Off the Grid

Medical -Nicaragua

Three Angels Broadcasting Network

Program transcript

Participants: Narrator: Chet Damron

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Series Code: OTG

Program Code: OTG000045A


00:01 Narrator: Scattered across the globe Adventist World Aviation
00:04 has mission outposts situated in extremely remote areas.
00:10 These were established to help minister
00:12 to local indigenous people.
00:15 Most of these locations are so difficult to reach,
00:18 that aviation is the primary means of reaching them.
00:23 Using aircraft, Adventist World Aviation can deliver
00:27 the gospel message as well as provide lifesaving
00:30 med-evac flights to hundreds.
00:33 The mission of AWA is to provide quick and reliable
00:38 transportation to many parts of the earth, that are
00:41 almost impossible to reach.
00:45 Adventist World Aviation missionaries use the means
00:48 of aviation to spread the love of Jesus all around the world.
00:53 Similarly, the aviation base in Nicaragua has become an
00:58 essential need, that services the Miskito people of that area.
01:50 Clint: I'm Clint Hanley and I live in Northeast Nicaragua,
01:55 in the upper corner along the border of the Rio Cocoa
01:59 with the border of Honduras and I live here with my family,
02:04 2 children and my wife, who is a nurse and we fly this airplane,
02:09 a Cessna 172, for medical work, all around this region,
02:15 covering about 150 miles in all directions.
02:19 Since we started flying 7 years ago, I have flown 530 patients
02:24 from remote communities, or from hospital to hospital and
02:28 approximately 50-80% of those would have, the doctors say
02:33 would have died for sure, had they not had transport.
02:36 To be able to offer them help from a remote runway and get
02:40 them to a place where they can have better medical care,
02:42 is a big blessing that they have and it saves a lot of lives.
02:47 The rest of them needed transport, because they were
02:51 in great pain, let's say they had broken femurs,
02:53 or something like that.
02:54 That if they would have transported by road it would
02:57 have been a lot worse for them, but they probably
02:59 wouldn't have died.
03:00 So it's been a big help to the people and we're happy
03:03 to be a small part of it.
03:05 Narrator: The native Miskito people live in dense jungles
03:08 of Nicaragua and they are often over looked due to their
03:12 difficult geographic location.
03:15 An aviation mission outpost located in this part of the
03:19 country is the perfect solution to helping the Miskito people.
03:25 Recently, Adventist World Aviation adopted a very active
03:29 aviation project in the north east corner of Nicaragua.
03:33 Clint and his wife Marilyn started this project
03:37 10 years ago and with God's guidance, they have developed
03:42 an amazingly active and growing aviation mission base.
03:49 The work the Hanley's do in Nicaragua is truly a lifesaving
03:54 mission to the Miskito people.
03:56 Almost daily, Clint flies med-evac flights and is truly
04:02 an answer to prayer for the people of this region.
04:06 Marilyn, his wife is dedicated to the mission to provide
04:10 medical care to the Miskito people with her skills
04:14 as a nurse.
04:16 Clint: We devote a lot of our attention and time
04:19 to humanitarian aid.
04:21 The right hand arm of the gospel is being able
04:23 to help people medically.
04:25 And being able to offer them this help and being able to give
04:29 them the hope that they can have a better medical care
04:35 by transporting them.
04:37 Narrator: The Hanley's are not satisfied with
04:38 only offering aviation service.
04:41 Their ministry here at Tronquera runs so much deeper than
04:46 the work they do with aviation.
04:48 The family finds new ways to help the local Miskito people.
04:53 Ultimately Hanley's goal is to point others to Jesus.
04:59 Currently, this AWA mission base is the only project
05:03 in Nicaragua conducting med-evac flights.
05:06 They are the ONLY humanitarian aviation support
05:10 in the entire country.
05:13 There are no other aviation projects to help
05:16 the people of Nicaragua.
05:18 Clint: We have the only ambulance for air travel
05:21 in all of Nicaragua, that can carry oxygen and a stretcher.
05:24 Now we are the only airplane is all of Nicaragua,
05:27 that is able to do this.
05:29 And we are the only airplane, that is based
05:33 on the whole Atlantic coast.
05:36 Narrator: Making quite a pair, Clint and Marilyn use their
05:39 individual skills to help the Miskito people.
05:42 Clint is a pilot and transports critically injured patients
05:47 with the use of aviation.
05:49 Marilyn is a registered nurse and finds ways to treat patients
05:55 Clint: Then my wife works with the clinic stuff and and so
05:57 that's another area, that we built a clinic house for and
06:00 built a pharmacy area for that.
