Monday, November 14, 2011

Block 1 grades and old home videos

Grades are back!
Grades are great!
Might actually get into medical school this time!

I got an A in both histo and biostats (there is no A+) and above the medical student mean on everything that was graded. We took a nationalized test that I got a 94% on...a 90% is the 97th percentile so I am quite pleased with myself. My dad said "When you apply schools are trying to guess how you are going to do in medical school but now they have proof that you can do well" so yey for that.


Also, I've been watching a LOT of old home videos over the past couple of days and it is SO interesting to me...watching my parents with their same personalities as they have now interacting with me when I had no CLUE what their personalities were...hearing all the random background conversations between my aunts and uncles...watching Emmy be the big sister and showing me how to do stuff....some gold nuggets:

5-year old Emmy running up to my mom who was pregnant with Thomas and saying "Mommy when the baby comes out of your belly I'm going to grab its head and dance with it!"
My first day of preschool I did NOT want to go, Mom says "well we are going" and I said to her "well I am going to punch you in the belly" (she was NOT pregnant!) haha. So many things I'd forgotten...so many toys I remember having years later...so many toys I thought were Emmy's because she TOLD ME THEY WERE but I watched myself open them for my first birthday...haha.

It's also awesome seeing the house as I don't remember it...when we first moved in and tere wasn't even a second story, and when the kitchen was this tiny little thing stuffed with an enormous amount of stuff...and then as I do remember it- with the upstairs playroom and that weird blue flowery linoleum on the kitchen floor. I can see elements of my current self in my 4-year old self, and same with Emmy. It's just a very interesting thing.

So now I'm on break until thanksgiving. I havent done anything I was planning on doing yet...things keep happening! Eventually I will get around to pre-studying some biochem and physio, but for now I have to go downstairs and stain a billion pieces of molding for the door frames upstairs. things that should have been done 10 years ago when we put the extension on the house...but we are nothing if not procrastinators in this family (except of course Mommy).

Wednesday, November 2, 2011

Finals Week and the NBME!

So Monday and Tuesday I have things that are sort of like finals.

Monday is my histology exam #3, which is "cumulative" in that it "builds on what you've learned already" but not actually cumulative in that I don't have to remember the detail-y details from earlier in the year.

(As a side note, I HATE when professors give that speech about everything being cumulative because it builds. When I ask if a test is cumulative or not, I want to know if there will be specific questions on already-tested material or not. Maybe they do it on purpose so nobody can come up and say "but you said this wouldn't be on the test!" when really basic things are required as background)

anyway. That's Monday. Morning: Go sit in the lab with my microscope, get 10 slides with "unknown" tissue on them. Identify (just for myself) what each slide is and then answer a bunch of multiple choice questions like "On which slide would you find Brunner's Glands?"
Then a professor comes in and gives everyone a piece of paper with (the same) three things on it, and we have to find it, stick the microscope pointer on it, and call him over to check if we got it right.

Afternoon we take a long multiple choice test.

THEN TUESDAY is the part I'm slightly concerned about...the NMBE Histology (National board of medical examiners, or something) It's a standardized test which means I have no idea what the questions are going to be like or IF I WILL HAVE BEEN TAUGHT WHAT IS ON IT!
we just sort of have to hope we know enough to do well on it.

I have this book that's supposed to be a review for it and I'm looking at these questions going "Ihave never heard of this before. I was never taught that. what are they talking about??" and then they give you questions that go on and on about this 14-month old having lower respiratory tract infections and diarrhea and his mom used to have that when she was little and here's the lab tests they did, here are the results, here are normal values, it's probably involved with this protein that bla bla bla interacts with the negative charge on the cell membrane. What is responsible for the negative charge on the cell membrane?

Which is an easy question but you have to sift through a NOVEL to get to the question.

So here I am sitting on my bed reading through this book fa-reaking out so I decided to go complain to one of my roommates and her friend, who are 2nd years. Best idea ever, because they told me that's a typical question, just skip to the end and read the last sentence, you will never have to know the other stuff... and this particular book I have is known to be harder than the actual test, just go through it and if you're able to eliminate some of the answers and get a couple right you will be okay because the actual test is much easier.

So now I am okay.

Plus they had chocolate that someone probably stole from a small child's Halloween stash (how else do you explain a 24 year old guy with a candy bag with "Skylar" written on it?? :-P) so that made me feel better too.

Then I made coffee (also good) and decided I'm going to order myself Thai food tonight (win again!) so this day just keeps getting better. Also it was SO nice and warm today I shut the heat off and opened all the windows. This is how I know Jesus loves me.

Saturday, October 8, 2011

Surgery?

So...my original "kind of doctor" i was always going to be was a surgeon.

Then for a while I was like "no...emergency medicine"
Then I would just tell people "either emergency medicine or surgery"

lately I've been feeling almost COMPELLED towards surgery. I don't know why, I've just heard a lot about it recently, a bunch of little reasons I can't really enumerate just make me lean towards surgery.
I've decided that though residency may be longer and more difficult, post-residency lifestyle has a much greater potential to be more lifestyle-friendly.  I've decided I would never get sick of cutting people open but I might get sick of the really stupid things people sometimes come into the ER for. And the thing I like most about the ER is trauma...and if you want to do trauma, you have to be a surgeon.  Yesterday I found a new blog by a surgeon who has done several short trips to mission hospitals with doctors without borders (or "Medicens sans frontieres" as they're called in the rest of the world) and just had awesome stories about doing surgery there. You make an much more radical and much more instant change in someone's life when you operate.

So right now I'm on a surgery kick.
For this week at least.

It's a good thing I have a long time before I have to decide, and that I will get to spend a while pretending to be each during med school so I can make an educated decision. Reminding myself of that is the only way I can silence my "i need to know EVERYTHING" brain whenever it decides its time to hash out all the pros and cons.

The problem is I can't even decide whether some things are a pro or a con. I also can't decide which specialty has a better *insert any number of characteristics here*. I am fully capable of convincing myself of whichever one I want to be convinced of this week, only to dismiss all that and be gung-ho towards the other a few days later. Then next month I'm back where I was before.

I think my brain keeps doing that because it thinks it's fun. I honestly think it enjoys this back-and-forth...because this thought process inevitably sends me to the internet looking for blogs or articles or whatever, on surgery or EM and my brain LOVES reading that stuff.

And so I enable it. Because my brain is me, and so I love reading that stuff too.


Tuesday, October 4, 2011

Alarming

My waking-up-in-the-morning skills are...sporadic at best.

Most days I'm fine....hit snooze a couple of times, eventually drag my still-tired self out of bed.

Many, many...MANY times I've tried to come up with more creative ways to wake myself up.

I've done the "put the alarm across the room" thing...but that just results in waking up, grabbing my phone, hitting snooze, and taking it back into the bed with me.
I set multiple alarms for a few minutes apart, but I get confused by which one is going off and which one has already gone off, and on more than 1 occasion I've shut both alarms off instead of snoozing and woken up with a start 20 minutes later and had to super-rush to get ready.

This morning, I set an alarm for 8, and one for 8:45. I figured if I accidentally turned off the 8am one, at least the 8:45 one would wake me up and I'd have juuust enough time to rush through getting ready and skip the shower for sticking my head in the sink, and run to class.

Bad plan.

Because when the 8:45 alarm went off (I have no idea what happened to the first one...) I hit snooze, turned it off, got up, took a shower...and THEN looked at the clock to see that my lecture had started 20 minutes ago. In disbelief I checked another clock...and then realized what had happened.

So now I have all this extra time because there's NO WAY I'm gonna be THAT PERSON who shows up a full half hour late to a lecture...I'll just wait for the scribe. (my school has a program where people transcribe all the lectures (minus the "um"s and "okay, so..."s)). Plus it was "the oral cavity" and that's not thaaaat exciting to me. :-P

Thursday, September 29, 2011

The extent of Human Knowledge!?

So...last night I was studying for this big test I have on Monday

And I'm looking at diagrams used in the lecture slides...and diagrams in the text book...and they seem to be in conflict. They have different names for what appears to me to be the same thing...and the flow charts seem to disagree on how many steps there should be between point A and B, whether A branches off from B or from C....etc.

So I emailed my professor to ask what I should be taking as the "final authority" and is it even important in this case to know that level of detail and the answer he gave me was the exact answer I was hoping for- just focus on this and ignore that because we haven't really worked out how it actually happens yet.

Which brings me to the actual point of this thought train I'm having.

I'm learning stuff that is actually the extent of human knowledge in this field.

In high school bio, they'd be like "yeah...this is glycolysis" and they would draw a circle, and say "but you don't have to know anything except that it breaks down glucose and gives you energy"
We didn't have to know that because it was too complicated for the scope of the class.

Now, the things we don't have to know have nothing to do with being too complicated- in biochem we will have to draw out the whole process of glycolysis and know the craziest amount of detail about it, for sure.
But now, the things we don't have to know are because NOBODY knows them.

