Wednesday, March 24, 2010

'Retou a la Vi: Ayiti Pap Peri' ... 'Return to Life: Haiti Has Not Died'

After a wonderful day in Leogane -- I was involved in a gas stove fire that evening. I was incredibly lucky because it was a pretty big blast that literally set my whole head on fire. But other than a bad hairdo and a few pretty minor blisters-- I'm fine. The two remarkably quick thinking NPs that I was fortunate to be working with threw me in the shower and the medical director for all of Haiti was, amazing as this sounds, 10 minutes away by car so he came over immediately and whisked me back to PAP to be seen in the ER. IMC truly has it's volunteers backs--- before he even got to me, Zurab had arranged for transport and burn care back in the States which, fortunately, I didn't need.

I spent the night in PAP and the next day - IMC and I jointly decided that it probably wasn't smart to be back out in the field with a wound that could potentially get infected. They offered to let me stay & work in the office which, I'm sure, would have been fascinating but ultimately not why I went to Haiti. So with quite a few tears and a jarring lack of closure -- I came back home. Kathy, God love her, decided to accompany me so I wouldn't have to travel alone. Got home in the middle of the night, talked Chuck's ear off (While driving back to PAP -- Zurab calld the ED and told them my injuries were much more minor than he had feared and that it appeared I didn't have any inhalation burns because I was talking "too much"!), and fell asleep for hours.

As the plane left Haiti, I watched the row of tents lining the runways and had myself a good cry. The picture is literally right outside of the airport. The title of this post is from a banner that hangs outside of the hotel that serves as IMC's headquarters in PAP. I pray it's prophetic. The resiliency of the Haitian people is beyond description. With the support of the world community -- they have the internal resources to build a nation that will be better than before. Thank you to everyone for sharing my trip with me. May take me a bit of time to readjust to home..........but I'm grateful to have a wonderful home and family and friends that will, I know, ease that adjustment.

Renmen anpil (Much love),

Laurie



Tuesday, March 23, 2010

Leogane



Bon jour! I don't know how to describe the whirlwind of the last few days. Left for Leogane early on Saturday. Leogane was apparently the true epicenter of the main earthquake-- though Petit Goave was the epicenter of the first major aftershock. The destruction in Leogane defies description. We were told that 90% of the buildings were destroyed and over 25% of the population killed here. Everywhere you look is rubble -- almost like pictures of Dresden after the war. You can see where homes & buildings were by an isolated wall of a pancaked section -- but nothing intact. Tents are everywhere. There are no lights at night and it is just surreal. Haiti didn't have a big middle class-- but that is the group that was wiped out. Merchants, teachers, nurses...... The poor who lived in corrugated metal and plywood and banana leaf huts reconstructed. And the rich-- and they do exist-- who live in mini-green zones consisting of mansions made of think cement and surrounded by high walls & barbed wire---- they are getting richer because those are the buildings that are being rented to the NGOs at exorbitant rates. The house in Leogane that will serve as IMC's center is 1 story, 6 rooms, the required high walls, a small outdoor space---- and its $3000 US a month!
But back to our arrival on Saturday. We literally were the first folks to walk into the Leogane center-- 3 volunteers & the site director. We arrived at 8:30 and by 9 the house was Grand Central--- security staff from PAP, logistics, trucks of supplies and literally hundreds of Haitians asking for jobs. I don't know how they knew we were there-- but the word went viral on the streets. The center director handed the 3 of us a stack of resumes for nurses - and we literally hired the permanent staff. We set up the pharmacy, helped choose the site for the clinic.........it was amazing, scary, exhilarating, exhausting..........and all done in 100 degree heat. Haitians nurses arrived for interviews wearing skirts, heels, crisp & smiling.......and were greeted by Americn nurses wearing scrubs and sweat stained t-shirts who truly gave the term Ugly American a whole new meaning.
Too hot to sleep that night so we hauled our cots up on the roof and slept under the stars.
Sunday is truly a day for family & church in Haiti and so we caught our breath on Sunday until about 4P when a whole new shipment of stuff -- and people -- arrived from PAP. A logistics coordinator from Croatia who recently worked in Burundi, a security guy, ex-military, from Great Britain........and too many others to name. The remarkable thing is that aside from a psychiatrist in Petit Goave, we've not seen another American though we were told by one of the IMC folks that Clinton and Bush 2 were arriving on Monday. Funny-- they didn't come visit us!
Monday we hit the ground running at 7AM. After literally being under house arrest in Petit Goave, not allowed to set a toe outside of the hotel, Kathy & I were taken to the site and dropped off to set up clinic! The tent village consists of about 2000 families and is run--- pretty smoothly I might add -- by a group of men who are described as the officers of the Homeowner's Association! They are young, just a tad bit threatening -- and more than eager to help. They have appointed security staff---- young men built like brick shithouses with baseball bats! Was I ever glad they were on our side! They literally followed us everywhere! So -- two American clueless nurses, a gazilliion Haitians, children everywhere who grabbed our hands and arms and had to be pried off so we could pick up a box, the UN police arrived with officers from El Salvador so at least I could sort of communicate with them -- and in the middle of all of that chaos-- the Cuban army shows up to fumigate, so they are spraying who-knows-what all over, the dust from the road, which is a few feet away and choked with the most amazing traffic (every see a mini-bike with 3 people and a full size mattress on it?) has created a haze, there are more people than a NYC block at rush hour............
A little while later the rest of IMC staff plus our local Haitian nurses & a physician arrived along with translators with varying degrees of English-- and we started registering patients. The community president was announcing that with a bullhorn and within 30 minutes the tent was packed with so many people that we had to tell him to stop! I have no clue how many patients we saw--- one smiling child after another, the tent was suffocating, the noise so loud I could barely hear through my stethoscope........
But we did it. End of the day the local leaders were beaming, we were exhausted, everybody was telling us Merci...........and we headed back to the house which by now, mercifully, had water for the first time in two days and I took the best cold shower of my life!
I had to come back to PAP last night -- which is just what I remembered, a riot of people everywhere, dust, traffic that has no idea there is a proper side of the road on which to drive......and destruction. We spent the night at the hotel here and will, with luck, head back to Leogane this morning. But one thing I've learned in Haiti-- nothing stays the same!
So -- no idea if I'll be able to write again but I'll try. Hard to believe I've been in Haiti almost two weeks..........in some ways it feels like a lifetime and in other ways I don't know where the time went.
Much love,
Laurie


