Friday, November 19, 2010

Captured moments of the week's adventures

Stitching up a bloody foot in Gonaives


In the back of the truck and happy to be on the road again


Road block number 1


Road block number 4 where we literally drove through fire!


Almost arrived in Gonaives but happy to have left all the roadblocks miles behind us!


Our loyal US Embassy escort from Gonaives to PAP


The medical team, my boss Vanessa, and journalist Beth Macy safe and sound back in PAP. I don't think I've ever been happier to see my boss (in the neon yellow shirt) in one piece. She calls herself my Haiti "Mom" but in this particular situation, I was feeling rather Mom-ly worried about her!

Wednesday, November 17, 2010

There and Back Again - a blockade runner's tale

Life in Haiti is many things. It is never boring.

A friend of Marc's was in Haiti this week working with Samaritan's Purse at a cholera treatment center in Cabaret. We wanted to see her and I wanted to get some exposure to this disease. Not to infect myself, obviously, but to know what it really looks like and how treatment actually works. We walked in and before we even saw Marc's friend, we were grabbed. "You're Rhoda's friends, right? You're a nurse and you speak Creole? Great! We need you in triage!"

Thus I spent the next 2 days running the triage tent, which essentially consisted of figuring out who truly had cholera, who needed oral rehydration, and who needed an IV. Some people would show up complaining of symptoms that I could happily tell them were normal old diarrhea. Go home, folks! Many others, particularly the young men, only needed a few hours of ORS there in our triage tent before they could be released. And some arrived close to death or violently vomiting and had to be moved immediately into the hospital tents to receive IV rehydration. It was intense and incredibly busy - going back and forth between holding buckets for people to giving out ORS to admitting new patients to yelling at family members to please sit somewhere other than the triage benches...My highlight was a 9 year old girl who came in looking like she was going to crash pretty soon, but after 5 hours of consistent ORS, she was laughing at me and sitting up. I was able to discharge her at the end of the day.




Samaritan's Purse asked us to only take general photos so I apologize for not being able to show you my 9 year old girl or any of my other patients. Frankly, you don't want to see what many of the victims looked like.

Robbie and I shipped out to Gonaives next, where we spent some time looking in the ghetto for cholera victims. One elderly woman was a classic case: she had just started having explosive watery diarrhea 15 minutes before we arrived but she was already too weak to walk. We transported her to the hospital and then I spoke to the staff, hoping that I would be able to assist them for the duration of my stay, but they were dealing with political issues between the US aid workers and the Cuban doctors who run the hospital, so I was politely told that they would call if they needed back up. I did get to do a brief teaching with the Haitian nurses staffing the ORS tent, but then I left. I went back to the ghetto, stitched up a boy's foot, and hung out with the kids under the gorgeous sunset.



On Tuesday morning, I'd planned on doing more home visits in the slums, but I got an urgent call from my boss, Vanessa Carpenter, ordering me to go back to Port-au-Prince immediately. Vanessa had gone to Cap Haitien with a team of doctors from Maine and a reporter from Virginia to help with the cholera epidemic at Bon Samaritan Hospital in Limbe. Since their arrival by helicopter, the streets had erupted in rioting, a desperate people's response to a disease they fear and blame on the United Nations. Vanessa and the team needed to leave the hospital because they were due to fly out on Wednesday and because with upcoming presidential elections, it was only going to get harder to travel.

I am sheepishly happy to admit that I did not obey my boss. Instead, I got into a truck with my good friends Emory, Kathy, and Bryan. Robbie and a Haitian pastor named John also came with us. We knew that there was rioting and road blocks the whole way there, but we prayed and felt a distinct peace to go and rescue to medical team.

We hit 6 road blocks on the way to Limbe, with escalating violence each time. At the first one, it was just a large truck pulled sideways across a bridge. At the next, there was a truck, a barricade of large rocks, and a small mob of teenagers hurling rocks at us from the hills. There was glass all over the ground, but apparently they had run out of bottles by the time we arrived. At another one, burning tires completely blocked the road and an angry mob leader paced around waving a wooden club and threatening to smash windows if we tried to go through. And the last one had trees down across the road and a crowd that swore at us, threw rocks, and waved machetes.

