Showing posts with label autopsies. Show all posts
Showing posts with label autopsies. Show all posts

Sunday, October 23, 2016

The "Last Post"... till I am back home

I still can't get that slide show working 
So click on  This Week's Pictures.

I have a Dilemma about Returning Home

This morning when I went to get an egg sandwich for breakfast... I saw to my amazement the "Donut Lady" had returned after a year's absence. Fresh, still warm, large, sugar ones.  And during my last week... Oh the Agony!


The First Year's Turn to visit the Morgue

The 2016 Survivalists of Rev John's Trip to the Morgue

After our visit being cancelled last week because there were too many medical students, we returned on Wednesday.  But when we got there -- more medical students.   When Dr. Singh arrived on his motorcycle he saw me ..... He would take care of everything.  I hoped so, as I wasn't leaving this time.   He was a man of his word and arranged to have one body brought in to an adjoining room where my students were also led.    Here the associate pathologist also a Singh ["Singh" is like "O'Connor" -  dime a dozen name] -- first name Yogeshwar [not a dime a dozen name].  I'll let one of the students tell you about the visit:

"My first experience at the morgue was terrifying.  I have always been afraid of dead bodies, not because they scare me but because of the fact that I know that I am going to die someday.  Seeing them makes me wonder about my life and when it is going to end.  This is the scary part because, I don’t want to die.  I don’t want to leave this world and my family and friends.


But being at the morgue today helped me to appreciate life a whole lot more.  It made me realize how meaningless riches and popularity and material things are.   It was difficult looking at the body just being butchered like an animal or some piece of meat.   I thought about the fact that he had a family and how they must feel knowing that he is gone, but I also felt good that they were not there to witness such a gruesome thing.  

Other than what was going on inside me. I was afraid that the smell would get to me, but it didn’t.   At one point I was afraid to look at the face of the corpse, but thankfully I had my friend to help calm me down and I started to relax and that is when I got curious and wanted to touch.  Even though I knew it was a dead body I kept looking for some sign of life.  Personally, I find it hard to understand what it means to be dead. 

Other than my personal fears, the trip to the Morgue was good.  The pathologist Dr. Yogeshwar Singh was a great teacher.  He took time to explain lots of things to us, even though I can’t remember half of it.  When the organs were being removed from the body, I somehow started to feel a pain in my heart; I thought that I would faint.   I wondered if he was feeling any pain.  Even though I am curious, I don’t think that I ever want to go back to the morgue, much less witness another autopsy.   

I must say thanks to Mercy School of Nursing for giving me such an experience.  It has taught me a lot and I plan to share it with my family and friends.  I want to help someone else to appreciate life and their loved ones a little more than they do right now."


Speaking of Scaredy Cats  Frogs and Rev

Bad Selfie with Gecko
A few weeks ago, one of those salamanders or lizard things dropped down from the ceiling on my head...  and I was just a little jumpy.    These geckos are all over and more a nuisance than anything else.   However, early this morning as I lay sleeping, I felt something walking over my ear and when I went to brush it way - it was pretty big - a frickin' frog.  Now I did scream "a little", but I think that I may have had just cause.   We both lived.  I caught the frog and put him [although I guess it could have been a her] outside.   And I live on the second floor ..... now I have "The Celebrated Jumping Frog of Mercy Hospital".  Sorry Mark Twain.

Final Exams - a Time for Massive Prayer

Singing to the End - and a new adventure.
This is the time of year that my freshman class of 2013 finish up and prepare to write their National Final RN exams... three days all together - two written and one practical.  As tradition would dictate, on the day before, the whole school assembles and wishes them well with prayers and advice.. and we send them on their way to do battle!  In some ways it is had to believe that it has been over three years since they first stepped into my classroom.

                                                              Singing every day.

Leave it there for Just Now

I heard it said that in battle, you need to leave everything and everyone where they die... However, Guyana has taken that message to heart even in times of peace. Stuff just stays where it stopped or was left. A few examples:
Storage?

Never know when you may need it.
But Officer, I only went for gas.













I may be next!
And my famous "Guyana 911" ambulance of 2010 - still there!

