It's hard to believe that I have been back from Uganda for two weeks now! It has been a packed two weeks. I guess my time off was when I was in Africa! It was the perfect mix of working hard and having enough downtime to breathe. At least when I had downtime, it was my own... obviously not the case when I am at home!
The last few days of our mission were quite busy, including a patient who had to go back to the OR emergently... he kept us on our toes. We finished surgeries on Friday and another nurse and I spent most of the day wrapping things up at the hospital on Saturday. Friday night a few of us had a blast at a small nightclub near the hotel. That'll make you feel like a white girl, dancing in a club in Africa! After enough Niles, though, this white girl didn't really care! It was hard to leave the hospital on Saturday afternoon. There were still a couple of patients in the ICU (although they were stable). There were still lines and chest tubes that would need to be pulled and vital signs that needed monitored. I know that the Ugandan nurses are good, but it was difficult leaving the patients that we put in those beds knowing that they wouldn't be followed by our team. One of my favorite patients, a sweet boy named Innocent, still felt pretty awful. I just wanted to see him smile and know that he was doing better. I did take comfort knowing that one of the physicians from UVA was staying a little while longer and would be checking in the patients. This physician, Joel, will be finishing his fellowship this summer and then taking his family to Kampala, Uganda to continue this work at Mulago Hospital. Pretty stinkin' cool! You can check out their blog here. They are not just moving to this country to work full time, but they have to raise half of the cost to do it... now that's dedication! Go Joel! Anyway, happily Joel got a few pics of our sweet kiddos.
Samaritan's Purse hosted a lovely dinner Saturday evening for us. It's always nice to sit down with your team members outside of a clinical setting (some of the Ugandan team joined us) and really get to know them. I fully intended to get back to the hotel, pack up, into bed early and get a good night's sleep. Regardless, the call of a Nile beer and the good company of a few other nurses lulled me away from packing! The whole medical team that traveled to Africa was great. Everyone was fairly laid back, fun, very competent. I feel very blessed not only to have been part of the work that was done there, but to have had the opportunity to meet and spent time with all of these awesome people! Some picture parties and wine tours were planned... here's to hoping that they happen!
*As a side note to my previous entries, I did find out from two sources that the company that runs the 4 wheeler business that we toured on help out with the homes in that community. I was told that they assist with the kids school fees and supplies. That made me feel a little better. Additionally, a nurse from Mulago Hospital did tell me that if a family cannot pay, Mulago is the only hospital in the region that will provide patient care regardless.
Our last day in Africa was packed full! We got up early to go to a chimpanzee sanctuary on an island. They are truly amazing creatures and so much like us (or we are like them). Our flight was leaving late so I went over to the local gym to get a massage. I was a little worried as it was described as a "sensuous massage" but another nurse swore it was kosher. Not so great as far as massages go, but no funny business, and only $13, so I can't complain! We flew out of Entebbee at 11:30pm and got to Amsterdam around 6am. A few of us braved the cold (fyi, airline blankets do a pretty good job passing off for pashminas) to tour Amsterdam and eat at a fabulous little cafe. In case you ever visit Amsterdam, don't ask for the nearest "coffeeshop" unless you're planning to get stoned! Otherwise, ask for a cafe! I had intended to stay awake for the flight to the US. However, I closed my eyes for a minute and then woke up and wondered why they were serving food since we hadn't taken off. Apparently I slept right through take-off! After we arrived in the US I had to drive another three hours home.
By the time I got home at 7pm I posted this to my facebook wall: I rolled out of bed 42 hours ago. In that time I visited a chimpanzee sanctuary in Uganda, toured around Amsterdam, spent 2 hours on a boat, 5 hours driving, 15 hours on a plane, and an hour on a train. I have never been so happy to kiss my kids and husband and see my bed! Thank you for all of your well wishes and prayers. It's been an awesome 12 days!
The hardest part by far was being away from my girls and Brad for so long. I only talked / skyped with them for a total of 15 minutes or so the whole time that I was gone. I am so thankful to my husband for urging me to go on this trip, despite my protests of finding childcare and making arrangements, as well as thanks my parents, Brad's dad and stepmom, and my friends Sara, Megan, and Heather (and their families) for taking on my children while I was gone. I couldn't have done it without all of you. It warmed my heart to know that my kids were having fun and being loved while I was gone! You have my heartfelt thanks!
I'm completely slacking on the photos, because real life has taken over since I've gotten home and let's be honest, blogger is sucking on the picture front right now! However, if you really want to see how hard we worked in Uganda you can check out our mascot on this facebook page: Kermit does Uganda! Real pictures to follow someday!
