Thursday, March 13, 2014

"Current News"- Nursing along the river

 During the past two weeks I had the opportunity to experience nursing along the river. I went with a few of the nurses from the hospital here in town. We jumped on one of the local boats and went house to house checking children’s clinic cards and gave vaccines when needed. The second house we arrived at had children that had never visited the hospital for their vaccines. One was six years old! Needless to say I gave them their first set of shots and emphasized the importance of them coming to clinic, which is a short distance away by boat and then a 10 min bus ride.  By the fifth house a system fell into place where one nurse would look at the charts and tell me what vaccines to draw up, I would pass them to the other nurse, and he would give it from the boat. When there was a new baby that had not gone to clinic yet, we got out and went into the house, did a well baby check up and filled out the baby’s new chart. I enjoyed going into the houses, sitting on the floor, and working with the locals.  As we were boating down the river enjoying the wind cooling us off four wild macaws flew over. Seeing the Macaws was a friendly reminder that I am living in a rain forest. (A jungle story blog will be coming soon!) I did the river trip two days in a row; because the places were nearby we didn’t need to spend the night on the river. There are a few later on that might require that, I am hoping to tag along! We gave vaccines to countless children, did new baby assessments on 3 babies, and “admitted” two pregnant women into the hospital.  “Admitting” a patient basically is a chart with their name, blood pressure, blood sugar, and how far along they are by measuring their fundal height. Then we attempt to hear the babies heart beat with a plastic cone instrument and try to encourage them that at the signs of labor they should begin to make their way to the hospital) I also had the pleasure of enjoying some local food, a Casava bread and chicken sandwich. Casava is a root, some people compare is to a potato but I would compare it to taro but white.  The chicken is, well a real chicken, and it was delicious!
On another day I went to a health post along the river. There we helped out with clinic day. Women came to visit the nurse practitioner and have their health questions answered. Again I was assigned to the children, where I weighed, measured, and gave shots. We had a box of clothes that was donated from the states that we handed out to the patients. When clinic was finally over we climbed into our boat and drove to a calm spot where we were able to relax and enjoy lunch of beans, rice, and fresh avocado. The water looked so inviting. We drove to the center of the river, to get away from the edges were we are not sure what is lurking between the mangroves, and jumped in, scrubs and all. We figured that on the drive back we would become mostly dry.
I am continuing to volunteer at the hospital. Because the hospital has enough staff, on slow days I go to learn. Not only am I a nurse but also a student.  I am working with the lady in charge on Malaria for the region and she is slowly teaching me how to diagnose malaria. I have a test coming up where I must identify objects from a blood smears in the microscope.
 While I am not doing as much nursing as I originally imagined I am still busy!  There are three different villages that I have visited and simply checked their blood pressure and glucose. I am a teacher by helping assist teaching a woman how to read.  I am a mom, by raising my sheep. Lamb chop is doing well. She is now integrated into the sheep flock and only comes to me for food. I am a gardener planting egg plant, tomatoes, bora (long bitter green beans) and other vegetables. I am a student learning many things, but most of all I am a friend. I am enjoying getting to know the children and families that live in my neighborhood. Walking home from the hospital is an enjoyable experience because I actually recognize people now and can stop and talk to them.

A little over half way through my stay and I’m so glad I still have 3 months left! Please continue to keep me in your prayers!   

Wednesday, February 26, 2014

First time in 22 years...

