Off the Grid

Man Medevacs -Nicaragua

Three Angels Broadcasting Network

Program transcript

Participants: Narrator: Chet Damron

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Series Code: OTG

Program Code: OTG000043A


00:01 Narrator: Scattered across the globe Adventist World Aviation
00:04 has mission outposts situated in extremely remote areas that were
00:09 established to help minister to local indigenous people.
00:13 Most of these locations are so difficult to reach that aviation
00:16 is the primary means to reach them. Using aircraft, Adventist
00:21 World Aviation is able to deliver the gospel message
00:25 as well as providing lifesaving med-evac flights to thousands
00:30 by using the tool of aviation.
00:34 Providing quick and reliable transportation to many parts
00:37 of the earth, that are almost impossible to reach
00:40 is the mission of AWA.
01:27 Narrator: Adventist World Aviation has a mission outpost
01:29 situated in north eastern Nicaragua,
01:31 in a small village named Tronquera.
01:34 Here, the Hanley missionary family works endlessly
01:37 to serve the Miskito people.
01:40 The Hanley's have lived in Nicaragua for over 10 years now
01:43 and have established a good relationship
01:46 with the people here.
01:48 Clint is a pilot and offers med-evac flights
01:51 to all the neighboring villages, that need to get patients
01:55 to a higher level of medical care.
01:57 There are no safe road systems from the thick jungles
02:02 to Puerto Cabezas, which is the closest hospital equipped
02:06 to handle critical injuries.
02:09 Clint: I'm Clint Hanley and I live in Northeast Nicaragua,
02:13 in the upper corner along the border of the Rio Cocoa
02:17 with the border of Honduras.
02:20 And I live here with my family, 2 children and my wife,
02:24 who is a nurse and we fly this airplane, a Cessna 172,
02:29 for medical work, all around this region,
02:34 covering about 150 miles in all directions.
02:38 We devote a lot of our attention and time to humanitarian aid.
02:43 The right hand arm of the gospel is being able to
02:45 help people medically.
02:47 And being able to offer them this help, and being able to
02:51 give them the hope that they can have a better medical care
02:58 by transporting them.
02:59 Narrator: This outpost offers a valuable humanitarian services
03:02 free of charge to the Miskito people.
03:06 Without these quick med-evac flights,
03:09 the alternative would be a tortuous journey,
03:12 that could last serval days.
03:15 For critical patients, a short flight to expedite medical care
03:20 could mean the difference between life and death for many.
03:24 Clint: Since we started flying 7 years ago, I have flown 530
03:28 patients from remote communities or from hospital to hospital and
03:33 approximately 50-80% of those would have, the doctors say
03:38 would have died for sure, had they not had transport.
03:41 The rest of them needed transport, because they were
03:45 in great pain, because they had broken femurs,
03:47 or something like that.
03:49 That if they would have transported by road, it would
03:51 have been a lot worse for them but they probably
03:53 wouldn't have died.
03:54 So, it's been a big help to the people and we're happy
03:57 to be a small part of it.
03:59 Narrator: This project works closely with the established
04:01 medical care providers and provides logistical support
04:05 to help transport people needing immediate care.
04:09 Marilyn: The majority of the transports for the airplane
04:13 come through an emergency call from the director
04:17 of the hospital.
04:19 We work very closely with the government hospital and the care
04:22 that they provide to the people. From there, the doctors and the
04:27 nurses will address that need to the director and the director
04:30 is the one, who makes the final call, that a patient should be
04:33 transported via ambulance or by our airplane.
04:37 If it's to be by airplane, then she will call Clint
04:40 and they will make arrangements for a time of pick up.
04:44 Then Clint flies the airplane out and meets them on the runway
05:23 Narrator The Hanley family never know what their day entails.
05:27 At any moment, Clint could get a call to transport a patient.
05:31 They must always be ready to jump into action.
05:34 This morning, Clint does get a phone call to transport
05:38 a 41 year old man from a mining town of Bonanza.
