Tuesday, February 28, 2012

From +30 to -15 ...Not Cool - Tuesday, Feb 28, 2012

From sunburn to snow!

After leaving the safari, we headed back to Nairobi. it was a fast 4 hour drive where I grilled Dr Rosie, one of my new favorite people in the world, about our form, the different diagnoses we saw and meds we prescribed to try to improve the database and form. The total sweetheart that she is, she let me fire questions at her for over two hours to the point that someone asked if I was prepping her for a test!

We did some shopping in Nairobi while we waiting for our late flight, and Ted and I went off to Don Bosco school for street children. We got to see a few familiar faces in Julius and Emilio, twins that Ted and one other person sponsor through Chalice. The boys were in Mikinduri but relocated to Nairobi. Even though they're just in 8th grade, they have experienced much more than most adults and their goal for this year is to get a score of 300 on their upcoming national test so they can attend secondary school. They asked Ted to buy them shoes so they can play soccer as they currently play in bare feet. These boys are quite the sweet talkers so it's hard to differentiate what they really need, but this was a fair request. We took them to the mall and they got to say hello to the team and get a pair of shoes.

Afterwards, we went to an amazing all you can eat brazilian steakhouse called 'Carnivore'. Even though it was a Friday in lent, I thoroughly enjoyed the meat. Somehow it's hard to fast or abstain while in Africa, and though I would have ordinarily passed on the meat, there really weren't other options. (Yes yes, these are justifications, but I had to at least try to make it sound good, right?)

We got to the airport around 9pm and said goodbye to our amazing Dr Rosie, begging her to come to Canada for a bit, and hoping she'll join us in clinics next year. We went through security (3 times) before getting on our midnight flight. We arrived in Brussels 9 hours later, had a layover that was two hours longer than it should have been, just enough time to bump us off our final flight to Charlottetown. We spent two nights in Montreal because of those two hours. They were nice and relaxing and truthfully I enjoyed sleeping a lot. Plus, the airline picked up the two nights of hotels and $90 in food for the time, so we ate well. It was a testament to how great the team was - even though our trip was extended two days, after the initial groan eveeryone let out, they all put a smile on their face and made the best of the situation. We spent Sunday in Montreal enjoying the huge underground mall, a gorgeous mass in the Cathedral of Catherine du Mond (or something like that all en francais) and a fun ride on the metro. When I finally arrived home at 2pm on Tuesday (not 5pm on Saturday as planned), I was happy to crawl into bed after finishing off a box of mac and cheese, and relax with my old dog passed out next to me. I made it until 8pm before falling asleep, and once I woke up (9 horus later) this morning, I realized, both the dog and I entirely missed dinner, and the dog slept from 2pm until the morning wihtout a pit stop. He was as tired as I was!

This morning I woke up bright an early and unpacked from the trip for the last time. One thing about the trip - I was constantly packing and unpacking. Even while in Montreal we had to change hotels after 1 night. Luckily I did my laundry while in the hotel so i didnt' have to do that at home.

As I was getting dressed to go in, (had everything but shoes and makeup), I decided to check email. Lo and behold there was a very special message. it was a snow day! My first day back to work and it was my frist snow day on PEI! The message said to check back at 10 to see if it was a whole day or only 1/2 a day off. When 10 rolled around and school was officially cancelled, I was too excited! What I would later learn is that a snow day actually involves a lot of work....shovelling snow.

I have mercifully made it until February 28th without shovelling snow. I made a half-hearted attempt once with the first fall, but only did 1/3 of the drive before giving up and just driving over it. So, when i saw my car was buried under a few feet of snow, I underestimated the amount of work it would take to extricate my primary method of transportation from the snow and ice that surrounded it. I started out yesterday shovelling two tire paths from the car to the street. that only took 1 hour. Today, I spent another hour shovelling when I realized the tires were frozen in place. It wasn't that there was a few feet of snow. The thing is - at one point it was snow. Then the rain came. Then more snow, then more rain. It was really a few sheets of ice compressed and pressurized in to this rock of water, locking my car to one spot. Long story short, I spent 3 hours today with one very sad looking plastic shovel trying to free my car.

