Saturday, August 6, 2011

The Last Hoorah!

Since we've been back in Loloma from Katombi, hospital has been kinda slow (could be because the doctor is out of town). Carolyn was able to assist on a vacuum extraction delivery on Wednesday for a 1st time mom who just didn't feel like pushing, while I (Ali) was home - hosting malaria parasites in my blood. NOT FUN, but no worries, I'm all better. Both yesterday and today, we were able to spread love throughout the hospital in the form of lollipops which is always great fun for us :)

Since this week has been pretty laid back, we were both happy to get out of the house and go to Senior Girls Camp for a few hours tonight. We got there just in time for the shima supper followed by some hymns, a video, and a gospel message on sin. It was great to be able to go back to a familiar scene and it brought back memories of our first weekend here when we got to visit Junior Girls Camp and have a taste of our 1st ever shima (19 shimas ago!). -We liked it better this time around since we knew what to expect!-

Tonight is our last night in Loloma... we will be headed to Lusaka tomorrow morning with Marian, Bruce and Alice (6:30am no less). We plan on staying at one of Bruce's relatives homes tomorrow night with Marian. From there, we will hop on a bus headed to Livingstone on Monday morning (6:30 again) in order to visit Victoria Falls Monday afternoon. On Tuesday, we plan on either heading over to Botswana to visit Chobe Game Reserve for a full day of African Safari or staying in Zambia for a Zambezi white water rafting day. On Wednesday morning, we will head back to Lusaka and spend the rest of the day with Marian. We will be flying out of Lusaka on Thursday to head for London (plan to see what Westminster has to offer) and then, finally... back to the USA.

It has been such a blessing that we have been able to come to Loloma this Summer. We are both so very thankful to all the kind missionaries and natives here who have opened their homes and shared their lives with us for the past 2 and a half months. We have surely made memories and, most importantly, friendships that will last a lifetime!!!

Yesu Kristu Diyi Mwanta!
Jesus Christ is Lord!

With love,
Carolyn & Ali

Wednesday, July 27, 2011

In Katombi!

Hello from Katombi!

We are spending a few days with Margie, who is a nurse that lives out in the bush. She does clinics from her home and travels doing literacy classes, children's clinics, sewing classes, Bible classes, etc. Her house has a thatched roof, outdoor toilet/shower, and an outdoor kitchen with a fire and a wood-stove. There is no running water which makes brushing teeth more difficult :)

Today we watched her see patients in her backyard. Some brought news of an entire village that burnt down, so this afternoon, she had us sorting through parcels and making care packages for them, which will be delivered tomorrow. FYI: if you send clothes for Africa, little boys need clothes too. Also, most people here are much smaller than most people at home, so don't just pack extra-large clothes. Also, it does get cold here, especially at night. It's not cold compared to home, but it might be 40 degrees colder at night than during the day, so it feels cold, and their houses are not heated. So, send warm things. Also tomorrow, we're going to a local school for a children's clinic - nothing super fancy, just weighing the kids and giving them deworming medicine and schistosomaisis medicine. Schistosomaisis is an endemic disease here that people get from the water - bathing in the river. It tends to be chronic and eventually leads to lots of GI bleeding, so they try to periodically prophylactically treat the kids. We've also been informed that we will be taking drugs for that (and for worms) before we leave. Fun, fun.

Margie has three donkeys and a donkey cart, so naturally, we asked for a ride and have been promised one before we leave. Mostly, the donkeys carry water and firewood. People use ox-carts a whole lot around here, and we've been wanting to ride in one, but a donkey-cart will have to do...for now. One of the dogs that lives with us back at Loloma had puppies-8 of which were living, so we're trying to figure out how to smuggle them through security on the flight home. She had them deep within a bouganvillia bush, which is surprisingly hard to get through.

In two weeks and two days, we'll be back in the states. Which is weird...this summer has gone by very quickly. Along the way, we're going to go see Victoria Falls, Lusaka, and London. Later!

