Tuesday, October 19, 2010

Postcards from LA


My next travel position will be in Los Angeles. The key to getting a job as a travel nurse in California before having your license is going through the American Mobile company. 90% of travel positions are within in the Kaiser healthcare system, and American Mobile owns it. There are tons of forms, tests, and tons of online tests and competencies for me to do. If you get a job within the Kaiser system then you have to show 2 TB tests that are taken within 365 days of each other, so hang onto records of all former tests.

Final thoughts on trip to Haiti.......

What astonished me the most is the level of commitment of the Haitians to themselves. After coming upon the accident our Haitian doctor insisted on going to the hospital with one of the unconscious men. He said, "This is my country!" as if us Americans shouldn't be responsible for their people. The following day one of the translators who was dropped off before the accident thanked me for helping the Haitian people. I don't think you'd hear this from an American to an international. I didn't choose the country I was born in, nor did the Haitians. I don't understand why God chose for me to be born in the wealthiest country in the world, but regardless we are all part of the human race. God says that whether Jew or Gentile, slave or free we will all be judged the same. I would never say "They aren't an American! They aren't an Iowan! They are a Cyclone so I won't help them!" I don't perceive it as a choice. There is only one choice in the matter, even when you don't like that choice! I was put in a position inwhich I didn't want to be present. I could have stayed in the car and did nothing, but God is that conscience that lies inside of me that would never allow me to do such a thing!


Saturday, October 9, 2010

Leaving on the next jet plane out.....

I'm now in the Port Au Prince airport waiting for a 10:50 am flight out to Miami. Last night we took the helicopter from the JAX beach base to the Global Outreach base flying 800ft in the air over the terrain and ocean. The GO base is a half hour from the airport, JAX beach is 2 hours. My stomach could appreciate not having a 2.5 hour ride in the car over bump after bump; however, after this trip I have decided nondrowsy Dramamine has to be a staple item in my travels.

Yesterday was our last day at the clinic. It was quite an eventful day. An I&D was done to a man's infected hand. A toddler gashed it's head open, so right there out in the open the doctor sewed her up. If you have FB all of my pictures will be there. The Haitians bought us food for lunch, which was quite the change since our lunch everyday has only been PB&J sandwiches. Of course with me being gluten free I usually took some yogurt from the kitchen in the mornings, and ate it along with my almonds and Bumble Bee bars. While in Africa they cooked with peanut sauce a lot. I can't stomach or smell it in any foods. The Haitians have something they cook with too! I taste the flavor in everything, their hamburger, pasta, rice, etc. I didn't mind it until I got car sick on some of it.


When I was 11 years old, one of our horses rared up, and flipped over on my little 90lb body. I was taken to the ER, and I walked away with a seriously bruised groin from the saddle horn. The next day my dad made me get back on a horse again, so that I wouldn't be scared of riding horses. I felt the same way again on Thursday. Wednesday we didn't drive by the accident site, but on Thursday and Friday we did. Wednesday we didn't go too far down the highway from base. We actually drove on a dirt path that day, but Thursday we took a highway trip again. I was actually fearing the ride after that accident on Tuesday. When we drove past the accident site all of the flour bags and spaghetti bundles were picked up. The only thing left is one of the trucks and flour dust on the side of the road. We were told that once they pulled the flour truck back up on its wheels that another dead body was found. The driver in the other truck who they guys worked hard to get out also died. I got a picture of that truck yesterday. I also videotaped our drive home yesterday. Just when I was trying to capture how unsafe it is to drive here is when all of the sudden everyone is driving slowly and safely. I'm not sure you will really be able to see in the video what my eyes saw! I forgot to mention that sometimes you will come around a corner and right there will be a car stopped right there in the lane, stalled and broke down. No one helps to get them to the shoulder of the road.


