Bangladesh??

Less then a year ago I was looking on the map where Bangladesh is and now what do you know…here I am sitting on the concrete floor of my bedroom in Bangladesh. I love that. Really great to be here! So much has happened since a week ago when I arrived, I’m trying to think of how to best articulate it but here goes:

Where? Malumghat District, Bangladesh
What? Here to work as a clinical instructor in the new nursing program started at the hospital here.
When? Now until….only God knows, depending on my visa situation (3-6 months).
Why? If you’re interested email me: wiebejolene@gmail.com I would be happy to send you updates beyond the physical aspect to the heart of things happening here.

Since I left home, until I arrived at my new home here = 48hrs. Jet lagged…yep! Travelling here...can fly either direction around the world, basically the same. Longest flight ever from Vancouver to Guangzhou China (yep, never heard of it till I flew through it). 13.5 hrs.

Here is my new home:

It's kinda hotel style, right now there's 4 other women living in the same house.

This is my view out of my house. The 'cal', basically an inlet of the Bay of Bengal. Rice fields for miles.

Our sitting area
My space...and a few cochroaches
'Living room'
Kitchen...haven't eaten here once yet. I head over to Susan and Ruthie our neighbors to eat. They have amazing cooks with amazing food!

I arrived here last Wed afternoon, Thurs had orientation to the compound, met with few different people as well as the nursing students for a picnic, and a hospital tour. Friday (is our Sundays), church in the village across the street in the morning, and expat church here in the evening. Saturday myself and 4 other girls/women from the compound went out Cox’s Bazaar for the day – lunch, and some shopping. Shopping once again proved to be a unique experience...I think shopping is universally fun, no matter where you are. Haven't forgotten how to bargain yet.

Since the start of this week I’ve been able to spend some time in the different areas of the hospital – physio, OR – observed a few surgeries, male and female wards. I’ve also been spending some time going through the curriculum - finding out where the students are at. Healthcare can be a whole other world in a different country – some similarities from other countries but so many differences. I’ve been trying to learn the different policies/procedures, how the hospital is run (flow of things, charting, meds, roles/responsibilities/scope of nurses, different diseases, how different diseases/injuries are treated here differently from at home, etc). Also trying to learn a new culture...cultural tact, respect, etc. So many differences…not that I wasn’t expecting it but many things you don’t know till you live it. Meeting multiple new people…expatriot staff as well as local staff. I’m thinking these names are impossible. Next week I will be starting Bengal lessons…that kinda scares me. So much more to say, but that'll have to suffice for now. Hopefully this internet will let me post :).

Mercy Ships - Compassion in a World of Need

A great clip to end off blogging about Togo. What an amazing 6 months!

Week up to the north

Christina (RN from Arizona), Jean (translator) & I took a week vacation up to the north of Togo. So many random TIA (this is Africa) moments, so many good laughs and talks. Definitely a huge highlight of my memories of Togo!

The first day we travelled up to Dapaoung, an all day trip. We finally reached a hotel at 10pm only to find all the lights out and the manager already sleeping. There was just one room left for the 3 of us & at this hour we didn't really have other options. So Jean somehow got to sleep with the hotel manager on a mattress infront of the reception desk. How awesome isn't that :) Christina and I crawled under our 'single' mosquito net in our sunken bed for a great nights rest!

We went to the bar next door for some supper...and they had run out of beer and wine, yes the bar ran out of beer & wine - TIA :)

Watch all those crawly's on the shower floor Christina...oh wait, is the shower actually working? :)

The next day we took zemmies out into the country past many villages, up the mountains to see the cliffs where some locals lived during a war in the 1800's. So fun to ride the zemmies! Togo is beautiful!!!

What? Jean, how did you get to drive the zemmie taxi?

Gate to the cliffs.

Pretty amazing how they coped with living in cliffs - the big oven, etc.

Christina

Amazing view! So beautiful!!

I want my Momma!

Crazy driver Jean! And he's still letting you drive his zemmie?

