Week 3

9/19/10 (0748)

I was bitten up by mosquitoes Friday night, so I couldn't sleep well because for the itch. But, last night I took a benadryl and slept 10 hours. I am so thankful for medicine to help my itch! I am thankful for another week. I was glad we could serve yesterday (Saturday) for half a day, but I was exhausted and ready for my day of rest. I think I am also getting frustrated at the American charge nurse because she is a Type A personality and judges the Haitians a little too harshly. It really bothers me when Americans are so judgmental instead of trying to understand the culture. Also, putting ourselves in their shoes- I'm pretty sure a fair amount of Americans would steal if they had nothing to eat- become lazy if other people are providing free tents, service, and food.

So I think Samaritan's Purse is doing good work here (providing jobs for Haitians and leading people to Christ), but they might need to adjust how they serve the culture if what they are doing now is causing problems instead of just complaining about the Haitians. I'm sure it is frustrating, but I think especially for some of the American workers who didn't even want to be Haiti. I don't think that workers should be sent somewhere they don't feel God is calling them because I don't think they are as effective. But that is just my opinion. SP maybe could go about boosting the Haitian economy and providing resources for the Haitians to farm (In the long term...providing resources for a man to fish instead of just providing the fish is the better solution). The Haitian culture and way of life and resources need to be taken into consideration. Anyway, enough of that! Just getting out some of my frustrations. Oh, by the way I love the short term medical volunteers (Jean, Jane, Laura, Dr. Dan) and the Haitian medical staff- I'm not getting frustrated with them. It's just a few of the year-long SP Staff attitude and comments that I'm getting frustrated with at times.

It is true- everything seems great for a week or two before you pick up on the things that are going to frustrate you. But I'm only with SP for another week. I'm hoping at the other hospital I'm around the culture, language, and food more. I just think it's funny that I've gotten more frustrated with the Americans than the Haitians. Don't get me wrong, there are things that do bother me about the Haitian culture, I'm just trying not to be judgmental and thinking our culture is better than theirs (and that we, as Americans, know how to solve Haiti's problems...which we don't). So I need to do the same thing- not judge the Americans. This ties into the lesson I am studying this week from Romans 14. Lord, work in my heart today.

9/19/10 (2027)

Oh, what a joy to be alive today! I had a much needed day of rest and relaxation. We didn't have a car to go to church, so I spent the morning in devotional reading. I felt a headache coming on, so I napped an hour even though I slept 10 hours last night! We walked up the beach to the next bay so that was good exercise. The beach is mud and sand mixed with lots of rocks, sticks and trash so I couldn't walk barefoot. I saw lots of crabs, so I didn't want to get in the ocean barefoot. So I just quickly got in and floated. It felt so cool and relaxing. We then took a cool shower and just relaxed in the tent. Lunch and dinner was delicious (it was nice not have a peanut and jelly sandwich. I love peanut butter, but I guess not every day!)

It was nice to talk to my family for one hour. It makes me feel better at times. I feel dumb as nurse here at times, because I feel there is a lot I don't know. But I guess I know what I have experience in (Trauma and surgery), which is different than a clinic setting. I know I can learn though! Dr. Dan and Nurse Jane left. We are short 2 American nurses this week, but we got our new American doctor. Dr. Ingrid. She seems nice, so I'm glad. I pray that You, Bondye, will guide our upcoming week. Mwen Renmen ou, Jesus (I love you, Jesus).

9/20/10 (2130)

Bonswa (Good Evening)! I am the only one awake, so I need to go to bed soon! How the day seems to fly by. Today was another much needed day. We had a short clinical day- we only saw about 60 patients. So it gave us time to chat (the medical team).

We got back early and stocked while the Haitian Doctors drove to the bank to deposit their pay. We wanted to go out to eat at Ocean Grill (a new Haitian restaurant that my translator Charles friend opened) that night since we had a short day. After much persuasion and security scrunity, all 4 American medical volunteers (Kevin, Jean, Dr. Ingrid, and myself) got in the 4-seater truck with Dr. Bordes and Dr. Larial. It was well worth it- it was such a memorable experience. It was a quaint (not sure if that spelling is correct) place- straw/wood building, sand floor, lantern ceiling lights, and tables. The food was delicious- soup, salad, fish, rich and veggies. Then fruit for desert.

It was just so wonderful to support a Haitian restaurant and to get out. I kind of feel a little too sheltered at SP, so it was nice to get out in the culture with trusted Haitians. It was so interesting talking with the two Haitian Docs- they both speak Creole & French. Dr. Larial went to medical school in the Dominican Republic so he is fluent in Spanish as well and working on his English (so he knows french & Spanish medically). Dr. Bordes is fluent in English and conversational in Spanish (and he knows French & English medically). How amazing is it to be fluent (or at least conversational) in 3 or 4 languages. It is so interesting to hear their stories and perspectives. That their families lost almost everything in the earthquake and that Haiti is so different now. They wanted to know why we chose to come to Haiti. He also wanted to know why Americans are so scared to come to Haiti. You can tell he loves his country and wants us to love it too. His perspective is that most Haitians (even Haitians practicing voodoo) do not usually attack Americans, but are violent towards other Haitians.

Our answer was the US government has to put out travel advisories over even small instances. I guess he didn't realize the U.S. also recommends not visiting a lot of other countries as well. I think that made him feel better. He has been to the US two times. We all had fun talking about the places we've traveled and lots of other random topics. It was just such a relaxing evening that all the medical team (nurses and doctors) could enjoy together. Yes, we drove after dark but I've come to the conclusion that the safest way to travel in Haiti is with a trusted Haitian. Of course something bad could still happen, but for me it's not worth living life in a bubble because I would miss out on these cherish-able moments.

The American nurses I have met have been a God sent- Jean is a 62 year old lady with a lot of spunk and life in her; Jane is a loving and sensitive lady going through a challenging family situation right now so she had lots of insight to marriage; and Laura is a 29 year old ER nurse from NC. She is also in a committed relationship that is heading towards marriage so we had lots of long talks about that and so many other topics. I was sad to see her leave this morning. She went back to serve at the other base since we were short on nurses this week. They wanted her to be at the standing clinic since she has the ER Experience. They patients are sicker there they said.

