Wednesday, December 17, 2014

Ebola

Adding a post after so long can only mean one thing...

I am returning to the continent that I love and call home.

Since the Ebola outbreak started over a year ago, my heart has been breaking for West Africa. The fear and death and uncertainty that has overtaken that part of the world is overwhelming. When I think of West Africa, I think of the people. The hospitality, smiles, joy, love that the people have shown me during the three years I have spent there breaks my heart knowing what they are going through. I decided not long ago that I would move forward and apply to go and see what happened. I knew doors could open or doors could close but I decided I would keep moving until God told me no.

He didn't.

Doors closed, but others opened and I kept moving and I'm glad I did because now I am about to leave.

I just got my plane ticket and will be leaving this Friday. I will be going to Liberia with International Medical Corps (IMC). They were featured on 60 Minutes a few weeks ago. You can watch the episode here.

I ask for your prayers. Prayers for those infected with ebola. Prayers for strength and grace in this journey. For safety and strong health. For strength in wearing the protective gear while treating the patients. Prayers for everything and anything God brings you to pray for.

I will update on here as I can. Thank you for your prayers and support.

Friday, October 5, 2012

Act of Faith

For many of the women we serve, coming to the center is an act of faith. On Thursday we discharged an old woman who had her fistula repaired and she is dry. In the clinic as we were doing her final discharge screening and education she told us it was difficult for her to come in the first place. She didn't have the support of anyone in her family or village. They kept telling her that the problem she has is not treatable. There is no help for her. It is pointless for her to even try. She has this problem for a reason so she needs to learn to live with it.

She came anyway.

I laugh thinking about it because she told us there are four other women waiting for her return in her village. They all have the same problem she did but they waited for her to come back and report what happened here. This older woman came out as a guinea pig to see what would happen to her. I have heard this before. Patients coming out, knowing others in their villages who have fistula. There has to be one brave enough to make the first step to come. For this one woman, if she goes home dry, the others will follow.

No pressure here.

The hard part is when a patient comes and she leaves wet. There are many reasons a patient can leave wet: a failed surgery, a healed fistula but the woman has stress incontinence, some women need multiple surgeries to be completely dry... When she goes home this won't be translated well. You are either wet or dry. If you are dry, others will come. If you are wet, they don't see the point in coming.

This patient is dry and she will go home and report what she experienced here. I am looking forward to the day I look out the windows in the clinic and see the four patients from her village sitting there waiting...

Tuesday, October 2, 2012

Dentist

Me and my dentist

I have never been one to really be sick. Never broken a bone. Never been hospitalized.

Never, until a year ago. 

In the last year I have: broken my pelvis, been to the emergency room in Sierra Leone, had X-rays, a CT scan, ultrasound, mammogram, MRI and yesterday I was able to add Niger dentist to the list. All of those things listed, except the MRI, were all done in West Africa. Someone told me today I should write a book about my medical experiences here. I don't have enough to fill a book but I have come away with some good stories.

It's always a good day when the local grocery store has chocolate. Not just any chocolate, but good chocolate. The Toblerone, triangular goodness that melts in your mouth unless you forget to put it in the fridge, then it melts in your cupboard. On Sunday I was enjoying my piece of chocolaty goodness when it became a bit crunchier than normal. It wasn't the grit of added sand that accompanies many meals here, this was like a rock. This was a big part of my tooth. Luckily it was one of my back teeth so you couldn't see it, but I wanted to gag when I felt this gaping hole with my tongue. Being a nurse my mind started racing. I was going to get an infection, then abscess, then major tumor. Luckily I live with missionaries who have lived here for a long time and knew of a good dentist in the area. He was able to see me early yesterday morning and June, Leng and Ashley all accompanied me on this adventure.

