Showing posts with label nursing. Show all posts
Showing posts with label nursing. Show all posts

Wednesday, October 24, 2018

A Few Notes... Plus, Africa Mercy - Off to a Great Start and House of Cards: One Nurse's Journey

Sometimes life gets a bit lop-sided, hectic, and out of the ordinary. I've found myself lost in unexpected family activities, but in a good way. I'm helping my mother adjust to her retirement home and simply put, getting old. Hey, I'm not so young myself either. 

Apparently, the extra time needed to do this well was more than my pea-brain could handle. I simply had to neglect this blog for awhile, in order to keep my writing flowing elsewhere. I found myself writing a weekly garden column over the summer, typing my mother's memoir, and squeezing out time for my novel whenever I could, so nothing really lost "writing-wise." Happy about that, and it's good to be busy - as they say.

Finally, organization is starting to prevail, and I see that I really can handle more than I thought possible. Thus, I'm starting to blog again and it feels pretty darn good. I won't stress if no one visits for awhile (I've neglected you!), but I do hope to chat with some of you eventually. I've neglected updates to my friend's amazing Africa experience too on the Africa
 Mercy, a hospital ship that sails up and down the African coast with a team of doctors and nurses. I missed her return to Africa in August and share her August and September emails below. (More to come later and then I'll be more up to date). 



Before I say adieu, CONGRATULATIONS 
to ELIZABETH VARADAN!! She has a new 
children's book out and I just love the cover. 
Be sure to check it out!


Have missed you all! 

Sharon



~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2018-08-20, "Off to a Great Start"

After the customary 36-hour journey without sleep, I arrived in Conakry, Guinea last night to return to Mercy Ships for another seven months of being the scheduling nurse for the eye team. I must say, it was harder to leave home this time because my sister and I just got moved and settled into her house in Philadelphia, and I was getting really, really comfortable there. I was so focused on the move and settling in, it was hard to generate my usual enthusiasm for coming back to Mercy Ships.

No problem. About the time I got on the plane, my thoughts flew ahead of me, and the flame rekindled. Walking up the gangway was a thrill, a sense of being home (my second home). So many people have stopped to welcome me back—I feel loved in this community (in my other one, too!).

It’s a good thing I got a good night’s sleep last night. I, and many others, put in a thirteen-hour workday today. We held a mass screening event, screening for all the different surgeries that we do during the field service. Over six thousand people were screened, and about a quarter of those came to the eye team to be screened for cataract surgery. Of those, we scheduled over 300 adults and 15 children to come back for a full eye examination and possible surgery.

It’s hard to put into words the joy, the thrill, of being part of such an event. It tears at your heart to see so many people with medical problems, so desperate to snatch this opportunity for surgery that they nearly rioted outside the gates. We actually had to delay starting for a couple of hours while the police and our security forces worked to calm and organize the crowd. We didn’t dare open the gates; people would have gotten trampled. Eventually, we staged an end run—we opened a gate at the end of the line, where people were quieter. “The first will be last…” Anyway, it all worked out, and we were able to see everyone who came to be seen. You can hardly blame them for their frenzy—their options for health care are so limited, so a chance for a surgical slot with Mercy Ships is priceless. And being part of that priceless gift is the thrill of a lifetime for me. Oh, yeah. That’s why I’m addicted to this ministry!

If you are unenthusiastic about being on this newsletter list for yet another round of Mercy Ships stories, just let me know. It’ll probably be much like previous years, and I won’t be offended if you’ve heard enough already. But if you’re game, lets go for another ride together.

Blessings, Marilyn


2018-09-28, "House of cards"

As you remember, the advance container with the tents for the dock went on an extended world cruise, only arriving here in mid-September. Until then, we held our eye clinic in the room on the ship where we normally care for patients on the day of surgery. Meanwhile, the new tent, the one newly purchased for the eye clinic, had arrived and was used for the screening team. When the other three tents arrived, we were put in one of those and the screening team kept the new tent. It was a sensible arrangement.