Great News Finally

The first classes for the Master in Medicine - Psychiatry were held.  I got the honor of teaching in their second class.   Now I hold the title of "The Absolutely Best Foreign Professor". [Remember Raj?] There have been so many people who worked hard to achieve this, especially Drs. Bhiro Harry and Jorge Balsiero... and our Canadian Mental Health Team Members... who are even more excited about participating in the future.  They are already planing their February and September trips in 2017.  Ask about how you can join them.  There are four doctors who have been helping in the Psychiatry Department at Georgetown Public Hospital for a few years and hoping that the residency would finally start... and now they will get credit for all their hard work.

I met with them in a state of the art multimedia centre at Georgetown Public Hospital... equipped by a Canadian company.  I forgot to get the benefactor's name, as I am not above groveling to get a smaller one at Mercy SoN.   It is also equipped with a phone line that kept ringing on the screen... and I couldn't figure out how to answer or stop it!

New Residents: Drs Vanetta, Elizabeth [Head Resident], Stephan, Old Fart, Meena

And before I forget...

I had a good visit with Raymond Jagessar, who is now a Full Professor in Chemistry at UG... and a "good" Lutheran.   We shared a drink [Ray's was coconut water; mine wasn't] with good memories of Pastor Dick Young who has vanished into the Oregon hinterlands.


And when I was in New Amsterdam I had a quick visit with the  Lutheran Music Academy there.  I had a lively and enthusiastic conversation with the three new volunteer music instructors, Lauren, Sandor and Kirsten.   They conduct music lessons for the surrounding community and at all different levels of ability.  The founders of the school are Eric Sayre and St Olaf's College in Minnesota - along with the support of "Good Ol' Dr Erv."  Click on their link if you are into music.

Lauren, Sandor, Kirsten the 2016-7 Music Teachers

Several weeks ago, I had the privilege of presenting Dr. Tony Carr's and my programme of Problem Based Learning to Director Tabitha Mallampati's class on teaching theories.   It also gave me the chance to reflect on the strengths and weaknesses of how the Mercy programme has been evolving.  These insights are for another time.
There were some Mercy Grads who showed up to hear me again.
And yes, Sister Barbara McLean, I did get to visit with Malinda and make sure she was eating... And I forgot my camera ..... I also forgot my camera [well, actually I did have my camera, but I forgot that I had it] when the Mercy Corps Volunteers had me over for a wonderful team-cooked meal in their nice, but wireless, wireless home...  I am sure I am forgetting stuff, but this will have to do for a few weeks while I finish here and travel to Florida to see some family and then to my Canadian home and my wonderful wife and children and grands.   Till then, thanks for reading.  John

Saturday, November 9, 2013

Whamning Squaddy?

Thanks for the Assistance and Friendship

Dennis is in the air as I write, heading north and homeward to Greenfield, Massachusetts.   He did get to say goodbye -several times.  Here is his "speech" at the end of our last Problem Based Learning Day.
[I hope you like the video as it took me hours trying to post it.]




It was strange in many ways having Dennis here and not simply because he is strange .....    I don't want to say too much about his time here because he promised to be the Guest Editor for the next blog on November 16th, but .....  you can learn a lot from someone's toothpaste.  Can you imagine trying to live with someone who uses a fortified paper clip to keep his tube looking neat, rather than the free spirit squeezing of a mature male?   Don't miss next week's post!

Divali Festival and Parade

This is the Hindu Festival of Lights - in many ways similar to festivals shared by many cultures/religions around the world.   The festival's main figures are Lakshmi and her brother Ganesha who is portrayed as an elephant  (see pictures of the floats).  Lakshmi is my favourite as she has blessed me with many of her qualities - wealth, prosperity (both material and spiritual), fortune, and the embodiment of beauty.  I may have to offer more prayers for the wealth part.     One of the Bajans (Hymns) sung during the festival is one that could be sung by many other faith groups in the world:

Asato maa Sadgamaya
Tamaso maa Jyotirgamaya
Mrityorma Amritam gamaya
Om Shantih, Shantih, Shanti

Lead me
From untruth to truth
From darkness to light
From death to immortality.






(No, it is not Ganesha.)
The crowds  are huge and the parade goes for miles.
While Guyana is by almost all standards a developing country, it seems to me to be way ahead of the North in its tolerance and acceptance of other faiths.   While I have been here the country has also celebrated the holiday of Eid Mubarak (an Islamic Festival), and the country is already geared up for Christmas...  The religious leaders have been a combined voice for peace for many years.    All are welcome to participate in all the festivals, including flying kites on Easter Monday.

