Sunday, September 12, 2010
Home Today?... nope.
My leg is back to normal, no more crutches and very minimal pain. The recovery has been so much easier than anticipated and I'm very lucky for things to have turned out as they did.
Molly and I went out last night and she treated me to a lovely dinner for my birthday and has been spoiling me all day today. We also just got a new volunteer this morning, a professional HIV/AIDS counselor from Oregon who will be a great asset to the program. Tomorrow begins my official GSC duties and I couldn't be more excited. I really hope, however, that these next 3 months go by MUCH slower than the first 2 which seemed to have just melted away.
As I mentioned before, Wat Opot has been really struggling to finance the community. Wayne gets money every month from the US government in Social Security and from being wounded in Vietnam, and literally every cent goes right to the kids. He doesn't own anything for himself and is selflessness in its purest form. For my birthday, please (only if you can) make a small donation to Wat Opot. Their website is on my blog.
Thank you and I hope everyone has a great Sunday :)
Wednesday, September 8, 2010
Back to Wat Opot
Virak, Rith, and Chai were so excited to have KAT back! Chai immediately climbed into my backpack, which is bigger than him :) Eventually I had to pry him out of it so that I could take it inside and he could go to bed!
This week at Wat Opot, I got a chance to practice nursing again. I administered my first pediatric IV (on the first try!!) to a child who had had a fever for 5 days and was incredibly dehydrated. The boy, Sompoa, was so good and did not complain at all. In Cambodia, and most third world countries, they use a strange kind of IV with no catheter, just the needle. When you first take it out of the packaging, its just a needle with a tube attached to it. It was like nothing I had ever seen and I was honestly very nervous, but I did OK. I thought for sure Sompoa would be in pain and discomfort having a long needle just sitting in his arm for 8 hours, but he didn't say a word. While staying in the hospice with the IV drip, I also had another patient, a smaller boy also with a high fever. Melinda set up her computer so they could watch movies like Finding Nemo and sleep. Another day I was called into the hospice where I found Wayne sitting with a boy from the community. The boy had fallen against a tree and a small branch went into his lower lip straight through to the other side. Being that it was a dirty and odd shaped object, there was a high concern for infection. It was extremely swollen after only about an hour. We cleaned both sides thoroughly and sent him home with antibiotics and peroxide.
During my first visit, I noticed that the kids at Wat Opot all had long and dirty fingernails. They also had a lot of mosquito bites that they scratch and infect. When we scratch mosquito bites with our fingernails, our immune systems kill off any germs that may enter the body, but the little ones with HIV have depressed immune systems and aren't as able to fight off infection. I brought back nail clippers and nail scrub brushes to clean the fingers and toes of the kids and hopefully reduce some of the infections.
I left Wat Opot on Friday to go to Ho Chi Minh City (Saigon) Vietnam. The older kids knew that I would be returning on Tuesday morning, as the latest bus on Monday to Takeo would leave after the bus arrived in Phnom Penh from Saigon. The smaller ones were worried when I came outside with my backpack to leave, and one even had me circle in his calendar (which I don't even know where he got it from) when I'd be back. Unfortunately, today is Thursday of the next week and instead of running around with them, I am sitting in my apartment. Since coming to Cambodia, I have been a feast for mosquitoes. They love me and I am covered in bites in various stages of healing. One bite, however, went to an extreme and got really infected. The irony is I just spent two days cutting fingernails of kids to avoid exactly what happened to me. The whole weekend in Vietnam this one bite was getting more and more swollen and red and when I finally got back into Phnom Penh on Monday night, the swelling in my entire leg was so bad that it cut off all circulation to my toes! I couldn't touch anywhere below my knee and walking was very challenging. I got some antibiotics and pain medication at a clinic in Saigon, but nothing was getting better. I went to an international hospital Monday night where I had a minor surgery to clean and suture the site. It brought pain to an entire new level, and the whole time all I could think about was little Sompoa. If he can sit there for 8 hours with a 1 inch needle in his arm, I think I can go through this, I said to myself repeatedly. It was awful, and the daily follow-ups and dressing changes are no walk in the park either. I'm now on crutches with limited mobility, waiting to get better enough to go back to Wat Opot. Until then, I luckily have my wonderful roommate Molly who's being a great nurse :)
This brings me to another important update... this should be my last week in Cambodia, and I should be boarding a flight on Sunday that's headed to DC. I have decided, however, to stay in Cambodia for an undetermined amount of time. There's still so much to be done and I'm not ready to leave. As I told my best friend Alyssa, I'm in no rush to go home and enter the real world when I'm living in the real world right now. I have big plans that I'll share as they develop, but now I'll go rest this bum leg and save my energy for the exciting months to come!
I left my card reader at Wat Opot so I am unable to upload any pictures except the one, but as soon as I get my things back I will definitely share more, even though I feel like I keep saying that over and over!
