Central African Republic
Central African Republic

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  • Day66

    The health education book

    December 1, 2016 in Central African Republic ⋅ ⛅ 24 °C

    This is my book, it's the basic story, the real one is in French and has questions for the nurse to ask the mothers. The book is about traditional medicine. Here they crush herbs and plants into a paste. They administer it orally, rectal, bathing the child with it or putting it in the skin. Sometimes they inject it which often results in an abscess. Usually the side affects are intoxication, enlarged liver and spleen and sepsis.

    Pg 1: this is Marie and her son God bless, he is two years old. God bless is sick so Marie's neighbours advise her to visit the traditional doctor.

    Pg 2: Marie takes their advice, the traditional doctor gives him something to drink and cuts his arms and puts a paste on them. It really hurts him.

    Pg 3: the next day God bless has a lot of pain in his abdomen, it's very swollen and his arms are also red and sore. Marie is really worried so she takes him to the hospital

    Pg 4: at the hospital the doctor does some tests and finds that God bless has malaria. He need to stay in hospital for a few days to treat his swollen abdomen caused by the traditional medicine

    Pg 5: Marie's younger child is now sick. Her neighbours give her the same advice: to visit the traditional doctor. Marie does not listen

    Pg 6: Marie takes her baby straight to the hospital. She sees the doctor who does some tests. Because Marie came to the hospital quickly Marie can do the treatment at home. It was also free.
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    Wow! Did you draw this pictures?

    12/3/16Reply

    Claudia =)

    12/3/16Reply
     
  • Day10

    sickness and embarrassment

    October 6, 2016 in Central African Republic ⋅ ⛅ 23 °C

    Yesterday I woke up and ran to the toilet, diarrhoea had arrived. It was inevitable, but earlier than I anticipated. At breakfast I was feeling really nauseous so decided to spent the morning at home. By lunch time I had a fever, headache, fatigue. So I went to the Emergency clinic with the international nurse Stephan. I have a urine sample and the guy who took my blood sample tied the glove so tight on my arm that I could not feel my arm anymore, I started to cry as it was so painful, especially with my headache and general shittyness. Then Stephan came to take me to the consultant room , and saw I was crying. 27 year old nurse crying over a simple needle, good one.

    Urine and blood tests were negative, I still needed to give a stool sample. They started me on an antibiotic and paracetamol. I slept most of the afternoon, and woke up around 6:30 when i decided to have some dinner. I quickly went to the toilet again, managed to perfectly capture my stool sample. Then another wave of nausea hit, this time it felt like it was actually going to turn into vomit. I grabbed the bin, but then I realised I'm not going to vomit, I'm going to faint. I was not going to pass out in a locked bathroom, so I semi-conciously got of the toilet and tried to go outside to get some help. I stacked it on the stairs, apparently i managed to let out a 'help me'. The logistician saw me and asked if I wanted help, I said yes and then fainted.

    I woke up in my bed, with my room full of people. It's a good thing living with doctors, nurses and anaesthetists! They put in a cannula, damn they hurt! It's still in and still hurts! I received 500ml of Hartmanns, for dehydration. They were all really lovely. I told them I managed to get a stool sample, that it was in the bathroom, but apparently it ended up in the garden. A quick test later and I have no parasites, but heaps of bacteria.

    I also stacked it pretty bad so my knee really hurts :( I'm having another day of today. Generally feel better, still have diarrhoea and nausea so I'm trying to eat and drink more.
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  • Day14

    week 2

    October 10, 2016 in Central African Republic ⋅ 🌙 25 °C

    I'm finally getting the hang of it. But it's still challenging. We had a meeting today to reorganize the wards, and I need to change the way we give coartem (malaria med) and reorganize the doctors round, make sure the ward is clean. But I'm not supposed to do anything but tell the nurses what to do, which is hard when I see them already super busy.

    Today was exceptionally busy because the doctors round takes forever but I need 5 free beds. And one patient was imposible to canulate, so I had to ask everyone to try and in the end the orthopaedic surgeon put one in the bone. The kid really needed a blood transfusion. After my meeting I returned to a messy ward . Meds all over the table, beds not clean. And busy nurses. I also need to teach them when I have time. This morning I was able to show someone how to do a v loos pressure so that was good. And other I explained why we threw away the blood that had been out for hours and opened to infection. So small steps.

