Monday, August 30, 2010

sunday.

Sunday morning we went to one of the local Gabonese churches for the early service. The entire thing is in French, so of course we understood none of it. From what we were told, it’s also important to go to an early service, because then there is a time limit to how long it can last – apparently, the last service of the day can last up to four hours. That would have been a stretch for me even in English.

There is a lot more dancing during worship than in the US, which didn’t surprise us. However, as visitors, we’re expected to sit at the front (and sometimes on stage), and get pulled into the dancing. Kelli managed to do so minimally, but I got pulled directly onto the stage.

We spent Sunday afternoon at the beach, though it was too cold to really go into the water (it was overcast and very cloudy). I stood at the edge of the waves a bit, letting them lap around my feet, until my ankles were stung by a series of jellyfish. Fortunately, it didn’t hurt much, though one of the other missionaries offered to pee on my feet if I needed him too (I declined).

Sunday evening the tailor came by to take orders and measurements for the outfits we wanted out of the fabric we purchased at Mont Buet. Kelli and I both chose a separate skirt and top, because we wanted something we would wear more than once.

mont buet.

We spent Saturday morning and most of Saturday afternoon painting and helping Tim and Amanda Kelly and their family move into the upstairs rooms of the mission house. Tim and Amanda previously oversaw the guest house at Bongolo Hospital, but are currently in Libreville for language study. They’ll be here until December, then they’ll be back in the US on home assignment.

We took a break in the afternoon to travel to Mont Buet, translated, “the market.” It was similar to the open-air market I went to Russia (renok), though I’m not sure the US has an equivalent. A craft fair might be the closest thing, but its really not the same. It was incredibly busy, so one of our primary goals was just keeping up with the person in front of you! We also bought fabric to make African outfits.

While there, we walked through the meat market, which is filled with raw meat of all kinds, including lots of fish. The smell was pretty horrible, even to me, and I was terrified I would brush up against one of the tables and actually touch the fish (if you know how I feel about fish, this will make sense to you). In a way, it also underscored the differences between the things that Kelli is interested in, and the things I'm interested in – I was focused on navigating through it as quickly as possible without looking around too much, and she was looking for some of the animals she’s dissected over the last several years.

Saturday, August 28, 2010

back to avea 2 and hope house.

Friday morning we headed back out to Avea 2 to work at the medical clinic. I spent most of my time watching Kelli consult (it was fun for me to see her using her training). Most of the patients are older, with issues with blood pressure or back pain, but we did see an adorable 8-month old baby. He had malaria, but because he was so little, it took some time to figure how to give him the medicine he needed. We were limited by the medicines and dosages available at the clinic, so Kelli and Heather (a nurse and 6-month intern here) had to get a little creative.

Friday afternoon we headed back to Hope House. This time we took the soccer balls the kids from the Bridge bought, and they were a huge hit! Kelli and I both spent some time kicking around the ball with the kids (though the kids had way better moves than either of us did). We got some great photos and videos of them with the balls, and I'm excited to share these with the kids at church when I get back.

I also got to meet Pastor Israel, who runs Hope House with his wife, Flor. We talked about how kids come to the orphanage, and the process they're currently going through to be accredited by the government. The last thing they need is mosquito screens for the windows, and then they'll be fully licensed. We also talked about adoption in Gabon, which is pretty much impossible between the red tape and the cost. I told him a little about how the foster care and adoption systems work in the US, and some of the stuff I've seen as a volunteer for CASA. I asked him about some of the specific needs they have, and I'm praying about the role God wants me to play in meeting those.

Today (Saturday) we spent the day painting and helping the Kellys (another missionary family here) move, and we took a trip Mont Buet - but I'll let Kelli describe that experience!

Thursday, August 26, 2010

medical clinic, day two.

Today we went to one of the villages outside Libreville with the mobile medical clinics. Kelli got to be a lot more hands-on today, and definitely saw a lot more patients. Along with Anna, Tim, and a few of the Gabonese who run these clinics, I walked throughout the village, letting people know that the clinic was here.

There is so much poverty everywhere, on a level I've never seen personally before. The houses are small, often one room and made with slatted boards and a tin roof. There's literally trash everywhere you look. Kelli says she has noticed a scent since we landed, though its not trash that she's smelling. I don't notice it, except a small handful of times - so this is a reason to be grateful that I don't have a strong sense of smell!

I've been trying to process why all of the poor living conditions aren't shocking to me. I expected to be surprised, not just by the level of poverty, but how prevalent it is. Then today, I remember my friend Kelly saying that on her short-term missions trip to Peru last year, she didn't experience culture shock until she got back. I imagine that will be true for me when I get back to the US, as well.

The church ladies from the village prepared a meal for us - manioc, red beans, and an eggplant dish. We had been warned that we needed to eat everything on our plates, so for that reason, we had a pretty light lunch. There are definitely Gabonese foods that we've tried that are good - fried bananas and sweet potatoes, bean sandwiches, and a chicken and rice dish last night.

