Romans challenge

"If you preach, just preach God's Message, nothing else; if you help, just help, don't take over; if you teach, stick to your teaching; if you give encouraging guidance, be careful that you don't get bossy; if you're put in charge, don't manipulate; if you're called to give aid to people in distress, keep your eyes open and be quick to respond; if you work with the disadvantaged, don't let yourself get irritated with them or depressed by them. Keep a smile on your face. Love from the center of who you are; don't fake it. Run for dear life from evil; hold on for dear life to good. Be good friends who love deeply; practice playing second fiddle. Don't burn out; keep yourselves fueled and aflame. Be alert servants of the Master, cheerfully expectant. Don't quit in hard times; pray all the harder. Help needy Christians; be inventive in hospitality" (Romans 12:6-13, MSG).

Science of cookies

How awesome is this? Science and cookies combined! Shows how tweaking different ingredients changes the common chocolate chip cookie:
http://www.handletheheat.com/2013/07/the-ultimate-guide-to-chocolate-chip-cookies.html

PATB #5

Parents are the Best #5:

Dad's first email:
Guess what is 795 for your brother?

Me:

How many push ups he can do!

His SAT score! 

How many pizzas he ate in one day!

How many inches he jumped!

His credit score!

how many books he read in his life time!

Dad's reply:

Sounds like Jeopardy.  Actually #795 is Alex’s locker number in his middle school.  Today is his first day in middle school officially!  He needs to get up early, cook and take bus by himself.  Mom and I thought he will eat microwaveable food, surprisingly he made fried eggs this morning!

He had a tennis try-out today also.  He told us about his first day in the school and was very proud of himself for out-playing his teammate-to-be (you know his confidence face) and 120% sure that he will be no 1 in his team.

Love

Dad

Roger Fed the Man

Wow, a friend shared this - didn't realize how awesome Roger Federer is!

http://mashable.com/2013/08/01/roger-federer-fan-wish/

Thanks LC!

Funny Intern Moment #1

Funny intern moment #1 (from MNZ):

I'm checking up on a patient last night around 2am, and I find her sitting in her wheelchair in the dark.  We chat, and I ask her how she's doing.  Fine she replies.  Ok well are you sleeping ok?  Yes, I'm sleeping real good, doc.  Ok so then why are you sitting up in the middle of the night rather than lying in your bed?  Because I'm going to the bathroom doc.  I look down and realize her wheelchair is actually a commode.  Ooops, haha.  Good times.

Bruges food

Traditional beef stew in beer...yuuuuum

Yi

Tiwai Island

Tiwai means "Big Island," and it's the largest inland island in Sierra Leone.  It's a natural forest reserve, so it's meant for white people, so it's super expensive (relatively - $20/night).  There are these platforms with a roof where they set up tents for you with mattresses in side and there are solar lights at night with running water/bucket showers, so it's pretty cush camping.  

The island itself is surrounded by the Mao River. Here's a funny convo about it:

Guide: "Do you know what Mao means?"

Us: "No..."

Guide: "It means women"

Us: "Why?"

Guide: "Because it is dangerous"

Haha, anyways, the main activities include guided hikes in the forest to look at animals, canoeing/boating, and hanging out on the beach.  Since it's the dry season, the water was super low, and it was really nice to be able to swim from one bank to another or relax on the sand.  I think I have a hard time relaxing because while others were laying down, reading a book, or doing something that requires zero energy, I was jumping from rock to rock and swimming from bank to bank.  

The guided hike was pretty cool.  We saw red colobus monkeys, black and white colobus monkeys, diana monkeys, tracks of duikers and chimpanzees, saw hornbill birds who have the weirdes calls (like a low rumble) heard some kind of hog, and saw glimpses of chimpanzees.  The chimpanzee tracking was a lot of fun - we went off the trail deep into the forest and had to be super quite, although I'm pretty sure any chimp would have heard us from miles away.  It was pretty amazing to be standing there and hear them yell at each other.  It seemed like they were so close, but by the time we moved 100 ft closer, they've already gone 1 km away.  I'm not even sure if I saw any chimpanzees because they were so far away and I just saw some black blobs.  

They served us breakfast and dinner too, so it was a major relaxation trip. 

Dinner - Le15,000

Breakfast - Le10,000 (totally overpriced for what we got).  

Guided tour $4 (Le20,000/person)

Canoe Le10,000/person

Trouble with Transportation

Transportation is such a PAIN IN THE BUTT!

The other day it was such a hassle getting someone referred/transported to another medical center...

The person came in with diabetic ketoacidosis coma, and so we put him on a drip, and i only had 2 blood sugar tests (b/c the dr. didn't give me his test strips before he left).  If it were type 2 diabetes, he'll be ok with some normal saline drip and oral medicine, but then he went into coma again.   He would need insulin if he's type 1 diabetes, and we don't have that.  To add more anxiety, he started getting rigors and high fever, but we don't have blood tests for that. Also the fever messed with his blood sugar, which I couldn't test. Sighs. So I decided he needed to be transferred on Sunday night...