I don't want to get too romantic about all the tolerance and equality of faiths, as most Guyanese of whatever faith do not know much, if anything, about the other's religion... and yet they are friendly and hospitable to all. It's not totally different from North America:  there people don't really know anything of another's faith but they fear them. I guess I like the Guyanese choice better.

More Canadians
 Over the years there have been dedicated lay volunteers from the Scarboro Fathers; it just seems this year that I have had more contact with them [though Sylvia Wilvert was around in 2011].  This year there has been Donna Joy Tai and Beverly Trach.  If you are considering volunteering a year of your time, both Bev and Donna say that the programme is a good one - community and support.

Beverly and Donna having dinner at
The Princess, Taju's Fine Dining Establishment in Durban


Proprietors of The Princess,
my friends: Allison and Taju 





Double Beverley's at St Ann's














Actually, Bev was here in 2011 and working at St. Ann's with the girl's homework almost every afternoon.  (Wow, I get there usually once a week and am tired.)  Before that she was with Scarboro in Brazil, and now one of her main responsibilities is ministering to the Brazilian population here in Georgetown.




Donna is a newish volunteer as she came down in the Spring of 2013 and has signed on for only one year with an option of more.   I first met her when I had scheduled my students to go on the Hospice Ward at Mercy and they told me that there was this "old nun" leading hymns.   Well, the nurses had it partially right: she does come to the hospital (I think twice a week).   And she is a daily volunteer at the Boys' Home in Plaisance, John Bosco.


Dennis explaining to Donna at Bosco,
"I was that small once.

Donna going incognito at Bosco

Donna's main work is running games
 of chance at local Church Fairs.








St Ann's Photo Contest

The first [and maybe last] Father John's Photo Contest has closed  and all the Finalists have been chosen by me.  They are all posted on the walls at St Ann's in the four categories: Girls at Play, Girls at Study, Girls at Work and Action Shots.  I am arranging to have special outside judges -as I do not want to be responsible for the sad faces of the girls who don't win!  The winner in every category will receive an MP3 Player and everyone else will get nothing!   Yes, I have already heard from the girls that it is really unfair .  Some of the more creative Social Justice girls have told me that every one of them should get an MP3 Player even if they didn't enter a photo because didn't I think they were all special?    Nice try; they have brilliant legal careers ahead!  I was going to have a "vote-online" winner as well but I wasn't tricky enough to figure out how to do it!

My Nursing Students

I have made another life-saving change to the PBL schedule and philosophy .....  I have combined several pages into one.   When I counted the days remaining before I leave I found I could either omit a whole problem, compact several pages into one day's work, or delay my return until I properly finished the pages.   Well, the last one would have involved my death, so that was the worst option.  Now with that gone, I chose the lesser of the two evils .....  So instead of only researching two questions, they need to do three questions!  The students seemed to like it as they responded with a huge outcry ..... which I took to be positive.

We also had the annual Rite of Passage to the Georgetown Public Hospital Pathology Department and the autopsies.  Dennis joined us as he wanted to see what had changed since Dennis and I had seen our first autopsy 45 years ago at Boston City Hospital.   I can still remember the man's name on the autopsy table - Jim Bishop.   It must say something since I can't remember any names today.   I'll let Dennis do the reflecting on his experience..  Stay tuned til next week.

Outside huddled together waiting for the experience to begin.


Saturday, November 19, 2011

One More Week and I am Ready - to Go!

          Next Saturday at this time I'll be jetting home via Toronto and I am looking forward to it.   It does seem that my three months here is just about the right length: I have told the students everything that I know; chicken has become a four letter word; and my patience - while improving with age - has pretty much evaporated.  The cafeteria opens at 8:00 or so the sign says... at 8:55 this morning there was still no sign of life!  ... despite the choruses of  "Just now, Father."  The noises of construction generators, cement mixers, electric saws, trucks, fade into the background noises - until they stop, and then you realize the pleasure it is when you no longer bang your head against the wall.    I know that Tony and I will run to the finish this week, making the most of our remaining time -- and if I were leaving this week, I'd probably have had these feelings last week!

