Sunday, October 30, 2011

this post will get better after some Starbucks Via

Marvens and Lubin on the balcony of St. Damien's




David got here on Tuesday so I've been submitting him to the usual torture- making him push wagons, feed toddlers and move boxes around the warehouse. Last night we went to Operation Blessing for DELICIOUS tacos and rum & cokes. I had 5-star Barbancourt rum for the first time, so I'm feeling slightly less than motivated to write a bunch now. This morning we had yummy brunch at the container hotel, but now I am in desparate need of an iced caramel via.
yep, even in Haiti it's already starting
Happy Halloween!

Sunday, October 23, 2011

Bernard Mevs

On Friday morning, I got a ride over to Bernard Mevs to shadow my dad for a day. He was working as the only Med-Surg and ICU doctor for their nine bed Med-Surg unit and three bed ICU. The hospital is small compared to St. Damien and St. Luc, but many of the patients are very sick. The day was slow compared to the other days he was there, which was nice for us because it gave him a chance to really explain the cases to me, and we just had more time to chat. Since the two directors of the hospital are surgeons, they do a lot of post-op care. I've heard so much from our staff about why we almost never do surgeries, primarily because the risk of infection is so great in Haiti, that it made me nervous to see all these invasive surgeries. And sure enough, if there wasn't a problem with the surgery itself, the patients had some kind of complication and for many of them the prognosis didn't look good. I guess I got a very skewed view of the surgery though, because if things go well, the patients don't need to stay in the hospital. The other patients were very interesting from a medical standpoint-- a broken pelvis with external fixators (all bills covered by the UN, since it was a Minustah car that hit her), a 22 year old who needed a trach because of tetanus, and was subsequently found to be HIV+ and lost her pregnancy during her visit, and a suspected rabies case. It was great to be able to spend a day and a half looking at a hospital from a medical standpoint instead of a logistical one and helped remind me of why it's so important to make sure we have all the medicines and supplies that we need to treat our patients.

Bernard Mevs has started charging for their care, which impeded some of the medicine they were able to do. Having been in Haiti for three months, I know how much families struggle to pull together even the smallest amounts of money, and every time the translators would ask the families if they think they could get together $200 for a CT scan, I couldn't help but cringe. I have never been more thankful that St. Damien and St. Luc don't charge for care. A 10 year old boy who came to Bernard Mevs after being hit in the head by a car, was almost sent to St. Damien's just for the head CT because the family couldn't afford it at Bernard Mevs! The craziest part is that the CT scanner and the nice trailer it's in were all donated. It didn't cost Bernard Mevs anything! I know it's very hard to raise money for operational costs of the hospital, we struggle with the same thing, but there has to be a better solution than refusing diagnostic tests to patients who really need them.

For dinner, we went to a restaurant at the UN base. I put tried to put aside my contempt for Minustah and just enjoy a nice evening out. I was pretty successful, but I couldn't help bursting out laughing when I saw their "No sex for money or barter" sign. Ridiculous. The falafel I had was delicious and just to sit and talk with my dad and the other volunteers was really nice.

I got back on Saturday morning and relaxed for a little while, then went up to visit in oncology. I was tired from a busy day of new things and waking up early, so I was planning to just have a short visit and then go back home. But the kids wanted to play, so I ended up staying for a while. As I was leaving, I looked over to abandoned (it's right across the courtyard) and decided to go say a quick hello. When I got there, not only were there new babies (!!!!) but there was only one nurse for 12 babies, so there was a lot of work to do. By the time we got everyone in clean diapers, dinner came, so I helped feed the kids as well. Then there were other volunteers that came in and anyways, by the time I ended up leaving I'd been there for two hours. I was definitely tired by then, but I got to come home, take a shower, have a glass of wine and watch Modern Family with Bridget. All in all, it was a super busy, but rewarding day.

Wednesday, October 19, 2011

english class

Here are some pictures I took of my "English class" in sal melon.
Lucson and Peter

some of the gang

Mr. Cool, Junathan, on his cellphone

Tuesday, October 18, 2011

Dad came to visit!

