Monday, September 30, 2013

Clinicals in Zambia!

***I wrote this post last week...but haven't been able to post it because of lack of internet!
We are currently back in Choma.  We were in Zimba from Sept. 14-28 and now are in Choma for the next three weeks!  This post will hopefully give you a little bit of an idea of what we have been doing!

Clinicals have started off with a bang here in Zambia!  We are only 3.5 weeks in and

I already have almost half of the 210 required hours done.  That is a great feeling!

While in Choma, our clinicals were spent at Choma General Hospital.  It is about a 10 minute drive from where we are staying.


 Chrissy and I excited for our first day of clinical!
This is the day Maggie and I were in the Female Med/Surg ward.  She was obviously really excited about this.  We were sitting in the nurses station (a glorified closet) because there wasn't a whole lot to do after a couple hours.
There doesn't seem to be alot of patient interaction with the nurses here.  Each patient has "bedsiders" who are usually family members and they do the majority of patient care.  I did get to put in an IV this day!

 Jamaica and I spent one of our clinical days in the ART counseling clinic. (Anti-retroviral therapy is what treats people who are HIV-positive)  This is the counselor, Precious, and I.
 It was a slow day so we talked to a counselor named Josh for a couple hours and even got HIV tested!  These are our cards proving our HIV negative status. :)

 Josh and I

We only had one week of clinical in Choma so I am excited to be able to go back next week!

We are currently in Zimba and are working at the Zimba Mission Hospital.  It is affiliated with the Wesleyan church so the compound we are staying at is right down the road.  We walk everywhere we go here!

There are two missionary doctors working here so I definitely think they have helped westernize the hospital some.  We don't feel like we are constantly out of supplies and things are a little more organized and nicer at this hospital. 


A beautiful tree on the hospital's campus.  I love all the beautiful flowers here!

Lauren and I were in surgery together on our first clincal day in Zimba.  They call it the Operation Theater here.  We took lots of pictures of ourselves during various stages of our day.
Excited for surgery!

These were the shoes they had for us to wear during surgery.  They were so random!

After we got all our surgical garb in, we realized that the OR (operating room) was not air-conditioned with no air circulation whatsoever.  The OR in the US is usually freezing cold so we we thought it would at least be somewhat cooler in there.  I felt like I was dressed for winter in that 100 degree heat!

We got to see a D&C, a lipoma removal, a foreign body removal from a hand, and the removal of a needle from a wrist.  They were all very interesting!  I got to scrub in for one of the surgeries and we were able to be very involved! 
  It is so interesting how involved we were able to be with all the surgeries.  In the US I hardly could even see the patient in most of the surgeries because of all the people and equipment in the room.  Here in Zambia, we were the only nurses in the room with the surgeon!  

Another thing I have really noticed is the lack of patient privacy.  The door to the hallway was open the whole time until Lauren and I closed it (except for it didn't latch well..probably why the didn't even try)  
Zambians are very stoic when it comes to pain so they really don't use much pain medication at all.  I was very thankful when the doctor at least used Lidocaine for the last couple surgeries!  They may not show that they're in pain but there is no way they weren't hurting!
Lauren and I moved into the lab that afternoon.  We had to put on these masks because we were testing for TB.
The fix their slides by dousing gauze in alcohol and lighting it on fire!  They are very inventive!

The lab got a little slow so obviously our masks became Yamakas.  Is that inappropriate?
We helped look at slides for Malaria
This is the Peds ward I was in one of my days of clinical.  I DO NOT want to be a Peds nurse.  It's bad enough at home...it's even worse here when you can't even speak their language!

The next day I was following around an American resident named Gretchen.  I was lucky enough that she was working the maternity ward!  We had two babies born that afternoon.

Christina helping dry off the baby under the warmer.
Such big lips!  He was so cute-and very large. 
This was the second baby born.  She was much smaller but also very adorable!

Christina and the newborn
 We also took care of these two premature twins in their "NICU".  Their names were Chrestentia and Chresentia...that's gonna be fun!
 
There are typos on a lot of the signs here and I found this one to be funny :)

There is so much more I could say about clinical.  We have done so much!  I will hopefully be able to share more soon!

Monday, September 16, 2013

Church

We have gone to church two times since being here in Zambia.  Each time I have been blown away at their spirit and zeal for Jesus!  It is probably the most fun I've had so far!
On Sunday, September 8th, we went to the Pilgrim Wesleyan Church in Choma

We got there early enough to participate in Sunday School.  It starts at 9 and is in the sanctuary right before the church service. 