          I thought that you might be interested in how the students reflected on their morgue visits.  This is pretty typical :

 
          We have started our last PBL problem, "Sabrena", which we finish on our last teaching morning, Thursday.  I think that I have convinced Tony that we do not have to include that day's exam in their final marks set for that afternoon. [Say a prayer that his neurosis doesn't get the best of him and me!]
          Tuesday morning, we had guests from the National Commission on Disability come to do a presentation on the recent act and its implications for everyone in Guyana; they also offered very practical advice on how to deal with people with various disabilities.  [I had mentioned about not waving to my one-armed brother when he is water skiing.]  I had prepared the usual certificate for our guest presenters and had listed their presentation as "Increasing Sensitivity to the Needs of the Handicapped"..... an insensitive faux pas...  I was going to just rip up the certificate, but they took it ..... and I promised to say disabled the next time.  

          The act is in some ways paradigmatic of Guyana.    It is an excellent and progressive piece of legislation with almost no chance of ever being implemented .....  For example, when the "kokers" [See Endnote: Now I feel like a professor.] didn't close one morning, I had to wade through 6-8" of water on my way to class --  all wheelchairs would have needed pontoons!   Oh well, the intent is excellent.  And all the speakers were excellent; the students learned much.


         That afternoon, we did our OSCE [Oral Structured Clinical Exam]  They worked in groups of 4 and had 5 new problems at five different stations with ten minutes to discuss each problem, including feedback from the examiners.  We had three faculty who enjoyed the experience -- so who knows, maybe they will try PBL.....  I can dream!  The student teams did very well and received good grades at all stations.  One staff examiner thought that they should really know more if they were going to be RNs, but she changed her mind when she found out they had begun their education less than three months ago.   They have done very well.


          I was preaching last Sunday for the Annual Harvest Home Services at Epiphany and King of Glory churches.  I was supposed to do Ascension Church as well, but that one got cancelled.  [I guess they had a better offer.]   I had a good time and talked about "gratitude" at Epiphany and I did a Reverse Offering.  I passed around the offering plate and everyone took a quote about gratitude - no money and no sweets!  Hey, at least I liked it .....

         Then Kampta and I walked over to the bus in the West Ruimveld Market [Pics in the slide show.]  It is a very advanced Drive-Though Super-Market!   When we got to the West Bank there was no one at the church.  It seems that the government party was having a big rally with speeches and free stuff and entertainment and free transportation at the same time as MY service.   Well, Harvest Home got postponed for a few weeks and I got to talk to the remnant!  
 Yes, that is a floor mop, but to be fair Aunt Glory did clean the altar before the floors.

          I did a talk about how the Guyanese and the Israelites had similar histories.  The first lots of Indentured Indians came to Belle Vue where King of Glory is located.  It was also one of the worst plantations for Indians.  One official wrote in the same year they arrived:
"The spectacle," he writes, "presented to the observer, in the sick-house was heart-rending! The house itself was wretchedly filthy, the persons and the clothes of the patients were filthy also; the poor sufferers had no mats nor mattresses to lie on; a dirty blanket was laid under them and their clothes wrapped together formed a kind of a pillow.
In one room where there were raised boards for the accommodation of seven persons only, eleven were confined -- four of them lying on the floor. The squalid wretchedness of their appearance, their emaciated forms, and their intense sufferings from disease and sores, were enough to make the heart bleed! In the second room were found a worse class of patients. The scene in this chamber beggars description; out of the five confined there, two were dead, and one of the remaining three cannot long survive; should the others ultimately recover, it will be by a miracle -- their bones appeared ready to protrude through their skins! (these three died shortly after.) When the magistrate inquired by signs of the miserable creature who appeared to be near death, what food he was allowed -- he pulled out some hard brown biscuit from under his head, and exhibited it!"

