I’m not being naïve. I believe that every problem is just a solution waiting to happen. At the heart of it, this is what our team is doing in Haiti, in Bangladesh, in Nicaragua, in the places we will go next. We all believe that change is real and it can happen because we will make it happen, one surgery at a time if we have to.

But believe it or not I get challenged often about Team Broken Earth. About what we are doing. Specifically around our ability to make a difference. It’s often phrased as how can you possibly make a difference? The problem is too big. From others it’s often asking how can we make a sustainable difference, being too small to create and maintain capacity?

Honestly this sometimes feels like a kick in the guts. I do welcome all criticism. We need it. All organizations do. It’s a reality check and it’s a means of making us all better. But every now and then, well, it just stings.

As I am sitting in the back of a room of 2/3’s of the orthopaedic surgery residents of Haiti, one week after the Rock Op for Haiti in Newfoundland, a smile comes to my face. Across Canada we have created something really special. We have done more than create sustainability, we have created a legacy that will live long after many Team Broken Earth members have moved on.

Yesterday, we toured the hospital we’ve been working in for years now. We walked through the OR we helped finish. We saw the new hospital ward full of patients and volunteer quarters we built (referred to by locals as the Canada tower or Broken Earth tower). The millions of dollars worth of equipment we have secured is on display and the staff are there to greet us with an embrace usually reserved for family members. The building and the relationships we have built are all part of the Team Broken Earth legacy. The team even saw a few patients yesterday, and looked at X-rays of the first bilateral total hip replacements done in Haiti with surgeons from Canada and Haiti working side by side.

Today, we are teaching residents from across the country in a series of lectures and in skills simulation labs for residents to practice. This is the third time we have hosted this course. And to watch the senior residents (who were junior before) teach the new junior residents, well, it just fills me with pride. It’s these young surgeons, full of energy and enthusiasm, who will change orthopaedic care in Haiti. And we are teaching them, year after year.

So when I think about the criticisms, I have to say thank you.

Thank you for inspiring reflection and making sure that we are moving in the right direction. When people talk about making a difference for patients, I think about how many children Dr. Rideout has literally given the ability to smile to, or the patient with two new hips who would otherwise not have access to care. We, all of us on and supporting Team Broken Earth, made a difference for those patients. Capacity and sustainability? We got that. We’re establishing infrastructure, relationships and education. We are creating a legacy. A Canadian legacy here and abroad. I feel better about that. And to the critics I will say this: believe in solutions. The mountain is high but it can be climbed. The finish line is far but it will be crossed. Yes, always address the problem. But be the solution.

Best,

Andrew

PS. I’d also like to take this opportunity to thank everyone who came, supported, donated, organized, cooked, sang, and danced with us at the Rock Op over a week ago. Truly amazing night. As always, we will honour your generosity by continuing helping those who need it most.