05:43 He immediately prepares the plane to retrieve the patient.
05:48 Before takeoff Clint does a preflight inspection
05:51 to make sure the plane is in optimal condition to fly.
05:56 Safety is the highest priority, especially when flying over
06:01 uninhabited jungles.
06:04 As an additional safety precaution, satellite locators
06:08 are on all AWA aircraft and are trackable from any computer.
06:16 Clint: This is our satellite tracker.
06:18 It sends up a wave point every ten minutes, wherever we fly.
06:24 Narrator: Clint taxies the aircraft to the runway.
06:27 Before takeoff, he checks his electronic checklist
06:31 one last time.
06:32 Clint pulls back on the plane's yoke and races down
06:36 the runway to take off into the early morning sky.
06:40 Leaving the mission and his family behind.
06:43 He pushes the aircraft higher and higher into the sky.
06:48 Turning the plane southwest, he orients it to fly to Bonanza.
06:53 Clint is all alone when he flies in the rural part of Nicaragua.
06:58 There is no air traffic control, or flight following in this area
07:02 so he must pay extremely close attention
07:06 to his navigational systems.
07:09 Flying without knowing your exact location, could be fatal
07:13 when flying over thick jungle, with no place to make
07:17 an emergency landing.
07:19 So for this reason, Clint always has backup systems in place
07:24 should one of his navigation, or communication systems fail.
07:30 Clint: It's very interesting to fly in this type of environment.
07:32 I get in an airplane and I have you know all the navigation.
07:35 I have radios, that I can talk all the way to America with.
07:38 I have navigation, that tells me exactly where I am
07:43 and what's going on and then I land on a runway and I shutdown
07:47 the airplane and I step out of it and I'm back in what we
07:50 would consider before World War I in the states, early 1900's.
07:54 There's no cell service. There's no computers.
07:56 There's no electricity. There's no nothing on a lot of
07:59 these runways I fly to.
08:01 Narrator: Another challenge in flying in Nicaragua is the lack
08:03 of information available to properly plan a flight.
08:08 Before making any flight, pilots always check the weather,
08:11 that they may encounter during their flight,
08:14 as well as at their final destination.
08:18 However, this is not available here in the rural jungle.
08:23 Most of the airstrips in this area are so remote and rural,
08:27 that they have no means to report any weather conditions.
08:31 Clint often makes critical judgement calls based on very
08:36 limited weather information.
08:40 Another challenging element, when flying over the jungle,
08:44 is the lack of places to make emergency landings
08:47 should bad weather arise.
08:49 So in this remote part of the world, the jungles are so thick
08:54 there is simply no place for an emergency landing.
09:57 Narrator: Despite all the unknowns, Clint flies forward
10:00 confidently knowing, that he is on God's mission.
10:03 He knows that God has called him to this work and he is assured
10:08 that God will protect him when making these mercy flights.
10:12 Clint continues his flight as he keeps a watchful eye on his
10:17 navigational gear.
10:19 Outside the plane's windows, the morning fog rolls in over
10:23 the jungle canopy tree tops.
10:26 The dense fog could be a huge problem in Bonanza since it sits
10:31 in a valley surrounded by hills.
10:35 The fog could block all visibility to the runway
10:38 and cause Clint to have to abort this mission flight.
10:43 But there is no way to predict, what the conditions will be
10:46 at the destination.
10:48 So for now there is nothing more that Clint to can do, but push
10:53 forward and trust, that God will clear the fog
10:56 so he can pick up his patient.
11:45 From the mission base the flight to Bonanza is only a 30 minute
11:49 flight which does not give much time for the sun to burn off
11:53 the morning fog from the jungle canopy.
11:57 When making a landing in the jungle, visibility is crucial.
12:01 The location of Bonanza's dirt airstrip makes clear skies
12:05 all the more vital.
12:20 Narrator: Bonanza is completely isolated with no roads or boats
12:24 available to transport the patient.