06:02 And that's kind of in conjunction with mobile clinics
06:06 that I take doctors often in the airplane and we'll take them
06:09 to a remote village usually them and a nurse, and so my wife
06:13 sometimes will go or sometimes just help the logistics.
06:16 Packing all the medications and stuff that we need.
06:18 And having that all on hand and supplied and taking care of that
06:23 Narrator: To help meet the medical needs of this area,
06:26 the Hanley's have established
06:27 a clinic on the Adventist World Aviation base.
06:32 This clinic has the essential instruments and medications
06:37 needed to treat common medical conditions
06:40 among the Miskito people.
06:42 Each day, patients walk hours to been seen
06:45 in the clinic by Marilyn.
06:47 She graciously clears her schedule for any patient,
06:51 who finds their way to the clinic seeking medical help.
06:55 Often the illness is only minor and she can treat them with the
06:59 supplies she has in storage.
07:02 If the condition is sever, then Clint flies the patient
07:06 to the nearest hospital.
07:08 As a husband and wife team, they can lessen the pain
07:12 and suffering of so many of the Miskito people.
07:18 Caring for pregnant mothers and their young babies
07:21 is an important outreach of the Hanley's.
07:25 Pregnancy in the jungle is difficult, and often mothers
07:29 do not receive any medical care for themselves, or their babies.
07:34 Marilyn: One of the biggest needs, that we have been able
07:38 to help and meet down here in our village of Tronquera,
07:42 is with ladies who are pregnant.
07:44 There is a huge need of education within pregnant ladies
07:50 about how to take care of their bodies.
07:52 What food is nutritious for them to eat.
07:54 They don't always understand how to take care of themselves,
07:59 and often taking care of a new born and breast feeding is very
08:04 intimidating to them.
08:05 I help provide prenatal checks to women, who are pregnant.
08:10 They come every month and receive a prenatal check
08:13 from me, or from the nurse.
08:15 Following that, I provide free prenatal vitamins to them and
08:20 other medications that they might need for whatever illness
08:23 aside from their pregnancy, that might be bothering them.
08:27 Narrator: The Miskito people are poor and have very limited
08:30 opportunities, especially when it comes to health care.
08:34 Marilyn recognizes this need. Since she is a nurse, she has
08:39 taken on the responsibility to help anyone, who comes
08:43 to the mission base seeking medical care.
08:48 Marilyn: The Miskito people that live in small villages typically
08:53 have very little medical care available.
08:57 There is a nurse sometimes in their village or another village
09:00 nearby that is responsible for their healthcare needs.
09:06 However, the nurse is limited by the amount of medicine,
09:10 that they receive from the government clinic.
09:13 Narrator: Marilyn has been working with the Miskito people
09:15 and providing them with medical aid for more than 10 years.
09:20 The village people have come to trust Marilyn and seek her help
09:25 when they need medical care.
09:28 Even the local nurses refer to Marilyn on a regular basis.
09:33 Marilyn: I am a registered nurse and with that has brought the
09:39 availability of helping people understand
09:43 how to live healthier lives.
09:45 I have been able to supplement the medical care,
09:49 that they receive through the government health system.
09:52 I have also been able to do more teaching.
09:56 As a registered nurse, I have more medical training then most
09:59 of the nurses that are attending to the cares here
10:02 in the Miskito villages.
10:04 And what it has done is allowed me to understand what is
10:09 happening behind the symptoms and the other problems,
10:13 that they are having.
10:14 Which has given me the opportunity to explain to them
10:18 and using those explanations when at all possible to draw
10:21 them back toward the lifestyle or diet that the Lord has
10:27 originally given to us.
10:30 To be able to use those things to their health.
10:34 I will see anywhere between ten and fifty patients a month
10:38 on average.
10:39 Narrator: Miskito patients flock to the mission seeking help
10:42 from Marilyn.
10:44 Each day, the natives walk hours for her to see them.
10:48 The mission has the basic medical instruments and
10:52 a pantry full of medications.
10:56 Marilyn: This is our medical store room.
10:58 We have multiple different types of medicines here.
11:02 A few, a couple years ago we bought up to I think $6,000
11:08 in medicine and so we are still using up that right now.
11:12 We have pain medicine, antibiotics, children's liquid
11:17 medicines, gastro medicines for the intestines and worms.
11:22 Cold, cough, flue, vitamins.
11:25 Skin and all kinds of skin topical treatments,
11:31 that we have too.