And then it took ALL day on Monday to get him transported to Kenema - 1hr drive.

Since the morning I had said he needed transport, but his relatives took forever to come to help him get transport

and it was his luck that the hospital's only ambulance got totaled last week.  When his relatives finally came, it took FOREVER to get someone with a vehicle who'd be willing to take them.  Then I found out they were waiting for the driver to get some other passengers who want to go to Kenema to decrease the cost. Seriously, this guy is in a coma and rigors and fever of 41C and you want to wait for other passengers??? 

The driver's phone also failed to work, so that significantly slowed down the process b/c the brother had to keep on going down to town to negotiate and find out what's the delay.  Then there was no fuel in Segbwema. In ALL of this town, there was no fuel. Seriously?  So the brother had to go to the next town 7 miles away to get fuel. ...and then the driver said he had to fix the car's tire. Dude, you had the whole day, and you finally decide to do it now? This is what happens in Sierra Leone. There's always something else, some other problem.

They finally got to Kenema at around 9p? 10p?  At least it's a happy ending and the man got treated in time.

Hospitality and Visiting

I thought I was gonna be super lonely, but I've actually been pretty busy trying to visit people.  I don't really quite understand the culture...  It almost seems like it's an honor to the host for you to visit them.  Because I would go visit someone, and then someone else would say, "Hey!  How come you haven't visited me for 2 days? Do you have a new girlfriend???"  And when I visit, they always feed me, and would almost get upset if I don't eat with them.  It's strange.  So I've been pretty much having dinner with people everyday.  And I feel bad for just eating their food, so I've been cooking with them and bringing some supplies/fruit, etc.  But still...it's weird they seem so eager for me to eat with them.  I really hope they're not hoping I will give some huge donation when I leave.  That's the thing with Sierra Leone...it's hard to know if people are truly your friends or if they just want something from you.  But maybe I'm just cynical...maybe the smaller towns aren't like that.  Anyhow, now I have 3 places I visit pretty much now.  One is the under-5 nurse who used to cook for me, but now I just eat with her family when I go.  Another is this hostel of student nurses, and another is one of the smarter 1st year student nurses who speaks English pretty well and is super talkative.  One of the hostel student nurses is a lot older, and she's kind of a pseudo-mom to me now. Haha.  When I get upset, she listens to me complain. Haha.  

Match Day/B-day

When I was just about to find out where I match, my electricity ran out at 5p (1p eastern time), so I had to wait till 7:30p when the electricity went back on.  Those were two of the most anxious hours ever!

Result: Baylor Global Health in Houston!  

I was pretty surprised, and had an ambivalent reaction.  1) Couldn't believe I got into Baylor global health track 2) I was sad I wasn't going to be with KP's family in nice weather Cali and west coast w/my family 3) I wasn't sure how I'd like my new humongous Texan residency class.  4) I wasn't sure I'd like the 1 year abroad anymore because I had kind of a crappy day:

Present I got for my b-day (bad day): 

1) Newborn last night died this morning despite being on ampicillin.  Didn't cry when born, was blue for a long time. 

2) Heart failure patient died because I didn't go see him the day before (I was super sleepy and only looked at his chart, failed to do physical exam on him), so I didn't see that he had gotten more fluid overloaded and needed an increase in lasix or some other heart medicine.  And nobody felt like it was important to tell me that he was getting more swollen or had more difficulty breathing.  Darn it.

3) A lady w/high temperature started having convulsions, also heart went into some sort of arrhythmia/irregular pattern, and she ended up almost dying but got steroid and heart became normal again.  Her family, though, gave up on her, and decided to take her home.  But what was really sad was I hadn't made a strong stand to keep her in the hospital and give a strong enough hope that she would survive.  I didn't realize they were taking her home to prepare for her funeral.  One of the daughters was a nurse, and I thought she had her best interest in mind, but later, a student nurse told me she wanted the mother to die, and had told all the relatives on the phone that her mom had already died.  Sighs....why don't people tell me these things before it's too late????  Now it feels like I sent her off to her death bed.  Ugh.

4) A patient with severely high blood pressure ended up having a stroke 2 days later, I find she's still paralyzed.  Sighs...not a TIA (like a mini/temporary stroke).  And I think I had been distracted/trying to bag mask a kid when they told me she was having stroke-like symptoms...and so I said, ok, aspirin.  And forgot that a white doctor had brought in some thrombolytics a month ago.  Darn it...I need to pay more attention when people come to get me and tell me things.  Darn it.  

So yeah, those were my bad-day presents...

ODE to E

Haha, this totally made my day (Thanks friends for your amazing artistic/creative skills! Lol!):

Oh E, oh E

Every time I think of you
I crave candy

Because I want to eat you?
You're pretty sweet, I guess.
Never sour!
Like those awful Warheads that you strangely like.

Oh E, oh E

Every time I think of you
I want to dance.

