Evolution of an Adventure
Evolution of an Adventure....
10/23/11 Greetings! Welcome to my Nursing in Nepal blog! In May, 2012, I'll be graduating from San Jose State University's School of Nursing and in early June I'll be leaving for three weeks in Nepal along with SJSU faculty and other nursing students to provide nursing care to women and children in Nepal and I need your help to get there! Our team will be providing wellness exams, vaccination clinics, and health education in Kathmandu and other villages in the Kathmandu Valley. My goal is to raise $5,000, which will cover a significant portion of this trip. I realize that the current economy is making life difficult for all of us. Any amount contributed is appreciated as each dollar gets me closer to an opportunity to help disadvantaged families while building my skills as a nurse and caretaker.
I'll be updating this blog with amusing tales of adventures in preparing for international travel and, once there, I'll be documenting my experience with photos and stories as much as the available power supply will allow! Subscribe to my blog and please join me on my adventure in Nursing in Nepal! I welcome your comments, questions and insights through this amazing journey.
12/8/11 I have just received the uber disappointing news that the nursing trip to Nepal has been canceled as political unrest has put Nepal on the State Department's watchlist and the university won't let us go. While it will be incredibly difficult to quit dreaming Nepalese dreams, I am unshaken from my determination to take an equally awesome nursing trip after graduation. I just have to figure out where and how. So, I'll do some research in the hopes of finding another exciting opportunity off the beaten path and apply my passion and your generosity there. If I can't find anything within a few months, I will refund your donations. Thank you again for your support and stay tuned!
1/6/12 It's on like Donkey Kong! So, a bit of change... turns out I'll be going to the Edna Adan Hospital in Hargeisa, Somaliland. It is a midwife-led clinic and I'll be staying in a guestroom at the clinic (which I hope isn't code for hospital bed) and I will share more details as soon as I have them. When the trip to Nepal was canceled, I was heart broken, crestfallen and downright bummed. I had just long enough to think about it all that I had created an idea in my head of the adventure that I was going to have there. After a few hours of being sad girl, I said to myself "Self, you can still have an adventure somewhere. You'll just have to figure it out for yourself." According to ProWorld, their projects in Nepal are still on, so that was still a possibility, but a very expensive possibility. No different than when the school trip was on, but as long as my adventure options are open, why not find something equally mind blowing for a bit less money? I emailed a doctor who spoke to my nursing class about the Fistula Foundation (www.fistulafoundation.org) and asked if any of the clinics they support in Africa might be willing to take a new grad nurse for a few weeks this summer. An email turned into a conference call which turned into me going to Somaliland!
Side note to any nursing students who might be reading this: clinic placement is not the regular domain of the Fistula Foundation. I lucked into a formal introduction, but you can contact the Edna Adan University Hospital directly for service options.
Thursday, June 14, 2012
Picture, if you will, a city not unlike Tijiuana. Mostly dirt roads, what paving there may be left on a road most certainly does not make it smoother than a dirt road. Rubble and garbage is everywhere and, by everywhere, I mean everywhere. It lines the road side like a protective wall. Meanwhile, back on the road, it is like a video game come to life. Cars and trucks are backing out into the road randomly, pedestrians and goats and donkey carts wander back and forth. The drivers just rip along as fast or a s slow as they dare (quite fast in my driver's case) and dodge and weave like Muhammed Ali.
The horn is used so prolifically here that after a while I began to wonder if the horns are perhaps used with more of a morse code-like purpose, communication amongst the bretheren. At one point, my driver went to strike his horn and it did not sound off for him. I wondered how that wounded him: if it was akin to stripping an Arab trader of his haggling abilities, or cutting the hands off an Italian. Without his horn, he was rendered mute.
The neighborhoods have no obvious form of division. Imagine a few Beverly Hills homes plopped down in the middle of Compton. An Atherton mansion amongst the carports of East Palo Alto. The few of Pacific Heights mixed in with the many of Hunter's Point. That's what Hargeisa is like. There is simply no room for separation of economic class, not if you want an apartment that is convenient to downtown and shopping. The mansions are smashed in with the corrugated tin lean-tos and mud brick structures. The dividing factor being the broken glass-topped protective walls surrounding the nicer homes. And by "mansion," I don't mean a Shah's home. Rather, nicer cement brick houses with pretty windows. Outside of the broken glass walls is the same rubbish that covers this city as effectively as the ubiquitous dust.
Having safely arrived at my destination, I gazed out of the window at the breathtaking vista of a goat's ass, standing stop a pile of rubble, surveying his kingdom. Charming.
Back in the vehicle and racing back over the roads at top speeds, my driver nearly drifted through his corners, using the piles of rubbish and dirt (and probably a few goats) for berms. I suspect the goats didn't notice and my driver made it back just in time for noon prayers.
Wednesday, June 6, 2012
I've been trying to load pictures here and on facebook, but the internet connection just will not cooperate. I'll keep trying.
As usual, forgive the typos. This mini keyboard is a pain.
So, my average day so far... hard to say after just 2 days in which I'm really just shadowing Matron to learn what an average day is, but I'll do my best. The day begins with a wake up call from the neighborhood mussein over the super duper loud speaker at 4am precall and 5am call to prayer in case you didn't hear it the first time. Funny how quickly one gets used to neighborhood noises. The first day, it was appallingly loud, but this morning I nearly slept through it. But I was still up before 6. Cold shower, clean up, hope for internet connection (my lifeline to home), breakfast at 7am. Yesterday morning, I had Somali bacon, which is camel meat jerky. It's laid out to dry in the sun, then fried. It pretty much just tastes like beef jerky, with an ever so slightly gamey flavor like mutton. The hospital cooks lay out a table for breakfast, lunch, and dinner for the volunteers and employees who live here at the hospital. It's pretty repetitive, but it's good.