And that is really strange!
My whole life I've taken for granted the fact that we just know these things. My older professors will tell me about how when they studied this stuff we didn't know this, this, and this, which seem so basic to understanding biology to me. But really, there's a lot of stuff recently discovered, and there's a lot of stuff yet to be discovered. So it's really weird being in a class and having a professor of cell biology from a medical school tell you "you don't really have to know this, because nobody really knows how it works. People are working on figuring it out." Crazy. But Awesome.

Wednesday, September 7, 2011

La de dumm

Well.
I'm procrastinating.
Today has officially been labeled a non-productive day, and I guess my brain has a hard time becoming productive in the afternoon/evening if it hasn't been so during the day.

This morning I woke up at 1:00pm, because...I could.

I got up, read this case study about cholera outbreaks during the victorian era and went to class to talk about said case study...where the TA gave us all the answers off her answer sheet, basically. So...I don't know why we have to bother doing it now, since they know that we all know the answers.
but whatever.

Then I came home and was mildly productive and cooked dinner...I had chicken francese (store-bought...mine is several times better!!) and made green beans roasted with garlic and bread crumbs in a little bit of olive oil. YUM.

Then I really didn't feel like doing any work so I washed a large amount of the caked-on goop off the various removable parts of the stove top.

Then I went to the first CMDA (christian medical dental association) meeting, which was about 15 people. It was good...they put this huge emphasis on being short and not making people feel pressured to spend more than 45 minutes there because we're all busy, etc etc.....but I didn't really like that because the whole point of me going there is to sort of relax and hang out with people and have a Bible study...and as soon as they finished today everyone sort of got up and left within 1 minute.
so i hope that as people get to know each other better, or on a day we do an actual Bible study instead of just mostly introductory stuff, that people hang out more.


We had our first exam on Tuesday, and I was stressing out because my cousins were here all weekend and I had to figure out how to do the family time and do the study time...enough study time to do well but not so much that I missed out on family time.

I guess it worked out because I got 1.5 standard deviations above the mean. Wahoo!

I haven't been going to anatomy lectures recently because of the histo test, and they've been stuff that's relatively uninteresting to me...but starting next week they're getting back into things like (My heart literally skipped a beat when I saw this) "Clinical Correlations of Blunt and Penetrating Trauma"
AAAAAAAAAAAAAH!!!!! I CANNOT WAIT FOR THAT!!

and then they get into anatomy of the limbs and the musculature of the back and all that sort of stuff that I L-O-V-E.


Yesterday we had out first flag football game...I'm on a team called the rectus abdominators ( as in, rectus abdominus + dominators- love it!) and we played against this team of 2nd years that had two sets of people...they actually had a defensive and offensive team. And a girl who could throw ( = you get double points if a girl throws or catches a pass that scores a touchdown, or the extra points). My team had never played together before...so needless to say we lost, but not as bad as we could have.
PLUS it was POURING rain the whole time and everyone was sliding all over the place and soaked and muddy but it was a lot of fun.
Now I am sore and we've got another game tomorrow...probably also in the rain. So that's exciting.

ok. That is all. I am going to read about "Formation of Blood Cells (Hemopoiesis)(Hematopoiesis)"
(personally, I'm partial to "hematopoiesis", I think I just like words with more syllables.)

Wednesday, August 17, 2011

The beginning of the masters


Well everyone who was reading this knows I got home safely...otherwise you'd have heard that I died.

So there was supposed to be another last blog post about my last couple of days in Kenya in which I visited Nairobi Gospel center and all those people who I met in 2005 but i kept putting it off and now it's been so long I don'tthink it matters anymore.

It was good to be home.

It's still good to be home.

I am STILL waiting for some sort of culture shock-related experience to hit me...but it'snot happening. I think my brain has COMPLETELY separated the Africa experience from the America experience and there's NO crossover between the two. I remember Kenya like I remember a dream- vividly, but with some high level of disconnect.

When i got home my brain thought no time at all had passed. I asked Emmy why she was going back to the cardiologist so soon after her last appointment...when it had actually been a year, just like it was supposed to be.
and weird things like that.

So I spent some time at home, visited Ohio and the cousins there, we had a party at my house,...my dad and brother went to Haiti for a week to do construction-stuff...and then basically I started school!

So I'm doing a masters of biomedical science. Which involves taking some but not all of the first-year med school courses.
So I'm taking histology and biostatistics, and the med students are taking that plus anatomy and embryology.

My roommate and I have been going to the anatomy lectures because anatomy is AWESOME as well as the "foundations of clinical medicine" and radiology lectures. So whatever head start this program was supposed to give me, I'm multiplying it.

I LOVE what I'm learning. I spend all day, every day studying, basically...and I don't ever get bored. I put more time into histology now than I used to put into my whole courseload, it feels like. So I'd better get a good grade in this class!
and i expect I will.

When i started writing this post 5 hours ago before I was rudely interrupted by a lab group meeting and biostatistics class, I was going to write about the particular things that I'd found fascinating but now I've lost my motivation to do that and I'm just gonna go to the gym. I'll write about that stuff sometime soon..in theory.

Sunday, July 10, 2011

In which I narrowly miss a nasty virus, and climb a volcano

Well once again I’ve been slacking…sorry.

We left off after we arrived in Laisamis. We did the clinic there in this awesome site that solved all of our crowding problems. There was some building that had a yard with a fence. So we set up registration right inside the gate and had perfect control over how many people came in and therefore avoided all crowding all day long. Perfect. :-D So the doctors got to sit on cushioned chairs inside a somewhat cool building instead of those fold-out canvas stools so that was nice. Our pharmacy was a tent with a few sheets used for walls to keep out the sun and prying eyes, since we were right next to the fence and kids like to congregate there. But we hid behind the sheets and had a very nice day dispensing meds with Joseph translating for us. We had an awesome system going for a while. The meds were all on tables in a U shape and Chrissy and I were sitting close to the corners and we decided we would fill all the prescriptions without standing up. It worked quote well for a few minutes. I would get the papers from the runner, and call out the drugs…whoever was closest would grab it and then I’d toss the pile on the table for Joseph. Perfect. J

When we were packing everything up that afternoon one of the Australian girls was trying on the giant necklace-thing that the Rendille wear so we all went over and were taking pictures. It was much harder getting it onto a mzungu head than the Rendille, they had so much extra room and the three of us that tried it on all had the worst time doing it. They tried to put it on me next and 3 people spent 3 minutes pulling it onm pulling my hair and skin around trying to slip it over my head and finally gave up. It hung around my forehead like a visor for a minute, then I gave it one tug and pop, it fell down around my neck. Ha!

That night, the terror began.
Alicia wasn’t feeling well so she didn’t eat dinner. Danny brought out a cooler from the car that had not been opened since we’d left Sunday morning. It had ICE COLD water and coke and diet coke in it. We all jumped on THAT let me tell you! Then Alicia started throwing up. Then the doctors decided she could use an injection of an anti-nausea medicine…but that didn’t help because she was still throwing up all night, and I heard it because my tent was right next to hers. By the time we went to bed her tent-mate was also sick. The next morning I found out that Chrissy and James, one of the Australians, had also been sick all night. So we had 4 people losing the contents of their GI tracts from both ends. We ha been planning on doing a half day of clinic, but because of the sickness we debated doing a ¼ day or not doing it at all…we ended up deciding to let in 200 patients and then stop. So we were missing half the team…that made it interesting. Alicia and Chrissy and I had been doing the pharmacy and now I was the only one left…so Lisa switched over from triage and together we did the pharmacy.

Everything is so much more stressful when you’re in charge.
The other days we’d unpack boxes and boxes from the car and we’d all say “Chrissy, where do you want this?” and she’d tell us. NOW everyone was asking “Danielle, where do you want this?” and I said “I DON’T KNOW ASK CHRISSY!” but Chrissy was back at the camp trying to keep her insides inside her.
Somehow through the grace of God we managed to get through the day.
No thanks to Dr. James, who sent me like 400 special orders (most of the drugs are already packed in little baggies with the dosage written on them, so we just grab a bag for each patient…but sometimes the doctors change the number of days, or times per day, or something…which jus t takes a lot more time) despite the giant pile of papers we had to get through, he also sent someone to me saying he needed the drugs for these three people now, so he could explain the dosing to them. Ok. I take the sheets and tol the guy to go back and tell James I was gonna kill him. He had like 4 months of twice daily 4 different drugs that we HAPPEN to not have any pre-packed…for EACH PERSON…I had to empty out a box to fit all the drugs he wanted. All the while stressing out at the huge pile of papers I felt personally responsible for handling!
So when we were done and the doctors came out, I chased him around the yard hitting him with my water bottle. It felt good.
We packed up all the drugs…and then unpacked half of them because one of the pastors left her cell phone inside one of the bins….i don’t know HOW that happened.
Eventually we got back to camp and loaded up the cars and high-tailed it home. Because everyone was miiiiiserable.
A couple of hours outside Nairobi Lisa and I were beginning to notice that Danny looked like he was trying really hard not to be the 5th victim of the mystery disease…and he did quite well until about 1 hour outside Nairobi, when he pulled the car over into the median…which isn’t like medians in the US where there’s just grass and sometimes trees and bushes…this median was dirt and might as well have been an extra lane for all the cars that were driving in it. So it was a bit dangerous but the only option, as he jammed on the breaks, opened the door, stuck his head out with his foot still on the break and emptied his stomach on the ground. In between throwing up he yelled back into the car “Is the car in park?” It was.
After that we managed to get home without incident, we all crawled into bed almost immediately. I spent that whole day and night terrified I was going to get sick…every burp and every tiny rumble of my stomach made me paranoid that I was gonna be next but somehow I never got sick, thank you Jesus.