Sunday, March 21, 2010

Sunday - phone call!

Hey everyone, Chuck here. Laurie called today, first time we've talked since she left (Verizon is great in the states, but in Haiti they're not up to the challenge it seems - downhill since I left). She's tired and homesick, but healthy, safe, and doing really well - she's on a mission, and we all know her heart and soul are in it. After 30+ years, I still don't know where she gets her energy. I'm posting because she did end up in the village she mentioned in her last post, where they are indeed setting up a new clinic - literally hiring people, gathering supplies, and figuring out how best to serve the locals - but no internet. It's amazing to me that she's had the access she's had so far. She may get a chance to post later this week if she gets to a UN facility, but otherwise, no internet. So she sends her love to all, and she (and I) are incredibly grateful for the support you've all expressed. She returns a week from today - if anyone has any suggestions for me on helping her decompress, I'm all ears! (PS - she's lucky I answered the phone! Didn't recognize it on caller ID, and it was the last minute of the Maryland-Mich st game, which Lainie and I were watching - MD lost on buzzer beater - I think she heard the air burst from our balloon when the last shot dropped! I figured it was someone calling about the game, so I answered, thank God. We forgive ya dear! Be careful - love ya).

Friday, March 19, 2010

Friday


A very odd day. The man who apparently owned the lean-to where our clinic was located died-- and his family demanded more money from IMC, who refused. So -- we got kicked out! We were so distressed as we had a number of patients that we had asked to return so we could check on them. Life in Haiti is such chaos. We spent the day, instead, traveling with the medical director to two other clinics. And as impossible as it sounds -- they were in communities that were more poor than ours. Up on a mountain, filled with makeshift cloth tents, children everywhere, most of whom had no shoes...........but they were more than happy to have their picture taken as you can see!
Tonight we will move to IMC's guest house in Petit Guinea but it seems to be a bit uncertain what comes next........we thought we'd be returning to Port-au-Prince but it appears we may go to help start a clinic in the next center, another town on this peninsula called Leogane. If we do go there-- I'll be out of touch the whole week.
Wish me luck. I guess it was too much to expect organization amongst off of this upheaval..... The Leogane director said she specifically asked for our little group of 3 NPs because we're so low maintenance -- a term that my family surely has never used when describing me!
Love,
Laurie