As an engineer, I like to think that I can reason my way through most situations. As a prof in engineering, I should be able to do that. I learned today, that experience is invaluable. It's not too surprising that a southern girl (and I use that term in the sense that I have never lived in the snow) really has no business moving to Canada without some sort of course in winter. Yes, yes, I've been skiing and have driving in the snow and ice. Mom prepared me to 'turn into the skid' and 'tap the breaks'. All of this is well and good, but what the heck am I supposed to do when I cannot see 3 inches of tire due to ice? Other than vow to move somewhere with a garage in the future, I was at a loss. Mom suggested I use salt, but the only way to get the salt is to go to the store or walk there and carry it back. Neither was a viable option today as it was a snow day, my car was stuck, and the snow was coming down as fast as I could shovel it.

One glove. and Can you find my dog?
My wardrobe changes were a clear indication of my current state of mind.I started the first round of digging with an optimistic attitude, a little excited for my new adventure. I had on my ski jacket, fleece pajama pants and wellies, with a nice warm woolen hat and thick ski gloves. 5 minutes into this outfit, the optimism was gone, my african zen had disappeared and so had my gloves. After an hour of shovelling, my hands were blistered and my car was as stuck as it was when I started. This morning, I wore a similar outfit, but without the hat as it just got in the way, and there was definitely no smile on my face as I headed outside. The third attempt was serious business. I discarded the coat and only wore a zip-up sweater and yoga pants. I would find my zen yet. I kept the gloves and hat, but decided the coat was just holding me back. My neon pink sweater could be seen from down the street, and more than one person stopped and just watched me. I have to wonder if I was holding the shovel upside down for the amount of attention I was getting.

Finally after hours of shovelling, my nice straight-ironed hair was frozen at the end, my tuke hat was half off, and I had lost a glove somewhere, I attempted once again to move the car. Not having much luck and unsure of what else I could do, I started crawling around the wheels on my hands and knees, digging the wheels out like I was building a sandcastle, complete with moat. I got in the car one last time, musing that if this were a movie, some guy would walk by, offer to help, and after 80 giggly silly minutes I would realize he was my one true love, not just a friendly fellow. As I was unsuccessfully spinning the car tires, not feeling nearly as hopeless as I did the previous day, even though I really didn't know what I would try next, two guardian angels walked by. They may have been regular people but I'm pretty sure I saw wings and a halo. Instead of gaping and pointing as the others did (bad samaritans), the guy asked if I needed a push. I said, 'oh, please don't trouble yourself', but he insisted. He and the woman rocked the car and after only 5 seconds of trying, my car was free! Dude with the beige coat and woman with brown hair - thank you! Thank you so much! I wasn't yet at hopelessness, but maybe that was because I knew help was on the way. I was so excited to have the car free that I grabbed my dog, threw him and my purse in the car, and went for gas and groceries. When I returned, I laid a bunch more salt down and shovelled the latest layer of snow off the drive. I was able to get through a few inches of ice, but I wonder now, if the car will move tomorrow. As much as I like my current place, (a converted garage), I'm not sure I can survive a real winter w
ithout a garage for my converted garage.
Success! Yes that is what triumph looks like.
I came inside and was so hungry, I ate a whole box of Captain Crunch as the sun was setting. Although my sister would have been proud of me, I can't imagine how many calories that must be, and I wonder if it undermines the grown-up accomplishment I feel for learning how to shovel. I have enough snow in a pile nearly as tall as I am, that I could probably make a fort, or at least an ice dog house for my pooch. Every time he goes outside, he seems unsure of where to do his business. This Texan is proud about today, but a bit miffed that my snow day was marred with so much work. And seriously - is there a course in how to handle the winter? I would take that!

Until we meet again Mikinduri - Friday, Feb 24, 2012


The second and last blog. Oops! – Feb 23, 2012





So I don’t know how this happened, but time got away from me again. Over a week has passed and the clinics are done. They were quite successful and we saw a great amount of patients – 4750! This is a comparable number to other years, but in a shorter time and with many more medical patients than previous years! There were 7 days of clinics, with the last day shortened to allow us to close the camp and itemize the supplies in preparation for next year. The first two days were devoted to the local people. The next 5 days had people bussed in from areas that the sick may not have been able to walk from, so we could serve our target – the poorest of the poor. Of course many of the local Mikinduri people came every day, we just tried to give preference to the people on busses.

The first year I worked in the vision clinic but my focus was on entering data for gathering statistics on the camps. I started with an excel spreadsheet but over the last few years have been able to change it into an access database. This means that the statics, graphs, and counts are all complete as soon as the data is entered! So..I could tell you the most random statistics such as: 24% of patients were between the age of 40 and 60; 3 people attended all three medical, dental, and vision clinics; Metrondazole was given to 481 patients; 1430 people walked away with at least 3 prescriptions; 42 people had the top right molar removed; 871 glasses were given out, etc. I could go on for a while from the oddly specific to the very general. That year, since I had a computer, I also did the blogs.