Life in the tent has been fine, very convenient. If a day crew doesn’t show up for the Day of Surgery room, we can send one of the clinic people as a substitute. If we need something unusual, we can go get it. If I get tired, I can rest in my bunk for half an hour at lunchtime. If, as happened today, one of our post-op patients has a seizure in the clinic, we can fetch a doctor, do labs, get medications from pharmacy, and generally deal with the problem.

A few nights ago, we had quite the rainstorm. The new tent, already defective and leaking, collapsed completely. Since it was 2:00 am, no one was in the tent, so no one was injured. Not only that, none of the equipment inside was damaged. The tent has been declared unsafe, however, so the screening team had to move out. Everyone who had been working in four tents now had to crowd into three.

Now they have decided that that arrangement isn’t working so well, so they have decided to relocate the eye clinic to somewhere north of here an0d give our tent space to the other teams. In about a week, we will have to move again and set up the clinic for the third time. Then we’ll have to call a bunch of patients to tell them of the new location—hopefully we’ll be able to reach them and they will be able to find us. The clinic site is a substantial drive away from the ship, so we won’t be back for lunch, and the days are likely to be long and the commute tedious. If patients have post-op complications, I suppose someone will have to drive them to the ship, leaving us short-handed in the clinic. If we need something we don’t have handy…too bad. It is not an ideal situation, that’s for sure, and I, for one, am not happy about it.

Last year, when they were tentatively planning to locate the clinic far away from the ship, I decided that I would not come under those circumstances. When they bought a tent for us to be on the dock, I was elated. But now, I’m here, and now they are going to do just that, move us far away from the ship. I suppose I’ll adapt, but for today, I am grumpy about it. It does feel like the poor eye team lives in a house of cards, never secure in our accommodations, always the first to be kicked to the curb. Harumph.

--
Marilyn




Sharon M. Himsl, Writer / Author
Published: Evernight Teen 
The Shells of Mersing


 





Thursday, November 16, 2017

Africa Mercy - Quick Update: One Nurse's Story

My friend Marilyn is in Africa serving as a nurse on the Africa Mercy. She emails me and I share her words with you. For those of you who know nothing of  Marilyn's story, the Africa Mercy is a hospital ship that travels the African coast with a crew of nurses and doctors. They come from all over to give of their time as volunteers. 




"Quick Update"
10/2/2017

I meant to attach this picture to the last email. I think it
interesting how they cope with rain while riding a motorcycle. There
are only two people on this bike, but I've seen up to four on a single
bike. I have yet to see a helmet in use. I do wonder what the casualty
rate is... An amusing side note...each morning we count the hearses
lined up in front of the hospital where our eye clinic is located...is
it like lawyers chasing ambulances at home?





Yesterday was our first day of surgery, so today was our first day of
post-op appointments. Nine patients had surgery (10 were scheduled, but
one got too afraid). They all had at least some improvement in vision,
but often, the day after surgery, there is still enough edema to blur
their vision. Most will experience even more improvement over the next
couple of weeks.

Today we scheduled one 18-year old for surgery with general anesthesia
(instead of the usual local block) because he is severely mentally
handicapped and engages in self-mutilation for stimulation. Our hope is
that if he can see, maybe his world will expand and he won't have to
live in the isolation that he currently experiences.

If you are interested, my workmate Amber writes a really interesting
blog, complete with pictures. You can check it out at:
ambersmids.blogspot.com. She even has a video of our day crew singing
at the end of a work day. Too bad that I'm technologically
challenged...but Amber's blog will give you a fuller taste of our life
here, if you are interested. The other two pictures I've attached to
this email are of Amber and me at work, scheduling patients for surgery.

Until next time,

Marilyn











Sunday, October 29, 2017

Africa Mercy - Two Weeks Gone: One Nurse's Story



My friend Marilyn is in Africa serving as a nurse on the Africa Mercy. She emails me and I share her words with you. For those of you who know nothing of  Marilyn's story, the Africa Mercy is a hospital ship that travels the African coast with a crew of nurses and doctors. They come from all over to give of their time as volunteers. 




