I am back in the DR after a two week trip to Peru to translate for my mom’s gynecology surgery mission and a trip traveling to Cusco and the Inca Valley. The trip was great: we got to help so many people that wouldn’t have been able to afford the surgeries and I learned a lot about medicine and lots of new Spanish medical (gyn specific) terminology. The mission was in Iquitos, which is the largest city in the world that doesn’t have road access- you have to take a boat or fly to get there. Many patients we saw came from the Amazon river communities and had been living with large painful cysts or fibroids and some with severely prolapsed uteruses.
The team (which consisted of 2 OB GYNS, 1 CRNA, 2 Pre and Post op nurses, 1 scrub nurse and 1 circulating nurse, 2 translators, an amazing Peruvian team) did 22 surgeries in 5 days. They took out lots of cysts and fibroids, fixed prolapsed uteruses, and did some bladder suspensions
In addition to the hospital team, there was also a family health team that visited different communities each day along the Amazon river that did a daily clinic, administered anti parasite medicine to all that wanted it, and vitamins.
The first day at the clinic was intake day and the plan was that my mom and her partner Kelly would each see patients and then get together and prioritize which cases they would see. However, when they met up at noon to compare notes, they agreed that every case they had seen that morning (with the exception of 4, which ended up being other things that were treatable without surgery) was severe and that they should stop screening and schedule the women that they had already seen. They accepted 22 patients, which made for 12 hour surgery days.
The group that came out, all within the same healthcare system my mom works for in Colorado, was absolutely amazing. The doctors, nurses, and translators donated their time and services and paid their trip which includes airfare, transport, food, and hotel. The majority of the anesthesia and surgical kits were donated by drug reps and organizations from the States. The hospital donated the operating rooms, Peruvian OR Nurses and techs to ensure that our team worked well within the new environment, and a few support people for the first day.
The cases we saw were amazing, although severe. There were a few uterine prolapses, which is the falling out of the uterus, a fibroid the size of a six month fetus, a gnarly condiloma, and some pretty big cysts. All of the patients were SO appreciative of the operations. The operations truly were life changing for those who received them…many of these women were so severely anemic after years of having fibroids and couldn’t lead a normal lifestyle. The prolapsed patients had been living with there condition for years...
I am so grateful for the opportunity I was given to attend this mission. Working as I do in my community in the DR, it is often weeks before I see an outcome of the work I do (and then it is 50/50 on whether or not the outcome is favorable) so it was nice to be able to immediately help the patients we worked with and to hear and feel their gratitude. It was also great to get another Latin American experience, and let me tell you, Peru is VASTLY different than the DR. We did a week of traveling after the med mission and I got a feel for the diversity of the country, between visits to Iquitos, Lima, Cusco, and the Inca Valley. What an amazing country Peru is. I had daydreams of doing a third year PC extension in the Inca Valley.
I posted plenty of pictures on my picture site. Check them out.
Well, Bryan and I are in Bani, which is the coolest town in the South, running some errands and taking advantage of the best bakery I’ve found in the DR… legit chocolate cake. This next week I am in a Batey (a Haitian immigrant sugarcane cutting community) learning French Creole with a few other PCVs, in preparation for my 3rd year extension in La Romana next year.- should be an amazing experience.
Friday, October 30, 2009
Wednesday, October 7, 2009
Parásitos, Escojo Classes, and Amoebas
As part of the customary Close of Service medical procedures (and extension of service, in my case), PCVs must submit 3 “separate occasion” stool samples to make sure they aren’t leaving the DR with any nasty parasites or amoebas. Last month as I was getting all my 13 month extension paperwork in order, I had the pleasure of doing these samples and learned that I had a parasite. Really, the results weren’t surprising - I had a feeling I had been carrying something (don’t worry, I’ll spare everyone the details on why I suspected I had a parasite). Treatment: 5 day round of Paramox to kill it off. So imagine my surprise when this past week my stomach was hurting in the “I have a parasite way” again. I call our PC doctor, she tells me to go to Azua and do a sample. Results: AMOEBA! This country is going to kill me before I get out of here! I started round 2 of Paramox last Friday. Incidentally, I am in Azua today to do another “coprologico” test to make sure my amoeba was killed off.