The second year I was in charge of the registration desk, to ensure that everyone walked around with a form that specified what service they were supposed to receive, ensure there were enough and not too many patients for each of the clinics, and if necessary at the end of the day, ask people to leave. Oh, I was also tasked with asking for money. Obviously the patients who couldn’t afford it were let in for free, but a small amount (<$1) was suggested by the local board so the people don’t feel like they’re receiving a handout and they can take ownership in the camp. Also it weeds out some of the people who are only coming to see the white doctor or to get a ball cap. This was an odd thing to ask from the people as it was new last year. This year, they expected the fee, so people weren’t annoyed. Last year I explained that all of the money went to the following year’s medical camp and they were pleased to pay to ensure the camps continue.  I still entered data in the evenings that year, but it was a faster process with the database form. I also did the blogs, but this time on my personal website.

This year, I realized a few days in that I was running the camp. It wasn’t really an appointed thing, it just kind of happened since Ted was off doing the project work and people needed one person to come to for the keys to the storeroom. Overall I would say it went well. However, I’m exhausted. Registration, data, and the camp coordinator were too many roles for 1 person. Next year there will need to be someone doing at least one of those roles. The data didn’t take too much time, but it did eat up the evenings when others were relaxing and unwinding from a hectic day. This year, we had an official blogger. Unfortunately for her, I had the computer for data most of the time so she was so very flexible (and fast) about when she would write the blogs. This four paragraph excuse explains why I have been remiss in blogging more regularly. Too tired. Sorry. In the last few years I just sacrificed sleep since there was no blogger. This year, I needed every minute I could get!

Okay, clinics. So we were partnered with the Lions Club of Meru, the local town, to supply the doctors and nurses. They were bussed in as well and would arrive around 8am, with the clinic to start at 8:30am.  By then, there should be patients waiting at every clinic (medical, dental, and vision). This happened most days, but not all. Some days were harder than others to try to give preference to the people coming off the bus as when I arrived each morning just after 7am, there could be as many as 100 people already there! I spent the next few hours registering people, keeping those without a registration card out of the area, and controlling how many people would register for the different clinics. I mention this last point because in previous years, vision would go through patients the fastest, but medical was the slowest. This year with so many medical professionals and so few vision professionals, the reverse was true. Plus dental could only see about 100 – 150 patients a day, and some days more than 200 were interested from the first moment. This meant their line moved much slower, much to their frustration. Most of my day is spent explaining what I’m doing to the patients (through translators) so their frustration level isn’t so high.  So – the flow: the people would enter the gate with a registration card that said medical, dental or vision. They would then stand in a line for their clinic in a hot field for possibly the entire day before seeing the appropriate doctor. I tried different tactics to get them to sit down, stay in the shade, etc, but they were convinced they wouldn’t be seen, so people waiting all day packed together in a tight line that could be 200 people long! The next step is to cross to the registration tent in groups of 20 to receive their registration form and wait in the appropriate tent for a runner to bring them up to their clinic tent/building. From there, they waited varying amounts, most people stopped by pharmacy for their prescription on the way out, then they were escorted out of the gate. A few people got to see more than one clinic, but it was rare. As I mentioned about, 5 people got to go to all 3 clinics. Woah! That’s a full service for 100 shillings!

The afternoon was typically spent ensuring extra people didn’t just appear in the lines with a mysterious registration card. The clinic grounds have a great metal gate in the front (it’s new) but the whole back faces an open field so people really can wander in easily. I’m surprised more people didn’t go around. I would sometimes go out of the gates and wander through the crowd of people waiting on the outside hoping to be seen even though we told them hours before we had enough people for the day. My gosh, people are patient here. Before you feel bad for all of these sick patients we weren’t able to see, most of them had a backache or something else benign and really just wanted to be in the clinic. That being said, there were many very sick patients that were taken to the hospital (30ish) so I tried to go through the crowds and with my extensive medical training (ha) I would pick out people that looked feverish or dazed. Once back in the gates, I spent time talking to the individuals that came up and begged me to give them a registration card. I kept about 20 cards each day for these type of patients, but most of them were fine. I mean, if they could keep up with my pace, they couldn’t be that sick! It got to a point by the end of each day, I started every conversation with ‘I’m sorry, we’re full’ until a random person would start talking to me who really didn’t want anything, and I still started with ‘I’m sorry we’re full. Hapena cards’. Oops!

