Saturday, October 31, 2009
My New Talent.
Thursday, October 29, 2009
All the way from Ecuador...
Tuesday, October 27, 2009
things that i miss.
Saturday, October 24, 2009
kids.
Wednesday, October 21, 2009
"have faith in the medicine and you will have visions."
Voz Andes y Casa de Fe
Monday, October 19, 2009
Maricoa, Tobacco, Usano, and Jaguars.
Day Two: The Sacred Waterfall
More on Day Two this evening, as I'm about to go to Dr. Torres' office to learn about various vector-borne diseases (malaria, chagas, leishmania). But for now, a photo-preview.
Sunday, October 18, 2009
Photographs.
Oh, La Selva
There has been much that has happened between my last visit at the Hospital IESS in Quito (this entry wasn't particularly well written I'm afraid...again, my sincerest apologies) and today, October 18, 2009.
One big difference between then and now is that I've entered, survived, and come out of the Amazon. Mind you, this isn't like camping in the Angeles National Forest or Yosemite. For reference, I've been told that both Bear Grylls (Man vs. Wild) and the guy from Survivorman have attempted episodes in the Amazon and only one of them made it through the entire night/episode. That being said...
La selva (the jungle) was by far, the best/worst/most ridiculous/hardest/most rewarding/craziest thing I've ever done.
Tuesday morning, having packed a small bag of clothes, insect repellent, a toothbrush, and other "necessities", I took an hour long bus ride to a small town called Pitirishca. I am surprised the bus stops here because literally, there is one store that sells coca cola and four houses. Try googling it.
From one of the houses, Ramon, our contact, appears. We make small talk. His daughter, Veronica, and his nephew, Rivaldo, will be our guides into la selva where we will stay with his brother's family in their small community. Excited and not quite sure what to expect, I happily follow along in my wellies (jungle boots) wearing my fake "FBI"-branded jungle pants that I bought in Ecuador for 9 dollars. Ten minutes into the four and a half hour hike, it becomes alarmingly clear that none of us knew what we were getting into. There. is. mud. everywhere.
Not just playground mud. MUD-MUD. Knee deep mud. Mud that sucks your boot into its depths so tightly that your (and by your, I mean my) foot comes flying out of its gear and lands boot-less into more. Mud. I now come to terms with the fact that my small 10 pound bag will feel like it weighs 60 pounds for the majority of this adventure. That this hike is going to last nearly 4 and a half hours. That the first 2 hours are all uphill, nearly to the point where the four of us are on our hands and knees climbing up rocks. That the biggest spiders and scorpions I have ever seen are under every leaf. That I have never been so filthy in 22 years of my life. That our guides are trying their hardest not to laugh because, according to them, without gringos this hike takes them under 2 hours. I am in way over my head.
We take breaks, blaze through our water, and somehow, miraculously, on top of one of the many heights we scale, nearly four hours and fifteen minutes later, Veronica smiles and whispers something in Shuar to Rivaldo. The 11 year old boy lets this ethereal call escape from his lips. It sounds like a wolf howling and it's one of the most beautiful things I've ever heard in my life. Veronica and Rivaldo wait, listening. And sure enough, a howl in the distance.
We're close to the community and these calls are how indigenous people let each other know that they are approaching and that they mean no harm. (The Shuar are a tribe of warriors and, traditionally, would simply spear anyone who approached as a preemptive strike).
Emerging from the tree cover of the jungle and onto slightly flatter, drier ground, the Ecuadorian sun burns down on us. We see the hut and I almost cry from relief. There are chickens and ducks running about and a green parrot sitting on the grass roof of the hut. A small group of impossibly tiny children surrounds us in seconds. They are quiet, shy, keep their distance, but are always, always looking curiously with bright eyes.
