Sunday, November 30, 2008

Perspective



As our moto headlight slowly dimmed to nothing and we coasted to a stop, I couldn’t help but laugh as I peered inside our empty gas tank. At 11:30, on a moonless night, in literally the middle of nowhere I began to think of a hundred other more convenient places that our moto could have ran out of gas in and smiled as my eyes began to adjust to the utter darkness. Accepting my helplessness in the situation I lay myself in the middle of the dusty road, surrounded on either side by the comfort of two friends and gazed into the sky. Without a street light within a 100 mile circumference of us, with nothing but crickets and birds to construct the soundtrack to our lives, nothing but the sound of breathing and laughter to echo throughout the night and nothing but shooting stars to be entertained by, I couldn’t help but think that there was no place on earth that I would rather be.

In short...Bush Africa... Perspective.

In the past 10 days I have....



1. Cared for a little boy with over 85% of his body burned and who unfortunately died.
2. Operated on a woman who’s eye had been stabbed by the horn of a bull..
3. Operated on a man with a bowel obstruction, resulting in us draining over 6 liters of liquid from his stomach.
4. Circumcised a man suffering from Paraphimosis.
5. Spent 4 hours in the middle of the night operating on a 2 month old girl with a Perforated Umbilical Hernia and proudly closed the incision completely on my own.
6. Spent over 6 hours in the operating room doing 2 Hysterectomies.
7. Been awoken at midnight to run to the hospital to care for a stab wound victim with a knife entering one side of his shoulder and exiting the other.
8. Welcomed a screaming and healthy little boy into the world after performing an emergency C-Section on his mom very first thing in the morning.
9. Done two biopsies on two different potentially malignant tumors.
10. Read an ultrasound for a woman with malignant Polycystic Ovarian Cancer which has matastisized into her liver.
11. Learned how to do a Laryngoscopy, Bronchioscopy, Gastroscopy and Colonoscopy.
12. Sutured the head of a teacher who was beaten with a stick by a fellow teacher.
13. Run over 50 miles.
14. Read 3 books.
15. Never slept so soundly in my life.


In Short...Bush Africa... Exhaustion.

-Allison

Friday, November 14, 2008

TIA- This.Is.Africa.






1. A week ago Saturday morning, while the other two volunteers, Sarah and Lauren were at church and I was enjoying a lazy morning of yoga and reading, their house (which will one day be my house as soon as there is a roof in my room,) was broken into. Though we don’t know for sure, we have reason to believe that our thief was a child, being that he, or she for that matter unwisely left (a wet shower, used muddy bucket and little muddy foot prints in the bathroom) more than he or she took (cell phone and spare change). Unfortunate as it is to have our cell phone gone which really puts a damper on the weekly chats with our parents, we are quite thankful that it was the phone that was taken while their cameras, computers and ipods were spared and we really cant help but laugh at the thought of a little intruder capitalizing on the opportunity of cleaning up a bit while in our house........ T.I.A.

2.Not too far from our town of Koza there is a smaller town named Mozogo which claims the only forest in the Extreme Nord as its prize possession. Along with a new friend Marcel, (a peace corp worker who has been here for almost two years) to play guide for us, Sarah, Lauren and I headed our way into the thick of the jungle for a nice afternoon away from the hospital. Happening upon a tree fort that was built a number of years ago, we promptly climbed up and made ourselves comfortable high in the canopy of the forest while 20 wild baboons played for hours surrounding the tree house as we laughed and stared at them while they laughed and stared at us.........T.I.A.



3.With both doctors out of town in Boston for a surgical convention for a week, my personal position here at the hospital, which is usually to directly assist Greg in either surgery, clinic, or rounds was altered a bit when I was asked to work in the Pediatrics Ward with Eliza, the only female nurse on our staff instead. Usually one of the other girls would work with a nurse and I, a doctor, but since I speak French and they don’t and Eliza doesn’t know a word of English, we all thought it a better fit for me to work with her. The week in Peds was hectic, and had us admitting over 30 patients into a ward that reaches capacity at 24 which meant there was not much time to sit me down and explain how and when to do the things that were needed. Thrown into a flood of charting, diluting and calculating meds, giving meds in a timely fashion, giving shots, starting IV’s, and even prescribing meds while changing patients from IV feed to oral doses was brand new for me, but I am quickly beginning to grasp the fact that a lot in the medical field cant be taught in a classroom or from a text book. As I have stated before I am learning so much here, overwhelming amounts daily, yet have barely opened a text and have with open arms accepted Eliza’s motto for the week of teaching me the ropes, as my own.... “You are allowed to sit and watch only once, and then you simply do.” ........T.I.A.

4.Well I think we all assumed I would eventually get pretty sick over here in Africa, in fact I think we all expected it, it was only a matter of time. The question was not ‘If,” but “When” and the answer is....”Now.” Unfortunately I think the ever looming malaria has begun to wrap her hands around me and things aren’t looking pretty. Never mind the fact that it is a nearly negligible amount of Plasmodium Ovale that are exponentially attacking the red blood cells in my body causing them to burst and die because it is not this bout of malaria that I am concerned with. No, I can handle a low count of malaria this time, it’s the next time that has me worried, because if waves of fever, chills, dizziness, cough, headache, stomach and chest pain, diarrhea, vomiting and loss of appetite all present themselves with even the slightest amount of malaria , I can only begin to imagine what the future holds......T.I.A.

In short...Bush Africa...Night running with a head lamp, sipping home brewed tea in a hammock, one day weekends, snakes, exceptionally dirty feet, missing coffee in the morning/noon/night, substituting a bucket for a washing machine, target practice on veins, living in fear of every mosquito, learning from your mistakes.

-Allison

Tuesday, November 4, 2008

The Frustrations of a Simple Life


This week is the first that I have felt consistent frustration with life in Africa and am realizing strongly that life here, plain and simply, is not fair. The more I slowly begin to better understand the culture the more I realize I don’t get it in the least. Life here holds little value, it comes and goes and easily slips away without many noticing or caring. Children aren’t given a chance to survive, it’s a total crap shoot who makes it and who doesn’t. Parents aren’t knowledgeable enough to care and nurture as they are supposed to and have replaced contentment with complacency in regards to their families. Children are raised with indifferent parents and thus they, without realizing the option to be different, grow to become apathetic parents themselves... it’s a vicious cycle and from an outsiders view, its hard to see an end in sight. At the hospital death knocks daily and unfortunately, too often we have to answer the door.
My heart, soul and mind are constantly trying to make sense of how it is that so many can be in so much pain while others don’t feel a thing. I curse my whiteness, my ignorance, and wonder how it is that I once was, and continue to be so naive. As much as I try not to get bogged down with the things I’m seeing, even more than that I don’t want to become desensitized to it either, but after weeks of seeing so many with literally nothing, it’s hard to try to get my head around why it is that so many others are so blessed.

In short... Bush Africa... Malnourishment, Inexplicable Convulsions, Anemia, Pneumonia, Scrub Typhus, Incompatible Blood Donors, Ascites, Still births, Liver/Kidney/Heart failure, Staph Infections, Bronchitis, Meningitis, Tetanus, Typhoid Fever, Snake Bites, Cerebral Malaria, 8 yr. olds with AIDS, frustration and contemplation, injustice.

-Allison