Friday, November 14, 2014

Clinic

Incidentally, today was my first day – not yesterday. The staff were having their Christmas celebration together on Thursday of November, 13. I had stood outside the locked doors in the mid-November heat, squinting at the bright sun and feeling the burn crawling down my arms – seemed like Christmas to me? I suppose it wouldn't matter – Christmas party in October, November or December. Meh...whenever you want it! The more fellowship, food, friends and fun...the sooner the better...

Needless to say, I had toured around the village – meeting and speaking to students, teachers and villagers. I'd met a man who told me all he knew about the eagle (it was actually incredible), and another who told me of a well-known place on the mountain to pray and fast. Kristi, a teenage girl, had given me a tour of the tailoring classroom. Young girls sat at a row of sewing machine – brightly colored fabrics behind them, and a gorgeous aray of clothing hanging on the racks to the left. Jon and I had gone to a buffet that the catering school had put on, and then walked into the community to visit one of Watoto Suubi's cleaners.
Products from sewing class
Today, I was ready to get to work. On arrival, I toured the pharmacy, getting used to where all their medications were, and the brand names they used. Sheryl, a nurse volunteer from Australia, arrived soon after, and together we rolled out a number of cotton balls for the morning. She had brought a large roll from home and we tried only to put together what we would be using during our shift.
“What about alcohol swabs?” I asked.
“They have some, but few. They use them very sparingly.”
To inject someone, or put in an IV, they dip the homemade cotton swabs into Normal Saline or an antiseptic available, and rub it on their skin.
“And I pray.” She added.

The resources are so few from what I was used to. The scissors and forceps had been sterilized in boiling water so many times, that Sheryl had been tossing the rusty ones. The dressing kits were none, so the bandages for wounds were makeshift from the assortment available. However, they do very well with what they had available, keeping accessories organized and labelled checking expiry dates on supplies and medications, and keeping surfaces clean.


Upon drawing up an IV medication, I noticed a plastic piece underneath the plunger, had broken off, and the medication wasn't pulling into the syringe anymore. I learned, this was because I had already pushed the needle all the way down (in removing air), and therefore, it breaks the seal so that medical professionelles will not re-use their needles.
“A Ugandan needle” Sheryl told me.
I remembered reading about the spread of Ebola Zaire. How a man infected by antelope bushmeat, had gone to the nuns for his vaccinations, and received his needle. The nuns, re-using the same five needles for everyone, proceeded to inject the rest of the community with Ebola, unknowingly  I was glad for needles which, on using, broke the vacuum seal.

Upon preparing for a 13-year-old boy to receive 500mL of Normal Saline, I noticed a teenage girl convulsing in the admission room. The young boy with me had wide eyes as he looked over at her, and there was no curtain or divider in a space with eight beds. I sat him and his mother down, and reassured them. Sheryl entered the room, in no time – a needle in hand.
“It's okay Abi” She soothed. “You will be alright.” She injected the needle into the IV cannula in her right arm. The girl stopped, almost immediately.
“What did you give her?” I later asked Sheryl.
“Normal Saline.”

A lot of the children in the village have come from traumatic or abusive backgrounds. Therefore, the doctor was explaining to us that it wasn't uncommon for some to come in often, and act in this way, when really what they needed were counsel and attention.
“We went through so so much medication before we realized what it really was.” she had told us.
I felt very badly for the girl. They had gotten psychologists since, to come see some of the children. However, when they still arrive in distress, the waiting room is full, staff is low and there is unresolved shaking...an injection of water seems to soothe.

Dr. Irene, Sheryl and I, worked together until after 5pm. There are two other nurses that work at Suubi clinic – one is off studying for her medical exams to be a doctor, the other has a child sick at home. Dr. Irene was more than grateful for the help, as she often prescribes medications, then runs off to the treatment room to do IV's and dressings on her own, and then goes back to her office to see more patients. At twenty-six, she always has a smile and an encouraging word. She is the first one there in the morning, has been the only doctor in for 3 weeks, and is on call 24 hours. She is 28 weeks pregnant. Irene is truly a light for Christ in Watoto's Suubi Clinic.

The Pharmacy

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