          In the liturgy that day, we were celebrating the land that the Lord had given, and rejoicing in it.  The human spirit has amazing resiliency!   And those adults in worship would have known family who were indentured there! 
With the political rally happening at the same time, I did wonder about the similarities between religion and politics:  both seduce believers with promises for the future that one never lives to see!   At least with religion, they tell you that!
          I did a lot of Genealogy look-ups in earlier years, but this year I got one request from a big donor to Guyana Christian Charities, so I had to suck up and go do some research.   It is a good thing I knew at least that they were Catholics from Georgetown because it is impossible to get any research done at the Registry Office.  It is even worse than a few years ago!  I did find one link that I was looking for and that helped them find the grandmother's half brother in England... who is still alive.   I love happy endings -- and before I get any more requests ..... I quit!  I am leaving on a high note.
          Another high note is that we had a "boys' night out" - except that Marysia came along!  Women constantly boggle my mind.  Tony and I had tried to take Marysia and Claudette out to dinner to say thank you for all that they had done in the PBL programme.  They both told us that no thanks were necessary and they didn't need to go out to dinner.  Marysia's husband Ian had wanted to go out drinking with me, so I got him invited when Bhiro and a Cuban Cardiologist were going out on Thursday.   I told Marysia to invite Ian -- and she couldn't believe that SHE wasn't invited.   Now this was the same woman who earlier didn't want to go out at all !   So we invited Marysia in order to preserve Ian's marriage -- or at least some of the matrimonial benefits.  Lara, the cardiologist, made my night:   he knew Ché Guevara,  my hero from university days!   
          And when I tried to pay (as Bhiro had picked up the tab the last time) he said something like, "It is my honour to recognize you who came here as volunteers to help Guyana."  I was very touched.  And it was probably a good thing as a few of the crowd drank a lot of some 25 year old rum.   I still got a warm welcome from Faustina who had my Parbo opened before we sat down.  [Yes, another sign it is time to go -- she might yield to temptation next time.] 

        Tony couldn't make the Mens' Night because he was getting revived.  The church that he attends was/is having a series of Revival Services and he wanted to help the choir and the keyboardist, a piano student of his.     I did go to the opening night of the Revival as it is Tabitha's church and she is always most welcoming to me each year.    Their founder, Joshua Daniels, is 80 plus and still going strong.   However, his understanding of Christianity is much closer to Tony's than mine.   [It actually may be closer to almost everyone's view of Christianity than mine.]

          And now it is close to lunchtime!  Thanks for reading ..... and remember, there are more pictures in the slideshow above.   This is probably the last blog from Guyana; I'll do a final one after I am home.
Endnote:  On the advice of my editor.   Kokers are dams that control the flow of water into the city from the back dams/rivers and then on to the ocean.   The ocean ones are open at low tide; however, it opened at high tide and since the coast is below high tide levels.... flooding!   And in most places this is still done by hand!


  

Saturday, October 23, 2010

Postmodern Happiness, Postmortems, Post Layoffs and "Watch that Post!"


I am supposed to think "Happy" this week.   At least, I have one good time.  

I have usually had a "trust walk" type of experience for my students.  However, with the fire and there being no building and everyone still feeling lousy, I redesigned the basic walk to the cafeteria and back.   Early in the day, I went to the cafeteria and brought 24 nice chocolate bars... and began my mission.  I had written out [even earlier that morning] directions involving 12 people and places throughout the complex that I was going to have the "blinded" students go to, either to get instructions or receive their reward.   Now I just had to make sure that those people wanted to play... Hence the extra chocolate bars... you can bribe almost anyone in Guyana.  Sure enough, everyone was glad to help after they had a chocolate bar in their hands.

I stole the number of tea towels required, and we were ready... They were ready too because we had given the students an exam in the 11 o'clock spot.   I had them pair up and they chose which one of them was the more adventuresome... So that one got to be blindfolded and the other was the guide.  I gave each of the blindfolded students a piece of paper with their directions on it of where they had to go in order to get the next directions.  There was a general rebellion about how they were expected to read it when they were blind.  I said that I didn't know and shoved the first pair from the classroom.    



Well, they had to find and ask people to read them the directions - and some people actually couldn't read my writing!  When they arrived at their first destination they had to say the magic word for the staff member to proceed.   So, after "Please",  the staff member instructed the students to switch the blindfold.  So those guides that were too tough on their patients... now were thinking that they shouldn't have laughed so hard.  After the switch the staff member gave the new blindfolded one a slip of paper with new directions.  [I tried hard to get the farthest possible distance between all the sites.]   When and if they arrived at the second stop and after the magic word, they got the chocolate bars. [At one second stop it seems that the staff ate all three chocolate bars .....]



On return, after a short time of writing a reflection, we had a discussion about trust, handicaps, responsibility of guides, nurses as navigators.   Then CEO Helen joined us for the discussion and was particularly pleased with one student who talked about hospitality of a hospital - as CEO's philosophy is that a hospital should be a hotel for people who are sick.   A really lively discussion.