I was glad to stay with my team for consistency and to follow up with patients from last week. I enjoy the people I am working with. Well, I would like to get 8 hours of sleep so goodnight (Bonwet!)

9/21/10 (1930)

Alpha & Omega- You are our rock, the beginning and the end. I like how Dr. Bordes put it “Every day I fall more in love with God.” Some days I feel that I seek my own way and I don't feel like I grow closer to You, but I hope to grow closer and more in love with You everyday.

I went to bed with a headache last night and thought maybe I could sleep it off, but I woke up at 3am with a splitting and nauseating migraine. I took my first imitrex (I have 8 more to last me the 6 months) and tossed and turned until I finally fell back asleep. I didn't think I would be well enough to work, but God subsided my migraine enough so I could work.

It has been drizzling all day- which I guess is rare for Haiti. They said usually it rains all at once. So we saw less patients, only about 90 patients. Today's theme was pregnancy. No malaria, but lots of scabies. There is an adorable boy named Benje (I'm not sure if the spelling is right) that just hangs out at the clinic all day. He was about 4 years old and full of life. We said he's going to be the next generation doctor.

I wore a dress today because I knew there would be no bathroom at Libidom. Also, it is cooler in a dress or skirt than the scrubs. I had to start out in pharmacy without my translator Charles, so I realized how thankful I am for him. I found out he was born in Haiti but moved to America as a young child. His dad has a U.S. Citizenship, but he only had a green card. After 9/11 he said the government became really strict. It's so sad to me that they would kick someone out who lived in America 28 years to a country he doesn't even know. I know something has to be done about immigration, but I wonder why we have to go to such extremes. But he has a good attitude about having to be there while he waits out the legality in America.

We all ride to the clinic in a land cruiser with a snorkel so it can go around water (although I don't think I want to be the one to try it out). But today, Dr. Bordes offered to let me ride in his truck so he could show me some things (that there really are street signs) and teach me more about Haiti. It was neat to hear his experience and perspective. That, yes, there are a lot of problems in Haiti, but you can tell he loves his country and he wants others to love it too. I told him I haven't noticed many traffic signs or laws, so he made sure to point out all the signs, but he said people do drive crazy in Haiti. We saw a huge truck half turned over by the mountainside- even Dr. Bordes said the trucks drive way too fast. Even some of the paved roads have cracks from the earthquake and the one bride split so we have to drive through the steam instead.

He talked about the 2 movie theaters that were in PaP. He spoke of his love of the piano, but unfortunately his keyboard was crushed in the earthquake. (Oh by the way, I got his earthquake story mixed up before. He was the one on the 4^th floor when the earthquake strike. Instead of trying to run down and out, he got on top of the roof and rode the house down when it collapsed. So scary, but that was a smart move on his part.)

We spent a lot of time talking about his girlfriend that he wants to marry. I also told him all about my wonderful boyfriend. All in all, it was just so interesting to learn more about Haiti. I asked him what Haitians thought of Americans, and he said that Haitians like Americans. I've noticed that not many Haitian females speak English (or at least not that I have encountered), so until I can learn more creole most of my conversations are with males. Pastor Robenson's female friend Nedyre spoke pretty good English and I know we would have spent a lot of time together if I would be near her.

Today there was generator problems so the electricity is mostly out and there is not much running water, but we will survive. We had chicken, lasagna, and vegetables for dinner. I enjoy the Haitian cooks. They always smile. I just wish I could talk to them more. This morning, the laundry ladies led us in song and it was so beautiful. I videotaped part of it because I want to remember it.

Oh, it was also such neat that the Haitian Doctors kept thanking all of us for taking them out to eat (even though technically they were the ones who drove us). It was a very memorable experience for them too. I've been helping doing a dressing change on an America staff with a wound. You don't get off duty as a nurse on a compound! But I like doing wound dressing changes so I don't mind. It is much cooler tonight and the wind feels great, so I am sitting outside to journal. Looking around, I see a beautiful mountain, lots of banana and palm trees, and the stars in the sky.

It is such a joy to see a Haitian accept Christ at our clinic. The Haitian Pastor prayers with all the patients and some choose to accept Christ, which is our ultimate mission. We drove to the Pastor's house after clinic to see his sick father-in-law. We met his wife (who had head and shoulder injury in the earthquake that still affects her) and his beautiful girl. I love it when the Haitians bring their few pictures of their families and show it off proudly. I was laughing today because at one spot on the road driving to the Pastor's house there was a donkey blocking half the road and he was not moving for anything so we had to drive around him.

I still think one of my favorite things in Haiti is the smiles and life of the children. They so want to talk to me and I wish I could talk more to them.

9/23/10 (0629)

Gracious Father, how wonderful it is to start the day well-rested. I went to bed at 7pm last night! It was a much needed rest.

I was saddened by what I was told yesterday; that human trafficking is a problem in Haiti. As well, almost no one (including Christians) waits until marriage to have sex. It seems from what I've overheard and sensed that culturally having children young is of value to a woman. Not saying that's a bad thing or judging their decision, but I am saddened by the rape and human trafficking.

This week at clinic has been much slower (fewer and less sick patients) than last week. I think it is because of the rain; people didn't want to come out in the rain and the day after the rain everyone needed to farm. I did have to give an IM shot to a 4 year old boy; and man was he kicking and screaming. I had to just go for the thigh because there was no way to keep him completely still. The doctor wanted me to drain the pus from a wound on his head, and you can imagine when I started coming at him again with another needle to do that, he about lost it! So I did the best I could, poor kid! I gave him a lollipop but I'm sure that wasn't enough for such a traumatic experience. But, it is exciting because the Pastor said on average 1-4 people accept Christ everyday at the clinic.

We got back early from clinic so the Haitian staff helped us stock medications. That was a nice treat because it went much faster. But some of them have a one-way 2-3 hour commute everyday, so it would normally be too much to ask them to stay any longer.

