Ciatta went home....

Let's be honest, not many patients that come back from the OR on a ventilator, on the ship, have happy endings to their story. Ciatta came into the ship very sick, but yesterday she went home with her family and she looks wonderful. I had the privilege to get to know her and her 4 children and husband over the past week, and they really are lovely people. Today she came back to the ship to have her dressing changed and her wound looked at (which is fine-o) and she brought me an African dress, skirt, shirt, and head wrap. When she told me she wanted to buy me a suit I cried and she wiped my tears and told me she loved me. When she introduces me to people she says I am her white daughter. When she took my "measurements" she told me to stand up and turn around and told her husband to buy a dress and my size is "plenty, plenty". Which apparently is very large. Pretty much it just made me laugh.

Put your hands on your hips....

Today I was on D ward and it was a great day. The ward is filling up with the cutest kids in the world. Oh my they are just precious and they love to be loved on. After the shift we took them up to deck 7 and 2 of the girls were trying to teach me how to dance African style. They said "Put your hands on hips and shake your hips". It was so fun to see Fatu (12 that had cleft palate surgery) and Baby (15 jaw reconstruction due to Noma) dance, laugh, blow bubbles, and really enjoy life. The VVF women were learning how to crochet and the young boys Abraham and Emmett blew bubbles, pretty much it was great.

Multi-purpose tubs

I stole a few pictures from Michelle Zeller (her blog is mzellerafrica.blogspot.com she does palliative care).  Just because the pictures were so cute.  (yes, this is still Tyrone talking).

   

We have several of these tubs that we use in the galley, colored just like the one you see here...we use them for defrosting meats, marinating meats, making salads in bulk (coleslaw, macaroni, tuna... those kinds of salads), and a myriad of other things.  Here in Liberia, well as you can plainly see it works as a good bathtub for babies!

I am sure this is what I would have looked like as a child if I was west African and grew up in Liberia~ (pssst, I still eat like that)

This is baby George eating his rice.  How cute is that?

The Liberian Handshake

An example of the Liberian handshake. This is used whenever greeting or meeting people. Mostly a simple handshake and the snapping of fingers is what I use.

1 - grasp the hand of your counterpart:
2 - slide into a thumb-to-thumb grip:

 

 

 

 

3 - pull back to clutch the finger tips of your counterpart:
4 - release with a loud snap of the middle fingers:
Note that the handshake can be abbreviated by jumping straight from the quick hand shake to the snap.

 

Reminds me of a couple of handshakes in my old neighborhood...

Pictures of Henry

Henry is still here on the ward. His wounds (from a severe dental infection that almost took his life) are healing and he looks so much better than the first day I received him in the ICU almost 3 weeks ago.

Henry spends most of the day just sitting around waiting for the day to pass, but during the week he goes up to deck seven and plays football (soccer) as his Occupational Therapy. I went up the other day and we were teammates and pretty much won by a lot.

A Walk To Beautiful...

Stephanie and I both saw a movie here on board that will soon be playing on PBS in the states, which I will soon give you information about.  http://www.walktobeautiful.com/   -  http://www.fistulafoundation.org/movies/screening.html  We were able to view and see the movie because of Dr. Steve Arrowsmith (who is currently here on board).  Bio available here at this link: http://www.globalhealth.org/pop_ups/events/steven_arrowsmith.html

We would both strongly recommend you see this movie, it is not Mercy Ships affiliated except for Dr. Steven being Vice President for International Program Development for the Worldwide Fistula Fund, and we do these same surgeries here on board the ship for the women of West Africa and in a clinic in Sierra Leone.  This movie will definitely help open your eyes to life changing operations that we have eradicated altogether in richer parts of the world.  Fistula what?  What is that?

I (me Tyrone, being the guy that I am) was even moved by the emotion and power that this one surgery or hope that these woman have can mean so much...so its not just for the women to watch or understand!  And even how sometimes it takes more than one surgery!

Broadcast Premiere

• NOVA on PBS
      May 13, 2008 -  Check your local listings or go to pbs.org for details

 

Cooking Teams (#2)

If you missed the first installment of Cooking Teams you can catch up here.

