Saturday, December 15, 2012

This Christmas

Even now, five months later, there are moments that come to the forefront of my mind, seemingly at random. Friday on my way to work I was thinking about the amount of money we spend on Christmas gifts and having an internal philosophical debate with myself as I stared out the bus window out onto Lake Washington. And suddenly the image of giving an incredibly malnourished child a rotting multivitamin jumped into my brain. I couldn’t see the child in my mind, just my hand handing over the stinky, molded multivitamin at the Sisters of Charity clinic in Cite Soleil. This clinic isn’t a part of NPFS/St. Luke, but our organization is friendly with them and so some of our volunteers go there on weekends to help out. Because we don’t oversee it, there are old, expired medications and even some that have completely gone bad like this particular multivitamin.

In the complete, overwhelming chaos that envelopes those families in the clinic, the volunteers, the clinic as a whole, and the neighborhood, you have no choice but to accept some incredibly difficult circumstances because there is absolutely nothing you can do to change it. Is giving a nutrient-deficient child a rotted multivitamin worse than none at all? It’s a theoretical debate that you can’t afford to have with yourself because there are 50 other families standing in line and you’ve only got an hour left of clinic. Maybe that’s a decision that licensed healthcare providers are trained to make, but almost no one volunteering at the clinic has any professional training. And for that matter, how well are you able to apply your training when literally the only common denominator is the anatomy of the human body? The drugs, bacteria, viruses, genetics, incidence, diet… every possible environmental factor is different. I saw a lot of American doctors coming out of that clinic looking every bit as astounded as I felt.  And those were the doctors who felt ready to jump in to tropical medicine. The experience of attempting to help in that neighborhood is chaotic on a level of magnitude that is unimaginable to anyone who hasn’t lived it firsthand.

Looking back on the experience, what’s even more amazing to me is that I rode home from our morning of volunteering feeling tired, but normal. There was no internal war going on, no shock or stress or depression. We stopped for an errand, got back to the house, ate lunch and showered. Having lived in Haiti for over six months at this point, I was fully immersed in its culture. Were these people poorer than the people I was used to working with? Yes, but not exceptionally. It is an incredible tragedy that there were hundreds of gravely ill children in clinic that day, but with the resources and ability to which we had access, we were helping. You had better believe that if we had multivitamins that weren’t expired we would have been passing those out instead. In that place, at that moment, we were doing everything we could.

The true tragedy of that experience didn’t hit until I was far enough removed from the situation to realize that those illnesses, those deaths in many cases, are due to a lack of will to change the circumstance. Being in Haiti with an ineffective government, extremely limited international trade, and almost no big business, I forgot how powerful we are as a society. We ship millions of tons of products around the world. We regulate billions upon billions of pharmaceuticals, both in access and quality. We climb mountains and dive to the depths of the ocean and attempt to conquer every corner of this Earth. But how is it that we manage to leave these children to starve to death? To die from easily curable disease? To let them live with itchy rashes and bloated bellies, spending their days begging on the street?

And how could it possibly be, that just five months later, I find myself spending hundreds of dollars on Christmas gifts? How could I let myself get so caught up? It disgusts me, but I guess I know why. It’s because there is absolutely no way to reconcile that these two lives could possibly be lived out on the same planet, in consecutive years, by the same person. In order to live in the US and relate to others and excel at my job, I have to ignore enormous parts of last year. To sit through a thirty minute discussion of a No-Show policy, I have to block out what I saw at the hospital in Haiti. Even now, I can’t let myself go through the string of tragedies I witnessed on a daily basis to expand on that last sentence. Because now I live here, in the land of plenty, and the way that we show that we care about each other is to give a gift at Christmas. Which used to be one of my favorite activities by the way; picking out and giving gifts to the people I love.  So in an attempt to reconcile, to bring us closer together no matter how minutely, maybe this year we can all give out one extra gift: a donation to the proverbial child, through any organization of your choice. Because you’re right, any donation you’re able to give won’t end poverty. But it might mean that the next child receiving multivitamins gets to have unexpired ones.

Friday, July 13, 2012

back in the US

I'm working on a final reflection, but until that's finished I'm taking note of the things that make me happy or sad about being back in the US.

Things that make me sad:
  • Rush hour traffic
  • Drinks with only one shot in them
  • The amount of money spent at stores with nothing but pet supplies
  • America's crazy obsession with weight
  • America's crazy obsession with miracle supplements like bee pollen smoothies
Things that make me happy:
  • Restaurant food that comes within 15 minutes (or under an hour really)
  • Icecream that costs less than $10
  • Microwaves
  • Hot showers
  • The wide spectrum of skin colors and races
  • Forests
  • People saying they want to donate things to my organization :)

Friday, July 6, 2012

pics from my last week

One of my most favorites from the year- the graffiti says "President Martelly hears the cry of the people"

Baby, baby kitties!

Playing at the new St. Anne baby house!

Fourth of July party preparations


Recovering with Carly after the scary fireworks

Volunteer dinner out!