So that was the trip into the desert! The Australians all went on a safari after that, they were feeling better by the halfway point of our trip so I trust they had a pleasant safari.
We spent the next couple of days recuperating, being lazy, etc.

One day I went with some of the kids to a “water park” in the local shopping plaza…it had a bunch of slides but they were so slow it was quite easy to come to a complete stop in the middle….one of them I spent the whole time propelling myself down the slide with my hands. We tried walking up them because it was so easy to do and almost more fun than climbing down but we got in trouble so that had to stop. :-P

Friday we went to Mount Longonot- a volcano in the rift valley. We stopped in Limuru along the way to pick something up from the clinic so I said hi to all my old friends there. Then we drove to the volcano and spent an hour and a half climbing it.
MY GOODNESS. It was a ROUGH climb. It was really steep…and at 8000ft there’s not too much oxygen in the air…or at least that’s what I told myself as an excuse for my constant out-of-breath-ness. But if was GORGEOUS the whole way up, we even saw some giraffes wandering around on the way up. When you get to the top you’re exhausted and hot and yucky but the crater is beautiful and full of grass and the rim goes up in and out of the clouds and the breeze hits you and it smells so perfect and clean and misty it’s refreshing and just beautiful.
We were too exhausted to walk for another half hour around the rim so we sat for a little, ate a snack and went back down.

Going down was almost as bad as going up…because the same muscles that you’ve fatigued by making them pull you up the mountain need to lock every step you take when you walk down. So…it took less energy but it was just as tiring somehow. We were thinking it would be nice to have a sled so we could just slide down the side of the mountain but no such luck.
We made it down finally and then drove to Naivasha to drop off the things we’d picked up from the Limuru clinic, so I got to see my old friends there too. Unfortunately the kids were all at school, but I went and found Nancy and she was SHOCKED out of her mind to see me, and very excited, so that was nice. J
Then we went home and were crazy sore by the end of the day.

This is getting long…I might write another tomorrow or I might leave it until I get HOME because TOMORROW NIGHT I AM GETTING ON A PLANE TO GO HOME!!! !I AM SO EXCIIIIIIIIIIITED!!!
I am going to miss Kenya and all the people I’ve become friends with…a LOT. But right now I am just super ecstatic to give my family and friends giant squishing hugs! And eat some really fantastic food. :-D

Monday, July 4, 2011

In which I recreate the missing link and have my 1st international 4th

After our first crazy day of clinic Chrissy and Danny and I got back in their car and had a secret little pleasure cruise- we drove back to the camp at like 1 mile/hour and drank cokes from the cooler that were still pretty cold. It was heavenly. We guzzled those cokes before we got back.
The people here have basically no medical treatment available to them, but they were surprisingly healthy. The two biggest complaints were eyes and acid reflux/ulcers. There’s a lot of people with dry/itchy eyes from all the dust, and a lot of kids with eye infections from all the flies that are constantly collecting in the corners of the kids’ eyes (not to mention any open wound), and lots of older people with cataracts. Unfortunately, we had this bin we’d filled with all the artificial tears we could find…but it accidentally got left in Nairobi. So we had antibiotic eyedrops but we couldn’t give them to everyone who had dust issues. Because medical care is so rare here people didn’t really understand how the meds worked. It took a bit longer than usual to explain how to take them (this drug is one at morning and one at night…this one is one in the morning…this one is one morning, afternoon, and night….) and we had to explain to them that there was no drug for cataracts or nearsightedness…both of those require something more than just a pill, and we didn’t have any glasses or surgeons.
After the first day of clinic I went with Danny and James and Jeff and Maria to the network tree to try and use the phones. We tried standing under the tree, and then up the tree, and then on top of the car, and then finally found some service in a random spot under a tree. It’s so bad up there that when the wind blows the service goes away. No joke. So I called my mom and informed her that I was still alive and we took pictures of each other trying to get service in funny places.
So day two rolled around…it was more of the same, but crazier. Word had spread so we had way more people to deal with than the first day. The problem was we were only planning on doing a half day, because we still had to pack up camp and travel back to Laisamis and setup for the next clinic, and we wanted that to happen before dark. We aimed to have the clinic packed up by 1. We ended up getting it done by 2 and saw about 300 patients so we must have been going a lot faster than the day before. We didn’t have enough people working with us to really contain the line well so there was often a huge crowd of people slowly pressing farther and farther into the hangar…so it was an effort trying to keep them where we needed them to stay so the people who needed to leave could leave. It’s interesting how having a mass of people around you, even if they’re not being unruly, stresses you out. Chrissy and I were about to lose our minds in the pharmacy because we just felt like we were being crowded in.
The corrugated tin walls of the hangar only went up about 6 feet, and above that it was a wire fence. There were lots of school kids hanging on the fance the whole day looking into the pharmacy and sometimes asking us to give them stuff “give me one medicine” and no matter how hard we tried to get them to go away or get in line or soooooooomething besides stand there and stare at us they just would not go away.
I found a somewhat scary-looking man and had one of the local church members who was translating for us ask him if I could buy his knife for my brother. We worked it out and I got his my-forearm-long knife and the sheath, which is made of two pieces of plastic from a plastic jug melted and nailed together, plus a few strips of different-colored plastic wrapped around it for decoration. Cool beans.
So we finished day 2 of the Log-Logo clinic and packed everything up and piled back into the cars and drove to Laisamis. Pastor Elias wanted to get there as soon as possible so those of us who had come in the Bass vehicle went ahead of the land cruisers, who’d be going much slower because of the trailer. So we started out on this road that we shortly thereafter decided was not just a path off the road, but its own road, and turned around to get back on the road to Laisamis. Thankfully it was only a 2 minute detour, because apparently that road was made for the Chinese, who are roaming around the bush looking for oil. So that road leads to absolutely nowhere except a place where there isn’t oil. Pastor Elias told us about some people who spent 3 days being lost in the bush before they reached civilization again because they took that road. HA!
We bumpity-bumped through the bush until we got to a nice dusty rutty spot in the road and I hopped out of the car, ran a few hundred feet ahead with my camera, and took a video of Danny driving the car through the dusty spot and the huge cloud that came up behind it because they wanted a video of that for something. It was hot. I was thankful for the air conditioning when I got back in the car. :-D
We soon got to Laisamis, saw the place where we were gonna camp, and then went to the district something-or-other’s office to tell him we were there. What should have been a 5 minute meeting turned into a 40 minute conversation where it was apparently necessary for everyone’s life story to be told and the district guy had to give a 15 minute speech about the area and ask us what we thought about the health problems in the area and James talked for 10 minutes about the differences between Laisamis last time he was there for a clinic 2 years ago and Log-Logo recently….and on and on.
Eventually we got out of there and went back to the campsite. Once again it was a house with a fenced-in yard and a latrine (this time with no bats) and there was a little hut there they used for cooking. After a short while the other cars arrived so we set up all our tents while 50 children crowded around the fence and stared at us and tried to make friends or ask for candy or money. There were a lot of little thorny bushes to avoid…and also a lot of pieces of various animal bones. I found a couple of vertebra and lined them up…then I got inspired and started collecting whatever somewhat recognizable pieces of bone- probably from cows, goats, and chickens- that I could find and setting them up in a skeleton. The kids caught on and started handing me bones through the fence as well- and by the end I had set up a nice little replica of some creature that has never actually existed, but I will call “the missing link”- since that’s pretty much how scientists recreate ancient animal skeletons anyways. :-P
I had lots of ribs, a few vertebrae, jaw bones with teth still in them, a couple of shoulder blades, and then I used random pieces of long bones to make arms and legs, and smaller pieces of ribs to give my creature hand and finger bones. It was fun. :-P
We spent the afternoon hanging out around the tables, then we ate dinner and went to sleep.
More to come tomorrow, but first- today!
It’s the 4th of July. It’s my first 4th of July outside of the US. But the missionaries have a party every year so we all got together and grilled burgers and hung out and ate a lot of food and even set off a bunch of fireworks. There are some people here for a couple of weeks who got out a guitar and a drum and played some patriotic songs and some completely random ones as well, and we sang (way, way too slowly, for some reason) the national anthem….it was good.  I also met some other people who are here for a couple of weeks who were talking about Chi Alpha, so I butted myself into the conversation to ask about Chi Alpha and it turns out they know Matt and Tracy and some other people I’ve heard of. Small world!!
So happy birthday USA, happy yesterday 1st birthday my baby cousin Melody Joy and Happy tomorrow 23rd birthday to my Heidleberg!