Well, my pap smear/breast exam campaign was a total failure. I started getting a feeling as I was promoting it that it would be, but was optimistic the morning the campaign started. Here are the reasons why I think it failed: 1) I did all the promotion myself (walking the community to inform everyone, I made an announcement in the nighttime adult classes, announced the event to the church, invited friends of mine, etc) instead of getting a group of 4-5 Donas to promote the campaign with me. 2) It cost money ($250 pesos, or about $7 US) since the Doctor had to pay to buy the speculums and have the test read, and generally people in the campo don’t spend money on preventative health 4) It can be done for free in the rural clinic (IF there happens to be the supplies there and someone around to do it, both are hit and miss).
At the very least, I was able to walk around the community and talk about the importance of being able to detect breast and cervical cancer early and that you need to see a physician annually. A few women came and got their pap smears…so that was good. And maybe there was a rise this week in women who went to the clinic asking for pap smears. I had originally wanted to approach the doctor in the clinic to do the campaign, but I decided against it since they are always dealing with motorcycle burns, machete injuries, weird skin parasites, GI distress, and lots of colds and people with headaches who want inyecciones (this is another story all in itself). The clinic is always so packed and overbooked, so I went the route of the doc that comes out every other Saturday. Bryan tells me that the Dona-walking-the-streets plan wouldn’t have worked since no one likes to spend money on their health if it isn’t imperative. I am temped to believe him, but because I happen to be taking this whole lack of a big turn out personally.
In more exciting news, my year extension in La Romana is official and in November I am going to find myself an apartment out there. I’ll have a real kitchen sink, running water, and shower…and maybe even wireless internet. I am leaving my site at the end of November with the rest of my group of PCVs that came in Sept 07 with me, and I will spend Thanksgiving and most of December with my family in the States. I’ll return to my community for Noche Buena (Christmas Eve) and Christmas festivities and then move to La Romana before New Years and start my job the 4th of January.
I have been throwing myself into my ESCOJO youth group since that is the area that has been giving me the most satisfaction. I’ve been thinking of other random activities that I can do with kids when we aren’t meeting Tuesdays and Thursdays, like art projects, hanging out on my front porch talking and singing along to Daddy Yankee reggaton and the new Aventura songs, and goofing off. This group has been so much fun and the one reason I haven’t gone completely insane these past few weeks. Perhaps the most fun part of the group is that it keeps growing and the kids have been bringing their friends along to participate. I may have to move my meetings to the school if attendance keeps growing like this.
Well I am off to Peru on Friday to translate for my mom’s Gynecology surgery mission trip. The surgery part of the trip is 6 days long…the first day is intake day where they’ll screen all the patients and perform exams and decide who they’ll operate on. The next 5 days are full surgery days. My role will be to translate in the exam room for the intake day, and before and after surgery for the patients for the rest of the week. When the patient is asleep, I get to hang out in the Operating Room learning and helping out when I can. The second week we are going to do a trip to Machu Picchu adventure. I will be sure to post pics and do an entry after the trip.
Well, my pap smear/breast exam campaign was a total failure. I started getting a feeling as I was promoting it that it would be, but was optimistic the morning the campaign started. Here are the reasons why I think it failed: 1) I did all the promotion myself (walking the community to inform everyone, I made an announcement in the nighttime adult classes, announced the event to the church, invited friends of mine, etc) instead of getting a group of 4-5 Donas to promote the campaign with me. 2) It cost money ($250 pesos, or about $7 US) since the Doctor had to pay to buy the speculums and have the test read, and generally people in the campo don’t spend money on preventative health 4) It can be done for free in the rural clinic (IF there happens to be the supplies there and someone around to do it, both are hit and miss).
At the very least, I was able to walk around the community and talk about the importance of being able to detect breast and cervical cancer early and that you need to see a physician annually. A few women came and got their pap smears…so that was good. And maybe there was a rise this week in women who went to the clinic asking for pap smears. I had originally wanted to approach the doctor in the clinic to do the campaign, but I decided against it since they are always dealing with motorcycle burns, machete injuries, weird skin parasites, GI distress, and lots of colds and people with headaches who want inyecciones (this is another story all in itself). The clinic is always so packed and overbooked, so I went the route of the doc that comes out every other Saturday. Bryan tells me that the Dona-walking-the-streets plan wouldn’t have worked since no one likes to spend money on their health if it isn’t imperative. I am temped to believe him, but because I happen to be taking this whole lack of a big turn out personally.
