Thursday, August 25, 2005

some pictures...






here are some pictures from the last week. the scenic ones are of the golf course behind the fenwick's house, and some photos from our scenic drive. the others are of the paramedic, michael, and a case we went on where a little boy had a fractured femur.

i'll be home in 3 days...

this is the first time i've been able to access the internet in almost a week... and what a week it has been...
i spent the weekend being wined and dined with the fenwicks in sommerset west. i had a great time but it was interesting to come back home and to really feel the difference between white south africans and the people of color. it's weird, i think i feel more comfortable in the setting of my homestay, which is in a predominately coloured area...
i have learned so much, it's hard to know where to begin to explain. i've spent the past 3 days, from 7am to 7pm, riding along with a paramedic named michael. i want to acknowledge him seperately from everyone else for being the person i have without a doubt learned the most from while being here. above and beyond any doctor or nurse, he has gone out of his way to explain the physiology behind each disease and it's corresponding treatment--and his knowledge base it so extensive... but perhaps even more than that, he has proven to be one of the most compassionate and truly kind people i have ever met. yesterday i saw (for the first time in my life) a head on collision where two people were dead on arrival, and i think that had i been in the company of anyone else, it may have really scarred me. he could tell that i wasn't exactly ok despite my repeated attempts to tell him i was, and finally, when we were back at base he took the time, again, to ask if i was ok (because he knew that i wasn't), and when i fell apart crying he reassured me that my reaction was exactly how i should feel, and that it means i am a good person and will be a compassionate healthcare provider. i guess the best way to describe him is that he's one of those people who can tell what you're thinking even if you're trying your hardest to disguise it, and can hit you at the exact right moment to make you just drop the borders you build around yourself and let go...
i feel like a different person since i've been here. my views on healthcare have definately evolved, as i've realized that you can treat illness with the greatest technology in the world or with the least amount of resources, and your results will be the same unless you treat the underlying cause of disease, which in this case, is poverty. it seems so depressing to give someone a treatment you know will cure them for the time being, and then to send them back to their homes, the one thing you can't change, that will almost certainly cause the reinfection... dirty water, overcrowding, insufficient housing, crime, and unemployment are just as important if not more than genetics, age, gender, diet, and exercise... which is what we are taught to be the contributing factors of disease states.........

Tuesday, August 16, 2005






more weekend...

Monday, August 15, 2005

the best weekend ever.






well, my cold is clearing and i'm feeling a lot better. i just got back from our little weekend excursion... i don't think i've ever had so much fun. we stayed at this adorable little backpackers lodge in the middle of a town called wilderness...yes, it was actually named that. it was just beautiful. on saturday we spent the morning at an elephant orphanage playing with baby elephants and then went on a tree canopy tour where you zip-line through the tops of trees for nearly 3 hours. it was so great. on sunday we took a boat out to the knysna heads which are these magnificent rock formations in the indian ocean, and then went on a sunset game drive. i saw rhino's, giraffes, elephants, impala, and zebras. the most fun was probably just driving through the countryside with the african landscape all around us. i've really made some wonderful friends here...
i just got back from my hospital rotation today. i sat in on a counselor who was doing the mother to child hiv prevention program. they now try and test every pregnant woman for hiv on their 1st prenatal visit to prevent the transmission from mother to baby. i was able to hear the pre-counseling they do to prepare the women incase their tests come back positive. on wednesday i'll be sitting in as they tell them the results and counsel them as to what's next. it's pretty hard to think that nearly half the women i talked to today will test positive...
anyhow- i'll leave you guys with some pictures from my weekend.

Friday, August 12, 2005

i am sick as a dog.


i thought it wouldn't happen to me, but alas, i have caught some sort of south african flu. it sucks. my homestay mom is really nice though, she's a retired nurse, so she's been making split pea soup and hot tea all day for me. my homestay dad tried to get me to drink some sort of garlic juice that he makes for his kids when they're sick, but i just couldn't do it...
it's friday morning now, about 10:30am, and me a 3 other girls are about to leave on a weekend trip... so i should have a lot of pictures to share when i get back. other than that, things are going great. i saw surgery on a huge hernia the other day and that was really interesting. i also saw a birth where the doctor had to do an episiotomy and i thought i was going to pass out it looked so painful. i am sad to say that my rotation with the irish doctor is over, so we probably won't be getting married.
i'll leave you with the ass pies.... and i'll be posting more pictures when i get back on monday.

Wednesday, August 10, 2005

sorry it's so long!

