Haitian Courier #6: Pieces of My Memoirs

[This is a copy of the latest issue of my newsletter Haitian Courier, which was sent on July 26. To subscribe to the newsletter, please visit http://groups.google.com/group/haitian-courier]

Bonjou Mezanmi!

My last newsletter was a brief update just to let you know that I'm alive and well. This time I wanted to give you snippets of what I've been doing in Haiti for the past 6 weeks. Throughout this newsletter, you'll see words with web links, which will take you to corresponding entries on my blog.

First of all, I wanted to let you know that my return flight has changed from August 9 to July 31. The reason is that my older brother Sundo is getting married on August 2. So now I only have a few more days before I go home! Seems like my plans always change on the fly (last year I decided to stay an extra month in P-au-P). I can't believe my time here is almost over!

Secondly, I wanted to put a word out that the clinic here needs an X-ray machine to replace a broken one. Please let me know if you know anyone who needs to get rid of an old machine to replace it with a new digital one or for whatever reason. The one we have here has been broken for a while, and it would help so many people if we had a working X-ray machine.

Anyway, here are some of the things that I've seen and done so far. During the first week at the clinic, I learned how to do a breast exam, observed a vaginal exam, saw a patient with trigger finger and a very sick and hyperventilating baby. The fist weekend I went to the beach in Labadee with a bunch of people from different mission teams.

Second week, I saw several HIV patients including an old lady with an acute onset of dementia, practiced drawing blood, saw a fetus using an ultrasound, gave babies vaccine shots, and heard all sorts of lung sounds at the tuberculosis clinic. That weekend we went on a mobile clinic up in the mountains, where I got to draw lots of blood, and we brought down a girl with a machete wound to take care at the clinic.

Third week, I did some manual labor at the new seminary construction site, helped reduce a fever on a baby, saw tendons on a torn hand from a car accident, pulled a birthday prank on Vicki (another short-term missionary), and took lots of blood pressures for the hypertension/diabetes clinic. That weekend we went to Labadee again, and I went kayaking and snorkeling (for the first time). On Sunday, we saw a girl who had sickle cell crisis.

Fourth week started with the most emotionally draining day, where I saw a 6-year old boy with respiratory emergency, who turned out to have diphtheria, and two little orphaned girls who were tested positive for HIV. The boy ended up dying at a hospital, so I lost my first patient. We had saved the boy's life by bringing him to the hospital and having him intubated and put on antitoxin, but next day during the night he woke up and took out the tube on his own, and died. It was such a tragedy. Also that week, I dealt with many impatient (and non-patient) parents at the well baby clinic, got to eat a cheeseburger, and took a tour of downtown Cap-Haitien.

During the fifth week I saw a Haitian nurse open a closed hymen on a 7-month old girl, helped treat a delirious patient with fever caused by tuberculosis, learned how to take out stitches, sent Laura (another short-term missionary) on a birthday treasure hunt, rode a motorcycle, tried to resuscitate a 6-month old boy who ended up dying, learned how to start an IV, and learned how to properly clean wounds and change dressings from a Canadian nurse. On Saturday I went to see the Citadel, which was quite amazing.

This past week, I learned how to do vaginal smears, saw a lesion on a cervix through a speculum, helped take a boy with a broken femur to a hospital, distributed some food for tuberculosis patients, and attended a funeral of one of the Haitian doctor's mother-in-law. On Wednesday, there was a violent and insane woman, so we had to drag her out of the clinic.

I haven't written about the last couple weeks yet, but you can see some pictures on my web album. I will continue to write about my experiences after I come back home to the States.

Since all the other short-term medical missionaries have left as of last Saturday, it's been pretty quiet (and a bit lonely especially during breakfast and lunch), but I'm still enjoying my time here. Of all the mission trips that I've been on, I've seen and learned the most through my trip to Haiti this summer. I want to thank all the short-term and long-term missionaries that I've met here for making this such an enjoyable experience, all my friends and family for sponsoring me and for praying for me, and God for allowing all this to happen and for making this undoubtedly the best journey and the best summer ever.

Thanks for reading and for all the responses and comments on the blog!