Thank you for checking in and I hope you have a great week :)
PS HAPPY BIRTHDAY TO MY SECOND MOTHER, SUSAN ANDERS XOXO
Friday, August 27, 2010
HIV/AIDS class
Christina and I spent Monday as a lesson planning day, modifying the curicculum I used in Tanzania this past January to fit Cambodian culture; from what foods to feature in the nutrition portion, to Cambodian statistics on HIV/AIDS prevalence and mortality. We made games, flipcharts, and student manuals, assuming that most of what we were teaching would be just reinforcing what they already knew. I didn't expect University educated Cambodians to have more skewed ideas about HIV/AIDS than uneducated Tanzanian villagers.
Throughout the week, we covered basic biology, disease progression, infected and uninfected body fluids, transmission, prevention, nutrition, health and hydration, life skills like communication and decision making, and empowerment. Because of the pre-test results, we were sure to reiterate whenever and wherever possible, that ANYONE can get HIV, not just immoral people like they seemed to think, and that you can't tell by looking at someone if they are infected, another question they failed miserably on. Teaching and discussing HIV/AIDS is a tricky subject because you want to convey that people with HIV/AIDS are just like everyone else, that they shouldn't be treated any differently and that they deserve to be respected in society, but at the same time you don't want to make it seem like its something to be taken lightly. In college I wrote a paper about HIV/AIDS in America, before I started traveling to learn for myself and teach others on the subject. In my paper, I discussed how America has dismissed HIV/AIDS as a serious problem. My generation learned about it once in school, but not really knowing anything about it, we don't see it as a threat to our society. We're not afraid of it and careful like we should be. As research for my paper I sent away for a magazine for HIV positve gay men. The magazine was full of ads for different HIV medications, most featured big strong men rock climbing or weightlifing, and one that I especially recall was a man breaking the ribbon at a marathon finish line. What do ads like these tell the audience? It implies that HIV is no big deal, take the medicine being advertised and you'll be fine, able to run marathons and climb mountians. Yes, people in the US with HIV are generally healthy due to proper nutrition and an availablity of medication, but the message being sent out is that HIV is a simple issue that can be easily taken care of with a small pill. The ads show that people with HIV are just like everyone else, but they lack the message that it is a serious disease. It's not an easy thing to discuss and teach, you want to make people accepting of something while trying to scare them from it at the same time. We're trying to make the sudents understand that it's a terrible, lethal infection that they should be extremely cautious not to contract, but also try to get them not to treat those infected any differently. Easier said than done.
This week we taught two classes, one in the morning and one in the afternoon, both of similar ages and background knowledge. The translators we used had a difficult time, and that aspect was much different from Tanzania where we had fluent English and Swahili counterparts, but we made it work. Each class asked great questions and we made sure not to progress until we were certain they understood. The post-test scores came in yesterday and reflected a big improvement in knowledge. Like in Tanzania, we talked about how they can share what they have learned with others to spread awareness and reduce stigma. Knowledge + Attitude + Skills = Behavior change, not just in themselves but in others.
While I wrote this, I got to talk to my sisters Amy and Alyssa :) Love you girls and I miss you XOXO
HAPPY BIRTHDAY TO MY WONDERFUL MOTHER, DIANE, AND MY FAAAABULOUS BROTHER, DAN <3 <3 <3 Love you two and I hope you have wonderful birthdays!!
I'm leaving tomorrow to go back to Wat Opot for 2 weeks!! There is limited internet in the office, so I will try to post pictures and write about the children while I'm away. In case I can't post before my return, I want to plug in that my birthday is September 12 and if you REALLY REALLY want to do something for my birthday, please go to Wat Opots website posted on the right-hand side of my blog and make a donation to their paypal. Every cent goes directly to the kids and running the community, and the private donations they rely on have slowed down significantly. Thank you :)
Monday, August 23, 2010
From Kat to TeachAH
Me with some of the students before dismissal.
At this school, I had two roles. My first role was that of "TeachAH" of English and mathematics. Instead of calling their teachers Mr. or Mrs. LastName like in the States, all of the children here just call their teachers, teacher. With their pronunciations, or lack thereof, they said it so cute and it never got old to me one bit! As an English teacher, I covered pronunciation, spelling, grammar, and vocabulary per their curriculum. Math was simple addition and subtraction (LUCKILY for me... and them!!). My other role, together with Christina, was nurse. For a few hours each day, we conducted basic check-ups on each student one by one covering all basic systems, vitals, and health history. Healthcare is expensive in Cambodia, and many of the students had never seen a healthcare provider ever in their lives. The kids for the most part were very healthy. The bottom of each child's sheet (which will be kept on file in the school) featured a section for Follow-up Considerations. For most we noted dental hygiene education, one child had a faint heart murmur which we reported to the Director to ensure follow-up with the family, and a few children had noted visual impairments. One little girl stated, via translator, that she kept having daily headaches that always started half-way through the school day. We asked if she could read the board during class, she said yes. We then asked her to read a poster that was only about 10 ft away, and she couldn't do it. It wasn't until someone had asked her to read something right then as a test did she even realize she couldn't see well. The only thing is, I wondered whether or not her family was in a position to be able to get her glasses or even a more official eye exam. Since most of the children had decaying teeth, we implemented a dental hygiene program. Each morning and afternoon we taught a different class about teeth brushing, why its important, how many times per day, which parts to focus on, how much toothpaste to use, etc. It helped that I taught dental education to kindergarten classes as part of my community health clinical just before graduation this past spring. I think it was effective, and we have asked the teachers to ensure follow-up with the students on dental health.
