Wednesday, January 30, 2013

Real Life Miracles

Every field service there are always a few patients that medically should not have survived. They were so sick that there was no hope. But there was ... God can do mighty things. Let me introduce you to Saran, she is one of the lovely little ladies I met on the VVF ward. Like many of the other ladies she came to the ship seeking a repair of her fistula. Saran's surgery went well but post-operatively she just got sicker and sicker. One day she was fine and the next she was sitting straight up in bed, unable to catch her breath. A chest x-ray showed that one of her lungs was almost completely filled with fluid. From there things just got worse. The short of it was she went into kidney failure, it was looking very grim. We placed her in the ICU and started trying to contact family. It saddened me greatly but I tried to prepare myself that she probably wouldn't make it. There is no way to do dialysis in West Africa like you would for kidney failure patients in America. She ended up having another surgery to repair an operative complication and afterward she started perking up. It was literally overnight. One day she was in ICU and the next she was sitting in the ward smiling and happy. There is only one way to explain this ... there were alot of prayers going up for Saran. Alot of people were not ready to give up on her. God worked a real life miracle in her life. Tomorrow Saran goes home, although I will miss her smiling face and the hugs I receive everytime I see her, I know that she is blessed. For she can do all things through God who has strengthened her!

Thursday, January 17, 2013

Not what I expected

Hi everyone! Sorry it has taken me so long to update you all. In this update I feel like I need to be completely real and honest with you. This past week and a half has been kind of tough. I really felt like I would come back and all would be back exactly where I left it off. But let's be honest, how could it be? Almost all of the people I grew close to my last time aboard are not here anymore. Also, for the first week here I was in a totally different environment working on a different ward with a different category of surgical patients. But in the week and a half I have been here I have made new friends and have finally began to fall in love with the patients. Let me tell you about them ...
This time around I was placed in the VVF ward. VVF stands for vesicovaginal fistula. As many of you know I have 5 years of Emergency nursing experience and absolutely no gynecological experience. So without saying you can imagine I was very lost as to how to care for these patients. Let me give you a little history here. The majority of these ladies are about five foot tall, which makes me a giant among them at five foot ten myself. Anyway, they found themselves pregnant somewhere between 13-17 years of age. As you can imagine their bodies were not equipped for childbirth. They had many difficulties and were unable to deliver the baby the old fashioned way, causing them to be in labor for days. Because of this and the pressure that it caused there was tissue death and a fistula (hole) was formed causing them to continuously leak urine or feces. Their husbands, the majority of the time, leave them and they are social outcasts because they are always "wet".
Though we have an amazing urologist (bladder, kidney and urinary system doctor) on aboard in Dr Steve, we aren't able to repair all of the damage. Sadly we have had to send some of these "little ladies" home. So overall, there isn't the same happiness and joy in the ward as I would have expected. But there are hugs, and dancing and smiles even when they don't go the way they expected. To walk into the ward now and have them smile and give you a hug is beyond words.
As of yesterday I am now in the general surgery ward, where in the coming weeks I will be trained as a charge nurse. Please pray for me! I have never been a charge nurse and I am a little nervous. I am really excited to work with the maxillofacial (face, neck and head surgery) patients again and cuddle with the babies! So as I am contemplating my future plans and preparing to work here for the next five months please just say a little prayer for me, I need guidance and courage to lead the new nurses that I will be training (we have about forty of them!). Merci boku!!
P.S. Photos to follow soon (hopefully)

Sunday, January 6, 2013

I'm Home

I have arrived! After nearly 24 hours of travel I arrived on the Africa Mercy last night. Despite the fact that it has been over a year and nearly everyone here is unknown, it feels like home. Favorite thing so far, the hugs from old friends that I didn't think I would ever see again. I'm looking forward to meeting all the lovely patients later this week. I will keep you updated on all my amazing adventures and the touching stories of all I encounter. For everyone back home in Georgia, love you all and see you again when the air is warm and the sun is shining!!

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