Bits, Bites [including bran] and Big Thank You's... and Reconstruction - Erv's Nose and the Hospital Plant

Joy! Joy! Joy!   

I remember many years ago one of my children was having a terrible time with Genetics in university and had to wait for the final mark to arrive in the mail.  There was a Happy Happy Joy Dance on the kitchen floor after reading the report card.   Well, the first year students were equally excited about their new laptops!

It has taken a while to get everything organized, so the students could use the computers immediately.  Most of the setting-up, modifying, adapting, etc. [for example we loaded a free virus software and Open Office] was done by Dr. Tony.   I knew he was in charge because he was always yelling at me about something, e.g., "Now you have really screwed it up."   He did praise me, though, as being an excellent "dummy" to discover the problems...

On Tuesday morning, we borrowed the morgue trolley to transport the computers to the classroom.  Earlier we had distributed and explained the contract.  Basically, the hospital owns the laptops until the student graduates in 3 plus years with an RN and then the computer belongs to them.  There was no student who owned their own computer, though several had home access through a parental one.

Tony showing muted amazement that we were ready to distribute the netbooks

John handing out the computer boxes

The computers [netbooks] that many of you donated some dollars towards are from a company in China, Hongkong Fortruth Technology Co., Limited.   They are 10" netbooks in five colors, 1 Gg Ram, 250 GB Hard DD, Wifi card, etc... The costs per unit were approximately $210 US, including shipping.  All the computers are working satisfactorily ..... Amazing!

It was Christmas in September when we arrived at 11 am.   As we distributed the boxes, there was so much expectation in the room it was electric.   We tackled the most important task first ..... Choosing a color!  If you wanted a different colour you had to swap with someone who wanted yours ..... and the next miracle of the day was everyone got the colour that they had wanted!

Tony and I had spent the previous afternoon setting up and locking the router and extension cords in the classroom.  Now they could take it out of the box and record the serial number on the contract.  Then, Tony led them in a step by step process in a way that only a true obsessive can achieve...  Small problems, but no major difficulties; all the students were soon online with their own accounts.

Red, Yellow, Black, Pink, White

"Yours looks exactly like mine."

 

"Do you think Dr. Tony and Rev. John will know we are on Facebook?"

I have written many times before about the gratitude of the Guyanese students and on Tuesday it was overflowing.  They wanted to write THANK YOU! notes to everyone...  It meant that I had to find snail mail addresses.  So they are writing as I write this.  I don't think I missed anyone, but if you do not get a note within a month tell me and I'll get another one written to you.

Speaking of "Thank You"s, we cannot forget a couple more:   Guyana Christian Charities Canada through whom the overseas purchase was completed, and who along with the Sisters of Mercy of the Americas issued tax receipts to all who wanted them; and, finally,  Mr. Taju Olaleye who shared his shipping company as well as his living space to store all the computers till we arrived. 
Also, we have furnished the Internet Cafe at the School/Hospital with three large laptops for student and staff use.   The computers that we [I use the "royal we", as it was Tony mostly] had rebuilt, did not fare well in the humidity and heat even though the cafe is air-conditioned in the daytime.  The three new ones will be enough along with a few that had been donated from other sources.

Peace Corps Grant Computer

Anonymous #1

Anonymous #2

Two were received anonymously from Canada and one was from a grant by the FROG group of the Peace Corps.  They are present and past Peace Corps volunteers who had made the grant available.
The future work/study that these students will do will be the judge of the benefit of your sacrifice to make these donations possible.  I know that as their teachers, Tony and I are very grateful.

Speaking of Tony:  there is now a bran shortage in Guyana; major supermarkets have reported barren shelves where there were various packages of bran cereal.    The papers have indicated that it may be speculators in bran futures, drug cartels hiding the merchandise in boxes no one actually uses, or someone has been building a two story home made entirely of bran.   The answer is  -  it's Tony!

Morning Mound [for perspective:  that is a serving spoon and platter].

One of our bran shelves in the kitchen.

Finally, and probably most importantly...our colleagues, Dr, Malika Mootoo, a Mercy Pediatrician; a nurse, Dianne Daly, just starting to teach a critical care certificate course, and Dr. Erv Janssen, the senior statesmen of volunteers to Guyana, were involved in a car accident on Tuesday night.  They are all recovering; Dr, Erv took the worst of the collision and has been a patient at Mercy Hospital since then.  He has had some bruising and a broken nose that refused to stop bleeding, so required surgery early Wednesday morning to pack his nose. 

Who is this Masked Man?

 And then on Thursday, to cheer him up, we gave him the opportunity of teaching all the first year students in his room.  I had spent some time with them to get a couple of questions, but there was no need!  Erv was in good form and might still be teaching except that the students had to go home.

Always a teacher...even when on the "other side".

In the picture above, there is a sculpture on the wall - coloured balls.  Tony bet me I couldn't make up a story: So  just so you know, it is The Three-Eighteen Helix, a human gene that is responsible for human caring and it is commonly known as the Dr. Erv Janssen Gene...  The students were in awe of such a great man; however, Erv being a Good Lutheran and  overwhelmed with the need to tell the truth, said, "No, none of that is true!"  At least it was a good story.

Yippee! The CEO's new office

May I have a "finally" finally?  The shack above is a most welcome site at the hospital as it signifies the start of the rebuilding after the Fire of May 2010.  Much more in following blogs.

More than enough; thanks for coming with me.

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 Guillain–Barré 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