That night was the 'Miss Togo challenge' in Dapaoung so we hung out watching the challenge and playing cards. At night all the ladies bring out their local brew on the streets. Jean bought some from this lady so we could try it. The bottle is an old Voltic water bottle. This little girl is the daughter of the woman we bought the beer from. So cute! We bought some adamae (kinda like a mashed potato starch) and sauce for supper, with our local beverage. The beer tasted like yeast with something sour in it...I had one sip and had no desire for more :) The next day we headed to Mango to see the ABWE hospital that is being built there. So exciting to see this project! The missionaries there are amazing! One missionary lady took us out on their gator to this lake where hippo's are...we only caught a glimpse of their backs :( These kids were chasing the gator down the road :) When we were getting back to the mission guesthouse I saw a yovo (white person) playing on the soccer field - it was Jens from the ship who had left a few days before! Sooo awesome to meet up with him again! Jeans, Jens, Christina, and I. Our first night in Mango we checked in to the only hotel in town, in the back of this bar there were 2 rooms - 4 CFA per night ($8 USD). The next morning we found out..as the manager was wanting us to check out early, that these rooms were actually rented out by the hour...hence the used condom wrappers outside our door. TIA!!!

Needless to say we were thankful to be able to spend the 2nd night in Mango at the mission guesthouse!

We spent the day carrying bricks at the new hospital, took a tour of the local hospital there,(saw some kids with malaria, snake bites, AIDS, etc.), played some basketball, and stopped by the local police station. Hilarious to find out that people give goats for bail - TIA.

The next day we spent a few hours waiting for a bus to take us to Kpalime. Here's a lady sleeping under the trucks - common here with all the truckers.

Yay, our bus arrived ;)

Don't forget the goat! As we were crammed in the back of the bus, I kinda was pretty surprised to feel something tickling my feet...turns out there were chickens under the seat. So with the goat on top and the chickens under the seat our music consisted of baaa and clucking. TIA.

Another bus/tro tro...crazy! So many rollovers from this. We headed to Kpalime where the next day we headed to the Sisters of Charity mission for our last time spent with them. Other Mercy Shippers met us there. We had a little farewell party - sad to say goodbye.

Cicile Ahamogbe

Cicile Ahamogbe stands in front of a room full people. Tears well up in her eyes.
“If I cry,” she says, “ t hey are tears of joy. I could stand here forever, and cry and cry and cry tears of joy. Dr. Arrowsmith and all the nurses , how can I thank you?”

Cicile, 44 years old, suffered from a condition called vesico-vaginal fistula, or VVF. This problem, common in countries where there is a lack of obstetric care, occurs when a woman is in labor for long periods of time without medical help. The pressure of the baby causes a hole to form between the bladder and the vagina. The result is an uncontrolled flow of urine.
Cicile endured unbearable situations. She was incontinent for a year and a half, and she was treated as an outcast because of the odor of urine. The problem was caused when she was in labor for three days before finally receiving a cesarean section. Her beautiful daughter, Destino, is lucky to be alive.

Cicile lives in Kpalime, a town about three hours north of Lomé. She learned to cope with her problem during the day by going to the bathroom constantly. But at night the problem was most evident. She explains, “ I would wake up in the night with the children sleeping in my bed, and we would all be wet … t he blanket, my clothes, their clothes , everything .”

It became very difficult for Cicile to provide for her children. Sometimes her husband sent money, but for the most part Cicile had little or no money to feed or clothe her kids. The incontinence kept her in her house … very alone.

Before coming to the Africa Mercy , Cecile did not know anyone who had the same problem as she did. Once she arrived at the hospital ship, however, she met several women just like her, and she will return to Kpalime with a support system that will be invaluable. She says, “It helps to know others like you. I hope that we will all leave here dry. I have faith that the doctors and nurses of Mercy Ships can take care of us.”

Cicile's faith held true. Today, she attends her dress ceremony. She stands in a maroon dress with a white beaded necklace. She smells of lavender. She is surrounded by four other women. She is crying tears of joy. After two surgeries by VVF surgeon, Dr. Steve Arrowsmith, Cicile stands triumphant. “I am dry!” she exclaims. “I am dry forever!”
The dress ceremony celebrates rebirth. The women who have successful surgeries are given a new life, and that calls for celebration! They are no longer outcasts, and they are able to stand among their peers without shame. It is a wonderful day when VVF ladies, like Cicile, get to dance in a dress ceremony.

