I was asked the other day what I missed most about my normal routine in the morning. It caused me to really stop and think what it was started the day “right” for me. It’s so easy in the rush of day to day life to pass by and not consider how our actions and decisions affect ourselves and others. Having paused for thought, whilst eating my porridge, the way I arrived early for work so that I didn’t have to rush into the day, had time to stop and talk for a couple of minutes with both day and night staff on the ward was important to me as I felt I was more in touch with what was happening on the ward which could ultimately affect my day. Being able to chat with Alan about life and the universe in the department over a coffee as he ordered stores for the operating theatres are the parts of the routine that I miss most.
So how does it vary here? It’s simply a much bigger hospital and the layout of the ship means that I don’t walk through the ward area to reach the OR department. I only have one or two patients per day that are even staying on the ward since most of the eye patients walk on and off.
So my day may start at 5.45 am if I decide to visit the gym or go for an early morning run. Breakfast is served until 7.30am but 3 days a week there are “devos” which commence at 7.30am so breakfast can sometimes be a little rushed but then there’s no washing up for me!
Down to the department for 8am for a “board meeting” to discuss what is happening in the day, changes to the lists, pray for the day, and then off to our rooms. Being in the eye rooms we prepare for about 30 patients most days and the majority of those will be for cataract surgery. Our 2 rooms have patients in them by 8.10am and so our day commences. We work steadily through our list of patients to about 11.30am. This will include teaching new staff in the OR department and also some of the Beninoir surgeons who are coming to learn the technique which Dr Glenn Strauss has developed.
If there are patients who require a general anaesthetic these will often be done last on the morning list in the room in which I most frequently work as I am then able to help the anaesthetist.
Lunchtime and then the afternoon continues until we finish the list. Clear up and stock up ready for the next day. If I’m on-call I will check the other rooms to see if they will require help to finish their list. By 6.00pm most days we are finished. There are always exceptions to the rule and we work on a principle of expecting the unexpected.
Evening activities can include Toastmasters, in service training, small groups (rather like housegroups) or simply catching up with emails, laundry and friends. An occasional meal out always makes a welcome break too and I have begun to investigate the local restaurants. Research on these continues…….
Monday, 30 March 2009
Saturday, 21 March 2009
Saturday March 21
It's the first day of spring at home in the UK. As I sit a look over the port of Cotonou with 8 large ships including the Africa Mercy in a temperature of 28 degrees already and a high humidity, it's hard to imagine being cool at the present time.
My on call last Sunday was very quiet and gave me chance to catch up on a few things that needed to be done. One of the dental team nurses from the UK team went home last Sunday night and kindly agreed to post a letter to a good friend for me so that was my priority. For someone who has no access to the internet, letters are a great way of keeping in contact. For the sender the computer of course allows photos to be included and this is indeed what I have done.
But I was also able to spend some time with another British couple sharing an "after service" cup of Yorkshire tea with them. The ward service is held at 10.30am in A ward in the hospital and is a time when all the normal protocols of a hospital ward are broken to some extent. Patients and crew mix together sharing beds so we know a bed will seat at least 4 people. The singing is for the most part "a capello" (unaccompanied) unless there is a drummer for the African drums but it is joyful. Patients who are able will often dance to the music as we all lift our hearts to God. One of the translators spoke last week. We have many translators on the ship and some are pastors in their own churches.
As far as work is concerned the week has been just has busy as the previous weeks. In the eye rooms we average 30 cases a day which often include general anaesthetics. These tend to slow down the list slightly simply because of the set up required for these cases. At least I am able to hone my skills with small children. Singing lullabies seems to work well, I just wonder what wold happen if I tried it in the UK - maybe a new practice!
The week has also seen the start of a new small group which I am leading. We are using a DVD by Andy Stanley called Breakaway and certainly the first part provoked discussion and gave us a chance to learn more about each other. Looking at how our beliefs affect the decisions we make and the outcomes of those decisions and how knowing Father affected our beliefs and subsequent decisions. We meet every Wednesday at 8.00pm.
Also on Wednesdays at 6.00pm we are often offered the opportunity to be given a lecture/presentation by one of the medical team. This last week Dr Steve Arrowsmith talked about VVF surgery covering some of the technical stuff but also with stories about some of the women who have endured often years of being an outcast before someone finally took them for surgery.