Jean and I took a nice walk through the local community and along the beach. It's moments like that, that I love the most. Being among the people and culture. We had a boy about 10 years old walk with us. He tried so hard talking to us (usually hand signals and all), but we just couldn't understand most of it. He did sing “I have decided to follow Jesus.” in English. He also could say “I'm hungry”, which I think is a phrase a lot of the children learn.

The shower and dinner was good as usual last night, but I was falling asleep at dinner so I went straight to bed after dinner. Well, that's all I can think of for now. It's time to start a new day! Lord, help me to serve people medically and spiritually.

9/23/10 (2152)

Today we saw 120 patients. No malaria today. We saw back the little baby girl with all the lesions. The baby is now 25 days old and gaining weight. The lesions are almost gone! It is such a joy to see that.

It is really enjoyable to work avec zanmi mwen (with my friends). They keep the atmosphere light and fun. It is nice having some phrases memorized now too. I am definitely adjusting to the heat and learning just to deal with the sweat. It's always good to have a sweat rag! The showers always feel wonderful at the end of the day! I never enjoy showering this much at home. I enjoyed playing a card game tonight instead of spending the evening on the computer.

I just realized how funny it is that everyone's perception of the day is so different. There could be 10 people that went through the same exact day as me and have 10 totally different ways to describe the day. So keep in mind as you read my blog that this is all from my perspective and opinions. I also might be wrong about some of my cultural observations because I am learning and sometimes Haitians tell me different things.

I was cracking up today when we were asking Charles today about his girlfriend and he said “She's not wifey material”. He turned to me and said “You should know what that means” (I have showed Wilshaw's picture to all of them so they know I'm around the black culture in America). And yes, I know what it means because I learned that word from my friends in Anointed Steps of Faith.

Charles is my translator that grew up in Connecticut. Charles is 30 years old so he said he's ready to settle down, get married, and have children but his girlfriend is not (I think she's about 23 years old). Well, I pray that You will guide him, Lord.

Well, it's late and I have to get up early to pack. Tomorrow is my last day at this clinic. I enjoyed watching the sunset today- spending time in quiet reflection with God. Mwen remen ou, Jesus!

9/24/10 (2200)

I am so happy for this sabbath day! A night to get rest, fellowship, and worship. My last day at clinic with Samaritan's Purse in Forte Liberte went well. We saw 120 patients! It is a good thing that patients are less sick this week. We had one boy with a infected deep cut- so they put some lidocaine and scrubbed it clean. He is supposed to go the hospital tomorrow to get a tetanus shot and have his dressing redone. I was glad Tiffany was there to help out because it's hard to leave the pharmacy to do a dressing change. It took about 15 minutes to do that dressing change and it would have gotten really backed up in pharmacy. Well- I guess that's how it was at my job on 6C- I almost always felt behind and rushed.

Lord, all of us Short term medical volunteers are noticing that our charge nurse Tiffany is really burnt out and you can tell she does not know how to handle the situation. So, Lord, I lift her up to You tonight. Speak to her heart and soothe her frustrations. Help her and Samaritan's Purse to decide the best way to handle the situation. It seems there are a couple S.P. Staff that are burnt out, so rejuvenate their souls and ignite Your joy, peace, and love in them. Provide the energy, ideas, cultural awareness, and fellowship they need. Also, I pray for the Haitians that have accepted Christ at clinic that they will find a church family to support their new faith.

We had a sudden wind and heavy rain in the middle of clinic- we first had dust and trash blown on us and then rain! So you can imagine I left the day feeling pretty dirty! Our supplies were getting wet so we had to crowd the tent and move in closer. In Haiti, personal space is not as much of a concept as in America. I mean it really doesn't bother me too much, but I think for some Americans it might. Apparently in PaP there was a terrible storm (not a hurricane but close to it)- very high winds & rain (they said it was raining horizontally) that knocked down trees and houses. There was also a tornado.

Dr. Bordes car tire popped and the one bolt would not budge, so they had to drive it somewhere to use a drill. I am going to miss my clinic team- I thought we all worked fairly well together. I enjoyed the 2 weeks and I am thankful for the experience. I am glad, though, that long term I will be in a hospital because that is the type of nursing that I know. I will miss all my new friends!

One of the coolest parts of the day was riding the helicopter from Jax Beach compound to the GO compound. It was raining still, so the helicopter came late. Jean and I had to make rain coats out of trash bags because our bags with our rain gear had already been sent back to the GO compound in the morning. Our helicopter driver was great! He had flown helicopters in the Vietnam war and had been shot down 4 times (and survived without long term disability) so I felt in good hands. It was still raining but we flew low enough that we could view Haiti. It is an amazing experience to see Haiti from the sky. It helps put the land in perspective. We had protect ear gear on that also had a headset so we all could communicate to each other.

It was nice coming back to eat dinner with Laura! I wish we had one more day together, but I leave bright and early tomorrow morning for Limbe. This next place is my 5 month stay. I pray for safety and a good start, Lord. In meeting new people, making friends, finding a teacher, the nursing work, etc.

Oh, another random thought: After driving on Haiti roads (a few paved roads with crazy drivers; uneven rock & mud roads, driving up mountains, and driving through streams), I cannot complain about the roads in Pennsylvania anymore.

I am memorizing more phrases and I am glad for that. I know I need to stay patient in learning. Well, it's bedtime!

9/25/10 (0923)

Gracious Father, there are certain circumstances that looking at them I can tell that You had Your hand in them. No one at the base knew where I was supposed to catch my flight to Cap Haitien, but the Haitian driver knew exactly where to take me. It is a separate airport from the American airlines airport and not really in safe walking distance by myself.

And then I was told that I could pay for the flight with credit card, but not the $40 bag overweight fee. Yesterday I had no cash (and no way of getting cash), so Dr. Ingrid gave me $40 out of the kindness of her heart (without me asking). I don't think it is a coincidence that the amount she gave me was exactly the same amount I needed to pay the overweight fee. I was told I can use cash or credit card, but I wasn't told I couldn't use credit card for the overweight fee when I asked the airline company weeks ago.
It is instances like this that I know Your hand was in this- You knew what was going to happen, so You placed it on Dr. Ingrid's heart to give me $40. It's a lesson that we need to listen if we feel that You are asking us to do something. And it's also an example that we can rely solely on You. You will take care of us like You take care of the flowers. You anticipate answering needs that we don't know we are going to even have.