Ms. Mukonde sang in a trio!

The pastor had SO much energy!!

After church we leave row by row and then shake everyone's hand in the church!  A typical church service is 2-3 hours.  This particular service lasted about 2.5 hours

Our bus causing traffic issues on the little dirt road

Ms Mukonde's house
 We stopped at Ms. Mukonde's house after church.  She lives just down the road from the church! We got to see lots of pictures and meet her family.


Yesterday, September 15th, we went to church here in Zimba.  It was yet again full of lively music and people on fire for Jesus.  It was a great service!  This week we arrived at 10 just for church and it lasted until noon.
I don't have a video of it right now, but our group got up front and introduced ourselves and even sang a song for them. (and it was only half our group...yikes!) They did cheer for us after we were finished!
For any of those wondering...this lady is wearing a chitenge.  They are just large piece of fabric your wrap around your waist as a skirt...there are some really awesome patterns!  I have bought 5 of them at various markets since I've been here.  One girl in our group has bought more than 10!


Church has become one of the most interesting and exciting times so far!  I have really enjoyed each church service and it will be weird to not see people dancing all over the place when I get back to the states! 

I tried to upload some videos of the singing and the energetic pastor preaching but the internet won't allow it :(

Monday, September 9, 2013

First Week Happenings

This post is mostly a hodge podge of events/pictures from the trip.

Sarah's hair...there has been a lot of braiding/fish-tailing going on here!
There are so many of these Puma gas stations around!
The market in Lusaka! I could have gone crazy buying stuff there but I don't have room yet :)
My very first chitenge!
Spending time in our air conditioned rooms in Lusaka!  Christy, Sarah and Julia were in perfect modeling poses.


We ate out for lunch at the market-Wimpy's seemed like the safest option
Leah, Abby, Christina, Chrissy, Kaitlin, Sarah, Maggie, Christy, Julia, and Jamaica
I thought I had ordered a black coffee but this came and was more of a Mocha.  It was delicious!
A few people ordered Cream Soda...this is what came.  Green juice.
Let's just say this is not real beef and that is NOT real ketchup.  It was very interesting.
Not so sure about the food here...
Then this pizza place came and changed our lives.  We ate here a couple times!

Church Rd is one of the main roads in Lusaka so of course I had to take a pic since I live on Church Rd!
We also found a cute little bakery/cafe so we got coffee drinks a few more times.  They were so good!
Zambia's version of an iced coffee
Maggie, me, Chrissy and Julia with our coffee drinks


This was the coffee served to us at Churches Health Association of Zambia (CHAZ).  I took a pic for my dad since he loves this stuff. :)
Me, Maggie, and Lauren all dressed as triplets for the day! (and then I made them change) jk
We brought lots of extra suitcase of donated medical supplies.  We had to sort them all out so we can give them to the different hospitals we go to.

This hospital was so so awesome.  It was such a beautiful campus.  They offer free medical care to kids under the age of 16 including ENT, audiology, and physical therapy.  They also do surgeries for kids with club foot, hydrocephalus, cerebral palsy and more.

Right across the road was the Zambian professional soccer stadium!  There was a game going on so there was tons of traffic.
These are the shoes they handmade for the kids with club foot

They hand make all these chairs/play stands for the kids with hydrocephalus and cerebral palsy out of cardboard and recycled materials
This place was so awesome and I would love to come back and work here someday!
Our team with the lady who gave us the tour
Chacos! 
Maggie braided my hair and I looked twelve.
We had to wait on the bus to pick us up for about 2 hours so we played a game of Speed Rabbit
Ms. Mukonde joined in!
So did Bud and Judy and they were hilarious!
   
On Thursday we loaded up all our luggage again and drove 6 hours from Lusaka to Choma.  It was only supposed to take 3 hours!  We got stopped several times and had a few issues.  But we made it here and are staying on the Fortress Vision compound!  It is another nice place.  No air conditioning here but we have a nice, big living room we can do stuff in.

The market in Choma


Looking at al the chitenges!
Chrissy looking in at the random man sleeping

Julia and Maggie

Our first weekend activity...volleyball!  I was very happy about this.

 


Our team won! :) (me, Rachel, Sarah, and Kaitlin)
Duck Dynasty and head lamps.  We find ways to entertain ourselves!
Sunday morning Egg in the Nest and real coffee.  Best morning ever!