Yesterday Dad came to visit me for the afternoon. He brought tons of goodies for me and things to give to the children. We took a bead kit and some unicorn silly bands up to oncology to give to the girls there. Surprisingly, Didine jumped right up on him... usually she is super shy with new people. She must have sensed he was part of the family. Well it could have been that... or occam's razor: he gave her a present.
Dad and Didine with her new sparkly silly bands and Dad's sunglasses
It was great for him to see the whole compound and some of the people that I work with. Hopefully, he'll be coming down again and stay with me next time! You reading this Dad??

After I dropped Dad back at Bernard Maevs and finished work, I went up to abandoned to hang out. Lubin is so close to walking, but he's so timid he won't go for it. All of a sudden I had a lightbulb moment and remembered the Little Tikes toy they have that is like a walker. I pulled it out and Lubin got the hang of it right away. I'm not joking, it took less than two minutes before he was running down the halls of the hospital, laughing non-stop because he was so delighted with himself! He needed almost no help at all, I spent way more time with Marco trying to help him with the tricycle. To be fair to Marco, it's pretty hard to ride a trike when your feet don't reach the pedals.
Heading out for a ti marche around the hospital

Sunday, October 16, 2011

reflection (it's a long one)

It’s hard to believe that it’s been three months. It feels like I just got here- I’m still struggling to learn the language, still meeting new people every day, still doing something different at work every day, still figuring out how to fill up my free time. I don’t have a usual thing I do with any of my days which makes it all feel new and exciting. But I think that that’s a big part of why I came here. And Haiti definitely hasn’t disappointed. When you can’t even count on facts from one day to be true on the next, semblances of routine and monotony are nonexistent.

But in other ways, much more substantial ways, it feels like I can’t have only been here for three months. The friendships I’ve made here are so much deeper than any I’ve made in the states in just three months. The work we’ve accomplished as a team has been substantial and important. Although it can feel discouraging from day-to-day, when you look at where we started from, it makes me so proud. I’m proud of myself for learning and adapting to working in the developing world. I took a college class about teaching and we talked a lot about starting with the most basic knowledge with your student and going from there. When a teaching a computer program in the US, your first question would probably be, “have you used this particular program before?” In Haiti, it's not “have you ever used a computer before?” or even “do you know how to read?” but, “can you see the letters on the computer?” And although this reality is sad, I’m happy to have an understanding of Haiti’s circumstances that allows me to not make presumptions about people. I’ve learned, and am continuing to learn so much about the culture, that I know not to judge levels of understanding or methods of getting things done. I know that I am a visitor to this culture and that it is me that needs to be adapting, changing and learning to the way of life in Haiti. I am very thankful that those that I work most closely with, both Haitian and American, share many similar values and goals as me. It has made my transition into daily life here peaceful and rewarding.

This morning we had a mass to dedicate the new wing of St. Luc Hospital to Sister Philomena, a long-time NPFS volunteer. Father spoke about how we are able to accomplish so much because of the foundation that has been built from the love and sacrifice of those who worked before us. It was very meaningful to see so many of our long-term staff, volunteers and supporters there. He spoke about how all of these services we provide—a home for orphaned children, medical care for sick children, a home for disabled children, a hospital for adults, a hospital for disasters, another two homes for vulnerable children, a therapy school for disabled children—have all been created out of necessity, which is a tragedy. He spoke about that the criticism of our organizations, both internal and external, is valid and important, but that we have an organization that has been built on love for the children and love for the Haitian people. And as I reflect on his words and the work of the hundreds of people of NPFS, I am happy that we have an organization to be critical of. I am happy that people feel safe enough here to express their opinions and care enough to want to make it better. The day we take a look at our organization and say, “ok it looks like we’ve done enough” is the day we have stopped listening to and loving Haiti. The problems here are not ones that are going to be solved in my lifetime. But we are listening to the people of this country, by not only providing social services, but jobs and roles in leadership and management. We are not an organization of 20 blancs, who hire Haitian security and drivers for us to spend our days going from UN meetings to drinks in Petionville. We are a Haitian-run organization with international volunteers in advisor or training roles only. Haiti’s progress and development is going to be made by Haitians and I am happy to be a part of the empowerment and training to work towards our shared goals.