My role as Chief Cook/Lead Chef (the title really does seem to change on a whim) sounds good on paper.  The reason I say that is because on paper my hours are from 8 to 5 Monday thru Friday (Riiiiiiiight).  I guess it could be in certain circumstances or if I really didn't care and wanted to get on with life outside the kitchen, but I am one of those people who love it.  I usually stay hanging around the kitchen thru to 6 or 630pm just to see things thru or just do some recipe research or the small 'pushing paper' part of my job by creating menu's or questions to bother my boss about, he loves it. (I am being sarcastic)

In the past we had some special events, functions, and dinners which usually involved me working on the weekends, and if you are actually on the ship when are you really ever off from emergencies and unknowns?  Believe me, a lot of unknowns or surprise things need to be done that involve guess what?  That's it, the galley!

If you remember me talking about the earlier schedules of the cooking teams in my last post you will see that my schedule has me working with both teams thru out the week (remember team Fried Chicken and team Watermelon?).  Oh and by the way, I named the teams not to be cliche (ok maybe partly because I thought it would be funny) but because I actually like both of those foods allot...although I try to keep my fried chicken intake down for all the obvious reasons.  Being able to consistently to work with both teams on and off thru the week really helps me to keep a good handle on things and to see both strengths and weaknesses in each team.  And that in turn helps me to know how to menu plan, clean, cook, and get organized in the kitchen/galley depending on the character and quirks of the team working.

Now that most of the special events or food functions have passed away I may actually have weekends off...BUT the joy in that is now I can start 'hanging out' or signing up for other projects and events.  This weekend I have signed up to go out Saturday to help work on construction projects for a local orphanage, Stephanie has also signed up for a totally different project than mine and she will get to visit with handicapped kids (& maybe some adults) at a home.

Hope in the Hall

I was walking in the hall from the kitchen to D ward when I stopped abruptly and was overcome with emotion. There were about 10 Liberian women, patients on A ward, walking toward me singing "I have hope, I have hope, I have hope in Jesus." These are the women that are having VVF surgery.

VVF stands for vesico-vaginal fistula. During prolonged labor pressure from the head of a fetus can cause internal tissue to become necrotic (dead). A fistula develops between the bladder and vagina and causes a constant leak of urine. More severe fistulae may include the rectum and feces will leak as well.

Western medicine has eliminated this condition in the developed world. But in Africa, at least 2 million women are leaking.

They leak because girls are forced to marry before they have fully developed pelvic bones. They leak because their bodies are malnourished. They leak because maternal care is not accessible. Often, a woman will endure five to six days of unattended labor. Her efforts produce a dead baby and a solemn memorial. It is insane to me that 1 out of 16 children die instead of live during the birthing process in west Africa.

Last night as these women, with their catheter bags in their hands, walked down the Hall of the Africa Mercy Hospital singing with a smile on their faces "I have hope, I have hope, I have hope in Jesus", I was reminded that I have a lot to learn.

Ciatta

Tuesday evening I was assigned to D ward and I had one of the Academy students (the school for the kids on board) as a job shadow. KimAna's family served on the Caribbean Mercy when we were there and now are on the Africa Mercy. She is 15 and is interested in being a nurse, she will be following Megan and I for 7 shifts. We received report, started our assessments, charting, vital signs, and of course held the babies.

Around 5pm we heard that we were getting an ICU patient with a Dental infection (big surprise). She came in and was having a hard time breathing. All the Doctors came in and we got her ready for emergent surgery.

We went to dinner and when we got back the patient was on her way back. Her name is Ciatta, she has 4 children and a husband for 13 years, that loves her so much that when he saw her after surgery he threw himself on the floor out of despair. Ciatta came back from the OR still intubated ( breathing tube in her nose and on a ventalator). We got her settled by putting her on sedation meds ans morphine for pain control. We placed all the tubes that are normal for a intubated patient. KimAna got to see a lot.

 The next day we both came back bright and early for morning shift. Ciatta looked much better. By late morning we started taking out all the tubes we placed the night before, including the breathing tube. Ciatta made a wonderful recovery. She sat up in a chair and was even transferred out of  the ICU.

At the end of the day I was blessed by Ciatta. I got to see the whole process including the recovery, what a blessing.

Yogurt!

I have had quite a few comments about yogurt but here is a general reminder:

Yogurt is like oatmeal, if it's done it will be a volunteer that will have to work around our limitations. I know maybe you have been in our kitchen/galley...if you have, you see our galley is even smaller than the ANA with more people to feed.

Last I heard someone was supposed to take over for the last person who was making it volunteer-ely (if that's a word) doing it on the weekend out of the way of the cooking teams & dining room working hours.