    I left a list of things to do to the night a
    Shift, it is a nice team on so I have hope that tomorrow i will arrive to a clean ward with clean patients.
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  • Day8

    Bangui

    October 4, 2016 in Central African Republic ⋅ ☀️ 27 °C

    Today was a reminder of where I am. It started as every other day = wake up at 6am, start at 7:40. Give medication and supplies to nursing staff, follow ward round, understand nothing of what is happening, panic that the job is too hard with the language difficulty, lunch. Teach the nurses to give parcetamol when the child has a fever, give nurses coartem for malaria, then the international pharmacist arrived.

    He waved and said we have to leave, so I went to the staff room to get my bag then all the international staff and a Muslim patient were transported to the clinic (I work at the paediactric complex, the clinic is a 2 min walk from the house). Apparently someone shot a national guard, then, I think, 2 Muslim were shot. I quick backstory: the fighting was between the Seleka – Muslims and the Anti-Balaka the Christian group, it stopped 1 year ago. The body of one of the people who was shot arrived at the hospital (paediatric complex). Apparently the security situation can change quickly here, so we were taken home just in case the fighting came to the hospital.

    Now we are all just chilling at home, drinking beer and trying to connect to the rubbish internet. Tomorrow they will tell us if we can return to work.
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    Wow Lisa, take care buddy and try not to stress too much. You are amazing at what you do! We have faith in you :)

    10/6/16Reply
     
  • Day64

    Return to work!

    November 29, 2016 in Central African Republic ⋅ 🌙 27 °C

    After six and a half weeks stuck at home we will finally return to work. On Monday i did a quick orientation to the urgence médicale- my new department. The doctor has already made a comprehensive list of problems and solutions, so that makes it easy. For the first week I need to concentrate on hygiene., and getting back to the way it was before we left. The two trolleys were filthy, the floors under the beds/desks/trolleys are also really dirty. It's gotten pretty clusters and unorganized, so I'll focus on that while the doctor does the medical side.

    Sometime soon we will do renovations to my ward. Currently there are about 7 small rooms, we will knock down the walls between the rooms on one Side, joining three together to make the code rouge room and the observation room, with a curtain seperating them. It will be awesome! Then the other side will remain with two consultation rooms and a blood collection room.

    Today I went to the clinic ( a proper emergency project-small 12 bed hospital with triage) to observe the flow of patients and how it is supposed to work. It was really interesting, I saw malaria, scabies, sickle cell disease ( about 50% of the population have it) and mild pneumonia. Two patients were admitted.

    Then after lunch I went to the complex ( complexe paediatrique- hospital) to clean the two trolleys with draws- then it's ready for the drugs and consumable to arrive tomorrow. The nurses open the glass vials ( like frusamide, not amixicillin) by smashing the top against the trolley, I guess they are scared it will break in their fingers. So the trolley was full of tiny pieces of glass! And all over the floor around it. It's a four bed observation room but we had 10 patients being monitored. When we renovate we will have 6 bed. We are also trying to get a blood transfusion room approved as there are a lot of malaria with anaemia and after a transfusion they are better and can leave, but we don't have room In urgence medical and if we admit them we get bed blocked for other kids and if we admit them to a section of the hospital that is not operated by emergency it's unlikely any vital signs will be done. So many things to consider. Ideally it will have about six beds, 1/1.5 national nurses and I will educate them and monitor them too.

    We have another meeting today to discuss tomorrow. Exciting! It's also my birthday I Friday so on Saturday we will go to balafon to do dancing - well until 9pm as that's the curfew. :)
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  • Day51

    A Bangui story and the plan

    November 16, 2016 in Central African Republic ⋅ ☀️ 29 °C

    At our meeting last night we were told a very interesting story. This start is likely not a true story, just like our surgeon is not a witch who stole a heart for voodoo. So a teenage girl hitch hiked hike from school the other day. The guy that picked her up had a kitten in the car and said that his kitten is hungry; and asked if she could breastfeed the kitten, and he would give her some money. She agreed, and as a result got an absess on her breast and died. This resulted people teasing all of the girls at the school by saying "meow!" When they walk past. Yesterday the girls protested against this bullying, so the police threw tear gas in the crowd of girls. About 35 came to the hospital for care - although nothing serious was wrong; just fainting and hysteria.