Bondye beni w,

SunMin Kim

Blog: http://zanmihaiti.blogspot.com

Photos: http://picasaweb.google.com/doxadeo/Haiti2008

PS. Thanks to Laura, I now have a number you can call or send text messages to: +509-3727-7275 (but it's only good until July 31)

Cap-Haitien Tour, Bargaining, and the Twelfth

Saturday, July 12, 2008

Today we went on a tour of downtown Cap-Hatien. Amy, Wadner, Laura, Evan, and I drove over to Enoch's house and walked around the city from there. Enoch is a Haitian ergonomist who deals with agriculture and works with an organization called Hope Seed. He plays piano at the English Bible Fellowship on Sundays. He was our tour guide for the day.

First we went to the city square (see it on Google Maps), which is between the Notre Dame Cathedral and the city hall. We went inside the cathedral and looked around for a bit. Then we visited a few private catholic schools. I guess it's no surprise that schools and buildings funded by the richest church in the world are the prettiest attractions in this city.

We also visited the Justinian Hospital (Google Maps), which is the biggest hospital in Cap-Haitien and the one we usually send patients to in case of emergencies. At hospitals in Haiti, patients have to pay for every single equipment that is used for them, even gloves. With the food crisis, less and less people can afford healthcare, and more and more people are becoming sicker. Just when you thought the US healthcare system was bad...

After that, we walked through the Iron Market, which is probably the biggest market in Cap-Haitien. If you look up Cap-Haitien on Google Earth (or Google Maps), you will see a big brown square the size of 4 blocks put together. It was so crowded, smelly, and dirty that we were busy just trying to get through, so we couldn't see much of it when we were inside. Watch out for pickpockets!

Then we went to the Boat Market (Google Maps), where you will find a number of tourists. There is one long row of shops that sell paintings, sculptures, jewelries, dresses, and all sorts of souvenir items. I wanted to buy some paintings, so I went scouting down the entire row, then went back to the shops that had ones that I liked.

As usual, I had to bargain like no other. The first seller offered me three paintings for 3000 gourds ($80), but I bargained it down to 1100grds ($30). I probably could have got them for less, but at least it was quick. The second seller offered three paintings for $300US(!), claiming that one of the pieces was done by a famous painter, which is total bull crap, but I didn't want to offend him by calling him a liar (not good for bargaining) After a long negotiation he offered them for 2000gds ($53), but I only had 1600gds ($42), so he just took that. I probably could have paid less if I had been carrying less money... Bargaining takes so much energy out of you.

Then we walked over to La Kay restaurant (where we ate yesterday) and had lunch. I got chicken spaghetti this time, but it was very salty... I still ate it though. I should have gotten cheeseburger again.

In the afternoon, Amy, Evan, Laura, and I went over to Gavin's house to celebrate the Twelfth of July (an Irish tradition). We tossed around a rugby ball for a while, then ate food prepared by Gavin. For dessert we had caramel ice cream, which was probably the best ice cream I've ever had in Haiti.

Diphtheria Discussion, HIV Support Group, and Flight Change

Tuesday, July 8, 2008

A huge contrast from yesterday, today was a pretty slow day.

After the morning devotions, about once a week we have a meeting to discuss interesting cases and to educate the staff, and diphtheria was the obvious topic for today. It was a miracle that the boy made it to the hospital, and thanks to Dr. Stefan, they were able to speed things up. Gavin talked about different diseases that could present with similar symptoms, and others that we should be able to distinguish.

For the first couple hours at the clinic, Laura and I sat in with the HIV support group. First, the HIV counselor checked in with each patient to see how they were doing, and I tried to translate for Laura. It wasn't so difficult to understand when the conversation was mostly one-on-one between the counselor and a patient, but then I could hardly understand anything when everybody began to talk.

What I caught were something about eating well to stay healthy, coming to the clinic right way if you're sick, and using a condom every time even if both you and partner are HIV positive. At one point they were talking about food and beverages, so I wonder if they were talking about back when they used to get something to eat and drink at support group meetings. Since the government has been cutting the budget for the program we haven't been able to give them food during the meetings for a while now. But honestly, I don't really know exactly what they were talking about.

Near the end, one of the ladies stood up and sang a song about having hope in Jesus Christ. I wish I could understand more of what she was singing. In any case it was good to see the patients having a lively discussion about living with HIV. At the end the counselor asked us if we wanted to say anything, so we just thanked them for letting us sit and listen to the discussion.

About two weeks ago, my older brother Sundo emailed me saying that he and Rachel got engaged and that they are getting married on August 2. Exciting, yes. But the problem with that was that my flight back to the States was on August 9! My brother explained to me that it was the only date that could work for both of them and the families, and that he really wanted me to be there. I was bummed because I was really enjoying my time here in Haiti and also didn't want to miss my brother's wedding.