We walked right in to this small room that had a desk, a dentist chair and supplies. I was quickly told to sit down so I did. All I knew was that I didn't want anyone drilling in my mouth or doing anything that was not necessary. I didn't want any shots or teeth pulled. I can't believe my lack of French or Hausa after living here for almost ten months. June and Leng did a great job keeping me informed about what was going on. Yes, a large part of my tooth broke off but luckily it was a clean break and all the dentist had to do was fill it back in. Only a small amount of drilling to make it possible to add more cement to fill in the hole. It was even white. I kept my eyes closed, knowing Ashley was right there taking pictures and making sure everything was ok. I had to. The needle, which was never used, was sitting right at eye level tempting my fears. It was better to just close my eyes and pray it was all over soon.

All in all it was a memorable experience. The hole is filled and even though it is temporary, June had the same thing happen to her a long time ago and went to the same dentist and her temporary fix lasted a long time. I pray that is the same in my case as well. It is still a bit rough. The dentist apologized for not having a buffer to smooth it but it's not bad. All this for about $4.

Visit the dentist in Niger... check.

Friday, September 28, 2012

Thankful

Last year when I was living in Sierra Leone my sister sent me a book called One Thousand Gifts. It was a great book that helped me changed my outlook on my situation there. It helped me find joy in everyday things I encountered. In the stressors I had, I was able to think about and notice the little things which caused me to see each situation differently. It helped me to persevere through some difficult times.

Last Sunday I decided to start a list. I have been making a list of things I am thankful for. It has helped me change the way I have looked at some of the situations I encountered this week. As I started writing this list I kept having an overwhelming urge to write a list of challenges this week as well. I didn't. I needed to focus on the blessings of my days. Yes, there were days I just wanted to come home and crawl back into my bed, turn on my ac and sleep, but when you take the time to stop and look around, you notice blessings in the midst of challenges. Here are a glimpse of things I have been thankful for over the past six days:

  • Having a flashlight on my phone
  • I have not gotten malaria this year
  • Packing nyquil/dayquil when I came
  • Purple flowers growing among the corn stalks being harvested
  • Patients being discharged to the village
  • Dead earwigs
  • Bananas erupting from their pods on the pigmy banana tree
  • Moringa trees growing larger
  • Women returning on time for their surgical appointments
  • Ants marching creating veins in the sand
  • A newly hired nurse
  • Long walks home
  • Skirts that make you walk a step slower
  • Receiving two roosters as a thank you gift inside the hospital
  • A finished malaria policy
  • Kosai
  • Old patients returning dry
  • Watching people harvest their crops
  • Women pounding their grains
  • Listening to country music in the car
    • With the windows down
    • At night
  • Turning down country music and rolling up the windows while passing through checkpoints
  • Water filters that make brown water drinkable
  • Friends who will protect me from bats
  • Two hens purchased for the roosters so we can have eggs
  • Air conditioning in my bedroom
  • Watching patients doing rounds on each other--on the fresh post-op patients to make sure they are ok
  • Losing patients but then finding them sitting under a tree in the dirt behind the OR
  • Training nurses to take over my jobs
  • Nurses who work hard
  • Rice and beans for lunch
  • Learning a new word in hausa and using it appropriately 
  • Just standing in the pharmacy (the only room in the ward with air conditioning)
  • Being told I can go to Niamey with Ashley to say goodbye
  • The way the young patients wear their gowns
  • Having my massive set of keys reduced by three
  • Excitement by patients who are brought into the ward for surgery 
  • Bottle of some sort of sugared nuts
  • Chocolate in the grocery store
  • Buying a purple shirt at Wrangler
  • Witnessing an ultrasound of a patient who did not know she was pregnant
  • Showing this woman her child inside her womb
  • Seeing the tiny hands, feet, spine and all four chambers of this tiny heart beating inside her

Wednesday, September 12, 2012

Family


Yesterday we had one of the largest clinic we have seen. 30 women in four hours. Most were new women we have not seen before and the majority of them were scheduled for surgeries this month. We have a very busy month ahead but it's exciting to have so many women who will be able to come through our doors. For now they will be staying in the village where the village manager will be starting her literacy classes. 

Today there were two women who came to the hospital. One was here a few months ago and had surgery but she needed to return for a planned follow-up surgery. I walked her out to the village and when we were half way down the path, to the point where the women in the village could recognize the patient I was walking with, claps and yelling started coming from the huts. Many of the women recognized this patient from before and it was like a home coming. There was even one who jumped up and danced down the walkway to us so she could carry her baggage and give her a huge hug.

