4.23.2007

Cheesemanburg!



... breaking through the crowded lanes of rusty taxis, past the city limits UN check points, into the lush tropical greens surrounding both sides of the Rover, rocking back and forth down a system of bumpy dirt roads that doesn't belong to any map except one you make your own napkin... you will find a series of little villages making up "Cheesemanburg". Recently destroyed by war, you will find a surprising enchanting landscape of beautifully new, smooth mud houses, intricately patterned palm weaves and sticks to make up the roofs & windows, children playing in the rain all the way home in their crisp school uniforms, and adults doing their various laborious tasks with a natural ease.



I came here today with my friend & old roommate Jen, who is in charge of Community Health education. Todays task is to aid her in doing a basic village health assessment of 2 of these villagettes, to see and ask what exactly their needs are before directing & empowering their elected village health leaders in the coming months. Before anything of that can start, we must fulfill tradition and gather on the porch of the village's chief to introduce ourselves and meet the elderly gang of the neighborhood ;) I try to get the giddy smile off my face that reflects my thoughts of "am i dreaming?" and correct my posture into its most culturally respective manner, NO crossing legs i keep telling myself! As I look around I'm surrounded by the highly respected of the community, their wrinkley faces full of mystery and just as many questions about us, as i have for them myself. They as usual, quickly show us the same respect and treat us graceously with their finest possessions. Once again, a simple, universal smile is enough to break the ice and began to get acquianted.



After introductions and small elementary chatter, we stand to our feet to walk around to see the make up of the village... they take us on a narrow path down to their source of drinking, bathing, laundry water... a leafy, bug, filled riverbed they say never goes dry here. They do not boil the water or even comprehend adding chlorine tablets before drinking it. It physically PAINS my stomach just standing their looking at it!




Up the path a little way is a middle aged woman up to her waist (inside a 4 x4ft mud hole) in red palm oil she is creating as she stomps with her barefeet on the wet palm nut fibers...a cooking staple in Liberia.



Up another path into the "town square" again I gaze in awe at their houses they have created with mud, sticks, & the lucky ones, tin... each have helped their neighbor (somehow related family) to make a home. I learn they are a self sustaining community..only having to buy fish & salt from the outside to survive. Almost every other tree we pass, they offer us fruit of some kind, most i have never tried before.. i was jealous of them a bit...living in something like a garden of Eden,




... but then i am reminded why there is another Mercy Ships vehicle off the road a bit in the distance, working on teaching their members how to dig their own wells and latrines..
.
disease turning into death lingers among this lush garden and giggly children as well. After more tours of chickens in homes and old men with YOUNG wives cooking their lunches, babies taking naps right on their dirt floors... i get a chance to talk with some of the village members one on one! With the help of our health village trainees, we work through a list of 20 basic health questions... " What do you do with your garbage..burn it or throw it in the bush?" , Do you wash your hands before you eat or after poo poo?, Where do you go to the bathroom?, What do you think is your families biggest health concern?, How many of your family member have had diarrhea or malaria in the past month?" They answer and i try to keep a neutral face, wondering if they even know the answer i am looking, hoping for? At the end I thank them, ask a few of my own backpile of curious questions, turn down marriage proposals, and quickly move on!
Next week I've been invited back to help teach about Malaria..Africa's biggest killer (greater than AIDS) I am excited to have a shot at developing these teaching skills for the first time :)

I had a blast. I really think if i had to live in Africa, Cheesmanburg is where i'd set my rocking chair... Once again, beautiful people, who may not be intelligent in some things like their water system...but know the inspiring simplicity you can't find in a textbook. There is much to learn from one another.


(3 elected village health trainees working with M.S.)

Day out with "Doctors Without Borders"


Today got an opportunity that I've been really geeked about for along time!!!, a chance to follow around a Norwegian physician named Kari, from "Doctors Without Borders" , also known as Medecins Sans Frontieres. I met Kari randomly one day a few weeks ago in an ER and she agreed to let me shadow her.
This organization I've investigated and googled many times over the past several years; i HIGHLY respect the work they do and have been even more impressed seeing it more up close and personal since being around them in Liberia! They are one of the MAIN reasons health care has been able to continue post civil war, they have decided to extend their contract until 2008, the longest time their relief organization has ever remained in a country because Liberia is still very much in a state of RELIEF and only starting on the edge of their own development and getting back on their own two feet.
Overwhelmed by the lines and lines of woman and children waiting to see the doctors on this Monday morning, the workers seem to remain calm and in complete control. After a tour of one of the small clinics they run, i get to sit in with a Children's Physician Assistant to see what the main health complaints are of Liberian children and how they are treated.
After many cases of malaria, some hernias, malnutrition and some productive coughs we move on across town to Liberia's only Pediatric hospital... what originally had 60 beds has been extended to accommodate over 250 patients, 2 to a bed! Being a Peds nurse myself I was really curious to see how it was run. Got a tour by the big mama head nurse, Sue, who informed me that each nurse has up to 30 patients each....5 at a time is the legal limit where i worked in Texas, remind me to NEVER complain!!! They had an ICU mostly filled with severely malnourished children- a STUDENT nurse calmly bagging a post respiratory arrest baby, a TB chest unit, neonatal babies unit, and several general medical wards, even happy to see a playground and playroom. Most of the "Doctors Without Borders" workers are not here to do all the work for the Liberians, but to serve alongside them, teaching them proper techniques to give the best care possible to their people!
Its funny what can make a person"high", ... I've never needed drugs or alcohol to make me feel giddy & alive... give me a moment to be part of something bigger, the healing human body & spirit, and I'm utterly drunk on life! I don't know if I'll ever be called to work for them, but it was a real honor to get this opportunity. Next goal.. stalk UNICEF headquarters in town to see if i can do the same with them ;) Trying to learn/understand/observe how they undertake such a big task?
The beautiful thing is..God didn't wire any two of us the exact same :)
What is your individualities high?... i'd really love to hear

4.15.2007

* exploring FuN in the SUn *



just a few random photos from the past week; bicycling, taxiing, floating around Monrovia...