Makes me feel like I have termites in my pants.

Thank heavens not!

But mice we had. A dozen mice! They all had names!
In our room, room 301

Oh Roommie, Oh Roommie
Every time I think of you
I laugh and smile.

Life throws its worst and all the while,
you've always been the best kind of friend
to share our lives with till the end [o_O]!

To think how different out lives would be,
if we had not met the one and only E.

For making this adventure brighter, whiter

Yummy-er, funnier

We thank you.

Happy birthday E!

Where There is No Doctor

Also other exciting (totally sarcastic) news:  The doctor left me all alone in this hospital as he went off for a 2 week ultrasound training course, which he told me about....yesterday.  Sighs.  Well, I'm not totally alone, I have pharmacist and charge nurses, and surgical tech.  Apparently, they run things when the doctor is away.  But still....doesn't seem like a good idea.  Especially since he failed to tell me ANYTHING about this.  I just happened to hear this from someone who was VISITING! Seriously??? You work with me and don't tell me jack??? What if I didn't happen to run into this visitor?  I had arranged to work at a peripheral health center so I can see more deliveries, and I would've been gone first thing this morning. Ugh.  I had to call him and ask him about it.  And even still, he said he would be gone 4-5 days.  But it's actually more like 2 weeks.  And he didn't give me any keys to to anything, any instructions, nothing.  Seriously.  Can communication get any worse?  Actually, don't answer that question, I know it can.  

Sighs, didn't mean to spill more frustrations out here.  I'm actually not too angry about it, knowing that sometimes there really is no doctor.  Since a lot of times, the nurses do just admit patients without the doctor anyways.  Ah well, maybe there's a reason I'm stuck here for another 2-3 weeks.  Haha.  

Sleepless night

Convo between friend and I: me: i'm sad

  a patient died :(

 KP: :( :( :(

  i <3 you

 me: i was with her all night (2mo baby)

12:50 AM KP: really? all night???

  oh my....

  <<BIGGGG HUG>>

  :( :( :(

 me: yeah, haven't slept

  and now i have to go round soon

  it was sad....we were bag masking the kid the whole night

 KP: oh yi

12:51 AM me: thanks a lot to the nursing students...even though half of them ran off and the other half were falling asleep

 KP: wow

  did you think the kid had a chance?

 me: i did

12:52 AM KP: sighhh

 me: but there was no petrol for fuel after 11pm

  and things went downhill soon after

 KP: because some of the equipment you were using no longer worked?

12:57 AM <3 <3 <3

 me: but he didn't understand me

  

  so there was no fuel = no oxygen

 KP: :(

12:58 AM oh dear

 me: yeah, it was bad

 KP: :(:(

  how many of the nursing students were with you throughtout the night?

1:00 AM KP: they varried...

  oh, i gotta go

  ttyl!

Termites - A Good Source of Protein

When Mama Ji (my adopted mom) told me she wanted to go catch termites, I had to ask her 3 times to make sure I was listening correctly.  "What? Did you say termites? What do you want to do with them??!"  And she said, "To eat them! They are a good source of protein." - Of course, why didn't I think of that.  

When she asked if I liked termites, my response was, "I don't eat insects."  But I ended up trying one anyways.  Thankfully it was dark, I stuck one in my mouth and chewed and swallowed.  It tasted like those small Chinese dried shrimps - crunchy and salty.  Later I had a better look at it and they were about 1.5cm with legs and everything.  Ewwwwww.  She was going to send me home with a bowl of them.  O_o 

It was fun helping them catch the termites.  Termites are attracted to light, so they were standing under the light, and swatting them with a piece of cloth and then throwing them into this bowl of water.  Once their wings touched water, they couldn't fly anymore.  I didn't even know termites had wings, but google confirmed it.  "Yes, termites do fly at certain stages of their life. They can be seen "swarming" usually in the spring. You can see their wings before they are shed in a later stage ..." (Wiki.answers.com). 

In the village, they don't have fluorescent lights, so they would go to the termite hill, create a hole close to it, and hold a fire over it.  Then they would sing songs to invite the termites out of the hill.  Well, the singing was more of a tradition, it was more the rain that would cause the termites to come out.   

Anyhow, Mama Ji would keep the termites in the water overnight, then dry them out on a pan, and later dry cook them over a fire with some salt.   

There you have it...a good source of protein in case you're ever in need!   

Pictures:

• Cooked termites (dry cooked with salt)
• Catching termites
• Termites can't fly when wings are wet

Popo

Darn it, there's a popo (papaya) tree next to my house, and I've been eyeing the popos there.  There were 2 large ones looking super succulent   I asked some nursing students if it's ready to be plucked, and they said no...then the next day, they were gone!  That happened with the other two medium sized ones on the tree.  Just gone!  So this time, I went and cut off the next largest one that I thought might be ripe b/c it's a little yellow...but now that it's down, i don't think it's gonna ripen for a month. Sighs.  I was too eager and worried that it would get stolen.