Sunday, June 17, 2012

update

The week that I got back from vacation, one of the guys who works in the volunteer area invited another volunteer and I up to an event that his organization was throwing. It's called OFUDES and it's a fraternity to advance youth and society. They take kids from a poor area and on days when there is no school, they put on activities and give them a meal. It was so great to see a completely Haitian-run organization because it was such a contrast to all the international NGO's around here that put their name all over everything to take credit for progress. You can see from the pictures that it was in a little cement room with half of a roof, but they put on such a great time for the kids and they talked to them about the importance of washing hands and food, keeping away from violence and how much opportunity staying in school will give them. The other volunteer and I brought lots of crafts for the kids to do and I got to run the face painting station!
Fenel organizing the crafts

coloring books!

she was happy when it was done, i promise!


The wonderful volunteers of OFUDES with Peggy and I
My organization has been working hard to get St. Mary Hospital fully stocked and functioning over the last couple months which has meant a lot of trips down to Cite Soleil. I've written about it more before, but this is one of the poorest areas that has had very little access to healthcare. Here are some of the pictures I've taken at the hospital and right outside it.
from outside of St. Mary Hospital looking at the Port-au-Prince bay

two girls who live near the hospital

A couple Friday's ago we wanted to have an adult drink, but had no glasses that would suffice. So we made do with what we had...

Yesterday, Sister Judy threw a birthday party for one of the kids that is very sick and has been living at the hospital for over two years. She made invitations for him to hand out and we played birthday games and had cake and presents :)
The finals of musical chairs

Singing Happy Birthday to Peterson!

presents!!!

Nadine enjoying her party favor

Saturday, June 16, 2012

third world problems

I used to read this website that would list "first world problems"... comments by people complaining about being rich that are completely ridiculous.

Inspired the events of the last week, I'm making a post of all the "third world problem" comments I've heard in the last couple weeks.

"Should I put bug spray on and aggravate my scabies or go without and risk getting malaria?"

"It happened and I thought, wow I hope that was a fart."

"Dani, bring me a friend to marry on the wing of the plane."

Guest Priest: "Wow! Isn't it nice that mass has ended and we don't have a long bulletin to read??"
Long-term volunteer: "We're just thankful that there aren't any dead bodies on the floor."

Coworker after watching his first episode of Judge Judy: "Do you know what they put that guy in jail for? Hurting a dog! I thought to myself, if that was the law in Haiti, everybody would be in jail."

"Just trade all the kids in the orphanage out for healthy ones."

"I haven't taken my malaria pills this week... better order another gin & tonic."

"Did that thing crawl out of the shower drain or come out of the spout?"
"I'm pouring bleach on it regardless"

"Gunshots again tonight?"
"No, that was a canon."

"Give me one of your cats. No, the big one, I want to barbeque him."

Wednesday, May 30, 2012

fear

A flash of lightening catches the corner of my eye from the window. I wait, breathing slowly, for the thunder to follow. I don't count the time anymore like I used to do with my Dad when I was little. Here, the anticipation isn't fun. Here, the anticipation builds and I breathe a little faster and I feel my chest tightening. I brace myself-- I can't help it-- for the wall-rattling, all-consuming thunder of the Carribean. The first boom sounds and I stop. For a split second longer I wonder if this roll is really going to shake us.

The thunder here scares me. Not in a hysterical, hide-under-the-covers kind of way, but as a powerful force outside of anyone's control that can destroy this fragile place. When I came to Haiti, I loved the thunderstorms. As soon as the rain started, or hopefully a little before, I would run into my house, open the curtains in the second bedroom and sit on the cot and watch the lightening crack in the distance. It was thought-provoking in a positive way to have finally arrived in Haiti, to be in the tropics and to feel the power of something so much bigger than myself. I knew the troubles the rain brought, cholera was already here, and I knew my job was more urgent with each passing storm. But I never felt the fear.

Ten months later, I feel it. I feel it with each bolt of lightening, each rumble of thunder, the passing minutes of a downpour. I feel it when I see young children, 6 or 7 years old, playing and splashing in the bay of trash outside of St. Mary Hospital. I feel it in the moment of hesitation before I enter the abandoned room, knowing that at any time one of the kids could be gone. I feel it when a coworker tells me his friend has had signs of cholera since the morning and I hear the trembling in his strong voice. Oh man did I feel it when we had an earthquake here. At first fear for myself, but when it was over, fear for my friends and the horrible memories I knew this small quake would bring back.

There have been so many of these moments here. And the accompanying realization that although I'll do what I can, there are powerful forces both natural and man-made that leave me helpless. To continue living in Haiti, I won't let this fear consume my thoughts. But on this stormy evening, it seems right to acknowledge it and respect it's rightful place in my experience here.

Saturday, May 12, 2012

Happy Mother's Day!

Happy (early) Mother's Day!!!

