena, California 94574

Thank you.

Jon Morgan

Thank You

noreply@blogger.com (Jon F. Morgan, MPH) — Fri, 22 Dec 2017 07:30:00 +0000

Angkors Kinder e.V. (angkors-kinder.de): Andreas Krauss, Christoph Stehle, Alex Strecker, Corinna Strecker and the team at Angkors Kinder, an NGO based in Germany, whose financial support has allowed us to dramatically accelerate the opening of our first clinic.

Andrea and Max Bergmann, for their teamwork in creating the German translation of our website.

George Cooper, Esq., Legal Eagle, advisor and a good mate.

Martin Dishman, owner of the One Hotel Collection, for his support of the Lake Clinic thru his Good Karma program.

The Doctors Dueger, whose financial support for TLC and Riki's tuition has allowed time and creativity to replace anxiety.

Doctor Hal Kussick, for cycling across Australia!

Uta Mühleis, of RESET, for her invaluable support of our fundraising efforts in Germany.

Chris Owen, of Premier Model Management, for the Lake Clinic's London office.

Ralf Regitz, of ewerk, for the Lake Clinic's Berlin office and for his sponsorhip of the engine for our first small boat.

Dr. Paul Richards, dental surgeon, whose technical advice and willingness to commute to Cambodia whenever needed is priceless.

Tobias Rose-Stockwell, executive director of Human Translation for his intellectual and emotional support as well as providing fiscal sponsorship for this project through Human Translation. Truly exemplifying "Translation of awareness into action."

Daniel C. Rothenberg, photographer and true friend. His photos will document the need, the hope and the realities of this project.

"Ruthie", whose financial generosity made it possible for us to establish the Lake Clinic as a local NGO and to give it a "home". She will remain unidentified until she tells me otherwise.

Dr. Sriram Shankar, for providing the financial boost that gave us the confidence to start construction.

...and last, but by no means least, our sponsors and the many financial donors who have given so generously, only some of whom are listed in our halls of fame:

Sponsors |Donors

Contact

noreply@blogger.com (Tobias) — Thu, 21 Dec 2017 10:57:00 +0000

If you would like to know more about TLC, please email us at: info@lakeclinic.org

Or you can call us in Cambodia on: +855 12 81 54 60

Donations may be made as follows:

U.S. residents: please click here

U.K. residents: please click here

German residents: please click here

Anyone may donate by credit card, via Facebook Causes: please click here

...and we'll add your name to our Donor Hall of Fame - (unless you prefer to remain anonymous).

Thank you.

Jon Morgan

Sponsor Hall of Fame

noreply@blogger.com (dunav) — Wed, 18 Jun 2008 12:32:00 +0000

Our deepest gratitude goes to the following, for their generous sponsorship of TLC projects:

Angkors Kinder e.V., Karlsruhe, Germany
Baystrategy, LLC., Los Angeles, CA, USA
Christian, Düsseldorf, Germany
ewerk GmbH, Berlin, Germany
Jungle Journeys, Phnom Penh, Kingdom of Cambodia
Adrienne & Rick Lennert, Canada
Steve Maller, London, UK
Premier Model Management, London, UK
Ralf Regitz, Berlin, Germany
Ravi Ruparel, London, UK
Dr Sriram Shankar MD, Singapore
simyo GmbH, Düsseldorf, Germany
Riten Singh, Hong Kong
Ruthie

...we'd like to add your name to this list - please become a sponsor today.

Donor Hall of Fame

noreply@blogger.com (dunav) — Mon, 16 Jun 2008 18:42:00 +0000

Many, many thanks to the following for their generous financial support:

