Wednesday, September 10, 2014

Eat. Drink. Tomorrow we fly.

I've thought of more clever titles for my posts before, but I honestly can't remember when....and I'm pretty sure I've never thought of anything this clever, so just soak it in.

Tomorrow morning we leave....ATL - > DC  - > Amsterdam - > Rwanda (spend night in Rwanda) - > drive across the border into Uganda. 26ish hours of travel and we are there.

The last 24 hours have been a whirlwind of saying my last goodbyes to Augusta, going to travel clinics, REI, Target, Great Clips, packing, unpacking, packing again, picking up malaria meds, putting movies on my computer, deciding on the right gum, and never ending lists of things to do.

If you've ever done a big trip like this, you know what I'm talking about. BUT. Everything is packed, purchased, and ready to go, and if I forgot it......hakuna matata.

An amazing adventure is waiting for us on the other side of all this, and it is finally becoming a reality. I am starting to get that Christmas morning feeling.

So as I said before, we are working with Kigezi Healthcare Foundation. This video will give you a good overview of the foundation and the condition of HIV/AIDS in the population we will be working with. We will be working primarily with the maternal and child health portion of what they do. They just had a new hospital open with a labor and delivery ward so we hope to get lots of hands on experience! Check it out.



Thursday, September 4, 2014

Uganda in T-minus 1 week.

Welcome, welcome, welcome. Welcome friends.

This is my blog. Because I'm going to Uganda for my OB/GYN rotation in a week. (september 11th- october 10th).

If this looks familiar to you, it's because I'm just reusing my blog from Mercy Ships, because I can't bring myself to think of a catchy new name, because I'm pretty sure you don't really care that much what it's called anyway. So JamesthePA[student] is gonna do just fine.

For a quick "bring you up to speed": I have been dreaming of doing medicine overseas since I pretty much came out of the womb (lol. oh man. get ready for a LOT of OB/GYN references, this blog is gonna be real). For those of you that know me, you know that I love people, I love adventure, I love traveling, and I love medicine. I have most likely told you a 67x more information than you were looking for if you asked me about a rash, why your hands get so cold, or why you think you're allergic to gluten. I can't help it and I'm sorry kind of.

But folks. This is the trip. This is the first time I will be going overseas to specifically learn and practice medicine as an actual medical provider. It is the culmination of high school, college, EMT school, Mercy Ships, shadowing, being an ER technician for a year, and 15 months of the hardest schooling I've ever done.

Am I a PA yet? No. But I am aspiring very much. I just finished the didactic portion of becoming a PA, which many have likened to what they imagine hell being like. But from objective stand point, I don't think that is quite fair. If a gif could explain it, it was more like 15 months of this (just click it):

http://www.rantlifestyle.com/wp-content/uploads/2014/05/Attack-Dog-Puddle.gif

But alas, we made it through alive and the class has dispersed all over the state to start our clinical year. We are finally getting to put into practice what we've been studying for for so long.

But back to the trip. When we get to [Kabale] Uganda, we will be working with an organization called Kigezi Healthcare Clinic that is run by Ugandans, and they have been serving the people in southwest Uganda for years. They really focus on nutrition in mothers and children, general medical care, maternal health, and HIV/AIDs. We (me, shelby, and lauren) will be going to work with the maternal health portion of the organization. This will include but is not limited to: labor and delivery, HIV/AIDs management to prevent mother to fetus transport, working in the general clinic, nutrition education, and village trips. A new labor and delivery hospital just opened up there, and it looks like we will be getting to spend a lot of time there! (I don't want to end up in OB, but I do want to know how to deliver a baby if I need to). It is really new, so I don't really know what to expect as far as that is concerned. But I will let you know once we're there.

I could go into much much much more detail, but instead I will put up pictures. If you want to get a really clear picture of Kigezi Healthcare Clinic, I'll post a video soon, it is really well done! These are some national geographic pictures of labor and delivery in Kabale.

Midwife, mother and baby post delivery

Using a razor to cut sutures after a c-section

C-section

Delivery room

Fetal heart tones


Let's just say it will be different than working in a hospital here.


And this is Lake Bunyonyi. It's the second deepest lake in Africa, and it is in Kabale. I will fish in it and I will look at it and I will go to it and I will see it.

Throughout my life, for as long as I can remember, I have felt like God has been leading me in the direction of international medicine. I feel like the Lord has called me to use medicine to build relationships with people; to bring life, hope, and light to those who have none. All of these trips, all of this schooling, all of this work has been for a reason, and words can't express how excited I am to finally get to use it!

Guys. Thank you for reading this, praying for me, and supporting me. I know so many of you have given to my trips over the years, and I want you to know that I don't take any of that for granted. I am overwhelmed, humbled, and so blessed at the love and support of my friends, family, and even people that don't even know me who over the years have given so generously and supported me. Thank you, thank you, thank you. I am so excited for this trip, and can't wait to share updates with you all!