 


One of the spin offs from the walk (besides confirming to all the staff that I had lost my mind - again) was that the complex was filled with laughter .....  It is still a sad and fearful place and for a few moments was a happy one too.   Pretty good for $20 worth of chocolate bars.  Now if the rest of life would be that easy ......

The Visit to the Morgue at the Georgetown Public Hospital for the Freshmen’s Rite of Passage was the same as always .....  and different.   This year I had the Sophomore Class asking to go [as I had missed teaching them – and it seemed that they also did not get any psychology or sociology and while they said that they had ethics, they had no recall of any ethics word – ugh.], so I had to beg to arrange their schedules to not be working that morning.   Well, as usual,  five minutes before the appointed time, there were three of the 31 expected students there… This maybe the only issue on which Tony looks normal compared to me.  I cannot figure for the life of me how people can’t get someplace at the time agreed.   Well, I guess it is a good thing that this is Guyana and even Dr. Singh was on Guyanese time and as he arrived @ 8:15, he welcomed me with a “Mind waiting a little as I need some coffee to start the day? …”  “No trouble, Nehaul, but I may have another body or two for you this morning!”  My students slowly meandered in the gate armed with the wonderful excuses that students have used  -I imagine – for centuries, such as:   “Rev. John, you never told us the Middle Street entrance…”  To which thankfully others said that I had written it on the board, sent an email, and said it at least five times.  Undaunted, and as if possessed by a Jumbie logic, the student responded calmly, “Maybe if you had written it 6 times, I would have known.”   I murmured to myself,  “Okay, Dr. Singh… I think she’ll be a fresh one for your autopsy today.”  

Dr. Tony led the students into the morgue as I waited at the entrance for the stragglers… and the no-shows [about half of the sophomores took the ”Chicken Exit” and went to work… So we had about 25 altogether.  It was a good thing that Tony went first because Dr. Singh had arranged to have a complete set of internal organs set aside so the students could look at them.”   And by the time that I arrived several of the students had gloves on and were examining and cutting open the heart, etc.,  with Tony  telling them the names of what they had only seen in their texts.     

There were three young people's bodies there and one child of a year old who was propped up like a “doll”… (this is how the students would describe her).    As to be expected the children were the most upsetting for the students… some of whom had their own young children.   And when they reflected later, these were to be the source of much wondering about life and justice – and defending of their god’s justice, love and mercy.    
One student reflected: "Even though I arrived late, I was intrigued by all those dead bodies just lying around, young and old.  My heart wept for the young unfortunate ones. I just couldn't understand why until I realized that Oh Yeah I have got a baby girl.  I'll do anything and everything possible with God's help to keep her out of harm's way. Anyhow, that's beside the point...."

Well, the joint was crowded with police and about a half-dozen senior doctors who were there for some of the younger children.    One of our paper problems had a patient who might have had GuillainBarré Syndrome;  Tony had said – and the students remembered -- that no one should die of it… AND one of the children seemed to have done just that.   She had also come from the interior of the country – and that was part of our present PBL problem and the ethics of no health care resources there.     Our students became quickly so engaged in discussions of neurology that I only occasionally issued knowing “grunts”…  and with a silent prayer of thanks that Tony only needs half a nanosecond before talking – and is a lot more informative than anything neurological that I could conjure up.


Another interesting discovery was that the Sophomores did not know any neurology either… and so were less energetic in their questioning… though one or two were quite inquisitive, with one dedicating her career to be coming a pathologist.    Later, in our discussions back at Mercy I took the sophomores and led them in a reflection of what the experience had meant for them.   It took some time for them to be willing to share their thoughts and feelings as they “needed” to have the “right” answer.   Of course, their responses and feelings were as typical of any class that I ever had – it was just they weren’t used to expressing their opinions… and questions and wonderings.   In some ways, I felt more like a “dentist” pulling and scrapping…  I had given them a piece of paper and told them to just write some of their awarenesse's from the start of the day till the present; after ten minutes, most of them had written nothing as they said, “I don’t know where to begin and no one has ever asked me before…”   So they worked hard – at least between their ears; it was hard to find the words for their feelings and questions.   I gave them till Monday to write about their feelings and reflections.