Bryan Burton has continued his series on Being and Doing the Mission of GOd and he concludes on Sunday evening. Today I am looking forward to going out for the day with friends having already finished the domestic chores for the day. So no real exercise today but I have continued for the the most part in my effort to keep fit while here.
My on call last Sunday was very quiet and gave me chance to catch up on a few things that needed to be done. One of the dental team nurses from the UK team went home last Sunday night and kindly agreed to post a letter to a good friend for me so that was my priority. For someone who has no access to the internet, letters are a great way of keeping in contact. For the sender the computer of course allows photos to be included and this is indeed what I have done.
But I was also able to spend some time with another British couple sharing an "after service" cup of Yorkshire tea with them. The ward service is held at 10.30am in A ward in the hospital and is a time when all the normal protocols of a hospital ward are broken to some extent. Patients and crew mix together sharing beds so we know a bed will seat at least 4 people. The singing is for the most part "a capello" (unaccompanied) unless there is a drummer for the African drums but it is joyful. Patients who are able will often dance to the music as we all lift our hearts to God. One of the translators spoke last week. We have many translators on the ship and some are pastors in their own churches.
As far as work is concerned the week has been just has busy as the previous weeks. In the eye rooms we average 30 cases a day which often include general anaesthetics. These tend to slow down the list slightly simply because of the set up required for these cases. At least I am able to hone my skills with small children. Singing lullabies seems to work well, I just wonder what wold happen if I tried it in the UK - maybe a new practice!
The week has also seen the start of a new small group which I am leading. We are using a DVD by Andy Stanley called Breakaway and certainly the first part provoked discussion and gave us a chance to learn more about each other. Looking at how our beliefs affect the decisions we make and the outcomes of those decisions and how knowing Father affected our beliefs and subsequent decisions. We meet every Wednesday at 8.00pm.
Also on Wednesdays at 6.00pm we are often offered the opportunity to be given a lecture/presentation by one of the medical team. This last week Dr Steve Arrowsmith talked about VVF surgery covering some of the technical stuff but also with stories about some of the women who have endured often years of being an outcast before someone finally took them for surgery.
Bryan Burton has continued his series on Being and Doing the Mission of GOd and he concludes on Sunday evening. Today I am looking forward to going out for the day with friends having already finished the domestic chores for the day. So no real exercise today but I have continued for the the most part in my effort to keep fit while here.
Saturday, 14 March 2009
Saturday March 14
There are special moments in the life of Africa Mercy OR which will always remain with me. This particular moment took place on Wednesday morning when I was preparing to help anaesthetize a 4 year old boy who was to have his congenital cataracts removed. Picture if you can a Greek doctor who now lives and works in Germany. He has four children of his own. He also happens to speak French and English. He's tall and slim with a beard.
Very gently he carries the blind, frightened child into the OR, talking to him all the time and sits down with the boy on his lap. His long arms are wrapped around the child to make the child feel secure. In one of his hands he has a face mask and places it carefully over the nose and mouth of the child and then begins to rock the child while singing a barely audible lullaby in French into the boys ear. There you see compassion in action as the child goes to sleep without struggling or crying. A special moment indeed.
We a new ophthalmologist with us now. Dr Hofman will remain with us for 3 months to complete her fellowship and when she leaves us will be moving to Gabon to a village 10 hours drive from the nearest city of Libresville. There she will be working as an eye surgeon for 2 years sponsored by Samaritans Purse. If you help with the shoeboxes at Christmas there's a high likelihood that its the Operation Christmas Child run by the same organisation. She has now been joind by her husband who is not a doctor and he is going to help out on the eye team an a more administrative capacity so we are delighted to have them with us.
I am now more confident about giving peribulbar blocks and have "flown solo" with them. All seems to be going well thus far.
We have also been privileged to welcome onboard Dr Bryan Burton from Seattle who is giving a series of lectures/sermons on Mission why and how we do it, looking at God's calling etc. I've enjoyed the first 2 sessions and look forward to the others. Boring he is not and he has a very easy accent on the ear.
Today being my only day that I can leave the ship this weekend as I'm on call tomorrow, I was offered the chance to travel to a resort about 50k away where there was a very clean pool with the option of beach or pool as they were next to each other. A long swim and a pleasant lunch, a few minutes of quiet rest and it was time to return. This was definitley the better option to running the Cotonou half marathon which also took place today. I was tempted to join in but thankfully common sense prevailed as I've not been running for sometime.
