Thursday, November 4, 2010

"No Mercy" - "Many Blessings"

Today we tried to get out of Haiti ahead of Hurricane Tomas, but we didn't quite make it.  The flight on which we were to return to the USA never left Miami to come get us.  There were some complexities in getting in touch with the Guest House here to let then know that we had to return, but things worked out well.  We are now safe back in the Methodist Guest House, in very good spirits.  We'll ride out the rain and wind here tomorrow, and already have reservations of 6 November (our original return date) on AA 1908.  It will be an interesting day, as all of our passports have already been stamped to show that we have left the country.

"No Mercy" refers to our oft repeated phrase as we struggled through an almost crushing phalanx of wanna-be porters with our luggage.  It's a French/Creole term for "no thanks", but when expressed repeatedly in a Montana accent, it comes out as "no mercy!"
We were blessed by many in the airport who loaned us their cellphones to make connections here, and by the American Airlines staff who worked so hard to reschedule scores of passengers when the flight was cancelled and the airport was closed.  It will be closed all day tomorrow because of the storm, too.  Others in the airport were prepared to take us in with them had we failed to reach the Guest House.  Angels were everywhere.  A driver named Johnny found us in the airport at exactly the right time, just when we had received all of our previously checked luggage.  He brought us safely through the dark to this sanctuary. 
So far, it is only raining moderately hard, and the wind is mild.  We hear that things are scheduled to get more exciting soon.  The Guest House is crowded with many guests,as several teams have either been called in from the field or have not been able to go to their field site.

Thanks for your prayers!  We are indeed safe and comfortable and cheerful.

Wednesday, November 3, 2010

3 November, Wednesday

We stopped at a pharmacy on the way to Thor and bought some liquid antibiotics and other things that we were needing yesterday.  Our medical clinic got started a bit later then, at 10:15.  And, we had to knock off at 12:30 because of a scheduled visit to a mountain top a couple of hours away.  Still, we saw 35 patients in 2 hours.  That pace was ahead of the number that we were seeing yesterday, so you can tell that we're getting better at this.  The sickest person today was a woman of 67 years age, complaining of difficulty climbing up and down the very steep and very high hills around here.  Her blood pressure was very wide, 187/78, and sure enough, there was a loud holodiastolic murmur over her aortic valve.  She needs an aortic valve replacement.  She won't be able to get one. She will very likely be dead in less than a year. We didn't tell her.
After clinic, the pastor (Pastor Michel) thanked us profusely, especially for the kind way we had treated the people of his neighborhood.  He was very grateful.  His wife is a nurse, and she helped us.  His daughter learned to speak English on her own, and she helped as a translator.  They were a splendid family.  He told us how difficult it was for him after the earthquake, because his daughter was almost killed.  She was trapped in their collapsed home, and it took 20-30 min to get her out.  That doesn't sound like much at first, but we need to recall that the earthquake killed over 230,000 people here.  The scope of destruction remains very evident, and it had to be absolutely terrifying for him.  He looks forward to our return in February.

We spent most of the afternoon driving up a steep, winding (and terrible) road to near a mountain top. Had lunch there, at 2:30.

Must run off to a team meeting!  No rain yet, but the sky is cloudy tonight.

Tuesday, November 2, 2010

More about 2 November and the Medical Clinic

Of the 93 patients we saw:
-the youngest was 2 weeks old and the oldest was 84 (she wasn't actually sure)
-many were pregnant
-many were moms with children
-most weren't terribly sick
-several had very high blood pressure, and one 19 month-old little girl had definite protein malnutrition, with orange hair, delayed growth, and lassitude.  Her mom was very skinny and very anemic.

We needed more topical anti-fungal ointments and we had nothing for the little babies who needed liquid antibiotics or liquid tylenol. 
I believe that everyone feels tired and very properly used up after today.  For me, it was a very good day, with none of the nightmare scenarios that I feared (no riots, no screaming and shoving to get medicine, no government thugs or policemen bribe, no critially ill people that we couldn't help at all).  We had an animated and joyous after-dinner team gathering.  We laughed a lot, about many things, like the little girl with a condom blown up like a balloon, like the 80+ year old lady who said she was 12 years old, like the precipice that our patients had to navigate in order to get to a dark back room where a foreign doctor who can't even speak their language was waiting for them in the shadows.
Our team is a wonderful mix of personalities and talents.  I already am imagining how splendid it will be to run into these people in the distant future and exchange sincere, warm greetings and quiet smiles as we recall wonderful shared memories without even saying a word.  To say that a mission trip is a bonding experience is almost to ridiculously trivialize the genuine sense of Christian family love that we are realizing.  These people, our team, are part of me and part of my family - forever more.  Our shared experiences, our group tribulations, our common sense of shock at the things we've witnessed, and our sweat and labor to do good things as a team have brought us together in a way that can't be easily explained, but is sincerely and certainly wonderful.
Thanks for posting comments!  It let's know that we aren't forgotten.  Montana seems very far away right now.

Tuesday, 2 Nov, a Medical Clinic Day

Today we went to the church in Thor and set up a medical clinic.  We saw 93 patients between 10 am and 4 pm.  Not bad for 1 doctor, 1 pharmacist, and 5 very helpful medical assistants.  We had two translators, which was very good.  It was just a little hot, but we all hope to get a shower tonight.

The fear of the hurricane arriving soon is on all of our minds.  We seriously expect to be stuck here for a few extra days.  That will disappoint more than a few people expecting to see me in clinic next Tuesday.

Monday, November 1, 2010

Along our route to Thor

Pictures from 1 Nov 2010

Along the road to Thor.

Our first work day

Today was Monday, our first real work day.  The hard part seems to be getting to and from the work site.  That is a genuine adventure, with plenty of human tragedy to witness along the way.  The street conditions truly are awful, with enormous potholes everywhere.  Horns are blasting, to move people out of the way and to announce our arrival at blind curves.  The scenes along the roadside remain astounding.  Even though we have seen plenty of it, the magnitude of visible destruction and the abject poverty in which these millions of people live continues to astound me.  I see it with my own eyes, but I still can’t imagine it.

Our work today consisted of moving a lot of rubble from along the sides of the pastors future home to a pile in the street in front of it.  Evidently, eventually some young men will be paid to load it onto a truck for removal.  We’ve been told that the vast tons of rubble are being piled along the shore somewhere, perhaps to make a causeway, wave break, or just to expand the shoreline.  We moved a lot of rock and broken concrete, some small pieces of wood, and several items of buried and now worthless clothing. The stories behind the clothing we’ll never know.  Haitian workers did concrete work inside the house while we cleaned up around them.  Then we took 60 large cinderblocks off a truck and piled them neatly inside the house.  We carried a few 94 lb bags of cement, too.  But, like I said, getting to and from the site is a real journey.  So, we arrived at about 9:15 and left at about 2:15.  It doesn’t sound like much, but we were thoroughly soaked in our own sweat and ready for a break. 

Tomorrow, we will have a medical clinic.  We’ll set up at the Methodist church in Thor.  I have no idea how many people will come and whether or not we’ll be able to actually be of any benefit to them.  But, I know we’ll try.  The pastor has informed the entire community, so turn-out should be good.