11:33 The amount of medicine that you see here, using at the current
11:36 rate that I am using it will probably last a couple years.
11:39 However occasionally I have been a little more busy in mobile
11:45 clinics and when that happens, we go through the medicine
11:48 quite more quickly.
11:50 It is dispensed rather, rather fast.
11:55 Narrator: Now Marilyn is not satisfied staying on the mission
11:58 base when she knows neighboring villages need medical help.
12:03 She makes house calls and visits with Miskito people
12:06 as often as she can.
12:09 She especially likes to focus on developing relationships
12:13 with those in the villages that can provide help
12:16 to their fellow villagers.
12:18 She meets with them and continually passes on
12:21 her medical knowledge, so they can better help their neighbors.
12:26 Marilyn: Adealeah is a lay midwife, who we work
12:30 very closely with.
12:31 When the ladies are pregnant, they'll come to her first and
12:36 then if she sees anything that she thinks is a danger signal,
12:40 she'll send them over to us.
12:43 When there's women who need something, that are pregnant,
12:47 she'll bring them to us and we'll discuss it.
12:49 Occasionally they'll need a trip to town for an ultrasound.
12:52 Occasionally they'll need to go to town to have their baby.
12:56 We also, after she's seen them, we will provide vitamins
13:02 to any lady, who is pregnant.
13:05 As long as they have been to see a nurse or a doctor,
13:10 me, or a midwife, which includes Adealeah.
13:15 Just somebody has to check them and because if they don't feel
13:18 comfortable with one person, they're welcome to go to any
13:20 person they want but as long as they are checked, every month
13:23 to prevent problems and then they can receive free vitamins.
13:27 Narrator: Adealeah is the village midwife.
13:30 Her village has around 300 people and 43 homes.
13:35 She and Marilyn work closely together.
13:38 As a midwife, she keeps a close watchful eye on the condition
13:42 of pregnant mothers.
13:44 Then she consults with Marilyn.
13:46 Having a point person in each village to keep an eye on
13:50 pregnancies has made a positive impact.
13:54 Previously, it was very common for women and their babies
13:57 to die during childbirth.
14:00 Now that Adealeah is trained and knows the signs to look for,
14:04 women receive the help they need to deliver
14:06 their babies safely.
14:09 If she sees a worrisome symptom during pregnancy, Adealeah
14:13 immediately sends the patient to Marilyn
14:15 for a more through checkup.
14:18 This process has significantly increased the number
14:22 of successful live births.
14:26 Marilyn Hanley also works very closely with the area nurse.
14:30 Since she speaks fluent Miskito, she has developed
14:34 a relationship of trust and respect.
14:37 The nurse must leave and travel frequently and whenever he does,
14:42 he leaves all his patients to receive care from Marilyn.
14:48 Marilyn: I am available whenever the nurse is gone to back up
14:51 whatever patients might get sick while he is gone.
14:55 But we are also available to transport any patients,
14:58 that he sees at any time.
15:01 Be able to transport them to Waspam or Puerto Cabezas.
15:04 Usually in the truck, but occasionally a few have happened
15:08 in the plane also.
15:10 Sometimes, he or she, depending on who the nurse is,
15:14 has a question about a diagnosis of a patient or a medication
15:18 and then they'll call me in and I can consult with them and
15:21 discuss it and we can come up with a treatment plan together.
15:25 Other times it's been an emergency and they just need
15:31 an extra set of hands and I've been able to go and do that.
15:35 Narrator: This nurse greatly appreciates the relationship,
15:37 that exists with Marilyn.
15:39 He utilizes her knowledge and skills and is grateful to have
15:44 her serving the Miskito people.
15:46 Marilyn: He said that one of the biggest helps is that there's
15:50 not really a truck in most villages to be able to take
15:54 people to the hospital.
15:56 So children who are really sick, or women who are in labor
16:00 and they can't get a truck and they can't get to the bus
16:03 and we are able to take them.
16:08 Narrator: Marilyn and this nurse work closely together.
16:11 He provides the best care for his people
16:14 even with such limited supplies.
16:17 He is thankful to have the mission so close, where he can
16:20 send patients to see Marilyn if he cannot help them.
16:25 Marilyn: People who might feel subconscious about talking
16:29 to a male nurse that they are able to be able to come over
16:32 and see me and consult with us.
16:35 And that we're available to be able to take critical patients
16:37 and accidents, accident people to town.
16:42 So we like to work with him quite closely.
17:00 Today, a young pregnant mother has come to the mission
17:04 complaining of pain.
