Saturday, September 25, 2010

A project

Hello all!
It's hard to believe that I've only been here just over 2 weeks.  I feel like I've experienced so much that A LOT more time should have passed!  Its been good.  The days are very full and I have yet to be sitting around with nothing to do. 
Sister Martha Joan is back from her retreat.  She is in charge of the volunteers and it's great to have her at the helm.  We were all a little directionless, but she quickly solved that problem.  She's from Poland originally, and she's a nurse.  She's a real organizer and she's trying to get things more streamlined in the clinic and with the patients.  I've been helping a bit. I went through the clinic supplies the other day and separated all the outdated medications and got to see a lot of what kinds of supplies exist.  They have some really good wound dressings and stuff, but no one knows how to use them, so they sit unused.  They also have a whole bunch of medication from other countries that no one knows what they are.  The creams were especially bad.  I took down the names and spent some time with Google.  I'm not sure why they are so well stocked in hemerhoid cream, or sun tan lotion, but I made sure to label them well and instruct the workers NOT to use them for wound care!
Sister Martha Joan has also charged me with orienting two new nurses that they hired. They are two orphaned boys who grew up with the sisters. The sisters paid their way through nursing school and in exchange, they are to work for them for 6 months.  The sisters are hopeful to hire them after that.  It's been interesting to say the least.  They are very eager, and willing to learn.  But their education is VERY lacking! They told me that they didn't have any textbooks in school because they were too expensive.  Their instruction was all in the classroom as well, no hands on experience at all.  So, orientation is more like teaching.  I'm grateful for the job, and I'm excited to help them become great nurses.  Since I'll be here for a while yet, I think it will be good to mentor them and be able to support them through this learning time and leave them here to continue to do great work after I leave.  The job is huge though. I can't imagine being a new grad, with no practical experience, stepping onto a ward of 250 + patients, no senior staff as resource and a physician that comes twice a week for a couple of hours. 
Tomorrow is a big festival here.  It's Maskal.  It's comemorating St. Helena finding the true cross.  I guess there's a big fire downtown and everyone goes and there are speakers and bands and stuff.  One of the workers (his name is Hilou) is going to take us to check it out.  Should be fun!
The good news is that we had two days without rain.  I can't say that it's warm here, its still only ever between 15 and 20 degrees.  The sun did make a brief appearance which was nice, but short lived.  At least my laundry is dry though!
I've been trying to upload pictures, but it hasn't been letting me.  I'll keep trying.  Keep in touch!