On this trip I felt as if I was able to speak the French, but not understand when it was spoken to me. The last time overseas I could understand, but they couldn't understand me. I didn't feel like it was that stressful of a trip. We had all the luxuries of home........air conditioning, beds, American food, etc. The only thing I'm missing is my hot shower, and soaking my fingernails until all of the dirt is gone. Heather and Brittany, from Denver are on a different flight to Miami, but we all have a layover there until 5:00ish. So we may have time to meet up for lunch! I still don't have a new job offer for my next assignment. My recruiter has me in for Houston, Dallas, and Tucson. So I will fly back to Dallas today, get my car, and drive back to the Midwest tomorrow.

Tuesday, October 5, 2010

Haiti Accident! 4 casualties, Several More Injured!


How ironic that my blog last night was on traffic safety in Haiti, because our medical team stumbled upon our first accident today. We had finished our clinic today and was driving back to the base, a little later than usual, when our group was the first on the scene. We had 3 doctors in our Land Rover, 2 nurses (me and an ER nurse), the driver, the pastor, and a translator!

My first thoughts were I'm staying in the car while they check out the scene. I may be a nurse, but I don't do injuries with people fingle fangled every which way. I'm a tele nurse! I deal with heart attacks, strokes, and surgical wounds. People's hearts stop beating other ways that aren't caused by trauma! So there were 2 trucks on an incline, on a narrow road half covered by rocks from the mountain on the side of the road. One was a spaghetti truck, one was a flour truck! One truck was tipped on it's side, the other was standing straight up on its front nose! The first thing I saw was someone standing up covered head to toe with flour. The only thing I could see was their eyes! I'm thinking what is going on here! People are standing up on the side of the road covered in flour!

There was our team and then a few bystanders who were trying to dig the people out from beneath the 50-75lb flour bags, and 20-25lb bundles of spaghetti packages. There were 3 men in the spaghetti truck pinned in their seats, dangling over the metal frame at the waste, with another piece of metal over the top of them holding them in. They had blood all over their heads and coming from their mouths. There were fractures all over the place, and I saw the tibia/fibula broken completely through the skin at the ankle with the foot hanging on by skin. There was a couple people pinned under the flour truck! All too much for me. I was crying and freaking out, because I didn't know what to do! I knew I wasn't going to be helping the men trapped! I knew I couldn't deal with open fracture wounds, I'd faint! So I ran and got the dressing kits, IV kits, and water from our Land Rover. Then I put my 6 weeks of working out almost everyday to good use! I lifted package after package of a spaghetti mountain to look for people underneath. It was a 95 degree and exceedingly humid here in Haiti today. We already had sweat rolling off of us at the clinic. I just so happened to wear a t-shirt to clinic today, instead of a hot scrub top. My t-shirt was completely soaked, I was covered in flour, and tossing spaghetti bundles after being absolutely exhausted already from going to bed a tad later last night. I was shaking from the adrenaline rush, and continued to shake for awhile after we left. 1 Corinthians 10:13 I believe is "The Lord will never give you more than you are able to bear. For when you are tempted, he will provide a way out, so that you can rise up!"(Sorry NLW ladies that I didn't perfectly recite that one, since it was one of our memory verses!) Decapitation would have been more than what I could have handled. I was not made to be a paramedic nor an ER nurse. I have the vivid images in my head of the traumatic stuff. I've never seen bones through skin before, but I have seen blood being vomited. At the end of it all I saw 2 dead bodies, but what the Lord spared my eyes was seeing the decapitated people. That would have been more than I could have handled, and I know I would not be sleeping tonight if I saw that!