Although disappointment and devastation surrounds us all the time, for me, it’s more difficult to focus on the bad. But believe me, it’s here. Yesterday, walking into oncology as a mother cries over her three year olds body being taken out. Our cook being robbed of all the money to feed our children for the week. Patients dying because they didn’t have the money to physicall get to the hospital when they started getting sick. A university student having to fight for his right to a USB drive. Three children being abandoned at the cholera treatment center last week. Living and working in Haiti, you can’t dwell on the bad because it will pull you into a downward spiral of absolute devastation. You have to walk a fine line between listening and truly understanding other’s circumstances and not letting the overwhelming need get to you. And perhaps the hardest thing of all, is understanding that each of us has a different tipping point. Although I may be ready to hear about a great need and ready to fight to improve it, another volunteer, or my boss, or my family back home, may not be ready to hear about it. We all have our causes, our battles and whether they be self-interested or not, we have to respect each other’s work and dedication.

But what I’ve been learning to do here, is to keep a little ear open. I can’t solve our multi-million dollar budget crisis. But the babies in the abandoned room get very little attention? I have an hour to go play with them most evenings. A volunteer sees a mommy walking around the hospital with no shoes, so she gives her her flip-flips. Little moments of generosity are powerful in that they are infectious. These little gifts of time and things have expanded the hearts of our seasoned volunteers and I see that they now fight for big and difficult changes. Sending children to the US for surgeries requires medical clearances, partnerships with a donating hospital and enormous amounts of money, but they make it happen. Volunteering at a clinic in the slums on the weekend when you already spend 60 hours a week running a hospital takes a level of dedication that I can’t understand. But I can see people’s growth in the process and it makes me inspired. I hope that I too can grow in the process of my time here and learn to give more and more. So thank you to my friends and family who have been listening to me tell stories about babies, children, coworkers, patients and life in Haiti in general as I process everything I’m experiencing. I definitely could not do it without you.
Watson and Rosemita at the Sister Philomena Dedication Ceremony

Saturday, October 15, 2011

bye, bye Yvens

Exactly one week ago I wrote about how the hardest moment of the week was learning about all of our abandoned children and that they have no place to go. Today, without a doubt my hardest moment was when I walked into the abandoned room and Yvens was gone. He was accepted into an orphanage and will thankfully be living in a home with other children and (I hope, hope, hope) be provided with all the love and support he needs to grow into a happy, healthy child. I'm glad that he will no longer be sitting in a crib for endless hours a day, but I'm sad that I didn't get to say goodbye or even found out the name of the place he went to. I know that he has an amazingly strong spirit and will easily find his way into the hearts of the caretakers at his new home. But I'm definitely going to miss seeing his happy, smiling face going up into abandoned every day.


In other good news (why yes, I am trying to convince myself that it's good news that Yvens is gone) previously-mentioned possible security situation for today is no longer a worry. Aristide was on TV today, sitting with Martelly right by his side. Last night when we heard two rounds of 20+ gunshots, we were a little worried... but today there was humpty-dumpty and his little gremlin friend posing for the cameras like good, peaceful politicians.

More good things... my Dad is in Haiti for the week, so I'm excited to see him. My friend David is coming to visit the following week! The Huskies won today. My weird stomach thing seems to be getting better (and I didn't have to poop in a cup... haha Kevin!!!) Had a fabulous dinner at Operation Blessing tonight. Heard lots of great stories about 'back-in-the-day' at NPFS from all the seasoned volunteers who are here for the grand opening of St. Philomene, including Sister Philomena herself, for whom the hospital is named. We're having a big mass and celebration tomorrow, so I'll post about that tomorrow.

i'm alive

So damn easy to say that life's so hard
Everybody's got their share of battle scars
As for me, I'd like to thank my lucky stars
That I'm alive and well

It'd be easy to add up all the pain
And all the dreams you sat and watched go up in flames
Dwell on the wreckage as it smolders in the rain
But not me, I'm alive

And today you know that's good enough for me
Breathing in and out's a blessing, can't you see?
Today's the first day of the rest of my life
And I'm alive and well
I'm alive and well

Stars are dancing on the water here tonight
It's good for the soul when there's not a soul in sight
This boat has caught its wind and brought me back to life
Now I'm alive and well