I have however undertaken some form of exercise for the last 5 days be it in the gym, running on the dock in the early morning or swimming. So having said that I needed to increase my regieme of exercise to keep fit I have commenced. long may it continue!!
Very gently he carries the blind, frightened child into the OR, talking to him all the time and sits down with the boy on his lap. His long arms are wrapped around the child to make the child feel secure. In one of his hands he has a face mask and places it carefully over the nose and mouth of the child and then begins to rock the child while singing a barely audible lullaby in French into the boys ear. There you see compassion in action as the child goes to sleep without struggling or crying. A special moment indeed.
We a new ophthalmologist with us now. Dr Hofman will remain with us for 3 months to complete her fellowship and when she leaves us will be moving to Gabon to a village 10 hours drive from the nearest city of Libresville. There she will be working as an eye surgeon for 2 years sponsored by Samaritans Purse. If you help with the shoeboxes at Christmas there's a high likelihood that its the Operation Christmas Child run by the same organisation. She has now been joind by her husband who is not a doctor and he is going to help out on the eye team an a more administrative capacity so we are delighted to have them with us.
I am now more confident about giving peribulbar blocks and have "flown solo" with them. All seems to be going well thus far.
We have also been privileged to welcome onboard Dr Bryan Burton from Seattle who is giving a series of lectures/sermons on Mission why and how we do it, looking at God's calling etc. I've enjoyed the first 2 sessions and look forward to the others. Boring he is not and he has a very easy accent on the ear.
Today being my only day that I can leave the ship this weekend as I'm on call tomorrow, I was offered the chance to travel to a resort about 50k away where there was a very clean pool with the option of beach or pool as they were next to each other. A long swim and a pleasant lunch, a few minutes of quiet rest and it was time to return. This was definitley the better option to running the Cotonou half marathon which also took place today. I was tempted to join in but thankfully common sense prevailed as I've not been running for sometime.
I have however undertaken some form of exercise for the last 5 days be it in the gym, running on the dock in the early morning or swimming. So having said that I needed to increase my regieme of exercise to keep fit I have commenced. long may it continue!!
Tuesday, 10 March 2009
Tuesday March 10
So what happens in the week that keeps from writing quite as regularly as you would all like? Life. Since I wrote last week I have had a steep learning curve, met new staff, said goodbye to others and decided that I need to keep myself fitter than I am currently.
I remain in the eye rooms and this week have learned how to give a peribulbar block. In laymans terms that meansputting an injection in to someone's face just below the lower eyelid to numb the eye before we operate on the eye. just like the dentist numbing your mouth before a filling. Learning this technique will enable me to speed the process in the eye rooms as I'm not waiting for a surgeon to give the block. With 2 surgeons operating this will enable us to complete more cataract operations.
Meanwhile in the rest of the department the VVF surgery continues. 20 more patients came down from the north of the country late last week and are now having their surgery. On Friday the first "Gladdie Gladdie" ceremony took place where the ladies who have had surgery arre given a new dress. It's a sign of their freedom from being permanently wet with urine.
Dr Gary Parker along with another surgeon is continuing with the maxillary facial surgery. These patients have tumours which are often disfiguring beyond anything we would probably see in our own countries simply because the people here don't have easy access to doctors. These are things of which I can't put pictures out because along with all patients I care for they have the right of total confidentiality.
Orthopaedics continue and we have new surgeons for this speciality this week. This always presents new challenges for the staff who have to learn what the new surgeon wants and likes. But somehow we always manage to work together in good humour.
On Thursday I was part of the worship team for our community service and it felt like a great honour to be able to help lead others in worship.
Over the weekend I went out to see the stilt village of Ganvie. It was originally built so that the people there could not be taken as slaves but is now home to quite a large population. The boat trip is about 14 kilometres and is interesting as I had a chance to see something akin to the salmon traps used on the River Severn although here they were for catching prawns (shrimps) and also other fishing devices. The lagoon in which the stilt village sits is not incedibly deep but it is the dry season here. Not sure how deep it gets later in the year. The photo is of the village as we approached it.
oto
Sunday I spent going to church in the morning where we were thoughtfully moved by the stewards so that we were under the fans and then managed to be dropped off at the pool. The local hotels are becoming used to seeing "Mercyshippers" frequent the place at weekends. Hopefully it will increase profits for them.