I am getting on a plane one week from tomorrow! :-D

Sunday, July 3, 2011

In which I go back to the desert, where the latrines double as bat caves.

Confession: I’ve been home since Thursday but we were all miserably tired and sick…and then I’ve been putting this off because I knew it was going to be really loooong to type up.
Summary: This trip was insane through and through. A great experience…but full of misery to go with the fun parts.
Warning: This is probably going to be broken up into 2 or maybe even 3 posts that I’ll post over the next few days.
Details: Here we go.
Sunday morning, 5:30 AM: I wake up, take a shower, finish packing, eat breakfast, sit around for a couple minutes.
6:30am: We’re supposed to be leaving. But we’re waiting for our two Kenyan doctors, James and Jeff, to arrive. Chrissy and I spend 45 minutes chatting while Danny runs around doing last minute packing and reorganizing things…we would offer to help, but we know better than to mess with a man with “the packing gene” on a mission. :-P
7:15am- I go lie down on the couch, fall asleep, and juuuuust begin a dream I won’t remember after 3 seconds of being awake when at
7:30- Jeff and James finally arrive. Turns out the guy they had driving them to the Basses’ house (a friend of James’ brother) was drunk…spent the whole night out drinking through the morning and arrived at his house at 6:30, after James had been waiting there for 20 minutes and (after the 20 minutes) called him…THEN they had to go get Jeff.
So finally we left around 7:30…and I tried to sleep but the delay between waking up and getting in the car was too long (Thanks James) so I stayed awake and wondered why I didn’t bring my kindle until 11-ish when we stopped to meet the team, which had left from Limuru. We hung out for a little, got food for lunch, and left around 11:45. A few hours later we stopped in a small town called Isiolo where we got gas and picked up our armed guards. Also…one of the back tires was leaking air so we stopped at a service station to try and find and patch the hole that was in the tire. After splashing water on it for a few minutes they found the hole, and the small-ish nail that caused the puncture. So we got plugged up and went on our way. One of the armed guards went in the land cruiser with the whole Australian team, and the other went in the land cruiser with the trailer with all our food and tents and such, and we went on our way. We stopped 2 minutes outside the town to get 2 giant bags of charcoal to cook over the whole week.
About a half hour outside Isiolo the pavement ends and it’s dirt roads the rest of the way.
So la de da, we drive through the barren dusty desert until we get to Laisamis. There we meet Pastor Elias, who did a masters in Texas and was gonna stay there but came back to Kenya to marry his fiancé but somehow that relationship ended and he felt called to the middle-of-nowhere-barren-wasteland…so that’s where he is now.
So we dropped off the armed guards and their AK-47s, and drove 50km through more barren wasteland. It took about 2 hours and we spent most of the time off the dirt road. It’s really pathetic when the road is so bad it’s actually a smoother ride when you drive off it…but so many people have done it that there’s always two or three alternative options alongside the road. Often though, those paths are in softer, dustier dirt so it gets these really huge ruts in it…and you kick up a LOT of dust. It was fun watching the dust hit the window and slide around.
We arrived in Log-Logo around 6:15, and got out of the air conditioning of the car into the not-too-bad-because-the-sun-was-almost-setting desert weather. We camped in a fenced-in yard where the local missionary pastor, Maria, lives. We met her and the brother of the church member from whom she rents a room, named Daniel. Chrissy and I wandered around the yard contemplating life in this place…what it might be like to grow up with none of the “comforts of home”…but not knowing what you’re missing…having to walk quite a distance and carry a heavy jug just to get water…to live in a dome-shaped hut made of branches and leaves, covered with bits of cloth and plastic bags to keep the sun from coming in the holes.
While we were doing this Danny and James and Elias and Maria went on a short drive to the network tree- the tree that you stand under or climb up to get cell phone service.
While they were gone (bad timing) the other two trucks arrived. Chrissy and Ben and I saw them from the yard, coming down the main road, but they didn’t know where to turn. We would have had someone meet them with the car but they were all making phone calls at the network tree. So we ran to the gate and shouted and waved our arms, hoping Chrissy’s red shirt and our shiny white skin would attract their attention, but in the growing dusk, it wasn’t happening. We watched them drive back and forth along the road looking for some indication of where to turn, and wondered what people did before there were cell phones!? Ben offered to run to the road and get them, so we said sure and off he went. A few minutes later the 2 land cruisers came down the right road, with Ben inside, and all piled out.
We emptied the trailer of camping equipment, the phone signal-searchers came back, Peter the cook set up a lantern, showed everyone how to pitch our tents, and started cooking dinner. We all scurried around setting up all the tents in 2 rows, and by the time we’d finished the drivers had set up our little seats and the tables we’d use for the clinic so we all sat around and chatted for a while while dinner was cooking.
A major topic of conversation was our toilet. Included in the trucks and tents and food package is a bush toilet- they dig a hole and put up a tent designed to be a toilet-tent and have a little plastic seat. But there was already a pit latrine so they didn’t dig one.
But after that night, they did.
Why?
Bats.
Ugh.
The existing pit latrine is of the design referred to as “long drop”- a really deep cave as the “pit” part…and there were bats living inside. And someone went in there and almost got “flapped in the butt” as we were calling it. So there was lots of freaking out and people saying they’d rather go without the latrine and from then on we referred to it…and every other latrine we encountered on that trip- as the bat cave.
Dinner was spaghetti and something that might have been trying to be sauce, or it might have been just trying to be tomato-y ground beef…needless to say I did NOT put it on top of the spaghetti…I ate the spaghetti plain and ate the ground beef on the side. :P
So it was about 10 by the time dinner was over, so we all just sort of went to bed in our tents. There were enough that I had one to myself, so I unrolled my little mat, put a sleeping bag on top, put a sheet on top of that (it’s the desert…sleeping bags are for cushioning, not sleeping inside, and then went to visit the bat cave before going to bed. I SAW THEM flying around down there…along with some cockroaches…but I got over it because you gotta do what you gotta do, you know?
It was pretty hot but just cool enough with the breeze to fall asleep with only minor tossing and turning. The only thing was in order to get the breeze you had to open the window flaps so there was just a screen. And no screen was fine enough for that dust. So we all woke up with a nice coating of dust to go with our “there-isn’t-enough-water-around-here-for-you-to-take-even-a-bucket-shower” sort of lifestyle. So SOME of us changed our clothes, we had breakfast of French toast, packed up all our tables and chairs into the trucks, and headed the 5 minute walk or 2 minute drive to an old airplane hangar (big three-walled corrugated tin structure at the end of a dirt path called an airstrip) to start setting up the clinic.
I didn’t even get to the clinic yet and it’s already two and a half pages long!
We set up some tents in the hangar to mark out the areas of registration, doctor’s area, spiritual counseling, and the pharmacy. We put up some sheets to give the doctor tent some privacy and set to unpacking boxes upon boxes upon boxes of drugs for the pharmacy. Chrissy has done the pharmacy like 25 times so she’s an expert by now, so it was actually a somewhat orderly process. By 9:15 we were ready to go! We prayed as a group then went to our stations and the madness started!
Actually, the first day wasn’t bad. News hadn’t spread terribly far so the patient flow was steady…we never stopped..but it wasn’t a madhouse. Registration was a little slow because all the patients-to-be were crowding with complete disregard for the imaginary lines we kept trying to set up. Other than that it was a great day, we saw about 200 patients and we kept our sanity. Success.
The Rendille/Samburu/Borana (they all dress the same and intermarry and live in that area, so identifying them is only possible if you know the languages)are beautiful people. I was constantly surprised by how beautiful the features of even the too-thin old ladies were, let alone the young women. The women wear a huge amount of gorgeous beads around their necks- sometimes 30-ish strings of beads, sometimes more like a disc of beads, and lots of bangles on their upper arms, wrists, ankles, and these beaded bands around their heads. We didn’t see a lot of men because they usually don’t like to associate themselves with women. The village elders decided they would be first in line, and once they were done most of the rest of the men stayed away. A few of them hung around the clinic all day trying to be important, it was cute. Danny took a picture with one of them and showed him the picture. The guy looks it and this huge grin comes across his face and he laughs and goes “mimi ni mzee!” which means “I’m an old man!” as if he hadn’t seen himself sine he wasn’t. It was adorable. :)
So somewhere around 4 we closed registration, and got the last patients through around 5, and were packed up and out of there around 5:45. The biggest difference in the setup of this clinic from the last one was that we had to break down and set up the whole thing every day- there’s nowhere safe to lock up the drugs besides in the cars so that’s what we did.
Well I made it to page 4 and the end of the first day, so this seems like a good stopping point to me. :)
More to come!

Saturday, June 25, 2011

In which I eat camel and ostrich and crocodile!