In more exciting news, my year extension in La Romana is official and in November I am going to find myself an apartment out there. I’ll have a real kitchen sink, running water, and shower…and maybe even wireless internet. I am leaving my site at the end of November with the rest of my group of PCVs that came in Sept 07 with me, and I will spend Thanksgiving and most of December with my family in the States. I’ll return to my community for Noche Buena (Christmas Eve) and Christmas festivities and then move to La Romana before New Years and start my job the 4th of January.
I have been throwing myself into my ESCOJO youth group since that is the area that has been giving me the most satisfaction. I’ve been thinking of other random activities that I can do with kids when we aren’t meeting Tuesdays and Thursdays, like art projects, hanging out on my front porch talking and singing along to Daddy Yankee reggaton and the new Aventura songs, and goofing off. This group has been so much fun and the one reason I haven’t gone completely insane these past few weeks. Perhaps the most fun part of the group is that it keeps growing and the kids have been bringing their friends along to participate. I may have to move my meetings to the school if attendance keeps growing like this.
Well I am off to Peru on Friday to translate for my mom’s Gynecology surgery mission trip. The surgery part of the trip is 6 days long…the first day is intake day where they’ll screen all the patients and perform exams and decide who they’ll operate on. The next 5 days are full surgery days. My role will be to translate in the exam room for the intake day, and before and after surgery for the patients for the rest of the week. When the patient is asleep, I get to hang out in the Operating Room learning and helping out when I can. The second week we are going to do a trip to Machu Picchu adventure. I will be sure to post pics and do an entry after the trip.
Wednesday, September 23, 2009
Fall in the DR?
Things are slowing down in my site. The kids have started back to school, we have evening Escojo and youth group meetings, and my days are spent doing random projects (this week and next it is promoting my pap smear campaign, which was of course, postponed until Oct 3rd since everything seems to get postponed here).
My focus lately has been Escojo Mi Vida youth group. I started a new group of kids and will go through the curriculum again. To recruit this group, I went to the school and announced the beginning of a new class with a couple of my past participants. The result was that I am working with some kids I’ve never worked with before, which is exciting. So classes have started back up, we have an trip to visit my friend Charlie’s Escojo group on Saturday, and a fun puppet activity set for the weekend.
It has finally cooled off, which has been a nice change. Strangely, it feels a bit like fall, with all the rain we’ve been getting in the afternoons, the shorter days, and cooler weather. As my time in Amiama Gomez winds down, I find myself daydreaming about my next adventure in La Romana. I look forward to a more professional Peace Corps experience, working a normal schedule and job with lots of responsibility, and having a little apartment in a city where I can be anonymous (well, more so, anyways. I kind of stand out as a 5’9, white woman).
I think this is it for now...
My focus lately has been Escojo Mi Vida youth group. I started a new group of kids and will go through the curriculum again. To recruit this group, I went to the school and announced the beginning of a new class with a couple of my past participants. The result was that I am working with some kids I’ve never worked with before, which is exciting. So classes have started back up, we have an trip to visit my friend Charlie’s Escojo group on Saturday, and a fun puppet activity set for the weekend.
It has finally cooled off, which has been a nice change. Strangely, it feels a bit like fall, with all the rain we’ve been getting in the afternoons, the shorter days, and cooler weather. As my time in Amiama Gomez winds down, I find myself daydreaming about my next adventure in La Romana. I look forward to a more professional Peace Corps experience, working a normal schedule and job with lots of responsibility, and having a little apartment in a city where I can be anonymous (well, more so, anyways. I kind of stand out as a 5’9, white woman).
I think this is it for now...
Wednesday, September 9, 2009
I Never Though I'd Be THAT Volunteer
I am back in the DR, after an amazing trip to the States, putting together my plan for what is next in light of many revelations I have had in the past month. Althought I have not been blogging about it, I became interested in doing a 3rd year extension at a HIV/AIDS clinic that I had come across in the town of La Romana. Let me also say that NEVER EVER did I think I would be extending past my two year service, so imgaine my amusement still...