Love,
Ali and Carolyn

Monday, July 18, 2011

Life (More) Lately

Updated Statistics:

Birth Count (observed and delivered): 27
Deliveries: 11 and 12 (we're taking turns)

Today we had a "real Zambian meal. Bruce (the hospital administrato) and his wife invited us over for caterpillars. He said that they would taste like shrimp. We respectfully disagree. But, they really weren't bad: just a weird texture. We also had wusi (a sour vegetable), little dried fish (whole, about an inch or less long), cassava greens, shima, mushrooms, sweet potatoes, and even some chicken. And corn on the cob for dessert :)

We've had lots of interesting experiences since last we wrote, including spending a day at Samafunda Community School. They have outdoor squat toilets there. The teacher who brought us made sure to point out that if we needed to use them, to make sure we used the one on the left. Neither of us used them. It's a basic school - going from grades 1 to 7. They don't have much room, so some of the grades meet in the morning, and some of them in the afternoon. While we were there, two of the teachers got called away, leaving one teacher in the entire school. He bounced from room to room giving lessons, and we saw some that amused us, including a lecture on "what characteristics make a good marriage partner" for seventh graders. The school textbooks were few and termite-eaten and their erasers were worn all the way to the wood. It was certainly different than American schools.

We went to another mission station, along the Zambezi River, Chitokoloki for a few days over July 4th. July 4 and 5 are Zambian national holidays as well, but we made an American Flag cake so that all the canadian/Irish/Scottish/New Zealanders could celebrate properly. It was interesting to see life at a different mission station and a different hospital. Where Loloma has only one doctor, Chitokoloki is teaming with med students, visiting surgeons (well, one visiting surgeon), and surgical residents (the New Zealanders). We each delivered two babies, all girls :) They had an orthopedic surgeon come through for a day while we were there, and Loloma sent a few vehicles of patients, which brought us home. We also used the opportunity to cross the Zambezi River, at dusk, in a dugout (leaking) canoe with a Zambian rowing us.

Tomorrow, we are going to the Palace to greet the Chief (yep, you read that right). There's still a chief here. I don't completely understand his role, but he's a super important man - everyone kneels in front of him and all that. Apparently there's a lot of etiquette involved as well...clapping your hands the right number of times in the correct rhythm and so on. It's all rather confusing, but Bruce said "just do what Tim does and you'll be fine" (Tim is the missionary taking us), so there's definitely hope that we won't be beheaded ;)

We've been hanging out with a lot of other visitors lately as well. Jessie and David are brother and sister from Canada who spent some time at Loloma, though they're mostly here to see Chitokoloki. Jessie taught us a hat crochet pattern, so we've been playing with yarn a lot lately. Beth is a med student from Ireland, also mostly at Chitokoloki, who we're passing along that knowledge to.

The hospital has been busy today, which is good for us, but can be rather depressing sometimes. Since we last wrote, we've each gotten to suture; we've observed skin grafts, traction, more surgeries, gangrene, Down's syndrome, whooping cough, typhoid, 12 lead EKG practice, lots of malnutrition, resuscitation of adults and babies, JRV, club feet (and lots of other ortho stuff), etc.

We'll be back August 12, which is coming soon, which is weird. But, it will be good to see you all again...not so good to go back to school, but...that's life.