This is an amazing article written by my boss for Mother's Day. He talks about one of the women that we work with who is just a phenomenal person. I don't know her super well, but she is always joyful, always singing and always kind. All this, despite the fact that she has the most depressing job of all (in my opinion) of coordinating the funerals and burials for adults and children who die at our hospitals.

http://www.huffingtonpost.com/wynn-walent/haiti-cholera_b_1501446.html?ref=fb&src=sp&mimi=1&comm_ref=global_motherhood&comm_crv

An especially Happy Mother's Day to the mom's in my life who have helped me grow so much- Mom, Gosia, Ginny, Grandma Gayle and Grandma Charlene. I'm so lucky to have you all in my life!

Tuesday, May 8, 2012

concentrate

How do you possibly sit down and concentrate long enough to study for the GRE when your coworker is out getting his friend who has had cholera-symptoms all morning to bring back to our CTC, there is a room full of kids locked up in their cribs just dying for you to take them on a walk and a chapel full of amazing singers rehearsing that you know the kids would love?

Guess I'm getting up an hour earlier tomorrow... 5:30am here I come.

Friday, May 4, 2012

weekend highlights

Sometimes working for this organization is so f-ing cool. Seriously.

I spent Saturday morning cleaning like a crazy person and doing tons of laundry. Your clothes get 100 times dirtier in Haiti due to the excessive heat/sweat/dust, not to mention I spend my days in a warehouse and playing with babies that don't have real diapers. So you take those dirty clothes and try to wash them by hand... anyways it takes a while. So what do I do after my unglamorous morning? Go meet a famous actress. And by that I mean she was hanging out at the tents, so my boss introduced me and she complimented my work and we talked for a bit. She had a group with her, including some journalists, so the group of us went out to dinner. Father Rick came too and was the grand entertainer as usual, but I really respected that the actress let Father Rick be the star and tell his stories for the journalists. It ended up being a really late night, but of course as soon as we got back to the hospital, Father left on a moto to go down to Cite Soleil to our new cholera center.

The next morning we woke up early to head up to Kenscoff to go to mass at St. Helene. Mass was nice as usual, but when we got back to the retreat house, we were talking with one of the drivers about what he thought of the current President of Haiti, Martelly, which of course led to a whole discussion on politics. I could tell from his stories that he was very anti-Aristide, which became more and more obvious the longer we talked. Now this guy is super sweet. I spent my last car ride with him talking about how hard he has worked hard to give his children the education he never had. He talked about taking in his nieces and nephews when their parents died and about all the years he has worked for Father Rick and how much he respects our organization. But back to his political stories.

By now we're all in a group walking back up to the truck to go home and the driver is in a full-fledged rant. He sayss, "Do you know what Aristide used to do?! He was burning American flags on the streets! And do you know what we said when he did that, we said, 'Good! That guy won't be around much longer!'" At which point Father Rick turns to us and says, "Of course he hates Aristide, he was a tonton macoute!"

Just incase you're not totally up on your Haiti history, thanks to Wikipedia: "Duvalier employed the Tonton Macoutes in a reign of terror against any opponents... Tonton Macoutes murdered more than 60,000 Haitians."
 
I'm 100% sure that my mouth fell open, to which the driver confirms, "ya, I was a macoute." Like it was his freaking college alumni or something. I spent the drive home dazed that within 24 hours I met a famous Hollywood actress and a tonton macoute. Haiti put me right back in my place though with an emergency bathroom situation mid-way through our two hour drive. Good ol' Haiti...
 
We got back from Kenscoff, I took an hour nap, and then we left again to go down to the new cholera treatment center in Cite Soleil. It was absolutely incredible. I had gone the previous Saturday with Father Rick to put in the temporary little generator, fans and lights. When I arrived, there were 10 cholera patients being treated. I met the girl who couldn't have been more 17, who had been so dehydrated when she came in that Father Rick (he's also a doctor) had given her an intraosseous infusion in her legs. For non-medical people, an IO infusion is when they drill a needle straight into the patient's bones to administer IV fluid as fast as possible. She looked better compared to the guy next to her and she was SO brave as the nurse was pulling the needles out. She just covered her eyes with her arm and only let out a wince once. Let me tell you too, pulling those needles out of a bone is a process. I think it’s awesome that we were able to literally save her life overnight and who knows what would have happened to her if that CTC had been opened even a week later.

Came home to find another famous actress here along with her team of important people that are helping us out.
 
All in all, it was a pretty awesome weekend.

Saturday, April 28, 2012

cholera update and babies

So this past week, we have been working with every donation group under the sun to try and get materials and medication for cholera. Here's what we've got:
  • 7 pallets delivered yesterday of meds, IV solution and supplies specifically for cholera
  • 2 confirmed 40' containers full of Ringers Lactate IV solution
  • 2 more nearly-confirmed 40' containers full of Ringers
  • a donation to purchase in Europe all the drugs we'll need to treat cholera for at least 6 months
  • a large budget to pay for all expenses of supplies we have to buy in-country
  • 2 more 40' containers for general hospital supplies
!!!!!!!!!!!!!!!!!!!!!!