Monday, September 20, 2010

The smell greets you from a distance

This week has been a busy one! I've been trying to get to post something sooner, but every time I got to the internet place they smile and say 'no connection', or they are closed.  When you ask when the connection will come back, they just smile at you.  They are always very pleasant though! Things here are quite random. Even the electricity is hit and miss.  The power goes out at least once a day.  I have been very grateful for my head lamp! Some of the rooms where we do dressings are very poorly lit as well, so it's been handy working with the head lamp to remove foreign objects and sutures from wounds.  The sun goes down pretty early as well, so generally, it's one of my favorite gadgets.
I've been spending most of my days in the clinic or dressing wounds on the men's ward.  I am constantly amazed by the stories I hear and the things that I witness on a daily basis.  Tuesday, Thursday and Saturday we do outpatient clinics.  So, people come from the outside to come and have their wounds dressed.  It's always very busy.  One man came into the clinic the other day and I was shocked by the smell of his wound.  It literally made my eyes water.  One of the Tanzenian guys that I was working with said "OOOOh! The smell greets you from a distance!" I couldn't have said it better!  Anyway, this poor man had been wearing socks, and no shoes.  Seeing as how he is homeless, and it rains 2-3 times a day here, he was constantly wet.  The socks were almost grown into his shins.  It took some effort to get them off.  When I did, I was witness to a fungal infection of unreal proportions! I SO wish I could take pictures of some of this stuff because it really defies description! 
So, needless to say, I told him NOT to put any socks on anymore and scrubbed him as best as we could.  I sent him on his way with an anti fungal cream.  He was so pleased! He has come back every day since and personally requests me.  Everyone else is happy to oblige! Lucky me!
Some of the wounds that we dress on the wards are pretty complex.  Sometimes I wonder if we're doing much to help them at all.  The other day, I asked Sister if any physicians ever come to address some of these wounds.  She took quite a bit of time with me and told me some of the stories of the men.  It really was sad to hear! Most of the men have been either abandonned by their families because of mental illness, dimensia, epilepsy, physical deformity or extreme illness.  Some of them have sought out treatment at several health care facilities, but because they were unable to pay for the treatments, were kicked out of the hospitals and banned from returning.  Now, the wounds and infections have grown so severe, their bodies so weak from malnutrition and disease, they are awaiting death.  The sisters do their best to offer pain control and comfort, but there's no a lot you can do to help them anymore.  From a western mindset, it's very hard to reconcile that! At home, I'm taught to treat, cure and actively manage illness.  Here, I'm forced to pray, love, comfort and await death.  It's very emotionally draining!
Having said that though, the work is very rewarding.  I have an opportunity to show love to people in a very tangible way.  Although there is a language barrier, and I can't always communicate with them, I AM able to touch them and hold their hands and wash them.  It's a very different way to communicate, but it's very effective.  Looking into their eyes, I know that they are understanding what I am trying to do for them. 
It sounds like I'll be sticking around Addis for a while.  I asked Sister the other day if she still wanted us to go to Dire Dawa, but she said no.  Our volunteer numbers have decreased and we are only 3 women and 4 men.  So, I guess I'll stay here until they tell me otherwise.  I've taken a bit of time to do some exploring of the city and I feel like I'm getting a bit more oriented to where things are.  The city is actually not that big, and there is a great mini bus system that helps you get around for relatively cheap.  We went to mass at a local parish yesterday, and it was nice!  They had a great choir.  We walked around that area of town afterwards, and had some GREAT coffee, but most everything was closed as it was Sunday. 
So that's my report.  Things are going well. My health is good, my spirits are high and I'm enjoying the work.  I'm still praying that the rains will end soon (everyone keeps saying soon).  I had to do laundry and we're going on 3 days for my t-shirts to dry.
Send me your comments and questions.  Sometimes I forget to include things, but if you're interested in hearing about anything in particular, please let me know.