Thursday, March 18, 2010

Thursday in Petit Guinea















A very busy day in Petit Guinea. I'm still not able to really wrap my head around life here. I find myself just open mouthed as we drive to clinic each morning. Very few people can afford their own transportation-- but there is such a mix of public vehicles. Incredible painted buses that were never intended to be double decker-- but have an extra 6 or 10 folks sitting on the roof hanging on for dear life. Pick up trucks with 20 or 30 people standing in the back-- throw in a few chickens, a goat or two, a sack of bananas....... But far and away the main mode of transport is mini-bikes with 3 or 4 people plus drayage--- might be a piece of furniture, a satchel. Today I saw 4 people on the same mini-bike-- 4 if you count the breast feeding infant!
The sheer volume of patients in the clinic is mind-numbing--- and the amount of things I don't know depressing. Today we saw patients with malaria (of course!), measles, typhoid, dengue fever, secondary syphilis (!!), malnutrition...........Just no idea where to begin and no clue if we're really doing any good. It's raining outside and I can't imagine what that means for families living outside or in a tent rigged out of an old bed sheet that we would have tossed at home.
It's really remarkable to have this brief opportunity to interact with the NGO world. We just ate dinner with an amazing young woman from France who is recently returned from Banda Aceh, a physician from Sierra Leone by way of Russia, a water engineer from Kenya who most recently lived in Somalia. The center director here can't be more than 30 and her last placement prior to Haiti was Darfur! They are inspiring and daunting and admirable. I'm so lucky to have this opportunity -- and even more blessed to have an amazing home and family and friends to return to. Love you all!
Laurie

Wednesday, March 17, 2010

Happy St. Patrick's day from Petit Guinea





Chuck sent me pictures of crocus from the backyard so I don't feel guilty posting pictures of "my office". The first picture is my little space in our clinic- the second is the view. Just in case anybody was feeling sorry for me...........looking out at the Caribbean as you work certainly makes life easier.


Life here is actually slow. Steady stream of patients but truly not overwhelming. I'm getting pretty good at figuring out malaria. I had a young man in today-- he is working for one of the many NGO-funded projects, this one cleaning rubble off of the roads. He stopped by our clinic because he was out front lifting cement. He had a 105 fever and malaria -- and was working! Michael's age -- which is just amazing to me to try and fathom the uncountable number of ways in which their lives differ.


Too tired to write too much tonight-- but I'll close with today's beautiful Haitian child. The first ruly fat baby I've seen! She was gorgeous!


Bon nuit, everyone! I am so grateful for the notes, emails, support. Merci!


Love,


Laurie

Tuesday, March 16, 2010

Tuesday in Petit Guinea



Bon Nuit from Haiti.
I'm sitting outside at our hotel listening to Caribbean music and feeling this beautiful breeze......what a disconnect from the reality for Haitians. This hotel is chockablock full of "ex pats" which is what the Haitians call us. Someone told me that there are over 900 NGOs registered in Haiti since the earthquake and that coordination is really becoming a major issue. I can believe it. We met a family physician from Canada who is working at a local hospital through the Salvation Army and he said there are so many surgeons there that they are duking it out over OR time.
But not at our little clinic. Just us and the Haitian doctor, Africo, who is just delighted to talk to me in Spanish- and I don't think has figured out that I'm missing half of what he says! The kids are remarkably healthy-- horrible nutrition and hygiene and no immunizations.....and yet they are developmentally just like kids the world over. That is one of the most consistently amazing things to me with having the wonderful chance to see children in other countries -- a 2 year old is a 2 year old is a 2 year old. No matter the color or the language or the nationality or the religion---they are doing the same things and just as beautiful. The picture is some of the kids from our clinic today. And the other one is the most ingenious toy that a little boy "shared" with me. The body of that truck is a juice bottle and the wheels are bottle caps and that little raggedy driver has surely seen better days....
It's so nice to work with Haitian staff. You get to dispel a few myths, teach a few things, and, more importantly, learn alot. My translator is teaching me about voodoo, especially the connection that that religion has with Catholicism in Haiti, and the local nurse has explained some of the herbal medicines to us.
We're all grateful for this time here and think we'll be better prepared for Port-au-Prince when we go back this weekend.
Again--- thank you to everyone for reading my ramblings each night and all of the support!
Mesi!
Laurie