Be the change you want to see in the world. ~ Ghandi
Showing posts with label Doctors Without Borders. Show all posts
Showing posts with label Doctors Without Borders. Show all posts

Tuesday, April 14, 2015

Switching gears.

Hi All, we're back in Tegus to regroup for a day - head out on the road again  morning early.  This past couple weeks we've been wandering the north/Caribbean coast of Honduras, visiting hospitals and public health clinics, Garifuna communities, other NGOs and people living with HIV.  It's been fascinating, exhausting and informative.

Fascinating:  Beautiful white sand beaches where mostly Hondurans vacation and not Americans.  The cruise ships call this stop "Banana Coast" probably to not scare people who google "Honduras" and find out it's the most violent country in the world outside war zones.

Exhausting:  we drove TWELVE hours from Trujillo to Tegucigalpa.  TWELVE. I'm tempted to sit on a pencil to retain the crack between my buttocks!

Informative:  The northern communities have an incredibly positive view of MSF - starting 40 years ago with Hurricane Fifi, Hurricane Mitch, maternity programs, HIV programs before they were widely available, and the list goes on.  Rarely did we have to introduce ourselves.

The northern area is lush grazing land for cattle - mostly milk production as evidenced by horses carrying big metal containers on either side of the saddle, going to market?  The vast banana palm farms give way to the "African palms" - native forests (I can imagine what this used to look like when covered with native mahogany and other native trees) now cut down for huge scale production of palm oil ... It's not the "slash and burn" of small subsistence farmers as we were taught in school.  This is industrial scale destruction for economic gain of huge corporations.  Sad really.  We still see butterflies, and all sorts of different birds, so maybe not all is lost yet.

The roads are dotted with fruit stands - coconuts, watermelons, mango, all sorts of fruits - cheap and plentiful.  Fish is only a hook toss away.  Yet in this lush landscape, where food is abundant, people still complain of "lack of economic opportunities" as the reason for migrating to the US.  We don't hear "violence" as a reason in the north.  Yet, it costs about $6000 - 7000 to pay a coyote to take them all the way to their US destination, and that's after riding the train La Bestia all through Mexico.  Most have family members in the US who send for them, and few unaccompanied minors other than those who are going to reunite with their parents.
I don't understand this - everyone talks of how poor Honduras is as a country.  How so much is lacking.  Yet, I look around and see morbidly obese people everywhere (not just Americans!), new cars, tall buildings, food aplenty ... I can't say this country is as badly off as many I've been in.  Yet the statistics say otherwise.  There are lots of foreign companies working here, NGOs, foreign governments donating money for construction and programs ... So where is the disconnect?  Corruption?  Is it any worse than anywhere else in Central/South America or indeed, worldwide?
If I can figure it out, I'll let you know :)
We were able to have a little down time - the beaches along the coast are spectacular.  Chockablock full over Holy Week/Spring Break, but otherwise solitary.  Trucks are overloaded with sacks of plastic bottles to be recycled (into what?).  A first time greeting, even with a person you don't know is with a kiss on the cheek and handshake.  Radio music is 80s - Queen, Christopher Cross, Air Supply.  The alternative is the one and only CD in the car which is an oldie of Jose Miguel wailing love songs in Spanish that, after the 50th play, I DEMANDED be removed!  Then turned on my iPod and listened to the entire podcast of Serial.  Saved my sanity!
Hugs to all - I leave you with the beach at Trujillo ("Banana Coast") and a Garifuna woman making and selling pan de coco (bread made with coconut oil that is absolutely delicious).
Sue

Friday, April 3, 2015

Dora the Explorer Returns to Honduras!



Hi All, 
 
I'm in the midst of a 2 month mission with MSF/Doctors Without Borders to explore the health situation all over Honduras.  With my partner Edgardo (who I met in Uganda in 2006!) and a driver, we're visiting all of the hospitals in the country, some smaller health centers, community leaders, other "actors" in health ... And looking at what might be good interventions for MSF future projects.  
 