There were some wonderful patients that came in and as hard as it was to say no so many times. It was great to stop and say hello and shake hands with the people that made it in the gates. They were so grateful to be seen, even if it was only for a backache, it made up for the bad moments. Plus the team was really fantastic. They gelled really well together and not once did I have to ask someone to do something twice. Everyone was happy to do their role and they all did it with a smile (hopefully including me!). The clinics were fun but as the week wore on, became more stressful. When the people realized the clinics were coming to a close, they started to come earlier and in much greater numbers. The last few days I turned hundreds of patients away each day.

It was nice to see people I recognized from previous years, both among the translator and patients. One woman named Purity was carried in by her husband last year and she had her baby on her back! The man carried two people. This year, through APDK (association of disabled people of Kenya), she walked in with arm and leg braces! I was estactic to see her so able and on the move! What a difference that little thing made in her life, and it wasn’t even Mikinduri Children of Hope (MCOH) that provided it to her, it was a group that we brought to Mikinduri as they weren’t aware the need was so great here! The pre-week meetings that Ted and Ed set up have the biggest impact of all to the town!

Occasionally as people left the clinic, they would say ‘god bless you’ or something similar, which was always wonderful to hear. It was so easy to get caught up in the logistics and rush of the clinic that I sometimes forgot how many patients really were helped. 4750 is a lot of people!

In the evenings and on weekends I entered data. I still went to most of the events, but skipped a few because I’ve been there before or was too tired. This year, hiking the mountain to Thuuri for the second time was beautiful. Plus I knew it wasn’t as daunting as it sounded. The sun was still hot hot hot though! That is the day we went to the school and feeding program at Kiguwru. The people danced and sang. We served them food. We watched a failed charcoal presentation, which is unfortunate because one of the engineering classes at UPEI is designing something that required watching the charcoal demonstration and gathering data. Oh well. It was nice to see the Canadians and Kenyans interacting. This year was so different as a coordinator of the group, that I kind of felt removed from it. It wasn’t as much a participant as I was ensuring that everyone was present and happy. It’s a funny distinction. The trip was still very rewarding, just less relaxing as the times I would have un-winded in previous years, I was still kind of ‘working’.  

Luckily this year there were no long combi rides. Even getting to the safari site was a breeze and we arrived early! We had a wonderful game drive last evening, glimpsing a few lions (oh my!), two cheetahs, and this morning when we saw a tree full of baboons. I am off to get a massage, one I could really use, as I spend my last full day in Kenya for another year. Tomorrow we leave for Nairobi and fly out in the late evening. We land (weather permitting) in PEI 24 hours later, but with the time change it will be the same day. Haha.

I’m tired now thinking about all that was accomplished, but it was so wonderful to help so many people and to show them that we come every year. We’re a group they can trust and hopefully support within the community. It was nice to step up as a leader when there was such a great void left this year by a few past team-members, and I leave with many ideas on how to improve next year’s camp! As Ted says, ‘to know the people in Mikinduri is to love the people’. You really do have to come here to understand why it’s as magnificent as it is, and the experience is never the same.

Tuesday, February 14, 2012

Mikinduri How I Missed You! Tuesday, February 14, 2012

I cannot believe I have gone this long without posting a message. I left a week ago, today, and am foremost thrilled with the success of the last two days of clinics!  Lets start at the start. We have an official blog this trip, www.mikinduri,com/tripblog, and dedicated blogger, Louise, so all I have to do is loan her  my computer, then select appropriate pictures, upload them, then upload her blog to the website at speeds that make dial-up look preferable. It is saving me time though, so I have been remiss in updating.  This is going to be a long one. Buckle in.


Thursday

We arrived last Wednesday at midnight and headed to our spot in Nairobi: the Methodist Inn. I helped my uncle Ted exchange a huge amount of money for the volunteers and spent a few hours figuring out how much to give each person. 82.5 kenyan shillings to the American dollar (because they don’t accept Canadian dollars) is an odd thing to calculate. After a restful sleep, we were up early and on the road for some touristy spots. This is the first year that tourism was on the agenda so early in the trip. We started off at Kazuri Beads, a place where girls who are affected in some way by physical abuse can work. They make beads out of clay, bake them, paint them, and string them. It was a beautiful shop and so great to see the 200 women so gainfully employed. (Plus my Christmas shopping may be done for the year. I can say this without worry of spoiling it …as I know Linds will never read this far into the blog. Haha).

