Sunday, July 28, 2013

Is this actually over?- Summary of the Segundo Mes

First off, I have done a completely awful job blogging this second month. Our day to day work wasn’t blog-worthy, I didn’t think. So here will be a pathetic attempt to sum it all up.

So we started off the month working in Hospital San Jose, a small hospital with an obvious lack of equipment. We found a total of around 40 pieces of medical equipment in the entire hospital, which is not much at all. So then there is obviously not much to fix, since they have so little equipment and a technician that does a good job getting things back in rotation if they break. So our first two weeks were pretty slow. We fixed a few cool things, but did a lot of sitting around and wandering around the hospital trying to find things to work on.

So one marvelous day, Kevin, one of the OTGC’s, called us and asked us if we wanted to meet with SILAS to talk to them about working in some of the smaller clinics in our state of Carazo (as mentioned in prior blog post) and we chose to work in the nearest one to our house (half an hour walk or so).

AND THAT WAS AMAZING! Get this: Day one was LOADED with nebulizers and bathroom scales and we repaired five things in four hours! WOAH! And the other days we worked there went similarly. Throughout the day, as more doctors and nurses found out we were there, they would bring more and more equipment. We ended up having the majority of our fixes here! Amazing- right? I absolutely and totally recommend SILAS to anyone coming to Diriamba or any other hospital in Nicaragua. Even if its just for an occasional change in scenery! We also developed amazing relationships with the nurses and administrators at the clinic! These ladies were some of the sweetest people I met in Nicaragua. They were so genuinely excited and thankful for our work almost to the point of tears.

One woman gave us a broken Fetal Doppler, her only one, and a box of “trashed” ones and we mixed and matched parts until we had 3 working dopplers. When we delivered them back to her she gasped and was speechless until she finally said “por mio?!”. She was thrilled and found pregnant Aura, another friend of ours in the Centro de Salud, to test them all out. Her reaction made the entire first month of simi-tedious classes and the struggles of second month completely and totally worth it. Just the look on her face when she saw those dopplers made my heart leap.

Aura, mentioned above, was a wonderful lady who worked in the office. She basically took us under her wing and helped us in any way she possibly could. She knew nothing about any of the equipment, but she diligently took us around to each room in each ward to ask what was broken there. She also sung our praises in each room and bragged on all of the fixes we had thus far. We are now facebook friends and are currently messaging back and fourth about my travels and safety as I get home.

These stories are what make the summer of hard work and being outside of my comfort zone 99% of the time, the best time of my life. I have never felt so nostalgic about leaving a place. I loved Africa and hated leaving, but I just left a huge chunk of my heart and two months of my love and work in a country that has truly shaped my life. I believe that we are formed and shaped by the experiences that we have, and I can confidently say that my experiences this summer in Liberia and Nicaragua have made me a considerably better person in a variety of ways. I have learned so much about myself and about engineering and what I want my life to look at in 5, 10, even 20 years.

Not only were the work and work relationships capturing, the friends I made on the program are some of the most interesting and fun people I've ever met. Who would of known that I would love a group of engineers as much as I love this group?! Much less engineers from Duke. Ha!

If someone told me a year ago that I would be sitting on a plane today, coming home from a trip repairing medical equipment in Nicaragua, feeling the way I do about leaving, and with such direction and clarity for my future aspirations I would think that they were insane. But geez, I'm glad that I am.

I have never imagined that my summer could actually end up playing out as perfectly and wonderfully as it did. I am so sad to leave, but can’t wait to see how my experience, here in Nicaragua, shapes my personality, attitude, goals, work ethic and ultimately future.

This has been a teary eyed blog post, and a teary eyed plane ride. But as Corey Smith once said, “If I could do it again, ya know I’d do it the same.” And that is so true for this summer. There were “Cloud 9” times and times when I could have ripped my hair out, but all came together for a beautiful experience.


Monday, July 1, 2013

First FIX!!

Written Sunday, June 30
First day of working in the hospital and first weekend in Diriamba: both a success.