It was such a joy to share one more breakfast with Jean and Laura. They are wonderful and I hope we all can meet up in Winston, NC (Where Jean lives). She said she would be tickled to have us visit. Jean and I took a walk around the GO Base. The ocean and mountains are just beautiful and breath-taking. I need to let go of any anxiety about my upcoming 5 months and trust in You. I have to not worry about the what-ifs, but just tune my ears and eyes to listen to You and see what You want to show me. I know that You will never lead me astray.

So, I praise You for all this. I can tell this is where You have called me to be at this moment in my life. Another joyful moment was watching the Haitian male driver and a French male joke today in the car. Haitians can at least understand French (even if they did not go to school- that's what they learn in school because it's the national language), but creole is what they speak at home. The guy from France had been there 5 months so he said he was able to pick up on the creole if it was slow. It's little instances and interactions that make me smile. One of my other favorite things is listening to the Haitians sing.
Well, just waiting for my flight at 1030. Excited, and after this lesson to teach me to trust God, not nervous, about my upcoming 5 months (Senk Mwa). Mesi Savior!

Oh, two more things have gone wrong, but I am refusing to worry about it. 1) I just realized I left my flute at the GO Base. My hope is that it will be found and I can pick it up in November when I come back to PaP for Pastor's wedding. 2) The Texas Board of Nursing said my fingerprint card was too light (to do the criminal background check to get my Texas nursing license) and I need to redo it again in the next 3 months or I will not get my license nor be eligible to reapply for the license again. I'm not sure if fingerprinting is going to happen in Haiti, so I lift this situation up to You, Lord. Intercede for me and find a way for it to work out. In Jesus Christ name, Amen.
9/25/10 (1830)
I thank You Father for a safe arrival in Limbe. It was another good experience to fly across Haiti- the island is such a mountainous country with lots of valleys. There is a central plateau area too. There are a couple huge streams that I noticed were all murky brown. I thought it was so funny because the little plane only sat 28 people, and there were 27 passengers. I think it is mostly the well off Haitians because the plane ride cost $150 USD round trip. The ground transportation is much cheaper in Haiti. I was asking Charles how much he pays to get from PaP to Leogane (about a 2 hour driver) on the tap-tap (the bus) and it is only about $4 USD he said. I also had my bag on my lap for the plane trip (which most airlines do not allow) and I could see the pilots the entire time.

By the grace of God, again, I found my driver, who did not speak English. But he was a jolly older gentleman who has lots of friends we passed along the way to Limbe. Cap Haitien is not nearly as overcrowded as PaP, but I'm imaging the building structures were similar to PaP before the earthquake.

I think I'm getting used to the bumpy ride and crazy drivers; although it still does freak you out to see a huge truck coming head on in your lane (to pass a car) and swerve over into their lane at the last second.
We got to Limbe around 1pm and had lunch. I met 2 of the Haitian doctors- they both seemed nice. I was just plain exhausted so I took almost a 2-hour nap. I was feeling to drained to go out and be sociable, so I figured I would wait until tomorrow. It was nice to have people around me all the time, so I was notice it when I by myself. It was nice to get a quick phone call from Dr. Bordes to make sure I arrived safely.

I talked to my family and Wilshaw for 1 hour- they have a satellite phone to call American. The American guy, Shawn, whose grandparents founded the hospital (Bon Samaritan Hopital), is back in Florida for the week. So I didn't get an orientation yet. I haven't met anyone on the base yet who is fluent in English and I don't know a lot of Creole yet.

So I just unpacked my things so I will be ready to go. I also can't get on the internet until Shawn come next week, but that will force me to read or socialize. My room is very spacious and nice. There is electricity lights, a fan, running water, and screens on the windows (I think I'm going to realize how big of a different that will make). The lunch was delicious. Well, I'm going to read before dinner. That's all I can think of now to share.

Oh, one time this week I used the word “either” when technically I should have used the word “neither.” The translator Marc Elie caught me on it and correct me, lol! Here I am getting correct on my English from a Haitian- but what can I say; that's why I'm not a teacher. I know my grammar is not the best. I'm glad for him though because he teaches an English course.

Week 2

9/14/10 (0640)

How soothing and peaceful it is to wake up to a beautiful sunny day, ocean, & bel mon (beautiful mountains). There is something about being by what Bondye (God) created that brings me closer to Him. My prayer is that today we provide the medical and spiritual care needed. Help me to use the medical knowledge You have granted me to the fullest. I lift up my family, friends, and enemies to You today. In Christ Jesus name, Amen.

9/14/10 (2304)

I am up late! I've got to get up early for another day of clinic, but I always want to take time to Thank You Lord and write about my day. I am going to enjoy working with this group. We saw 107 patients with 2 doctors in 6 hours. Most of the similar issues as yesterday, but more sick children. 3 cases of malaria were seen today.

We were off the side of the road in a tent, so it was much hotter and muggier today. We are in Cibidom. (Monday the clinic is in the mountainous town of Paptoma). There was no twalet (toilet) so we had to squat behind the building to go the bathroom. I practiced the phrases today, but I still need lots more practice. I started to feel a little more comfortable with being the pharmacy nurse.

The food and fellowship is always a nice way to end the day. I am thankful for skype to call my family. Laura and I even went on a run on the beach this afternoon! There is a group that runs in the morning, but we both would rather exercise in the afternoon instead of the morning. I've learned it's best to shower at nighttime too. Well, time for bed! Another clinic day tomorrow.

09/15/10 (2011)

Good evening Heavenly Father! How good it is to come before You tonight. It has been a wonderful day to serve, love, and fellowship. I stayed up too late last night so I was tired today. It was another very hot and muggy day. We were inside a church building- which kept out the sun, but also kept out the much wanted breeze. We are in the town of Meyombe.