Monday, September 13, 2010

Culture Shock Extrordinaire

So, I realized that in my last blog, I wasn't very descriptive of the place or the culture.  It's a lot to take in when you first get here, and it has taken me a while to get a bit of a grip on being here.  I've traveled enough, but I'm still shocked by the stark contrast between life in developing countries and life in North America.
The city of Addis Ababa has a population of about 4 million.  It's up in the mountains and it's quite lush and treed.  There is green grass and flowers outside of the pavement and concrete high traffic areas.  The air is quite a lot cleaner than Calcutta. Since I've been here, we've had rain at least twice a day. They are reaching the end of the rainy season, so it should end soon.  The rain comes suddenly and very hard.  One minute, it could be clear skies, the next, torrential rain.  The other volunteers have been complaining that their clothes don't dry after they wash them.  The thing is, there's no way to save them from the rain because you never know when it's going to hit! Thankfully, thus far, I haven't had to do laundry.  It's going to be a real pain when I do because I'll have a lot to do, but I'm stubborn and I'm hoping the rains will end soon.
The sisters have a few communities here in the city.  The one that I'm staying at is in an area of the city called Sidist Kilo.  It is a very large compound, but very full.  There is a building that has handicapped children (no babies). A building that has women, and then another building with men.  There is a large kitchen area, two large laundry areas and an area for dispensary and outpatient treatments.  Then there is the chapel and the house where the sisters life as well.  It's all very tight.  There is a courtyard where the men sit out during the day, and a road that leads through the middle of it all.  There is a perpetual game of soccer going on the road from sun up to sun down.  Whenever you walk by, to get to our room,  you risk getting hit by the ball.  Yesterday, the ball came right for me, so I played with it a bit and then took a shot on goal.  They thought it was hillarious! Girls here don't play sports and this morning when I walked by they were still laughing and pointing.  There are about 500 patients in the compound, plus staff.
Across the street there is another compound where they have an orphanage.  There are infants, handicapped babies and children, and moms and babies (some that have come here to give birth, some that have come because their babies are malnourished).  I'm not sure how many kids are there, but it seems like a lot. I'm still discovering new areas whenever I go there.
This weekend was a bit of an exception because Saturday was Ethiopian New Year.  They are celebrating the year 2003.  Good news is, I"m only 24 years old!!  ha ha  They have a different calendar, AND a different clock.  I'm still not sure I have it right, but I'm pretty shure that it works this way: sun comes up @ about 6am, in Ethiopian time, that is 12 o'clock.  Once the sun has been up for one hour, it us one o'clock.  Until 6pm when the sun goes down and then it is 12 o'clock and an hour after the sun is down, it's one o'clock again.  Very confusing!  So, we've had to be clear when talking to others about which clock to use.  So, Saturday me and a couple other volunteers went over to the orphanage, and because it was a holiday, no one was working.  So, we basically played with the kids all day.  It was fun, but the kids are really poorly behaved and not used to following directions (and of course you have a language barrier on top of that). So, it was challenging at times, but we kept them relatively busy. 
Sunday was a holiday here as well, so we knew there wasn't going to be much work to do.  I met up with a group from Malta and we went to another part of the city called Asco.  The sisters have a compound there which is HUGE! It's an orphanage for kids with HIV-AIDS.  Its mostly been funded by donations from Israel. It's absolutely gorgeous.  They have so much more room, and the kids are really happy there.  They have 320 children there aged new born to 18.  They have a hospital - clinic area where they assess everyone, and keep the ones that are really sick. They even have a really nice lab, with what looks to me like newer equipment.  Then they have two big dorms, one for the girls and one for the boys, and then a smaller dorm for the older boys. They have a school and a LARGE area for the kids to play. The sisters said they receive medication from the government for treatment for the children aged 0 to 13 years.  It's SUPPOSED (by WHO standards) to be until 18 years, but the Ethiopian government has seen such a high mortality, that they're trying to cut costs.  The sisters have been trying to fight it, but it's a lot of work.  They have had really good success treating the kids.  A lot of the children there have good enough CD4 counts that they don't require medication. Their mortality rate has been very low. They have only lost one child in the past two years.  They are actually just working on a new program for the children who reach 18 years old, but aren't done their schooling (because they didn't come to the sisters when they were young).  So, they have a place for them to stay until they are done school and can find work to support themselves.  It was a fun day with the kids and getting to see a little bit more of Addis.   
I think I said in my last blog, that I'll be going to Dire Dawa.  I'm not sure when that's actually going to materialize.  Until I have a ticket in my hand, it's really hard to know.  Everything is really casual here.  Time has very little meaning.  Until then, I'll be working with the patients here.  Today I spent all morning doing dressings in the men's home.  Everything from EXTREME bed sores, ostomies, botched skin graftings, foot and leg ulcers to minor cuts and bumps.  It's very interesting, and unreal how people live with these wounds!  The extreme mal nutrition makes healing very difficult.
I can't read my last post, the computers here are unreal slow. I hope I haven't repeated myself too much. My time is up.  Not sure when I'll get to blog again.  I'll keep you posted on my journey.

Friday, September 10, 2010

I've landed!

