Visit to CSC (Children’s Surgical Centre) – Rachael Marshall
Right so here goes my first ever blog type thingy:
We all set off early (4am) on Monday morning, we being: myself, Ian, Anson, Jarred and Joely (Anson’s 16 year old daughter). The gang arrived In Phnom Phen after, what has to be said a very enjoyable…yes that’s right enjoyable…smooth, non-traumatic flight. The first thing that hit me was the blinking hotness. Yes Singapore is hot but this was different man! Then the second thing that hit me (almost literally) was the traffic and lack of road markings! “No road markings here Rach” Ian tells me with a big stupid grin on his face…Jeez wept man, I was in bits but was doing my best Oscar winning performance of being dead calm so as not to freak out the other gang members.
No time to drop our bags off at the hotel, straight to CSC (Children’s Surgical Centre not the other CSC which I am, it has to be said, really rather experienced in). I was anticipating lots of open space and a rather large hospital but no…Busy, busy, boy was it busy. I thought all these people are never going to be seen in one day but Ian assured me they would be – impressive!
We were greeted by Dr Jim, me all mucker from Boro – so of course we hit it off straight away. Let me describe Dr Jim in one word… Santa, yep that pretty much sums his look up. Brilliant white hair and a lovely little white beard to boot..I always knew Santa was from M’boro. Dr Jim told us a little about the hospital and explained what we’d be doing that morning…operating room – okay then. I have at this point just recovered from the argghhness of a) a flight and b) lack of road markings, hey OR nee bother.
We were told to put on our surgical scrubs. Mine were obviously made for my father as I could have fitted into them 17 times. So I get changed, envisaging a Greys Anatomy Merideth moment of loveliness but alas don’t think I’ll be getting the call from Hollywood anytime soon.
We walk into the OR, actually Ian gave me a little shove, and I cannot believe that there are 3 operations are going on at once in the same room…Surgeons all smiling and happy, everyone was so relaxed (except me, Anson, Jarred and Joely). We read the white board with the list of surgeries that day…broken bones, cleft lip, eye surgery and some other thing that I can’t spell but it’s when your brain starts to fall through your nose ( I am not joking).
I knew where I was heading when I spotted the tiny baby on the bed. 9 month old baby boy with a cleft lip and palate…I was mesmerised, I stood and stood and watched in awe as the 2 surgeons marked, sliced and sewed this little boy’s lip to perfection. Masters at their work, it was truly wonderful to see and they didn’t seem to mind me sticking my head right in and asking questions. I could not wait to see the boy the next day when he was awake.
We had a walk around the ward and post recovery room, everyone being well cared for and looked after..everyone living and surviving what ever it was that brought them to CSC.
After lunch at Dr Jim’s house (which was fried rice, phew that’s okay..well it was til I say the prawn) we went to CASC: Cambodia’s Acid Survivor Centre. This is where Acid victims are treated and looked after til they are well enough to go home.
I had a long time to think about what I was going to see at CASC as the 10 minute car ride (reassuring told by Ian) with no road markings was infact 40 friggin minutes! I was really excited to go to CASC and I knew I’d get a chance to chat to the kids (note to self: bring books for the kids next time). We had a look around the outside of CASC first. We saw the newly build homes for the survivors, awesome wooden houses on stilts. We saw the vegetable garden, where the survivors are taught how to farm to give them this skill for when they go back out to work. It was explained to us that the survivors struggle to go back to their original jobs because of the scarring that is left after the acid attack.
We met the acid survivors inside the house, each with their own heart-wrenching story. Brave, brave, brave…The ladies at CASC proudly showed us their wares…they make purses, handbags, table mats etc; another skill for them and a way of making money. I got a chance to have a cuddle and a chat with some of the wee bairns. My new BFF is a little girl with the biggest smile in the world, we had a good old chat…my hair was a huge fascination for her.
A fabulous BBQ at Dr Jim’s house on the evening, house filled with an array of vibrant and interesting people…
My 2 best experiences thus far: cleft lip baby and my BFF – wonderful. My 2 least favourite experiences thus far: no road markings and Ian’s ‘quite handy with the truth time allowance.
Day 2: On our way by 7.45am and straight into a ward round. We walked round the ward and Dr Jim explained about every single patient, what their condition was and what was their treatment plan for the future. Sitting on the bed with his mother was my baby boy, the 9 month old who had the cleft lip operation. Straight over I go and am greeted with the biggest smile ever…awhhh, I could have put him in a little sandwich ate him up.
Back into the OR. We watched 2 bone operations lasting a total of 2 hours. First a guy having screws taken out of his leg. Slice leg open, locate screws, pull out, stitch up – jobs a good un. Operation #2 is a snapped femur. So I’m thinking (coz I’ve seen it on the tele and I’m handling the OR room like a natural) it’s going to be all gentle and lovely but good god then they brought out the hammer…Bob the Builder goes OR, the pulling and the hammering and the screwing, oh boy. An hour later, rod inserted, femur fixed, wound stitched…am still thinking about the hammer!
After lunch we go off to S21…and that’s where I need to stop because I just can’t quite go there! Anyone who has been will know what I mean.
2 best experiences of day 2: best boy’s lovely smile and a a fixed femur. 2 least favorite experiences of today: hammering and hammering.
So that’s pretty much the end of my visit to Cambodia but I hope it won’t be my last. CSC and CASC I thank you, thank you for taking me in, talking me through it and being gentle with me. I doubt my world will ever be the same!





Day 3 started with our arrival at 

BIG RESPECT to you all hon – think I would have keeled over at the sight of then knife coming out let alone a hammer!
I hear you about S21, been twice and cried each time!
Look forward to the updates xx
An excellent piece of writing Rachael, I almost felt like I was there with you!
The progress at CASC looks truly amazing – those three houses were just shells a few short weeks ago, so it’s great to see the pictures!
It’s a trip that will stay with you forever….
Brilliant Rachel – I loved reading it. It also put my kids been off school for the week with hand foot and mouth into perspective so thanks for that too. Justine x