We saw 113 patients today in 6 hours. And I was the only discharge nurse. If it wasn't for my excellent translator Charles, I wouldn't be able to do it! The thing that takes the longest is measuring out the kids tylenol & chloroquine (treatment for malaria). I don't want to mess it up! I'm feeling more comfortable on where things are the normal doses (since I haven't done pediatrics before). The patients were not as sick today- a couple malaria cases; highest blood pressure was 200/120 (crazy- they would definitely we put on a monitored floor in the hospital back home). After giving the enalpril 10mg 30 minutes to kick in, the systolic blood pressure was 160.

There was a little girl who had this rock hard lump on her neck that was apparently infected pus from a neck surgery she recently had. She also tested positive for malaria. Poor girl- I know she was feeling miserable!

Oh side note...there is not such thing as water temperature control- it's whatever comes out of the sink. It is not ice cold, more lukewarm since the sun heats up the water tanks. We are lucky enough to have running water. There are water wells that the Haitians have to walk to get their water. A lot of them bathe in the streams, which is probably why we see a lot of fungal and scabies infections.

Nurse Jean was thinking right when she brought 17 soccer balls. We bring one to clinic each day & leave it with the community pastor for the neighborhood to share. It is fun watching them play soccer! It seems that most children do not have a soccer ball, so it was such a good idea to bring soccer balls. I wish I could have brought more! Like on Monday in Paptoma, the little boy had a notebook with his school notes. He didn't have a pen, so I ended up giving mine. But timoun lo (the children) are very creative in making toys- I've seen a car make out of plastic coke bottle & then lids were used for the wheels. He was carrying rocks in the little car with a string attached.

It's interesting to hear other visitors to Haiti stories- how the Chaplain couple also ran into an encounter with seeing a dead body in the street. I've been told that if you touch a dead body, you take ownership of that person's family/house/etc. I've also heard that is a myth, so I don't know! There is one translator (that usually goes with the other team) who grew up in America and was forced out of America in December for legal trouble. He's about 50 years old, but his perspective of Haiti is very different (there is nothing to do in Haiti, people were not friendly, people don't do anything all day)- but the thing that came out of this move in his life was growing close to God because he said that's the only friend he has and he reads his bible a lot.

God sometimes really does place us in uncomfortable situations to get our attention and life focused back on Him. Not saying we are less tempted to sin, but we can lean on His strength and understanding. Hopefully, I will grow closer to God on this trip.

I guess I try to see the more positive side of the culture, but it seems that a couple of the other long term (year long) American staff are very frustrated with the culture. I just try to adapt and realize no culture is perfect. There are a lot of things about the American culture that I do not like. I can see why this culture is more laid-back and not as “go-go” all the time like we are in America- it's just too hot! It can get hot in America, but we have air-conditioning and many appliances that make our life easier. I am used to three 12-hour shifts in a row, but after 6 hours at the clinic, I am already exhausted here- because of the heat, humidity, and sweating all day.

I feel like there is so much more I wanted to say, but I can't remember. So I am going to call it a night. Bonwet! (goodnight) Thank You again Lord for providing. In Jesus Christ name, Amen.

P.S. I saw a tarantula today in the woman’s shower. Poor Nurse Jean looked all around the floor to make sure there were not bugs so she started undressing to shower when she looked up on the wall and saw a huge tarantula. She said she almost ran out butt-naked lol. I know I would have screamed. I have pictures of size proof (it was bigger than my hand). Also, apparently there was a demonstration somewhere down the road today and the road was blocked off by the demonstrators.

9/17/10 (0646)

Gracious Father, You know me better than I know myself and I thank You for that. You know what life experiences, trials, and tribulations I need to mold me more like You. I thank You for a good nights rest and feeling a little better. I've had jarre (diarrhea) for 3 days and on top of all the sweating I was feeling drained. So I took some Imodium and drank an electrolyte drink.

I was too tired to journal last night, so I'm journaling this morning about yesterday (Thursday). We drove about 45 minutes to the clinic in Cavanac. We saw about 85 patients today. We had a boy with a bad heart murmur (Doctor Dan was suspecting Rheumatic Fever so he wanted the boy to have a heart echo-cardiogram. Unfortunately we learned there is not an echo-cardiogram in this area, only in Port Au Port (PaP), so we just gave him antibiotics and told him to come back next week.

Then there was an 18-day old baby with lots of lesions all over its body. I had to give her an IM (Intramuscular) shot. 1^st time I've given a shot to any kid, and of course it was such a little one! Good experience since I want to pediatrics next. Dan wasn't sure what the lesions were, so he wanted to take her to the hospital at the end of the day. The mom never showed up to take her to the hospital at the end of the day. The Haitian translators told us it is taboo in their culture to take a young baby on the streets. They said most babies are born at home. Even though we mentioned that the baby might not survive, the Haitians said she would rather not take the baby on the street. To me that was a little frustrating, but I had to remind myself that's their decision. It's just sad for the baby.

I'm starting to feel more comfortable with the phrases and teaching, but I'm still learning. Dr. Bordes had to leave early to drive 2 hours to a mountain village where an older lady was that broke her pelvis. So Dr Dan had to see the rest of the patients! He did a great job!

This morning I am excited for the group devotions because there are 3 Haitians playing in a band- flute, trombone, and clarinet. It is so wonderful to start the morning with group devotions. Well, off to another days hard work.

9/17/10 (2141)

Eternal Father, You have kept me through another day and I can't praise You enough. It has been a busy day, but a productive one. We saw 128 patients in 6 hours- good thing we had 4 nurses and 2 doctors. I am really starting to remember the phrases, but I still need to work on pronunciation. I'm able to learn more now. Today in the village of Fort Liberte we had our clinic under a white tent that was next to a huge tree that kept the clinic shaded and much cooler than usual. On Tuesday, we had no bathroom, but today there was a “tent” bathroom- which consisted of a hole in the ground and a spot that showed you were to put your feet. I had to hold the tarp door other-wards the whole town could see me! It's always an interesting experience going the bathroom.

I really enjoy the teamwork aspect of the day. When we run out of a medicine or I think a different amount of pills should be given, the doctors work with me. I'm learning from them too. I'm not very knowledgeable at knowing what antibiotics are given for what infections (which is fine since that is out of my realm of practice anyway), but I'm learning.