Love,
Carolyn and Ali

Friday, June 24, 2011

Life Lately

So, we tried to post this a long long time ago...and couldn't. So, here's a rather old post, and we're about to try to write a new one....
Hey all!
Here are some statistics-
Birth count (observed and delivered): 14
Deliveries (working together): 7
Deliveries (solo, for each of us): 1
C-sections: 4
Death count (patients that we've seen): 16
CPR count (full arrest that we were involved in): 1
The hospital is composed of several long buildings enclosing a court yard. There is a men's medical ward, men's surgical, women's medical, women's surgical, maternity, TB, and children's ward. There are 118 beds, 1 doctor, and many of the workers here are posted here by the government (doesn't really seem to be high on anyone's preference list). During the night, there are only five people acting as nurses on duty. During the day, it is more, but we aren't exactly sure how many. Our usual day starts at the hospital at around 0800. We either go to surgery or follow doctor on his rounds or go to whichever clinic we're spending the day with. At about 1000 is tea break, which amuses us and is an hour of tea or coffee and muffins. Then we continue observing or helping where we can, often times ending up in outpatient. By about 1330 (everyone uses military time here) we usually head back to Canada house for lunch. Depending what's happening at hospital, sometimes we go back and sometimes we don't. They try to call us up for deliveries, though they often don't, and any other interesting cases. Evenings are often spent either quietly at home or having dinner and hanging out with either the missionaries or the Zambians. The power goes off at midnight, so that's about when we go to bed, but we do have some battery lights.
This last week we've gotten to observe the ART (which is AntiRetroviral Therapy - given for HIV/AIDS) clinic, a child's week clinic for children under 5 at a nearby village. Children were weighed, vaccinated, and given prophylactic deworming and vitamin A tablets. We've scrubbed for a few more surgeries, delivered 2 babies before tea this morning, and there was a situ inversu (we think that's how you say it) patient. That's a person with all of their inner organs on the opposite side that you'd expect. The x-rays and ecgs and everything come out backwards. We stopped by the lab, and they showed us what malaria looks like under the microscope. Our hardest situation was a stillborn child who we delivered. It had been dead for a few days and bore the marks. It was heartbreaking to watch the women go through the entire process without getting to keep her baby. Another heartbreaking case is a 2 year, 2 month old 4.5 kg, 73 cm long child with AIDS. To put that in perspective, that's what we'd expect a 3 month old to weigh. Also, Carolyn was heavier than that at birth. He isn't getting either adequate medication or nutrition, and if ever we wished for DCFS, this is the child to prompt it.
Away from the hospital...we went down to the river with the young people recently to wash clothes for the old people. So yes, we've washed clothes by hand in the Manyinga river. A few from our group dug latrines for them as well (prompting a discussion about squat toilets and amazement that we don't use those in the US). Wednesday night, the young people's group watched Left Behind, and it was incredible because over 60 people showed up. We all crowded into Julie's (Julie is one of the missionary nurses-from Canada) living room -which isn't large, and filled every single square inch of it. The leader used the opportunity to encourage people to accept Christ.
The hospital administrator informed us that, since coming here, he'd gained 18 kg. Because we still want to be able to wear our clothing when we return home, and, we, too, partake of teabreak, we've decided to start jogging in order to counteract the effects. They've told us that as long as we stick together, we are safe going anywhere during the day, and on the mission at night. So, we jog back and forth from our house to the hospital at night. If our safety concerns you mom, there is a night watchman who waves at us when we run past.
Last night we went over to one of the female staff houses, where several of the nurses had invited us to come learn to make shima and other Zambian recipes. I think we can cook you Zambian style greens and chicken now, but shima might take more practice. We can, however, show you pictures and video of the first attempt. They're hoping we'll teach them to make pizza and mac and cheese in return, which of course, we agreed to. Last night, we also showed them brownies, which they said were too sweet. The nerve! Oh well, not everyone can be perfect.
Today we walked up and down the airstrip (which is a mile long) and chatted with the man who lives at the end of it. We then baked cupcakes, and will soon be eating pizza at a gathering at Julie's house. But, at least we walked! We are appreciating the prayers and support that we get from all of you, and look forward to telling you more and showing you photos and catching up when we get home. But, before then, we have lots more places to go and things to see and pictures to take and sweets to eat and etc.
love,
Ali and Carolyn

Tuesday, June 14, 2011

Delivery #2!

Hey all!

We've been having lots of experiences, and learning lots about tropical diseases and all sorts of other things.  Our favorite is babies.  And today, we delivered our second one!  It was a joint effort between the two of us, and it was exciting.  Lynn, if you're reading this, we think you'd be pleased at how much we've learned :)  We love the after birthing traditions...the women gather and sing and dance.  They make us do it too.   And then they laugh at us :)  We've also been practicing monitoring women in labor, fetal heart rate (fetoscope and doppler), contractions, vaginal exams, the whole nine yards (where does that expressino come from anyways?).  We continue to observe lots of other things - rounds, outpatients, surgery...and doctor is letting us scrub for theatre sometimes now!  We've each gotten to assist him twice, and we also usually get to recieve the baby (and sometimes resuscitate it) for C-sections.  We've also seen some gruesome wounds (fan belt snapping, child vs ax, epileptic vs fire, etc).  It is amazing how different the hospital is from American hospitals.  The list of meds we were out of for today was 30 strong, and we've had no rabies or leprosy meds since we've been here.  The government hospital in Kabompo, however, lacks a blood pressure cuff and cardiac monitor, so we're rather richly blessed.