It was the long awaited day, a day I had unknowingly been dreading my entire life; my first birthday away from my twin sister.
On Saturday, the youth began to sing happy birthday, without thinking I joined along to sing happy birthday to my sister. I realized I was singing happy birthday to no one.  I didn’t feel sad it just felt really odd knowing that everyone was singing specifically and ONLY to me. That feeling of being the center of attention during the song had never occurred to me. I have always shared the “spot light.”
On my birthday we took our boat out to the ocean! We set out on a three hour tour… Wait no… we didn’t…. We set out on an adventure. On our way out we enjoyed tubing behind the boat, watched flocks of Scarlet Ibis fly by, and enjoyed the cool breeze as we sped along the river.
We reached our destination in the early afternoon. Not only were we at the ocean, but there was actually a beach!  After “parking” the boat everyone unloaded our picnic and we sat down to eat. I enjoyed fresh squeezed orange juice, homemade “manapua” (biscuits with filling inside), perfect papaya, and molasses cookies! Our stomachs were full so we decided to walk the beach. I loved the feeling of having my feet in the sand. As we walked some sets of waves came in and the ocean was so tempting. I had to go in! There is something about just being in the water that just feels right. I can’t explain it… But, I’m sure it is a feeling that others understand. While I was in my bubble of happiness I mentioned to one of the others that I couldn’t be any happier. Then a tour boat came in with a group of local nurses and doctors. One of them had never seen the ocean before! He was ecstatic! He was definitely happier than I, but his happiness just multiplied my happiness. We had to leave the beach before 5:00 pm because the sand flies would come out. If it wasn’t for those flies I could have stayed there for hours more.

On our way back we ran into a tropical rain down poor. We got soaking wet and freezing cold. Who ever thought I would need full blast heat here in Guyana. We piled into the car and made it a sauna. A nice warm soup with homemade crackers was a welcome site when I arrived at home. Finally, at the end of the day, I was able to call my sister and wish her a happy birthday.  Our first birthday apart was easier that both of us expected. Thanks to the people around us we felt celebrated and loved.

Wednesday, February 19, 2014

Jana had a little lamb

 1/26/14
I’m officially a proud mom. You read that right, I am a mom. Never did I imagine that coming to Guyana would give me the opportunity to become a mom.
On January 7, I had just come back from volunteering at the hospital; a busy clinic day of giving vaccines. I was finally doing nursing stuff. When we got out of the car we heard a hissing sound and saw a nail in the front tire. I volunteered to help change it, because we had already changed a flat tire about two weeks before.  As we were pumping up the spare tire, with a bike pump, we heard a sheep was going baa-baa  in the sheep pen.  I needed to take a break from holding the bottom of the bike pump together so ran to look inside the pen. There was a tiny lamb, still wet, hidden and stuck in between some vines. I quickly left so the mom could care for it. But, apparently it was “dropped” too early, and was way too small for the mom to care for it. The owners of the sheep were just going to let it die. If you know me, you know that was not an option! I talked with the family I’m living with and asked for permission to bring a new baby into the house. They agreed and we brought in a tiny lamb. I immediately got a towel and dried her off. She was a tiny three pound lamb. I didn’t have much hope that she would actually survive. But I wanted to give her a fighting chance.

The first night I got up every 2 hours and fed her. Because she was so small, she had a hard time staying warm. I held her until she would stop shivering and then warmed up some old jam bottles with water to put into her box. The next night I was up for two hours trying to warm her up, get her quiet and stop her shivering. Eventually she got a name, Lamb Chop Sally. We just call her lamb chop.
It’s been over a  month, she is now the size of a typical new born lamb. She has grown and taught me a lot. I have learned patience, perseverance, and that I still need to wait a while before having real kids! Our family has realized why we are compared to as sheep in the bible. Lamb chop can see a direct path towards me, but somehow manages to find the path with obstacles in the way, but eventually, with my help, she finds her way. Seeing lamb chop reminds me how God is constantly calling us towards him. He has a path planned for us; we just need to follow it. We may have bumps in the road and sometimes we may take wrong turns, but God will always be there to get us “out of the rain”. When Lamb Chop was out in the field and it was starting pour rain, she had no idea what to do. I had to run out, pick her up, and take her to shelter.

We need to remember to rely on our Shepard. He knows what is best for us and wants to lead us in the right direction; we must accept his guidance and follow Him. 