Next we headed to a surprise location. When Ted said he had a few surprises lined up for us, I immediately knew what one of hem was, but not the other two. So after Kazuri beads, I was excited to see the surprise. We arrived at a zoo in the middle of Nairobi that was more like a ranch. There was a huge plot of land with many giraffes wandering around, and best of all, there was a feeding station (2 stories up). For only $7 admittance, we got to go into this safari in the city, walk up the stairs, and feed, pet, and poke giraffes! Yes, I did poke a giraffe. It was on my bucket list.  We then headed to the place that I knew we were going, only because every year we try to go and never make it. The elephant orphanage! There are ‘baby’ elephants there that have been abandoned, again in the middle of Nairobi, but this is a provincial park. The ‘babies’ are taller than the average man and only 2 years old! They wandered around an enclosure and drank out of bottles while the guide standing with them explained each of their names and circumstances for coming to the center. They were adorable, but after about 10 minutes you were over it. How amazingly fast does complacency set in?

On the way out of the orphanage we saw a monkey, possibly a baboon, up in the trees. Yes, we were in Kenya! A monkey sighting confirmed it!  We headed to Castle Forest Lodge, a beautiful place to adjust to the time change for an evening. We got there later than normal since we were tourists for the day, just in time to rest before dinner. The ‘kenyan massage’ (a really bad bumpy road that my mother will never ever forget, nor will her broken back), was a welcome reminder of the past. The memories started flooding in at Castle Forest. While we saw no elephants there that day (as we had last year), no one was really looking.  We were already spoiled with wildlife.



Friday

After a restful evening and culturally awakening conversation with Jessica, one of the girls from Ontario, and Dr Rosie, a young Kenyan doctor who has joined us for the entire trip, we set off for Mikinduri. (This is now Friday, for those of you keeping up). Dr Rosie explained one of the differences between Kenyan and American culture is that men would not be offended in Kenya with any amount of cleavage. Many women openly breastfeed wherever they are – restaurants, buses, stores, etc. But, if a woman has a short skirt on, it is extremely suggestive. Rosie explained that almost anything above the knee on a white woman would be permissible only because we are odd anyway, but if Rosie were to wear a short skirt, the men would likely strip her naked until the women came and saved her. Apparently Kenyans are leg-men.

Once we arrived in Mikinduri, we were pleased to learn that we were staying at Hotel NoName, a name a gave it last year that Dr Ed has tried to rename ‘Inn on the Hill’ as in Charlottetown, PEI, but I am sticking to NoName as the hotel is a year old and still has no name. This is a newer hotel than the one we normally stay at, but most luxurious, there are toilets in every room but 2! And even better….I’m not one of those two! I have no idea how that worked out, but I’m thrilled! This hotel is nice because it is where we eat our meals and is walking distance to the clinics. Last year we had to take combis (a van) to dinner and clinics from our hotel, and wait for everyone, and it was really just a hassle! This year, I wander out of my room when I like, and socialize only when it’s fun.



Saturday

The team this year is really spectacular. It’s small, but cozy. 25 members who are really all sweet-natured, easy going, and to Ted’s liking, on time! Not one person has been late even once in an entire week. It seems unreal. People are all very friendly and gelled immediately. Most are from Charlottetown, with some from Ontario, Fredericton, and Vermont. Whenever something needs to be done, there are many volunteers, and no one grumbles at any point. (This is not a dig on the previous trips, but it is noticeably an easy group to get along with). Of course, that being said, I can’t turn around without missing the regulars. Karen, Greg, Nancy and Bill…it just seems odd without you! While at the grocery store (Nakumatt), I had to buy a small bottle of Amarulla, because that’s somehow just what I drink in Kenya. Every night Karen would offer me a drink and after turning the first few down, I eventually give in. It just seemed wrong not to have a nip of this bailey’s like liqueur before going to bed.  Karen – the bottles gone. I think you were here for a bit at least!

Okay, back to Saturday. We started the day out at Kenoe (or Kinwe) feeding center. The kids come for the feeding program Saturday morning and welcome us in a way only the Kenyans can. When they say ‘Caribou’ – welcome, you realize the deeper meaning in how they say I saw this one girl named Ruth that I have taken a picture with for three years in a row. She has hazel eyes and must be nearly completed with the program, but it’s lovely to see her still involved. It means she is still in school. We were entertained with poetry, psalm recitations, and song, then served the children food. We also got to see the site of the new Maringa processing facility, which is one of MCOH’s new projects. They broke ground on it a few days ago, and Ted hopes to have construction underway before he leaves.  Maringa is a miracle plant with all of the necessary amino-acid complexes to build protein. The plant will dry the leaves and make it into a powder. There is a customer who will buy the Maringa, so the main intent is to convince the farmers locally to grow something other than corn, to improve the profit for them. Additionally it’s a great product that can be used in the feeding programs.