Also, we (galley/dining room) are not in charge of any part of it and can not be pulled away from our work hours to assist you, every working person in food services is precious and their time during work is precious...if you would like to be that volunteer you need to contact a previous volunteer that can show you how to make it, take care of it, and overall be totally responsible for it within the basic guidelines AND permissions for galley and dining room use. (because the warmers that are used for the yogurt are in the dining room).

Otherwise, you are free to enjoy the yogurt cups that we supply from time to time...no it may not have that 'fresh made' yogurt nutritional health, but it does taste good every now and then when you really start missing that yogurt taste!

B is for Baby

One of the weird things (there are many) on the ship is that even on your time off you hear about the new patients, the emergencies, and the funny things that are going on in the ward. When you live literally 200 feet from the ward it is easy to go down on my time off to see what is going on. Earlier in the day I heard we got 2 more babies on the ward. Actually, it is the mom who is having surgery, but the 2-week old twins are with her. I walked down to B ward and was taken back when I opened the door and heard 3 babies crying. It was music to my ear, mostly because I knew that I would be able to hold one of them. I picked up Anthony who is 10 days old and he instantly calmed down and nestled into my chest. He was brought to the ship when he was 6 days old with a condition in which his spinal cord was exposed in a little sack and was becoming infected. Now, little itty bitty Anthony is on the ward. after his surgery a couple of days ago, getting antibiotics and spoiled by all the nurses that crave baby time like I. Stephanie

Cooking Teams

The team setups for cooking are a bit unusual but they work. I'll explain. The baker kind of has his own hours that usually start way early in the morning and finishes up around midday...nothing really unusual there. Right now the baker takes Wednesday and Sunday off. Before the baker used to take the weekend off but made sure and had enough backup bread in the freezer to last thru the weekend.

Then we have 2 or 3 people on salad team which usually runs 8-5 Mon-Fri. But our cooking teams, of which we have two, work 2 on-2 off- 3 on- 2 off- 2 on- 3 off...confused? It looks like this. Team one works Monday and Tuesday, then Friday, Saturday, Sunday, then Wednesday and Thursday of the following week...that's a two week schedule. Team two works the alternating days. Their schedule on each team starts at 8 in the morning and ends about 7 at night. Oh its not that bad if you think about it...two fifteen minute breaks one at 10am and another at 3pm(approximately) then usually an hour for lunch and an hour for dinner.

We also have devotions (devo's for short) or some kind of meetings every morning Mon-Fri so that is another half hour deducted from actual physical working time...and they do work hard! But if you subtract the breaks, lunch and dinner break, and devo's you eliminate 3 hours from the 11 hour shift which brings it nicely back to an actual 8 hours physical work time. The stress and heat of it can can make it feel like 12 hours straight sometimes.

In addition to that at least one person is dedicated to being ward cook on each team (cook for local patients on the ward) because if the locals ate our food it would probably give them some extra grief adjusting to a new diet so we have a local person cook local food for the locals, sounds like it makes sense doesn't it? (at least locally right?). Also a dedicated dishwasher (this usually takes two sometimes) and two storeman because a crew and local workers of this number/multitude eat a lot of food and we don't have the privilege of ordering food every week from a local supplier who can meet our demand. So most of our stores are in months supplies stored in the bowels of the ship. Including 4 walk in freezers and a walk in cooler/fridge/reefer as well as a few upstairs (mini versions).

Back to the teams...

Instead of calling them team one and team two, lets change the name so in case they read this post/blog they won't start teasing each other about who's number one and number two.

Right now we are actually staffed right in the galley, dining room needs more workers.

Team Fried Chicken consists of the following nationalities: Ghana x2, Guinea x1, Canada x1, Australia x1, Liberia x2

Team Water Melon consists of the following nationalities: Australia x1, US x1, Ghana x1, Guinea x1, Hong Kong/Canada x1, Liberia x2

Salad Team consists of the following nationalities: US x1, England x1, Liberia x1

Storeman consists of the following nationalities: Ghana x1, Canada x1

Baker consists of: Germany x1

So you see its a very diverse group of teams I work with daily, and its constantly changing.

I'll get more into my role later on...don't want to put you to sleep all at one time.

For all the coffee lovers...

Coffee Art

There is a restaurant in Vancouver ..actually three
where they dress up the lattes.

You get to watch them create the pictures.

(thanks Carol for passing this one along!)