More photos from South Africa, Swaziland and Zambia have been posted here:
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Showing posts with label zambia. Show all posts
Showing posts with label zambia. Show all posts
Tuesday, March 17, 2009
Sunday, March 15, 2009
Reflections Before Flying
Today is the day we leave Africa. In many ways it feels as though we've already left. Nonetheless we know we have not yet arrived at home. It remains to be seen how this experience has affected and changed us. Although we are very ready to be home, there is some apprehension about the transitions ahead. Perhaps that is a good sign, evidence that we were really here and engaged in life.
Leaving Macha seemed a bit unreal, as though, after a couple of days we'd surely find ourselves on a bumpy ride up the Macha road once more. Even though our time there was only about six weeks we had grown used to being there. As we were preparing to leave many friends asked us when we would be coming back. One friend taught us a Tonga phrase appropriate for this transition: "Akabwenene taabuli kuswangana." Loosely it means, "Those we have met we will meet again."
Wednesday, March 11, 2009
worried
Today was my last day working at Macha Mission Hospital. It was a pretty busy day, but it went well. It's hard to believe that my time here has already come to an end. To mark the occasion, here's a reflective quote from Elaine Wynne, a Canadian physician who makes regular working visits to Macha: "At home I take care of the worried well, but here it's the unworried sick."
Friday, March 6, 2009
What's in a Name?
Tonight we had dinner at the MIAM cafeteria and got into a discussion about local names. Some of our favorites have been: Hairness, Loveness, Sameness etc. I've always liked my name and checking my email after dinner I found out that I will actually be allowed to have it printed on my med school diploma. Apparently there was a policy against first initials on diplomas (not middle initials). But now, after several trans-Atlantic emails and "a lot of deliberation and several conversations with other campuses around the system" the policy is (apparently) a thing of the past. It will read: J. Daniel Hess.
Thursday, February 26, 2009
Zambian Textiles 101
Another week in Zambia is almost over for us. Twice this week, I had to ride home after a very heavy downpour. It was quite the adventure. The dirt roads and paths suddenly have streams or mini lakes, and all the sand turns to mud. Needless to say, I arrived home yesterday and Tuesday with muddy feet and legs. Fortunately, I didn't slip and fall over while riding, it didn't start to downpour again, and I had remembered my chitengi, so I was able to wrap that over top of my skirt, and my skirt stayed clean. Well, mostly clean.
A chitengi is a patterned piece of woven cloth worn as a wrap-around skirt. It's similar to a sarong except the fabric is not quite as soft and filmy as a sarong. I've purchased one since I've been here, and it's been very handy. I've even learned the Zambian way of wrapping and securing it. Women use them often. They wear them over top of another skirt or slip. Sometimes it serves as the main skirt, but other times it serves as dust and mud protection. Women wear them or take them along when traveling. When riding in the back of a truck numerous women were wearing them over top of their skirts or pants. When traveling on one of the big busses (picture a coach bus) women might carry them with them when the bus stops for a toilet break. There are no public toilets along the side of the road, so a chitengi is very convient to give yourself some privacy while doing your business. Chitengis also serve as loungewear. You may see some women who wear western clothes to work relaxing at the end of the day in a t-shirt and a chitengi.
And, of course, I cannot forget one of the most practical uses of a chitengi: a baby-carrier! Who needs fancy baby carries with metal frames and all kinds of straps and snaps? A simple piece of cloth works very well. In Swaziland and here in Zambia, we've seen scores of women carrying their babies on their backs. They bend over, swing the baby up on their back, the baby holds on (if it's old enough), and the woman takes a chitengi and wraps it around herself and the baby and ties the two ends together over one shoulder (in Swaziland they tie the pieces together in front, not over the shoulder). Voila! The babies look snug and safe and the woman's hands are free for whatever task she has next.
For you textiles buffs out there, the cotton fabric is a one up, one down fairly open basic weave,the threads are yarn-dyed a base color and then a pattern is printed on, from what I can tell.
Hope you enjoyed your textiles lesson!
A chitengi is a patterned piece of woven cloth worn as a wrap-around skirt. It's similar to a sarong except the fabric is not quite as soft and filmy as a sarong. I've purchased one since I've been here, and it's been very handy. I've even learned the Zambian way of wrapping and securing it. Women use them often. They wear them over top of another skirt or slip. Sometimes it serves as the main skirt, but other times it serves as dust and mud protection. Women wear them or take them along when traveling. When riding in the back of a truck numerous women were wearing them over top of their skirts or pants. When traveling on one of the big busses (picture a coach bus) women might carry them with them when the bus stops for a toilet break. There are no public toilets along the side of the road, so a chitengi is very convient to give yourself some privacy while doing your business. Chitengis also serve as loungewear. You may see some women who wear western clothes to work relaxing at the end of the day in a t-shirt and a chitengi.