We headed back to the Father Bernard’s church to begin unpacking. Now, this is the day I missed Karen most. This is what she organized – the bags. Thank goodness she did all of that in Canada this year, as I had an organized list to send the 50 different hockey bags off to, whether it be medical, dental, pharmacy, vision, or fun stuff to give away. Once we sorted the bags, we actually had to open them and sort the stuff inside. Guhh! Always so much work. Luckily, this year, we are only working in Mikinduri, so it is much easier to sort for 1 clinic rather than 3.



Sunday

On Sunday we continued sorting in the morning than I joined in with church just after the homily (only an hour late!). Here is my justification: Everything (readings, homily, etc) were in Kimeru or Kiswahili…I don’t even know which, so what good would it do for me to be there? (Kimeru is one of the 42 tribal languages in Kenya and Kiswahili is the national language). Well after I arrived and was seated way too close to the front for my liking, tho9ugh still about ½ way back (this is practically the last row for Kenya/muzungo standards. Normally they have us in the very first pew of 50!) Anyway immediately before communion, an alter server came up to me and said ‘father requests you to come to the front and serve communion’. Now I have been Catholic my whole life, but I have only been a Eucharistic Minister once, and I was in 8th grade on a retreat. Doesn’t really count. So I wander up to the front, not entirely sure where to stand, as each church has a different custom, and luckily he also drags up another Canadian (yes I just called myself Canadian), named Shawna, who has obviously been pulled up before. I follow her lead, and when it comes time to bring communion to the people, stand in the right-ish spot to the left of the priest, and gladly remember the phrase I repeated a hundred time ‘body of christ’. It was neat for the Kenyans as they very emphatically said ‘Amen’ after I said my phrase, and neat for me to serve in church in addition to in the community. It’s a little too up front for my liking though. This was just the first surprise.

So now that mass is 120 minutes in, and has finally ended, the speeches begin. All in Kimeru of Kiswahili, of course. I am told just before this by Chief Alex, that I am to make a speech to the people, introducing my team. Well there are only three of us who have managed to stay for the whole thing, some because they’re not catholic, some left after communion, and truthfully, I only stayed through speeches because I knew I had to. We normally duck out to go do work. Anyway, Chief tells me that Ted said I would say something, so I can just imagine Ted driving to Meru (the biggest town locally, about 100,000 people) to have a skype conference because the signal is too weak in Mikinduri. Anyway, I can just imagine him laughing at leaving me to do a speech in his place. Well it turns out he told the Chief ‘no’ but since that is not a word the Chief understands, he tricked me into getting up there. So after the Chief talked for 20 minutes about something, with the occasional ‘canadian’ ‘clinic’ and ‘medical’ mentioned in English, I wander back up to the front. Then he introduces the Chairman of the Parish Counsel who talks for ten more minute about something. Chief runs over five different times during mass and the speech to tell me things I need to include in my speech. Well I touch on all the point. ‘Thank you Chairman’. ‘Come to the clinics’. ‘My team has 24 people’, etc.  I realize halfway through that nobody can really understand anything I’m saying, even though I’m holding a microphone with the foam around it that makes it look like a tasty ice cream cone. I babble on for a few minutes (2 at the most) saying the things that I have heard Ted say a million times. The Chairman comes back on after I finish to translate for me and somehow my speech was only 20 seconds long. Something might have been skipped…. Anyway I walk back to my seat, and realize I forgot to thank Chief. Ooops! Major faux-paux. I remembered to thank the priest, MCOH office , and ten other people, for welcoming us to the community, but not the Chief. Needless to say, I had to smooth that over later.

One of the things I have learned is that Mikinduri is pronounced differently than we have always said it. The emphasis is on KIN not o the initial MIK like I thought. It’s ‘mih-KIN-dur-ee’. Huh. You think  you know a place.

