Tuesday, July 27, 2010

Saturday, Sunday, Monday

How can we thank our host families, new friends at the clinic, and all of the church and community friends we have in Sierra Leone!? We have been blessed with opportunities to learn about healthcare in Sierra Leone, assist in that effort, learn about the church and community in Kabala. We gathered information regarding first aid efforts and ideas about how to improve and educate. So long for now, but we hope to return soon, Kabala!

On Saturday, we said our sad good-bye's to our host family and traveled to Freetown with Pastor John and his trusted driver Bilalie. Bilalie took us the "back way" to Freetown and John treated us to dinner on the beach, complete with a real treat -ice cream!

On Sunday, we attend the AMC (African Mission Church). The enthusiasm with which churches in Sierra Leone worship is overwhelming!

On Monday, we made our way to the airport via the car ferry to Lunghi. Our trip through Senegal, Belgium, and Chicago went according to schedule and all of our luggage arrived home safely. We praise God for our safe return and thank him for the many blessings we received before, during, and as we returned home. Thank you to all who supported us in many ways -financially and through prayer.


Julie and Chelsea in African dresses made for us and given to us by the staff at the NarSarah Clinic, Kabala, Sierra Leone.
Friday

Wow! A month seemed like a lot of time and now we are nearing the end of our stay in Sierra Leone!

Today was our last day at the clinic. Fridays are a day when the pregnant women are encouraged to come to the clinic for check-ups, immunizations, and education. Today, Chelsea assisted Theresa with examinations and immunizations. She used the opportunity to give Grandma's baby blankets to the expectant mothers.



They we so happy and appreciated the gifts! (even though, they often are very serious when we wanted to take their picture!)

Later we had to say our thank-you's and good-bye's to all of the wonderful people at the NarSarah Clinic. We learned a lot, worked hard, and had such a wonderful experience there. We are proud to call them our friends and hope to see them again sometime soon!


Chelsea and Theresa


Julie and Theresa


Chelsea and Peacemaker
Thursday

Today was another busy day at the clinic. For some reason, we had many cases of dehydration. This seems to be most often caused by malaria and typhoid. Chelsea helped out by administering IV fluids for them.


Note that when an IV stand is not available, we use the nearest nail on the wall!

Near the end of the day, Theresa took us over to the Government hospital and her friend who is a nurse there gave us a tour of the hospital.

Entrance to the Kabala Governmental Hospital





In the evening, we shared a very American treat with our host family. We brought graham crackers, marshmellows, and chocolate to make S'Mores over the cook fire. Yum!

Wednesday, July 7, 2010

It Was a Bootie Kind of Day

Wednesday

Today we began our work in the clinic as usual, but were happy to see several babies. It was a chance to share some of the handmade booties that we brought with us. They always bring a smile to the mom (They are especially appreciative since it has been "cold" the last few days). And although they smiled when they received the booties, they never seem to want to smile when a camera comes out.


Tuesday, July 6, 2010

Clinic Duty

Monday and Tuesday



The clinic is now open again, and a long line awaited us Monday morning. We continue to help with injections and the pharmacy, and we continue to see both minor and heartbreaking cases. The majority of patients who come into the clinic exhibit symptoms of malaria, which includes: fever, dizziness, headaches, spleen inflamation, poor appetite etc. They usually leave with about 7 to 10 days of several medications for about 50 cents. The problem is, most likely the next month they return with the exact same problem. Many have a tough time affording the 50 cents because if you think about it, it is really a large percentage of the average income.

On Tuesday, Chelsea spent the day with Peace learning how to palpate a spleen to check for malaria, how to record patient data, check symptoms, and how to palpate a pregnant woman to determine how far along and the position of the baby. Julie worked in the pharmacy restocking medications and helping Theresa to dispense them.

R & R

Saturday and Sunday

On Saturday we adventured through the Kabala market once more, and purchased more fabric and fresh cucumbers. Fruits and Vegetables here are very good, but are only available during certain seasons. Luckily pineapples are in season now- and they are like candy!

On Sunday we attended the CRC Kabala Church and enjoyed worship and praise with them. They sing with such gusto! It is a pleasure to worship with them.

Friday, July 2, 2010

Native Medicine + Western Medicine = Hope

Friday


There are so many examples of Western Medicine imposing its paradigm on other cultures, especially here in Kabala. For example, one day in the clinic, a girl came in with an ulcer on her ankle. It was another jungle ulcer (for I have seen many now), but this one looked a little different. It appeared to be abnormally yellow and crusty. I realized that it was not just pus, so I asked her what she had put on it. Her mother responded that she had broken open a capsule and poured its contents into the wound hoping that the medicine would improve it. She did not know what pill she had used. We have seen many leaves on similar wounds in an attempt to heal it, but the concept of both of theses situations demostrate the misuse of native and western healing. Our long term goal has always been to figure out way to improve health care, especially first aid, in a way that is culturally sensitive and respectful.

In order to learn more about the traditional healing methods, we were able to meet a native healer, named Bahla, today in Kabala on One Mile Road. He is a middle aged man, who was very open and trusting of us. We were warned that most traditional healers refuse to share any information about their craft. But Bahla seemed to be very outspoken and honest with us. He even welcomed our questions. We asked him questions like: What do you think of Western Medicine? What kinds of treatments do you use? Are there any illnesses that you do not treat? Do you think that tradition medicine and western medicine can blend? Have you ever been to a hospital? How were you taught your craft? He proceeded to share examples with us. Three patients were being treated at his house at the time, and he brought them out to meet us.



The first was a boy who was about 15 years old. He had been suffering from "Big Foot," which is some type of swelling from the knees down. We were told that sometimes this condition can affect the whole leg. But this boy had this condition on both legs. The right leg was almost completely healed, and the left leg's swelling had reduced significantly since he had arrived.





The next was a boy who was about 12 who approached us with a slight limp. At first we thought his legs were bowed from the way he was walking, but we soon saw that one of his thighs was enormously swollen. The rest of his leg was uneffected. The native healer stated that he had not figured out what was wrong yet, but that he had tried several treatments already without success. The boy stated that he had been to the hospital many times, as well as to the "chinese doctors" who seemed to have given him acupuncture, but no one has been able to help him.






The last patient was a woman who was suffering from bouts of tachycardia, weakness, and dizziness. The native healer stated that with certain medicines he was able to heal her completely and now she was able to walk and eat normally.

Clinic Statistics


Tuesday, Wednesday, and Thursday

The clinic happens to be closed, so we used that time to gather statistics about patients who come to the NarSarah Clinic. We recorded data from patient records from April 2009. It seems that the clinic has grown a lot since 2009, because the average number of patients per day in April 2009 is less than now. The data we collected is useful to see common illnesses that come through the clinic as well as common treatments.