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Every aspect if development creates conflicts. It takes time and effort to resolved the conflicts, under normal situation. Usually we are face with life and death situation, so the nicety of compromise does not always workout. Imagine trying to determine how to treat a trauma patient on the road through a committee decision? Training, knowledge, experience and judgment call of the team commander is the absolute rule.

2008 - Conflicts
“Do not think of knocking out another person's brains because he differs in opinion from you. It would be as rational to knock yourself on the head because you differ from yourself ten years ago.” ― Horace Mann

I was a witness to a hit and run accident, just didn’t know it!

On the way to Oyama, I decided to get dinner at a restaurant in Pich Nil (which I never do before). I ordered chicken soup and some rice.

There were several families enjoying dinner. They asked the restaurant owner if they could leave their car because they have radiator problem.

I left the restaurant, there was an accident at our village, the rest the authority took care.

Three heroic people that did more to help develop current pre-hospital emergency services than anyone. Hitoshi Igarashi, Kumiko Igarashi and Yuko Ibara, thank you very much!

Hitoshi establish the foundation for the current command and control system for the city of Phnom Penh.

If you met him asked him about how he got Dr. Heng Tay Kry quite upset with certain issues. Ot was one of those funny misunderstanding.

Because of them, couuntless lives were save.
Command and first responder vehicle. Converted from a Toyota Corolla.

In traffic congestion,  this vehicle acts as a first responder and command. Arriving at the scene before the ambulance and stabilize the victim.
This is the first properly equipped ambulance in the entire Cambodia. Hitoshi-san puts a lot of effort into making. Ibara-san took care to ensure the crew training.

April 2008 I took temporary command of the team. We had many conflicts with the local doctor who just want to keep the system and team for show and tell only.

Oyama Ambulance and command car. Yep, we got stuck in the mud!

Establishing a relay system between rural Cambodia and Phnom Penh help us save costs and provide efficient services to victims of accidents. Phnom Penh crew already know the system and can hande things much more efficiantly.

This was our first relay at about 45km marker between Phnom Penh and Oyama. The relay system also forces us to standardize on equipment.

In the long run, standardization saves alot of money and make the system very efficient for both the emergency team and the victims. Training is also easier because all the different emergency team are familiar with the equipment. This was not the case before we started our activities.
Classroom and on the job training for police offices. They are usually the first to arrived, but they have never been train for medical emergency services. They normally have to wait hours before the medical crew arrive. We make sure that such things does not happen anymore. Well, it almost never happen anymore.
Far left, emergency team from Bun Rany Hun Sen hospital and police command and emergency ambulance on the right.

Mr. Kiyoshi Masai, Chairman of JPR wanted to help Cambodia with emergency. This was his first meeting with former Police Commissioner General Hok Lundy.

Youth Star Gala, a fund raising even for the Cambodian version of The Peace Corp. Some of Youth Star members came to CDEP to learn about Sustainable Development.

I can’t remember his name, on the left. He helped with a major accident on the night of the Youth Star Gala! Thank you.

Kids celebrating birthday in Phnom Penh. Since we have 20+ kids, we can’t afford to celebrate everyone’s birthday, so we do it every quarter!

The kids build their own kitchen extension to the house!

This is what we do before our health center. We have an open row house that is 8m x 20m long, part of it is used for in-patient, and the other part for out patient.

We also provide basic medical care training to various member of the Cambodian medical establishment.
I am always asked: Why Health Center in the middle of nowhere? My answer is severing the present and the future at the same time. Patient needs quiet and tranquil environment to heal and recover. We also have everything here to live in a natural way. You can imagine how difficult it was for us to get materials deliver. When it rains, the construction has to stop and we start again when it stops. Problem is between July and September, it rains nearly 24/7!

I started this health center on my own in February 2007, we got some help from the Graphis Students in the form of $20,000 USD later on.

Imagine trying to build a health center with no modern tools. We have small tube for level, a metal cutter and most everything else we need to work with were invented by the local.

Bamboo was an amazingly used for almost everything we need in term of support! Was flexible and light.

Monkey balance! We got it straight.

Straight and level! One down countless more to go!
It was not easy to supervise the construction with so many activities going on. Many of our workers can’t read and write, so it is very difficult to discuss blue print and so on with them. Many aspects of the construction has to be broken into very small manageable parts. Very time consuming to get from one tasks to the next.

It’s hard to think about the beauty of nature and trying to save it for the future when you are always hungry and always in need.

CDEP tries very hard to work with local people and explain to them the needs to balance what they need and what they want and to try to save something for the future.

Small solar system for one of our remote conservation outpost. It’s equivalent to about 14 months of local salary! So quite difficult for us to explain to them why they need to save the forest.
Sustainability and the necessity of a modern life converge. Satellite based Internet was a necessity, but we try to keep things down to a minimum liveable.

The fruits and vegetable are grown naturally. We have a secret weapon of how we are able to grow things naturally. When you visit you can ask me to show you. But than I may have ti shoot you ;-)!
Energy is essential for all life. Electrical energy for electronics and vital medical instrument and biomass fuel for cooking and drying.

We have solar systems that provides all of our critical electricity needs and biomass fuel is a plenty for cooking and other necessity; from drying to boiling water for bath! Notice the old temporary kitchen and the new more efficient kitchen. We do everything ourselves.
Physical infrastructure is important. We did most of everything by hand, but in mid 2008 Brigade 70 helped us with road construction! An excavator and bulldozer. I am very grateful to General Mao Sophan, Commander of B70 for his help in building our road.  This video gives you an idea how we manage to cross the bridge when it floods! Funny, crossing a bridge with a boat (60Mb).
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