At first I thought that God wanted me to stay in Haiti, but what changed my mind was when my mother said we are to serve God for His glory all our lives, so coming back a few days early would be acceptable. Also, she wanted me to spend a little more time with the family before I went back to med school in the fall. So I agreed to come back early to be able to attend the wedding.

So today I spent some time on the phone (Skype) with American Airline to change my flight. I ended up paying $170, but I think it's worth going to my brother's wedding. My new flight is on July 31.

I had a Creole lesson with Wadner this afternoon. I hope I'm getting better at listening.

Mobile Clinic, Day 2

Sunday, June 29, 2008

We went to Ms. Prudence's church this morning. Her husband is the pastor there, and this is the church where we did our mobile clinic yesterday. During the service Gavin introduced us to the congregation, and each of us said something briefly. I said something in Creole, and I almost choked up, but I hope I said what I meant to say.

Just as we got out of church, there was a crowd of people gathered around something on the ground. It turned out to be a 14-year old girl who had been carried in on a stretcher from a village far away. She had a big laceration behind her left thigh. Some old man hit her with a machete on Tuesday, so she had an open wound for the last 5 days. Since it's been too long since the injury, we couldn't suture it. Instead we cleaned the wound, bandaged it, and brought her down with us. She'll be treated at our clinic everyday.

I'm in awe of how people here can just carry heavy loads on their head and trek over a mountain barefoot. Many of them were so willing to help out as well. On the way back, it started to rain a bit, and then it poured when we got on the truck. It reminded me of the time when I went to Zanmi Lasante, and rode through the pouring rain on a open-back tap-tap for over 2 hours. It felt good to be in the rain.

We got back around mid-afternoon, and I took a nice hot shower. Oh, I never mentioned, but we have hot shower here. It's amazing. After dinner we finished watching Enchanted at Laura's place. I think we all have the song "How does she know that you love her" stuck in our heads.

Mobile Clinic, Day 1

Saturday, June 28, 2008

Today we went up to a place called Souffrier to do a mobile clinic. Tim (lab professor) got sick this morning, and there was another extra spot on the truck, so Carly and Emily, two of the girls on Tim's medical team, came instead. Our team consisted of Gavin (doctor for N. Ireland), Amy (nurse from Canada), Julie (physio from N. Ireland), Evan (doctor from N. Ireland), Mary (lab technician from the US), Ms. Prudence and Ketsey (Haitian nurses), Joel (Haitian evangelist), Carly and Emily (girls on Tim's team from the US), and me.

On the way there we stopped by an ice factory to fill up our icebox. I had seen so many people selling ice on the street, so it was cool to see where they were getting the ice from. It took us about 1.5 hours to get to the foot of the mountain, then another hour and 45 minutes to hike over the mountain. There were many volunteers from the village we were going to, and they carried our boxes and bags for us. The guys who carried our boxes on their heads, most of them barefoot, took a shorter but steeper path, while our team took the longer and easier way. We walked along a stream, which we had to cross several times. Near the end we had to cross a river on foot, so we took off our shoes and socks. The girls made fun of us guys because the Haitian guide "helped" us cross the river by holing our hands, which we totally didn't need at all. In fact it would have been easier to cross if they just let us on our own. Anyhow, it was a fun hike.

Our hosts had prepared brunch for us when we arrived. It was about 9:30AM. We were told that we won't eat until we finish the clinic, so I ate a lot, but then we ended up eating lunch at 1:00PM. They had slaughtered a goat for us so we had it for lunch and dinner. It'll probably be our breakfast tomorrow as well. Usually when people slaughter a goat, they use every part of it. They make soup out of the gut and bones, which we had for dinner, and they even eat the head, which fortunately wasn't served to us.

We were able to set up the clinic surprisingly fast. We used the church building for the waiting room and consultation rooms, and the storage for the pharmacy. The lab was setup outside next to an amazing view. Gavin and Ms. Prudence consulted on their own while Evan and Amy worked together (they either say Amy was translating for Evan, or Evan was helping Amy confirm her thoughts). Julie, Carly, and Ketsey worked in the pharmacy. Mary, Emily and I worked in the lab. Joel walked around talking to people about Christ.