The little tiny boy is the brother of the kid behind him. He is too young to attend school, but refuses to be without his older brother. He follows him to all of his classes and just sits next to him patiently. They love each other so much, and it made me miss my Amy!!
Last weekend, the third GSC volunteer arrived in Phnom Penh. Molly is a 23 year old recent graduate from Santa Clara with a degree in public health. During her orientation week, she spent some time with us at the school. Her orientation also featured a day trip to Wat Opot and I got to go! I was in heaven and loved every second being back with the kids. My shadow Srey Nith, who I mentioned in my last blog, has started getting a bad fungal infection on her head. She had had one before that was healing, but now is back. It broke my heart to see her head with oozing open sores, but she was the same little happy goof ball. Love her :) I can't wait to go back there this weekend!!!
I have lots to share about my last two weekend adventures. One weekend was spent in Bangkok, Thailand and the other in Sihanoukville, Cambodia on the Gulf of Thailand. The former was a cheap, spontaneous trip, the latter was included in our GSC program fees. Both weekends were so much fun and I'll be sharing about them in my next post.
I hope that everyone who's going back to school in the next few weeks has a great start! Thanks for checking in, and have a wonderful day :)
Thursday, August 12, 2010
Wat Opot
Thursday, July 22, 2010
It's already been a week?!?!
So Tuesday started off pretty smooth, and I assumed it would be a typical day in Cambodia… but I was so wrong. I generally consider myself to be a pretty adventurous person, but never ever in my wildest dreams have I imagined doing something as daring, as risky, and as adrenaline-pumping as I did on Tuesday. Ok, so there I was having lunch with the Director of the school and his wife when she asked me what was in the neighborhood of my apartment. I replied that I had seen a coffee shop, some nice Khmer and foreign restaurants, a bookstore, a pharmacy, a salon, and casually mentioned that I thought about stopping into the salon for a haircut while I was here (but not seriously), and that was it. Game over. As if I had said I needed emergency surgery, she urgently sprang up and said she had a friend who would just love to do my hair!! Before I knew it, she had made me an appointment in 20 minutes and asked her husband to drive me over. Half of me didn’t have the heart to decline especially with how excited she was about it, and the other half was curious as to how this would end. I arrived at the salon and was escorted to a chair by the owner and presented with a “book of style” to pick a cut. I flipped through the pages and the worried feeling in my stomach grew with each page flip as the styles got worse and worse. Finally, I took a deep breath and thought to myself, “this is going to happen and there’s no point stressing over it. When In Cambodia. Just have fun. Go with it.” So I did just that and asked for just a trim, showing her that I just wanted about an inch off. 10 minutes and a heap of hair on the floor later, I looked in the mirror to see my mop/mullet/puff/Ally Sheedy in the Breakfast Club look for the first time. Some of my hair sits on my shoulders, but most of it comes right to my ears. It’s interesting to say the least but you know what, the smile on her face after I put my thumbs up and said I loved it was enough for me. Hey, it may not be the most stylish look but it was the most fun haircut I’ve ever had.
After I got all beautified, Sophy took me to a temple to learn about Buddhism, and then we went to a meeting with the director of Friends International. This NGO is an amazing organization that works with street children to give them resources to better their lives. They have helped over 2,000 Cambodian children get off the streets by providing education, vocational training, and employment opportunities. Tourists who come through this and other cities take pity on child beggars and children selling things, when the truth is the children rarely benefit from donations. There is almost always someone above them who will take all or most of the money. This is why you should never give money to street children even though it breaks your heart not to. You’re just fueling the cycle and making it worse for them instead of making their lives better. This is why NGOs like Friends International, and the school I mentioned earlier are such wonderful organizations. They are doing something about the problem and giving the poor youth of Cambodia brighter futures.