So we got to work at 8 am, and the first person we met was the adorable front desk lady named Veronica. She was so helpful and went to get Sor. Sonya. Sonya is a nun who is in charge of admin stuff (did I mention that our hospital is half run by nuns?). She took us around the hospital for kind of half of a tour while Harold (Head Technician/Only Technician) cleaned the maintenance room. Then Sonya dropped us off in the supply closet with a lady who talked 99 mph about her grandchild who had just been born, and someone that she knew that lived in America, and 9/11 and lord knows what else. I understood 50% at the most. And 25% of that was hand motions. Then Harold was finally done and then actually just wanted us to work in a different room. So he lead us up to a random table near the admin offices and just brought us equipment one at a time. The first was a centrifuge. He plugged it in and turned it on and it shook and spun all over the table because it was off balance. But Charlotte and I, being the eager beavers that we are, dove in and took it apart immediately. Through much testing and running through ideas, the test tubes were different weights and that was the problem. So user error, which is the most common problem, but it took a while for us to slow down enough to realize that.

Either way, it counts as a fix! Then we were given an autoclave and OH BOY. Basically we are NOT even CLOSE to skilled enough to fix this. It’s full of water so we can’t open the door. But the reservoir is empty so we can’t run it either. Basically the water gets trapped in the chamber so when you open it water rushes out. But after Harold cleans the pipes it works a few times and then it’s back to the regular problem. So we emailed someone in America who gives autoclave advice. Yes, those apparently exist. And we are hoping to hear back from them tomorrow. We played the “I’m volunteering in a third world country” card, so hopefully that helped too.

Then we left for our lunch break, which is an hour long. We had no idea what’s in Diriamba. So we begin walking aimlessly and find “Taco El Reloj” and eat there. Then we swung by a bread store for desert. To give you an idea of our meal: I had two tacos for a total of 30 cordobas, then a cupcake and a bottle of coke for a total of 22 cordobas. So for 52 cordobas, aka $2.12, I had lunch, desert and a drink. In America, the bottle of coke alone would be that much almost.

Come to find out later, our host family actually provides us lunch daily. So we had our lunch for dinner. Which was this AMAZING potato salad served over lettuce with rolled up bologna in it. Our family loves bologna.

After lunch we went back to the hospital and took some inventory. We really only covered the maternity ward so far, but that was a job in itself. They apparently have 4+ babies born daily and only one working infant warmer, one working phototherapy light and no working incubators. The rest of the equipment in the room is broken and just taking up space. Not for long though, if Charlotte and I can do anything about it! #CharlotteAndHannahSavingBabies

Then Saturday we met up with two fellow EWHers who are stationed about a 30 min bus ride from us. So we met for pizza and then headed out to the beach. It’s going to be so great having them nearby to hang out. I love Charlotte to pieces, but I know that we will both be ready for some new faces after spending every moment together.

Sunday (today) we did nothing. Charlotte slept half the day and I read a book and a half. I finished the last half “Gone Girl” and then read all of “Lucy in the Sky”. Both were FANTASTIC and had crazy plot twists and endings. My fave. And that about sums up our entire day. Besides eating and going to the supermarket to buy toilet paper and lollipops.


And tomorrow starts our first full week! No, literally the first full week of the entire program. Even last month when we were taking classes, we had Fridays off of class to go visit hospitals. This will be a five-day streak of trying to fix as much as we can! Here goes nothing…..

Cause I'm Halfway Gone

Written Thursday, June 27
Looking Back:

Today we left Granada and are starting a new phase of our trip. We have finished Spanish classes and technical classes and are on to working in the hospital we have been assigned.

This past month has been an incredible experience. I have gotten the opportunity to live in Nicaragua and really understand their daily lives and culture. This obviously had good and bad parts to it. Anything from sitting on the porch with our family as the sun goes down or playing with their kids, to hearing of armed robberies weekly. For example, a friend of mine from our group was walking home last night with a group of five average sized guys and they all got jumped, but Lucas got caught up and was hit with multiple rocks and they took his shirt, wallet and belt and was in the hospital all night.