But each time we stopped, we watched God open doors. Bryan and I would jump out of the truck, and start explaining that I was a nurse and we had medical supplies in the truck and we needed to get through to Limbe. Situations that would normally made me really skittish seemed like a walk in the park. Keys to trucks blocking the road would mysteriously appear after block leaders had assured us that the key and driver were nowhere to be found. Rocks would fall near us, but not hit us. At the tire burning block, we literally drove through fire. I have no explanation for how we got through 6 road blocks without any injuries or major violence except that God was moving things for us.




Again, I apologize for the limited photos but Haitians under normal circumstances hate having their photos taken so I didn't think photographing angry Haitians was a great plan.

We reached the hospital in the mid-afternoon. The docs were happy to see me, to say the least. So we piled back in the truck and drove through only 3 road blocks to get back to Gonaives (appears that some of the crowds had gotten bored and simply given up). The team spent the night at Emory's place in Gonaives and drove into Port-au-Prince this morning. Of course, the great irony of the morning was that the US Embassy, having heard about their predicament, wanted to help. They did not have security clearance to come rescue the doctors from Limbe, but once they were safely in Gonaives, a convoy could be sent. So we met 2 Embassy vehicles on our way into PAP and got the royal escort on the completely safe roads home.

And this is why my life in Haiti is never boring.

Monday, November 15, 2010

Busy busy busy

I am leaving for Gonaives momentarily, but a quick note so you know I'm alive and kicking.

Our medical team arrived, did one day of clinic in PAP and then got called to a hospital in Cap Haitian to help with the cholera epidemic. I opted not to go so that I could instead go to Gonaives, to help my friends with cholera there. Of course, plans never go exactly as you intend here, so I ended up spending 2 days running the triage tent at a cholera treatment center in Cabaret. As you can imagine, it was a zoo. Photos and better updates to come.

And now, to Gonaives where I'm not sure what I will be doing, but I'm sure I will be doing something.

Keep praying for us!

Tuesday, November 9, 2010

My loyal shadow

This is Robbie. Robbie is a videographer. He was hired by Angel Missions Haiti to be my shadow and film every move I make for 3 1/2 weeks.


OK, slight exaggeration. Robbie is here to film everything that Angel Missions does so that he can make a documentary on us and a few short clips to put on the website. Of course, this is Haiti, so he has also been carrying water, painting, preparing oral rehydration solutions, and helping us furnish the house at Delmas 5 that we recently rented to host our medical teams. His wife, Kristal, stayed with us for his first week here too and she got to play his assistant, my assistant, and Vanessa's assistant, depending on the day.

The house at Delmas 5 has been a source of much frustration for me. From plumbers who are hired to replace a blocked drain and instead rip out an entire bathroom, to electricians who leave unencased live wires within easy reach of Bill's neice and nephew, it has made me want to rip my hair out on more than one occasion. Edjour and I finally got all repairs done and then I was perfectly content to hand the task of furnishing the house over to Vanessa. I spent one day with her, helping to find rugs, kitchenware, a stove, brooms, and shelves, but for the most part, it has been Kristal, Edjour and Sendhie who have helped her turn the house into a home. It's quite comfortable now and has the major perk of having national electricity nearly 24/7.



Meanwhile, Robbie has been following me everywhere : to the ravine, to clinic, to cholera teaching sessions, to church, to the grocery store, to medical visa appointments, to tent cities during hurricanes...Sometimes I have to wear a cumbersome wireless microphone; other times, I have to give elaborate apologies to Haitians who think he is filming them and get insulted. Last week, I dedicated one afternoon solely to answering interview questions and feeling like Angelina Jolie.