And today you know that's good enough for me
Breathing in and out's a blessing, can't you see?
Today's the first day of the rest of my life
Now I'm alive and well
Yeah, I'm alive and well

Saturday, October 8, 2011

rose & thorn moments

I once heard that the Obama's have a dinner-time tradition of talking about their rose moment and thorn moment of the day. So here's how my week went, Obama style:

Thorn Moment

Without a doubt, the worst thorn moment was learning that in addition to the 12 abandoned kids we have in the 'official abandoned' room, there are 9 others throughout the hospital. 21 children abandoned at St. Damien. And now, 3 kids abandoned at the St. Philomene Cholera Center. 24 children, in our care, waiting... to at best be placed in well-financed orphanage. I also learned that two of our children have been with us for over a year, still waiting to be placed. All of our homes are full and apparently everyone else's are too.

Rose Moments
  • FREE BLACKBERRY! Move to a third world country and get a free smart phone...thanks, Voila!
  • Meeting Peter and Lucson who are in the melon room. They want to learn English, so I did two English lessons with them this week. They want to learn so badly and are so cute because I can tell they practiced after their first lesson and had tons of words to ask me how to say when I went the second time. It's been great practice for my Creole as well.
  • Getting two big shipments of medications! The shelves are finally stocked and I am SO happy that I can tell the pharmacies, "YES we have that!"
  • Helping a friend fill out his paperwork to go to the US for the first time
  • Yvens showing off the new trick he learned- waving- to every person we pass by in the hospital
Lubin & I on the St. Damien balcony

Monday, October 3, 2011

riots, gangs, guns and... rice?

Where to even begin...


In my last blog post, I mentioned that we were having a security situation. Our previously quiet streets had been filled with huge groups of people that were clearly from the slums and dressed like gangsters. They grow their hair long, they wear baggy clothes and a lot of them have huge scars. Our compound is very much isolated from any homes, other businesses, etc. so the people on the street are almost always patients. We do have some street vendors who sell food and phone cards to our staff and patients, but we recognize a lot of them and they usually fairly nice, so these new people really stood out.


Yesterday, a big group of the volunteers and employees had a meeting to talk about what's been going on and discuss options for staying safe. Father Rick started the meeting by explaining why these big groups (40-50 people) have been hanging around. Basically, our organization had a miscommunication with a supplier about where to deliver a shipment of rice. In the past, we have been able to use rice to get in the good graces of the people in Cite Soleil, so that we could provide medical care and other services to the people who live there. Instead, the rice was delivered to Francisville by mistake and these people have been hanging around waiting for the shipment to come in and for our organization to give out the rice. There are a few other security issues besides this, so we had our hour long security meeting and came to some agreements.


As Bridget and I are leaving, we can hear these groups of people yelling and causing a huge commotion. We decide to go up on the roof to see what's going. We get up to the roof and the people are inside Francisville. Francisville has a 20ish foot wall surrounding it on all sides, a padlocked gate, and two security guards. There are probably 20-30 of these gangsters yelling and pacing around in front of my warehouse, when we hear a gunshot. I am seriously freaking out at this point. We're trying to figure out who we should call, when I hear Wynn's keys and can tell he's coming up to the roof too. He asked us if that was really a gunshot, then realizes their inside Francisville, says a few choice words and quickly goes to get Father Rick.


Man, this story is way more fun to tell when I don't have to be PC about it.


Anyways, a few minutes later we see Father and Wynn walk into Francisville to go talk with these guys. Ten or fifteen minutes later, they get everyone outside the gates and start letting some of the tap-taps in to collect the rice. At this point, Ivy and I left to go have dinner at Operation Blessing, but I guess it got even worse. There were more gunshots (they just fire into the air), then someone smashed a bottle on Father Rick's car and broke his window. Father was mad, but it ended up being the other gangsters who started beating him for doing that. Eventually, they got everyone out and the rice is gone. There are no more crowds of people and I was able to go to work today with no problems.


