Triatix and Tilapia

So sorry for my lack of posting. My delightful students have been running me ragged :)

Let me catch you all up a bit on what we have been up to. Here we are at an orphan program doing a little a little deworming. For those of you who are not ascariasis savvy, this is not a very technical manueuver- it basically involves giving them a pill:).

 

Now this albendazole was in a container that made the gutsy claim that they were chewable. What I am now pondering, is what qualifies it as chewable? Apparently the only qualification is that it's not hard as a rock. In small print it said "mint aroma". Note: nothing was mentioned about flavor. So, being the great pediatric nurse that I am, I thought we should try it before we give it to kids.

And it was absolutely wretched. I have never chewed on a piece of chalk......but I think it was pretty comparable. To counteract this foulness we got candy to administer immediately after the chalk tabs. No one gagged, so I have counted it a success.

We also treated their feet for jiggers, which are nasty little buggers that like to dig into feet and rip them up. Treatment involves soaking their feet in Triatix, an insecticide, to get rid of the parasites. It's not pretty, bit it works. The tricky thing was all the kids were barefoot, which makes it rather difficult to assess the bottoms of their feet when we can't see them through the mud. Hence the foot washing station was started. This is Sam, washing children's feet.

 

 

For an interesting cultural experience we went down to the hotels (sidenote: restaurants are called hotels here, and hotels are called guest houses) on lake Victoria for some fresh tilapia. As I anticipated, it was slightly alarming to some of the students when they were given the whole fish to eat, especially considering that they were not given any utensils. But true to form, they jumped in and gave it a try. And if we're all really honest, who isnt dying to try eating with their hands anyway?

Xoxo

Jessie

And no, Sam does not know I posted this picture of him :). Let's just keep it our little secret.

Rainforests, Home Health and Hemispheres

News, news. We spent the weekend in Kakamega rainforest hiking up mountains and sneaking photos of unsuspecting monkeys. We started our sunrise trek at 5 am to make it to the top of a mountain (just a small one) before the sun (see picture above). Very pretty and breathtaking of course. Some of us even braved the bat cave and managed not to scream like little girls when we woke them up and they started swirling all around us.

Not only was this a true rainforest, but it is also mid-rainy season right now.....needless to say our rain jackets got to see some action. We arrived in Maseno last night happily exhausted and ready to crawl into our bunk beds (or double-deckers, as they are called here).

We've now spent one day in Maseno and the students have jumped in with both feet. One gave immunizations in the MCH (mother child health) clinic, some went out on home visits with HIV adherence counselors, and others rounded on the wards. We started off our first day with some great experiences. We had planned on sitting in on a surgery to repair a tib-fib fracture (broken leg) but the patient couldn't come up with the money so the surgeon didn't come. He's already been waiting in the wards for 2 weeks, so I'm sure the surgeon thought, what's one more day anyway? We at least replaced the scraptacular cardboard and gauze splint with a somewhat more legitimate one, so he seems a bit more comfortable. We're hoping he'll get in to the OR tomorrow.

We also snuck a little walk in before darkness took us prisoner in the house until tomorrow morning. We walked down to the marker on the equator and did the little north-south hemisphere dance, and all other hemisphere-related activities. It isn't often after all, that one can lean over and have their nose in a different hemisphere as their toes.

We took the long way back to go through the Maseno University campus. I am really enjoying getting to introduce my students to Maseno and show them around, despite the fact that a group of 10 wazungu (white people) looks nothing short of a parade around here, and typically attracts about an equal amount of attention. Tomorrow we will me going on more home health visits, helping with a mobile satellite clinic, rounding on the wards, and meeting with an HIV support group. Should be quite an interesting day.

Jessie

 

Orphanages and Operating Rooms

My students arrived safe and sound and I must say, they are quite fantastic. They are a group of 8 nursing students, some of whom have never really left the country before, and they have embraced everything Kenya whole heartedly. We arrived a few days ago at Mercy Mission Hospital in Nakuru where we will be spending a week. The guest house, where the 10 of us would be sleeping, had 6 available beds. I love Kenya planning:). But they jumped right in and said that's okay, we'll share. These are single beds mind you. Three of the girls pushed the beds together and rigged up a double mosquito net over them. So resourceful. I was so proud. We also do not have anyone to cook for us, so Vivian (the other instructor) and I will be cooking for 10 :). They have a hot water heating system, but it heats the sink water and the shower is frigid.......wiring problem or just ridiculously bad planning?

