Sunday, August 19, 2012

8/19/12 930a - copilot and hospital welcome


We got back to our place late after watching the movie, and were supposed to be ready early the next morning for our flight to the hospital.  After a shower and a bit of organizing my belongings, it was time to rest quickly.  Although we were taking the bigger plane, we were still allowed a total of only 200 lbs of luggage.  Since Josh's luggage still hadn't arrived from Paris, we figured all of our carry-ons would be about 100, and then Lisa and I each brought one of our 2 - 50 lb checked suitcases.



At the airport we didn't have to show a passport or go into the airport at all!  Our pilot made a few stops, and then we were off to the hangar for systems checks.  The luggage was stowed in various nooks and crannies of the plane.   After going through the whole checklist, the plane was pushed and pulled into place, and we boarded. 



I was awarded the honor of shotgun!!!  Not just shotgun, but co-pilot!  I watched as the pilot tinkered with the throttle, how to communicate with flight control and where he dialed in various coordinates.  In short order we were racing down the runway and then gliding through the air. 



Flying above the capitol we could look down and see the river full of mud-stained rain water, the clusters of huts or homes and green.  As we flew on, the green disappeared from view, and there was only brown.  Whereas the river could be seen in the capitol, no longer could whole rivers be seen, but only water in some parts, apparently disconnected to the water appearing in the same riverbed some distance away.  It’s a good thing we had already seen our giraffes, because we didn't see any more on the flight.  As we arrived closer and closer to the hospital, things became green again!  I had a wonderful view on the slightly overcast, 205 mile flight.



Our landing was perfectly done; better than many full size planes!  I had heard horror stories of small planes, but this four seater was a wonderful ride!  (Definitely thought of my uncle Jerry who is a professional pilot and may have been the pilot for some of those rougher stories!!)



Upon arrival, we were greeted by several warm faces, smiles and handshakes.  Faces and names, and details to be learned over the next few months.  We carried our small stuff up to our new homes, and a four wheeler delivered our trunks/suitcases.  Lisa and I have our own places, but they are right next door to each other.  These houses are amazing.  I have a living room with a couch, a love seat and a chair, a kitchen with stove, microwave and fast running water filter, a dining room with kitchen table, chairs, and a welcome message with my schedule for the day.  Some filtered water, bread and eggs were already in the refrigerator!  I also have a full size bath tub/shower, a regular toilet (not squatty potty), and sink.  My room has a small desk and twin size bed, with screened windows on two sides, and a fan overhead.  There is no A/C, but a swamp cooler that is half in the living room and half in the closet of my bedroom.  Instructions for use included turning it on to soak the sponges for about 5 minutes, and then turning it on.  Soaking the sponges prevents the fan from stirring up tremendous amounts of dust, and allows the air to flow over the wet sponges, somehow allowing cooling to take place by humidifying the air.



We had a packed first day!  We first went on a tour of the compound, and then had lunch - the best tuna salad I've ever had, at the house of the CMO/an FP from Portland, OR!!  and his wife who had worked as and ICU nurse at the VA, before coming out here.  We had seen Dr. KL (not Katy) riding a bike over to the hospital as we were on our tour, so we reviewed some more orientation materials.  Upon returning, he said that a child had died, before they even had time to admit the child (which is a very quick process here compared to the states.)  The child had sickle cell and malaria.  Sickle cell is usually somewhat protective from malaria because of the deformed shape of the cells, but this little one had a severe burden of malaria, and must have had sequestration from malaria and sickling crisis concurrently.



We were able to go to the co-op, but I will likely continue to call it the coop because there is no hyphenation utilized on the phone list.  This is a little store open to those who live on the compound and is stocked with all sorts of goodies.  There is sugar, milk powder, ramen, canned beans, corn, peaches, pears, peas, dish soap, laundry soap, toilet paper, just to name a few! 



Afterwards we met Dr. KL for a tour of the hospital.  Every few stops, however, he was met with more admissions, and there was one more death.  The mother of the child who had died earlier in the day, was also in the ER for palpitations and pain.  Her diagnosis was response to grief, and GERD, and she was treated with antacid for a few days, that would in no way touch the ache in her heart.  Another discussion over dinner  revealed that the burials usually occur quickly, and that by dinner time she was likely either buried, or would be before sunrise.  I hope there is no unreasonable level of guilt.  Ramadan ended today, and hopefully there was no hesitation in bringing her in for those reasons.



Most of the beds were full, the patients looked quite ill, and there were mats laid out between the beds where family members would be found sleeping.  Some were even sleeping on the bare concrete.  Flies are everywhere!  Some of the smells were profound - and not necessarily of cleaning products.



We walked through the wards, the ER, the surgery recovery area, the post partum, the medical wards, and toured the not yet open future post surgery area.  We also went through the OR's, of which there are 3, and one is divided in two. 



We were welcomed by another family for dinner, and enjoyed chili, cornbread and rice, with mango on pudding and cornbread for dessert.  It is fascinating to learn what has brought people to where they are, and the impact it has had on their families, mostly for the good.



After dinner and a long day of meeting, greeting and heat, I was excited to be home, check some emails, and go to bed!

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