So far, it's been fascinating!
 
The country is lovely:  rolling hillsides of banana trees, sugar cane, corn, "African Palms," seaside communities.  Highrises and places where horses still do much of the work.  Claro phone satellite dishes on top of tin roofs and communal wood fires and cooking ovens.  Eating fresh fish and shrimp/conch every day along with fresh hot rolls sweetened with coconut oil.  Edgardo tucked into a bowl of stewed iguana (yes, I had a taste - not bad) and iguana eggs.  Birds of prey that look like small vultures scour the fields for dinner.  There are pine forests and cactus and pine forests.  Herds of cattle graze on the sides of roads and amble down the middle of traffic.
 
People have been very friendly everywhere and certainly stare at our Toyota Land Cruiser covered with the doll figures in the picture (MSF has long worked here with the street population, HIV, violence, etc).  
 
So far we've been mostly in the north/Caribbean coast and the past few days have been meeting with Garifuna leaders.  Garifuna are ethnically different than native Indian/Spanish mixed folks - they were originally black African slaves taken to the island of St Vincent, escaped and settled all along the Carib coast of Central America.  They retain their own language, customs, music (Punta) and traditions. Our interest is to see if they have unique health needs - as a people, they are reputed to be more sexually active, have higher STI and HIV rates and have more young pregnancies (as young as 12 and 13).  From their perspective, they are simply more open about speaking of sexuality.  However, government statistics show double the rates of STI/HIV as the regular population and a UNICEF study showed average age for boys and girls becoming sexually active is NINE.
 
It's also been interesting to see the conditions of and in the hospitals.  The two main tertiary care hospitals are huge, sprawling, disorganized, smelly, and would be a nightmare to try to become involved in.  Both hospitals' ERs are chaotic, patients lying on gurneys lining the hallways unattended with blood hanging, open wounds, smell of infection, no cardiac monitors or IV pumps, crowded, no triage, armed men everywhere ... A real mess.  
 
Yet, here in Tela, their 10 yr old hospital is clean, neat, good equipment in working order, new mattresses, paint ... The only thing I can attribute the difference to is leadership.  Management that cares, is engaged and involved, with vision and pride in quality of services and facilities.  
 
So far the ideas we have are three:
 
1.  Provide HPV vaccine to children age 10/11.  There was one pilot program of about 30,000 doses done a couple years ago, but the government doesn't have the funding to continue.  We feel this would have a HUGE impact on the health of the next generation and an organization like MSF could pull it off ...
 
2.  A smaller community hospital Puerto Cortes has new leadership and desire to fix up their neglected facility.  With a staff who is eager for improvement, and without a lot of bureaucratic hang ups, we could rehab their ER, provide equipment and training plus get involved in their newly created Adolescent program so we could touch on all aspects of Sexual and Reproductive Health.
 
3.  Provide an interim physical space for a large hospital Pediatric ER - they are in the process of rebuilding but have no plans for what to do with the patients while the construction is being done (they say 6 months, but realistically 2 years!).  We could provide modular spaces or inflatables, take over the care and improve systems, training, etc.  and have a hand in the construction of the remodel.  Then once they are ready to move back into the renovated space, they would have had a couple years "doing it right" and would keep those new ideas and systems as MSF withdraws.
 
These are just ideas we're throwing out as we move along our journey.  It will be up to the coordination team and Geneva to make decisions about next steps.
 
Now it's Holy Week and the country is on vacation.  We're taking advantage of being on the coast to enjoy a few days of rest.  We'll do the same in our next weeks - work 5 or 6 days and have a day off in a lovely spot:  Copan, where there are Mayan ruins on the border with Guatemala and the islands to the south off the Pacific Coast bordering El Salvador.  What a wonderful adventure this is!
 
I'll be home soon,  ready to have a lovely summer in Seattle.  Hope all's well in your world.  

Much love,
Sue

Saturday, January 24, 2015

Another day in Sierra Leone - and some good news too

Hi All!
 