CECE BEACH
















A TYPICAL CAR WASH STATION!








T




MARKETPLACE






Golden Beach Resturant

Hellos & Goodbyes


(Before we shipped out towards Liberia, a M.S. doctor came earlier by helicopter to enter remote villages and find potential surgical patients where there is absolutley no access to healthcare. Red Cross International partnered with us to fly them back.
These are some of the patients leaving after their stay at Mercy Ships to head home)

Its been over a 1/2 year now living & working here in W. Africa & every week there are at least a handful of goodbye & hellos to the everchanging staff of Anastasis Mercy Ship! I must admit, I'm a bit uncomfortable with "goodbye's, I would much rather say "see ya later" and take my chances! I've been surprised at myself though how only a few handful of times throughout all these months i've found myself teary in such a potentially emotional evironment... I guess I've taken it as a sign I must be where God has wanted me in this season of my life, to find such peace here. Even with close friendships with staff, looking back it has ALWAYS been goodbyes related to my patients that get me. Last night I snuck down to get one last look at them sleeping before they headed for the plane early in the morning...
I only have 12 more shifts left onboard before the ward closes and the new ship arrives, from which I will not be here in July when they reopen on the new Africa Mercy. I can't believe my time here is almost over..6 more weeks. I'm finding it hard at the thought of knowing how to walk away from all this. I have fallen head over heels for the Africans and especially the children I've gotten the priviledge to know & look after. Here is my newest heart throb.. meet Daniel "the giggle monster".. he spent his days on the ward doing much more than just healing from a facial burn... he kept his mischevious little self busy by sneaking up on nurses to attack tickle them, monkey cling himself to our backs, whispering sweet demanding nothings into our ears requesting "bAllOOn", "tea & bread", or "no chickle (tickle) i BEG u" and my personal favorite.. sitting on my lap during daily burn care, dodgeing my Q-tip to pucker his sweet little burnt lips and trying to plant them on my lips! Ooo how i will miss all their sweet little faces...anyone want to send me an extra BIG suitcase??



"


(taken after a ritual tickle attack by our cute little instigator here)



4.07.2007

Release of New Ship!!!

*The Anastasis Mercy Ship I am on currently will retire mid May and the 6 year awaited completion of the new AFRICA MERCY, will join us in Liberia May 21st for transition!!!!
29 March 2007 PRESS RELEASE
(Issued on behalf of Mercy Ships UK)
WORLD’S LARGEST CHARITY HOSPITAL SHIP TO SET SAIL NEXT MONTH

The world’s largest non-governmental hospital ship, the Africa Mercy, has successfully completed ‘sea trials’ enabling it to sail on its inaugural trip to Africa. The former Danish rail ferry, has been converted into a state-of-the-art hospital ship at a cost of over £30 million and will provide free healthcare and community development services to the poorest people of Africa. The ‘sea trials’ took place in the North Sea under the supervision of Bureau Veritas – an international marine certification organisation that tests systems on ships. All systems onboard were checked and the trials took approximately 24 hours led by the ship’s Captain and his technical crew. The Africa Mercy will return to Blyth for another four weeks where hospital supplies and materials will be loaded. The ship is now free to start final preparations for its first field service in Africa where more than 400 volunteer crew will provide free medical care, capacity building, relief aid and community development programmes to the people of war-torn Liberia.

The Africa Mercy is the fourth ship to be operated by the international charity, Mercy Ships, which has provided more than £350 million worth of services since its inception in 1978. Statistics include treating more than 200,000 people in village medical clinics; performing more than 26,000 surgeries and 162,000 dental treatments; and completing more than 800 construction, agriculture and water development projects.

Don Stephens, Founder of Mercy Ships, said: “Every ship has life savers, but this ship is a life saver in itself to thousands who wait for her arrival in Africa. Without this ship so many of the poorest of the poor face lives without hope. This huge white hospital ship docked in an African port is a strong symbol of hope.” Judy Polkinhorn, Executive Director, Mercy Ships UK, said: “This is a momentous day for everyone involved in Mercy Ships. Hundreds of people have worked tirelessly on this project over the last several years and we owe each of them a huge debt. “Our focus is now to complete the loading of supplies and volunteer crew over the next few weeks in order that she can start service in Liberia.” All the crew on board the Africa Mercy will be volunteer professionals from around the world. Doctors, dentists, nurses, community developers, teachers, builders, cooks, seamen, engineers, and many others will donate their time and skills to the effort.

AFRICA MERCY – FACTS · Formerly ‘Droning Ingrid’ ·
16,572 tonnes ·
474 berths for crew ·
78 bed ward ·
6 operating theatres ·
X-ray room ·
CT scanner ·
Dental clinic ·
Pharmacy ·
School – up to 60 pupils ·
Length: 499 feet ·
Breadth: 78 feet