I already had a good idea of what it's like to be a celebrity just from living in Haiti. People yell my name or "Blan" as I walk by in the street; children just want to touch me and play with my hair; doors of wealthy institutes open for me almost magically; I get moved to the front of lines at offices and banks; people who only barely know me will boast about their white "friend" Keziah and strategically meet me on the street so that others can observe them being recognized by the American. Well, thanks to Robbie, now I know another aspect of the celebrity lifestyle - the paparazzi part!

OK, another slight exaggeration. It's really not like paparazzi. I gave him permission to film me and he has been very sensitive to cultural taboos about filming and about giving me space when I want it. It's just a little odd to be treating a woman for her vaginal infection and suddenly remember that every word I say is being recorded and captured on film...

Monday, November 8, 2010

Hurricane and cholera updates



Things have been rather hectic in Haiti lately, and on top of little issues like hurricanes and epidemics, we haven't had power here at the Shoebox for nearly a week. Again. I don't really mind living by candles and flashlights, but when it comes to internet access, not having power is a bit of a hinderance.



We made it through Hurricane Tomas without much damage. In Port-au-Prince, it has mostly just been a long weekend of rain. I was out in the middle of the night during the worst of it checking on tent cities in my area and though everyone was wet, the only injury I encountered was a bump on a women's head where a piece of wood framing had come down on her. People are hungrier than usual because with the storm, most markets closed, but overall, we did quite well considering the catastrophe that it could have been.

Most schools were closed in anticipation of the storm. In my neighbhorhood, that meant kids hanging out at my house helping me do hard tasks like...eating pizza. Over at St Joe's, the boys were thrown right into the bucket brigade...or into the wheelbarrows.



We continue to send supplies out to our collegues in the Artibonite where the cholera first hit. Vanessa, my boss, has been in country for about 2 weeks (more about her visit in another post) and she has spent many hours preparing oral rehydration solutions with water, salt and sugar. This week, the kids and I joined the party. It's good to add very important English words like "Shake" and "Reconstitute" to their vocabulary.




Today, I got the very bad news that cholera has hit Gonaives. My friends who work in the slums there have already had several neighbors die of the disease and they are fighting it with all they have. I am working to get my hands on IV fluids for them and am trying to find a way to get there myself. Of course, at the same time, we have heard reports that over 100 cases of cholera are being investigated today in Cite Soleil, the worst ghetto of Port-au-Prince. If those reports are true, there is no need for me to go the cholera. The cholera will come to me.

I love Haiti, but sometimes, I just wish it would be a little less Haiti-esque!

Tuesday, November 2, 2010

Meet Bitho...or rather, Bitho's ankles

Bitho is a 19 year old whose brother, Kerby, attends my church and occasionally youth group. Kerby approached me a few weeks ago and asked for help - Bitho has severe sickle cell anemia and has had open wounds on both ankles for over a year that simply will not heal. I met Bitho, did a rather painful wound debridement (this involves cutting out all the dead tissue), and scheduled him to come to my Shoebox every morning for dressing changes and antibiotic shots.



Frantz helped me do Bitho's dressings this morning since today is a holiday and there is no school. He really struggles with school work - at age 6 1/2, he cannot count to 10 - but he is quite smart about helping me. He knows by now where pretty much everything in my house is so all I have to say is, "Frantz, go back where I keep the bandaids and grab an antiobiotic ointment please." And when my neighbors come for meds, "Frantz, tell this man how often to take his cold medicine." He knows it all, just from spending hours and hours at my house while his mom is gone all day selling wares on the other side of town. He's almost as good as the young people who help me at Delmas 24 :)



It's been a little more than 2 weeks since I started caring for Bitho. Honestly, the wounds only look marginally better. I have a team of doctors from Maine coming in 9 days, so I will have them take a look and give me tips, if there are any tips to be had. The last time I worked with wounds like these was in 2005 when I lived in Belgium and worked on a diabetic unit. Most of their non-healing wounds ended in amputation - that would be devastating for this young man!

Baptized

One of the most exciting parts of my life for the past 9 months has been youth group, just watching the teens grow so tremendously in their faith and truly learn how to walk in God's love and presence. Last Sunday, we got to see a dozen of our most dedicated kids get baptized!