So! Wednesday . After the morning safari drive we had breakfast at the camp and piled back in the trucks to go back to the airstrip. Our plane was supposed to take off at 10:15 so we got there around 10…since there wasn’t exactly any security to go through…but the plane didn’t arrive until around 11. We had an uneventful 45-minute flight to Nairobi, then we had lunch out and took the busses to a conference center where we spent the afternoon hanging out and swimming in the rather cold pool. We had pizza for dinner again that night. It was not very good. But that’s ok because as soon as I get into NYC my Daddy is taking me to the best pizza in the cityyyyyyyyyy!

Thursday we split into 2 groups and one went to this very western shopping plaza while the other went first to this plaza in a very Indian area of Nairobi and got some Indian-style shirts at a store Chrissy likes, and found a jewelry store with a lot of gorgeous stuff for (according to American standards) crazily good prices. Then we joined the rest of the group at the other shopping center and spent the afternoon eating and doing more shopping there. There was a LOT of shopping done on this trip I tell you. After that shopping, we went back to the conference center, packed up our bags, and loaded them in the busses, then went to the same giraffe museum or whatever you want to call it, that we went to last time I was here. You climb up a staircase to a platform and they give you pellets and the giraffes come up and eat out of your hand or your mouth if you choose. I decided not to pay the $10 to go in since I’d already been there, so a bunch of us just sat around outside and listened to one of the bus drivers tell us a bunch of stuff we’d already learned on the safari…about the animals we saw on the safari. Oh well. :-P

Then we went to ANOTHER shop called Kazuri (“-zuri” meaning “beautiful” and “ka” being the prefix denoting small in an affectionate way) where they make clay beads and therefore lots of bracelets and necklaces, and some pottery. So we spent a while wandering around that shop, and then piled BACK in the busses to head for Carnivore!! What is Carnivore? It’s just the most brilliant idea ever. It used to be more brilliant than it currently is but the government has restricted a lot of stuff to make it less exciting but still awesome. It’s a restaurant that serves basically only meat. Waiters come around with giant chunks of meat on swords, put the sword tip in your plate, and ask you if you want crocodile or camel or whatever. You used to be able to eat all sort of bush meat like zebra and gazelle, but hunting and eating those animals isn’t allowed anymore. So we were given chicken breast, chicken wings, turkey, pork sausage, pork non-sausage, spare ribs, leg of lamb, lamb chops, spicy lamb sausage, beef, ox testicle, camel, ostrich meatballs, and crocodile.

The chicken was the best and most well-cooked chicken ever. The spicy lamb sausage tasted like the smell of cow so I didn’t eat much of that. The crocodile tasted like the smell of fish so I didn’t eat that either. The camel was REALLY good but a little tough. The ox testicle had no flavor and the texture of tofu. Gross.

You must understand…I had been waiting to go to Carnivore since I first heard about it the first time I came to Kenya in 2005. It was mentioned that some people wanted to go while we were there but on both trips there was either no time, not enough money left in the budget, or both, so it never happened. But it FINALLY happened! So this was quite the awesome experience for me. J I loved it.

After carnivore we took the team to the airport. We got there around 10..their flight left at like 2:15…so they were a bit early. When we got there someone was using what looked like a steam carpet cleaner to clean the sidewalk outside the entrance. Huh? The giant group of 36 people and their suitcases came up to the door, which has a x-ray machine for the luggage juuuust inside it, and a guy told them they couldn’t go in because they were cleaning. They would have to wait. Danny goes “there are 36 of them.” The guy goes “…oh. Ok. Well you have to stay over there” and points to a corner. Fine. So they one-by-one said goodbye to me and the Basses, it was like a receiving line at a wedding, and went inside. Then we went hooooome and went to bed.

Friday we slept in a little and Chrissy and I spent the entire afternoon sorting through all the medications that are sitting in a few different storage areas in the office building in the compound, and counting out thousands and thousands of multivitamins. That’s mostly it.

Saturday is today! We spent most of the day doing laundry and packing/preparing for tomorrow’s trip up to the middle of nowhere. I didn’t know this until yesterday but apparently the Australia team has been in Kenya for a week, working with some other people doing some other stuff…I don’t know what.
So we drove a half hour to the place they’ve been staying and met them and talked about logistics for a while. They are a group of 7. Two of them are 50s-60s-ish women, one is a pediatrician and the other is a retired nurse, The rest are all 20s-ish. Two of the girls have some medical experience, one doesn’t, and the two guys don’t. So we should have enough people to do everything we need to do…I was scared at first because someone said nobody on that team was medical at all and I was like ummmm HOW are we going to run this clinic with the 2 Kenyan doctors we’re bringing treating patients, Chrissy and me in the pharmacy, and nobody available to do triage or vitals or assist the doctors? But it’s all ok now.

So what’s going to happen is we are taking all our food and water with us. We have 2 land cruisers, a trailer, and a Toyota Prado, and 15 people (7 people on their team, Me, Danny, Chrissy, James, Jeff,2 drivers and a cook) We will be sleeping in tents (not anything like the last tent I slept in, which had a built in shower and toilet) and we will have a “bush toilet” which will be a tent with a seat in it, over a hole that will be dug just for the occasion. We will drive several hours to some place I don’t remember the name of, and pick up two armed guards with big guns. They will stick the ends of their guns out the windows of the cars so that anyone we drive by knows we have guns and won’t try to rob us. Then we’ll get to Laisamis and say hi to some people and go to an even more remote place called Logologo, or something. We will do one day of clinic there and then come back to Laisamis and do 3 more days of clinic, then come home.

At least that’s the plan. But this is Africa so anything could happen.
I will most likely NOT have any internet or phone until July 2nd because there is no electricity with which to charge things and also no service out in the middle of nowhere.

Chrissy said Sombo was more westernized than this area. Clothing is considered optional among many of them. I asked Chrissy if we could wear shorts, since the locals don’t even wear clothes, and she said no, because the church people we’re working with are just as conservative as the rest of Kenya. Darnit.

So…I really have no idea what to expect…I guess you will find out about it when I get back! J

Friday, June 24, 2011

In which I take a really long time to tell you about my safari!

Oh. My.
Sorry it’s been so long but it’s been a crazy week!
Last you heard was about Wednesday in the clinic.
It only got more…and more…and MORE insane. We saw 150 people the first day…and almost doubled it every day. 150-ish, 350-ish, 550-ish, then 800-ish. It was CRAZY. And every day the pharmacy got crazier because although the doctors seemed to be handling the increased load just fine, the pharmacy just got more and more backed up because we could never have any more help than me and Chrissy filling the prescriptions, with the Kenyan pharmacist Elizabeth explaining the drugs to the patients, because the room was SO tiny. Thursday we ate standing up, Friday and Saturday we just got a lot of samosas at “tea time” and munched on them all day, literally never sitting down until around 5pm. It was insane, but a lot of fun. Along the way we sent 4 more infants to the hospital and paid for their stay. One was severely dehydrated, one was having febrile seizures (non medical people: a seizure because the baby had such a high fever), one had a tumor behind its right eye that was pushing the eye out so far it couldn’t close the lid all the way, and one 2-week old baby with this impetigo skin infection that causes sores and peeling skin, that would have died within a couple of days had it not been treated.

Every afternoon they had a service at the church after the clinic and usually I didn’t go because we were cleaning up/packing up everything for the next day/trying to package meds into their little bags for easy dispensing. I heard they were really good though…and at the end of the week 300 people had gotten saved.

Saturday we ended up closing registration around 1 because we had about 150 people’s prescriptions waiting already, and we knew we were going to run out of a bunch of drugs…and we did. Chrissy and I told Dr. James he wasn’t allowed to leave the pharmacy because we had questions about every prescription because we had to substitute so many things. Eventually we managed to get through everyone and then had the joy of packing up all the drugs into boxes and getting them all in the car.

Sunday morning we went to church and I brought my suitcase with me and went back with the Basses and the team to where they were staying. We went to a shopping center that had a tourist-y African market in the parking lot and did a lot of shopping there. We all just hung out that evening and went to bed, since we were waking up at 4:45 to leave by 5:45 the next morning for our safari!!

We had all the big suitcases sent to the AG compound and we all took small suitcases with us to a little airport to wait for a while before getting on a little plane (propellers, 2 seats-aisle-2 seats, etc.) for a 45 minute flight to a private airstrip…which is just a strip of dirt in the middle of the savannah.
When we got off the plane there were zebras and gazelles and these deer-like things called topis grazing not far away. The trucks for the camp we stayed at, called Kichwa Tembo (elephant head- it used to be a hunting camp and there used to therefore be elephant skulls around, hence the name) were waiting for us. They served us tea and cookies, then we piled I the trucks and went for a long and convoluted ride to the camp, so we could see some animals.

Within the first HOUR we saw first topi (they have patches of bluish grey on their upper legs, and yellow-ish on the lower leg- “blue jeans yellow socks”) and zebra (I was amazed by how distinct the stripes were…they looked like they’d been painted onto a smooth surface rather than a product of different colored fur) and elephants, and gazelle, and impalas, and lions, and giraffes, and mongooses (geese??) and warthogs, and buffalos, and a bunch of different birds…it was incredible.