17:06 She fears for her unborn babies' life.
17:10 Marilyn takes her aside and begins a basic examination.
17:20 Marilyn: She's complaining of some pregnancy issues,
17:24 related to her pregnancy.
17:26 Probably a urinary track infection, but she is,
17:29 the nurse in the village has recommended, that she go
17:32 to Waspam and be checked there by the doctors.
17:37 She's a little more than six months, it's also time for her
17:39 to have her ultrasound.
17:40 So we are going to go ahead and give her money to go on the bus.
17:44 But before she leaves, I'm going to check the babies heart beat
17:47 before she goes.
17:56 Narrator: Marilyn checks for a baby's heartbeat.
17:59 Silence fills the room as they strain to hear any signs
18:03 of life from the ultra sound.
18:07 After a few moments, Marilyn locates the baby's heartbeat.
18:12 The echo of the heart beat rings throughout the room and all
18:16 breathe a sigh of relief.
18:20 The mother now has confirmation, that her baby is alive!
18:25 This mother still needs to undergo more testing then what
18:29 Marilyn can offer at her small clinic.
18:32 There is a hospital at Waspam, where this mother needs to go
18:36 for blood tests and more ultrasounds.
18:40 The mission will help her get the care she needs and help
18:44 transport her to the hospital.
18:52 Marilyn: She is going to go to Waspam and I'm going to
18:55 give her money for passage on the bus and she'll leave
18:58 tomorrow morning on the bus to go to Waspam.
19:02 She will go to see the doctors at the hospital.
19:07 She's not going to like be admitted to the hospital.
19:10 She's just going because that the primary place where she's
19:13 going to receive the care that they need to check her.
19:17 Check her blood, do an ultrasound on the baby,
19:21 check for a urinary tract infection.
19:23 Narrator: Marilyn also gives the mother basic information
19:27 about the nutrition she needs to keep her baby healthy.
19:31 The Miskito people are poor farmers and don't get the
19:34 nutrition they need from their standard meals
19:37 of cassava, rice and beans.
19:40 Before the patient leaves, Marilyn provides the mother
19:43 with prenatal vitamins.
19:44 These vitamins will help the expectant mother pass on good
19:49 nutrients to her unborn child.
19:52 The Hanley's strongly believe in preventative care,
19:55 when it comes to pregnancies.
19:58 However the Miskito women don't have the knowledge, or the means
20:02 to get the help they need.
20:04 In Waspam, the government established a mother's home
20:07 for pregnant women.
20:09 The goal is for expectant mothers to come to this home
20:13 just before they are due, so they are close to the only
20:16 hospital in the area and receive medical care
20:20 when it comes time to deliver.
20:22 However, many villages are too far away for women
20:26 to travel to this home.
20:28 Travel in this area is very difficult, and many villagers
20:31 are limited to places within walking distance.
20:35 Walking for days while pregnant is not ideal.
20:40 The Hanley's have stepped in to the gap and provided a way
20:43 to help these women and their unborn babies.
20:48 Clint: This is the Casa Materna. It's where
20:50 the pregnant ladies come.
20:52 It's sponsored by the government and they have free housing
20:54 for them and feed them.
20:56 And they come about a month before their babies are born
20:58 from the remote communities.
20:59 So we often fly people to this place.
21:03 Waspam is the town we're in.
21:05 We fly them here, if they have a high risk pregnancy.
21:08 Often the first baby, or if there is any complications.
21:11 And then they are able to stay here and if they need any
21:15 hospital visits they can keep going back and forth to the
21:18 hospital and then their baby can actually be delivered
21:19 in the hospital.
21:21 So what this does, is it enables us to be able to cut down on the
21:24 amount of emergencies because we can fly them on a schedule
21:27 or we pay for their bus trip or their boat trip or whatever
21:31 it takes to get them from the community to here when we
21:33 know they are high risk.
21:34 So it cuts down on the sudden emergencies and it enables them
21:37 to have a lot higher expectation of their baby and them living
21:41 because they actually are nearby a hospital when the babies born
21:44 if there're complications.
21:45 Narrator: The Hanley's work in Nicaragua is most valuable.
21:49 This mission base was established for aviation support
21:54 The work transformed into something much deeper.
21:59 Marilyn has been able to be the hands and the feet of Jesus
22:03 in ministering to the physical needs of Miskito people.
22:07 She spends hours each day seeing ill patients, and educating them
22:12 in ways to have a better life.
22:14 She has won the trust of the people in her village and they
22:18 come to her whenever they are in need.
