Showing posts with label Erv Janssen. Show all posts
Showing posts with label Erv Janssen. Show all posts

Saturday, October 4, 2014

A Third Gone - And I Guess That Means A Third to Go

No I haven't Failed Maggie's Mathnasium Class*
I do know that I won't reach my beloved wife and my home for another 55 days, between finishing here and stopping a week in Florida with siblings .....  But time as a construct in my mind doesn't go always by hours and minutes... When I first arrive in Guyana I always believe I have soooo much time to do everything that I have envisioned with no sweat (always wrong on the no sweat part).  However, after the first month I know that I must carve out some of the wonderful things that I want to do and keep focused on my primary tasks related to my nursing students and my St Ann's girls.   The days will start to pick up pace; and, I will be leaving before I realize it.
* Maggie is my youngest sister and runs a Mathnasium school in Waterbury, Connecticut.  If you do go there, do not ask for the family rate - it is double!

The PBL Course

The students are well into adjusting to the different learning modalities involved with Problem Based Learning.  When Tony Carr and I first started teaching this way at Mercy we were really worried because it was going to be so different from anything they had ever experienced.   But each year, they take to it like ducks to water and with enthusiasm -- if not always with compliance.   They have been involved with an educational system that told them what the answers were to the questions the teachers would be asking on exams.  So a method where the student is responsible for their own learning...  Somehow, it works!

Each PBL part has two sessions connected with it.  In the first, the students meet in groups of 4 or 5 and read a the "problem story" page to see what they already know; then they start identifying issues from the story that they would like to understand better.  These are then divided up and off they go to start researching (well, maybe there is a FaceBook break or a stop for food) in order to teach their small group batchmates in the next session.

I have added a little incentive to the process.  They are supposed to send their work out by email to everyone in the class before the next group, and almost all the students do -- except it was often happening 1 minute before the session ..... not really helpful.   So now I award a couple of marks if the research reaches everyone before 8:00 AM on the session day AND if it has reference links AND relates how their new knowledge helps them to understand the developing account of the problem.   (I have had to threaten only one or two students with jogging around the block if they don't get it straight.)  Then I give them additional suggestions and a few more questions.  (What I wish I had realized before I started all this was how frickin' long it takes me.)



Then, in the next small group session, each student takes their turn teaching the others what they have learned and what all of them need to know.  They answer questions from the others and do additional research if they can't answer them.   After that session they have a small exam on 4 questions that they may have researched - or not!   (One of the tutors scores the exam with comments that encourage more learning.) 


Immediately after they finish, we give them some of the answers to the exam, so they have some immediate feedback.  I am positively amazed at how they study the answers and often argue with the tutor about why they think their own answer was correct.

In all, there are over 120 set of marks.

This is a mark/exam-obsessed country; marks determine who gets into everything, from the best Nursery Schools to University .....  I tell them I don't really care about a grade; I care whether they think they are learning something.   They seem to have a hard time adjusting to that!   One student was so upset with doing poorly on a small exam (I have no big exams) that she wanted me to let her study and then give her another exam.  "Nah, you don't need to do that.  What mark would you like?"  She said, "10 out of 12."  "Okay then take your exam and write better answers on some of your missed questions until you have 10 out of 12 correct.  I'll change your mark now, so I don't forget.  And please tell all the other students they can do the same."  "Rev John, you are crazy."

One day last week, the classroom was being used for something else, and the students were going to do nothing, so I sent them home with the task of learning simple brain surface anatomy.  I told the director they would study at home ..... so they left hours early.  On Monday, I gave them a simple exam on the anatomy of the brain.. OMG! The class average was a 3.2 out of 12... a new low.  They wanted me to give them the test again. "Okay, no problem."   I even gave them the same  diagram of the brain that they would be tested on .... and I would replace their old mark with the new one.   Some of the traditional tutors thought I couldn't/shouldn't do it...  But it really doesn't matter how you make ice -- wait for February in Canada or get some from your freezer.   I want them to learn ..... and they did, with much better (though not perfect) marks.  I offered to buy pizza (my usual bribe) next time if the class average is higher than 10.0 ..... and if their individual marks aren't as good as the second exam I'll give them their first mark!  They are still thinking about that one.
One student actually wrote how much she likes learning this way:  she can't wait for the next page to see what happens to the people in the story.     Can't get any better than that.

Another Mercy Person... 
Desmond always wears the boots, hat and coat...
The exclusive interview cost me
two pones and a drink














Desmond Jacobs

Desmond is the "baby" of four and was born in New Amsterdam, Berbice He loved playing cricket and football.  He came to Kitty, in Georgetown, when he went to school.  Desmond still lives in Kitty; he is married and has two children, Adrian and Jenny, and seven grandchildren.

