Monday, 18 March 2013

I Love West Africa

My fuzzy memory tells me I last blogged off somewhere before the group left for a sweet spot called Big Milly's Backyard (BMB).  This delight of a beach resort is located in Kokrobite, a small, lively fishing village about 30 km west of Accra (a relatively short distance minus chaotic traffic and detours!).  The ambiance of  this resort proved to be as upbeat as the reggae music blaring from the speakers.  Following some much appreciated bronzing in the hot African sun, the nursing troops were assembled and the festivities commenced.  Reggae night at BMB proved to be a blast complete with amazing food and chocolate brownies, singing, dancing, games (internationally renown "Never Have I Ever" which I have vowed to not play past the age of 25 years), new friends, beach shenanigans, and getting a tad "arseholed" for the bargain price of approximately 20 GHC (about 12 bucks).   I LOVE WEST AFRICA!



More blog-worthy mentions include a change in practice environments. The group has officially completed the acute clinical component at 37 Military Hospital.  March 5th marked my final shift in the general pediatric ward and while I am sad to leave, the experiences I will be taking home with me from my time spent in each placement will resound in my future practice for years to come.  I have finally reached a point in my academic formation where I can soundly say I understand the importance of policy development and adherence to best practice standards (that's right TAG!).  I remember when I flipped a nugget over witnessing a nurse who did not swab her IV ports with alcohol swabs (still important by the way) - OMG do I have stories to top that one now!  Lately I even find myself missing the redundant, mundane, and time consuming aspects of nursing like signing a MAR, charting my complete assessment findings, or searching for something in a well-supplied equipment closet.  Working in a practice setting inundated by health disparities, scarce resources, and little to no accountability is more than an eye opening experience - it's a motivator.  I would delve deeper into more specific examples but in all honesty I fear it would depict health care in Ghana in such a way to dissuade the reader.  The truth is that while there is so much hard work left to be done, there are so many committed and determined individuals here to get the job done.  On our last day at 37, heart-felt goodbyes and best wishes were extended from the staff and donations presented to each ward as a token of our appreciation.  There are countless people I have to thank for contributing to my successful experience thus far.  There are also several departed souls that I will keep in my prayers and remember forever.

Post-clinical at 37 Military, we were asked by a presenter to reflect on our life and priorities and discuss where we saw ourselves in 10 years.  I have always felt that this was a trick question.  My future plans have always been in flux - this is probably why I have been a student for nearly a decade! My time in Ghana however, has brought me back to some of the original life goals that have been deeply rooted for a long time including travel and new cultural experiences.  My brain is firmly planted on "where to next" while I am worried about  what my plans are when I get back home.  This odd state of limbo is astonishing and mildly distressing.  Regardless, the insight I have gained into myself is extraordinary.  I can liken my current state to my favorite book for the first time EVER. "And, when you want something, all the universe conspires in helping you achieve it." Paulo Coelho, I love you.


Spring break was spent...you guessed it...laying on a beach (if you haven't noticed we really love the beach).  But this beach was an ultimate experience for a reason other than tanning my tush.  Aside from the hair pulling experience of getting to Kineshi station, mechanical challenged tro-tros, pushing said mechanically challenged tro-tro, scorching heat,  crazy tro-tro mate impersonation (link), and roadside micturation, Busua beach has come close to topping the list as one of my most memorable travel experiences to date.  It wasn't the soft sand, the savory taste of the burritos, nor the cute little monkey that picked debris from my hair I dubbed Maurice that made me fall in love with Busua.  It wasn't even the fact that I got to surf for the very first time of my life.  The honest truth is that the girls and I had the privilege of meeting a very inspiring and humble young man with a heart the size of the Atlantic ocean.  His name is Ebenezer Felix Bentum and never have I ever met a person so dedicated to the betterment of his community.  Ebenezer is the coordinator of several grassroots programs, one of which is an official NGO.  All of the different programs Ebenezer is involved with aim to tackle some of Busua's major community challenges including sanitation and environmental issues, education, and gender equality just to name a few.  I am often skeptical of charitable organizations but was thoroughly impressed with the programs and awe-struck to see first-hand the difference people like Ebenezer make in this world.  I urge anyone who reads this to check out the following links:

http://www.blackstardevelopment.org/
http://surfnshine.org/about-us/
https://www.facebook.com/TakeOne1KidToSchool

If you are so inclined to learn more about any of the above organizations or how you can help I strongly encourage you to contact Ebenezer (contact info on the website).  A big thank you to Ebenezer for being such a gracious host and I hope someday to plant my feet on Busua Beach again with a cold Club in hand! 











Sunday, 10 March 2013

Elmina

I have officially been in Ghana for over 1 month and have relished every second of my experience thus far.  I have so much to catch you all up on and based on my obvious aversion to journaling/blogging I better get this stuff down before I run off to enjoy the next experience.  On February 23rd, my compadres (follow this link, it’s hilarious) and I hopped on a lovely air conditioned bus to Cape Coast accompanied by our instructor and spirited Lieutenant Colonel, Abayiwa.  The small fishing community of Elmina proved quaint and inviting.  Picturesque sea-side landscapes complete with stunning palm trees were hailed with “ooohhhs and aaahhhs” from the bus windows.  The townspeople waved and smiled in true Ghanaian fashion.  And then there it was – Elmina Castle (a.k.a. Sao Jorge De Mina).  One of the oldest European structures built south of the Sahara and one of the most important trade settlements involved in the Trans-Atlantic Slave Trade.  The Elmina Castle was originally erected in the 1400s by the Portugese, was seized by the Dutch in the 1600s, and eventually rendered to the British Empire during colonial rule in 1872.  The fort was initially established to mine gold but soon discovered wealth in trading human beings to ship to the developing countries in the West.  Elmina essentially served as a massive depot for human trafficking.  It is needless to blog about how disturbing this dark stain on human history really is – but to stand within the walls and rooms where so many lost their lives, their families, and their roots is one of the most sobering experiences of my life.  At one point during the tour of the castle, our guide locked us in one of the slave holding cells.  I cannot to this day describe the feeling this evoked.  A blend of fear, shame, and the purest form of humility is the best I can come up with.  To all the souls lost in the Trans-Atlantic Slave Trade and to those who suffered direct/indirect repercussions, I am so sorry that humanity failed you.



 After the life-altering effects of Elmina, the group ventured to the cozy Stumble Inn for some much needed downtime on the beach.  The night was full of laughs with some shenanigans involving poultry, magical fruit, sachet whisky, and one ultimate beach jump pic (MIA: Kayla and Nathaly L).  New budding friendships were formed with other “Obruni” foreigners that continue to enrich this experience.  The weekend was topped off with a wonderful canopy adventure at Kakum National Park where unfortunately no critters were in sight.  No worries, the 40 m drop from over the treeline was enough for some of us as evidenced by the expression on Carly’s face!  A not-so-speedy “bite” at Hans Cottage to finish the weekend off and we were back to the grind Monday for more nursing learning.  All in all, one extremely successful weekend! To be continued... (still weeks behind SORRY)!