When I was talking with this clinic this past April, I found out that there were some opportunities to work with the mother's clinic in town for breastfeeding and nutrition practices for new mothers and with the main clinic in developing an HIV/AIDS education program for youth in the Bateys in the area (Bateys: Haitian communities that were made for the workers to come out to the DR and cut down the sugarcane. Highest HIV infected area in the country due to lack of education on the topic and some risky sexual practices). I became interested in the opportunity, but in the hectic summer I gave up the idea, just ready to return back to the States and start Nursing prereqs.
Well, I went to Portland for two weeks and it was awesome. Jen, Kira, and Charley made sure I got to eat and do everything that was on my list, I went by a couple of Nursing school to check things out, and my mom came out to see me. Strangely, I didn't feel the intense ache in my chest that I used to feel when I thought of my amazing town, the rivers, the trees, the smell, and the amazing people. While my trip couldn't have been more perfect, I realized that Portland will still be there in another year, and that I could extend my Peace Corps service and not pine away for my town. I even missed the DR; I missed my tranquil life here, my boyfriend, my jovenes, and my projects. It took me 2 years, but... :)
I am waiting for things to work themselves out at the clinic. I went back out to have some meeting and discuss what projects were available. I submitted my 12 month proposal yesterday and got good responses from the project directors...so now I am just waiting for the clinic director to write a solicitation letter to Peace Corps and for Peace Corps to give final approval.
I couldn't be more excited about the thought of working in La Romana at this clinic. The clinic is full of amazing professional Dominicans dealing with the HIV/AIDS reality in the DR and a few very inspirational Americans who are doing some new research on HIV/AIDS and/or doing part of their residency rotations through the clinic. La Romana itself is a great town as well. A town that is know to be close to some of the best beaches in the country, a HUGE supermarket where I can eat something besides root vegtables, rice, beans, eggs, and chicked, and lots of great apartment options (with a real toilet and shower!). I could even get internet in my apartment if I wanted.
So, si Dios quiere, this girl will move on out to La Romana at the end of December. I REALLY hope it all works itself out!
Well, I am finishing up in my site... 2.5 months left. Some days in site are great and other days I feel tired and worn out. It is hard not having resources, seeing the lack of motivation that some people have in my primary project, and the small town craziness. It was an amazing experience and I feel good with what I did there, but I look forward to the next stage of my life.
A parting shot of our awesome group of PCVs who came in September 2007. 51 came in...37 came out... I could not have asked to know a more awesome group of people. September 13th is our 2 year anniversary in the DR!
Tuesday, August 11, 2009
The Count Down Is On...
I had the busiest month and a half. Between 3 youth conferences and the general craziness of work in my site, I am not sure what happened, but all of a sudden it is almost the middle of August. Here are the updates:
1. I have finally locked down the date for my pap smear and self breast exam campaign I have been wanting to do in my community. September 18th! I collaborated with a doctor that works out of the Capital who will come out and dedicate a Saturday to do the tests and then bring back the results and consult once they are in.
2. Alissa and I planned and executed as awesome Celebrando el Sur 3 day youth conference. The kids learned DR and Haiti facts and geography, world geography, painted a world map mural, “traveled” to all 7 continents, participated in three diversity discussions, and met other youth from all over their region. Alissa and I have an awesome chemistry as PCVs and it was a total pleasure to collaborate with my closest friend here.
3. We had our Camp GLOW event July 20th thru 24th, which is the week long camp that PCVs put on each year for Dominican girls on goal setting, healthy relationships, income generation, good decision making, reproductive health, etc. This year I brought three girls who are on the quiet side to help them break out of their shell and think about their future a bit more. I think it worked…
4. I decided what my final Peace Corps projects will before I leave in November: I am going to do another round of Escojo (my healthy decisions for youth curriculum), a nutrition course for new mothers, a hand washing campaign, the pap smear/self breast exam campaign, and make sure the Community Center is good and sustainable for my departure. Busy last 3 months!
5. I head to my “Close of Service” conference on Wednesday, which is 3 days of reflecting on my Peace Corps experience and what is next for me professionally. I cannot believe this is all winding down… In many ways, I am ready for the next step in my life, but I will never forget what an experience this has been and how much I have learned through my work and the relationships I had with those in my community. And not to mention my very dear PCV friends that I have counted on for 2 years now… I mean, it is pretty awesome that we start almost every phone conversation with “You wouldn’t believe what just happened…” Got to love the unpredictability of our lives.