I also watched the 'Baseball in the Time of Cholera' movie which was great, I guess it won second place in it's category at Tribeca which is awesome. The movie only solidified my view that even if the UN won't acknowledge that this cholera epidemic is completely their fault, at least they could help pay for some of the treatment. The cost is all falling onto the NGO's shoulders. All of us are extremely tight on budgets espcially in Haiti because there is no more disaster funding, but the UN which has enormous amounts of money, isn't contributing at all. At the very least they could lighten the burden for the humanitarian organizations. At least it would be a step in the right direction, along with compensating all the people that have lost their mothers, fathers, brothers, sisters and children to this disease that hadn't been in Haiti for decades.

Alright, enough ranting.

I finally took pictures up in sal pwason of the kiddos!
Carly and Neika dancing to Lucy's bossa nova music

Nadine- full, happy and swinging to the music
my baby, Marvens

Marvens loving the camera, Neika is over it, and Ferlanda smiling and babbling to the music in the stroller

sleepy girl!

Sunday, April 22, 2012

cholera

On Thursday morning, I woke up earlier than normal and decided that I would go to mass. I haven't been in the morning in a long time. I go every Sunday to the evening mass because I don't have to wake up early and it's not a funeral. Every single morning, except on rare occasion, there is a funeral for the children and adults who have died in our hospitals the previous day. Needless to say, it's a depressing way to start the day, but since I hadn't been in a while, I felt it would be good to go.

I walked into the chapel just before Father Rick rang the bell to start. The chapel is shaped like a big oval, with benches around the perimeter and the caskets and guerneys in the middle. There was a large group of foreign doctors there, the majority of our long term volunteers, a couple hospital employees and four family members there to grieve. Father Rick and our absolutely amazing group of singers began with the songs I've gotten to know pretty well. Even though I don't go to the funerals every morning, I hear them on my way to work, we sing them at memorials and other burials and sometimes even at parties. Ok so singing our songs for the dead at parties might be a little inappropriate, but when it's the priest that starts the song... what can you do??  

Father Rick burned the incense and sang our first song and then he went to the pulpit to talk about Gena and Farrah, the two women who lay in front of us. Both of their stories were horribly tragic, Gena was a sixteen year old girl who came to St. Luke so sick that they were unable to save her. Farrah was pregnant, she came to us with a severe case of cholera and between being transferred from St. Damien (because she was pregnant) to St. Philomene (because she had cholera) she died. Her baby didn't survive either. Father Rick continued the mass, leading the group in these gorgeous songs, both in Creole and English and I did my best to hold it together. I thought about that this is not only a loss of human life, but a young expectant mother who died so young, from this brutal disease that only showed up in Haiti a year and a half ago. I left the mass devastated, but with a renewed energy for finding the supplies that our doctors and nurses need to save people from this awful illness.

I've known that the number of patients we're seeing with cholera has been going up and up over the last month. We've doubled if not tripled the amount of Ringers Lactate, the IV solution used to treat cholera, that we're sending to St. Philomene CTC (Cholera Treatment Center). During the dry season the incidence of cholera had gotten so low, I had held on to the hope that cholera wouldn't be so bad this year. Unfortunately, the rains came a little early this year and we're getting a preview into exactly how bad it's going to be. Making matters much worse is that the majority of the organizations in Haiti have left. There two-year disaster funding is up and they are gone or have significantly cut back their programs. Our biggest donor of materials is no longer providing supplies to treat cholera. When I arrived here, each week we were getting at least 2400 bags of Ringers, 1800 IV catheters, hand sanitizer, oral rehydration salts, bleach... everything we needed. Now we are scrambling to keep up with the demand for materials from the CTC and the rainy season has just begun.
A room at St. Philomene, our CTC

Lucxoit and I posing for donor pictures at the CTC pharmacy

That afternoon, Father Rick called an emergency cholera meeting with the heads of the hospital and our supply team, to try and figure out what we can do about the rise in cholera. The doctors started the meeting, confirming that they have been testing the patients arriving with diarrhea and it is indeed cholera. They also said that they have doubled the number of patients in the last two weeks and so we're short on staff and materials. They're afraid that we're going to reach capacity of the CTC, 72 beds, within the next month. The other CTC that was in our area was run by Doctors Without Borders and it's now closed so there are even more people are coming to us. We discussed putting up big tents and treating people outside on cots just to keep up with the number of patients we could soon be getting. Father Rick talked about the need to open a part of our new hospital in Cite Soleil to help with the inundation at St. Philomene. Our doctors and nurses are prepared this time, they talked about how practiced they are at diagnosing the severity of cholera. This time around, they said they're going to do an even better job at gathering patients statistics, to help us know who is coming to us and how we can work to prevent instead of treat.