Last night our drivers, Shadrack and Tony, joined us for dinner and we were regaled with the most fascinating stories of growing up on the Maasai Mara and of the manhood ceremony that involves circumcision and killing a lion. Crazy. Each of us was sitting on the edge of our seat in suspense for about 2 hours. What a lost art story telling is, and how delightful to spend an evening with someone who excels at it. Just fascinating. They gave us gory details of how each animals like to kill their prey. And you all know how nursing students love gory details.

Our first day, to ease them in, we visited an orphanage and mission hospital run by the hatholic church that blew me away (see pic below). It was so pretty and well-kept and well managed. For those of you who know Kenya-this is nothing short of an act of God. It was quite encouraging to me, and gave me hope for the future of the Phoebe House. At least I now believe it can be done.

 

Yesterday we started rotations in the HIV testing and clinic, the wards, maternity and outpatient surgery. Yesterday on our tour, about 10 minutes in, we walked in on a woman who had come in for a incomplete abortion (spontaneous miscarriage) and had retained products of conception and was bleeding heavily. The medical officer introduced himself and asked them to jump in and assist. Yikes. A little intimidating, but true to form they embraced it and learned a lot. It's been great so far. As much as I miss Maseno right now and my own work I am doing there, I love being an instructor. I love teaching, and most of all I love seeing the students falling in love with this country, and these people. I feel very blessed to have this opportunity.

Today we started the day a little early with an emergency C-section and 2 of my students got to scrub in and receive the baby. Very interesting to be in the OR here, quite a different experience than what we are used to. Yes-we are wearing skirts, gowns, and rubber boots with no socks (except Aaron). We were all impressed with the skill and precision of the medical officer who performed the surgery. The rest were spread out between the delivery room, the outpatient clinic and the wards. I'm waiting to hear all their stories tonight. One got to assist in her first birth!

That's all I have for now. More fascinating updates to come!

Jessie

Easter Sunday and Sanitary Pads

Are you all anxiously awaiting another update?? Well, wait no more. Things are going splendidly here. I am quite pleased. I will admit- I was very, very close to giving up on the Rotary House and passing it off as someone else's job. But I suppose if that is my line of thinking I should just go home now. And as blessings would have it, I had not even finished my renovations on the house when I got word that a new doctor has committed to come to Maseno and needed a place to live in a few weeks. He'll be arriving the day I leave. So as of now, the house has a patched and reprinted roof, a new ceiling inside, the floors are patched and smooth, and the locks are all changed. The house is stocked with sheets, blankets, nets, dishes, pots, buckets, and a water filtration system. The new housekeeper, Truphosa, has been trained on how to manage the house and how to prepare food for visitors. She has committed to work for me for the next year. I've changed the structure of the house slightly to give her more autonomy and business potential, since she will be independently managing the food, sort of like a mini restaurant. She'll make more money and I think it will lower the overall cost for visitors. I don't want to speak too soon, but this could be a win-win situation.

And let me wish you all a very Happy Easter! I spent yesterday morning rounding on the wards as usual. For my medically trained readers, I have a very interesting case of likely elephantiasis right now. I am reading up on treatments (and causes) for it tonight. Something I've certainly never seem before.

I spent the rest of the day at the Phoebe House, which is a home for women and children who have been abandoned or forced out of their homes because of their HIV status. I am in the process of teaching them how to sew washable, reusable maxi-pads (pictured above). An interesting endeavor-I agree, but before you wrinkle your nose at the thought, let me tell you the reason.

Many girls in rural areas like this do not have money or access to maxi-pads. They usually have to miss a week of school each month, or used unsanitary methods, like rags or newspaper. Now that the schoolboys are aware of this issue, some have started to offer the girls pads in exchange for sex. And the girls are accepting. Very sad. There has been a lot of interest in the project at home, and we have had over 100 pads donated that were sewn by groups based in the US. Fantastic. But like any other sustainable project here, it also has to be locally made. So begins my maxi-pad crusade.

The pads are being sewn on machines that run on a foot pump so electricity is not needed. Easy to use, easy to fix. Jacyline is one of the women who lives at Phoebe House with her 2 sons, and she will be heading up the project. We hope to sell them individually in the local market, and also to groups from the US who want to travel to schools to educate the girls and distribute the pads.