Sunday, January 26, 2014

The season of giving

Christmas is always know as the time to give, but let’s be honest, we all love receiving also. Here in Guyana I gave A LOT but also received more than I imagined.
 The countdown to Christmas started, but this countdown was not for when we would be able to open our goodies. It was a countdown to the day we had to pass out Christmas food baskets.  The process of preparing the bags took many days of preparation.  Special trips were made into Georgetown to bring in two plane’s full of donated items and an additional flight for 1300lbs of bulk food.  We had to separate the donated clothes into sex and size. ( I will never  cut off the tags on my shirts to help the people sort my clothes easier when I donate them. )Josh, one of the other SM’s, started to get pretty good at guessing sizes. When the clothes were done we separated the toys, books, school supplies, shoes, hygiene items, and random items.  One morning was spent single bagging 300 lbs or rice and flour, 55 kilos of sugar, 25 kilos of milk, and 55 lbs of salt! We filled 65 bags and included oil, noodles, beans, split peas, a can of veggies, seasoning packets, and more that I forgot… Once all the bags had food we personalized each bag with clothes to fit each individual family member. (At least, we hoped they would fit… We had their ages and Chrystal could describe the sizes. If they didn’t fit, the families would make them work.)  At the end of each day, there was no rest for the weary; once we got home it was time to start making costumes for the Christmas play at the Thomas Hill church (our home church). I was able to help hand sew angel wings. We didn’t have card board to simply cut out the wings. So, using some innovation, we got mosquito net wiring to create the wing shapes and then sewed fabric around the wire. Making the wings was time consuming, must have spent at LEAST 3 hours on them! 
Christmas Eve day came and we were ready to deliver our packages! As usually, our plans couldn’t go as planned and we were not able to start until the afternoon. When we arrived at the house where all the bags were stored there were kids and people waiting outside. They had been waiting there all morning to see when we were going to start sharing out the bags. I sat in the car for a bit, until the kids decided to calm down and stop crawling into the windows. Our first load in the car was really packed in; I volunteered to walk to the first houses. When the kids saw me starting to walk they came running and grabbed my hands. We walked together skipping and singing “We Wish you a Merry Christmas.” Seeing the smiles on the kids faces already made my hours of work worth it. Five hours later all the Christmas bags we had made had been passed out, but we had missed a few houses. I was exhausted, thirsty, and hungry, but worked on making a few more bags. While adding some clothes to a bag I stepped on a dead frog! It was disgusting but, instead of freaking out, I just laughed it off and kept focused on what I needed to get done. I was in “the zone.”
We finally reached back home and had enough time to make breadsticks for dinner. Christmas Eve dinner consisted of breadsticks, left over cinnamon rolls, and a snack mix that I had made for Christmas day; we were too hungry to resist it. Then off to the Christmas program we went. The church was packed, we sang Christmas hymns, and children acted out the nativity, and did some special music. The program was simple, the decorations were curtains added to the windows, but everyone was happy.
Christmas was the long awaited day of rest! Everything was done and we just enjoyed sitting around the unlit Christmas tree. (Electricity didn’t come on until later in the day.) Our Christmas meal was a typical American meal, mashed potatoes, green beans, sweet potato casserole, CHEESECAKE, and apple pie.  The sweet potato casserole was made of pumpkin due to a lack of potatoes, we used up the last of our rationed green beans, olives, and cheese, and the cheesecake was a splurge because we had to buy cream cheese.  While I didn’t receive a lot of physical gifts on Christmas, I definitely received a great blessing. I have always wondered what a Christmas would be like with no presents. (I did get a book and popcorn seasoning..) There was plenty of happiness to go around. The days and hours of hard work had been worth it when I saw the smiles on the families’ faces. 




(p.s. this is Julia who actually posts the blogs. Jana writes them then either takes a picture of what she wrote, sends it to me, and then I type it up and post it, or (if her email is working) she is able to attach it and sent it to me. Sorry for such a late post about Christmas. Between her lack of internet reliability and my school schedule (and the blog getting lost in all my messages haha) it was hard to get it up. She is already working on another blog, so hopefully we will have another one up soon. Thank you all for continuing to pray for Jana!)  