Yesterday morning, I went down to Cite Soleil with Father Rick to put up fans and lights at St. Mary, our new hospital. The hospital is not yet hooked up to a generator, so we brought a mini one and a lot of extension cords to hook up the fans and lights to equip the area to treat cholera. We came back to the house around lunchtime, I went to work writing emails to anybody and everybody trying to get supplies. Father Rick headed back out to buy cots and put them at St. Mary. While I was down at the hospital, I talked with some of the guys overseeing the building of the hospital who told me about their group Action Chretien. It is an organization of people who grew up in this notoriously bad area who are against the violence and gangs and are trying to help their neighbors. They are the ones who made the plans for the hospital, are overseeing the construction and will manage it's operations. I've only ever been there on Saturdays, but they're all there, working in the hot sun to get this thing up and running. They're doing a phenomenal job and it was cute to see these really rough gangster guys talking about how Father Rick is their savior. The hospital is simple and small, but you look out the window and see that people are living in mucky garbage, in huts made out of sticks and rusted, corrugated sheet metal strewn together with scrap wire. I can see why this project, organized and carried out by the leaders of the neighborhood, is a huge accomplishment and why they are so grateful to Father Rick and St. Luke for their funding.
Driving up the road to St. Mary Hospital

Father Rick putting up fans to prepare for cholera treatment

Looking out the window of St. Mary Hospital

On a separate note, a friend of mine here directed a film that debuted at the Tribeca Film Festival last night. It's called Baseball in the Time of Cholera and it has a ton of footage from the tent camp next to our hospital and I actually went to watch one of their baseball practices last week. We got a copy of the DVD, so hopefully I'll get to watch it soon, but you can watch the preview for it at www.baseballinthetimeofcholera.com

Tuesday, April 17, 2012

just another day in the life

i know, i know... it's been forever. life is just too crazy, hectic and not rated PG for me to continue blogging. and i'm lazy.

but here's what happened today:
-went to the adult ER and ICU to collect lists for the materials they need. found out that the number of cholera patients has almost doubled since yesterday. cholera is officially back in full swing now that the rains are here. only this time, there are way fewer NGO's to help give us supplies.

-gave a bunch of meds to help sedate St. Luke ICU's first intubated patient! i think it's very cool that we're providing such a high level of care to our patients. major, major thanks to our awesome doctor-donors in the US for the vecuronium and succinylcholine!

-tried not to cry my way through an exit interview with our communications team. thank goodness i'm not leaving for another 3 months or i would have really lost it. took hilarious pictures with the guys and lucy in the depot.

-went up to the abandoned room to continue the grease-fest photo shoot. got to show off my babies and thought about how little Lubin and Nadine are the only ones still there from when i first went up. Nadine was a tiny preemie when i first met her, now she has braided hair and is crawling and standing up in her crib on her own! Lubin started out too afraid to even walk while holding hands and now he runs down the halls and is having heart surgery in two weeks, si dyevle. (creole for if God wills. live here for 9 months, you'll say it too.)

-ate lunch and listened to a Catholic sister tell me a none-too-PG story about the prostitute she treated that morning. decided that when this becomes a tv show, we better be on HBO.

-dodged a motorcade coming into st. damien's. stuck around to see who the big shots were (father rick even put on a suit!) still haven't quite figured out who it was, i'll let you know when i've confirmed the rumors. in the last two weeks, our assistant director met with Bill Clinton and we got a visit from the President of Mexico and the prime minister-elect of Haiti, so hopefully these guys are gwo chef yo and can get us some awesome aid.

-spent the rest of the afternoon sorting foley catheters... oh the glamorous parts of this job.

-came home to the adorable paper below. stevenson, a 7 year old at FWAL, wrote my name for me. he's completely blind in one eye and see's about 20/100 in the other, so he's never learned his letters. but bridget has been working with him every day, by writing huge letters in marker so that he can see them and learn. he was so proud of his paper that he had to call me on bridget's phone to tell me she was brining the paper home for me :)

-currently writing in my blog to avoid the GRE math section.

Sunday, March 11, 2012

February in Pictures

For being a short month, February was so packed that I barely had time to write in my blog! I had an amazing time with Annie and my mom coming to visit. They took lots of pictures, so here's the month of February in pictures.
Incredible beach at Indigo. Just a two hour drive from St. Damien to amazing food, a beautiful pool, delicious drinks and that blue, blue Caribbean sea.


Having dinner at Indigo


Hanging out at the warehouse


The 'Unknown Slave' statue in downtown Port-au-Prince. Just last week the statue was hidden by all the tents, but the government has been working (amazingly) to move the families living in tents out to neighborhoods.


Above ground at the Haiti National History Museum. The museum is underground and really cool. Unfortunately, they don't allow pictures inside.


The view of Port-au-Prince from a mountain top. I can't even describe how amazing this is in-person.


receiving a container of donations in our depot!

Saturday, February 25, 2012

the first five minutes of my day

As we’re coming up on the end of February, I’m realizing how little time I have left. My desire to remember the little details of living in Haiti, combined with my need to practice writing for my upcoming GRE test, means that I’m going to try documenting the smaller details of life here. I really think that I could spend an hour talking about every five minutes of living here, so I’ll try to expand on my experiences instead of reporting what I’ve done this week. I’ll start with what I do every day: leave the gates of the hospital.