"Two Weeks Gone"
 2017-09-30

Hard to believe I've been here two weeks already.  "Time flies when
you're having fun" seems to hold true once again.  And I certainly have
been having a wonderful time...not "fun" exactly, just joy in the
journey.  I was going to take a day trip to an animal preserve and
botanical garden a couple of hours away, but the captain made it a "no
go" zone due to demonstrations and unrest in that area.  Perhaps I'll
have another opportunity if/when the political climate settles down.
Anyway, I haven't seen much of the country--just the path from the team
house to the ship, to the eye clinic, and back.

 Douala itself seems peaceful.  There are "no go" areas in the city, but
 it's due to thieves and rough characters in those areas, not political
 unrest.  As African port cities go, Douala seems more prosperous than
 some.  There are many paved streets (some major potholes, to be
 sure...), round-abouts, and traffic lights.  Lots of traffic, of
 course, both taxi and private vehicles, and probably ten times as many
 motorbikes as cars.  Driving is "situational" rather than
 rule-governed, so cars nose into intersections to muscle their way
 through the congestion, and motorbikes slither all around everyone,
 going every which way.  Pedestrians stroll through traffic with a
 casualness that I certainly wouldn't feel.  I don't think I'd ever be
 comfortable driving in Africa!  It takes a certain aggressiveness--but
 not too much--to drive in conformity with local expectations.  You
 don't want to play chicken with the big trucks, but if you hesitate and
 yield to oncoming traffic,  you'll never get home.

We continue to screen for cataract patients four days a week.  Of those
who come to the initial screening, the likely surgical candidates are
scheduled for secondary screening at the clinic in batches of about
60/day.  Of those, the ones that are approved for surgery then have
their eye measurements done and are given a date to come to the ship for
surgery.  These first two steps of the process have been underway for
several days now, and they seem to be going well.  Surgery itself starts
on Monday.

On Friday, the eye team debriefed a bit.  Several of the day crew said
how hard it was to turn people away that we are not able to help.
Rolland told of one man who wanted to know if perhaps someone in Europe
or the States could have helped him if he'd had the money to go.  When
we told him that no one could have helped him, not even in Europe or
America, because his eyes were too damaged, it was a moment of
revelation for Rolland.  As he said, "I suddenly realized that money
can't buy everything."  That's a pretty profound truth for an ambitious
young man.  One wonders how it will impact the course of his life.

At the Hope Center, an eight-year-old girl had diarrhea.  Poo was
everywhere--her clothes, her bed, the floor.  The facilitator (crew
member, in charge of the shift) and one of the day crew set to work
cleaning her up, reassuring her, loving on her.  Another day crew person
was watching.  Later, he said, "When I saw that mess, I just wanted to
get away.  Even when my own baby has a poopy diaper, I get repulsed and
hand her to my wife.  Why is that?  I want to change, and have more love
and compassion."  Moral of the story:  It's not just the patients whose
lives are transformed around here.  Ours are, too.

For me, seeing life through another's eyes, like the stories above,
rattles my complacency, my sense of entitlement, and makes me ever more
profoundly thankful for all I have, all the opportunities I have had,
and for the incredible privilege of being here.

--
  Marilyn  



Sharon M. Himsl

Writer/Author. Blogging since 2011. 
Published with Evernight Teen: 
~~The Shells of Mersing

Friday, October 20, 2017

Africa Mercy - Ready, Set, Go: One Nurse's Story



My friend Marilyn is in Africa serving as a nurse on the Africa Mercy. She emails me and I share her words with you. For those of you who know nothing of  Marilyn's story, the Africa Mercy is a hospital ship that travels the African coast with a crew of nurses and doctors. They come from all over to give of their time as volunteers.



"Ready, Set, Go"
2017-09-20

The eye team is almost launched.  The screening group screened over 300
people today.  They screen again tomorrow, and then Friday we expect to
process 60 people through the follow-up exam and schedule them for
surgery, which starts October 2.  By next week, we should be rolling
through the process daily, hopefully with most of the bugs worked out. 