Sunday ended with hope for Monday, when the clinics would begin. When I left the grounds on Sunday, there were 2 tents that weren’t up yet. They were being used at an anniversary party not far away, so even though MCOH was renting them starting that day, we had to pay for a bus to collect the tent and supplies. The people who were supposed to bring the tents decided to stay for the party instead as it seemed like more fun. You have to love Kenya! It’s such an easy-going place, you have to be creative with the solution. One of the women tripped on the way back form the clinics. She was taken back to the clinic, where it was realized there was no power, water, supplies, or even a pillow to prop her ankle up on. Huh – we’re supposed to do what now tomorrow…in this spot? Oh well, I’m sure it will work out. TIA (This is Africa).



Monday

And it did! Monday was a huge success!  We eventually got water and power, until the power went out due to the regular Monday night power outage. (It’s scheduled and expected). We partnered with the Lion’s Club out of Meru, who provided (we paid wages for) 4 doctors, 6 clinical officers (similar to nurse practioner), and 10 nurses. This is 4 times bigger than our normal medical team! We had to give them a tent to use in addition to the building, it’s so big! The biggest joy of the day was the realization that we could see more patients than were interested. What I mean by that is, in previous years, our medical team was smaller, so we had to prioritize which patients got to see the doctors. Now, taking a medical professional out to make this designation would only slow the process further, so one of my responsibilities was to walk up and down the medical line and decide who was sick enough to see the doc. Needless to say, knowing we had space for everyone this year was quite a relief!

Most of our volunteer translators and runners have been with the clinic for at least a year, so they are familiar with the operations. They are doing a fantastic job! They are on-time, stay on task, rarely on cell phones, or goofing off. It’s a huge change from the first year in the professionalism of these students. Plus the person helping me most on registration is a volunteer from last year, and she pretty much does the whole thing, so I can try to run the clinic so Ted can be off doing project work. It has really worked out great! On Monday, we saw 260 medical patients. 60 dental, 130 vision, and 40 kids got to participate in making crafts with Lily, our 9-year old team member. The children were delighted to walk around with their paper covered in stickers! We had a few emergency patients with no major problems. Coordinating was really a breeze with such experienced team-members, volunteers, and drivers.



Tuesday

Today we woke up to Makena’s amazing samosas! Not normally a breakfast meal, but a treat for Valentine’s Day. Makena is the woman who came from Mikinduri and was requesting donations when Ted got involved. She and Ted started Mikinduri Children of Hope and Makena has come to Mikinduri this year and is acting as our cook. The food has been magical. She has masterfully blended the familiar Kenyan foods with the comfort of Canadian cooking. We had scalloped potatoes today with a Kenyan cabbage-vegetable thing. Really yummy! I fear my normal Mikinduri diet will not have any effect because her food is too good!

Tuesday clinic was fun as well. I was hoping more patients would come as we ended clinics on Monday at 3pm due to a lack of patients. We assumed with it being a market day, people would be more apt to come to the clinic. However, numbers were very low. The problem, it turns out, is that there is a medical camp elsewhere in town on the same day, for only 50 bob (Kenyan shillings … 60 cents). That is what we charged people to come into the clinics last year. This year, the local board increased it to 100 shillings. I felt that was too high but deferred to their decision…until there were no patients. After conferring with them, we cut the amount in half and sent runners to collect people from the market to come up. Ideally, we wouldn’t charge anyone to come in, but there are benefits. Many people were coming to the clinic with a problem that had been treated but they weren’t satisfied with the answer. Also, people came in just because they were curious and wanted a hat. The small fee ensures they have thought twice about coming. Additionally, we were told by the locals, that a handout is less respected than if they were to contribute part. The people gladly give the 50 shillings once they’re told the money goes to the next year’s clinics, which lets them know MCOH is serious and plans to be around. Now all of this being said, if someone can’t pay, of course they are let in. We have groups of school children that are let in no questions asked and a few others each day, though it is the exception. I worry that even this reduced rate is keeping some people away, but as we have done in the past, we will have to learn and grow the clinic each year based on mistakes we made.

After cutting 4 nurses and 2 clinicians, medical still saw 260 people. Vision and Dental upped their game and saw 230 and 100 respectively. Overall, 1000 people have come through the clinic in only 2 days. That’s hard to believe! 30 are booked to have cataract surgery through the Lion’s Club of Meru. 3 more people went for emergency services. One woman had an abscess on her breast that was very sore from breast-feeding her 3 month old baby. She was so sad yesterday, but after being sent to the hospital today, she came back full of smiles! Her child’s name is Vegas and let me tell you, he was cute! I held him for a while! The emergency cases were interesting; when we get one, we send a combi with a muzungo (white person), the patient, and this year have been able to include a nurse familiar with Meru hospital. Somehow the patient gets seen faster with a white person, as it’s such a novelty. We stick out like a sore thumb! This makes combi’s a highly valued commodity. Today, a few people took off with the last combi, not realizing what they were doing. They didn’t tell anyone they were leaving, and didn’t come back for over an hour. We started to worry where they were and if there was an emergency, what to do. Luckily, we didn’t have that problem, and it was a nice ‘fire alarm’ of sorts to set some ground rules regarding combis and side trips.