By the time I get out of the house, fill up my water bottle and say hi to the staff and volunteers out at the tents—let’s be honest—I’m at least ten minutes late. I hurriedly pass my bosses window, skip over the puddle left by last night’s three minute rainstorm and try to ignore the mud that creeps up into my flip-flop between my toes. I glance up at the window of the abandoned baby’s room. On a good day there is no crying and I imagine Marco, a wobble two and a half year old who is getting on my nerves with all his terrible two’s behavior is running around and playing with some toys on the floor. Other days one of the kids is crying and I can immediately tell who it is. I hope that they just got put back in their crib and are crying for normal baby reasons, not because they’ve been sitting in their unchanged diaper or because they didn’t get enough for breakfast.

As I move into the front driveway of the hospital, I look to my far right at the entrance of the pediatric hospital to see if there are any people standing out front. Sometimes there will be a group of foreigners who work for another NGO who want to get one of the children they care for admitted to our hospital. Sometimes the group is our short-term volunteer doctors who are congregating before heading over to St. Luke Hospital to volunteer for the day. If that’s the case, I’ll go introduce myself and offer to walk them the two blocks to St. Luke because it gives us a good chance to talk about the supplies that they undoubtedly brought down that will come to the depot. I pass by a few mothers and children heading to triage and unconsciously glance right again to look at the elephant figurine in the grass. It’s about three feet tall and made out of old steel oil drums, hammered , welded and painted into a kid’s caricature of an elephant. It makes me smile and I look about twenty feet beyond to where a group of our drivers and staff are hanging around, joking and waiting to find out where they will be needed today. Depending on how late I’m running, I’ll walk over and say hi, secretly hoping for a moto ride to work at Fransis Vil. Usually everyone is preoccupied and after a few jokes I keep on my way.

Now, I look toward the front gate of the hospital that leads to the dirt road outside. I pass a portable hand-washing station on my left and the security office where mothers are turning in their backpacks on the right. One security guard, a familiar face although we’ve never exchanged more than a polite hello, sits in his grey uniform behind the wall next to the gate. He usually wears some variation of aviator sunglasses and holds onto his enormous gun, the barrel reaching all the way to the ground. The other security guard is standing at the gate, same uniform, same big gun but his rests over his shoulder. He opens and closes the gate, deciding who gets admission into the hospital. I barely notice that the gate is mangled anymore, clearly hit by a car trying to get into the hospital but refused by security. I thank the guard for letting me out and step onto the street.

I’ve never taken the time to count, but there are at least ten motorcycle drivers sitting on their parked bikes flanking the entrance to the hospital. They ask me, sometimes in Creole, sometimes in English, if I need a ride. I politely say, “no thank you” and they move on to asking the next person leaving the hospital if they need a ride. I walk over the rocky terrain and am so thankful for last night’s brief rain. It means that I won’t be sneezing and have irritated eyes from the huge dust clouds that fly up each time a car drives by. The stench of sewage and rotting that the rain stirs up is well worth the relief from the dust. I look up to all the men, women and children who have setup shop in front of our hospital, selling food, drinks and little necessities like toilet paper and phone cards to our patients, staff and volunteers. There are about six distinct booths set up across the first thirty feet to the left outside St. Damien, and then you have marchanns (vendors) in front of them, forming a line of coolers and tables that extends about ten feet. I look back to the booths and see some of the men reconstructing posts made from long branches that have been whittled down to the bare wood. They will hang tarps and sheets from this wooden frame to block their booths from the burning sun. I’m so happy to see them rebuilding as I think back to the sight of all of their stands burning in an enormous bonfire in the middle of our street. The UN, who resides across the street from us, was building a new wall that extended to the end of their property and therefore wrote a letter to the Mayor of Tabarre, asking for the marchanns to be moved. The people who sell on the streets all over Port-au-Prince do so illegally. The process of applying to become an official business is long and then you are assigned a place to sell, so the majority of people never begin the process. As Haiti is unable to enforce the majority of its laws, this leads to periodic raids by the mayors to clean up the streets by confiscating the wares and burning the booths of the marchanns. By the time I was walking home on the day the mayor of Tabarre came by, all the people had already fled with what they could carry and there was a huge bonfire, about ten feet tall and taking up the majority of the road. I took the back gate to enter the hospital that afternoon and was surprised by Father Rick’s comments that he doesn’t like the marchanns selling outside because it brings congregations of people which can be dangerous. Thoughts of this commentary bring a flicker of annoyance as I see the familiar faces and think about how these people are trying to make it in this difficult country. They are busy all day, clearly meeting a big demand, and I sure don’t mind the ease of grabbing a cold beer after a hard day of work.