 Now...are the potential patients really out there, and will they come?
 This is a new country for Mercy Ships, and it usually takes a bit of
 time to build reputation and trust.

Since I don't have any patient stories yet, I'll share one I heard over
dinner about a man with a very large facial tumor.  He lives up in the
northern part of the country, speaking a different language from the
common ones around here.  He was approved for surgery by the advance
team...but his tumor started to bleed before the ship was ready to
operate.  We put him in a local hospital here in Duoala (at our expense,
of course) and gave him a transfusion (blood donated by one of our
ship's crew), and got him stabilized.  So, he was one of the very first
surgeries in this country, and he got a good result.  Even before
surgery, he was encouraging other patients who were waiting for surgery.
 After surgery, he found one woman of his language group who was quite
afraid, so he got his own chart to show her the before and after
pictures.  I think we should hire him, especially since his language
group is scarce around here, and we need translators.  Of course, he
might have a family back home...  But wherever he goes, he's likely to
be an advocate for Mercy Ships, helping others to overcome their fear
and distrust.

--
  Marilyn

Africa Mercy - First Day: One Nurse's Story



My friend Marilyn is in Africa serving as a nurse on the Africa Mercy. She emails me and I share her words with you. For those of you who know nothing of  Marilyn's story, the Africa Mercy is a hospital ship that travels the African coast with a crew of nurses and doctors. They come from all over to give of their time as volunteers.  



"First Day"
09-18-17

I arrived in Cameroon last night, got to my room around midnight, after
about 36 hours of travel without sleep.   I was supposed to arrive
several hours earlier, but my first flight out of Syracuse had
mechanical problems, and so they had to completely reroute me, through
Paris instead of Brussels.  Now that is one intimidating airport!  Huge,
with multiple terminals, a complicated bus system between terminals, and
poor signs.  It took a couple of hours to get from arrival gate to
departure gate.  Luckily, I had six hours to kill, so taking two hours
to find my way wasn't overly stressful.

I was up again at 5:45 AM to start my first day of work.  We have 22 day
workers (the locals that we hire to translate, teach, manage patients,
and do many of the technical tasks), so I have a lot of new names to
learn.  Dr. Glen spent most of the day still teaching the team--he is an
excellent teacher!  The day crew seem like they are all fairly strong in
English.  That will help a lot.  They also seem like cheerful workers,
enthusiastic and involved.  I think we're off to a good start.

Initially the plan was for government workers to screen for cataracts
upcountry before the ship arrived and then send them to us for surgery.
For reasons I don't know, that plan didn't work well.  That meant that
we needed to restructure our team to handle the extra work of doing the
initial screening.  So, now the eye team has been subdivided into task
groups.  One group will be responsible for the initial screening
process.  They will see hundreds of people each day, selecting those
that seem like they'd be good candidates for cataract surgery.  Those
folks will get an appointment for secondary screening at the off-ship
eye clinic.   At this appointment, the second group will test their
visual acuity (we select for the more profoundly blind) and give them a
more thorough eye exam.  If they are still good surgical candidates, we
do a variety of measurements to determine the correct lens.  When we
give them an appointment for surgery, we need to teach them of possible
complications so that they can give informed consent, and we need to
teach them what to do to prepare for surgery.  This last step of
appointments and teaching is where I will be working.

The third task group is the day-of-surgery eye room, where I have worked
in previous times.  They bring the people onto the ship, prepare them
for surgery, and then send them home after surgery with careful
instructions on what to do next.  The fourth stop for the patients is
the surgery itself--but that's the OR crew, not our team.  The next task
group of our team is the post-surgical care group.  They see the
patients the day after surgery, see any patients that need further
follow-up, and see all the patients again at six weeks for a final check
and JAG treatment (a laser treatment that pokes holes in the posterior
capsule behind the new lens, done because about 20% of all cataract
patients develop cloudiness in this membrane after surgery; the JAG
treatment prevents this.)