Robert Allen III, Singapore
Trip Allen, Salt Lake City, UT, USA
Win Allen
Yvonne Allen, Salt Lake City, UT, USA
Ali Anderson, Sydney, NSW, Australia
Andreas, Düsseldorf, Germany
Angela, München, Germany
Angkors Kinder e.V., Karlsruhe, Germany
Antje, München, Germany
Daniel Appelquist, London, UK
Laetitia C Ayers, Salt Lake City, UT, USA
Daniel Aylward, Kirkland, WA, USA
Baystrategy, LLC., Los Angeles, CA, USA
Lama Bazzi, Beirut, Lebanon
Andrea Bergmann, Amsterdam, The Netherlands
Better Way Foundation, Minnetonka, MN, USA
Brent Bishop, Seattle, WA, USA
Kim Bishop, Seattle, WA, USA
Bonnie
Ada Boué, Hamburg, Germany
Evelyna Boué, Hamburg, Germany
Mark Brady, Providence, RI, USA
Mary Sue Brenner, Seattle, WA, USA
Britt, Berlin, Germany
Stimson Bullitt, Seattle, WA, USA
Vicky Butler, Sydney, NSW, Australia
Bruce Campbell, Seattle, WA, USA
Nerou Neil Cheng CPA, New York City, USA
Peter Cherry
Christian, Düsseldorf, Germany
Clara Chua
Grant Chyz
Claus, Hamburg, Germany
Laetitia Coollidge Ayars
Angela Cooney
Dr Marcus Cooney, BDS, FICCDE, Singapore
Chris Croft, Palo Alto, CA, USA
Dr Grant Chyz DDS, Seattle, WA, USA
Jane De Bevoise, Hong Kong
Felix De N'Yeurt, New York City, USA
Heather Dow
Beth Drewniak
Liz Drewniak, Providence, RI, USA
Dr Caroline Dueger MD, Concord, NH, USA
Dr Walter Dueger MD, Concord, NH, USA
Damien Eames, Sydney, NSW, Australia
Adeline Ee
ewerk GmbH, Berlin Germany
Heather Faris, Cambridge, MA, USA
Jack Fee
Felix Management, New York City, USA
David Gardner, Short Hills, NJ, USA
Tierney Gearon, Santa Monica, CA, USA
Dr Brendan Gin, BDSc, Singapore
Gwen Greiner, Seattle, WA, USA
Grieg Foundation, Oslo, Norway
Trish Harper, Flossmoor, IL, USA
Gabrielle Harris, Beijing, China
Juliette Harris, Balcombe, UK
Annabel Heinemann, Redwood City, CA, USA
Hanfried Herrnfeld, Hamburg, Germany
Lucy Hicks Wallis, Hamilton, ON, Canada
Timothy Holland
Dr Mette Horgen, Oslo, Norway
IMPACT Forum Norway, Oslo, Norway
Eric Jackson, Olympia, WA, USA
Jens, Germany
Christian Errboe Jensen, Geneva, Switzerland
Lea Johnson, Seattle, WA, USA
Dr Robert Johnson DDS PS, Seattle, WA, USA
Casey Jones, Seattle, WA, USA
Julian, Berlin, Germany
Jungle Journeys, Phnom Penh, Cambodia
Dr Michael Kern DDS PS, Redmond, WA, USA
Knut, Berlin, Germany
Leslie Kok
Scott Kraenzlein, New York City, USA
Bodo Kräter, Hamburg, Germany
Abraham Kriger, Redmond, WA, USA
Leah Kriger, Redmond, WA, USA
Dr Hal Kussick, DDS, Singapore
Leon Kussick, Naples, FL, USA
Marilyn Kussick, Naples, FL, USA
Neil Kussick
Steven J. Kussick
Nelly Helena Lakkis, Oxford, UK
Bill Landers, San Francisco, CA, USA
Broh Landsman
Bonnie Lau
Patricia Lee
Robert D Lee, Oceanside, OR, USA
Adrienne Lennert, Canada
Rick Lennert, Canada
Florence Li
Kristi Linsenmayer
Claire Livingstone, New York City, USA
Ed Logan
Mae Loon
Stephanie Lung
Steve Maller, London, UK
Tanya Mallott
Jerrold Manock, Burlington, VT, USA
Mary Ellen Manock, Burlington, VT, USA
Beth Marcil
Tim Matsui, Seattle, WA, USA
McDermott Gallery, Siem Reap, Cambodia
Karen McHugh, Foxborough, MA, USA
Andy McClure, Providence, RI, USA
Scott McDonald
Katie Mickey
Anthony Moffett, Washington, DC, USA
Myra Moffett, Washington, DC, USA
Katie Morrison, Seattle, WA, USA
Michael Morrison, Seattle, WA, USA
Uta Mühleis, Berlin, Germany