Samaritan's Purse has a safety activation system. Our doctor called the base to the head security officer, who then notified other NGOs, the ambulance, etc of the accident. She said that in past accidents no ambulances had come nor were the civilians willing to help take people to the hospital. Today civilians were driving by in their flatbed trucks hauling patients with fractures to the hospital for us! Ambulances came! There were other medical personnel arriving from other NGOs! The UN arrived! It was truly the Lord that so many people showed up to help! Several men were pulling and pulling on the metal that had the 3 men trapped in their truck, but were gaining no leverage when our driver came up with the idea of our jack. The jack is what got those men out of that truck. They were all conscious when we arrived to the scene, but do to losing blood and the heat they were unconscious when being hauled away. An IV was started on one and he was hauled away to the hospital, and arrived at the hospital still alive! One of the doctors said one had a trapped foot, and he was able to free the foot by pushing the seat back.

There were 100s of Haitians at the scene wailing and crying. They were standing in the way staring! Standing on the flour where people could have been under! We were told when arriving at the base that an accident would probably be an occurrence during our trip and that it was up to our own discretion if we stop. Riots can break out, even against those trying to help! I got worried for a moment when a few of the Haitians were fighting! Anything can trigger something larger! They were pulling back the sheets to take pictures of the deceased. It's crazy chaos!

As if this accident wasn't unbelievable enough as we drove home we drove by our usual gas station. The long gas truck that came in was leaking out the gas. The Haitians had their buckets and were collecting free gas. All the way down the road we saw person after person with bucket on their head carrying the gasoline home! As we continued to drive we saw people sitting on the edge of the highway that didn't have a shoulder in the pitch black dark! Safety around here is a concept that so many have no idea about. It's crazzzyyyyy!

More Video Links

Scene from top of a mountain. http://www.youtube.com/watch?v=Jqx8MRC-XrM


Trip down the winding road through the mountains. http://www.youtube.com/watch?v=wU1aMXoasKI

Tour of the base we are at on Jax beach. The old resort right on the beach, very beautiful! http://www.youtube.com/watch?v=i_xR9X-erj4

Monday, October 4, 2010

Babies and mamas!

Today we went to a clinic at a church inwhich there was an obscene amount of babies, mothers, and pregnant women. We see lots of children in the clinics, but never so many babies and pregnant women in one day with NO men. Most of them were in for dehydration, fever, and antibiotics, but nothing too exciting noted!

My sister and I were talking about the highway system here. So I've mentioned before that there are no road rules. I should tape how ludicrous it is at times! There is the yellow line that goes down the middle of the highway, but the Haitians still drive in the middle of the road over the line. In the States we use our horns to alert another driver. I know I began using my horn a million times in Texas this summer to prevent my new little ride from getting all smashed up! I don't use it on a daily basis though! Here it's like an essential for a car, being used a million times on a daily basis. Whenever we go around a curve the horn is on to warn any oncoming cars that we are coming around the corner and probably over the middle line. You know how you would walk through a crowd of people? Cars become the same way here, passing each other on the right and left side. In the US when there is traffic jams cars are usually in lines on the road or interstate. Here they are going every which way, it's crazy! You know how if we are take a left turn and have to cross the lane in oncoming traffic we turn on our blinker and wait for any oncoming cars, and all cars behind us stop and wait on us, right? Here they get off on the shoulder of the road, let all cars that are behind pass, and once it's clear from both directions make the turn. I ride in the front everyday due to my car sickness, and I am the front seat driver to our drivers. I have squealed a few times already! I have told them that I have been driving every since my feet could reach the tractor pedals. I think my dad had me drive the tractor for the first time when I was 8. My #1 rule is No passing on hills or curves. I'm not sure what makes them think they can possibly complete this safely. It's a game of hit and miss. While I'm in the car there is going to be no chancing a hit! My #2 rule, NO grinding the gears! I'm teaching proper technique to driving a stick shift. I guess a couple sticks have already been replaced due to grinding of gears. I learned to drive on a stick, and I also paid for my clutch to be replaced after the grinding of the gears! Yesterday while I was in the car, the driver killed the stick shift 3 times before getting the car to go. He said he had just started driving again recently! So reassuring! My #3 rule, Make sure the car is in 4 wheel drive before crossing the river or going through holes on the muddy roads. One driver lied to me and told me the car was in 4 wheel drive! I looked at the shift in the Land Rover and it said 2W, but he said it was 4W. The car was in 2 wheel drive. I could feel the front wheels grabbing, while the back were spinning out! Leave it to the farmer's daughters to keep the rules of the road! I said I have my rainboots, and if we get stuck they are for you to push us out while I drive. lol!