Following a VERY long journey, I have landed in Addis Ababa Ethiopia.  Things have gone well so far and I was able to spend a day resting at a guest house here.  It was great to get some sleep and begin to settle into this journey that I've embarked on.
I have to say that thus far, it has been harder than I expected.  It's challenging traveling alone as you have to be on guard 100% of the time, and there's no one to bounce ideas off of.  Thus far however, I've been navigating things relatively well..... I think.
I found the Missionaries of Charity compound this morning.  I was shown the volunteer quarters and was set to work right away.  I was able to help with a few dressings. It was nice to get into it right away.  The compound is quite small for all that goes on there.  There are several volunteers here as well, which I wasn't expecting.  Sr. Seraphim introduced me to a girl named Leah from California.  She told us that we will be traveling to Dire Dawa on Monday as they need more help there. 
When I began this, I said I was going to expect the unexpected. Dire Dawa was definitely not in my expectations, but hey, what the heck?!  I'm grateful to have an english speaking travel companion at least! I'm not sure how we're getting there, I still have to get more details from Sister.  You kinda just have to have a 'go with the flow' attitude, so I"m doing my best. I'm excited to see what Dire Dawa is like, and the home the sisters have there. I'm sure the experience will be equally as valuable.  Currently there are 8 of us sharing a VERY small room.  It's kind of dark and with the rains, very musty.  We share a bathroom, but the toilet doesn't flush, so you have to pour water down it.  The shower is in another area and I guess, the hot water is sketch.  Not sure if it will be any different in Dire Dawa, but I guess, we'll find out on Monday. I've heard its warmer, which wouldn't be bad as I've been freezing here.  It rains every afternoon and it's been really hazy and cool.  The bus ride is 11 hours according to the Lonely Planet, so here's to hoping my stomach holds out!
The city us a buz with preparations. Ethiopian New Year is tomorrow and there are people buying goats and roosters to cook for the feast.  There are many reminders of India, but it has a flavor all of its own as well.
The traffic is more orderly. WAY less honking.  The use of signal lights and lanes are routine.  They drive on the same side of the road as us, which I was surprised by.  The people are very friendly and I have been surprised by how well most people speak English.  There are NO street vendors.  There are lots of little shops, but no sidewalk garage sales or food stands.  You can actually walk on the sidewalks!
So, the long and short of it. My first impressions of Ethiopia:
Not exactly what I was expecting, but not totally outside of my imagination.  Looking forward to taking more time to adjust and maybe settle in Dire Dawa. Grateful for a North American travel companion.  Keep praying please, and I"ll keep you posted as I can.
Salam!

Monday, September 6, 2010

On my way!

Its hard to believe that the much anticipated date is upon me. The last few months have been a fury of activity. I moved out of my place and spent the summer living with and enjoying the company of friends and family. Two highlights were going on the annual fishing trip to northern Saskatchewan and being camp nurse for IGNITE 2010, a camp for older teens that is sponsored by Face to Face Ministries.
My parents hosted a beautiful barbeque on August 27th and I was able to say 'see you later' to a lot of people there. I am so grateful for everyone who came out to wish me well!
The last two weeks I've been in Houston, TX at my sister's place. I've been enjoying a great visit with her family including spending time with my incredible nieces Anna and Clare and their little foster baby Alex. One of the highlights was Clare's 5th birthday. She chose to have a Little House on the Prairie themed party. My sister, never being one to do things half heartedly, had us all participate. We stopped by the Goodwill store and got some costumes (pictured below). Believe it or not, we actually went to the local park dressed like this and had a good ol' fashioned cook out, fished in the pond and the girls beat us in a three legged race!

Ma, Pa, Miss Beetle, Mary and Laura
Now it's time for me to bid farewell to North America. I'm excited, but a bit anxious as well.  I'm not sure what to expect next, but I'm looking forward to everything that lies ahead. I leave Houston Tuesday the 7th in the evening and arrive in Addis Ababa, Ethiopia Sept 9th early am.  I'll post my first impressions of the sights, sounds and smells of my new environment as soon as I get oriented enough and find internet access.