Eventually we got to the camp and had more tea and lunch and went to our tents. They were NICE. It was basically a platform with a built-in toilet, sink, and shower, with a tent pitched over it. It was about as nice as any hotel I’ve stayed in. Even the water pressure was good! We relaxed for a little in the afternoon and took a bunch of pictures of the warthogs that live all around the camp like cats (they know they’re safe from lions there, so they wander around, eat grass, drink out of the pool…etc.) At 3:30 we went on another “game drive” as they call them, and saw more of the things we’d seen in the morning, and a rhinoceros. There are only 9 in the whole mara…the drivers basically radio each other whenever they see hard-to-find things and they all come racing over. That’s what we did. When we got there she was lying down and we literally sat and waited 20 minutes for her to stand up so we could take pictures. Eveeentually she did. J Whenever the rhino is spotted the park ranger comes too and documents which one and where she is.

Apparently a while ago there was only 1, and they called her Virgin Mary. One day she walked to Tanzania and came back a while later with a mate. They had 4 babies over time, and there are 3 others that came from across the river, so now there’s 9.

It was getting late so we started back, they have to be out of the national park by 6:30 pm, but it’s still a half hour drive from the gate to the camp, and the animals are of course outside the park as well. It started raining so Sammy our guide, who was awesome and funny and the best ever, pulled out ponchos for us.

We finally got back, ate an AMAZING dinner (All the food was awesome. Like being on a cruise again) and then I spent the evening trying to put my 500+pictures from the day on my laptop and editing them.

Tuuuuuuuuuuuuesday morning we left at 6:30 for another game drive, where we saw hippos galooore. They are really fat. But surprisingly fast. And their tracks are ALL over the place. Apparently they spend the day napping in the water and the night wandering around eating grass, making all these tracks through the mud and grass with their giant feet. Then they go back to the river and poop, and fertilize the river vegetation and fish. It’s the circle of life.
PS we had the WORST Itunes ADD in our truck…for some reason everything reminded us of a song and we were constantly bursting out into song, or movie quotes…often from the lion king. Every time we saw a warthog nobody seemed to be able to resist singing “when he was a young warthog!” and so on.

So then we all got our trucks together and ate breakfast by the Mara River, and saw hippos sleeping in a line along the banks, and crocodiles waiting for the couple of weeks until the wildebeest make their great migration and cross over.
We saw some hyenas sitting in the mud outside their den…I tried to convince them that they should go hunt something but they weren’t having it. They just wanted to sleep.
In the afternoon we went to a Maasai village- a legit village where people actually live..not a tourist setup. We saw their houses, they talked to us about their culture/way of life…we went inside one of the houses, they did a welcome dance/song, the men had a jumping contest (they do this grunty-yelp-y singing while they take turns jumping. Whoever jumps the highest wins all the girlfriends) They started a fire by rubbing two sticks together, in like TWO MINUTES. They had a piece of a very soft wood, and put that down on a knife. Then they put a stick of really hard wood perpendicular to it and spun it between their hands until they had burned a hole in the soft wood. They wrapped it in dried out grass and blew on it until it flamed. Ta da!

This village had 4 families living in it. Each family has their own entrance to the village (which is fenced in with dried brush). Each wife has her own house. When a woman gets married she builds a mud house, so you can tell the number of wives in a village by the number of huts. The houses have a kitchen-y room, and sleeping room, and a room for the goats and sheep to sleep in, for protection. The cows stay all together in the middle of the village and someone keeps watch. Needless to say, there were a LOT of flies in the place and the ground over the whole center of the village was mostly manure, the edges were manure-y dirt.

Then they’d set up a market just outside where they had all sorts of beaded things and carvings etc, so we bought some stuff. We spent the rest of the afternoon driving either through the tall grass looking for cheetas or along the treeline looking for leopards…but no luck. :-/

Wednesday we did one drive in the morning before breakfast where we saw a couple of male lions lying lazily in the grass, but they wouldn’t stand up for us. The radio said that there were some walking around nearby so we went to see. There was a lioness who was just walking into the grass as we got there, and 2 seconds later laid down and we couldn’t see her anymore. By then it was time to go, still no cheetahs or leopards, so we went back to the camp.

Random things:
Sammy had to go through 6 months of school in Nairobi and 6 in Tanzania to get this job as a guide. All the guides are quite knowledgable about the mara, the animals behavior, identifying them and the birds and what not. They work 6 weeks at a time with 2 weeks off in between…quite a life.

There were a couple of times we got really close to animals, and it was pretty awesome. At one point, there were some elephants not too far in front of us…some on one side of the road, some on the other. There was a baby that had just realized its mom was across the road and started running after her trumpeting , it was quite a sight to see. J Later there was a baby elephant nursing, which was cool to see.

Some things that Sammy told us that I found amusing:

The way to tell male from female zebras: Males are black with white stripes and females are white with black stripes. (obviously he was kidding….)
They call the solitary male buffalo “retired generals” because they used to lead a herd but have since been kicked out by a stronger, younger male
Warthogs run with their tails straight up in the air, he called it a GPS. He also told us that they have a really short memory span…one might be running away from a lion and mid-run forget what it was doing, stop, see the lion, get scared, and start running again.
Swahili was born in Tanzania, got sick in Kenya, and died in Uganda. (very true.. Tanzania has the best Swahili in Africa, Kenya speaks a very improper dialect, and it’s quite uncommon by now in Uganda)
Every time we saw a lone male gazelle or impala (also known as “Chevys” [you know…Chevy Impala!? :-P]) Sammy would point out “there’s a loser!” since they are only alone when they’ve lost a fight for a harem of females.

It was just a really great, fun time…full of being amazed at the beauty of the landscape or the animals or “I can’t believe I’m here”s. The Illinois-ers were astounded by the mountains on one side of the Mara and I didn’t get it until I remembered they don’t even have hills in that part of the country. :-P

This is EXCEEDINGLY long so I’m gonna stop there and tell about my slightly less-exciting time after the safari soon.

Pictures will be up...SOON...but there are SO MANY of them that it might be a while before I get through all of them.

Wednesday, June 15, 2011

In which I stand for 10 hours straight, and 150 people get free medical treatment

This is going to be a CRAZY week.

So the team from Chicago(ish) was supposed to arrive at 3am Monday morning…but there was apparently a volcano in Eritrea that erupted and did the “there’s a lot of ash in the sky” thing, so they couldn’t fly out and instead they arrived at 1:30 Tuesday morning…got back to their housing at 3:30…slept until 6am…so I can ONLY imagine what they felt like running this crazy clinic all day today.

Monday we went to the church to set up the clinic in the morning…there are 2 40-ft shipping containers that will become the permanent clinic once they cut all the holes out for doors and windows and put in supports for walls and all the welding that goes with that. Because there was a 3-week delay getting the permit to set up the “building” there, and a 1-week delay moving the containers, they weren’t ready. They still aren’t ready. So we had to completely change our plan for the layout but it’s working out well. We’re using 1 of the existing offices as our pharmacy (the room is FILLED with drugs, and it’s a little cramped in there but we’re dealing) and 2 of the offices as storage. There’s a small tent we set up with a bunch of chairs under it, for waiting. Then they enter the big-top tent for registration, and get their blood pressure, temperature, weight, etc. taken, then they see a doctor. There are 4 small tents with sheets clothespinned around them where the doctors are, there’s 5 or 6 of them. After they see the doctor their prescription gets brought to the pharmacy while the patients talk with a spiritual counselor. That gives the pharmacy time to fill the prescriptions, and then they head out with their free drugs.

So Monday we figured all that out and unloaded all the drugs and small tables into the pharmacy. Tuesday the team was supposed to be there but they weren’t, so we set up all the drugs in the pharmacy and set up the tents and were going to do an orientation, but we put that off until today.
We left and went to get more of the DELICIOUS pizza…and we did. Then I sat at home in the candlelight writing the number 1-325 on registration forms and 1-550 on contact cards. I was intending to do it in the light but I had no choice this time. :-P

Today I got there around 8:15 and traffic made the US team late..they got there around 8:45. So…despite the fact that some of the church’s volunteers were there I set up chairs and tables …basically by myself…until they arrived. They are huge. 36 people. I don’t think I realized how many people 36 is because when I pictured them I think I pictured like 20. Some of them are nurses, a couple are doctors, and some are not medical and did mostly spiritual counseling stuff. When we started this morning there was nobody or very few people there for the first hour(which was god because we got to a late start) so the ENTIRE team went in small groups into the nearby Mukuru slum to see it/hand out fliers about the clinic. It was a really good experience for them, however it left very few people to run the clinic…so I got through doing the vitals on 45 patients before they got back. It was sort of fun, in a non-fun way…because I like being busy and feeling a little rushed, but it’s stressful.
So once the team got back I let some of the nurses take over vitals and went to the pharmacy, which was backed up because there were 4 doctors working and 2 people in there. I love being in the pharmacy because it’s exactly that kind of environment I like…there’s always something to do, you’re rushing a little to get through the pile of prescriptions that just keep on coming, you’re surrounded by all the drugs but it’s like an adventure trying to find the one you actually need. Thankfully Chrissy always knows where everything is as well as the answer to all my questions about dosage and what not.