12:28 So this vital flight is the patient's only opportunity
12:31 to make it to Port, where he can receive the critical care
12:35 he desperately needs.
13:10 Narrator: As Clint nears the village, he is slightly
13:14 disappointed in the weather conditions.
13:17 Instead of dissipating, the fog in this area has thickened.
13:23 If it's no clear view of the runway, this could threaten
13:26 his ability to land in Bonanza.
13:29 The terrain in this region is full of hills with Bonanza
13:33 sitting in the valley making the landing on the runway
13:37 very tricky.
13:38 When you add in the element of thick fog, it all effects
13:42 Clint's landing procedures.
14:16 Narrator: The aircraft navigation shows, that
14:18 he is nearing the destination.
14:21 But the fog has covered the jungle and hidden any visual
14:25 confirmation of the runway.
14:26 Clint is in a steady decent, so he can get underneath the fog
14:32 and hopefully gain enough visibility to make his landing.
14:37 They are just a few short miles away now from their destination,
14:42 the critical part of the journey Thankfully God provides a way!
14:57 Narrator: Clint lowers the plane down into the thick fog.
15:00 He has just enough visibility to spot the runway.
15:04 Since there is no control tower, Clint must make sure
15:07 the air strip is clear and ready for him to land.
15:21 Narrator: As he drops the plane just under the layer of fog,
15:24 he spots the runway.
15:27 The patchy fog makes this landing really tricky,
15:31 but Clint is confident he can land safely.
15:35 He flies the plane above the dirt strip and does a pass low
15:40 to warn everybody to get off the runway.
15:43 Often cattle and cars are on the runway, which could make
15:48 for a disastrous accident.
15:50 Finally Clint is ready to make his final approach and he aligns
15:55 the aircraft with the runway.
15:57 The fog has risen just enough for him to slide down and see
16:02 his destination.
16:04 Skillfully, Clint descends and makes contact
16:06 with the clay runway.
16:09 Thank God, he has arrived safely and can transport this patient
16:14 to a place where he can receive the health care he needs!
16:21 As he taxies back up the runway, Clint sees a group
16:25 waiting for him.
16:26 The patient is near the runway, ready for the flight.
16:30 Clint parks the plane as the Miskito people
16:34 gather on the airstrip.
16:35 The local villagers know Clint and the great work he does
16:39 here in the area.
16:41 They're always happy to see him, whenever he makes a flight
16:44 to their village.
16:46 So without hesitation, the patient approaches the aircraft.
16:51 He seems to be stable somewhat. But he can walk to the plane.
16:58 His friends and a doctor help him into the plane.
17:01 The patient climbs inside the aircraft
17:05 eager to start his journey.
17:07 Everyone in this area is familiar with the Hanley family
17:10 and the ministry they do.
17:11 The airplane is a welcomed site here in Bonanza.
17:15 Spectators come out to show support
17:18 and wish their neighbor well.
17:20 Before the patient leaves, his friends come to the plane
17:24 encouraging him.
17:25 Making a journey like this can be a very scary time
17:29 for a patient.
17:31 Just before they begin the journey, Clint gets a bit of
17:34 information from the doctor concerning
17:36 the patient's condition.
17:38 Clint: It's something with the liver.
17:40 Liver failure it sounds like. So that would be with jaundice.
17:44 And this hospital is not equipped
17:46 to be able to handle that.
17:48 Narrator: After only landing here a few moments ago,
17:50 Clint readies the aircraft for the next leg of the journey.
17:54 With the patient and extra passenger safely onboard,
17:57 Clint climbs in the plane and begins his preflight with the
18:02 most important safety check, and that is prayer.
18:07 Clint: Our Father in Heaven, I pray that You would be with us.
18:09 Give the plane a safe flight and the angels to be with us.
18:12 And help the doctors in Puerto Cabezas to know how to help
18:14 the person that we're carrying.
18:16 In Jesus name I pray, Amen.
18:18 Ok preflight inspection is done. Fuel sum times three.
18:23 Vest is on. Chalks and tie downs are off.