Sunday, December 15, 2013

    It's been almost a month since I have left for Guyana. I am starting to settle in and feel more comfortable with the place and people. I have moved into my "permanent" home, while I am here. The mission family that lives here has offered me a place to stay in their home, instead of living in another house by myself. So, I get to room with Serena, a 14-year old, that is constantly teaching me how to live here in Guyana. As ever day goes by, I am learning more and yet still learning I don't know anything. I am beginning to understand the saying, "Put your back into it," and applying that saying in a literal way. Whether sweeping with a stick broom, washing all (there's a lot) the dishes by hand, making food from scratch, and gardening... putting you back into it is a necessity.

    I am getting accustomed to waking up with "alarm clocks," the kind you can't set or have control of. Anywhere between 4a.m. and 7a.m. there will be cows, sheep, parrots, roosters, ducks, dogs, cats, taxis, and people that will wake me up. A new rooster has moved into our yard. At first, I thought, "Cool, an actual rooster can wake me up ever morning."... What was I thinking! This rooster sounds like it's voice box is broken, by the end of it's call it is just a loud squeak.

    The house I live in has running water, but the amount of water we have always depends on the rain. I have learned to take even faster showers, not only to save water, but to also get out of the cold water! Sometimes the cold shower is refreshing and cooling off feels wonderful, but usually I start to sweat while trying to dry off after the shower. (The only time I really feel "clean" is the 5 minutes after I brush my teeth). We are also blessed with a washing machine, it runs, however I am not sure how well it actually cleans. Hanging up clothes to dry is a simple task, the process of waiting for the clothes to finally dry tests my patience. Sometimes it takes two days for clothes to dry, and even then I am not sure they are actually fully dry. Because we only have electricity from 5-11p.m. the refrigerator apparently runs on a car battery. (I'm not a battery expert, but it looks like the thing I plug jumper cables on when my car battery dies.) I know i previously stated that we have electricity from 5-11p.m. but, since I have been here the city generator has only worked for 2 days. It was broken when I arrived, was fixed on Thanksgiving day, and then broke a day later. Luckily the house I live in runs a generator when darkness consumes the house until we go to bed. Having lights can be a blessing and also a burden. The light allows me to see what I am showering with... My first shower here I was able to shower with a wolf spider, tarantula, and another spider that still remains unidentified.

    Everything here takes longer. Cooking everything from scratch takes a lot more time and planning then I originally imagined. Once breakfast is made and dishes are hand washed, it seems as if we go straight into cooking lunch and then dinner. I am going to perfect the art of baking bread...With the amount we make, through trial and error, I know I will get a nice loaf of bread at least once! I have learned to enjoy the "butter" and milk. Our butter is shortening (ugh) and the milk is always powered milk. (But we have learned which brand mixes best in water.) The other day, in Georgetown, oatmeal was served for breakfast. We added multiple ice-cubes so we could have cold oatmeals since it was so hot outside. In Mabaruma, the town I live in, we don't have the luxury of ice, so pouring on cold water has to suffice. (Always proud when I end up rhyming).

    The Christmas season is upon us. We put up our tree Thanksgiving day. I am always looking forward to the current (electricity) coming on at 5 so the tree lights will turn on! We will be busy the next few days putting together Christmas baskets that we will pass out to some of the families here. This year my Christmas will definitely be focused on giving!

   I wish you all a Merry Christmas!

(p.s. being able to post on my blog is a process... I am only able to get internet on my phone right now, and even that is extremely slow and iffy. So I apologies for the lack of posts.)

Saturday, November 30, 2013

Not what was planned

So, I was planning on writing a blog post on spending thanksgiving in another country. I wanted to explain how it was fun to spend thanksgiving with strangers that I only met a week ago. I couldn't help relating to the pilgrims who relied on other strangers for help! But, a more exciting story happened that pretty much wiped out any excitement I had over thanksgiving!