Yesterday and today were spent learning Khmer, visiting schools to assess their educational needs, and touring Phnom Penh. It’s interesting that I so far have only had one negative experience in Cambodia (no not the haircut) and it was with an American. I went to a school this morning to meet the teachers and find out what the educational needs of the school were and was treated terribly by an American teacher, a man probably in his 50s. This brand new school is operated by the CSCS (Cooperation for a Sustainable Cambodian Society) and I was asked to provide first aid and basic child health and hygiene training to the teachers as well as whatever they wanted to learn. He yelled at me for interrupting his schedule, though I was sent there by his own organization at that time, and tried to put me down in front of the other teachers. Lucky for me, I’m still in my haircut mindset of SO WHAT. I brushed him off; if he doesn’t want to learn it then he doesn’t have to come to my training. The other teachers were very nice, so despite his sour behavior, I’m looking forward to returning.
Tomorrow I am going to Wat Opot and I could not be more excited!!!!!!!!! I posted the link on the right hand side of the blog page if you want to check it out. This is the orphanage that I told a few family and friends about that was opened by a former US Marine that cares for orphaned children, and adults incapacitated by AIDS. This should be a very life-changing experience that I look forward to sharing when I get back. I’m going about an hour outside of the city with no internet connection, so check back into my blog on August 6 when I return.
Thank you to everyone who is actually reading this! And as always, THANK YOU again to everyone who offered their money, prayers, and support to get me over here. Have a great day and a great 2 weeks :)
PS Sorry about the lack of pictures, I'll be sure to post some in my next entry about Wat Opot!
Sunday, July 18, 2010
Day 1
I got settled into my air conditioned (!!) hotel and got, surprising, a great and refreshing night’s sleep. Sunday morning I got up and set out to explore the intriguing Phnom Penh- but don't worry Dad, I didn't wander far from the hotel by myself. I managed to get a phone and SIM card and lunch without speaking a word of Khmer. Most people speak at least some English, but those who speak none are still very nice and try to help. In the afternoon, I had a visitor at the hotel- Sophy, the GSC Cambodia In-country coordinator, who came to move me to apartment where I will be staying during my time in Phnom Penh. Sophy is very sweet and smart. She has a degree in Food Technology and studied HIV mutation in a laboratory in Phnom Penh for 2 years before taking on this job with GSC. The apartment is a spacious 2 bedroom unit with a wonderful balcony. I will be living here alone until another GSC volunteer arrives in August, which normally would terrify me, but private security guards monitor the street and there are residents above and below me.
Today, Monday, began my orientation week in Phnom Penh and was focused on Cambodian history, especially the Genocide. We first visited Tuol Sleng prison which was a secondary school converted into a prison during the Khmer Rouge regime. The classrooms had been converted into cells and torture chambers. We walked through the rooms that were covered in pictures of the victims, as well as actual photographs taken of the prison during its use. Anyone who is not familiar with the Cambodian Genocide of the 1970s should research it because it is really worth studying. Between 2-3 million Cambodians were killed during 4 years under Pol Pot. The devastation is being felt even today, and families are still grieving. Sophy’s parents both survived the Khmer Rouge, but her grandparents and all other family members were killed. We never learn about this in American schools, and while I understand there is a lot of world history to cover, I feel that this is too significant to skip over.
After visiting the prison, we traveled 15 km south of the city to the Choeung Ek killing fields where 20,000 prisoners from Tuol Sleng were taken to be killed in mass graves. Seeing this place was very disturbing and numbing. I won’t go into much detail, but the kinds of things that these people did are just beyond sick. Some of the leaders are just now being tried by the UN but no sentence will make up for their actions. In 1980 some of the mass graves were dug up to find and count remains. Over 8,000 bodies were uncovered before efforts ceased, though only about 60% of the graves were explored. A monument was constructed at the site to house the remains in 17 tiers. The bottom tiers that were visible to us featured countless skulls that left an unsettling feeling in my stomach.
When we were still at Tuol Sleng, Sophy pointed out a man to me who was sitting on a bench in the prison courtyard and shared with me his story. He was a prisoner at Tuol Sleng and was sent to the killing fields. Standing in front of the mass grave, a Khmer Rouge soldier hit him in the back of the head and knocked him unconscious into the grave below. He laid unconscious all day and the soldiers assumed he was dead, but during the night he came to. When he realized where he was he quietly looked around to find no guards present, got out of the grave and escaped to the forest where he hid until the regime was over. He is one of 7 people to survive Tuol Sleng and today sits quietly in the courtyard and reflects.
My first day orientation day in Cambodia was jarring, yes, but has already made me appreciate this culture so much. It’s been only 31 years since the Khmer Rouge lost power and in that short time, this country has come back to life. In 1979 there was no religion, no education, no economy, no electricity, no family networks, nothing. But here they are 31 years later, alive and thriving.
I found free Wi-Fi at a coffee shop down the street close to my apartment, but it’s starting to get dark so I better be getting home. I hope everyone has a great day, and thank you again to all who helped me get here :)