Now that being said, they took off to sponsor two different families that we saw on Saturday that were greatly in need of sponsorship. It was hard to scold them for their action when they came back as we were all so excited for them and family that was sponsored. Here, it’s like winning the lottery to be sponsored! Chalice is a great organization that we partner with and I’m looking forward to seeing my sponsor kid sometime this week.

It’s funny when the nostalgia of past trips hit. Today was Valentine’s Day and two years ago, my mom and I each brought each other chocolate for the occasion, neither of us thinking of the state of 2 week old melted and remelted chocolate. However, I know we both enjoyed it immensely, and I smile just thinking about it. Then other times, like trying to shave your leg over the goosebumps from the cold water, now that a feeling I never really wanted again. Or the first time I laid on the hay-filled mattress. Yup. I remember that! Then the good things – a cold-ish tusker, the first rush of kids waving, seeing old friends, and the princess-bed feeling the mosquito nets give you. So far it has been a great trip! I look forward to the next 10 days. Keep us in your prayers as great things are happening here!
Sorry. I'm too tired to try to make some fit nicely in here. It's after midnight and I was supposed to be asleep hours ago!

Friday, February 10, 2012

Over two years. February 8, 2012

My third trip. Wow. So much has changed over two years. That first year I was an aerospace engineer in Arizona. The next year I was homeless and jobless, in transition between Arizona, Texas, and Canada. This year I’m a professor in PEI.

The first year when I went to pack, I had all warm clothes to choose from and had to remember a sweater for the plane. The next year I was living out a suitcase that had wedding, winter, and summer clothes. This year I had to figure out how to get to the snow-covered airport with as few clothes as possible to stay warm, but conserve suitcase space once I arrived in Kenya.

The first year preparations were full of anticipation and excitement. I knew my Uncle had a dramatic change because of Mikinduri, and I was really curious what would cause that. The second year, I knew how great it was going to be, but was so busy planning for the next week, I didn’t have time to think about how excited I might be. This year I wasn’t excited.  I became perturbed about how not excited I was, until I had a realization. It’s not that I wasn’t looking forward to the trip, because I was still counting the days. Mikinduri had become so much a part of my everyday life once I moved to PEI, that it was just a given. Since I had a pretty good idea what was going to happen, I realized my previous excitement was really tied to the unknown.

It’s neat to reflect how much the people in my life have changed as well. The first trip, my sister had just got engaged. The second, she got married. Two weeks before the third trip, she had a baby. In only two years, while I feel my life has taken an entirely new direction, I can see what a 180 flip Linds’ life has become.

These ‘deep’ philosophical thoughts can only be because we are in hour 22 of flights. Seriously! We left at 5pm from Charlottetown, 90 minutes to Montreal, only 20 minutes between landing and boarding the next plane, 7 hours to Brussels, a brief 1 hour layover, then 12 hours to Nairobi. (No that’s not a typo. The final flight is 12 hours!) We boarded this flight at 9am local time, and while I knew we were only a few hours time difference from Nairobi and that we landed at 11:30pm, I couldn’t fathom how could spend an entire day on a plane! Around hour 8, as I saw the sun setting I started to clue in. Luckily I procrastinated the database work for statistics so have had plenty to do on the plane!

 Also since my good buddies Nancy and Karen didn’t come this year, I became the veteran Mikinduri-ite. That means I have been ‘herding’ the other teammembers around the airport to make sure we all arrive safely. This has been quite an easy task, but it dawns on me how different this trip will be without Karen, Greg, Nancy, and Bill.

  I will end this blog the same way I started it – The first year I travelled on my own, enjoying the club lounges with my gold airline status. The second year, I travelled alone, nearly a hobo. This year I travelled in a team of 18. That sums up quite well how my life has changed in two years.

 Quick Blip: Life has changed a lot in three years, not just for me. Oh, and 22 hours of flights tend to cause delirium and unnecessarily deep thoughts!

Check out the pics here: http://mikinduri.com/tripblog