Plan for the day:  
 
1.  Sleep in.
 
2.  Go to "Super Market" - can't wait to experience a Sierra Leonean super market!
 
3.  Have lunch with an old Ethiopian pal from my mission there in ... 2008?  He was a lab tech and went to med school and is now in Freetown working in a pediatric hospital.
 
4.  Skype with Pete in the evening (morning in Seattle).
 
5.  Go to bed early and start 6 in a row before another overnight on Super Bowl Saturday (Go Hawks!)
 
Two pieces of GREAT NEWS!!!  Our 5 month pregnant patient was successfully induced and survived!!!  HURRAY!  She is the 19th documented pregnant Ebola survivor for MSF since the outbreak began nearly a year ago.  She is glowing, happy, laughing and thankful.  
 
Second thing - Momo tested Ebola NEGATIVE yesterday - WAAAAAHOOOOO!!!!!!!  He's still a bit foggy and rummy - I think still a bit fluid overloaded and perhaps a bit tox from liver and kidney failure.  His hands and feet are still swollen, so I can imagine his brain is as well.  But he's asking to move to the other tent (they all know going to the other tent is a step in direction of survival and going home) and is eating, drinking, walking without staggering, making sense, following directions and even initiating conversations.  Thanks to everyone who has sent such strong positive vibes his direction and prayers - it's all worked and he's improving right before our eyes.  From being chased back into his room with a stick to survivor.  Wow.
 
A couple pics to share with you - one of a survivor hired as a caretaker to watch/feed/clean the pikins (small kids).
  And one of a ladder - there is lots of construction going on.  Amazing these men can do hard physical labor in this heat.

 
We are now up to about 60 survivors since this ETC began Dec 10.  About 300 total patients, about 30 still in now.  The 300 includes patients that are brought into "suspect" but get ruled out with lab tests.  Probably half are discharged as not Ebola.  Some are malaria, some are just symptoms we don't diagnose a cause.  We are not a hospital nor do we diagnose or treat anything other than Ebola.  No meds, no time, no space.  We try to get the "negatives" out of the facility as quickly as possible so as to not expose them to the virus in any way.  There is always a risk.
 
Still teaching at every opportunity and enjoying seeing the nurses get a bit more empowered every day.  After all, we will leave and they will stay.  One gift is to leave behind as much knowledge as possible.  
 
Hope all's well at home.  Keep sending your happy thoughts to these people.  Keep spreading the word - Ebola is not over.  We have hope.  We're all working hard to overcome.
 
Love to all,
Sue

Friday, January 16, 2015

Keep Calm and FIGHT Ebola!



Thought you all would enjoy this pic after I came "out." Card from a cured patient - I want to make it into a t-shirt!!! Scrubs are saturated with sweat although I have yet to experience literally pouring half a bootful of sweat like one of the doctors.

Today our numbers dropped. No new admissions, a few discharges CURED! Happy dance. And several deaths. Our rate since opening Dec 10 is about 1:1, cured to died. Really quite remarkable but still so much more to be done.

I'm enjoying getting closer to the national staff, teaching at every opportunity, learning the ins and outs of the ETC, adjusting to the heat, drinking at least 2 gallons of water a day if not 3 ... and now in the nice hotel where my old body can sleep on a good mattress, cool down in AC, have a real shower at the end of a long day and sleep til the last minute. So far I'm scheduled for 8+ shifts in a row of 13 hours ... And then a night shift :( 

Hardest thing to manage right now is my feet. Wow. Those damned rubber boots are necessarily loose so no support, worn the full 13 hours (except to change to go for lunch) and my feet and knees and legs ache til the next morning despite tylenol and ibuprofen. Another expat said it took her a month to stop hurting.

Team is generally really nice with a couple marginal personalities thrown in :) People always coming and going. Swiss, Mexican, German, Swedish, French, Italian and a couple Americans.

