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We have been training and working everyone very hard in the last two years! The leading team became very skillful, but also becoming very cocky and arrogant. A sense of superiority developed, which lead to arrogant,, which lead to apathy! It was sad for me to see this, so I became a “bearded grandfather” with rattan stick. I was quite intimidating ;-).

End of this page is VERY GRAPHIC, do not proceed if you don’t have the stomach for it. You have been warn.

2009 - Apathy
“Even when I try to stir myself up, I just get irritated because I can't make anything come out. And in the middle of the night I lie here thinking about all this. If I don't get back on track somehow, I'm dead, that's the sense I get. There isn't a single strong emotion inside me.” ― Banana Yoshimoto
Preparation for Kiyoshi Masai of JPR to come to Cambodia when he retired. Very lucky to have so many young army girls catering to his every whim. RRC711 Team member saying sending Hitoshi & Kumiko Igarashi off at the airport. This was one of the saddest day of my time in Cambodia. They continue to help Cambodia.
RRC 711 (Rapid Rescue Company 711) was created in Brigade 70 in 2007. It has three components: Rescue, Pre-Hospital and Hospital Unit.

I was tasks with the responsibility of building and training the team. We have a great deal of support from B70 Commander, Mr. and Mrs. Igarashi who was tirelessly supporting me.

We also have many helps from our friends in Japan which provides the much needed ambulance and equipments.

Working together, we were able to successfully built an emergency team not  just RRC 711, but all the team in the National Hospitals and Provincial Hospitals.

It was a VERY DIFFICULT tasks and we faced so many resistant. The most common one is that of APATHY by the medical staff form the National and Provincial Hospital. The Police and Army were extremely supportive and enthusiastic.

By working tirelessly, literally 24/7. For the next five years I about 90% of my time in my Command Car, a modified 1991 Chevy Blazer. It was fully equipped witt everything I needed, including an 800 Amperes battery system charged by three solar panels on the roof! It was fully equipped for rescue as well as Command and Control.

The team work tirelessly and in many cases we had to fight with private ambulance because they are not allow by the government to provide such services. Pre-Hospital Emergency Services is free for all, but private ambulance charge on average $300 USD per incident! A HUGE sum for many people in Cambodia.

As of today, the Pre-Hospital and Hospital emergency team are working well together. Late 2012, we started Advance Trauma Life Support, ATLS system for the National Hospitals. By February 2014, Calmette Hospital have a comprehensive ATLS program witht he help of Tan Tock Seng Hospital in Singapore for ATLS.

We still faces many challenges, including equipment and maintenance. It costs ALOT to keep an emergency system running!

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Graphis students visited Cambodia in August this year and had a meeting with Secretary of States Prof. Heng Tay Kry who is responsible for Hospital Services and Emergency Services is one of his many responsibilities.

He took the time to explain to them the emergency system being developed in Cambodia.

I’m glad to see young people taking initiative to learn and try to do something to make a different.
One of the many mysteries that puzzled me is this patient. She is supposedly quite ill and in need of an IV, yet she is walking atound smiling and holding her own IV bottle?

I supposed looks can be deceiving? There must be some underlying medical conditios that require her to have an IV?

Inquiry mind wants to know.
Made in Cambodia

We were asked by the Ministry of Health to make an ambulance with off-

road capability. Convert an old Toyota Landcruiser.

I was asked to refurbish this hospital. Quite a difficult challenge in that we had less than three months to get it done! Before and after!

To the left is the OR. We had to basically tear every wall down and rebuilt a lighter and brighter OR and hospital in general.

This part of the hospital is an ICU and next to it is the OR. We can accommodate 8 patients in the ICU and if necessary six more beds.

Scrub and Observation area.

The OR is behind the large windows. Once scrubbed, the circular will take care of all the doctor’s needs.

The area behind the sink can be use for observation and teaching as well.
Looking through scrub and observation area.

It was an extremely challenging 3 months for us, we literally worked 24/7.

We completed the project one week ahead of schedule!

This is the Bun Rany Hun Sen Hospital. I become the CEO of this hospital for the next one and half year.
Construction continues... finally our health center has a name, Graphis Health Center (GHC) after the students group who has so much helped us and than support us. Under the signed is a time capsule.
CDEP continues to provide outreach and mobile medical services. This year the Ohkada Foundation gave us some fund. Maternity Nurse Watanabe was dispatched and worked with local medical personal and midwifes!
Infrastructure development never ceases. After two seasons of raining, the road is now compact enough for us to use heaving machinery and surfaced it with laterite and stones.
Naturally grown banana! Eggplants and Okra! Taro and Yam! Mango grove!
We have an English volunteer Bianca and Graphis students visiting April and August 2009!
Please go no further is you have a weak stomach. You may loose your Ban Cheav!
Please go no further is you have a weak stomach. You may loose your Ban Cheav!
Please go no further is you have a weak stomach. You may loose your Ban Cheav!
Please go no further is you have a weak stomach. You may loose your Ban Cheav!

100% of the cause of accident are from drunk driver! Most of the time they are safe, but the innocent victim who didn’t drink ended up having very severe injuries! PLEASE DON'T BE SO SELFISH, THINK ABOUT OTHERS!
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