And for those of you who don't like the hospital stuff so much...we went to Kabompo and got the  tour of the city.  We attended an agricultural fair.  We've found that children LOVE it if we take their picture and then show them what it looks like.  At the ag fair, we had a veritable army of them following us around...which was fun :)  We are learning to eat lots of shima - which isn't as bad as we'd feared (perhaps because it's mostly corn meal so far), though we can't eat nearly enough to satisfy the Zambians, and they laugh at our technique (and Ali putting sugar on hers).  We went out to Bruce's (the hospital administrator) plot one evening with about 15 other people and had a meal of shima and a camp fire (which we brought marshmallows to!).  We sang hymns around it and just generally had a good time.  It is beautiful out there along the Kabompo river with all the planting and cultivating going on.  We attend a Zambian young people's group (in English, thankfully.  Luvale church services get a little long) every wednesday night, and Friday, we're going to have some of the nurses over to hang out at the Canada House (where we live). 

We're taking lots (really, lots) of pictures and both of us (but especially Ali) are journaling lots, so we'll be able to tell/show you pretty much anything when we get home.  Good night all!

Love (and so on) from,
Carolyn and Ali

Tuesday, May 31, 2011

Confessions from Carolyn

(Ali's taking her bath...and I'm curious how long it will take her to notice this post)

-I REALLY wish that skirts weren't required because there are myraids of fabulously amazing climbing trees here. And several of the mission kids (Daniel and David, 7 and 9) told me all about them, and which ones are the BEST.

-the stars are far better here then in the states. just so you know.

-small yappy dogs quiet right down if you carry them around in a chitengi.

-I really like flatties. I wish we had them at home.

that's all. hope you've enjoyed some very random facts.

-Carolyn

Monday, May 30, 2011

Tuna Yoyo

"We are well". The official language of Zambia is English, but most people here speak either Luvale or Lunda. Really, only the educated speak English. We know we can't get fluent before we return, but we're trying to learn a little bit of Luvale...and how to not be rude Americans.

We've gotten to see a lot of new things. Friday, we mostly just recuperated from the trip and time change. Saturday, we went out to girls' camp. There we got to meet many more of the missionaries from the area. It was 8-9th grade girls week and we arrived at tea break. Then we listened to the message (about modest dress..in a lot of ways, it was very like an American camp, but in a lot of ways, not at all) It was in Luvale, but some of the missionaries gave us the general gist. They also wrote Bible references in English on the blackboard, which made it easier to follow. We also had our first meal of Shima. It was a very bland, thick dish...Ali says like grits without enough water. They made it from mostly cornmeal instead of mostly cassava, so it didn't taste too strange to us. It was served with smoked/dried fish (not our favorite) and something like collard greens. We got a tour and took lots of pictures!

Sunday we attended meeting (church) for the first time. We had to talk to the elders, and then sit through a Luvale service. We borrowed hymn books from Marian...they were all to American tunes, and Marian taught us the vowel sounds so we could sing along, even though we didn't understand. Tomorrow, she's taking us to buy our own Luvale hymnals and Bibles :) We only attended one service since it was our first time (my back is grateful...hard seats!), but services last from about 0830ish to 1330ish if you attend the whole thing.

Today was our first day at hospital. We came in the morning at about 0700ish and followed the doctor (a ver nice believer from Congo) on his rounds. He explained lots to us, and so far we've seen cancer, malaria, HIV, measles, sickle cell, possible leperosy, malnutrition, sepsis, hemorrhage, stroke, Perthes' disease (new to us), kidney failure, trauma, and more. There was a 1000 tea break and we got to do a tube feeding for the stroke pt. We left around 1300ish. The nurses mostly have 2 year diplomas, and some of them are employed by the government, which means they can get posted here.

This afternoon, Marian took us to market and we bought our first chitengis. They are like sarongs, and worn as skirts, or as baby slings. WE practiced tying the skirts and then Peter, who helps around the house, showed us how to tie babies on our backs. He seemed rather amused. We tried it with dolls...and we're still practicing. We visited an old woman who sang us a welcome song while we sat in her little mud-brick house after Marian had brought her food.

And, for those who've asked, we do in fact sleep under mosquito nets :) And. A scorpion joined Carolyn during her bath a few nights ago.

Love,
Carolyn and Ali