Doctor Dan really wanted the 18 day old baby from yesterday to get antibiotics, so he sent some with the driver to take to the mom during the day. I guess the mom had a change of mind and decided to ride over with the driver to our clinic to get the baby more treatment. Dr. Dan said the baby looks better today- so Praise Jesus! The baby got another rocephin IM shot and sent home with pill antibiotics.

We get a lot of patients with anemia, so we give our ferrovit often, Another common issue is upset stomach, so we give out a lot of rantidine (zantac) and contracid (tums and simethicone combined). I'm really getting pediatrics experience here. I gave another IM shot to a 3-month old baby. Also, I get practice getting young children to take liquid medicine and not spit it up. I am thinking of better ways to teach. It is hard at times because it is fast-paced and not what I'm used to doing (I don't as knowledgeable about medications) but I know the basics and thankfully I have a great translator.

I don't know if I mentioned it, but there are still a bunch of tent houses. I wish I could have seen Haiti before the earthquake to contrast and compare in my description. I'm not sure what these communities looked like before the earthquake. All these villages we go to seem to have a community leader (usually the Pastor)- he hands out the cards to get seen in the medical clinic. Samaritan's Purse has a base (renting space from Global Outreach Ministries) outside of Port Au Prince- and they help out in the standing clinic in Cite Soliel and also have a mobile clinic. Then, they are renting space for a base on Jax Beach (which was a nice hotel that collapsed in the earthquake). Jax Beach is in Leogane. There are 2 mobile team clinics that go out in the surrounding areas. They each go to a different spot each day of the week, but repeat it the next week.

There was an older lady today that apparently has dementia (I didn't know this when I was giving her the medicine, but I could tell she seemed confused) and she was going around wacking people with her stick. It's never a good thing when dementia patients have sticks! But the community knows her. First time I've seen dementia here- not sure how common it is in Haiti. I have not seen any obese Haitians (some overweight) and only 2 or 3 cases of Diabetes. The only lady had a blood sugar of 509- no evidence of DKA (diabetic ketoacidosis), but still back home she would have been sent to the hospital to be started in regular insulin. We didn't have any insulin, so all we could give is metformin. Good diabetic teaching is not done in 5 minutes (more like an hour), so I know I didn't teach her all that she should know.

After we got back and restock the medications (we're always exhausted when we get back, but we work together to restock in about 1 hour), we went out of the compound to walk on a trail through the surrounding neighborhood. It was approved by the SP Staff. It felt so wonderful to amongst the people. The houses were made of cement, tin, or tents. They were constructing a house out of wood frame; women doing the laundry, and kids playing. There were lots of farm animals tied up and banana trees. Well, it is late and I should be sleeping for our day tomorrow. Mesi Jesus, Mesi. In Your name, Amen.

Week 1

9/7/10 (1614)

     Wow! What a drastic change being in Haiti. I thought it would be no problem since I open to change & most things, but I think only getting 2 hours of sleep makes you cranky plus not eating for awhile. So I'm so thankful for food & taking a nap. I think I am just a little overwhelmed with cutlure shock. I pray all the time for people who are less fortunate and now I get to live like they do. It is good to walk in their shoes. It is frustrating at times, but I can't even begin to complain. I still think I am living better than most Haitians.
     The airport was so hot, chaotic, & confsing but someone led me over to Pastor Robenson. We came to his house and talked with his girlfriend, Elisabeth. She is so nice & pretty. Just hard since she only speaks a little english & I only know about 2 words in Creole.
     We bought a cell phone, gas, & rice/chicken dish before I took a nap. The city (Port Au Prince) is so busy- lots of people, outside shops, & crazy driving. I still don't think there are driving laws.
     Two interesting things were going the bathroom & showering without running water (in a house). Pee in the toilet & then flush it by gravity from water pumped from the ground. I showered with a big spider & cockroach. The cold water felt good but I started sweating right again.
     We drove at 7pm to get spring water for me to shower with. I met some of his friends. He has me talk to his friends on the phone that speak English. He has a house phone that can call America for no extra charge (I don't know how it works. My parents said it was a Florida number that was calling).
     I praise God for safe travel, food, & water. And I pray that I can hear Him guiding me on this missions.

9/8/10 (1345)

     Thank you Heavenly Father for bringing us safely to Grace Orphanage. I got to pass through many cities- Saint Marc, Pierre Payen, & now we are L'estiere (not sure if spelling). It is so interesting to see all types of houses- some of brick, some of tin, some very colorful. The land is filled with palm trees, plantation trees, & rice fields. The ocean water is crystal blue.
     It is a joy to meet the 25 children. We were all shy at first but then we warmed up with song, prayer & bible. Then the kids wanted to play- we played a hand game in the circle. The kids wanted to touch my hands, fingernails, hair & even my sweat. (yes my whole body is non-stop sweating but I keep drinking b/c I do not want to get dehydrated. It is just so humid).
     I hope to be able to speak & understand creole soon! Pastor wanted me to take a rest in the afternoon (even though I didn't think I was tired), but as soon as I sat down, I fell asleep. The heat & humidity does something to you. I woke up to the sounds of children singing & playing, birds chirping, & lunch being made. (I haven't eaten anything since lunch yesterday except a granola bar so I'm hungry!)
     I feel that I am starting to adjust to the culture & lifestyle better today. I am trying not to be ethnocentric (viewing other cultures in a way that American culture is above theirs) but it is hard not to think about how we do things. Random things I've noted:
-I saw only 2 stop signs & we didn't stop at either.
-There can not be too many driving laws. I don't think they give out traffic tickets.
-There is no lines on the road & people pass whenever (even on curves) by honking their horn.
-They fit as many people as possible into cars & motorcycles (even sit on top of tall buses & trucks)
-The children in Grace Orphanage bathe in the stream.
-It seems that most people are very intrigued to watch me (but that's OK because I love to people watch too!)
     Thank You again Lord for providing all of our daily needs. There is even a fridge that stays on part of the day to keep the water cool to drink. I am glad for this chance to serve, learn, and share Your Truth in Haiti. There is probably so much that I am forgetting, but this is all for now.

