Wednesday, August 14, 2013

Fr Rick's Birthday

I feel so grateful that today, Father Rick’s birthday, I got to bring peace and happiness to a wonderful woman who is spending the last years of her life very anxious and confused because of her severe dementia. Tomorrow I will get to take her to the thing that brings her the most happiness—mass. She is unable to tell me any details about her life, not how many children she has or even where her room is, but every single day she can tell me how much she loves to go to mass. When I ask her about church, her eyes open up, she smiles and becomes more animated than at any other time. I’m not Catholic, but after spending a year going to weekly mass with Father Rick I can understand the joy and comfort that it brings. His birthday has been on my mind all day and although I’m positive that he would never mention his birthday at this morning’s mass, it would have been nice to be there today.

I've wanted to write a post for a while now as my one year anniversary has come and gone. I had anticipated that one year back was going to feel awful and disconnecting, but oddly it didn't. And now that I've had some time to reflect on it, I know that it’s because I've started nursing school. Every single day I get to remember exactly why I came back to the States—to learn what I need to know to go work abroad again. Learning pathophysiology is stressful and memorizing drug lists has been tedious (to say the least), but then we’re studying HIV and I’m thinking about Peterson or we’re learning about hydralazine and I realize why it is was so crucial that I was able to source it for St. Philomene. I’m grateful beyond words that I was able to start this next step of my life so soon after coming back to the States.


In school, we have a lot of time for small group discussion and sharing. There are lots of times that I contribute with my experiences from working at the pediatric neurology clinic or from the emergency department. But talking about Haiti is too hard and too personal to share in a classroom setting. I think that nursing school has kept me from feeling disconnected because behind every emotion I experience at school, every minute I stay after class, every time a disease or medication (or stupid glucometer!) is Haiti. And that tells me every single day that I’m on the right path.

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.