Showing posts with label Africa. Show all posts
Showing posts with label Africa. Show all posts
Sunday, March 3, 2013
Friday, February 15, 2013
Uganda part II
Wifi is tricky here so had to publish the last entry without finishing it. Obviously it's been more than 5 days here! One week now and we are closing in on finishing. After driving through Jinja we had lunch at a small restaurant where monkeys were playing in the trees. So crazy to be surrounded by this. We then head to the source of the Nile River. The Nile is fairly tame ( at least the part we saw) because the built a dam for electricity a few years ago. The has hurt the areas tourism for white water rafting the class 5 rapids that used to be here. After our sightseeing I was very anxious to get to the hospital to take care of some patients. Unfortunately the air conditioning had broken in the operating room so they were not able to complete surgeries that day. We were all so disappointed. When the one thing that we came to do here didn't happen it was very disheartening.
About the hospital... It's Mulago Hosptial and is huge. Almost 2000 beds - compared to UVA's 600 beds. Although the general floor has 10 beds or so in a large open ward, so the square footage may not be so different. The group that I am with has been coming for many years. The cardiologist that heads the group is amazing. He has had a vision not just to come repair hearts but to build the heart center's program so that they can do it on their own. The Hospital recently built a new OR and cath lab. They are doing caths on their own and some simple heart repairs. Our doctors are here teaching more complex cases as well las screening patients for future surgeries or the possibility of coming to the US to have their surgery done. As nurses we are teaching the Ugandan nursing e about heart defects, taking care of post op patients, etc. Some of the Ugandan nurses have even traveled out of country for further schooling and have come so far in their ability to take care of heart patients.
The families are so grateful to receive free surgeries for their children. As with most developing countries there is no health insurance. When a patient is in the hospital it's basically pay as you go. We took over care of a baby who had been here for a month. Prior to being in our care the nurses would tell the mom how much it would cost and was she able to pay? So hard to imagine. If you don't have the money you don't get the care. Period. Your child doesn't get the care. Period. As screwed up as the health insurance system is in the states at least you know that if you get hit by a car you can go to the hospital and they cannot refuse to help you. The Ugandan people are generally soft spoken and kind. Despite the chaos on the roads and the multitude of beeping horns it seems more "Hey, watch out so you don't get hit or hit me" vs the US version of "get our of my e'ffin way you bleep bleep bleep!" I've not seen any patients in the waiting room outraged at the waiting. Nobody screaming or yelling into their cell phones. There is no "keeping up with the Jones's". It has felt very refreshing. We are on our last day of surgery. We haven't done as many cases as they had hoped, but for those mama's whose children we did operate on, we have saved their world. I am so humbled and grateful to be a part of this process.
About the hospital... It's Mulago Hosptial and is huge. Almost 2000 beds - compared to UVA's 600 beds. Although the general floor has 10 beds or so in a large open ward, so the square footage may not be so different. The group that I am with has been coming for many years. The cardiologist that heads the group is amazing. He has had a vision not just to come repair hearts but to build the heart center's program so that they can do it on their own. The Hospital recently built a new OR and cath lab. They are doing caths on their own and some simple heart repairs. Our doctors are here teaching more complex cases as well las screening patients for future surgeries or the possibility of coming to the US to have their surgery done. As nurses we are teaching the Ugandan nursing e about heart defects, taking care of post op patients, etc. Some of the Ugandan nurses have even traveled out of country for further schooling and have come so far in their ability to take care of heart patients.
The families are so grateful to receive free surgeries for their children. As with most developing countries there is no health insurance. When a patient is in the hospital it's basically pay as you go. We took over care of a baby who had been here for a month. Prior to being in our care the nurses would tell the mom how much it would cost and was she able to pay? So hard to imagine. If you don't have the money you don't get the care. Period. Your child doesn't get the care. Period. As screwed up as the health insurance system is in the states at least you know that if you get hit by a car you can go to the hospital and they cannot refuse to help you. The Ugandan people are generally soft spoken and kind. Despite the chaos on the roads and the multitude of beeping horns it seems more "Hey, watch out so you don't get hit or hit me" vs the US version of "get our of my e'ffin way you bleep bleep bleep!" I've not seen any patients in the waiting room outraged at the waiting. Nobody screaming or yelling into their cell phones. There is no "keeping up with the Jones's". It has felt very refreshing. We are on our last day of surgery. We haven't done as many cases as they had hoped, but for those mama's whose children we did operate on, we have saved their world. I am so humbled and grateful to be a part of this process.
Uganda part I
I can't believe that I have been in Uganda for 5 days now. My time is almost halfway done. Every few hours I have to pinch myself and say " I am in Africa". I feel blessed beyond belief that I am so lucky to have this opportunity. I went to Peru for a medical mission back in 1999 and said then that it is something that I would have to do again. I didn't think it would take me 14 years, but I guess I've been a little busy!
This is such a beautiful country and the people are very friendly. I can definitely feel the British influence especially at their insistence for taking tea regardless of what is going on around them! We spent about 7 hours setting up on Saturday. By far the best part was playing with the kids while they waited to have their ECHOs done. Smiling for the camera and saying "cheese!" is universal language! We went to a couple of the markets. They make such beautiful things and are so grateful for purchases. I haven't let them down there! On Sunday we had a conference with our team and the Ugandan team to look at the patients that we intend to do procedures. More market shopping and a swim in the pool. There is such a great group of people here from the US. Most have been here before and are quite fun to hang with.