Monday, October 12, 2009
Hospital IESS Continued
So, to be honest, I didn’t know if I could finish out the day at Hospital IESS. It was incredibly stuffy in the hospital and paint was peeling and curling off the walls on top of the patient beds. Their names weren’t important, only their conditions and surgeries. Open electrical sockets and light fixtures laid their claim on every wall. A janitor was sweeping dust off of the floor, collecting an extraordinarily large pile in front of the stack of patient meals. The one thing I remember thinking was this: do NOT get sick in Ecuador, this is where they will bring you. It was a selfish, bratty, privileged thought, but to be honest, with what I’ve previously been exposed to, Ecuador seems like a “third world” country (I know some of you take issue with that term, but for lack of…) I think back to the US, with our nice, sanitary, shiny hospitals. They may not be terribly welcoming, but you at least feel hopeful that you will get better. Here, I look at Senor Lava (pronounced lay-va) and I can’t help but notice the look of absolute misery in his eyes. I don’t blame him. He’s been in various hospitals for over 2 months, had undergone two surgeries, and met me on his sixth day in Hospital IESS with a list of various complications on his chart. Dr. Jimenez explains to us the difficulty that he’s experienced with Senor Lava—leakage of pus into his abdominal cavity, ruptured intestines, carcinoids (which, from what I gathered, he had to look up on the internet to figure out). At this point, I thank God for Eve and James, who seem to understand every word. Medical Spanish, like I said, is more like Medical English than actual Spanish.
They explain to me that back in the US, in the clinic, they’ve seen at least 10-15 carcinoid tumor cases. This was a first for Dr. Jimenez, not because of his ability or inability (he seems like a very capable doctor), but because carcinoids mainly go untreated. When Dr. Jimenez lifts up Senor Lava’s shirt, I’m sure I’m about to faint. He has a large bandage wrapped around his belly with a bag intended for draining his cavity of pus-blood. I handle myself.
Today, Dr. Jimenez only has 2 patients—the other is a simple ruptured appendix. Dr. Jimenez assures us that this is routine, no problem. His main concern is Senor Lava. Afterward, he talks to us a bit about competition in the hospitals and how it can be good, when it is used for patients and not for the self-importance of the doctors. He talks to us about ethics. He wishes us luck. And I leave Hospital IESS with a lot of food for thought.
What kind of commitment do you make as a doctor? Through medical school, how is it possible to know enough to make the right kinds of decisions? How can knowing what the patient is feeling or going through make you a better (or worse) doctor? I don’t know these answers yet, but at least, now, I’ve asked the questions.
So, no one told us where the toilet paper is supposed to go.
This post is dedicated to the cultural questions, misunderstandings, and mistakes Adrienne and I have both made while in Ecuador. Intrigued? You should be.
- Nothing is open on Sundays. Nothing. No lavanderia, no museos, no cafes con internet. Nada.
- This next fact requires a bit of storytelling. So, Eve, James, Adrienne, and I are walking towards Av. America to catch a taxi to Quito Viejo. Eve mentions that, apparently, there is a curfew in this neighborhood at 7 pm. I think, curfew, at 7? Why? Someone says something along the lines of, protests about the rights of the indigenous people, it makes sense. On our walk, a sign is pointed out: “Horas Nocturna”. And indeed, it says something about this neighborhood, 7 pm, and it looks official with a logo that looks like its from el gobierno. Adrienne, who majored in Spanish at Temple, glances at the sign and nods. It’s confirmed. Curfew. Which is a bummer because apparently Quito has a lively night life with coffee shops, movie theatres, and restaurants. Fast forward 6 hours later, when we return to our homestay and lament about this strange protest-induced curfew. Curious, Adrienne asks Francia, who, very wise at 78 and leaning against her baston (cane), gives us a puzzled look, “Ehhh, que se dice? Donde ve?” Then suddenly, both of us remember seeing “basura” on the sign and we run out to the street (the sign is just around the corner) to make sure. No, no curfew. But now we do know that trash is collected at 7 pm every night.
- Dolor y Dollar are pronounced very differently (which I am apparently not doing well enough) because a women corrected me in el mercado. Fair enough, but when I say it really fast, it sounds the same to me! Must fix this. I can’t be telling a guy I’ll pay 10 hurts for his painting.
- Question, what is with the ku klux klan statues and posters everywhere? To be clear, nothing is racist about these except for our own knowledge of its connotation in the US. They are simply men (maybe women?) in klan hoods and robes in blue or black. Perhaps it is a religious thing?
- Security guards for parking lots carry guns. Just small pistols. I’ll let you guess what the police men/tourism security carry. (Hint: shotguns). It’s a little disconcerting to say the least.