While we were eating lunch, a few of the villagers started a fire in the dead brush nearby (to clear it out). So we ate the last part of a meal through a haze of smoke, and maybe some falling ashes. Kelli asked about the s'mores - but I think I'm content to wait until we can enjoy a bonfire at Katie's house.

One of the things that Tim has been involved with here in Gabon in Operation Christmas Child (shoebox Christmas gifts). These are distributed through the local churches, and in addition to the shoeboxes themselves, provide for continuing discipleship for the kids. One church now has 50-100 kids that attend each week because of this (which is especially amazing because there are only about 15 adults attending!)

Up until a month ago, the church met under a couple of mango trees, but now they actually have a structure to meet in. The floor itself is dirt and grass, but is surrounded by a cement border. There is a metal roof, with a handful of beams holding the structure up. As Kelli pointed out, what would be considered an abandoned building in the US represents a new beginning for the church.

On the agenda for tomorrow - more medical clinics in the morning, then Hope House in the afternoon (when we're delivering soccer balls).

Wednesday, August 25, 2010

medicine, shopping, and grub..... 3 of my favorite things :)

Today Kristy and I were welcomed by the Ospac and RBC medical teams at the Avea 2 Alliance Church. We were openly greeted by Mama Janine and Mama Christine, the nurses working in the clinic. Kristy was whisked off to work on a database for record keeping of the patients, in hopes to provide statistical data to aid in applications for financial aid.

I was quickly sent in to consult patients with Mama Janine. We saw a variety of patients from those with high blood pressure, palpitations, and other medical conditions. Due to the language barrier, I found myself focusing on the patient and the way they expressed their concerns and pain with their hands and expressions.

A Gabonese translator was available to translate, so between broken English and the common latin roots to medical terminology, I was often able to make sense of the discussion. And thank goodness for similar names for medicines! Pharmacology is tough enough in English!

In Gabon, due to the inconsistant medical treatment, patients carry their own medical records with them, as basic as they are - consisting of vital signs, chief complaint, diagnosis and plan only. No HPI, no PMH, no formal PE. Physical exams consisted of a quick listen to the heart or a quick look in the ears. Good thing 85% of diagnosis is in the history! (Sorry for the medical jargon - just a reach out to my fellow PAs out there!)

The medical system in Gabon does not provide easy access for the people here. There are a multitude of medical clinics, but the hospitals are often too expensive for the people to afford. A trip to the Bongolo Hospital (where Kristy and I will be visiting next week) is at least 10 hours away, but is the only hospital in the vacinity that has the resources to offer financial assistance to its patients. An operation at the local hospitals here in Libreville can easily cost twice as much as at Bongolo.

Working in a small clinic setting is a humbling experience. You have the same patients, with the same conditions, but so little in the way of resources. The clinic, although helped by the missionaries here, is alive and thriving due to the hard work and dedication of the Gabonese that run it. The clinic runs 5 days a week, with a mobile clinic often 2 days a week - with a small staff commited to helping the patients. The dedication displayed by Mama Janine and Mama Christine is only encouraging for the work I look forward to starting soon after I return to Frederick. I am anxious to get settled in to practicing medicine and soon find a way to outreach in my own community. To minister through medicine to those in need in my own world.

Lunch was bean sandwiches.... yummo! Considered the hamburgers of Gabon.

This afternoon, we frequented the local tourist market, where bartering is required if you want to walk out with any money left in your pocket. Much harder to do while calculating the exchange rate of money in your head! Kristy and I are working on a game plan to tackle the souvenir buying in the near future.

Adventures continued through dinner, where we tried some traditional foods of Gabon. We had a chicken and rice dish prepared by a close-by restuaruant (almost the size of a small deli) that we walked up the road to pick-up. We also had street food including fried bananas, fried sweet potatoes and a type of bread called montauk (sp??) -- also known as "mon-YUCK" by Tim. Needless to say the bread wasn't the highlight of our trip.

Tomorrow we will be working again with the medical team in the mobile medical clinic. So many more medical adventures to follow!

hope house and the beach.

We've been in Gabon for a little more than a day now, and I'm finding it difficult to describe all of the things we're seeing. Its not that its overwhelming, exactly, but it is very different.

There are both paved and dirt roads in Libreville, but unlike the US, there's no specific lay-out to them. The buildings are much like what I pictured, from pictures I've seen of Africa - I don't know what the sides of the houses are (cement, stucco maybe?), but the roofs are metal. Occasionally, a mango will fall and hit the metal roof, which startled me the first time, but I'm getting used to it.

The most different thing, at least to me, is that there are people everywhere you look. I don't know if this is because there are so many more of them, if there isn't enough housing, or if the Gabonese just tend to be outside more.

Yesterday morning we went to Hope House, a local orphanage started by a pastor and his wife who were unable to have children of their own. They're used to visitors here, and the minute you step out of the car, there are kids running up to hug you or shake your hand. Some of them are learning English in school, but even the ones that aren't know how to communicate anyway - they'll point, or grab your hand to pull you to where they want you to go.