9/8/10 (1900)

     Jesus, I have so many reasons to give You thanks! The rain came and I stopped sweating! Now it feels so nice outside. I also want to thank You because I have not gotten a headache despite not eating a meal for 26 hours, heat, & constant sweating. I know You are taking care of me. The cold water is such a delight.
     We all ate dinner together (rice & beans; carrots, pasta dish, & 10 small pieces of chicken for 30 people). It was very yummy! They know how to season well. Thank You Lord for keeping me healthy. Oh, and the Haitian Juice was delicious.
     I think I am in a better mood now that I got sleep & it is cooler (less humid I should say). I'm actually starting to enjoy bathing in a bucket. (I've always talked of conserving water & now I'm doing it to the max). Only thing I do not like is the Haitians throw the trash anywhere & everywhere- could be some reasons for some of the disease issues. It seems to eventually end up in the rivers & oceans.
    I guess we may litter less in America, but we sure use more resources than we need.We just hide our trash better in the landfills.
     I really like Pastor's family. They are very nice & hard-working on very little money. They love the Lord & treat the children well. I will make it my missions to continue to support & help out the orphanage. Here is the upcoming website that you can donate if you want when it becomes a 501c3: 
                http://haiti-orphanage.org

     The children are being brought up in the truth of Jesus Christ & raised in love. However, there is a lot of needs- school, enough food, clean water, doctor visits, etc. So I thank You, Lord, for providing this experience to spend time with my brothers & sisters in Christ in Haiti. I feel safe. Pastor has not let me out of his sight unless I am in the locked room or with his family. Donna (the lady setting up his orphanage as a charity) told him to keep me very safe, let me rest, and to make sure I got enough food and water. So he is doing that for me.
     I am learning some words & phrases. The pronunciation is different than what I know (English & Spanish) so I have to repeat it a lot and the kids giggle.Well, I am writing by candlelight and the candle is almost out so it is time for me to go to bed. It's so early but it's dark and raining out. We get up by 6am everyday. I like having a routine sleep schedule. Oh another different thing is water in a plastic bag- you bite the end off & squeeze it in your mouth. The outside of the bag is probably not as sanitary, but the water is just as good!

9/9/10 (1606)

     Wow, Lord, my emotions go all over the place. I need to take a break because I think I'm dehydrated & exhausted. It's hard to have a lot of energy in this heat (God Bless these kids...I guess I grew up without A/C too- easier when your little I guess. I'm starting not to mind it too much...you just get used to it). & it's taxing not understanding the language.
     I am learning some words and that is exciting! I really like Elisabeth (Pastor's finance)- if we could understand each other better I think we could be good friends.
      Today I woke up around 0630- I didn't sleep too well last night b/c I napped during the day & wasn't tired at 8pm. The house is open so all the noises kept waking me up- especially when the roosters & dogs in the entire neighborhood starting going at 2am until 6am. Every morning we have morning time singing, prayers & studying the bible. I even played my flute. I gave the dresses out to the girls & got pictures with each child. They are becoming very interactive with me. My new name is blanc (I'm assuming that is white in creole)
     We drove to another town to try to go to the bank, but the car broke down. So we got out and the kids & I played. I saw 2 UN Trucks drive by, so I know they are out there keeping guard. So I've been living on the edge- there is not working seat belt in the truck & then to get me home when the car broke down we caught a motorcycle taxi with 4 people on a 2-seater. No helmet or protective gear of course. It felt nice to feel the wind blowing, but I still don't like motorcycles because I know how hurt you can get after working on a trauma floor.
     We had rice & avocado for lunch. I took a nap & ibuprofen to prevent a headache- it went away. The kids are so playful & a couple of the older boys love to talk & dance. I just wish I could understand them.
     At times I feel homesick. I wish I had a close friend here with me. I am a talker, and it's so weird not to talk a lot. Well, I am going to hang out some more. Oh, by the way I was eaten alive by the mosquitoes last night. What a difference a mosquito net makes. All these children should have one, but none of them do.

***It's 9/13/10....I am going to finish posting tomorrow night for the rest of this week so stayed tuned***

9/14/10 (2227)

      Lord, thank You for another day to be alive and thank You for providing all that I need. Being here makes me question if I am greedy & spoiled. Living in America compared to others I thought I wasn't too greedy, but being here I feel like a spoiled brat! I know You will work in my heart to make me more like You.
     We had morning service with the children before driving back to PaP. Lord, I saw an image today that really shook me up. I thought a boy was laying on the side of the street, but at closer look he was laying face down dead in his blood. I see a lot of grotesque things as a nurse, but this really bothered me. We were eating breakfast, but I couldn't finish because my stomach felt queasy. They were guessing he was probably hit by a car or fell off of a car.
     But on a more positive note, I could communicate with some children who spoke Spanish. I am not fluent in Spanish, but I know it enough to get by. I've noticed I've started thinking in Spanish because it's the only non English language I know. It is so wonderful! I also spoke with a Haitian women about my age tonight and we practiced creole. These are the moments that make this trip worthwhile. She (Nedyre) even wrote me a very nice letter.
     After having a long talk with my family and Wilshaw, I am feeling in much better spirits. I talk a lot, so not being able to talk out my feelings and deeper conversations has been frustrating. But, I do want to be a part of Grace Orphanage. The family is bringing these kids up in the truth and love of God so I want to support that. But they have lots of needs- food, clean water, school (the kids do not go to school because there is none they can attend in L'estiere), doctor visits. The one boy appears to have cerebral palsy, but he was not diagnosed by a doctor. So I will work to raise support with Donna- she is taking ownership of the orphanage to make it a charity 501c3. She has been giving lots of talks to raise support. They plan is to move the children into the house the Pastor lives in in PaP so the kids can go to school. And they need a car to drive the children.
     It is so wonderful to be around Your servants. It helps me to get out of my "comfort" bubble and work hard for others in need. We also visited Medishare Hospital- looks more like a hospital now that is it in a building. I was so glad that I got to see Pastor Edry (I met him last time in February)- he is doing wonderful things in Your name too.
     We visited another orphanage in Pap that held about 70 children. It was big and spacious. I think we want to do something similar (but not for that many children) for the children at Grace Orphanage. We ate at a restaurant by the University and I had a chicken sandwich. They had a toilet & sink with running water (such luxury around here).
     So now, it is almost 11pm (latest I've stayed up). Thank You for keeping Klair & Bok safe (my friends in Fort Lauderdale where I stayed a couple days were robbed the day I left for Haiti). There is nothing more we should do than praise You. Yes, bad things happen but we can still Praise You.