7:30, rounds begin with the resident midwife through the ante/L&D/maternity wards. 8:30, rounds with the doctors through the medical wards and any OB patients which need more attention.
I am working with Matron, who is not a nun. She is a Latvian nurse who is more or less charge nurse for the whole hospital, hospital administrator, supply manager, facilities manager, and general whip cracker. She is probably about my age, married, and quite impressive for the job she has taken on here. Matron is terribly excited to have me here as they only ever get visiting doctors, never nurses. She is thrilled to have some back up to keep an eye on the troops and, hopefully, improve their performance. She isn't someone I would want to defy, so I'm not sure how the troops will listen to me any better than they listen to her. We shall see. This trip may well end up being an exercise in learning how to beat my head on the opposite side of the world instead of at home for free. I will make an effort to learn a bit of Somali and hope that greases some wheels.
Speaking of which, the nurses are all taught in English in their nursing classes, but few of them speak English with any real proficiency. Herein lies the problem. Their incompetence is lamented by senior staff, but they've been started unfairly. Because they are being taught complex ideas in a language they don't really understand, they rely on memorization to pass exams, but have little real understanding of what they're being expected to know. Then, later, management endeavors to get better work out of them when they are entirely ill equipped to perform. We'll see how far I get with that issue...
Holy moly! The craziest rain storm just exploded out of nowhere! Windy and insane! I better wrap this up while I still have a connection. Cheers!
Tuesday, June 5, 2012
Little did I know... we flew into Berbera because the Hargeisa airport is closed for renovations. I stepped off of the plane and immediately thought "this just looks like Mexico". Ha. Right. Mexico would be close to home. The "international airport" (the banner said "Welcome to Berbera International Airport") was one small stucco building, where secured my visa and changed my 40 American dollars for 6,500 shillings (or the equivilent of $1. Not a very fair trade in my opinion, but I think they need the money more than I do), and joined the fracas going on in the baggage area. Yes, my bag was there, but it had to be loaded on top of the "bus" with the rest of the bags. And the wind, oh the wind! While I waited for my bag to be loaded, I enjoyed looking out on a landscape as barren as one can imagine. In the near distance, there lay a cargo plane which apparently didn't make the run way and was on its belly becoming a part of the landscape. The friend I'd made in Dubai was busy keeping an eye out for me and making sure I was ok. If I hadn't met him, I don't know if I would have made it this far on my own. I may well have chickened out and gotten my bag and myself right back on the antique and gone home.
The bus ride to Hargeisa to several hours over trecherous roads. I doubt that we got much over 25mph most of the way, got stuck in the sand once where recent rains had washed riverbed over the short bridge, and my already sore butt was crying out in agony over the rock polisher of a ride. At this point, I'd been awake for nearly 40 hours. When we finally arrived in Hargeisa, I found that I was the spectacle du jour, despite my modest clothes and head scarf. Small children and beggars approached me with their hand out looking for money, not a handshake. My airport friend came here to visit family. His uncle just happens to be the former Vice President of Somaliland. The former VP was kind enough to drive me to the hospital - another blessing.
Once arrived, I was shown to my room - a perfectly nice small room with a wardrobe to put my things in and a private bathroom with a western toilet. I had lunch and then retired back to my room where I promptly fell asleep.
Sleep. Yet another thing I've taken for granted that I thought I had so appreciated. You asolutely canNOT possible truly appreciate sleep until you visit a Muslim region and find that the call to prayer begins 5, unless of course there is a pre-call to wake everyone up in time for the 5am prayer. The precall is at 4. That didn't much matter this morning though because I was awake at 3am.
Saturday, June 2, 2012
Less than an hour later, I have staked my claim on my half of the arm rest and have just cued up 21 Jump Street. Cops in shorts, on bicycles, arm rest, snacks... this flight is looking up.
30 minutes later: Ms. Aisle Seat gets up to take a tinkle and Mr. Chatty Pants takes the opportunity to sniff his arm pits. Awesome! Let me help you out, buddy. It's your breath that stinks, not your pits.
3 hours in: Ms. Aisle Seat has busted out the ear buds and Kindle. Chatty Pants is looking like he just got shut down. Arm rest score: me 3, Chatty Pants 2. 21 Jump Street is pretty great. Dinner is a little weird, but ok.
3 1/2 hours: Someone just farted. Not me.
Tuesday, April 17, 2012
Friday, January 6, 2012
When the trip to Nepal was canceled, I was heart broken, crestfallen and downright bummed. I had just long enough to think about it all that I had created an idea in my head of the adventure that I was going to have there. After a few hours of being sad girl, I said to myself "Self, you can still have an adventure somewhere. You'll just have to figure it out for yourself." According to ProWorld, their projects in Nepal are still on, so that was still a possibility, but a very expensive possibility. No different than when the school trip was on, but as long as my adventure options are open, why not find something equally mind blowing for a bit less money? I emailed a doctor who spoke to my nursing class about the Fistula Foundation (www.fistulafoundation.org) and asked if any of the clinics they support in Africa might be willing to take a new grad nurse for a few weeks this summer. An email turned into a conference call which turned into me going to Somaliland!
Side note to any nursing students who might be reading this: clinic placement is not the regular domain of the Fistula Foundation. I think I just lucked out. The clinics supported by the foundation are in serious need of physicians who are trained in the repair of obstetric fistula and who have the time to commit to the clinics which need them. The foundation's main concern is raising money to support the education of African midwives to prevent prolonged, problematic labors and providing their clinics with physicians who can treat the women affected by obstetric fistula.
Nepali language book has been shelved (for now, to be revisited at a later date FOR SURE) and on to Arabic and how to properly wrap a hijab...