Cicile knows she is lucky and blessed. She poignantly states, “ Thanks to Mercy Ships, t oday my beauty has been restored. The ugliness is gone.”

Story by Claire Bufe Edited by Nancy Predaina

Cicile Ahamogbe on the ward. After the second surgery, Cicile was dry. “I am dry forever!” she exclaimed.

Clementine adorns Cicile with a traditional African head-wrap that matches her dress. The celebration begins, and Cicile claps, smiles, and sings to commemorate this blessed day. The 5 ladies celebrate being dry! Cicile is on the left, hands in the air.
Cicile stands to give her testimony. She speaks of her life, and how one and a half years ago she began leaking after giving birth to her daughter, Destino. Her daughter is alive and well. Cicile displays emotion as she describes the difficult life she has endured. The 5 VVF women honored today pose with Clementine and Dr. Steve Arrowsmith.

Akissi Nalalene

Akissi is a spirited teenager. Her gleaming white teeth brighten her contagious smile. Some things get lost in translation, but not Akissi's gregarious behavior. When asked for a photo, she swiftly poses with clenched fists showing off her buff arms – accompanied by her award-winning smile.

However, Akissi's life has not always been filled with smiles and laughter. She grew up in a rural village in the northern part of Togo. From a family of farmers, she learned to work long days under the brutal sun at a very young age.

At sixteen she moved to Cote d'Ivoire to be married to a man there. When she went into labor with her first child, she struggled for several days before finally going to a hospital. She received a cesarean section, but the baby was stillborn. Akissi was devastated.
Akissi noticed that she could no longer control her bladder. Her condition is called vesico-vaginal fistula, or VVF, and is caused by damage resulting from obstructed labor. It is very common in countries where there is little or no obstetric care.

At this point, Akissi's husband no longer wanted her, and he sent her home. It was a very long voyage from Cote d'Ivoire back to her village in northern Togo. Akissi did her best to cover up her condition. But the other people on the bus noticed the foul smell coming from her, and she was humiliated.

Finally she was back with her family in her village, Pkaple. Akissi struggled to endure everyday life. Her vivacious personality was stifled, and her head remained bowed in shame.
Then Akissi heard on the radio that doctors from Mercy Ships were coming near her village to see women with a leaking problem like hers. She attended the patient screening and received a date to make the journey to the hospital ship in Lomé. Excitement and hope filled her heart.
Mercy Ships arranged transportation for the women from the northern areas to get to Lomé. When Akissi arrived, she was overwhelmed by the bustle and commercialization of a large city, but she remained focused on her hope that in a matter of days she would have her life back.

VVF surgeon Dr. Steve Arrowsmith performed surgery on Akissi. When the nurses removed the catheter a few days later, Akissi was cured! For the first time in a year and a half, she was dry!
A few days later Akissi took part in a ceremony honoring the women who were blessed with successful surgeries. The sounds of drums, clapping and singing echoed through the ward as the women filed into the room in traditional African dress. Akissi wore a new cobalt blue gown with touches of golden yellow. Her face was lit up with joy.
Akissi stood up among her peers and a large crowd attending the ceremony and said, “Thank you to all the doctors and the nurses. Now, I can be among people. I no longer hide at home. Thank you Mercy Ships for all you have done.”
Thanks to the entire Mercy Ships VVF team, Akissi will return to her village and regain her sparkling, bubbly spirit. She looks forward to a normal life – a life free from shame and filled with joy.

Story by Claire Bufe Edited by Nancy Predaina

Akissi Nadalene (center) with Alizma Kotoir (left) wait at the Hospitality Center for their surgery date.

Alizma Kotoir (left) and Akissi Nadalene wait in the ward to find out if their surgeries have been successful.

Alizma Notoir (left) and Akissi Nadalene play connect four in the ward as they wait till their discharge day. Mercy Ships will transport them back to their village in Northern Togo.

Akissi is “made up” for her dress ceremony.

Akissi Nadalene is adorned with beautiful jewelry as she waits for the beginning of the dance. The dress ceremony symbolizes “rebirth” into a life without leaking. A captivating headdress is structured for Akissi's head. Her outfit is complete!

Akissi, center in blue, anxiously waits for the procession into the dress ceremony.

Akissi (second from right) sits among the 7 women being honored in the dress ceremony for being dry.