- And now, to the stunning finish. I would have thought that someone would have mentioned that the pipes in Ecuador are muy delgado, or skinny. Meaning that, when Adrienne attempted to use the facilities this evening, to her dismay, the toilet would not flush. I only find out because she walks into my room, wide eyed and asks, “Sarah, have you been flushing the toilet paper down the toilet?” I reply yes, of course. “Francia just said we’re not supposed to do that. I’ve been doing that this whole time!” O dios mio. There is no plunger. Francia is not fazed, she says that she’s been meaning to put up a letter in the bathroom so people know. Adrienne and I are sitting in the kitchen, mortified and so sorry that we had clogged this poor woman’s toilet with toilet paper. She disappears for a moment and comes back with a wire hanger, determined to fix the problem. Her nieta, Monteserra, (la hermana de Constanza) who has visited with her Grandmother for the evening, is quite handy, opening up the upper tank of the toilet and declaring that the piolo has been cut. She fishes out plastic string from the courtyard and fixes the problem. Adrienne and I are relieved, but still feel very bad. Then I ask Adrienne, “So. Then. Where are we supposed to put the toilet paper?” In the trashcan. This raises other issues for me, mainly about sanitation, but I’m not going to judge. That’s just the way it is here.
Wednesday, October 7, 2009
El Hospital IESS
I still need some time to process everything and will most likely have more to say at a later time, but for now, I want to tell you what I saw. I want to be able to remember tomorrow, because I suspect that even 24 hours will find me caught in another new experience, another whirlwind.
The taxi quickly takes us past la puerta de urgencia (where we are supposed to meet Dr. Jimenez) and drops us off unceremoniously at the wrong door. Our first task: navigate the hospital and meet our doctor at the correct door, on time.
It is surprising how far a white coat and a name tag will take you in an Ecuadorian hospital. There are police and security everywhere, but they merely step aside and allow three grigos and one asian girl to pass. We try some doors--no luck. In a second attempt, we turn a corner, down a long hall and are met with possibly the longest line of people I have ever seen, waiting patiently for a clinic to open. As much as I look at them and wonder what they are doing, what problems they have, and how long they´ve been waiting, they look at me with an equal amount of curiousity.
We take the back way and end up inside the emergency room(s). No Dr. Jimenez. Confused and overwhelmed, what I remember most about the hospital, in this moment, is the smell. I know people remark on the unique smell of hospitals all the time, but there was this strange stale musty-ness to the place. I didn´t know if I could last the four hours.
We wait and, as our group sticks out SO much, Dr. Jimenez finds us before we find him. Greetings, nervous laughter, we follow him up to the third floor: surgery.
He only has two patients today and as such, our visit will only be for about an hour rather than 4.
A side note here: medical spanish is NOT like conversational spanish (much like medical english is not like conversational english).
So, Dr. Jimenez, an extremely generous man, lifts up the first patient¨s gown to reveal a bloated belly with a bandage and a colonstomy (sp?) bag. I don´t know what I was expecting, but my stomach turned a little. This first patient didn¨t really bother me so much, but what else would I be seeing? What else would I be asked to touch, to feel?
Overwhelming to say the least...
(I will continue this later, as I am with some other students, visiting Mariscal today.)
Tuesday, October 6, 2009
Ñ=
This being said...please forgive me for los typos. It isn´t me, it´s the keyboard. I promise!
Quito is a Sausage.
I laughed when I heard this, and, as nervous as I was, began to relax na little as Constanza and her Brazilian boyfriend, Marcos, pick me up from the airport. They assure me that my SPanish is, in fact, very good, seeing as how this January, Francia had two students from Australia and Hong Kong, neither of whom spoke a lick of español.
Bueno. ¿Porque Quito parece una salchicha? (I am guessing that salchicha also doubles as slang for something else, because Marcos gives a huge guffaw to hear his adopted city described as such). Constanza chuckles.
She explains in the dark, as we drive past buildlings and signs (which remind me of downtown LA) that Quito is surrounded to the East and West by a large mountain range and volcanoes. Pichincha is the name of the mountain range and the volcano is called Guagua Pichincha (guagua is pronounced wa-wa and means ¨baby¨in Quicha, an indigenous language). Because of Pichincha, the development of the city has stretched along the North and the South, como una salchicha. Quite narrow and long!
Marcos and Constanza give me a small tour of the city or, at least, the part of the city that I need to know to maneuver myself through the next few days. There is not much I can see in the dark, except for the illuminated signs of the McDonald´s, KFC, TGI Fridays, and yes, Tony Roma´s. Ecuadorians apparently love their American franchises. Also there is a Chinese restaurant (Chifa) that is owned by Koreans. Note to self: will eat here later.
Finally, I arrive ¨home¨. The neighborhood is quiet--everyone here apparently sleeps, as Constanza puts it, from 10 to 10. Marcos grabs my bags, assuring me that they are not too heavy (they are). ANd the three of us make small talk about the practicality of my two bags as we wait for Francia to answer the door.