I'm keeping my eye on that storm on the National Hurricane Center's website. It's now entering the island of Hispanola traveling at 10mph. Hispanola is 360 miles long; therefore, we are about 360 miles away from the storm. It'll take 36 hours to get here. The whole entire time I've been here I haven't seen a tide in the bay at JAX beach. Tonight there is a tide, and a storm coming in!

Sunday, October 3, 2010

Coconuts Coconuts Coconuts

Today we took this large motor boat from Petit Guave Bay to a remote beach an hour away along the southern Haiti coast line only accessible by boat. There were many Haitians living there on the island and I had one climb up a large coconut tree to get coconuts for us to drink the juice from. $3 for 4 coconuts! Watch my video it's truly amazing how they get up and down the trees to get the coconuts.



I saw a couple little Haitian boys sitting in the dark, so I smiled at them. When someone with our group started playing music I started wiggling my shoulders and neck around, and the little boys copied. Then I video taped them, then I showed them the video, and that's when it all started.......all the kids gravitated towards me. Before I knew it I was taking picture after picture with them. Whenever I'd get my camera out the girls would jump up and pose. After I moved back to my spot on the beach, they gradually moved their little clan to sit by me. Then I took a walk down the beach with them, as they all jumped
up to touch my hair and my skin. They are so curious about the white man! One thing I've noticed about the Haitians is that they all have pearly white teeth and long eyelashes. Many Africans have dental fluorosis, something I don't see here.

I swam in the Carribean and laid out on the white sandy beach all day. Sunscreen was a need indeed! Everyone came back fried lobsters! The ocean was so crystal blue especially next to the beach where there was no coral.

In other news I'm keeping my eye on the storm system in the Carribean right now that is coming towards Hispanola, the island of which the Dominican Republic and Haiti is on. It's moving at a slow 12mph, and isn't expected to develop into a hurricane in the next 48 hours, nor has it even developed into a tropical depression yet. It has yet to hit Puerto Rico, which is east of Hispanola.

One other notice of Haiti is their love for Celine Dion. Songs that she sang 15 years ago are still being played here. I've heard the Titanic Song a couple of times blasting in shops. One of the guy translators started singing that song to me one day in the car. I turned the radio on one day and she was singing a song in French. The girl sleeping in my tent says that one of her Haitian coworkers here has "I'm Your Lady" as his ringtone. The obcession is funny!

Saturday, October 2, 2010

Jacmel Beach


We have the weekend off. I guess they usually work half days on Saturdays, except there was no doctor this week. So we took an hour trip on a windy twisty road up the mountain to a resort town called Jacmel. I can't exclaim enough how beautiful Haiti is. Overlooking the edge of the mountain and seeing valley after valley, towns below, and mountains beyond mountains often times with the Alantic ocean in the backdrop.

Since I've been here I've seen the UN a few times. UN officials from Sri Lanka to patrol the crossing where we drive through the river, because apparently the bridge above isn't safe anymore. Yesterday Korea was patrolling the area of the mountain inwhich there had been a mudslide. Haiti is the only country in the world inwhich the UN is present that there is no civil war, because it is a collapsed country. Like I mentioned before everything here is corrupt. One person here had to pay $100 to get the birthday present someone sent from the US. They also charged SP $2000 for a few boxes of papers of copies made at the main headquarters in Boone, North Carolina. There is no postal service here, but there is FedEx. Someone at the base had mentioned that they had bribed with food or in one particular case the officials wanted a couple pregnancy tests for their wives to get stuff through customs cheaper.