Yesterday evening I spent some time playing my guitar with a few others and helping to teach some the basic chords while also learning from those more proficient than myself. Along with discussions with my cabin mate late into the night my time is filled more than adequately.
I am hoping to start a new "small group" rather like a housegroup on the ship and the plan is to meet alternate Wednesdays. I am fortunate that a family has offered the use of their lounge so that we can meet in peace. Public areas on the ship can be noisy at times and that can making having peace and quiet to discuss, share and pray more difficult.
So life continues.
I remain in the eye rooms and this week have learned how to give a peribulbar block. In laymans terms that meansputting an injection in to someone's face just below the lower eyelid to numb the eye before we operate on the eye. just like the dentist numbing your mouth before a filling. Learning this technique will enable me to speed the process in the eye rooms as I'm not waiting for a surgeon to give the block. With 2 surgeons operating this will enable us to complete more cataract operations.
Meanwhile in the rest of the department the VVF surgery continues. 20 more patients came down from the north of the country late last week and are now having their surgery. On Friday the first "Gladdie Gladdie" ceremony took place where the ladies who have had surgery arre given a new dress. It's a sign of their freedom from being permanently wet with urine.
Dr Gary Parker along with another surgeon is continuing with the maxillary facial surgery. These patients have tumours which are often disfiguring beyond anything we would probably see in our own countries simply because the people here don't have easy access to doctors. These are things of which I can't put pictures out because along with all patients I care for they have the right of total confidentiality.
Orthopaedics continue and we have new surgeons for this speciality this week. This always presents new challenges for the staff who have to learn what the new surgeon wants and likes. But somehow we always manage to work together in good humour.
On Thursday I was part of the worship team for our community service and it felt like a great honour to be able to help lead others in worship.
Over the weekend I went out to see the stilt village of Ganvie. It was originally built so that the people there could not be taken as slaves but is now home to quite a large population. The boat trip is about 14 kilometres and is interesting as I had a chance to see something akin to the salmon traps used on the River Severn although here they were for catching prawns (shrimps) and also other fishing devices. The lagoon in which the stilt village sits is not incedibly deep but it is the dry season here. Not sure how deep it gets later in the year. The photo is of the village as we approached it.
oto Sunday I spent going to church in the morning where we were thoughtfully moved by the stewards so that we were under the fans and then managed to be dropped off at the pool. The local hotels are becoming used to seeing "Mercyshippers" frequent the place at weekends. Hopefully it will increase profits for them.
Yesterday evening I spent some time playing my guitar with a few others and helping to teach some the basic chords while also learning from those more proficient than myself. Along with discussions with my cabin mate late into the night my time is filled more than adequately.
I am hoping to start a new "small group" rather like a housegroup on the ship and the plan is to meet alternate Wednesdays. I am fortunate that a family has offered the use of their lounge so that we can meet in peace. Public areas on the ship can be noisy at times and that can making having peace and quiet to discuss, share and pray more difficult.
So life continues.
Monday, 9 March 2009
Wednesday, 4 March 2009
Wednesday March 4
I can't believe that a week has gone by without adding to the blog. It's probably a sign of just how busy I have been.
So now into our second week we are operating in all six rooms. I am in the eye rooms where we are beginning to have about 30 patients a day through our doors. 2 rooms with a connecting door aid our communications with each other and enables the surgeons to walk between each easily. Today we performed about 30 cataract operations and a couple of other more minor procedures.
On Monday we operated on a 3 year old girl who has never seen as she was born with cataracts. When her patches were taken off on Tuesday she took a minute or so to realise that she could actually see then picked up a book and started turning the pages. That is what makes the days so worthwhile. Her life will be changed irrevocably by this operation. She will now at least have the chance of going to school as any other child and being able to learn to read and write. I beginning to use all my skills again as we have begun to operate on children in the eye rooms. They require general anaesthetics and this is an area in which I work. There are challenges as the lack of space means confined working areas but we are able to work safely.