Disclaimer- I don’t include that to worry people, but to make light of the culture. I know of many people who have been approached by men with knives or rocks and been mugged. But that comes with living in a city and living in a foreign country. It also is part of the territory of being a foreigner. We are obviously targeted as a group for crime, begging, vendors, etc.

On top of the stressing about safety, this month has been very emotionally and mentally trying. I was thrown into a foreign place…with a language I didn’t know much of…with people I had never met before. But success stories in all areas. I really felt comfortable and welcome in Nicaragua shortly after arriving. My Spanish has improved marginally. And of course- I fell into quick and entertaining friendships with some amazing people. I love situations like this where I am forced to meet people and befriend people that I wouldn’t naturally cling to in a normal environment. None of my friends here are even closely similar to any of my close friends at home, which just goes to show what an open mind can do for someone. Not everything has been rosy and happy though. I have dabbled in homesickness, culture shock, and identity crises. Being in such a strange environment has really been shining a light on my strengths, but more importantly my weaknesses. Which is never really a pleasant time.

Overall, this past month has shaped me into a generally stronger, more capable and more flexible person. I have learned a ton and have left a large part of my heart in the city of Granada.

“An adventurous life does not necessarily mean climbing mountains, swimming with sharks or jumping off cliffs. It means risking yourself by leaving a little piece of you behind in all those you meet along the way.”

The goal is to successfully have an adventurous trip. I think I have definitely left part of me with my host family in Granada and a few other Nicaraguans that I met along the way (Spanish teachers and coffee shop workers). I am also fully confident that I will make even more connections and friendships in Diriamba as well.

So looking forward:

Today, as mentioned before, our group left Granada and spread across the east half of Nicaragua. Charlotte and I moved to Diriamba. We got here just before noon today and got to see the hospital that we will be working in for the next month. We then came to our new homestay, which is incredible! The house is stunning, our mom is a sassy Nicaraguan pediatrician who was strutting around the house in heals and tight jeans and a leopard patterned shirt today. She has a daughter who is 22 and hasn’t come home yet, so we haven’t met her. And she also has a lady named Carlita who cooks and helps around the house. There are mango trees, banana trees and other unidentified fruit trees in the yard. A huge boxer-like guard dog named Tyler. The house is so tranquil and peaceful which is a switch up from our last house with 3 young, rowdy kiddos in it. Both have their perks obviously, but this house’s environment is a relaxing change. Upon arrival, while still stunned from the immensity of this house, we were served a beautiful meal of rice with beet strips on it, chicken with some sort of gravy-like sauce cooked with onions, peppers and carrots and tostones (fried plantains). It was delicious, breathtaking really.

Then we decided to go explore the town some and get a feel for the land. It took me all of fifty seconds to fall in love with it. The climate is cool, the town is the perfect size, and people are so friendly. Today there was a constant breeze as we walked around,  we were able to pretty much walk from one side of town to the other (we think), and the people we so much nicer than in Granada. Granada is touristy and the people there have a general distaste for visitors sometimes and usually dismiss you or just stare blankly at you, both of which make you feel generally uncomfortable. But walking around today was a total difference. People smiled at us and were helpful. Plus we had a pretty lengthy conversation with the storeowner, Michael, about our reasoning for being here and our lives. He was genuinely interested and so wonderful.

-----PAUSE: Charlotte quote: “Ya know what I wish I had right now? A pregnant belly to rest my book on.” How weird is she? So weird. But I just can’t help but love it. Okay, PLAY-----

So overall, Granada was an amazing time. Spending everyday with a group of really fun people and learning all about Nicaragua and preparing for this month. But now the time is here, to show our stuff and make last month count. I am so excited to start working here and really try to make a difference in this hospital.


Cheers to adventure and leaving as much of myself behind in Diriamba as I can!