6. I can almost taste Portland, I am so close! This time next week I will be sipping micro brews on a porch, enjoying the amazing smell of pine trees and the views of lovely Oregon.
Oh, and I have posted some new pictures of all the random summer camp fun and random things in my life... http://picasaweb.google.com/Cheryl.Holub/JulyAugust2009#
1. I have finally locked down the date for my pap smear and self breast exam campaign I have been wanting to do in my community. September 18th! I collaborated with a doctor that works out of the Capital who will come out and dedicate a Saturday to do the tests and then bring back the results and consult once they are in.
2. Alissa and I planned and executed as awesome Celebrando el Sur 3 day youth conference. The kids learned DR and Haiti facts and geography, world geography, painted a world map mural, “traveled” to all 7 continents, participated in three diversity discussions, and met other youth from all over their region. Alissa and I have an awesome chemistry as PCVs and it was a total pleasure to collaborate with my closest friend here.
3. We had our Camp GLOW event July 20th thru 24th, which is the week long camp that PCVs put on each year for Dominican girls on goal setting, healthy relationships, income generation, good decision making, reproductive health, etc. This year I brought three girls who are on the quiet side to help them break out of their shell and think about their future a bit more. I think it worked…
4. I decided what my final Peace Corps projects will before I leave in November: I am going to do another round of Escojo (my healthy decisions for youth curriculum), a nutrition course for new mothers, a hand washing campaign, the pap smear/self breast exam campaign, and make sure the Community Center is good and sustainable for my departure. Busy last 3 months!
5. I head to my “Close of Service” conference on Wednesday, which is 3 days of reflecting on my Peace Corps experience and what is next for me professionally. I cannot believe this is all winding down… In many ways, I am ready for the next step in my life, but I will never forget what an experience this has been and how much I have learned through my work and the relationships I had with those in my community. And not to mention my very dear PCV friends that I have counted on for 2 years now… I mean, it is pretty awesome that we start almost every phone conversation with “You wouldn’t believe what just happened…” Got to love the unpredictability of our lives.
6. I can almost taste Portland, I am so close! This time next week I will be sipping micro brews on a porch, enjoying the amazing smell of pine trees and the views of lovely Oregon.
Oh, and I have posted some new pictures of all the random summer camp fun and random things in my life... http://picasaweb.google.com/Cheryl.Holub/JulyAugust2009#
Thursday, July 9, 2009
Heat Wave in the DR
Summer has started here in the DR and it is HOT. Apparently we’re having a “heat wave” and I believe it after the last 3 weeks. My house is made of cement block and a cement top and it retains heat like you wouldn’t believe. Lately the electricity has been especially bad and I pretty much cannot stand to be inside my house between 10am and 7pm unless there is electricity and I can turn on my fan. Awesome.
In other updates, I graduated my Escojo group, whom I am very proud of. They attended 19 charlas on themes like Healthy Decision Making, Self Esteem, HIV/AIDS, Family Planning, STIs, Drugs, Alcohol, etc. This youth group has been one of the highlights of my service. My graduates are now presenting the information they learned in our community center, and this Fall they will present in the local elementary school.
I have been helping develop a potential site close to where I live for the incoming group of Peace Corps Volunteers. It is strange to be nearing the end of my service and helping out with site development for the newest group.
Last week I got a kitty, named Pelusita, which means literally “little fluff ball.” Bryan picked the name and it fits her well since she is this fat, little fluffy kitten. Bonbona wasn’t that excited at first, but now they seem to get along just fine.
I went to Caberete for 4th of July to regain my sanity and be at the beach for 3 days straight. It was a great time spent with some of my favorite PCVs and a real BBQ.
I can’t seem to think of anything else worthy of putting in here. I am just staying busy with summer camp craziness and counting down the weeks until my vacation (aka “find myself a job for January”) to Portland.
In other updates, I graduated my Escojo group, whom I am very proud of. They attended 19 charlas on themes like Healthy Decision Making, Self Esteem, HIV/AIDS, Family Planning, STIs, Drugs, Alcohol, etc. This youth group has been one of the highlights of my service. My graduates are now presenting the information they learned in our community center, and this Fall they will present in the local elementary school.
I have been helping develop a potential site close to where I live for the incoming group of Peace Corps Volunteers. It is strange to be nearing the end of my service and helping out with site development for the newest group.