I felt really bad for her, because she was getting 50000 questions about eeeeverything. Everyone needed to know where something was, and QUICKLY. So she was running around like a crazy person for a good part of the afternoon.

At one point someone came into the pharmacy and asked for iodine, gauze, and shears. I knew that meant there was a wound somewhere, so I asked about it, and found out a guy was there with a huge leg wound. I went to see but it was still wrapped up, so I told the nurse I’d be back in 5 minutes to see it. Now I’m going to tell you about the wound so if you don’t want to read about it, skip to the next paragraph. When I got back the bandage was off…he had gotten into a motorcycle accident on May 29th and had a huge laceration down the middle of his shin that had been stitched, but the stitches were still in. They were supposed to come out about a week ago. Below the laceration was a huge infected wound that was like a 2-inch diameter circle of black and yellow. So they removed the stitches and cleaned him up and later I saw people carrying him away- they were bringing him to a hospital- he needs surgery to debride it.

I overheard a conversation that leads me to believe he will be having that surgery taken care of by us. I don’t know if “us” is the Chicago team, the general clinics-that-the-Basses-have budget, or what, but he’s getting that surgery. Which is good because an infection like that untreated would have cost him his leg or life if untreated. I saw THE coolest thing ever while they were cleaning his wound…it’s this spray can of saline…instead of pouring it out of a bottle, or poking a hole in the bottle and squeezing for some pressure, there’s actually a pressurized can of saline, that squirts it out like spray-on sunscreen, only a thicker spray. Pretty awesome.

So basically I spent the whole day spinning around in circles in the pharmacy, after a morning of vitals. We finished around 4:30 and cleaned up and had dinner started (eating, that is) by 5:30. At 6 the church had its regular Wednesday night prayer meetings, and the pastor of the team spoke for a little bit. The senior pastor of the Imara campus informed us at that meeting that 22 people made decisions to follow Christ today, which was pretty awesome. J We treated about 150 patients, I believe. Everyone got multivitamins and de-worming medications plus whatever the doctor prescribed. The only complication with that is that you’re not supposed to take Levamisole, the de-worming med, if you’re pregnant. One patient had “note: 5 months pregnant” on her sheet so of course she didn’t get it. But I was about to give it to another woman and realized she was probably pregnant and put it back. After that I realized the doctors weren’t even necessarily aware that we were de-worming everyone and not asking/writing about pregnancy…so then I started asking everyone if they were pregnant (well…not men) and prayed we hadn’t given any to pregnant people before. I don’t know what the negative effects are but I’m praying they’re not happening.

I was talking to Chrissy in the middle of the day, and we were saying how AWESOME a safari is going to be after this…not just because a safari is awesome, but the relaxing vacation aspect of it is going to be THAT much more awesome because this week before it is craaaaaaazy busy.

It’s really nice, and it’s my first time, doing a free medical clinic in Kenya….WITHOUT jet lag. I like it. But the ligaments and muscles behind me knees are rather sore from standing all day. Oh well.

Sunday, June 12, 2011

In which I go to business school and eat a surprisingly delicious pizza

Thursday! What did I do on Thursday? I spent Thursday with a guy named Robert who runs the Orphans and Vulnerable Children (OVC) department of Zinduka. They have a bunch of different things they do…there are a bunch of kids they’re keeping track of…making sure they go to school and stay in school (getting them uniforms, paying school fees…and getting “sanitary napkins” for the girls, otherwise they often just stay home for a week every month when they’re having their periods…you can imagine how detrimental that is to their education) They donate a lot of food to the kids and try to arrange sponsorship for them, as well as some semblance of a stable environment…whether its finding families to house them or living in a sort-of-compound with a community worker as the “mom” of the place.

Robert has a degree in social work, and he does some counseling with the kids, but Thursday they were all in school so we went to visit a couple different places in a slum area of or called Kiambui, and deliver rice and flour. We took a matatu and then a bus to the edge of the slum, then one of the orphans who was about 15 came and got us and took us to the house of the community worker. She lives in a house that’s part of a circle of houses that has a yard with chicken coops, and kids running around. She does some taking care of the older kids, but they don’t live with her. So she and Robert talked in Swahili for a while, while I took pictures of the kids outside. Then he gave her a few kilos of rice and we left. The next place we stopped was the house of a woman named Josephine. We gave her this wrapped present for her daughter who wasn’t there, then sat and chatted for a while and drank coke, which I didn’t really want but you can’t refuse gestures of hospitality. Robert doesn’t like soda so he was given uji (porridge) and then they tried to give ME uji and I was like ummm no…a 500ml coke was enough. (Because you can refuse if you’ve already accepted something with much less offense…plus we had just had a conversation about being forced to eat and drink things you don’t want). So theeeeen we went to a third house where a kid had recently been in an accident, bringing a rather large amount of rice and flour, but the mom and the kid weren’t home (I guess he was feeling well enough to leave the house?) so we left the rice and such with the little sisters and headed out.

PS in the morning we were supposed to leave 2 hours earlier than we actually did because we were waiting for tea. I’m pretty sure it’s physically impossible for some Kenyans to do anything before they have tea. Every day they ask me if I’ve “taken tea” before we go and if the answer is no, there’s no hesitation in recommending we wait until I’ve done so. I tell them “no, I’m okay” and they’re incredulous. Haha. But this morning we were waiting for tea, which I usually out around 9, but the person who usually makes it was not in the office that day. So Robert had to go and cover the reception desk so the receptionist could make it. Then we had to drink it leisurely, and theeen we went. I had time to do a Sudoku, a crossword, and a “codeword” (like a crossword where ever space is numbered and they tell you 2 letters and you have to figure out the rest, which number corresponds to which letter) before we actually got up and left. :P

Friday I was with Costa again , and another Zinduka worker named Ann, for a business/marketing class for a bunch of ladies at a church that was quite a ride away. We took a matatu and a looong bus ride across town (traffic, and all) and then took pikipikis/bodabodas/motorbikes/whatever you want to call them for like 3 mintues down the garbage-y, rocky, bumpy slum roads to the church. There were about 10 ladies there waiting for us (Nobody told me what time to arrive at the church. I assumed it was 8:30 like all the other days. At 8:15 Costa called Cathy asking where I was, I was supposed to be there at 7:30. (this coming from the woman who showed up at 11:15 last time she wanted me somewhere at 7:30) I got there around 8:30 but we didn’t leave til 10. )
So they have a little handbook and they meet every week to learn about business/marketing/etc. because most of them have small businesses (and are HIV+). We did this exercise where they broke into small groups and had to make restaurants catering to tourists, and then I (the tourist, of course) had to go around and try out their restaurants and critique them. I cannot critique. So I left the critiquing to the teachers and the daughter of one of the women and told each of the groups, at the end, what good ideas they had had, so they could all learn from each others’ good ideas. :-P After all, I don’t claim to know anything about marketing.

I had an interesting conversation with the daughter, whose name is Agnus. She was home from school because they told all the students to go home until they sorted out the matter of the principal…since the students had all gone on strike because of her. Apparently she has been giving out ridiculous punishments and the girls (it’s an all-girls boarding high school) had enough so they went on strike and marched to the district…something or other’s office to demand a different principal. She made a rule that they were not allowed to use the bathroom from the beginning to the end of the day (aka 5am until 4pm) and when they did, their punishment was to stay in the bathroom all day. These are not your idea of a bathroom. This is a very hot area, and a we-dug-a-hole-and-put-a-small-room-around-it pit latrine, no flushing. ALL DAY. Or making them wash the bathrooms for like 200 girls for a week, for minor offenses, etc. She asked me if students in the US ever went on strike. HA!

Saturday we called “lazy Saturday” and it was just that. I woke up around noon and we spent the whole day, besides the short time when we cooked dinner/made chapati, doing a lot of nothing. Then we lost electricity for a while in the evening and since there’s nothing to do at night with no light and when the TV doesn’t work, we went to bed.

Today we had church – I went to the first service in the main church and then the 2nd youth (young adult) service and spent the third service in the same small group I randomly joined last week (that’s what happens when you live with people super-involved in the church…you go to 3 services) and then they had out some games and puzzles, so I joined a group of people putting together a 300-piece Taj Mahal…I’m pretty sure there were fewer than 300 pieces though. And at least one of the 4 other people doing that puzzle had no idea what they were doing, because I took apart a lot of pieces that were quite obviously NOT supposed to go together. :-P

After church went out to lunch for pizza with Cathy and Sammy’s best couple- the best man and maid of honor (matron of honor?) at their wedding. It’s encouraged in the church for engaged couples to have a “best couple”- a married couple that they’re already friends with who sort of mentors them- instead of just having each pick their best friend as their best man/maid of honor. They have 3 kids- 6 and 4-y.o. boys and a 4-week old baby girl. The kids are adooorable- they speak really good English in the cutest little accents, and the older boy is such a funny kid- “Papa! Papa! Oh no! Oh no! You need to add fuel, it’s only one dash away from the E!” It’s probably funnier to hear him say it. :-P
So we went to this pizza place, and it was really good…we got this pizza that was absurd but delicious…it had onions, chicken, corn, and a swirl of barbecue sauce on it. It was incredibly good, I was shocked. :-D
And nooow we’re back to being lazy around the house.

