Looooong Christmas Vacation

Who am I to contradict my boss's orders? She told me to take a proper long (and well deserved) vacation in December and taking 1 week off in the beginning of the month, then go back and work for 2 weeks before taking a 2 week Christmas vacation wasn't good enough... "No, why don't you take all of December off and then go back in January with your new college on January 7th" I thought about it for about 10 seconds and said: "OK" So here I am at Frankfurt airport waiting for my connecting flight to Oslo. For the last 2 weeks I have had a really good friend visiting from home and we started my vacation last Friday with a trip around Lake Malawi for 5 days. We went to Cape Maclear where we stayed at Mgoza lodge (great huge double beds, would have slept fantastic if it hadn't been for all the dead banana flies on my face, pillow and in the bed). Then we drove north to Nkhata Bay where we for 3 nights stayed at a really cool place called Mayoka Village (for more than 1 night there, bring your own mattress, they're a hip killer, felt 65years old every morning). On the way south we stayed over at Senga Bay outside Salima where we stayed at Cool Runnings, a quiet relaxing spot where they have beautiful long sandy beaches. Great place, apart from all the ants... But hey, it's Malawi ;-D I left Blantyre at about 32-34C and going home to -1C... I want my winter coat!

Leaps of Progress!

Since I arrived in Blantyre on May 16th, and started working at Queen Elizabeth Central Hospital I have waited for this day. Pretty much every week since I got here the answer to my question about finishing our High Dependency Unit has been: "Next week". FINALLY! Tomorrow morning (yes it is a Sunday) we are finalizing the HDU and we will during the day receive our first patients. The reason we choose to open on a Sunday is because we have developed preoperative checklists and guidelines. As of now, there are no uniform routines or stationary at the hospital so all units have their own set up. Also, there are no preoperative routines... kind of. The only routine the units have before sending patients to Theatre is to provide an IV line. No washing, preoperative fasting routines or pain medication. We want to make sure our patients are well prepared for surgery so that they have a stable blood sugar postoperatively, starting pain medication already before surgery and that they are clean and properly washed to prevent infection. The wards send all their patients going for surgery to the OR in the morning, no matter what time their surgery is planned to happen. So a 3 months old baby can fast all day for a surgery taking place at 3pm. While they are waiting for their turn they are sitting with their mothers in a corridor which in summer is very warm and in winter very cold. If we can improve at least a few of these conditions for these patients I will be a happy nurse... Wish us luck!

Name change...

Yeah, I changed the name on my Blog and you understand why... I am staying for another year, until May 2016. I felt relieved when the decision was made and I have more time to do what I am here to work on. It gave me time... I got the Ok for leave from my regular job and now it's just the paperwork to sign left. Wish me luck!

Opening a bank account!

So, last week I went to the Standard Bank Blantyre branch to open a bank account. First, I may have to tell you that the post system here is not quite like home. You don't have a mailbox at your house you have a P.O. Box and that is of course separate from your living address. When you fill in forms you have to state your mail adr. (Which in my case is a p.o. box at the hospital) and then you physical adr. which in my case is Jackson rd (nr), Blantyre Malawi. At the bank I filled out around 10 forms with personal information, the same info over and over again, including my post adress and where I live. When the guy at the bank reads through these papers he asks me: "Where do you live?" Me: "Nyambadwe" Him: "Nyambadwe is a hill" Me: "Yes, it's a hill in the Nyambadwe area but I don't live on the hill" Him: "Well, Jackson rd is not good enough, are there any trees or other landmarks around so we can find your house?" Me (trying not to laugh): "Well, it's right across the street from Peter Mutharika's house (the President of Malawi)" Him: "Yeah, that would do!" Made my day!

Vacation in Zanzibar

Last night of vacation and I am sitting with my travel buddy at the Swiss Garden Hotel in Dar es Salam with a G&T fighting the mosquitos. We end our vacation in the same way we have spent it, being incredibly lazy and going to bed early. We started our trip here in Dar with a 15 hour sleeping marathon before we took the ferry to Zanzibar and Stone Town last Sunday morning (and almost missed the boat). We spent 2 days in Stone Town doing all the touristy stuff, visiting house of wonders, prison island, sunset drinks at the Africa house and snorkling the Indian ocean in pouring rain. We also satisfied our shopping withdrawal by buying shoes, pants, dresses and just enjoyed window shopping... I also met my fellow FK participant Tiffanie who lives and work here which was lovely. Tuesday we took the Dala Dala (lokal bus) to the town of Jambiani to stay at Mango Beach House which is a lovely 3 room guesthouse right on the beach, run by the lovely Lisa. We hired a sailboat to go out to the reef for some snorkling and sailing. We slept outside on a platform one night to wake up to the most beautiful sunrise I have ever seen. Most of all though, we just lazied around. It was not all vaca though, there was a boy in the village who came by Lisa's guesthouse (as they often do) with bad burns on his hands. We cleaned and dressed the 3rd degree burns and asked him to come back the next day (yesterday). He came back and the burns were no better and we took him to the local hospital. This is where it gets ugly. They removed all the dead skin on his fingers without analgesia whatsoever. They had no scalpell to cut the dead skin off but used sterile compresses and just pulled it off while holding him still. Finally, after what seemed to be an hour (more like 30 min) they decided to admit the 10 year old boy to the hospital to anesthetise while continuing cleaning his wounds... Just heart wretching!

I have been incredibly lazy about my blog and see that it has been 2 months since my last blogpost. Time pass so quickly when everything is new and you meet new people every day, trying to figure out how everything works. For example, back home you get all your bills directly to your bank or on email and you go online and it takes 20 minutes every 2 weeks to sort your bills out for the month. Not so much here... Electricity is prepaid and bought at the gas station, you go to the waterboard to pay your water bill, to the internet provider to pay that bill, to the Alpha security company to pay their bill etc etc etc, you get the picture. Also, there is no one stop shop here. I go to one shop to buy most of the groceries, mainly because they irregularly have greek yoghurt, sour cream and cream. Another shop to buy other certain groceries, another shop yet again because they have meat and frozen seafood and some edible cheese. Then you go to another couple of shops because one is a greek butcher and the grocery store next to that have some European/American products. If there are any furniture needed you do not go to IKEA, you call a carpenter who will build you the furniture you need, like our bed for the annex. The conclusion to this is as follows: I need a stay at home ex-pat husband!

Just so you know

I hope you all understand that what I wrote yesterday was not a critisism of QECH but a comment about the difficult working conditions all the healthworkers here work under. They all do it gracefully and without complaining... Us foreigners on the other hand... not so patient or graceful under these conditions... ;-D