And, of course, I cannot forget one of the most practical uses of a chitengi: a baby-carrier! Who needs fancy baby carries with metal frames and all kinds of straps and snaps? A simple piece of cloth works very well. In Swaziland and here in Zambia, we've seen scores of women carrying their babies on their backs. They bend over, swing the baby up on their back, the baby holds on (if it's old enough), and the woman takes a chitengi and wraps it around herself and the baby and ties the two ends together over one shoulder (in Swaziland they tie the pieces together in front, not over the shoulder). Voila! The babies look snug and safe and the woman's hands are free for whatever task she has next.
For you textiles buffs out there, the cotton fabric is a one up, one down fairly open basic weave,the threads are yarn-dyed a base color and then a pattern is printed on, from what I can tell.
Hope you enjoyed your textiles lesson!
Wednesday, February 18, 2009
Daily Life in Macha
Perhaps you're wondering what our our life is like day to day in Macha. To help with the illustration, we've included some of the differences in everyday terminology below. We both report to work at 7:30 in the morning. Amy rides her borrowed pink bicycle to school about 10 minutes away (20-30 by foot) and Dan walks 5 minutes to the hospital.
Amy's day at MICS begins with a staff prayer meeting before the students arrive. This is followed by a chapel service with all the students and staff and then classes are underway by 8. There are six grades at MICS - Reception (Kindergarten) through grade 5. Amy teaches sewing (FACS!) to each grade and language arts (spelling & phonics) to grade 3. She also helps with library and art on Thursdays and Fridays. From 12 - 1 she has some planning time, but she's found she often has planning to do at home too. Her school day is over at 13hrs (that is, 1pm).
Dan's day starts with a morning report of sorts with the other students, physicians and medical officers. Then it's off to round on the wards where you're assigned (Maternity, Paediatrics, Male, Female). On Tuesdays and Fridays, rounds are brief and problem focused allowing time to get to the operating theatre (that is, the OR) for the bulk of the morning. There the "major room" is kept busy with exploratory laparotomies, bilateral tubal ligations, hernia repairs, etc, while the two minor rooms are a flurry of dressing changes, wound debridement, incision & drainage, dilation & currettage, casting, etc.
By 11am much of the cases are finished and some of us head off to the Outpatient Department (OPD) to see patients there (OPD is open daily at 11 except for Sunday). If all goes well we can break for lunch at around 13hrs and resume our duties in OPD at 15hrs (3pm) working until there are no more patients to be seen (usually not too much later than 17hrs). If there are other things to take care of on the wards, then the late morning or afternoon is a good time to get that done, OPD will go on without you. Saturdays start with rounds at 8 and are followed by OPD until lunchtime (i.e. whenever all the patients are seen).
Lunch, of late, has been nsima (the Tonga word for cooked maize mealie meal) and relish (sides of veggies or meat). We've hired a local woman to help with some things around the house, namely lunch prep and some laundry here and there. After lunch Dan heads back to OPD while Amy rests from her tiring day (or plans for up-coming lessons), or goes to buy bread, eggs or vegetables from a shop or the market. She can also sometimes be found at the local library - a small library housed inside a large shipping container.
There used to be four med students here, so we established a Q4 (every fourth day) call schedule. Now there are just three of us, but we've kept the schedule. We have a cell phone that gets passed around so that we can be reached if necessary. Being on call means helping the main person on call with evening rounds at 20hrs (again problem focused) and being available if anything (e.g. a C-section) comes up overnight. Sundays the on-call folks make morning and evening rounds and take care of anything urgent in between.
After "knocking off" (finishing) at work the evenings are our own. They are usually filled with cooking, reading, watching a borrowed movie or perhaps visiting some others in the area.
Amy's day at MICS begins with a staff prayer meeting before the students arrive. This is followed by a chapel service with all the students and staff and then classes are underway by 8. There are six grades at MICS - Reception (Kindergarten) through grade 5. Amy teaches sewing (FACS!) to each grade and language arts (spelling & phonics) to grade 3. She also helps with library and art on Thursdays and Fridays. From 12 - 1 she has some planning time, but she's found she often has planning to do at home too. Her school day is over at 13hrs (that is, 1pm).