Last week I got a kitty, named Pelusita, which means literally “little fluff ball.” Bryan picked the name and it fits her well since she is this fat, little fluffy kitten. Bonbona wasn’t that excited at first, but now they seem to get along just fine.
I went to Caberete for 4th of July to regain my sanity and be at the beach for 3 days straight. It was a great time spent with some of my favorite PCVs and a real BBQ.
I can’t seem to think of anything else worthy of putting in here. I am just staying busy with summer camp craziness and counting down the weeks until my vacation (aka “find myself a job for January”) to Portland.
Friday, June 26, 2009
Avocado Season is Coming
Well, I have definitely been getting plenty of quality time in my site these past couple of months. My projects have kept me really busy and I just generally feel happy and connected and don’t really need to seek out other PCVs to keep me sane, like I have done in the past.
Lately my days are filled with lots of Escojo class, English class, general community center sustainability projects, and lots of hanging out with my favorite families in my community. I have also spent a lot of time planning for the crazy youth summer camps we have planned for this summer. It is the calm before the storm and I am taking advantage of this moderate pace of life. In a couple of weeks I am going to start a “reading hour” in the library each afternoon now that the kids have just gotten out of school for the summer. I am looking forward to that.
Ever since I started dating Bryan I have been living my life in my community only in Spanish, which has been amazing for my Spanish. Before we started dating, I could get away with 4 English hours each day between the morning hours and nighttime hours I had alone in my house doing my own reading, and watching the occasional movie on my laptop. Now in the evenings, Bryan and I hang out at various houses of people we like, since that is what you do for fun in the campo: hang out and talk in the dark when there isn’t electricity. If there is electricity, you hang out and watch telenovelas (Spanish soap operas) at someone’s house who has a TV. Yep, life is pretty exciting here.
I have recognized that I need a vacation from my campo life, however. Thankfully I have a fun beach weekend planned in Caberete with my favorite PCVs over 4th of July. I have really been slacking on my beach and pleasure reading time this year. I need to catch up.
Avocado season is coming soon and I am super excited for that. The past 2 months have been mango season, but I ate too many mangos last year and can´t bring myself to eat hardly any this year. I think I was so excited about the fact that they would fall off the tree and I didn´t have to pay $1 each for them, like I did in the States, that I ate too many. Every once in a while someone brings me a avocado they´ve found in a nearby campo and it reminds me how excited I am to make guacamole soon.
I wish I had more exciting updates, but I can’t seem to think of any. I am just counting down the weeks until my Portland vacation and enjoying the slower pace of life in the campo right now.
Lately my days are filled with lots of Escojo class, English class, general community center sustainability projects, and lots of hanging out with my favorite families in my community. I have also spent a lot of time planning for the crazy youth summer camps we have planned for this summer. It is the calm before the storm and I am taking advantage of this moderate pace of life. In a couple of weeks I am going to start a “reading hour” in the library each afternoon now that the kids have just gotten out of school for the summer. I am looking forward to that.
Ever since I started dating Bryan I have been living my life in my community only in Spanish, which has been amazing for my Spanish. Before we started dating, I could get away with 4 English hours each day between the morning hours and nighttime hours I had alone in my house doing my own reading, and watching the occasional movie on my laptop. Now in the evenings, Bryan and I hang out at various houses of people we like, since that is what you do for fun in the campo: hang out and talk in the dark when there isn’t electricity. If there is electricity, you hang out and watch telenovelas (Spanish soap operas) at someone’s house who has a TV. Yep, life is pretty exciting here.
I have recognized that I need a vacation from my campo life, however. Thankfully I have a fun beach weekend planned in Caberete with my favorite PCVs over 4th of July. I have really been slacking on my beach and pleasure reading time this year. I need to catch up.
Avocado season is coming soon and I am super excited for that. The past 2 months have been mango season, but I ate too many mangos last year and can´t bring myself to eat hardly any this year. I think I was so excited about the fact that they would fall off the tree and I didn´t have to pay $1 each for them, like I did in the States, that I ate too many. Every once in a while someone brings me a avocado they´ve found in a nearby campo and it reminds me how excited I am to make guacamole soon.
I wish I had more exciting updates, but I can’t seem to think of any. I am just counting down the weeks until my Portland vacation and enjoying the slower pace of life in the campo right now.
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