9/11/10 (2211)

     I slept very well last night with a fan! We woke up bright and early at 6am (I don't think I'll ever be sleeping in but that's OK. I'll take a routine sleeping pattern over rotating day and night shift). I hung out with Nedyre this morning. It was so wonderful to read the bible, play my flute, and sing along to a Michael W. Smith (gospel) CD. I really liked hanging out with her and I wish I could but I'll be leaving Pap.
     I actually felt cool all morning until we went out into the PaP busyness. The driving is so dusty & you're sweating so you come back feeling gross. I think I like the country more than PaP. But before we went out I hung out with some of the people who live at the house- the one little boy was so curious of me but he didn't want to come to close to me. He started crying when someone put him right beside me.
     We toured the house- lots of decent rooms for the children. There's not really a good kitchen, but in due time. We drove by the school the orphans would go to and the university. Then I met up with Samaritan's Purse. I was so thankful for Pastor Robenson's hospitality. I am glad I could see the orphanage and I want to make it part of my missions. I'd like to be actively involved in the years to come.
    But, Lord, it has been good to be around people I can fully communicate with. The people are Samaritan's Purse are wonderful & have amazing life stories. This is going to be a good experience and I know You will guide us as we service the Haitians. They employee a lot of Haitians, which is good.
     This compound is so luxurious compared to the last couple of days. Running water, food 3 times per day, mosquito net & big fans! It makes you think. But I was treated very well by Pastor & his family. Wow- I still remember all the precious children who have so little but are so happy. They don't know anything else. I was getting good at pumping water to flush the toilet in the Pastor's house and also bathing from the bucket. I'm not going to lie though, the running water shower felt so good tonight! Well it is bedtime! Bonwet (goodnight)


9/12/10 (0646)

     We had a tropical storm last night, but I slept so well. What a difference mosquito nets make. More Haitians need them to prevent malaria and dengue fever. The wind feels so good.

9/12/10 (2200)


    Thank You Lord for all the wonderful people I am meeting. We woke up early and went to a church service. There is something so joyful about going to church in another country- I think it is because that is how it will be in Heaven. It was so awesome because they sang the songs in creole and then in english. I am trying to learn the language. I trust that God will give me patience, a quick mind to learn, and a good teacher. I'm willing to pay a Haitian who speaks english well to tutor me. Unfortunately, the Haitians who speak english  have it much better off than those who do not.
     So I was sent on the medical team to Leoganne. It was a 2.5 hour drive.- such a luscious and beautiful place, but it was devastated severely from the earthquake. This was the epicenter of the earthquake on January 12th. We are going out on mobile clinics M-F to provide walk-in care. I am a little nervous because it is out of my normal routine of practice but I know that God has provided me a good nursing education so I will adjust. I am getting fed spiritually here and making friends. The food is very good and we have A/C military style tents! Wow!! lol, I guess I won't be sweating all night.

9/13/10 (2141)

     What a delight to be alive another day! I have been so spoiled here- salmon for breakfast & steak for dinner. The food really is good. Haitians know how to season well. And they have a laundry service here. This is crazy- I don't have to cook or do my laundry for 6 months. I'm not going to know what to do with myself when I get back.
     We had our first clinic today in the mountain. I've been pondering how some of the most beautiful places in the world has the most poverty-striken people. but I also wondered how beautiful it would look if they lived like us in America. I dunno, just a thought.
      The clinic was in Grande Connova (not sure how to spell it) in a church that also serves as a school (as most churches do in Haiti I was told). School starts back up October 4th. We saw 72 patients in 5 hours with only one doctor! There were 2 nurses doing triage (vital signs, patient's reason for visit), one doctor to asses & diagnose, and 2 nurses to be the pharmacy & discharge instructions. The Haitian doctor was moving faster than me lol! He is an OB/GYN MD that just finished residency but he is good! Not arrogant though but caring. He told us about his 4-story house collapsing in the earthquake and that he made it out a second before it collapsed. He said he knows that is a miracle and God has a purpose for him- God sure does! Haitian doctors & nurses are needed greatly!
     We each had a translator. My translator's name is Charles. He lived in America for awhile so his English and creole was great. He has been working in the pharmacy for months so he was good. Able to teach me how to do things and translate. He me some phrases too. I just have to learn by repetition. "Bondye Beniw" (God Bless You)- I really have a hard time with this one!
     The children were fun to be around during our break. They were teaching us creole & we were teaching them english words by pointing out objects. I love their smiles and enthusiasm to help me learn creole. Someone said they would be the best teachers because they will practice it over and over without getting sick of it.
     In the clinic, we saw lots of infections (stomach worms, malaria, scabies, H. Pyloi, and fungal infections); a girl with asthma; lots of high blood pressure; fevers, pain, & coughs. It was interesting! The people are very patient- some waited 5 hours to be seen. There was a 2-year old with Left side flaccid. He had it for 1 year after an infection, but he was never taken to the doctor. His parents died in the earthquake, so now his grandma takes care of him. They were not sure if he had polio or a stroke, so we drove him to handicap international. The doctor there thought he had a cerebral hemiplasia and that with physical therapy, his left arm & legs could return to normal function. Keep him in your prayers!
     I'm so thankful that God provided me calmness and willingness to learn today. May we bring people to Christ though our medical care. There was a Pastor there to pray with each patient before they left.
     Side note, it is so amazing to shower in a stall without a roof to gaze into the sky. Our compound is a hotel ground that collapsed in the earthquake, so SP (Samaritan's Purse) is leasing it. It is right along the ocean. So wonderful to see the ocean & mountains together.