18:27 Seat belts harnesses are adjusted and locked.
18:30 Breaks test and set.
18:32 Electrical switches are off. Off off, off. Exactly where I am.
18:38 If anything happens, it'll narrow down the search area.
18:46 It's very important to be safe.
18:51 Narrator: Clint taxis down the runway with his patient and
18:53 passenger on board, ready to make the hour journey
18:57 to Puerto Cabezas.
19:00 As Clint prepares the plane for the flight, he looks down
19:03 the runway and sees a break in the fog.
19:06 This is the perfect opportunity for takeoff.
19:09 He adds power and the plane rushes down the clay runway
19:13 and off into the sky.
19:16 The fog is still present, but it has dissipated enough
19:20 to allow Clint to see the hills and ridges, that surround
19:23 the valley's landing strip.
19:39 Narrator: The patient peers out the back window a sight
19:42 he is not accustomed to seeing.
19:45 Most Miskito people will never travel in an airplane.
19:49 Thankfully for this man and many others, this aviation
19:53 mission base provides them with the lifesaving med-evac flights
19:58 they may need for emergency medical attention.
20:02 Any mode of travel in the jungle terrain is so time consuming
20:06 and challenging.
20:08 Traveling through the thick jungles poses many dangers
20:12 for a healthy individual, let alone someone, who is very ill.
20:17 Making this journey by ground could take a patient over
20:21 48 hours, but with the aircraft, he will be in the hospital
20:27 within 3 hours of when Clint first received the call.
20:34 Clint: Before we came the people got to the hospital by boats,
20:37 by road, by truck.
20:38 To give you an example, to fly from here to San Carlos
20:42 is 35 minutes for me, to get them to the hospital
20:45 from the time I get the call, until they actually arrive
20:48 in hospital is approximately one and a half hours.
20:51 If they were to take a boat, there's no roads, so they would
20:55 have to take a boat, there's an average of one boat a day,
20:58 but sometimes there will be a day or two or three that go by
21:00 that there's no boats.
21:01 They're random. And the boats take 12 hours.
21:04 And usually they leave in the morning.
21:06 So if the accident happens later in the day, and they're having
21:09 to wait through the night
21:11 until the next morning and then hoping that they can find a boat
21:13 with room in it, then they ride that boat 12 hours
21:15 to get to the hospital.
21:16 That's fairly average for a lot of the patients, that need
21:19 to come to the hospital.
21:20 Narrator: The village of Bonanza is especially remote
21:23 and difficult to reach by road.
21:25 This mining town is accessible by road only part of the year.
22:07 Narrator: In spite of the poor weather earlier this morning,
22:09 today's hour long med-evac flight goes very smoothly.
22:14 The ill patient in the back marvels out the back window.
22:19 Although his body is weakened, he knows he will be
22:22 at the hospital very soon.
22:24 They are just moments away from their destination.
22:28 Signs of the city are visible from the air.
22:32 Finally, the paved runway comes into view.
22:36 So Clint calls into air traffic control for permission to land.
22:41 The airport workers here in Port are very familiar with Clint
22:45 and the Adventist World Aviation's mission project.
22:49 In fact, this mission base is the only project that provides
22:55 med-evac services for north-east Nicaragua.
22:59 Clint has governmental permission to do this work
23:02 and has established good relationships
23:05 with the government.
23:07 Clint: There's no commercial flights, there's
23:09 no other airplanes. Nobody flies to these airports.
23:11 The government allowed me to come, because of the work
23:14 we are doing.
23:16 The humanitarian aid to the Miskito people.
23:18 There is none other available in all Nicaragua doing this.
23:23 And so it's a vital piece of help that the government
23:28 and no other aid agency was able to offer to the people
23:31 to save lives in transport.
23:34 Narrator: Just a few hours, from when the doctors called Clint
23:38 to pick up this man, they have finally touched down
23:41 at the Puerto Cabezas airport.
23:44 The patient has fared well during transport, but is still
23:48 very eager to get to the hospital.