I greeted the patients that came to the lab, checked what tests needed to be done, and drew blood if needed. There were a few patients, especially kids, whose veins were so small that I couldn't draw blood from them. b helped me out by using the syringe technique. In all, I drew blood from about 20 patients and did finger sticks on a few. Emily did the screening tests. We had a lot of patients with H. pylori, a few with malaria, and a few others with Hep B. Mary did everything involving the microscope and all the rest. Since Tim wasn't there, she was quite busy.

Joel, our Haitian evangelist, did an amazing job, and lead 25 people to Christ today. That's 10% of all the patients we saw. Praise God!

Photos on Picasa

I've uploaded some photos on my Picasa Web Albums, so check them out!

I'll be updating this album throughout the trip, so be sure to come back later for more.

Haiti 2008 Album

Arrival

Sunday, June 15, 10:00PM, Haiti Time

Layover at Miami couldn't be easier. The gate I got off and the gate I got on where only about 30 yards apart, and I arrived a few minutes before boarding time, so everything happened as planned.

When I arrived at Port-au-Prince, a cab driver called Nadar was supposed to meet me and take me to the domestic flight terminal. I was to hold up a sign that says "OMS" and he would know that it's me. Everything went as planned... except that Nadar didn't show up.

So I had to talk to a random chauffeur who told me he knows Nadar, but he usually doesn't work on Sundays because he goes to church. I borrowed his phone to call Gavin (the Irish doctor with whom I'll be working), and Gavin told me that Nadar had called to let him know that he won't be able to make it. Great. So I just went with the random chauffeur to the domestic flight terminal. The ride took about 15 minutes, and I arrived at the terminal around 8:45AM.

Nadar was also supposed to have reserved a ticket to Cap-Haitien for me, but since he never showed up, I didn't have a reservation. Incidentally, I ran into two missionaries from OMS Cap-Haitien who were visiting P-au-P and flying back today. They were hoping to get a ride on the 9:00AM flight. Since I didn't have a reservation, the ticket lady said the earliest available flight is 1:30PM... Well, what else could I do? So I just said I'll take the earliest flight. Then just as she was making the ticket for me they opened up a spot on the 9:00AM flight, so I got on 5 minutes before it took off.

The two missionaries I met at P-au-P who were on the plane with me were Amy and Julie. Amy is an RN from Canada, and Julie is a physiotherapist (physical therapist in US English) from Ireland. So I'll be working with them as well. It was really nice to meet them at the airport since I was getting nervous about the fact that Nadar didn't show up.

Gavin met all of us at the airport. He had come to pick me up, but he didn't know Amy and Julie were coming as well. Anyhow we all got a ride to the OMS compound together, everything turned out to work really well.

After lunch I took a nap and had dinner with some of short-term missionary team members. They are medical volunteers from all over the US, mostly college aged. Among them were Tim (lab professor and leader of the group), Christina (sp? Tim's daughter), Mary (lab technician) Anna and her sister Carly, Beth, Emily, We were also joined by Junius (a Haitian-American doctor who is staying in the same building as Tim and I) and Laura (med student from Ireland). It was a lot of fun talking with them, and it was a very relaxing evening. I'll talk more about them later since it's getting late.

I don't have access to internet right now, so I'll probably post this tomorrow, hopefully. I'm pretty impressed that they have electricity for most of the day. It went out just as I started writing this entry, but it seems like I won't have to worry much about keeping my laptop charged.

Thank God for a day of safe travel!

In the Air

Sunday, June 15, 2:30AM (EDT, Miami)

I'm writing this on my way to Miami, hoping that I could post it just before I have to board the plane... but we're scheduled to land only 5 minutes before the boarding time of my next flight, and the plane leaves an hour after that, so I'm not sure if I'll be able to.

Anyhow, once I'm in Haiti, I may not have much chance to blog or send out newsletters as much as I hope to since apparently the internet access is very limited there. I guess I'll have to go and find out.

It's a strange feeling to be going back to Haiti. Going the first time was really exciting because I didn't know what to expect, but this time I keep thinking about my previous trip, what it was like, and what I learned. Random Creole phrases keep popping into my mind. I hope I'll get to use a lot of Creole again. Hmm, the dialect is probably different since it's northern Haiti this time. I'll have to adjust to that.

I should get some rest. I arrive at Port-au-Prince at 7:55AM Haiti time, then I take another flight to Cap-Haïtien. I have long day ahead of me. I'm stoked.

I want to sleep, but my seat is broken such that it doesn't recline back... ahh, my back.