I love how the women become a family to one another. So many of them travel from one fistula center to the next hoping for a permanent cure and they get to know each other. The one who danced down the walkway to greet this patient I was admitting knew her from her previous surgery done here. Even on the ward it is incredible to watch the women and how they interact with one another. Not just with each other, but with the nurses. Last night one of the patients walked around to all the doors making sure they were closed tight and locked before the patients went to sleep. Another is sick with malaria and just feels awful. The other patients come, carrying their catheter bags, to help change the bed and pads of this women. They bring her water and talk with her. We are not short staffed with nurses and we don't expect this of our patients. We have never asked the women to do this. They do it because they know better than any of us what they are each going through. I watched as an older woman helped a girl about half her age use a pot to pee in because she had an IV running. When a woman returns from the operating theatre, there are patients on the ward who will make their own rounds. They will make sure the women have water or someone to talk to since they can not move in bed because of the anesthesia. They love each other and care for each other more than I ever could as a nurse. 

Wednesday, September 5, 2012

Food


I made a new friend. The boys who live next door lost their ball in a pile of bushes. The local boys they were playing with did not want to help them look for the ball because they saw two chameleons living in the bush. Most people here don't like chameleons because they think they bite. I don't know if Simon found his ball, but he did find this chameleon. I was in my house when he yelled for me to come out because he had caught one. It wouldn't be too hard to catch because they move so slow. 


I get a lot of questions about what I eat. This picture is bissap. I had it first when we went to Park W in April and I have been wanting it again ever since. Hauwa, my boss, picked me up some at the market. They are leaves that you boil and it makes a deep red, bitter tasting drink. Add some sugar and it's pretty amazing. 


In the mornings as I walk to work there is a small market right outside the hospital. Many people will stop and buy this, fanke. There is another fried ball like thing called kosai which I prefer to this, but it's more difficult to make so that will be for another days lesson. Ashley and I had a fanke cooking lesson this past Sunday. Hannatou, our translator in the hospital, and Hawa, one of the nurses, came to Ashely's place for the lesson. It's basically flour, yeast, sugar and water, then you fry it in oil. The kosai that I really like is similar and looks the same but it is made from bean flour. Add some yagi pepper to it and it's fabulous!

Friday, August 31, 2012

Moringa

I have been wanting to write this post for a long time now. I love that we hired a gardener/landscaper. He has been working here for a couple months now. What I didn't realize until yesterday is that I have been calling him the female form of his name for the last two months but no one wanted to correct me. I feel so bad. He just laughs and says ba matsala, no problem. He has done a great job landscaping the area around the hospital. I was really excited to talk with him about planting moringa trees when he was hired.

I first heard about moringa trees about ten years ago when I took a Mercy Ships class about tropical medicine and they spoke on moringa trees. These trees are incredible. They were basically created to grow here. Everything I read about these amazing trees calls them nature's medicine cabinet. One ounce of moringa contains 7 time the vitamin C found in oranges, 4 times the vitamin A of carrots, 3 times the iron of spinach, 4 times as much calcium as milk and 3 times the potassium of bananas. What else is there to say? I get so excited when I think about these trees and what they can do for this area of the world if people would tap into them. I can't wait for ours to get big enough to have pods. I read they can produce 400-1000 new seeds a year. Plenty to send all the women here home with some seeds! I have a great vision for these trees and the ways they can first help our women, and then teach the women how to take them home and help their communities with them.

So, my first talk with our gardener was about planting these moringa trees. Two days later he brought in about 25 of these trees to line the walkway out to the village. Yesterday we had our first moringa harvest and ate of the abundant leaves. Another great thing about moringa is how quickly it grows. Our trees were planted about six weeks ago and we are already eating from them. I have a book on all that you can do with the leaves and plants and pods. Everything from antibiotics to skin infections to diabetes and low blood pressure, anemia, diarrhea, water purification... the list continues of all the ways it can be used.

Moringa