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Stanley Mills, M.D. and patientAlumni Interviews:
Stanley Mills, M.D.

58MD, 66R - surgery)
Crossnore, North Carolina

Afghanistan: Life after wartime

"We managed to help a lot of people... Many came in very sick, but left walking and smiling."



Dr. Stanley Mills and his wife, Phyllis, arrived in Afghanistan via a United Nations flight, circling from the sky to avoid any hostile fire. It was August 2002, and although major fighting was over, the airspace over Mazar-e Sharif remained unsecured. The descent reflected the tenuous yet hopeful conditions Mills would find on the war-scarred ground.

The North Carolina surgeon retired in 1998, and since has stepped up his work at international mission hospitals run by Christian organizations like Samaritan's Purse, which opened a 20-bed facility in the Afghani city of Kholm. "The hospital isn't very big, but the level of care we provided was better than many government clinics," Mills said. "Most of the people don't have any medical care."

Mills' work also has taken him on one to three month journeys into Kenya, Ecuador and Papua New Guinea. Conditions in Afghanistan were among the worst he has encountered, but Afghani enthusiasm and ingenuity impressed him.

" I found the people unusually industrious. You got the feeling they were so glad to be out from under the Taliban and struggling to get back on their feet," he said, referring to the authoritarian regime that controlled much of Afghanistan before the United States invasion in late 2001.

Remnants of the recent war and its predecessors marked the land. "You'd see old Russian tanks and military equipment," Mills recalled. "People were using metal from these tanks to make shovels, axes and other items." Landmines remained a threatening presence, and Mills treated a father and son who happened onto a mine while collecting camel dung for fuel.

In Kholm, Mills became accustomed to oppressive temperatures, cloudless skies and a landscape parched by a seven-year drought. Hospital conditions were austere, and volunteers and staff - both Western and Afghani - learned to make due with whatever supplies, laboratory services and personnel might be available.

The city around them still lacked electricity and reliable water, but at least the shooting had stopped. "We were never really aware of any danger, except that we had guards around all the time," Mills said. In addition to these local forces, U.S. troops would visit the facility periodically, heavily armed and alert.

Reminders of conflict also appeared in old war injuries treated at the clinic. Most patients, however, exhibited routine complaints made worse by poor living conditions. The toll seemed to fall hardest on women, for whom treatment carried restrictions even after the Taliban.

" It is difficult for a male doctor to examine a female patient," Mills said. "I did operate on some women, but I'm not sure how male Afghani doctors manage to deliver babies. I don't think they do."

Phyllis Mills cooked for hospital staff while her husband was in clinic, working with two Afghani boys who spoke little English. Interpreters were on hand for the physicians, but translation often complicated care.

Mills said the interpreters, especially, were interested in what brought the Westerners to Kholm, raising the sensitive matter of religion. Though Samaritan's Purse urges caution and sensitivity among volunteers, it professes its religious identity and motivation.

" One of the questions we often hear is should we be evangelizing people? Aren't we disrupting their culture? From what I've seen, the Christian message helps them," Mills said of his experience abroad, although noting that here again, the Middle East trip differed from his previous journeys. "You have to be very careful of what you say, because it can be a matter of life and death," he added.

Mills turned 70 while in Papua New Guinea earlier this year and has no overseas trips on the calendar now. The travel can be taxing, the work challenging, but the rewards are compelling. "We managed to help a lot of people," he said, summing up his month in Afghanistan. "Many came in very sick, but left walking and smiling."

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