I think that this new organizational scheme will be an improvement over
what we've done in the past, where one clinical team handled all the
tasks that weren't done on the day of surgery itself.  Divide and
conquer--I think it will reduce the stress and chaos of one team trying
to do too many tasks at once.

We don't have internet at the team house where I live off ship, so my
access to internet may be sporadic--free time on the ship will probably
be random and scarce once we actually get underway with secondary
screening in the clinic.  I'll write when I can.

Keep us in your prayers as we gear up to do 2200 surgeries in the next
six months, nearly double of what we've done in previous field services.

Marilyn




Sharon M. Himsl

Writer/Author. Blogging since 2011. 
Published with Evernight Teen: 
~~The Shells of Mersing

Friday, April 21, 2017

R for Rufaida Al-Aslamia: Female Scientists Before Our Time

Rufaida Al-Aslamia was the first Muslim woman in the Middle East to become a nurse. Rufaida was born in Medina, Saudi Arabia around 620 AD into the Bani Aslam tribe of the Khazraj tribal confederation. Her people were among the first to accept Islam. Her father, a practicing physician, was an excellent mentor and gave Rufaida her first clinical experience.



Rufaida devoted her life to nursing and social work, caring for the sick and helping those in need, among these, orphans, the handicapped, and the poor. She was a keen promoter of community health and developed "the first code of conduct and ethics." Seeking permission first, she erected a tent outside a mosque and taught the public on health-related topics. Rufaida also organized the first mobile care unit in the community.

During wartime, Rufaida led groups of volunteer nurses into the battlefield. They used tents to shelter the soldiers and treat their injuries, concentrating on hygiene and stabilizing wounds, careful to only touch the injury site per Islamic religious rules for separation of men and women. They were not allowed to do surgeries or amputations, but would do prep work for the male physicians. A nurse's role involved providing physical comfort and emotional support, as well as serving food and giving medicine - "noninvasive duties." 

Rufaida and her team of volunteers participated in the battles of Badr, Uhud, Khandaz, Khaibar, the Trench and others.
 
Mosque at Salaman, location of Battle of The Trench where Al-Aslami treated the injured



Source: http://sohabih.blogspot.com/2017/02/saidatuna-rufaida-al-aslamia-ra.html
https://en.wikipedia.org/wiki/Rufaida_Al-Aslamia





Sunday, April 16, 2017

Mercy Ship Expedition - Winding Down: One Nurse's Story




My friend Marilyn is off on another 
Mercy Ship adventure in Africa. Those 
who followed her story before on the 
Africa Mercy know that Marilyn is a 
volunteer nurse on a hospital ship that 
sails the African coast in search of patients. 
She emails me and I share her post with you. 
I hope you enjoy!



Winding Down 04/04/17

We finished the children's surgeries last Friday. On Monday they were all checked again, and then we had the Celebration of Sight. All the children seem to see well, even those who left the ship not seeming to see well immediately after surgery. Remember Sophie, the second patient? She acted quite blind the day after surgery, but now, two weeks later, she was running around and obviously could see! My heart had been sad for her, so I was very happy to see such improvement in the eye-brain connection so quickly.

Today, we are doing adult cataracts again. One grandpa had his granddaughter as his escort and caregiver. She appears to be about 10 years old, but she hasn't been able to go to school because she takes care of grandpa. We thought it best to bring her onto the ship with him rather than leave her on the dock with no adult. That was a scary thought to her! It is a big ship...even if you can see, it is pretty daunting, going up 41 wobbly gangway steps just to get to the doorway. 

Once inside, she was fine...in fact, I think she rather enjoyed her time with us. Hopefully, grandpa will be able to see, and she can be free to attend school in the future.

 I have only two more days of cataract surgeries, then a day in the clinic, and then I go home. I remember when my son was in kindergarten and I was visiting his class. His teacher needed to get something out of the file cabinet, so to keep the kids occupied while she searched, she had them all stand up and turn around twice while patting their heads. I sort of feel like that just happened to me. Stand up, turn around twice, pat my head...and it's time to go home. Sigh.