So here is a brief photo tour of my time spent since Saturday. I’ve learned so much about the history of this country, but I am realizing just how much I really don’t know. The great thing is that our tour guides are (what in South Africa) they call “coloured”. They have all experienced apartheid firsthand and can tell most deeply saddening stories. You see, in pre-apartheid South Africa there were four categories: white, coloured, indian, and black. Many problems arose from those categories, one of which being that Japanese people were considered white, while the Chinese were considered coloured.
My particular driver, Pat, was classified as coloured and grew up in a neighborhood called District 6. He has one of the most fascinating stories of anyone I know. His mother was fair skinned, as were his brother and sister, and were consequently classified as white. His father and himself were a bit more coloured, and were therefore categorized as coloured. This wasn’t too much of a problem until the “Immoral Act” was passed, which was a law prohibiting marriages between different races. He said in order to avoid being arrested, he and his father had to act as though they didn’t know his mother and sister in public. Can you imagine?
He also grew up in district 6, which was once a thriving multicultural neighborhood in the heart of Capetown. He and his family were forcibly removed, as well as all his neighbors and friends, once it was deemed a “white only” area however. The amazing thing about district 6 though, is that to this day, it stands as a wide expanse of unused land – prime real estate – in the middle of metropolitan capetown, because the neighborhood banded together to prevent turning it into an industrial area. I urge all of you read about district 6 b/c I can’t quite do the story justice here…

As you can see we also toured the townships on Saturday. Our tour guides are locals and know the area inside and out, and I really feel lucky to view Capetown with their insight. The townships are not what you think when you see the pictures… Yes, they are shanty towns housing millions of people – I’m not sure if you can tell just how far the shack housing goes on and on from the picture – and that is only one township of many – but there is also a real sense of community there. We were able to walk through the town, go to a local pub (yes, there was a pub in a shack in one of the townships), we played with the children (they loved to have their picture taken), and all without worry or fear of crime. There are barbeque’s – or braii’s – as they are called here, on every corner… the children attend school… it is just so amazing b/c after all that has been done to these people… all the wrong… there is this amazing sense of hope and spirit among them. It’s really hard to wrap your mind around as you’re visiting there. I expected desolation and crime, I though the people would be bitter- and thought they would be quite rightful in feeling so. But it wasn’t like that… I can’t explain it.

My clinical rotations are going great. This week I am at a hospital called Sommerset. It’s at the waterfront and so I’ve been able to do a lot of sightseeing at the same time. The doctor I am shadowing this week is final year med student from Ireland (imagine my surprise and delight J… he is really nice and very informative. Today we went to the aquarium where I saw my mortal enemy – the shark…

Yesterday we climbed Table Mountain – which is probably the hardest physical thing I have ever done. I hated every minute of it and thought I was going to die, but once I got to the top I felt like I had accomplished something really big. 1,000 meters and at some points almost vertical. I thought we would be going on a leisurely stroll up it and I can’t even tell you how bad we all cussed like sailors once we realized how hard it was going to be. I think I posted a picture from the top… if I haven’t, I’ll go back and do it now…. That is something I will never ever do again.

Alright, well I’ll write more later, time to go for dinner… Miss you guys!

more pictures!






happy birthday ryan!






here's what i've been up to since saturday...

Monday, August 08, 2005

back and still alive from seal island.

alright- it's monday now and i've have quite a weekend. saturday was spent on a tour of the townships - or informal housing as they are now called. i have learned so much about the political climate here and also race relations. i am going to write a really long entry about it all and post a bunch of pictures. this particular internet cafe is really expensive though, and so i have to keep this short. i should have time to post them tomorrow though.
i can't believe i've only been here for 4 days. i never imagined i'd be seeing the things i'm seeing...
i just wanted to post a quick something to say that i will be updating this with the events of my weekend really soon, and to give a quick hello.
i miss you guys! thanks for posting back to me... it's easier than sending single emails each time.
ok-until tomorrow...
aubry

Friday, August 05, 2005

FINALLY, i am here.

so after an airline strike and a great delay, i have arrived in cape town, south africa. it is just stunningly beautiful. i'll be posting pictures later to show everyone just how amazing it is.
today was my first day of clinical rotations and it was just more than i could have ever hoped it would be. i saw not one, but two(!) live births. medicine is so different here. it's so natural and not nearly as technological. the birthing process is just allowed to happen. c-sections are rare and i don't know if they even have epidurals. one mother was screaming bloody murder and the nurse simply goes, "lady, you need to shut that mouth and redirect it to your pushing, now let's go." the mother immediately simply shut her mouth and within seconds the head was crowning. the baby gets a quick wipe down and then is immediately laid on the mothers bare chest so that they can bond. it is not wisked away and weighed or fussed over. both babies came out screaming and quieted as soon as they were laid with their moms. it was truly an amazing experience. the maternity ward is all nurse run and they were excited to have an american nursing student there. everyone was just so nice.
i learned they treat premature birth quite different here. incubators are only for exetreme cases. most premies are prescribed the kangaroo mothering technique where they are kept in a sling like aparatus skin to skin with the mother for weeks. they are kept skin to skin with the mother under her clothes to create the perfect temperature and are allowed to simply feed and grow. they say the mothers milk changes to fit the needs of the premie.
we have a busy weekend planned but i will try to get to the internet later this week to update and hopefully to add pictures. until then!
aubry