As always, I had a wonderful afternoon at the Phoebe House. My littlest darlings, Naomi and Arnold, are getting quite big. If you look back on my older posts Arnold is the chipmunk-cheek baby with ugali all over his face. When I first met Arnold over 2 years ago he was a patient at Maseno hospital. He was very suspicious of me initially and every time I walked in the ward he would shoot me a glare that could frost over the sun. Thankfully this time he warmed up much more quickly, as he felt the need to be constantly touching my hair, swinging on my arms, or patting my cheeks. At one point I was showing the kids pictures of my family-they were all very interested in seeing "Mama Jescah" ( my mom). Arnold could not see very well so he wiggled under my legs from behind the chair, crawled up over my knees and settled himself in my lap for a better view. When his mom told him he needed to let the other kids see too, without taking his eyes off the camera, he reached up and patted my cheek and said, "Hapana, wewe na wangu", meaning, " no, you are mine ". Oh. My. Goodness. He had me at the cheek pat.

I am currently in Nairobi for the night to pick up my students at 3 am tomorrow, and then we head off to Nakuru for the week. I knew I jynxed myself by saying how great easy coach was last time. While I am thankful, as always, for arriving anywhere in Kenya in one piece, I did spend the last 8 hours being thrown about the back of the bus. It isn't often in the US you actually feel yourself going airborne from your seat. My teeth may be still rattling a little :). No matter what the ticket lady says, there is a huge differnce in the amount of josling from the front to the back of the bus. That's a little pearl I am going to tuck away for next time. We stopped halfway through for a bathroom break and I considered making a generous offer to one of the front seaters to switch with me, but I was traveling with my friend Job and I couldn't abandon him to the back of the bus alone.

I'm going to go have some dinner now that you all know I am safe and sound in Nairobi.

Xoxo,

Jessie

 

Bleach and Boxcar Children

Well, let me tell you a tale of my first few days here.

I arrived in Maseno after a surprisingly easy journey from nairobi. Upon entering the rotary house(the house I lived in before and where my students will be staying), however, I found it to be a disaster. And I feel like I have very high standards for the word disaster. After the doctor and his wife left it seems no one has been taking care of it. Not only was it filthy, and the fridge was full of cockroaches (which are my Achilles heel, by the way) , but the roof was leaking and part of the ceiling was falling down.

So, my first thought came from the little dreamer on my right shoulder that said it would be fun to get this place back in shape, and this was my home after all, and I had to put it right. Perhaps I could even pretend I was one of the boxcar children. I've always secretly wondered if I was tough enough to join their ranks. Then that naughty little realist on my left shoulder reminded me I could get across the village first thing in the morning to the university guest house and forget all about the rotary house. That was someone else's problem and I'm sure they would take care of it.

Let me explain a little bit of the significance of this house first, to give you a little context (house pictured to right). The house is right behind the hospital, and the other guest house in town is quite a ways from the hospital and rather inconvienient in you don't have car because it's a 20-30 minute walk. And you have to get back there before it gets dark if you're walking, so that really limits your day for anyone working at the hospital. Which can be harder than it sounds if patients have been waiting all day to see you, or if a parent brings in a comatose child in their arms right when you're leaving, and no one has shown up for the night shift. The visiting medical staff are very important to the hospital because they bring with them supplies, knowledge, teaching, and money. All things we really need.

So these two on my shoulders battled it out for several days while I mulled over my options, worked at the hospital, and survived on mandazi and Stoney. I found it quite stressful and discouraging actually, made even worse by the realization that being a boxcar child has been incredibly over-rated in my mind for the last 20 years. I did what any sad, lonely girl does- I called my parents :) After a little pep talk from them I did a mediocre job cleaning up, except for the Achilles heel in the kitchen (I am only so strong). Then, as an answer to prayer, 3 ladies showed up today and asked if they could clean the house. They'd heard how bad it was and were afraid I would leave and stop coming to Maseno. They scrubbed this house until it shone. It smells like bleach and sunshine now.

It was then go big or go home time, and since my plane tickets were non-refundable....... I hired a delightful cook and housekeeper who agreed to stay on for at least the next year. She starts friday. I found a lovely fundi (carpenter) who will be coming back tomorrow morning to patch the roof, paint the roof, replace sections of the ceiling, repair the floor, and put new locks on the doors. I will be heading to kisumu tomorrow to restock the house with everything from clothespins to the customary blue toilet paper. My group of students will be the first to stay in the new and improved house!

So, that was a very long way to tell you all that things are looking up for both me and the rotary house. I am currently being lulled to sleep my the sound of my guard snoring on the front porch. When it's coming through a concrete wall it's actually quite soothing. Now while your reaction may tend to be, " What, your guard is asleep!?". I tend to think, "Sweet, I have a guard!". He's actually one of the hospital guards but seems to have taken it upon himself to make sure the little mzungu girl makes it safely through the nights. I have considered leaving cookies out for him so he isn't tempted to wander to more interesting front porches.

Lala salama (good night) .

Jessie