Monday was our first day in the hospital. I was going in late and spending the morning touring the countryside. Feeling way too much like this was a vacation instead of a medical mission. We drove to Jinja. Actually someone drove us. Driving style here is as crazy as in China but with a lot less people. We rented 4-wheelers to drive out to see the Nile. We drove through the beautiful countryside but basically through a bunch of "villages". Children were running out of their mud huts, some had brick homes. They would come out yelling, waving, wanting their picture taken. It was interesting that the area around their huts were completely manicured. The dirt perfectly tamped down, no trash. We saw women cutting the grass with machetes. Despite such limited means they seemed to take pride in their surroundings. So different than in the US. We stopped in front of one house that had this beautiful flowering tree. These children came out and took flowered from the tree and gave them to us. It was such a beautiful gesture. I just felt so... American. Here I was, riding a 4wheeler right past their homes. What I paid for the hour I could have clothed and fed many of these Children. It felt so ridiculously extravagant and frivolous. I just wanted to hand over all of my money to these kids.... Just to give them anything I had. On the other hand, if I wasn't American there is a pretty good chance that I wouldn't have the means to even be here helping kids. And that is what I needed to do. I felt that I had to go to the hospital NOW to do what I came to do in Uganda.
This is such a beautiful country and the people are very friendly. I can definitely feel the British influence especially at their insistence for taking tea regardless of what is going on around them! We spent about 7 hours setting up on Saturday. By far the best part was playing with the kids while they waited to have their ECHOs done. Smiling for the camera and saying "cheese!" is universal language! We went to a couple of the markets. They make such beautiful things and are so grateful for purchases. I haven't let them down there! On Sunday we had a conference with our team and the Ugandan team to look at the patients that we intend to do procedures. More market shopping and a swim in the pool. There is such a great group of people here from the US. Most have been here before and are quite fun to hang with.
Monday was our first day in the hospital. I was going in late and spending the morning touring the countryside. Feeling way too much like this was a vacation instead of a medical mission. We drove to Jinja. Actually someone drove us. Driving style here is as crazy as in China but with a lot less people. We rented 4-wheelers to drive out to see the Nile. We drove through the beautiful countryside but basically through a bunch of "villages". Children were running out of their mud huts, some had brick homes. They would come out yelling, waving, wanting their picture taken. It was interesting that the area around their huts were completely manicured. The dirt perfectly tamped down, no trash. We saw women cutting the grass with machetes. Despite such limited means they seemed to take pride in their surroundings. So different than in the US. We stopped in front of one house that had this beautiful flowering tree. These children came out and took flowered from the tree and gave them to us. It was such a beautiful gesture. I just felt so... American. Here I was, riding a 4wheeler right past their homes. What I paid for the hour I could have clothed and fed many of these Children. It felt so ridiculously extravagant and frivolous. I just wanted to hand over all of my money to these kids.... Just to give them anything I had. On the other hand, if I wasn't American there is a pretty good chance that I wouldn't have the means to even be here helping kids. And that is what I needed to do. I felt that I had to go to the hospital NOW to do what I came to do in Uganda.
Wednesday, February 6, 2013
Moose with a muffin... mom with a mission
This is what my kitchen table looks like right now. Paper chains for each of the girls to countdown the days until I come home, organizing Sierra's school work for the next week'ish, papers to come with me, papers to say home. Oh, yeah, and knitting. Because I decided that now is the perfect time to learn to knit. Duh!
I feel a bit like I did before we went to China. I feel like a squirrel on crack. Or a moose with a muffin. Depending on what room I'm in or what bag I open, I'm reminded of something else that I need to do or to pack, someone else that I need to call or get something from or take something to. Before tomorrow. Before 10am tomorrow. Oye.
I've spend the majority of the last week preparing things to make sure the kids are set before I leave. Schedules to all of the wonderful people who will be taking care of them, phone numbers of all possible sitters/back-up care for Brad, Valentine's Day stuff, etc, etc, etc. I've been trying to compensate for the guilt that I feel about leaving my family for 11 days. Ridiculous, I know. It's not like I'm going to a spa for a week (although how A-W-E-S-O-M-E would that be?!). It's a medical mission for crying out loud! I've been struggling with this since I was invited to go to Uganda a month ago. Taking so much time away from my family to do something that I want to do. Oh, the mommy-guilt! Today, though, a friend gave me a send of note. She wrote:
mis-sion-ary (noun)
someone who leave their family for a short time
so that others may be with their families for eternity
It brought me back and helped me feel centered about the journey ahead. I am so lucky and honored to help these children who wouldn't have this chance to have heart surgeries without this group. How can I feel guilty about that?
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