She doesn´t.
Constanza peeks through the window and giggles to herself. She says something in very fast spanish to Marcos and he, again, guffaws. ¿Que tal? I ask.
Francia has fallen asleep in the back room, in her chair, with the TV on. I look for myself and see the tiniest old woman stooped over. When standing, she reaches the bottom of my chest. Adorable.
We let ourselves in, I introduce myself and share photos of my family. (Mom and Dad, they all think you look too joven to have a daughter as viejo as me. In fact, Francia asks me, ¨Tienes tres hermanos? D0s hermanos (Dad and Jon) y una hermana?¨) We laugh a lot.
And then, I feel incredibly dizzy. La altitud, Constanza says.
Yep, I have altitude sickness. Just some nausea and light headedness so far, nothing too severe. Walking up the steep hills of Quito and Old Quito are not just daunting because of the necessary leg work, but, due to the altitude, I feel like an 80 year old woman, winded and heart pounding. This, of course, is getting better with each passing day.
Walking up and down the streets is an experience in and of itself, by the way. The other students keep telling me about the huge asian population they read about in their guidebooks, but, gathering from my non-encounters and the looks of people off of the street, that doesn´t seem to be the case. Little kids on the street shout out, ¨Grrrrriiiiiiiiiiingoooos!" to the other students, but only stop to give me stares. It was alarming at first--I had wanted to ¨fit in¨, but clearly, that is NOT going to happen. So now, I´m embracing my super-tourist persona. It´s much easier to impress people with my Spanish and (thank God) everyone speaks much more slowly. I know I have to be extra careful, because I stick out like a sore thumb, but so far, no problemas.
While the altitude sickness and the asian invasion were bummers, my room is cheerful and bright. It is painted a peachy yellow with a dresser and mirror and a large clost. I do have my own room, though there are two beds. When I lay down, I feel as though I am in a hammock. There are daffodils on my sheets--they make me smile.
And perhaps, friends, this is where I should leave you for the time being. There is much more to say and write, but another time.
--Sarita.
Friday, October 2, 2009
Antes de Ecuador.
It's a first, but it comes as no surprise since the small, quiet moments of my days this week (showers, dishwashing, staring blankly at the computer screen, etc.) have been dominated by one-sided conversations (this sounds better than "I talk to myself") designed to ease my nerves about speaking en espanol y solo espanol por dos meses. These conversations go something like this:
Hola.
Me llamo Sarah.
Como esta?
Mucho gusto!
And then, getting braver...
El vuelo fue muy largo pero bueno, gracias por preguntar.
Perdoname, repita por favor? Mi espanol es todavia no muy bueno.
Este pais es muy hermosa y la gente son muy agradables.
Ojala que...
And this is where I start to panic, because I know that I have to conjugate into el subjuntivo, but I've completely forgotten how. Then I remember that I'm forgetting MUCH MORE: mandatos y imperativos, el preterito y imperfecto, los pronombres, basically, dios mio.
So, that's how I've been for the last week, in between packing, overpacking, repacking, looking at pictures of Ecuador, and realizing how surreal it all is as I'm washing down my first malaria pill with a swig from my portable water purifier (which tastes slightly of iodine).
Six months ago, two months in Ecuador seemed like a cake-walk. Now that my flight is tomorrow, I'm a 5'8" bundle of nerves, excitement, hope, fear, and vaccinations.
Nerves: What if everyone makes fun of my Spanish? Let's be honest, it'll get an A in class, but it is "le suck" for the real world.
Excitement: I can't believe I'm going on this incredible adventure. I've always wanted to travel alone and now, I am! My Spanish is going to be so much better! I'm going to meet so many people and try so may new things!
Hope: I hope I learn a lot about the Ecuadorian healthcare system. I hope I get a really good feel for clinic work. I hope to come back changed. I hope the sights take my breath away.
Fear: Don't get malaria, don't get malaria, don't get malaria. I hope I don't do something that will completely offend my homestay family. I better not lose my passport. What if I get pickpocketed?
Vaccinations: Hep A, Hep B, Flu, Typhoid, Yellow Fever, Rabies. Check.
Deep down, I know that everything will be okay. And I've grown used to the fact that I have no idea what to expect...except that I will miss my family and loved ones terribly. In fact, I miss you already.
So this is me, in all my earnest, before Ecuador. Wish me luck and I'll see you when I get back!
In the meantime, some fotos of where I'm going, even before I get there.