    We just had another meeting about how to restart activities! It will be sometime next week. There was a lot of talk about surgical side, which I'm not a part of and also reorganisation. We are limited with nurses, so I will be changing departments from a medical ward- which was previously managed by the icu nurse; to the medical emergency department. I'm quite excited actually. But I've got a lot of reading to do! I need to mesmerize the criteria for admission, protocols and the handover left by the previous nurse. I'll work with an international doctor who is lovely and had heaps of experience with MSF. They triage the kids outside (under a gazebo) then kids go to either surgical or medical emergency with a green, orange or red card.

    The pictures for my education book are finally finished. I'm going to put it together today with the head nurse and do more of a handover of my ward and the new one.
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You might also know this place by the following names:

Central African Republic, Zentralafrikanische Republik, Republik Afrika Teungoh, Sentraal-Afrikaanse Republiek, Afrika Finimfin Man, የመካከለኛው አፍሪካ ሪፐብሊክ, Republica Centroafricana, Middel Affricanisc Cynewīse, جمهورية افريقيا الوسطى, ܩܘܛܢܝܘܬܐ ܕܐܦܪܝܩܐ ܡܨܥܝܬܐ, افريقيا الوسطى, República Centroafricana, Orta Afrika respublikası, Үҙәк Африка Республикаһы, Sentral na Aprikanong Republika, Цэнтральна-Афрыканская Рэспубліка, Централна Африканска Република, सेन्ट्रल अफ़्रीकी गणराज्य, Ripublik Aprika Tangah, Santarafiriki, মধ্য আফ্রিকান প্রজাতন্ত্র, དབུས་ཨ་ཧྥེ་རི་ཁན་རི་པཔ་ལིཀ།, মধ্য আফ্রিকা, Republik Kreizafrikan, Centralno Afrička Republika, Түб Африкын Бүгэдэ Найрамдаха Улас, República Centreafricana, Dṳ̆ng-hĭ Gê̤ṳng-huò-guók, Юккъерчу Африкин Республика, Republikang Sentral Aprikano, کۆماری ئەفریقای ناوەندی, Merkeziy Afrika, Středoafrická republika, Gweriniaeth Canol Affrica, Centralafrikanske Republik, Cumhuriyetê Afrikaya Miyanêne, Centralnoafriska republika, މެދުތެރޭ އެފްރިކާގެ ޖުމްހޫރިއްޔާ, Titina Afrika repɔblik nutome, Κεντρική Αφρικανική Δημοκρατία, Centr-Afrika Respubliko, Kesk Aafrika Vabariik, Afrika Erdiko Errepublika, Repúbrica Centroafricana, جمهوری آفریقای مرکزی, Ndenndaandi Santarafrik, Keski-Afrikan tasavalta, Miðafrikalýðveldið, Centrafrique, Rèpublica centrafriquêna, Sintraal-Afrikaanske Republyk, Poblacht na hAfraice Láir, Merkez Afrika Respublikası, Poblachd Meadhan Afraga, República Africana Central, સેંટ્રલ આફ્રિકન રીપબ્લિક, Pobblaght yn Affrick Veanagh, Jamhuriyar Afirka Ta Tsakiya, Chûng-fî Khiung-fò-koet, Srednjoafrička Republika, הרפובליקה המרכז־אפריקאית, सेंट्रल अफ़्रीकन रिपब्लिक, Repiblik santafrik, Közép-afrikai Köztársaság, Կենտրոնական Աֆրիկյան Հանրապետություն, Republica African Central, Republik Afrika Tengah, Republica Centralafrican, Republika ti Tengnga nga Aprika, Centrafrika, Mið-Afríkulýðveldið, Repubblica Centrafricana, 