Jacmel was a one stoplight town. We haven't seen any other stoplights while being here. Apparently the stoplight doesn't apply to motorcycles. Finally we found the beach at the nice hotel. It was the first time since being here that I saw any buildings or houses that looked closer to civilization. Beautiful courtyards with fruit trees and a hammock, and an outdoor restaurant and bar. Down the staircase led to the most beautiful beach on a cove of crystal blue Alantic beach water. Breath taking! Up the staircase, at the top of the cliff sits the restaurant that overlooks the sea. We saw Americans and the French there at the beach and restaurant. We ate our lunch and then bought a few souvenirs at the vendor on the beach.

Unfortunately on the way down the mountain my stomach did not fare! About 10 minutes away from home and upchuck #2 on this trip. Sooo not pleasant for me! After all the motion sickness I was totally wiped out. We got home, ate supper, I showered, checked my email and went to bed at 8:30pm, but then like every other night I wake up in the middle of the night. I'm now awake at 1:30am and typing.

Tomorrow we are supposed to take a boating trip to an island and perhaps go to church if anyone is going to take us! Off the coast of JAX beach where we are staying is another inhabited island that we can see from the beach. It's called Ile De La Gonave in the Gulf of Gonave. It's the largest satellite island of Haiti.

Back up and running!


Well folks I was out of commission for a day. My computer froze up, and was nonfunctioning. Thank God there is someone here who was able to run diagnostics and software on my computer to fix it. It literally was going to become a nightmare if it didn't work, because I rely on my computer for so many things......checking the weather, paying bills, email to get important info from home, uploading pictures from my camera to free up its space, and most of all I need it to Skype an interview to line up a job when I return to the states.

A couple more clinic days and we've seen a couple hundred more people. Thursday I had a nagging headache, but began to learn how to do the pharmaceutical part of our trip. In that department we hand out the meds the doctors prescribe, give shots, do dressing changes, give babies their first dose of elixirs, give BP meds out for high BPs and recheck the pressure after the pill has taken effect, etc. Lots of wounds seen with bugs crawling over them. It sounded more disgusting when our physician's assistant used the M word, "Maggots!" But yes wounds with maggots. Many of them from children playing soccer. One boy had an infected foot. You could see it all swollen up around the wound in his foot, where infected lied. We also do malaria tests. In a way those tests are like pregnancy tests. We poke the finger, get a drop of blood that goes on the pregnancy test like gadget, add the developer, and within 10 minutes two stripes mean malaria. Fortunately for people it's like getting the flue in these parts of the world where malaria is more prevalent. For Americans it can be deadly. I was told by the African doctor here that many people don't have sickle cell anemia, but carry the gene on their DNA. Sickle cell anemia is often found in African Americans in the States, because it's a blood cell that is able to mutate itself in a way that malaria doesn't recognize it. It is an adaptive way coming from Africa to prevent from getting malaria or at least not as sick!

As far as language, I have been able to fluently give medication instructions in French. I had 4 years of French in high school. Most of the Haitians we see speak Creole, but it is broken French. It was developed to have a separate language from the French captors who brought them to Haiti from Africa for slavery. I laugh a bit, because it's like they are trying to speak in code, but there's really no code to it at all. The majority of the time the only thing that changes between French and Creole is the spelling of the words. For example in French it's "attention," in creole "atansyon," but pronounced the same way. In French, "soir," in creole "swar," but pronounced the same way. So most of the time when I speak French with them they understand.

Today is now the weekend! I won't get to watch the Iowa/Penn St game, but we do take the weekend off. The doctors on Saturdays take the helicopter and go up into the mountains where it would take a couple days by horse to get to. For the rest of us, we have to beg and plead for someone to take us off the base to go out to eat, the beach, the market, etc. On Sundays there are groups that go out into the community to a church service. I'm looking forward to worship in the Haitian churches. That's the news for now!