23:51 When they park the plane, an ambulance is awaiting them.
23:54 It is driven out to the aircraft to load the patient.
23:59 The ambulance personnel has brought a backboard
24:02 to transition this weak patient from the aircraft
24:06 to the ambulance.
24:07 They slide the man out of the plane and into the care
24:11 of the local hospital team.
24:12 The patient seems relieved to be one step closer to receiving
24:17 the medical care he needs.
24:20 Carefully, the transport team helps the patient
24:23 into the ambulance.
24:24 Clint passes on the paperwork and any information
24:28 the doctor from Bonanza gave him
24:31 Now it's time to start the last phase of this transport
24:35 by ground.
24:36 The ambulance turns on its siren and speeds away
24:40 from the airport.
24:41 Thankfully this commute is very short, under a 10 minute trip.
24:46 This city is very simple with road systems,
24:49 that often get congested.
24:52 Thankfully, the ambulance driver can navigate through the traffic
24:55 and arrives at the hospital rather quickly.
24:59 They waste no time in unloading the patient.
25:02 Clint had called ahead so there is a doctor and an open bed
25:07 waiting for the sick man.
25:25 As Clint begins his journey home he gets word from the hospital
25:29 that the patient he just delivered is suffering from
25:33 an amebic liver abscess caused by a parasite, that is spread
25:39 by contaminated food or water.
25:43 Without treatment, the abscess may rupture and spread into
25:48 other organs, leading to death.
25:51 People, who are treated have a very high chance
25:54 of a complete cure.
25:56 Some may only have minor complications.
25:59 Thankfully, the patient was delivered to the hospital
26:02 in time and is expected to make full recovery.
26:09 It's been a fulfilling day for Clint.
26:11 He was able to save a life through the gifts God gave him.
26:16 With this trip completed, it's time for him to return home
26:22 to be safely reunited with his family.
26:25 Soon Clint sees the familiar views of the mission base,
26:29 where he knows his family is eagerly awaiting his return.
26:33 Each flight Clint makes he knows he is taking a risk in flying
26:39 over such inhospitable jungle terrain.
26:44 He knows, that God is with him, protecting him and his family
26:50 and the work they do.
26:53 Landing the plane, Clint spots his children
26:56 anxiously awaiting him.
26:58 After he parks the plane, his family welcomes him
27:02 with hugs and kisses.
27:06 This work is invaluable and many lives are saved in Nicaragua
27:10 with the gift of aviation.
27:13 Mission work throughout the world still greatly needs
27:16 aircraft to continue to carry the love of Jesus
27:19 to remote areas around the globe
27:24 Won't you do your best today,
27:29 to keep Adventist World Aviation flying.
27:36 Clint: The Miskito people are extremely thankful,
27:38 that we are here.
27:39 They are very - very happy with the work that we do
27:41 and they are very thankful, that we are able to help them
27:46 when they need it.
27:47 They're very - very thankful and grateful.
27:49 And I do tell them that it's not anybody in Nicaragua
27:53 who is paying for it.
27:55 No government, no hospital is paying for this
27:58 it's the people in America, the fellow Christians, who are
28:01 sending money down to pay for the gasoline and help to
28:03 keep the airplane flying that's helping them.
28:06 There's very few lines of work, that you can walk down the
28:09 street and you can look at the people in your local little town
28:12 and know that several of them that you see right then,
28:15 are alive because of the work you did.
28:16 So it is very fulfilling, but at the same time,
28:19 the credit all goes to the tools that the Lord has given me.
28:21 I don't have any extra expertise, or anything
28:25 that anybody else doesn't have.
28:26 All I do is use the tools, that the Lord has given me.
28:29 And I am thankful, that He has blessed me with those,
28:31 and I am able to pass on as a channel to help the local people
28:36 what He's given me and what you guys send from the States
28:38 to be able to help them.
28:39 And I am the one who gets the benefit of seeing the smiles
28:41 on their faces and hearing the thank you from them.


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Revised 2017-05-17