 Marilyn




Sharon M. Himsl

Writer/Author. Blogging since 2011. 
Published with Evernight Teen: 
~~The Shells of Mersing
 

Sunday, April 9, 2017

Mercy Ship Expedition - Darkness and Light: One Nurse's Story



My friend Marilyn is off on another 
Mercy Ship adventure in Africa. Those 
who followed her story before on the 
Africa Mercy know that Marilyn is a 
volunteer nurse on a hospital ship that 
sails the African coast in search of patients. 
She emails me and I share her post with you. 
I hope you enjoy! 


 "Darkness and Light" (04-05-17)
 

West Africa seems to me to be a place where superstition and witch
doctors thrive alongside western medicine and Christianity, sometimes
mixed together, never too far apart. Today, our eye team saw a
heart-wrenching example in the clinic. A little boy, maybe aged 4,
developed a fever. Malaria? Who knows? The mother took him to two
hospitals, but they didn't help him. Not sure why...maybe she couldn't
pay? So she took him to her neighbor, a witch doctor. He had the child
walk barefoot on hot coals, which burned his feet severely. He fell
down, so he burned his hands and body also. Then the witch doctor
poured acid in his eyes. Strange cure for a fever, if you ask me. Now
the mother brought her son to us, hoping that we could repair his
eyes...but they were completely destroyed.

Sometimes the darkness in this culture is very dark. I can only imagine
the anguish that that poor mom feels, seeing her son destroyed. I
wonder what the witch doctor feels. Is he so evil that the suffering he
inflicts doesn't move him, or is he so bound by superstition that he
thinks that he is doing good? There are things in this culture that I
simply don't understand. The prevalence and persistence of witchcraft
is one of them. It seems so obviously evil to me. I suppose consulting
a witch doctor is a little like a "hail Mary" in football--not likely to
help, but when you are desperate and have no other options, you try it
anyway. 


On a brighter note, another 15 people received their sight today, and 15
more are scheduled for tomorrow. 'Tis but a drop in the ocean of need,
but this ship signifies hope and help for the people of Benin, and they
know it.
To end with an amusing observation: My co-worker is a very black, very
British woman from England. People from West Africa readily identify
white people as foreigners, but they are confounded by the idea of a
black foreigner. How could she not speak their language? Surely she
comes from Kenya or Uganda or somewhere. She should go home to her
tribe and learn her own language. It leads to some hilarious moments
when patients persist in turning to her to translate for them--surely
she speaks at least one of the local languages. If not Fon, then
Mina... Even the day crew that have been working with her for months
find it amusing that her native language is English.

Marilyn

Mercy Ship Expedition - Pictures of Kids: One Nurse's Story




My friend Marilyn is off on another 
Mercy Ship adventure in Africa. Those 
who followed her story before on the 
Africa Mercy know that Marilyn is a 
volunteer nurse on a hospital ship that 
sails the African coast in search of patients. 
She emails me and I share her post with you. 
I hope you enjoy!







"Pictures of kids" (03-27-17)

Here are some pictures of some of the kids we did surgery on last week. Thought you might like faces to go with the names.  I couldn't find a picture of Maurice and Sophie, but Jacques, Marie, and Elodie were the three kids from the one family that I mentioned, and Anna, with the broken leg, and her sister Dorcas had surgery after those three.

Marilyn

Anna and Dorcas before surgery

Anna and Dorcas going home

Dr. Wodeme - surgery

Jacques, Marie, Elodie with Papa




Sharon M. Himsl

Writer/Author. Blogging since 2011. 
Published with Evernight Teen: 
~~The Shells of Mersing

About Me

My photo
You could call me an eternal optimist, but I'm really just a dreamer. l believe in dream fulfillment, because 'sometimes' dreams come true. This is a blog about my journey as a writer and things that inspire and motivate me.