Desmond is a newcomer to Mercy Staff who just started in June of this year.   He has had a long history with the Guyana Police Force.  When  I asked him what rank he had, I think he said "General".  His official title here is less assuming:  "Groundsman/ Gardener".   This suits him well; in talking to him, you can see the satisfaction he receives from keeping the gardens and the grounds clean..   Desmond said, "Mercy is a nice place and I want to do my part to keep it nice, and make it better for others."   He works hard all day long in the hot sun of the yard... and in his boots!

When I asked him what he wanted to share with my readers, he said, "Work hard. Save your money.  You will need it when you are old."   "Anything else, Desmond?"   "Come on down to Guyana and see -- and go to our many beautiful places like Bartica and Mabaruma."

And where are you going to be in ten years?  With true Guyanese concrete logic, Desmond says, "Don't know yet."    "Okay, so where would you like to be?"  "Relaxing. Home"

On a side note:  Desmond has no internet access, so he wanted me to print an actual picture.  I walked down to the local photography place and their machine has been busted for over a week and ..... Nothing more.  That is it .....  Just:  it is broken! 

And a Special "Encore" Appearance, Benji
 
Benji wanted an action shot!
Sylvia, the Birthday Girl

The nursing students hosted a surprise birthday party for Sylvia on Monday before class. (They have the same educational principles I do, including almost anything is better than class!)   They had gotten two big chocolate cakes and cokes with a real plate for Sylvia...napkins for the rest of us ..... and sung a rousing round of the Guyana Happy Birthday song.   She was surprised and thrilled and they enjoyed it too.   Though they worked hard at making all their touching speeches last, we started class only a little late!


What a Surprise... Thank you students.
You even designed the blackboard
and look at those lovely cakes.
And the traditional Guyana speeches ..... 







Cuba and Guyana
I have talked before about the role that Cuba provides in health delivery here in Guyana. There is a bilateral agreement between Cuba and Guyana; the Cubans supply doctors, from Family Docs to almost all Specialties.  These doctors come here for two years and have left family back in Cuba.   If it weren't for Cuban doctors there would be no medical services in the interior of Guyana.

Cuba gives scholarships to 50 Guyanese students a year to study medicine at the medical school in Havana.  Last year, the first set of Guyanese students graduated with their MD diplomas and are back serving their people here in underserviced areas -- which basically is the whole country when you come to think of it.

I have attached a TED video about the medical school in Cuba.  It is not long and worth a look. http://video.ted.com/talk/podcast/2014P/None/GailReed_2014P.mp4

An old Friend and Colleague Stopped by 


Erv Janssen, a retired child psychiatrist from Tulsa, Oklahoma, was in the country for a week celebrating the opening of the Lutheran Music Academy in New Amsterdam.  I will need to do a whole story on this amazing school -- later.

Erv has been coming to Guyana almost twice as long as I have.  He started with medical missions, then it was with construction crews... and finally, in his last reincarnation, as a music enthusiast.  He has re-started the Annual Guyana Music Festival that brings together choirs and musicians from all ten regions for a juried show at the Cultural Centre.   He has also encouraged Professors Michael Murchison and Eric Sayer from St Olaf's College in Minnesota to supply music graduates, and the Lutheran Church in Guyana to provide the space for the school, at their headquarters in New Amsterdam.
It was good to just sit and chat with a friend.


Enough .....  Actually MORE than enough ..... Stop.

Thanks for reading.  John

Wednesday, May 22, 2013

An Unexpected Visit to Guyana - Sublime to Ridiculous

Michael Pryse, Bishop of Eastern Synod of the Evangelical Lutheran Church in Canada, gave me the opportunity to be the Canadian representative to the convention of the Evangelical Lutheran Church Guyana.  So in a hurry I arranged a visit [with Nellie Follings of Golinger's Travel doing most of the work] to New Amsterdam and, of course, some time at "my"  Mercy Hospital in Georgetown.
With the New President, ELCG
Moses Prashad 
Looking Official 




It did take me some time to find my clergy robes and to practice looking ministerial.   As you may have guessed, finding the robe was easier.      I was excited about going to the convention, amazing as I have provided some unique excuses for not attending the Canadian one for many years.   However, from my ten years of volunteering at St. Joseph Mercy Hospital and doing the occasional preaching at some of the Lutheran Churches, I knew most of the pastors and leaders by name, and now had the opportunity to get to know them better.  Also, my long-term Guyana friend was there, Erv Janssen, a child psychiatrist from Tulsa, Oklahoma  who has had an ongoing relationship with the people of Guyana for 18 years.   He has led medical and construction teams; recently, he has concentrated his efforts on resurrecting the National Music Festival and the opening of the Lutheran Music Academy in New Amsterdam.

