Sunday, June 30, 2013

Recap of a wonderful first week at Zimba


It is crazy to think that today is already day 8 of our time in Zimba.  Time is flying too fast.  I wish it would slow down a little bit!  The first week was full of learning:  from learning my way around Zimba Mission Hospital, to learning many names of new friends, to learning some Tonga, to learning how to treat and manage my patients.  It was wonderful! 
My first official patient here at Zimba was Daisy.  Daisy has been in and out of Zimba for several weeks battling congestive heart failure.  She was admitted this time for a very low oxygen saturation.  I saw her for 3 days this week.  Daisy speaks some English so I was able to interact with her well.   Dr. Joan and I diagnosed her with pulmonary hypertension due to her accumulation of fluid in her lungs, her abnormal heart sounds, her hypertension, and the fact that oxygen through nasal cannula never seemed to bring her oxygen back up to a sufficient level.  On Wednesday, her oxygen saturation was at 84%.  You would think she would be short of breath, but Daisy said she felt well.  She had also gained 2 kg in 24 hrs.  We were thinking fluid.  But she was not swollen and her lungs sounded great.  We increased her Lasix and continued to manage her blood pressure and hoped for the best.  Thursday morning, I come into the ward and take a peek at Daisy.  She looked great!  I asked her how she felt… she felt great!  I took a peek at her vital signs.  Her blood pressure had normalized, and her weight had remained stable.  The true test came next:  her oxygen saturation.  We checked it… it was above 90%!  Praise God!  Her lungs also sounded great!!  So, Daisy got to go home on Wednesday!  This is Daisy.
 

Yesterday (Saturday) continued a 2 day marathon of surgeries!  We had a OB/GYN surgeon with us who is originally from Ireland but has lived in a city 2 hours away from Zimba for several years.  I first assisted on many cases with him.  He had to leave Saturday afternoon before our final case was done, so I worked with Dr. Dan for the remainder of the day.  Our next to last case was a C-section!  I was so excited!  I assisted Dr. Dan on this wonderful delivery!  Before we began, Dr. Dan prayed for the mother and a healthy delivery of the baby.  I was very moved by this!  We got going and when he cut into the uterus, I saw the baby’s head!  Dr. Dan was pulling and pushing on the uterus trying to get the baby out.  When he finally did, it was unforgettable!  She was a big baby!  (3.6 kg)  Beautiful baby!  It makes you just awe at the power of God at work in creating this living being!  Wonderful end to a beautiful Saturday!
Today (Sunday) we experienced Sunday morning church in Zambia.  Words cannot describe how wonderful it was!  From the singing, to the message, to leaving service at the end.  The Zambians know how to sing and worship God with everything!  The Spirit of God was totally in that place!  I could have stayed there all day!  Reverend Chabula's message was out of Nehemiah and he talked about rebuilding broken walls in our life.  Very good and relevant to everyone!  The end of service was one of my favorite parts.  As we all were walking out, we all formed a line.  As we formed the line, we shook everybody's hand.  When we found the end of the line, the people after us shook our hand.  This resulted in shaking hands with every single person in the church!  It was fantastic!  Something that should definitely be started back in the States!  Today is a wonderful day of rest with great friends.  Much appreciated after a long, but wonderful week!

Tuesday, June 25, 2013

The Adventure Begins!


Hello all!   Thank you all for your prayers for safe travel, as we have made it safely to Zimba, Zambia!!  The flights were long, but good!  I was fairly anxious for the first flight to Chicago, but I soon calmed down for the longer flights!

We arrived in Lusaka at 6 a.m. yesterday morning and we made our trek down to Zimba (about 6 hrs away).  We got to see a lot of Zambia and let me just say… beautiful!  We arrived in Zimba about 4 p.m and toured the house and then the hospital.  The hospital is the equivalent of a maze to me at the moment… I’m sure that I will be getting lost several times this week! :)  Day 1 ended with something completely non-medical, but very enjoyable… painting!  The inpatient male ward is in the process of getting a face-lift, so Meg, Britton, Julie, and I helped out by painting, filling holes, scraping paint off windows until about 10 p.m. last night… awesome night full of getting to know new friends!

Our first official day at the hospital was today.  We started out with chapel this morning at 8 a.m.  We were running a few minutes late and as we were walking down to the chapel I heard something truly from Him above:  the voices of these wonderful Zambian people singing praises to the Most High!  It was the most beautiful thing I think I have ever heard!  I could do nothing but smile the entire time!  At the end of the chapel service, the people of the church officially welcomed us in their own special way!  It was incredible!!

I then proceeded with Dr. Joan to the female ward for morning rounds.  It felt great to start learning medicine on the job again!  I was just following Dr. Joan this today, but still learning an absolute ton!  I’m excited to really practice my physical exam skills… and to learn how to really read a chest X-ray!  :)  

Tomorrow should be fun… I think we will be let loose… we’ll see! :)