The easiest way to deal with all of this is to laugh about it. Which, let me tell you, there are some pretty hilarious non-blog appropriate moments to joke about. But when you think about the situation its really devastating. These people have come all the way here, stood outside from 4am-10pm, sometimes in the pouring rain, all for rice. There are no other organizations doing food distributions anymore, so their desperation is immense. Father told us about a conversation he had with one of the guys waiting outside the gate. The guy got up in his face and said "Can't you understand? We're here in the rain, all day, all night, because we NEED this rice? Can't you understand how much we NEED this?" and Father replied by saying, "Can't you understand that you're making it IMPOSSIBLE for me to give it to you? You're scaring our patients, our staff... even the rats are staying away because they're scared!"


Completely not true by the way, the rats are definitely still here.


Stay tuned because October 15th should be another fun security day. Aristide (previously ousted president who favored random acts of violence) is supposed to be giving a speech on the radio and depending on what he says, may either be supporting Martelly (the current President) or trying to throw him out. Aristide also happens to be our next door neighbor. He also has chats with these gangsters who camped out by our organization. Apparently, they told Aristide that we are one of the groups that actually gives aid in Cite Soleil (point- St. Luke!)

Saturday, October 1, 2011

family day

Today was fete paran (family day) at Father Wasson Angels of Light (FWAL). I knew from talking with friends who are my age, but grew up at St. Helene in Kenscoff, that this day is one of the hardest for the kids who don't have any family or their family doesn't come to visit them. The home at Kenscoff is for orphaned and vulnerable children, so many of the children have some extended family, but who are unable to take care of them. NPFS tries to encourage continuing a relationship for these children who have family. At FWAL, this is even more the case. Now that our social workers have had some time to visit with families, the children who lived at FWAL that have no extended family moved to Kenscoff a few weeks ago. The FWAL program aims to follow more of a boarding school model for the children, while providing additional assistance and resources to families. So once a month, the children get dressed in their best clothes, and family can come visit from 9am-noon.


I went with a group of our long-term volunteers to play with the kids whose families don't come. We arrived before any parents, so at first it was just like a normal day of playing with the kids. As parents started to come in, it was so great to see the kids reuniting with their families. It was so funny that for some of the relatives, I knew exactly who their kid was because they looked so much alike. Some of the family members brought cameras to take pictures or little treats like sodas and candy. School starts next week, so many of the conversations I heard were families asking the kids if they were excited to be starting school.


But it's hard to watch expectant little faces watching the front gate, hoping that they would recognize someone walking through. I brought a coloring book and some markers and crayons, so I started pulling out pages to give to the kids for some distraction. It was a major success (only one fight) and many of the kids came up to me when they were done to show me their work. A few even offered to give me their drawing as a present. It was very sweet and I had each kid write their name on the picture to hang up in my room. When they finished drawing, some of the boys went to go play soccer and the girls disappeared into their containers like usual. One of the sweet, sweet girls who has been hanging out with me lately stuck around and we talked for a little while. She's nine years old, tall and slender, soft spoken and very kind. Whereas most kids run up and grab at you and talk over each other to get attention, she hangs back, waits until the others have moved on, then sits and has a nice conversation. Earlier in the day, I had asked if she had any family coming. She said no, because her mother is very sick. I was surprised at how well she was handling the day, not because she's any different from the other kids without family there, but just because I had been with her all morning and she hadn't talked about it other than that initial explanation. But eventually, we were talking with Bridget and some other kids and she started rubbing her eyes. I had my arm around her and Bridget asked if she had something in her eye, but I could feel her shaking like she was crying. She was very quiet about it and just turned around to face the container and stopped after only a minute. It's hard to know what to do-- you want to make them feel better and distract them-- but you also have to let them know its ok to feel sad. I actually think what helped her the most was right in the middle of this, one of the little girls from St. Anne who is only maybe 2 and a half was absolutely sobbing because her family member had just left. Sister Kathleen was talking with the little girl and telling her its ok to be sad and trying to coach the workers to let her cry and just sit with her until she feels better. The 9 year old I was with watched all this happen and it seemed to me like she was taking it in. If nothing else, I'm sure it helps these kids to realize that they are not alone. They are all dealing with the hurt and isolation together and share so many of the same feelings, no matter their age.
Jerry, Steve and Stanley with their helicopter drawing


acrobatics at FWAL