Tomorrow the Chicago team arrives and on Tuesday we start setup for the clinic, which goes Wed-Sun, I can’t wait!
I am going with Cathy to meet Danny at the Imara campus at 10am tomorrow…on my schedule that Zinduka gave me it tells me that Monday is the day for “Sitting in main office and reflecting on lessons learned”. When I read that to Cathy and Sam they burst out laughing. We decided I could reflect elsewhere, so I’m not going into the Zinduka office. Ha.

Today is June 12! That means exactly one month from today I will be home. J But not before I miss my Emmy’s 24th birthday, and Fathers’ day. :-/

Wednesday, June 8, 2011

In which I "cleverly" avoid agreeing to a drunken marriage proposal

Right. So. Monday.
The fun advanture that happened was several very drunk men who tried to either make friends with me, or propose marriage. There was one guy who told me to go to Kansas and ask for his sister Lucy. I tried to tell him that the US was very big and I don’t know everyone there, especially not in Kansas, but he was too drunk to get it. He tried to get my phone number but I told him (truthfully) that I didn’t know my number (I have intentionally NOT memorized it) and that I don’t give it to people I don’t know. He said bye like 5 times but kept coming back to shake my hand and remind me to tell everyone at home that he met a Mkamba (tribe) named…I forget what his name was. So sorry Mr. Mkamba. :-P
Drunk guy numbers 2 and 3 just said hi and mumbled something in Swahili before walking on.
Drunk guy number 4 was an adventure. His name, I later found out, is Chacha. He began by telling me that he loved me. Asked him how he could love me if he just met me, and didn’t know me. He said “I saw you and I loved you”. He then told me he wanted to be in the Guinness book of World Records for being the first black man to marry a mzungu…I told him that had already been done. So he said he wanted to make history for his village. He told me he wanted to buy me and take me home…I told him in the US you don’t buy women. He kept forgetting my name and called me Caroline and a couple other names. The VCT counselors and I were all sitting around on stools outside the tent, just having a good time playing with his head. I told him that if he got sober and didn’t drink any alcohol for one year I would allow him to ask me to marry him, but I wouldn’t even consider it if he was drunk (mind you this was like 3pm). He wanted my phone number so he could send me a message, but I told him to just write his message in the dust and I would get it. None of this seemed off to him. :-P So June 6th, 2012, I highly doubt, but I guess there’s an infinitesimally small chance, that a sober Chacha will be waiting for me to ask me to marry him. Unfortunately for him, I have no plans to be in Kenya at that point. Especially because when he came by later smoking he said “but smoking is okay?” I said no. He got tested and hoped that a negative HIV test would convince me, but I stood my ground. Aren’t you proud of me Daddy? Besides…he didn’t ask your permission first. ;-)

So that was Monday. Tuesday I went with a woman named Costa who works with Zinduka’s savings and loans programs. They have a total of about 90 people in the program. They meet every 2 weeks in small groups and I think monthly as a whole group. They get mentored and counseled and they get food from the program. Costa facilitates their bi-monthly meetings in which they put a set amount of svings into the "pot" every 2 weeks. They then take out a loan from the pot, and pay it back a couple of weeks later with 10% interest. They’re paying interest to the r future self, because they take another loan from that pot, but it’s bigger because they’ve added to the pot. It basically forces them to be financially responsible, and save their money, and they have a buffer, because if anyone ever has an unexpected financial crisis the group can help them out (since they are meeting together and usually live close to each other, they are usually also good friends.)

I went to one at the church and one in the Mukuru slum. Mukuru was interesting to walk through, as slums always are. It’s always fascinating me to see what is going on on the side of the road. Every time I’m in a car or walking quickly I wish I could don a disguise of black skin and leisurely stroll down the street and see what people are doing, what they’re selling, and peep down side streets without causing a scene. Along the side of the road there was a channel that had not-that-dirty looking water flowing down amidst garbage. It flowed into a river that also didn’t look that dirty. But as we got deeper into the slum that water got thicker and darker until we got to the little alleyway we met in, and it was just lack sludge that wasn’t moving except that it was bubbling. You can imagine what that smelled like. We sat for a couple minutes in someone’s living room while we waited for all the group members to arrive. The living room area of the house (which was one room, divided into sleeping and sitting rooms by a curtain) was about 5ft long and 10ft wide. The whole house was probably 15x10ft. A family with children lived there…and all there was room for was a narrow 1.5ft wide coffee table. One light bulb hung from the ceiling in the middle.
We soon went outside and sat on a couple of benches around a table with the ladies, who settled their accounts and chatted for a little with Costa, who gave them tips for better keeping accounts and running their little pot, and some other stuff that I didn’t understand. Then we headed out. By that time the kids had gotten out of school so there was lots of shouting and pointing, of course.

Today is Wednesday. I spent the day with the Family Matters program. Family Matters apparently began in the US, but I’ve never heard about it until today. The instructors do this every day, two sessions each day, but each class meets once a day once a week for 5 weeks. At the end they get a certificate and the incentive to come is in this case chai and mandazi (worth it!) though sometimes they get free food or even cash for attending classes like this. Family Matters is a class for parents of 9-12 year old kids that teaches them how to talk to their kids about stuff, with a focus on sexual health, since sex is a really taboo topic in this culture (as in, even on the cable TV they mute the word “sex” and even the euphemism “sleeping with”). They target this age because stats say a significant number of kids are sexually active around the age of 13 so they want the parents to get to them before that. They also teach them how to in general improve their relationships with their kids in this very volatile time of life. So it’s a really great program. We were going to do 2 sessions but our second location is apparently currently being systematically torn down because the houses were built to close to the railway…so instead we just went to lunch. I had chicken but Linda and Joseph, the instructors, had whole tilapia. So after they finished eating we had a photo shoot with the fish’s head. See here for all those pictures:

http://www.facebook.com/media/set/?set=a.10100111366766905.2535117.428882&l=0d217a8fa6

So that was today. Commuting to the church is interesting so let me tell you about that…

At 7:30 we leave the house. Lock the front door unlock the gate, lock the gate. Spend 5 minutes walking to the estate entrance past people giving me funny looks but at least not pointing and shouting. Then we cross a somewhat busy 2-lane road and walk for another 5 minutes to the main highway. At this point there are a million cars whizzing by, 3 lanes in each direction separated by a 20-ft wide median. There is no such thing as a traffic light or a crosswalk, so you just find a spot with a good view, and run across the highway whenever it looks like you’ll probably make it across alive. Then you take a minute to recover your heartbeat and do it across the other side. Then you wait a couple of minutes for a matatu that is going where you’re going. At this time of day basically all of them are going to the city center, and the church is on the way to the city center. So we hop on one where the far-collector guy isn’t being too eager (because it’s less likely that he’s drunk if you do that) and hop on…most of the time pushing other people out of the way so Cathy doesn’t get on a matatu that fills up before I get on..sometimes even after it starts moving. You hunch down and move into an empty seat, trying very hard not to touch the handrails because they’re so dirty and greasy they’re slippery. (yes I had to touch one to be able to tell you that…not that I touched it just for that purpose!) So you sit in a seat that’s probably torn and the foam is sticking out. If you’re unlucky you sit next to the door, and if they decided to let 14 people on the fare-collector/door-opener/passenger recruiter will squish you over and sit on the edge of your seat…or stand with his back to the door and just hover over you with a smirk on his face that says “ha. I’ve never been this close to a mzungu before” as you try to lean away….
Anyway. After a minute he goes around poking people on the shoulder and they hand him the fare. Depending on the matatu (it has nothing to do with where you’re going, and everything to do with what they feel like charging) It ranges from 10-50 shillings. If the guy doesn’t have change, you just don’t get any change. Tough luck. So when you get close to where you want to go you tell the door-opener and he bangs twice on the roof. This signals the driver to pull over, and you BOOK IT out of there because IF they come to a complete stop it will only be for a second or two so you’d better get out of there before he pulls away or you will go farther than you want. :-P
So we arrive basically right in front of the church. It’s about 8:05 on a light traffic day and as late as 8:30 if the traffic is bad. But it is always an adventure. Some of the matatus have been tricked out with black lights, new seats, interesting colored paint, or even sub woofers. Apparently this actually does succeed in attracting passengers. Aaaand that’s my commute!

I had a hamburger and the greasiest French fries ever for dinner tonight. It was wonderful. I have been craving fries for a while, and I haven’t had a burger in months. This one was actually pretty good…much better than the last one I had in…January. Bingo.

Tomorrow is “orphans and vulnerable children” day with Zinduka… apparently also Chacha came and asked for me yesterday, and he was sober. So…potentially one day down, who knows what he drank later in the day. :-P