After passing the vendors, I continue looking to my right, this time my eyes trained on the ground, or more specifically into the pit of sewage that sits in front of the UN camp. I don’t know if it’s the Jordanian UN that occupies the land across from us, the marchanns or a combination of both that fill the trench with their sewage but it is absolutely disgusting. It is a murky green with swirls of a foamy sledge and intermittently broken up by old Styrofoam containers. The smell of sewage undoubtedly comes from this trench and the fact that everyone is a-okay with this being across the street from a pediatric hospital—where mothers and their sick children are walking every day—makes it even more despicable.  There is a little five-foot concrete bridge that connects the dirt road to the rust red gate of the UN base, straddling the sewage. There are a few older Haitian men sitting outside the gate now, waiting for a soldier to pass by on the inside of the compound, when they can ask him for food or money. I think about the young boys who will be waiting out there on my walk back for lunch. They’ve started calling me “quatre-vingt douze” because of my old Abercrombie bag I walk with everyday that has a big 92 on the front. It’s a significant improvement from the standard “blanc” that they call all non-Haitians and I’m not sure that I want them all to know my name, so I’m pretty happy with quatre-vingt douze. I think about how a few days ago I saw a few soldiers passing food under the gate to the kids and I try, for the millionth time, to sort out all the conflicting opinions I have of the UN. Every Haitian person who I’ve talked with about the UN in vehemently opposed to their presence in the country. The majority of foreigners who work in our organization are sympathetic to the Haitian viewpoint and have their own reasons for disliking them, a major point being the sewage dump outside our hospital. Not to mention the well known fact that it was improper disposal of waste at the Nepalese UN camp that brought cholera to Haiti and has since killed thousands, many of whom died at our hospital. But my only personal interaction with them is at a distance. I see them riding around in enormous white tanks, with big guns and baby-blue helmets, never knowing if they’re out to do good or bad, or just purely bored of sitting inside their camps all day.

While contemplating the differences and trying to choke down any similarities between the organization I work for and the UN, a few cows or pigs may pass by, sometimes accompanied by “the machete man.” Somebody told me his name at one point, but “machete man” is just such a more accurate description, that the name didn’t stick. He’s Haitian and short at maybe 5’8” although he has permanently affixed a well-worn, tan, leather, cowboy hat to his head. His hair is long, but matted and dreaded under his hat. He has almost no teeth, but walks down the street grinning. He has the crazy demeanor you would associate with some homeless people in the US and wears ragged clothes. But it’s the huge machete he carries in his right hand that really makes you take notice of him. Although I was terrified when I first saw him, he quickly became one of my favorite characters here. He always returns my greeting, calling me cherie (my dear) with his big, toothless smile. He herds the cows back and forth from the field between Fransis Vil and FWAL and I have only once seen him use the machete, taping the flat part of the blade against the haunches of a cow, turning to hurry her along the road.

I approach the intersection and depending on where I’m heading first that day, go straight for the hospital or take a left to the depot. I’m both comforted by the familiarity of the walk I just completed and astounded that something so dramatically different from what I’ve known for my entire life can feel normal. But I encounter friendly faces and although the language may be different, saying good morning and asking how the other person is doing is just the same as any other place I’ve lived. But this time, it’s February and I’m still in my flip-flops.

Sunday, February 5, 2012

25th Anniversary





Last Sunday we went up to St. Helene in Kenscoff for the 25th Anniversary of NPFS- Haiti! Before we hopped in the car for the two hour drive, I met the Archbishop of Haiti who was also coming up for the celebration. Twenty-five years ago when Father Rick first came to Haiti, he knocked on the door of the National Cathedral and introduced himself to the Archbishop, who at that time was the Cathedral Director, and said he wanted to help. This man is the one who introduced Father Rick to his earliest collaborators and supporters and has been following Father Rick's progress all this time. He gave a wonderful talk at mass in Kenscoff about Father Rick's mission and how he has been an incredible friend to the people of Haiti. All of the children at St. Helene attended the mass and so the Archbishop directed a lot of his words towards the kids. He talked about how NPFS has provided so much for them and that they now have a responsibility, just like all Haitian people, to give help and support to their country. It was such a beautiful moment, when later on in the mass, a group of ex-eleve's (adults who grew up at St. Helene) announced that they were forming a group of NPFS Collaborators, to support and expand the mission of NPFS. There was a group of about 15 who stood up to present themselves as a unified in their mission of providing unconditional love to the children of Haiti who need it most.


Many of these ex-eleve's are around my age and I have gotten to know them during my time here. I know that they already do so much of what they talked about in their mission. They are attending university, studying public health and social work, and directing many of our child-care and health programs. They spend their free time visiting children in our homes and supporting other NPFS programs. Maybe it's because they are my age, but I am so excited and hopeful for this group. For me, this is the biggest success of the organization and Father Rick-- to raise children into adults who feel the social responsibility and have so much heart that despite the terrible things that brought them to St. Helene, they are banded together by their desire to continue reaching out to those in need. I recently saw a video of Father Rick (here: http://www.cbc.ca/strombo/world/george-stroumboulopoulos-tonight-in-haiti-special-episode.html) saying that really, we're in the business of giving people jobs. It's just that we give them jobs in which they are helping those who are even more in need than they are. Much in the same way, the organization is raising the next generation of leaders and educated service providers who care for those in need.


