Thursday, May 17, 2012

It's a beautiful day!


It literally took everything I had to crawl out of bed this morning. This darn mosquito net is going to be the death of me…literally this is like the 4th times I’ve woken up in the middle of the night with it wrapped around my neck! I guess I can’t complain…its either the mosquito net or Malaria. Which…I’m convinced I have some trace of malaria throwing through my blood already because I have had nearly 100 bites since I’ve arrived…the chances of one of those mosquitos having malaria are pretty good, I’m betting!
The past two days at the hospital have been really good, but definitely eye opening. Yesterday I was with Kimani again, Thank goodness because he is the only one who has any sort of patience with me and the inability to speak Swahili. And doesn’t think I’m crazy for not knowing how to deliver a baby on my own! Yesterday we had a patient who was scheduled to go to the theatre (surgery) for a c-section. She was supposed to go at 8 but the surgeons were behind (which is not uncommon at all). Anyways next thing I know I am being shouted at “Sister, sister (which is what everyone calls random females over here)…and welp there was a baby being born! The entire department was out of delivery kits…which meant..there was no gauze, cotton, clamp, scissors…nothing. So Kimani and I (which was really Kimani I just stood there and pulled the baby out because I was dumb founded) delivered a baby with literally 4 things. 2 pairs of sterile gloves, the wrappers from the gloves were used as gauze, a razor blade, and a cord clamp. THAT’S IT! And they make it work…..which is so inspiring to watch. After that we delivered another baby…with supplies this time (which is in no way a supply set that you would see in America). After the second delivery there wasn’t any other deliveries but I still learned a ton. I was explaining to Kimani how I feel like I know absolutely nothing over here because everything is so different and in America we would never see circumstances like this. Then he explained to me how this will make me a better nurse because I will understand what it’s like without those things and how if I understand what to do without the supplies we are blessed with I ought to be able to use those things to promote better outcomes for patients. That was really quite moving…because these people working in these hospitals could just complain and be bitter about not having what we have, but they aren’t. They have accepted that they don’t have the hospital advances that we have and they are okay with it. Which honestly, is quite awesome because I don’t know that I would be that positive working in these circumstances every single day. Like today for example…there wasn’t any water or soap. I can name a bunch of nurses that I know that sure as heck wouldn’t be caring for people if they weren’t able to wash their hands after working with them. Crazy. Anyways that was yesterday.
Today I was with a different nurse intern, Faith, who let me suture a tear after a mother had a baby. Meaning her vaginal opening tore due to the baby being bigger than the hole (sorry if that was to much information…I just don’t know how to word it any better). I was nervous because obviously I have never sutured any kind of a wound before…but she walked me through it and I did just fine…thankfully. I can only imagine how much pain that mother was in…because you have to remember they aren’t given any pain meds before the delivery…just after on the post partum floor (where I was working last week). That was about all that happened today besides other deliveries…but I can only describe so many deliveries…they all start to become the same routine so it really isn’t any different  than it was the day before. We didn’t run out of gloves today, thank goodness. Just soap and water…and sutures right before I left. So they just let those women heal on there own and don’t sew the tears. I am learning all kinds of things and I absolutely LOVE it. I really think I’ve found my “thing” with nursing…I just want to keep delivering babies forever!
So I’m sitting here at a table outside watching those monkeys I told you guys about…that are like squirrels. And they are just so cute…there is a mom and baby playing and they are just really quite silly animals.
Welp…I’m off to see what the rest of this beautiful day has to offer me!!
Tuonane,
Abigail

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