We took some craft supplies - construction paper, colored pencils, and glue sticks - and spent some time just hanging out with the kids, drawing and hanging out with them. We'll go back again on Friday, so we're planning to take the soccer balls then (and our tennis shoes, so we can run around a little).

After lunch we went a local beach for a while (though I couldn't find shells, sorry Mary!). It was beautiful - I love standing by the ocean anyway, and it was a bit of surreal experience to be standing on the other side of the Atlantic. Anna (the college student from Washington who is joining us on our trip) was delayed a day getting in, so after a couple of hours at the beach, we headed to the airport to pick her up.

Today we'll be going to the base of operations for the mobile medical center. Kelli will actually be seeing patients, and I'll be working on a database to help those who run the clinic track patients and medications. Having records and measurements of the work that they're doing will hopefully allow them to secure government and other funding to help with their work.

Monday, August 23, 2010

made it.

We're here! After hours and hours on planes, we finally arrived in Gabon a little after 6pm on Monday. Our flight at Dulles was delayed in leaving, which made our connection in Frankfurt a little tight, but we made it. Anna will be coming in tomorrow (her plane was delayed) so we'll meet her then.

First impressions of Africa - its hot, but not incredibly so. By the time that we got here, it was very dark, even though it wasn't super late. Libreville seems busy - there are people everywhere! We're both pretty exhausted, so I doubt it will be long before we're ready to crash.

There's a five hour time difference between the East Coast and Gabon.

In the spirit of honesty, I did have a little freak-out moment when we landed in Gabon. Even though I expected everything to be completely different from what I knew, there was a brief moment after we landed and before we reached the gate, that I thought, "what the heck are we doing?" It only lasted a moment, and I'm chalking it up to exhaustion.

Tomorrow we'll spend some time at Hope House (the orphanage).

Saturday, August 21, 2010

Ready..... Set...... GO!

So I am a little new to the blogging experience, so bear with me as I learn as I go!



Tomorrow is the big day! Wheels up by 1800 hours and off to Germany we go! Unfortunately we don't have time during our layover to meet some of our distant Deutch relatives, because we shortly leave for AFRICA!



I must say these last few weeks have been jammed packed, and I have not fully recovered.



Graduation on July 29th seemed like a blur, and although it was wonderful to celebrate with friends and family, I had to move back into study mode pretty quickly to prepare for my boards. Just a week after graduating (Aug 6), I dug into my 6 hour board exam, and came out completely unsure of if I had passed.



Packing quickly commenced in preparation for moving day on Aug 13. Why I chose Friday the 13th to move.... I still don't understand! Good news arrived the day before --- I had passed my boards! My name is officially lengthened to have the PA-C suffix!



The last week has been a culmination of moving from Baltimore, cleaning out in Baltimore, signing employment paperwork, applying for Maryland PA Certification, reorganizing stuff from the move, and packing and preparing for Africa. Wow - what a week! But why stop now?!



I must say without everyone's prayer and support I would not have survived. I am so very blessed to have all of you in my life. I cherish every one of you and look forward to sharing this adventure with you.

Thursday, August 19, 2010

2 days.

Today is Thursday. I leave for Frederick on Saturday.

Excuse me for stating that obvious, but that's in 2 days.

So while I run around like a crazy person, trying to do laundry, pack, clean out my refrigerator, deal with my smoking car, finish up the last-minute work stuff, and prep for Saturday night's church service, here are a few suggestions for prayer requests:
  • The last-minute details - there are always so many little things to do before a trip, especially one that will have you on another continent for two and a half weeks. Plus, I have a tendency to over-estimate what has to be done, something that would be evident if you could actually see my to-do list right now. I'd much rather do the things that need to be done, and still be able to enjoy the next two days.
  • Relationships - we're meeting a college student, Anna, in Frankfurt (she's flying in from Seattle), and she'll be joining us for the rest of our trip. Please pray that we'll connect with her quickly, and with the others that we'll be working with.
  • Physical safety - both for traveling and for our health while we're in Africa.
  • Purpose - I know that God has a purpose in sending both of us on this trip. I can make a guess as to what those reasons are, but only he knows them. Please pray that even as we finish last-minute physical preparations, that we'll be receptive to what he wants to teach us and do in us.
Thanks for supporting us!

Wednesday, August 11, 2010

welcome.

Welcome, and thanks for joining us as we chronicle our upcoming adventures in Gabon, Africa.

We've got just about a week and half before we leave. We've had all our shots, our passports and visas are ready to go, and all that's left to do is the last-minute shopping and packing. And of course, this is on top of our "regular" lives - I'm still busy with work and ministry responsibilities, and in the last 2 weeks Kelli has graduated, taken her boards, accepted a job offer, and is getting ready to move out of her house in Baltimore this weekend.

I figure we can slow down once we're on the plane.