On a less serious note, I spent a good amount of time this week being amused by three baby goats that showed up at Fransis Vil one day.
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Lucxoit baiting the goats
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chasing the goats out of the warehouse

Saturday, January 21, 2012

ti lion yo!



These are our new baby lions in Fransis Vil! They are super adorable, very sweet and are going to be awesome rat-killers.

Tuesday, January 17, 2012

day of firsts

Marvens took his first steps today!!! We were walking, well running, around the floor of the hospital and he let go of my hand so he could go grab this little gate outside one of the other wards. There were only about four steps and they were super wobbly, but he did it! Then he took about four more steps to another gate, and then I got jealous so I stood in front of him and he came and walked to me! And the entire time, he was blowing raspberries. Adorbs.

Also, check out these awesome videos of our organization on Vanity Fair! We're so famous.
http://www.vanityfair.com/politics/2012/01/healing-in-haiti-201201

That's about it for the interesting things that are going on around here. Although, today was the first day of new lunch! After six months of: monday- greesy mac & cheese, tuesday- akra blech, etc... we have new food! Today was delish- rice and sauce pwa (beans) with some crazy veggie thing.

I bet you thought this "day of firsts" was gonna be way cooler, huh? Sorry charlie.

Thursday, January 12, 2012

the anniversary

Man, this has been an emotional week.

I just got back from mass at St. Damien's. The service was beautiful and the perfect compliment to the mass we had last night.

Last night a huge group of us went out to Titanye, the same place we went on All Souls Day in November. Titanye is a city/area (labels are never definite around here) of rolling hills, not more than 20 feet from the beautiful blue Caribbean sea. It is about an hour's drive from our hospital, about 30 minutes outside of Port-au-Prince. This is the land where the Haitian government and hospitals took all the bodies of those who died in the earthquake to bury them. The bodies are buried in mass graves sprawled over the land, which you can only recognize by the upturned earth. There are no gravestones, no crosses, nothing. Since the earthquake, Father Rick has been going to the morgue at the General Hospital and burying there dead out here in Titanye. He feels very passionate about giving these people a dignified burial. He has spoken many times about the humility of poverty and that burying the dead in a proper ceremony is a last effort of grace we can give to them. It is a thankless job and one I was even critical of. I always thought-- why spend your time and energy here, when we have so many people who are still living to take care of? But when you hear Father Rick speak about this work, you realize this is what he is called to do. And you can't be critical of work like that. Anyways, we went out to Titanye around 4pm, so it was cooler and there was a great breeze coming off the ocean. The group was primarily Americans and Europeans, although I brought my Haitian coworker and we brought a small group of our kids from FWAL. Father Rick gave the mass in English, with a beautiful homily about our human nature and the desire to care for others. Tons of people recorded it, so if I can find a copy I'll post it on my blog.

After yesterday's mass, I was hoping to hear him speak in Creole and for people who experienced the earthquake to tell their stories. For many, many people I've encountered today, this day is too emotional and they are trying not to think about it. But today at mass, there were many hospital employees and other people who work from our organization. There was lots of singing in French and Creole and Father Rick gave the mass entirely in Creole. It was so nice to be there, to listen to him speak about moving forward and how we can all grow from the disaster.

I came home (and straight to Facebook, obviously) and found an awesome article written by a political strategist who came to visit with us a few weeks ago. The article is hilarious and definitely worth a read.
http://www.huffingtonpost.com/dave-mudcat-saunders/haiti-usaid-reconstruction_b_1199254.html

Sunday, January 8, 2012

Didine

I feel like I could in no way write anything that would do justice to Didine's life, personality and spirit, so I still don't have much to say about it. But Kevin wrote me a really nice email last night about Didine that I'm going to repost.

"Haiti has shown you the extreme sides of this life. The worst of man and the best. The innocent and the righteous opposed to the wicked and the damned. I can tell you without a doubt that Didine was a glimmer of hope in this world of ours. I only met her for a week, as well as a short conversation of her yelling at me on the phone when I got home, but I knew without a doubt she was amazing. She was graceful but hilarious. She was strong but fragile. She was everything a four year old shouldn't have to be, but she accepted her life and made it hers. She had...has... an incredible spirit, and for what she had been through, to go the way she did with her family, is the way she would have wanted. You said it yourself. She was where she needed to be, and for a life full of tragedy, that's a pretty amazing thing to have had happened. You and Ivy only made her life better. She loved you both. She loved you completely and endlessly as only a child can, and you both showed her nothing but the same. I'm so grateful to have witnessed how the human spirit can endure even under the most guttural of conditions, and I'm so proud of you for showing the best of us all. Dani, you truly made a difference in someone's life. Not someone's life, but Didine's life. She was herself around you and Ivy. She let you both in, when the world only taught her to raise every possible defense. She was still willing to trust you both, and God was she a beautiful little girl. She even made a hell of an impact on me. She is without a doubt my most vivid memory of Haiti, and she will always make me smile.

So eat a cupcake and smile, because that was Didine. A big, messy, loud, beautiful smile."