Dan's day starts with a morning report of sorts with the other students, physicians and medical officers. Then it's off to round on the wards where you're assigned (Maternity, Paediatrics, Male, Female). On Tuesdays and Fridays, rounds are brief and problem focused allowing time to get to the operating theatre (that is, the OR) for the bulk of the morning. There the "major room" is kept busy with exploratory laparotomies, bilateral tubal ligations, hernia repairs, etc, while the two minor rooms are a flurry of dressing changes, wound debridement, incision & drainage, dilation & currettage, casting, etc.
By 11am much of the cases are finished and some of us head off to the Outpatient Department (OPD) to see patients there (OPD is open daily at 11 except for Sunday). If all goes well we can break for lunch at around 13hrs and resume our duties in OPD at 15hrs (3pm) working until there are no more patients to be seen (usually not too much later than 17hrs). If there are other things to take care of on the wards, then the late morning or afternoon is a good time to get that done, OPD will go on without you. Saturdays start with rounds at 8 and are followed by OPD until lunchtime (i.e. whenever all the patients are seen).
Lunch, of late, has been nsima (the Tonga word for cooked maize mealie meal) and relish (sides of veggies or meat). We've hired a local woman to help with some things around the house, namely lunch prep and some laundry here and there. After lunch Dan heads back to OPD while Amy rests from her tiring day (or plans for up-coming lessons), or goes to buy bread, eggs or vegetables from a shop or the market. She can also sometimes be found at the local library - a small library housed inside a large shipping container.
There used to be four med students here, so we established a Q4 (every fourth day) call schedule. Now there are just three of us, but we've kept the schedule. We have a cell phone that gets passed around so that we can be reached if necessary. Being on call means helping the main person on call with evening rounds at 20hrs (again problem focused) and being available if anything (e.g. a C-section) comes up overnight. Sundays the on-call folks make morning and evening rounds and take care of anything urgent in between.
After "knocking off" (finishing) at work the evenings are our own. They are usually filled with cooking, reading, watching a borrowed movie or perhaps visiting some others in the area.
Saturday, February 7, 2009
Maternity
(late entry)
Perhaps the most important part of my orientation to the maternity ward was omitted - the women in the labour suite have a little bell beside their bed. They ring it when they need help - like when the baby is coming. Dr. Spurrier walked in for evening rounds to find me and the other med student chatting at the nurses station about the woman in labour with twins. He noticed the midwife, alone this shift, scrambling to put away some medicines in the main ward and get back to the labour suite. The bell was ringing! We all arrived at about the same time to find the first twin (who presented in the breech position) delivered on its own lying on the bed. At first it looked a bit blue, but was just fine with a little coaxing. I examined Mom and determined that twin #2 was coming out the proper way - head first and a few minutes later with out much help from me the second child was born. As this baby was entering the world, the midwife, noting that the membranes were covering its head, warned me that sometimes they tear and can splatter you. Unsure of what she meant for me to do with her warning, I backed away a bit and out it came. It too was just fine. Of course this story provided a good laugh for everyone at our morning meeting the next day.
Perhaps the most important part of my orientation to the maternity ward was omitted - the women in the labour suite have a little bell beside their bed. They ring it when they need help - like when the baby is coming. Dr. Spurrier walked in for evening rounds to find me and the other med student chatting at the nurses station about the woman in labour with twins. He noticed the midwife, alone this shift, scrambling to put away some medicines in the main ward and get back to the labour suite. The bell was ringing! We all arrived at about the same time to find the first twin (who presented in the breech position) delivered on its own lying on the bed. At first it looked a bit blue, but was just fine with a little coaxing. I examined Mom and determined that twin #2 was coming out the proper way - head first and a few minutes later with out much help from me the second child was born. As this baby was entering the world, the midwife, noting that the membranes were covering its head, warned me that sometimes they tear and can splatter you. Unsure of what she meant for me to do with her warning, I backed away a bit and out it came. It too was just fine. Of course this story provided a good laugh for everyone at our morning meeting the next day.
Sunday, January 4, 2009
Flying Soon
In just fourteen days we will be headed to southern Africa for a two month stay. Our first two weeks will be spent visiting friends in South Africa & Swaziland before heading to Zambia for the remaining six weeks. There, Dan will be working at the Macha Mission Hospital, a Brethren in Christ hospital in rural southern Zambia about 70km (44miles) from a town called Choma. Amy will be volunteering at a school called Macha Innovative Christian School (MICS) nearby. Our travel is being made possible through the Mennonite Medical Association's Student Elective Term (SET) and Dan is also receiving credit towards some graduation requirements at school.
We are excited about this opportunity and hope to share some of our experiences here on this blog (and in person when we return).
We are excited about this opportunity and hope to share some of our experiences here on this blog (and in person when we return).
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