22:20 She is then given the daily opportunity to show them
22:24 the love of Jesus through her medical ministry.
22:30 This work has transformed the area and has impacted hundreds.
22:36 Marilyn: John 10:10 says "I have come that they might have
22:40 life and have it more abundantly."
22:42 And ultimately our mission has been that by helping the people
22:49 have a more abundant life, that it has given them opportunity
22:54 to see Jesus in us, to reach out in spiritual questions and find
23:02 a more abundant life through the infrastructure, through
23:07 health care, through education.
23:09 Through saving their lives and giving them a second chance
23:13 through the aviation program.
23:16 Narrator: As Marilyn and Clint dedicate their work to helping
23:19 other families grow strong, they still have time
23:22 to cherish their own family.
23:24 Each member of the Hanley family is involved in helping
23:27 the mission reach others.
23:30 Having the opportunity to serve others as a family is most
23:33 valuable to Clint and Marilyn.
23:36 Even though they are young, the Hanley children are a valuable
23:39 part of the mission outreach.
23:42 Bredell and Bethany have spent most of their lives in Nicaragua
23:45 They speak the local Miskito language fluently, which opens
23:50 doors of opportunity with the local people.
23:53 Jud: The core of any mission work is building relationships.
23:57 And the Hanley's have been here for almost ten years
24:01 and they have, not just built relationships, but they've
24:05 become part of the community.
24:07 Become part of people's families in a way that no one else ever
24:11 has done here as far as I know.
24:12 By learning the language, and, of course those relationships
24:17 are what builds into sharing your faith.
24:20 Relationships are the foundation of mission work.
24:23 And the Hanley's are a prime example of building deep
24:27 heart felt relationships with the Miskito people here.
24:31 And of course without relationships, without trust,
24:33 it's impossible to share your faith.
24:35 So that foundation has now been laid.
24:38 To begin more ministry, more sharing of faith, and more of
24:43 sharing the love of Jesus Christ with the people
24:45 here in this area.
24:47 Narrator: Speaking Miskito is key to being accepted
24:49 here among the people.
24:51 The entire family all converse with their neighbors
24:54 in their native tongue.
24:56 This makes the local people accept the Hanley's
24:59 as one of their own.
25:01 Creating relationships and establishing a bond with the
25:05 people they have come to help allows the Hanley's to reach
25:09 deeper into the Miskito culture.
25:12 Marilyn: We learned Miskito.
25:14 And we talk to them in their language.
25:16 We have children, who talk in their language.
25:20 And to them, this has been the ultimate sign that we love them,
25:28 and that we care and that we are willing to live here with them.
25:31 Is because we can talk to them in their language.
25:33 We took the time and energy to learn it.
25:36 As far as they're concerned, my children are Miskito.
25:39 Because according to them, my children speak perfect Miskito.
25:44 However, my children speak without an accent.
25:47 And to them, that is a huge message that my children belong
25:52 here in this culture.
25:53 Obviously this is where they are supposed to be.
25:57 Narrator: Brendell and Bethany, both love where they live.
26:00 They enjoy living in this part of the world, where they can
26:03 explore the untamed jungles.
26:09 They experience ministry on a daily basis by being children
26:13 and befriending the locals.
26:16 The Hanley children have learned what it means to be the hands
26:19 and feet of Jesus.
26:21 With the jungle as their playground, Brendell and Bethany
26:25 can honestly say, they love growing up in the mission field.
26:47 Brendell: I am Brendell Howard Hanley and I am twelve years old
26:52 and I really enjoy living in Nicaragua.
26:55 And I have my family here and it's really nice.
27:06 Bethany: I am Bethany Hanley and I live in Nicaragua
27:08 with the Miskito people.
27:09 Daddy transports, people patients in the airplane.
27:14 And mommy is a nurse and teaches some.
27:20 Narrator: The Hanley's understand the value
27:22 of family relationships.
27:24 Although they spend most of their time helping others,
27:28 they make sure that their family is also nurtured.
27:31 At the end of each day, Clint and Marilyn put their work aside
27:35 and concentrate spending time as a family.
27:39 The busy demands of the day fade away, as the Hanley's enjoy the
27:44 company of one another.
27:47 The medical work that this mission does each day is focused
27:51 on strengthening other people's families.
27:55 At the day's end, the work that the Hanley's do, strengthens
28:00 their own family bonds with one another as they happily serve
28:04 the Miskito people as a united family working to advance
28:10 the kingdom of God in Nicaragua.


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Revised 2017-05-22