We chatted for about 40 minutes and then I went over to the freshmen who were engaged in a gab fest of ideas, feelings, wonderings, neurology questions, remembering of paper problems.. [They had already written one or two pages from their experience.] I joined them and watched as one after the other expressed themselves.   It seemed that the only way it ended was that it was the lunch hour and they forgot that there was a test after that and as usual needed to cram.    I am still not sure that they know more, but the PBL method makes them more lively and more fun for Tony and me.    [I know some of you were wondering how autopsies were going to be happy.]

There was almost a tragedy at the end… I had promised the students that on the long grueling walk home of 6 blocks that I – as I have for the 7 times before – would buy a pop for each – and Tony – from my little pop-stand friend Paul.  When we got there, his stand was there but he wasn’t, so we waited about ten minutes and, the students were complaining of “cruel and unusual” punishment that they had to wait…  Well, I know how much 25 sales means to him, but we had to go…  [Wait, I promised happy.]   As we were entering Mercy Paul comes screaming up and says that he had had a puncture and could he deliver the pop to the classroom.  He did; the students were happy; Paul was happy – especially after I paid him on my way home; and, the rite was complete!  They could now tell the story of their entrance into nursing as the others before them had.

Nothings of Note
  • As I write this Blog, I am sitting eating my breakfast of pickled onions and peanut butter on crackers… Ah! The breakfast of champions.  As I am sure that you remember, the freshmen had their Food Sale last week and no one had brought any pickled onions even though I had said that would be the only thing I would buy.  Well, one – my now most favoured – student brought in a jar of pickled onions just for me; however, I found out that Tony likes them too [though probably not for breakfast], so I had to share them.
  • Tony and I will be hosting a gathering of all the Mercy staff who were recently "let go" at my home on Sunday afternoon.   We have an agenda that will allow them to chat about their experiences, describe some of the common feelings and thoughts on losing their job, explain some of the labour laws in Guyana, look at helping them articulate their skills, write an employment letter and resume, offer individual assistance and use the wisdom of the group to help others.   Mercy staff had written to the other hospitals and some major companies and sent the names of all the newly unemployed to them in case they were hiring.   I do know of at least 5 people who have been hired and a few more who have temporary positions.    I have brought the cookies [mmm, there will be leftovers; I did buy a lot of them] and pop for the meeting, so I am all set, except for the dogs who will go into their wild protective mode.   I am tempted to open the gate and just let them out on the street… I imagine they’ll come back to get fed.    
  • I now remember why I couldn't be a Catholic again.... I was invited to address the trainers for a sex education programme for the RC diocese here.  It is to help the young people who will be peer counselors be able to teach the chapter in their book.   No problem there – until I got the book!   The chapter is filed with very accurate pictures [sorry – line drawings] of male and female genitalia,  the responsibility of have a baby and all the terrible diseases that happen to those who have sex and closes with the promise [A Pledge of Abstinence] of no sex before marriage.   There was no mention of sex or any sex behaviours at all!   Now I am known for my ability to do and say things that might not be exactly what I think… BUT… this was just too much.   So Tony is going to do the presentation… and his only worry is that the Catholics are going to be too radical for his beliefs!  
  • Thanks for the assistance with my previous problem.  I thought the ideas so good that I shared them with my neighbours.  The man in the picture used to bathe naked with a bucket he dipped into the canal water beneath the boards in the sidewalk.  However, I told him that my son said he could also wash his underclothes if he left them on during his bath.   He agreed… and will stop in personally to see my son if he ever gets to Iowa.
  • As a counter point to the first student's comments, another wrote: "My first 20 minutes of entering and being in the morgue was pure horror and HELL.  The images of the bodies were very obnoxious.  Standing away from the bodies and seeing the morticians cutting them to take out the internal organs was gross, disgusting and frightening.  My first reaction was "What the hell am I doing here?"  After about 10 minutes I began to feel upset, scared and started to cry and felt like I was going to faint away. I left the area with the thought of never returning.....   Some of my batchmates had put on gloves and examined closely the internal organs of a woman and also her brain identifying various areas of them and relating them to what was talked about on class.  Seeing the way the doctors discussed the cause of death was the most interesting events apart from seeing the postmortems which was still horrifying."

Have a good week... John