The "New" Reverend Kampta Karran
who was one the four ordinands.
The "Old" Doctor Erv Janssen
with the sign proof that I was there.




















One of the benefits of attending the convention is that I celebrate my 40th Anniversary of my ordination.  In the pictures above the cross that I am wearing was given to me at my ordination by another "old" best friend, Dennis LeBlanc.   However,  my form fitting robes of 1973 had to be replaced by a more forgiving one-size-fits-all.   And my stole is a custom made one by Rev. Gloria Sampson.  I was at Mt. Zion, Sand Hills, and was fascinated by her making a rag floor mat... I said, "Can you make me a stole like that?"  After a few minutes of bewilderment and laughter, she agreed to make me one.   I like the servant symbolism of the stole, plus I no longer have to check what the liturgical colour is for the day.

June 10,1973 St James Lutheran Church, Hespeler, Cambridge, Ontario.  l-r: Sister Margaret Kreller; My Dad, John; my Mother, Jane; Sister Florence Weicker; Me; my Daughter, Kristin Margaret; Sister Anna Ebert; my Wife, Joan Bauer.
John Aaron hadn't made the scene yet.  Joan was a Deaconess with the others before she had to leave to marry me.
[*Kristin pointed out that everyone in the picture is dead except the two of us. Guess it has been awhile, eh?]

Another bonus of my surprise visit is that I got to connect with many at Mercy Hospital.  Helen Browman, CEO, and her team, found a flat for me to stay for the days that I wasn't in New Amsterdam.   *** Advisory Note to all Prospective Volunteers ***  I stayed in Doctor Daniel's old flat and there was no fridge, no stove and I showered like an "almost" Indian; I stood up rather than sat while I pored a bucket on my head; it did have screens in the bedroom.    I was quite fine with the accommodation as it was only a few days.  Everyone was amazed that I didn't complain, but I did tell them that I was saving all my gripes up for my usual three month stay in September.    

I got to do some In-service Education with  the nurses about Palliative Care and End of Life Care, especially Do Not Resuscitate Orders.   I realized that I have been talking about DNR's for over 30 years.   I really don't think the conversation has changed in all those years.  Doctors and other health professionals don't like to have conversations with people/patients who are probably not going to do well.   So this ongoing  avoidance creates havoc when a resuscitation attempt might be called... And then - the DNR Order gets blamed... Give me a break!   Enough of that rant...

It was also International Nurses' Week and my last day, Friday, was the Nurses' Appreciation Event at Mercy.   Each of the groups of nurses and students got to put on a show:  some sang, some read poetry, a few danced and my group "tried to dance"...   the 2011 first year asked if I could do the Harlem Shake.  Well, I haven't done that since I used to play handball in Harlem and win some coin, so I had to flee to the subway!    That wasn't what they were talking about but it was too late.   I ended up as the lead dancer too.  Evidence below:  



Roberta can really dance
Alicia belting out a tune


















My biggest surprise and joy was being able to present the "Most Outstanding Student" award to Lexann.   While I probably wouldn't have guessed her last... she is a tribute to the resiliency of the human spirit and hers in particular.   She was one of the few students who I have had as a student in my classes. A wonderful and unexpected daughter presented herself in 2007.  Even though she had passed my courses, the rules were that she had to take the "whole" year over again.   When she began again in 2010 our PBL programme, her world was very exhausting, so she sometimes slept through Tony presentations [Hey, it's my blog and that's my version.]  She will be an excellent nurse and I am honoured to have been a small part of her success. 

What an accomplishment.. Congratulations Lexann.

First Year Prison Shot













Before I go... I did get to St. Ann's to say hello to my girls,  I gave my camera to Olivia and she took pictures of Olivia!

Olivia with her [ and almost all the girls'] idol... who still hasn't sent them any "stuff".
They can't understand as he lives near Father John.
I do have to share a story:  When I left Guyana in November 2011, a young girl had been found with no relatives, spoke an Amerindian dialect no one understood, didn't know where she came from, and wouldn't say a word.    She was there to greet me this week and say hello, her name was Niom and would not stop talking and following me and playing games with me, including my "slap hands" which she says she remembers me teaching her.  She is such a success story for the hard working Sisters and Matrons at St. Ann's.   Amazing.
Niomi [in pink] with another girl [who will "kill me" for forgetting her name]
Way more than enough for now. Thanks for coming.  John