中央アフリカ共和国, Républik Afrika Tengah, ცენტრალური აფრიკის რესპუბლიკა, Oraylıq Afrika Respublikası, Tagduda n Tefriqt Talemmast, Repubilika ya Afelika ya Kati, Jamhuri ya Afrika ya Kati, Орталық Африка Республикасы, សាធារណរដ្ឋអាហ្វ្រិកកណ្ដាល, ಮಧ್ಯ ಆಫ್ರಿಕಾ ಗಣರಾಜ್ಯ, 중앙 아프리카 공화국, کۆماری ئەفریقای ناوەڕاست, Борбордук-Африка Республикасы, Res publica Africae Mediae, Repuvlika Sentroafrikana, Zentralafrikanesch Republik, Lipubulika eya Senturafiriki, Centraal Afrika, Repubbrica Çentro-Africann-a, Repüblica Centrafricana, Repibiki ya Afríka ya Káti, ສາທາລະນະລັດອັບຟຼິກກາກາງ, کومره ولات افریقا مینجاون, Centrinės Afrikos Respublika, Ditunga dya Afrika wa munkatshi, Centrālāfrikas Republika, 中非, Repoblika Ivon'Afrika, Republik Afrika Tangah, സെന്‍ട്രല്‍ ആഫ്രിക്കന്‍ റിപ്പബ്ലിക്, केंद्रीय अफ्रिकी प्रजासत्ताक, Покшал Африка Республика, Repubblika Afrikana Ċentrali, အလယ်ပိုင်း အာဖရိက ပြည်ထောင်စု, Ripubrikin Aprika Yugaga, Tlācatlahtohcāyōtl Tlahco Africa, Tiong-hui Kiōng-hô-kok, Den sentralafrikanske republikk, Zentraalafrikaansche Republik, केन्द्रीय अफ्रिकी गणतन्त्र, Centraal-Afrikaanse Republiek, Den sentralafrikanske republikken, Sentral Afrikani Republike, Naakaii Łizhinii Bikéyah Beʼałnííʼ, Republica Centraficana, Aafrikaa Giddu Galeessaa, ମଧ୍ୟ ଆଫ୍ରିକୀୟ ଗଣତନ୍ତ୍ର, Централон Африкæйы Республикæ, ਮੱਧ ਅਫਰੀਕੀ ਗਣਰਾਜ, Republika ning Central Aprika, केन्द्रीय अफ्रीका गणराज्य, Sentril Afrekan Repablik, Republika Środkowoafrykańska, Repùblica Sentrafrican-a, مڈلا افریقی لوک راج, د منځنی افريقا ولسمشريزه, República Centro-Africana, Chawpi Aphrika Ripuwlika, Republica Centralafricana, Repubulika ya Santarafurika, Republica Central Africană, ЦАР, Середнёафрицька републіка, Repubulika ya Santara Afurika, केन्द्रीय अफ्रीका गणराज्यम्, Киин Африка Өрөспүүбүлүкэтэ, Tzentràfrica, Ripubblica Centrafricana, Gaska-Afrihká dásseváldi, Ködörösêse tî Bêafrîka, Cėntrėnės Afrėkas Respoblėka, Stredoafrická republika, Srednjeafriška republika, Jamhuuriyadda Afrikada Dhexe, Republika e Afrikës Qendrore, Централна Афричка Република, Umkhatsi we-Afrikha, Zentroalafrikoanske Republik, Centralafrikanska republiken, Strzodkowoafrikańsko Republika, மத்திய ஆப்ரிக்கக் குடியரசு, మధ్యమ ఆఫ్రికా రిపబ్లిక్, Ҷумҳурии Африқои Марказӣ, สาธารณรัฐแอฟริกากลาง, Merkezi Afrika Respublikasy, Republika ng Gitnang Aprika, Lipapilika ʻAfilika Lotoloto, Orta Afrika Cumhuriyeti, Afrika Wale Xikarhi, Үзәк Африка Җөмһүрияте, ئوتتۇرا ئافرىقا جۇمھۇرىيىتى, Центральноафриканська Республіка, وسط افریقی جمہوریہ, Markaziy Afrika Respublikasi, Republica Sentrafricana, Keskafrikan Tazovaldkund, Cộng hòa Trung Phi, Zänoda-Frikop, Republika han Butnga nga Aprika, Réewum Diggu Afrig, Өр Априкин Орн, ცენტრალური აფრიკაშ რესპუბლიკა, צענטראל-אפריקאנישע רעפובליק, Orílẹ́ède Àrin gùngun Áfíríkà, 中非共和國, Cunghfeih Gunghozgoz, Centraol Afrikaonse Republiek, 中非共和国, i-Central African Republic

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