We have had several VVF ladies through now and there was a party for the first ones to celebrate their return to normal life for them. They are given a new dress and matching headscarf to as part of the celebration. If you can read Catherine Hamlin's book "Hospital by the River" you will gain insight to the lives of these women and the difference this surgery makes to their lives. They are able to find work again and where they have previously been cast out by families, are welcomed back as they are no longer debilitated by this condition which arises from prolonged childbirth.
Over the weekend I spent Saturday on call then on Sunday went to church in the morning to the FourSquare Gospel church. This is a worldwide church that preaches the gospel as it is. I went with four others and we had a good time there. Christian , who took us, used to attend the church when he lived in Cotonou. Afterwards we took a drive out to Ouidah which was the centre a slave trading for Benin. There are 2 gates there. When called the "Gate of no Return" marked the place where the slaves were boarded onto ships never to return. In 2001 another gate was built 300 metres along the beach and this is the "Gate of Return". Built to commemorate the first Christian brothers who landed there in 1861, it is a beautiful monument, very simple in its design with the country of Benin outlined so that one can look straight through it to the sea. We didn't have enough time to visit the museum in town but we had great fun for the afternoon and the cool breeze off the sea was a welcome relief.
I have begun to run in the mornings. Not sure quite how long the dock is but I suspect it's about three quarters of a mile from one end to the other and return. Even at 6am it's very warm. There is also a local pool and tonight I have been able to go for a swim after work. This has to be timed to perfection as we leave at 5.00pm inorder to be at the pool in time to be able to swim for about half an hour, shower briefly and then return to the ship by 6.30pm before the dinner line closes. It's a great way to unwind after a day though.
And so life continues. Thank you to all who contact me when you read my blog. Sorry if some of you have problems adding comments - I don't why it happens. I'll try to add in a couple of photos when I've consulted with my IT expert!
So now into our second week we are operating in all six rooms. I am in the eye rooms where we are beginning to have about 30 patients a day through our doors. 2 rooms with a connecting door aid our communications with each other and enables the surgeons to walk between each easily. Today we performed about 30 cataract operations and a couple of other more minor procedures.
On Monday we operated on a 3 year old girl who has never seen as she was born with cataracts. When her patches were taken off on Tuesday she took a minute or so to realise that she could actually see then picked up a book and started turning the pages. That is what makes the days so worthwhile. Her life will be changed irrevocably by this operation. She will now at least have the chance of going to school as any other child and being able to learn to read and write. I beginning to use all my skills again as we have begun to operate on children in the eye rooms. They require general anaesthetics and this is an area in which I work. There are challenges as the lack of space means confined working areas but we are able to work safely.
We have had several VVF ladies through now and there was a party for the first ones to celebrate their return to normal life for them. They are given a new dress and matching headscarf to as part of the celebration. If you can read Catherine Hamlin's book "Hospital by the River" you will gain insight to the lives of these women and the difference this surgery makes to their lives. They are able to find work again and where they have previously been cast out by families, are welcomed back as they are no longer debilitated by this condition which arises from prolonged childbirth.
Over the weekend I spent Saturday on call then on Sunday went to church in the morning to the FourSquare Gospel church. This is a worldwide church that preaches the gospel as it is. I went with four others and we had a good time there. Christian , who took us, used to attend the church when he lived in Cotonou. Afterwards we took a drive out to Ouidah which was the centre a slave trading for Benin. There are 2 gates there. When called the "Gate of no Return" marked the place where the slaves were boarded onto ships never to return. In 2001 another gate was built 300 metres along the beach and this is the "Gate of Return". Built to commemorate the first Christian brothers who landed there in 1861, it is a beautiful monument, very simple in its design with the country of Benin outlined so that one can look straight through it to the sea. We didn't have enough time to visit the museum in town but we had great fun for the afternoon and the cool breeze off the sea was a welcome relief.
I have begun to run in the mornings. Not sure quite how long the dock is but I suspect it's about three quarters of a mile from one end to the other and return. Even at 6am it's very warm. There is also a local pool and tonight I have been able to go for a swim after work. This has to be timed to perfection as we leave at 5.00pm inorder to be at the pool in time to be able to swim for about half an hour, shower briefly and then return to the ship by 6.30pm before the dinner line closes. It's a great way to unwind after a day though.
And so life continues. Thank you to all who contact me when you read my blog. Sorry if some of you have problems adding comments - I don't why it happens. I'll try to add in a couple of photos when I've consulted with my IT expert!
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