Stay tuned,

James

Saturday, October 8, 2011

isaac vs. america

over the last 2 months that i have been here, some of the sierra leoneans that work in the galley with me have become legit, good friends. something that i was actually not really expecting to happen. this one's name is isaac. he is not just one of the people that says my name and asks me how my day is and moves on, but he is one of the ones that with every single conversation we have, makes it his goal to learn about me and where i come from and why i am the way i am. he was the first person to open up to me about his experience during the war, and our relationship has grown ever since.

i'll try to describe him for you. this guy is ridiculous. picture a 5' 5", dark black african man in his early thirties, missing a few teeth, built like a freakin tank, completely out of pure, solid muscle (and tells me every day that i have big arms but they are soft like a baby...), and will take a 6-inch deep metal pan full of searing hot steamed rice out of the oven with his bare hands. every time. this dude is crazy in the head, but he is an amazing man. he had been asking me for a while to come visit his house because he wanted me to meet all of his family and see where he lived. i kept saying "yea! totally we should do that, let's figure out a time..." just like i would do when someone who i had lost touch with while in college wrote on my facebook wall that we needed to hang out sometime (but for some reason, it never ends up happening...). i mean to be honest, isaac is a great guy, but in my head im thinking, "he lives like an hour away, im probably gonne meet every one in his village and they will all stare at me like they do everywhere and point and whisper and giggle and want to touch my hand, and i will go see his house, which i can already picture, and then eat some food that i will probably regret, then come home 10 hours later." remember, im just being honest. the only difference between saying "yea lets hang out!" in america (with no real intentions to go out of your way for it), and saying it to a west african, is that they dont just forget about something like that and let it go. after i had given the green light on the hang out, he was determined to make this thing happen. i was going to his house whether i wanted to or not.

so we made a time 2 weeks in advance for me to go spend the night at his house after work one night. (if he was going to remember the committment was an entirely different thing in my mind, so i just decided to roll with it and see what happened........)

he remembered.

 i dont think he actually ever stopped thinking about it come to think of it...
so here we go. spending the night at a day workers house. a little scared, not too sure where i was going, where i was sleeping, what i was going to sleep on, or eat, or drink, but whatever, lets just do it. it was an amazing experience, and an honor to get to see how he lived life away from the ship. i met everyone. e-v-e-r-y-o-n-e. his brothers, his sisters, his nieces, his nephews, he friends, his neighbors, his pastor. they were all from an area called Kono, which was one of the places that was hit hardest by the rebels during the war because of the diamond fields there. they had all been uprooted and moved to freetown, and there they became family. they became family because they had no one else. if they were from Kono, they were his family. i began to realize that all these people i had met were not really his brothers and sisters and nieces and nephews, but they were all he had, and in his mind, that is what they were to him. it is what they are to each other, not just him. i learned so much from getting to see where he lived and getting to actually sleep in his house. which was one room, with a bed, a window, and some clothes. yes it smelled, yes it was hot, yes i was certain i was going to get malaria, and no i didnt sleep, but good gosh, isaac could seriously not have been more thrilled that i would actually come to HIS house and sleep in HIS bed. he just kept saying how he never thought i would actually do it, and that it is unheard of that a white man would stoop to such a "common african man's level and sleep in his own bed" as he put it.... sad. this is the point where i wanted to get rid of any thing of any material value and throw it in the toilet. just a common african man? if i could be half the man that isaac is i would be doing ok. somehow they have been led to  believe that white people are more than common men because we have money.....thats an entire other can of worms though.

isaac kept saying to me, "james. when you go home to america, you are going to forget about me." or "james, any time i have made a friend from america, they will go home and never talk to me again. they just forget about me. please dont forget about me." at first i just wanted to reassure him with the ol, "of course man, i wont forget you! we'll stay in touch! here's my email...." but will we? was i serious? i could see in his eyes that he had been hurt by other crew members before me who had invested in him, said they were his friend, then moved on once they got home.

but thats the west, isnt it? the land of facebook and texting, insincerity and surface level friendships? im not on a soap box here, but you try explaining to a west african who has only known true friendship (meaning loyalty, sacrifice, and giving someone the only shirt off your back if they are in need) why us westerners cant seem to keep our  promise and at the least check in every now and then. ask how he is, ask how is family is. thats not even a sacrifice. i was kind of embarrassed to say the least at how cheap friendship has become to me. i pulled out my ipod and showed him my facebook friend list. i said, "isaac, let me show you what the term "friend" can mean to someone in america ....i started scrolling through a list of 800+ names that i have become friends on facebook with (after deleting about 600 others in the past year) and showing him my "friends." out of those 800 names i could probably pull out a good 15 or 20 that could be a friend like isaac was prepared to be to me, but i was embarrassed. it didnt make sense to him. he had a look of confusion on his face as i explained the idea of individualism vs. collectivism (not confusion by the big words, but confusion of the idea.). it really troubled him that we would live like we do, but he finally started to understand my culture. a culture of looking out for number one, getting more things, and when you have everything you wanted, getting new versions of what you have. i dont really have a lot more on that, because honestly i havent really processed it enough to write more. it is just amazing to me that the people here truly have absolutely nothing of physical worth to them except each other, and that is all that they want. they may not have an ipod or car or tv or job, but they have a community of "family" that will always be there for them.

 its about relationships, folks.

they live so differently here. relationships especially. it is a completely different ball game. it is things like this that i am finally starting to learn and get a hold of, just in time to leave. i will be here another 36 hours, and thats it. back to the land of set prices, traffic laws, and white people. im not really good at goodbyes...i kind of hate them, so i usually try to suppress any emotion and just get them over with. its not good, i know, its just a thing i do.

more later. i have loved this experience more than i could have ever imagined.
this wont be my last post, im sure ill have more to say, more pictures to post....if you want to surprise me with a big sign and a tall, cold glass of cow's milk at the airport, i wont be mad.

love you lot bunches,

james

Wednesday, September 28, 2011

Alberta and Osman.

Alberta and Osman have both been here since I have been here and they are pretty incredible kids...Alberta's arm had grown onto her side because of a burn, and osman had to have his leg amputated. these relationships are why i am here.


It's been a little while...Sierra leone hollaaaa

hope center.

these are just a bunch of rando's from the hope center...sorry if it isnt the most exciting thing in the world, but it is my life here, and i love it. just giving you a little snap shot.