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Sunday, April 25, 2010

Paul Farmer Here I Come







We have had a TB patient that we think is resistant. He started treatment last summer with me, and then stopped treatment. He is 21yo, and finished with 2mo txmt and is still so sick, I think he is almost 6feet tall and weighs 96lbs. HELLO!! AM said we need to take him to Cange, which is where PIH, Paul Farmer's hospital is! I was like yippee! B/c I think this is his only chance to live, and maybe I get to see Paul Farmer! My hero!!! My entire week basically revolved around this trip so this is all I'm gonna blog about!




Here is how it goes.




Number of hours spent in the car total 14hrs (Please keep in mind Haiti roads are the worst in the world)




Number of times I caught air as we went over a hole in the ground: I cant remember because I have brain damage from the bumps




Number of times we almost got into a car accident with a goat: 1000 (that is probably only a SLIGHT exaggeration)




Number of times I complained about being hot(excluding the car ride): 0 b/c Cange is in the mountains and its cool




Number of times I was super impressed by Cange, and thought about Paul Farmer: too many to count




Overall, the trip was amazing. Cange and the hospital there is sooo impressive. Its like a little resort in the mountains, just a beautiful isolated hospital. They seem to do a good job, and everything is free. They let us stay there, and gave us food. We stayed for two nights! It is seriously surrounded by mountains, and is just beautiful. I am so happy I got to go there, the only let down was Farmer was not there, they said he left right after Easter. I was like oh man, soooo close. But I am happy I got to go on an adventure in Haiti, and I am really excited b/c I think they can really help our patient. Plus when I return to the US I am going to bring the sputum of our patient's sister, who is in our hospital for TB. They are going to test her for TB resistance, and I am going to bring it to them. So now I consider myself an insider and future employee of PIH! :)




Also, I had a frog sit next to me last night while I went to toilet! Once again, can I get a little privacy!

My Own Horror Movie

Sorry for the lack of blogs and emails! Trust me I wish I could have been in contact with the outside world!! Don't feel ignored, and don't give up on me, I need your prayers and emails now more than ever!! The past few weeks have been difficult. Haiti is such a source of joy, and peace for me. But it also breaks my heart more than I can handle sometimes. Today, Ryna and I were awoken at 5AM by the sister of one of our TB patients, Acdonel. She said he was vomiting blood. By the time we walked to the hospital he was dead. I was near hysteria, people had to calm me down. Last night I sat and talked with him and we laughed. He had been here 4 weeks and was improving, he was walking, and last Sunday he went to church! He was one of my favorite patients, after Ryna and I did rounds I was talking to Ryna about how much I liked him and that I just wanted to hang out with him. He was just a source of joy for everyone in the hospital, and his death was so unexpected. He is just hard describe, he was just an amazing person. I have never been so sad and upset over someone dying, I'm sad he's gone. Then later today at clinic I delivered a baby that was dead. The mom was seven months pregnant, and had not felt the baby moving. We did an ultrasound and realized the baby was dead, so we induced labor and today she delivered him.

On a more encouraging note we have had several deliveries that have been really good. On Sunday, I delivered a baby which is becoming my favorite things to do. Friday night we had a mom laboring with twins. Dr. Michael checked her and she was only dilated to a 3 so we went home and told them to call us if she felt the need to push. Within 45min the guard was at my house saying one of the twins had already been born. I tried to run to the clinic, of course rolling my ankle on the way b/c the path is all rock, and almost throwing up because I had just finished eating. By the time I got their there were two baby girls chillin on the bed!

Also, we had a team from Ryna's church come, and they were awesome! Just super faithful and encouraging! Plus they made awesome food, and just made me laugh a lot which I appreciated! The one downfall was one guy on the team really like the grape soda here which is similar to Dimatapp cough syrup, or poison!! So that was seriously sickin me out!! And also, I had a spider in my shower! I decided to show mercy and let him live but then he started crawling up the wall directly behind my head! Which was a serious problem, so I tried to kill him, I knocked him down where he played dead and after a few minutes he started walking again! So then I got really mad and really killed him!

Now this is the real story I need to tell, but this is not for everyone. This story will freak you out, and maybe haunt you so stop reading if you cant handle it. This is also the incident that destroyed my friendship with Ryna b/c she woke me up and brought me into this world of terror! JJ, we are still friends!! We admitted a baby to the hospital for dehydration. We put a tube in, and were rotating doing feedings. Our favorite thing to do. Ryna went to do an 11o'clock night feeding. I was awoken by her running into the room basically crying. She told me that while doing the feeding she saw something move in the baby's mouth. Then she looked in and the back of the baby's mouth was filled with blood and worms. So we went to the clinic got a bulb syringe, and some tweezers to try to remove the worms. There were probably a hundred worms, we probably got 20 out. They had dug a hole in the baby's gums, and had also dug holes in the back of the baby's mouth inside the cheek pockets. While I was plucking the worms out, one came out the baby's eye. It was seriously worse than a horror movie. Its midnight, its dark, and you are pulling worms from a 5mo baby's mouth. Over the next few days we pulled out like 20 worms a day, the mom got most of them out b/c she would see them rise out of the holes and grab them out. I think overall only one came out the eye, and 5 came out the nose. We tried all different things to kill the worms, but we couldn't get them out b/c they were in the back of the baby's mouth. After a few days the mom pulled out a few dead worms but soon after the baby died. I think the worms had gotten into its sinuses and into its brain. We could tell the baby was probably brain dead bc he clenched his fists and would not open them again, and his eyes were not responsive. I think they were maggots, but I don't know. One night I brought 9 of them home alive and tried all different things to kill them, but not even bleach would kill them. Anyway, that is the worst experience of my life! And I can not even hear the word worms anymore. I literally had nightmares. The baby died the day before Acdonel our TB patient died. Then on Sat. a 13yo boy died of Pneumonia. So basically this week I feel like what are we doing here, everyone is dying and its so awful and unnecessary!! My heart hurts, and my sadness is so overwhelming. I hope next week is better. And please send out some prayers!