Monday, June 22, 2015

Paradox



I find Kenya to be something of a paradox.  It is a place of immense beauty – the greenery, the flowers, the friendly & hospitable people, the spirit of perseverance, the widespread hope.  And yet, it can be a place of despair – the extensive poverty, the wide gap between the have’s and the have not’s, the devastation of disease, the lack of infrastructure, the widows and the orphans.  Just as in America, it is not either or.  It is both.  Good and bad.  Joy and sorrow.  Beautiful and ugly. 

It is my fifth time here.  I still am a foreigner and a tourist by most accounts, and I will always be a mzungu (white person/Westerner).  Yet there are moments when I am acutely aware of how my coming back matters.  My Kiswahili is very minimal, yet even speaking a few words instantly breaks down barriers.  I am better able to recognize and articulate cultural norms, and tend to see more similarities with the Kenyans I meet than differences.  Sometimes I stare at the world on a map and think of how there are so many places in the world that I want to visit.  And then I think how will that ever happen when I am always saving my time and resources for another trip to Kenya.  This is a selfish view, of course – one that is focused more on a bucket list than on God’s calling or building relationships.  Luckily, every time I return to Kenya, God changes my heart, and gives me renewed eyes.  I regain the ability to see His hand at work, and my small role in it. 
 
I realize taking on the mantra “small things, great love” or “dream big” runs the risk of becoming cliché.  Yet I find both of those phrases to be more than just a nice saying or something to put on a T-shirt.  In the grand scheme of things, the work Imani is doing in Kenya is small.  We are not eradicating diseases, alleviating poverty, or providing clean water.  Yet in our few days here, we have witnessed how small things can change the course of one’s life.  One of the boys who was given the task of killing Andrew, the founder/director of Makina clinic, was offered the chance to have a life outside of drugs and violence.  He ended up being our “bouncer,” showed us around Nairobi city centre, and works at the clinic as security.  We met a lady who is one of the home-care clients at Makina.  She is a widow, cares for 8 children, and is HIV+, but has been doing well on ARVs (anti-retrovirals, treatment for HIV) and makes a small income selling groundnuts.  One of the children we met at the Children’s Home was found in a sewer, but is now clothed, fed, and taken care of.  The trajectory of these individuals’ lives, and many others like them, are not small things.  By supporting places like Makina, Imani plays a role in these stories.

I am blessed to be here.  There are challenges, yes, but ones that I will gladly take on to be able to express to our partners and friends that we value the work they do and desire to have a relationship.  Sure, it is not easy to travel all the way over here, to arrange housing and transportation, to become accustomed to the time change, the food, the culture – but it really is the only way to live out the “partnership” part of our mission.  We often say we desire to “come alongside” the Kenyans, and it means something to physically be here.  To stand next to them.  To walk the roads they walk.  To eat the foods they eat.  To laugh together.  To share.  To pray.  To love.


To all of you following this, and to all of those supporting Imani, I say Asanta sana, Kiswahili for “thank you very much.”

Tuesday, June 2, 2015

Goodbye Craycroft

Well, it is over.  Somehow the past three years completely flew by, and I just cannot really believe it.  My co-workers completely spoiled me - a delicious, Mexican-themed potluck, a gorgeous and tasty chocolate cake Maria made, a thoughtful card and gift, and lots of laughs, hugs, and fake crying/whining :)  I love these people.  We have seen each other at our best and our worst.  We have met and cared for some amazing kids.  We have worked together in life-threatening emergencies. We have learned and grown into better healthcare providers.  We have attended funerals.  We have laughed, and we have cried.  Thank you for loving and caring for me until the end.  You are a hard bunch to leave.

Working on Craycroft (the name of the my unit, which houses a mix of oncology, hematology, nephrology, and endocrinology patients) was a gift.  It was a paradox most of the time.  Challenging and enjoyable.  Exhausting and rewarding.  Heart-breaking and life-changing.  There were nights when I left and cried the whole way home.  There were shifts where I left with my heart filled to the brim, unable to imagine doing anything else as a job.  But mostly it was somewhere in between.  One thing that never fluctuated was the support, encouragement, and teamwork of my co-workers.  I could not have asked for a better group of people to work with.  I know there will be nursing jobs out there for me, jobs that I may even love, but I will never be able to replace the people I have worked with.  The following is a collection of lessons learned, memories made, and a little humor (okay sarcasm) in between.  Disclaimer: If you do not work on Craycroft, you may not fully appreciate this.  

Things I Will Not Miss
  • A new fever in the middle of the night with a double lumen Broviac
  • Floating!!!
  • Working on nights when Starbucks isn't open and resorting to cafeteria coffee
  • When patients (or their parents) use the call light like a game show buzzer
  • Bedside monitors when they are completely unnecessary
  • Resident orders.
  • Calling certain doctors at night....I won't name any names.....
  • Getting a call from lab that you screwed something up
  • PEWS
  • The smell of Cefepime pee or C diff poop
  • When Meditech goes down
  • Upstream occlusion with bubbly fluids.  
Things I Learned

  • Sometimes there are no words you can say to the parents, but you willingness to stand there in that silence means a lot
  • Kids are incredibly resilient and do beat odds.
  • There is no good reason why kids die from cancer.
  • Patience.  Lots and lots of patience.
  • Teamwork and not keeping score.  You never know when you are going to need someone to help you out.
  • I am capable of far more than I ever thought I was.
  • Stressful situations magnify everything.   I have seen them bring some people together, and tear others apart.  
  • When in doubt, ask for a second opinion.  Or third.  There are no stupid questions (okay there are a FEW stupid questions :)
  • Having co-workers you trust and respect makes a huge difference.
  • Emergency situations suck, but they remind you that you really do play a role in saving lives.
  • Life is precious - don't take it for granted.

You Know You Work in Craycroft When....

  • you go to other units and cannot stand the beeping monitors and that everyone is on isolation.
  • the charge nurses are the best - willing to help out, available, and have your back.
  • it is normal for all the kids to be bald.
  • giving blood, platelets, and chemotherapy are daily occurrences.
  • only a handful of people are comfortable starting a peripheral IV because everyone has central lines.
  • you just have to laugh about families requesting "a room with a better view" 
  • the plan of care is dictated by the patient's hemoglobin, platelets, and ANC
  • you have attended patients' funerals.
  • everyone works together - answering call lights, admitting patients, responding to emergent situations, etc.
  • you have the best co-workers ever.
It's been a good go.  Goodbye Craycroft.