Today I went "in" in the morning, but must have washed my face a little too vigorously cut I had a teensy nick on my chin, so couldn't go in again. It will be healed
 tomorrow, and we usually go "in" three times for an hour each. I'm getting more comfortable in PPE, sweat trickling down even in places you never sweat. It's a bit of a struggle to get undies and scrubs back up after squatting over a pit latrine when they are soaking!
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Happy to be here. Doing my best. Yesterday I was accused of being an optimist by a sourpuss and with a laugh said YES! 

Sending love to all and virtual hugs. Time for a long shower and bed.


Sue

Thursday, November 7, 2013

MSF Event Announcement

PUT YOUR IDEALS INTO PRACTICE: 
DOCTORS WITHOUT BORDERS RECRUITMENT INFORMATION SESSION - SEATTLE
Monday, December 2, 2013 - 7:00PM
The Mountaineers Seattle Program Center
Goodman A Room
7700 Sand Point Way NE
Seattle, WA 98115
Every day, Doctors Without Borders aid workers from around the world provide assistance to people whose survival is threatened by violence, neglect, or catastrophe – treating those most in need regardless of political, religious, or economic interest. Whether an emergency involves armed conflicts or epidemics, malnutrition or natural disasters, Doctors Without Borders is committed to bringing quality medical care to people caught in crisis.

On Monday, December 2, medical and non-medical professionals are invited to join us for a presentation to learn more about how you can join Doctors Without Borders' pool of dedicated aid workers. An aid worker and Field Human Resources Officer will discuss requirements and the application process, and you'll meet experienced Doctors Without Borders aid workers from the Seattle area and hear firsthand stories of "life in the field."

For more information and to register please visit: https://msfseattleinfosession120213.eventbrite.com/
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PUT YOUR IDEALS INTO PRACTICE: 
DOCTORS WITHOUT BORDERS RECRUITMENT INFORMATION SESSION - PORTLAND

Wednesday, December 4, 2013 - 7:00PM
The Cleaners at Ace Hotel Portland
403 SW 10th Ave
Portland, OR 97205
Every day, Doctors Without Borders aid workers from around the world provide assistance to people whose survival is threatened by violence, neglect, or catastrophe – treating those most in need regardless of political, religious, or economic interest. Whether an emergency involves armed conflicts or epidemics, malnutrition or natural disasters, Doctors Without Borders is committed to bringing quality medical care to people caught in crisis.

On Wednesday, December 4, medical and non-medical professionals are invited to join us for a presentation to learn more about how you can join Doctors Without Borders' pool of dedicated aid workers. An aid worker and Field Human Resources Officer will discuss requirements and the application process, and you'll meet experienced Doctors Without Borders aid workers from the Portland area and hear firsthand stories of "life in the field."
For more information and to register please visit: https://msfportlandinfosession120413.eventbrite.com/

Saturday, August 25, 2012

Doctors Without Borders- Info Session Seattle


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PUT YOUR IDEALS INTO PRACTICE: 
DOCTORS WITHOUT BORDERS RECRUITMENT INFORMATION SESSION - SEATTLE

Every day, Doctors Without Borders aid workers from around the world provide assistance to people whose survival is threatened by violence, neglect, or catastrophe – treating those most in need regardless of political, religious, or economic interest. Whether an emergency involves armed conflicts or epidemics, malnutrition or natural disasters, Doctors Without Borders is committed to bringing quality medical care to people caught in crisis.

On September 18 in Seattle, medical and non-medical professionals are invited to join us for a presentation to learn more about how you can join Doctors Without Borders' pool of dedicated aid workers.


You'll meet experienced Doctors Without Borders aid workers from the Seattle area and hear firsthand stories of "life in the field." Aid worker and recruiter Melissa Bieri will discuss requirements and the application process.



September 18, 2012 - 7:00PM
REI Seattle
 222 Yale Avenue N
Seattle, WA 98109


For more information and to register please visit: http://msfseattleinfosession091812.eventbrite.com/