Jason Bremer Mulrean, Seattle, WA, USA
Jennifer Mulrean, Seattle, WA, USA
Forrest Murphy
Louise C Myers, Washington, DC, USA
Matthew Myers, Washington, DC, USA
Robert Nassau, Putney, VT, USA
Kim Nicholson
Kenneth Norwick, Sylvan Lake, MI, USA
Gerry Olson
Audrey Ottevanger
Caroline Owen, Mexico City, Mexico
Michael Owen, Los Angeles, CA, USA
Ceci Parker, Washington, DC, USA
John Parker, Washington, DC, USA
Sara Parker, Washington, DC, USA
Gareth Pearson
Karen Phan
Philipp, München, Germany
Sheila Pinkel, Los Angeles, CA, USA
David Pritchard, Lake Bluff, IL, USA
Proscenario, Berlin, Germany
Joseph Puryear,Leavenworth, WA, USA
Michelle Puryear,Leavenworth, WA, USA
Dr Martin Rabin, DMD PS, Kirkland, WA, USA
Marion Raymond, Ithaca, NY, USA
Dr Sue Reed, Charleston, SC, USA
Ralf Regitz, Berlin, Germany
Merridy Rennick
Ted Rho
Robert, Köln, Germany
Laetitia Rodde, Hamilton, MA, USA
Rolf, Düsseldorf, Germany
Ranjith Rufus, Brussels, Belgium
Ravi Ruparel, London, UK
RESET | for a better world, Berlin, Germany
Lina Saem Stoey, Denmark
Raj Sajja
Sandra, Berlin, Germany
Susanne Schantz, London, UK
Dr Alfred Scherzer MD, Hampton Bays, NY, USA
Jackie Schwartz
Bill Serantoni
Dr Sriram Shankar MD, Singapore
Lee Shapleigh, Charleston, SC, USA
Michael Shepherd
Riten Singh, Hong Kong
Leonie Skewis, Australia
simyo GmbH, Düsseldorf, Germany
smilefocus, Singapore
Lindsey Sovde, Seattle, WA, USA
Annabel Spencer
Dr Basil Stamos MD, San Francisco, CA, USA
Nancy Storrow, Putney, VT, USA
Susa, Hamburg, Germany
Steve Swenson
Ros Tan
Tanya
Lynn Tchobanoglous, Seattle, WA, USA
Thomas, Kochel am See, Germany
Thomas, Meerbusch, Germany
Jeremy Thomas, Patmos, Greece
Kevin Timmons
John Tomnay
Patrick Tyberghein, London, UK
Peter Vassbotn
Kasandra Verbrugghen, Seattle, WA, USA
Rhoda Wagner, Palm Beach, FL, USA
Ted Wagner, Palm Beach, FL, USA
Chris Warren, Australia
Melissa Warren, Australia
Phyllis Waxman, Fort Lauderdale, FL, USA
S Wertheimer, Bethesda, MD, USA
Sarah West, Oakland, CA, USA
Ted West, Oakland, CA, USA
Jeff Weston, New York City, USA
Dr Stein Wiel, Oslo Norway
Henry Wigglesworth, Seattle, WA, USA
Ning Wong
Stephen Yalof
Yvonne, Berlin, Germany

...we'd like to add your name to this growing list - if you'd like to help, please make a donation today.

Become a TLC Sponsor

noreply@blogger.com (dunav) — Wed, 02 Apr 2008 14:19:00 +0000

The Lakeship TLC will be completed and launched in July. In the meantime, we're conducting research missions in the villages on the Tonle Sap. Each mission costs $250.

You can sponsor a research mission by:

Check, payable to "TLC at Human Translation"*.

please mail to:

Credit Card, via Facebook Causes*.

...and we'll add your name to our Sponsor Hall of Fame - (unless you prefer to remain anonymous).

*Donations made via Human Translation or Facebook Causes are tax deductible for citizens and residents of the United States.

Donate

noreply@blogger.com (dunav) — Fri, 14 Dec 2007 12:26:00 +0000

If you would like to make a donation to TLC, you may do so as follows:

U.S. residents: please click here

U.K. residents: please click here

German residents: please click here

Anyone may donate by credit card, via Facebook Causes: please click here

...and we'll add your name to our Donor Hall of Fame - (unless you prefer to remain anonymous).