Where do I start?... Well, on Friday we were planning on flying from my small town, Mabaruma, into the main town, Georgetown, so that I could get my temporary nursing permit. The plan was to leave around 10. This gave us time to "sleep in" and get ready to go at a relaxing pace. At 6:30 Gregg, the pilot/nurse practitioner, came into my room and said that we had to do a medical evacuation for a pregnant lady in a neighboring town. I of course was excited, this was my first one! We quickly threw our things together and Gregg, Serena (14 year old daughter), and I took off for the airplane. We fueled the plane and after Serena and I discussed who should sit in the front seat we took off to the neighboring town called Mathews ridge. We decided that I should sit in the front seat because it was only my second time flying in a tiny plane and I could easily talk to the pilot.

Landing in Matthews ridge is a little story by itself. The airport had a cloud cover of 600 feet and working with the spare GPS they didn't feel comfortable landing without actually seeing the runway. After a few attempts to find a clearing to get below the clouds there was finally an opening and we dove down under the blanket. I of course was kind of nervous by the maneuvering, so we did one more loop in order to land softly on the dirt runway.

We picked up the laboring patient along with a doctor and nurse. The patient was having a long labor so they were sending her to a more developed hospital. During the flight I noticed the doctor starting to fidget around more. He kept asking how much longer. Shortly he started moving the luggage in the back of the tiny plane and put on surgical gloves... I knew what was happening; the baby was about to be delivered! The nurse moved to where the doctor had been sitting. Being in the very front seat of the plane I was completely useless. I could barely see, but was updating the pilot with what little I saw and could deduce what was happening. On Nov 28 at 9:31 with an elevation of 5500 feet, in a 6 passenger plane, filled with 6 passengers, a baby boy was born! Once he started to breath they placed the baby into Serena's hands. ( at this point I was REALLY wishing I had not chosen the front seat)
With about 20 mins left on the flight the placenta was delivered and everyone had to get into their seats for landing. Well, everyone except the mother who way laying down. In order to move all the luggage around the baby was passed up to me! Oh I was SO happy!!

As I sat there holding and suctioning the baby I couldn't help but giggle. When leaving for Guyana I knew I would have an amazing experience and just prayed to God that I would get at least one story worth telling. I definitely got my story!
It is amazing looking back now to see how God led this adventure. Because we had to do the medical evacuation our flight into Georgetown and from Georgetown to Mabaruma will be completely paid for. The doctor and nurse were not planning on coming, but decided to last minuet because it wouldn't hurt. I apparently didn't have to come into Georgetown to get my nursing permit but, because we thought I had to I was able to have a once in a life time experience!

Wednesday, November 20, 2013

Safe in Guyana

The trip seemed shorter than I imagined. It didn't go without some bumps, after almost missing my last connecting flight, I made it safely to the main town in Guyana! Landed in Guyana at 1:30am and due do some taxi difficulties (our driver had left and took a while to get back) what should have taken about an hour might have taken about 2-3... Not sure because all the timing was a blur. Got in bed at 5 and woke up at 8 to start my day of errands in Georgetown. Apparently we had a lucky day, when I went to get my "tax identification number" and drivers license I thought it was a crazy long line, apparently it was short. What took the previous student missionaries 6 hours only took me 3! My license picture was literally taken and printed in the back of a mini van!

here are a few of my first impressions of guyana
1.tropical (don't picture a crystal blue ocean)
2. hot and humid
3. trees and flowers look alot like Hawaii
4. people take "ilsland time" to the extreme
5. i have to rethink what side to get into a car (the drive on the other side of the road than US)

Tomorrow we fly (in the small plane) to Mabaruma and I will be seeing the town I will be living in for the next months.*also I found out I will not be living in a house all by myself. I will be sleeping in a tent outside my supporting families house.

 Now I am getting ready to take a nice cold shower.. and I am serious about the NICE part.. I have been looking forward to cooling down all day! 

*housing is subject to change in the future. (mostly wrote this note for my mom)