Wednesday, October 31, 2012

AND AWAY WE GO!!!


The walkway to PT
(PT room is on the right)
OK....I was told things move very "Polan, Polan" Slowly-Slowly here. Well...that is ONLY if wrought by human hands. Apparently, God has heard the cry of the children and has put the rehab renovation into fast forward, not to mention a whole handful of other projects at the same time! 

Yesterday, the mason came by to talk with me about what I needed. The crew showed up an hour later to begin the work and I hadn't received the estimate yet!  Father Raymond approved the supply costs though this was all the estimate was for (not the whole project as I had hoped). I realize now they do things in sections. I have no full estimate of what this is going to cost in the long run. Apparently we haggle the labor cost AFTER the fact. HMMM... now I know why many houses are started but rarely finished here...it's all starting to make sense! HAHAHA. I was a bit panicked about this today BUT realized I have to have some Faith. I will be sure to maintain some common sense and I can be a tight negotiator when I have to be. Father Raymond will also help with this. 

PT room looking towards the door
I was planning on taking nice pre, during and post pictures especially before the project started. I had to scramble today to take the PRE pictures. They are rather dark as we had no power for lights and it was a cloudy day but you can get the general idea. The larger room is about 19 X 22 and the smaller room is 9 x 10. Nice size for what we need to accomplish. 

I also met with a metal worker this afternoon for making a mat table (quote expected tomorrow...hopefully he has not started making it yet!). I had planned on making this out of wood but was quickly discouraged by Father Raymond, who is in the know about these things. Wood does not last long in this environment. This is a GOOD piece of information to find out! We will have a smaller one made for the smaller treatment room/office.

PT room (sans clutter) 
The small room will house a table and file cabinet for the PT’s. There will also be a smaller mat table for sensory integration/cranial sacral therapy work and Speech Therapy/communication.

The equipment that we will need to either fabricate or purchase will be things like: floor mats; parallel bars; bolsters and wedges; therapy balls; standing poles and a standing wall ladder. We also need a few standing frames (yet a popular method that PT’s use here and will most likely continue to be so for awhile) I hope to do an outing with the 2 PTs next week to visit 2 rehab facilities to see their room set up and to ask about how to procure equipment. I might have the metal worker make me a pulley weight system that attaches to the wall. I brought pulleys and carabiners with me to do this. This worked nicely in Afghanistan though they didn’t like to exercise there. The PT here, however, is very excited about this, which is fabulous!

The small back room now mostly
empty! 
So…picture this…while all this negotiation and wall knocking out is going on, I have a new volunteer that has started the last 2 days and wanted to help out in PT. This gentleman is a local Ugandan who is trained in Social Work and Counseling. He wants to do something productive while looking for a job. A VOLUNTEER?? I was told there are no local volunteers when I first arrived. I had wanted to get a team of them together to help with the kids. As of Saturday…I have 2 local volunteers! How crazy is that?!

I was trying to show him what to do, running back and forth to check on the masons, work on bids and discuss the plans with Father Raymond AND I was trying to work with the PT who comes 2 days a week to have her show me what/how things are done PT-wise here at Busega. This along with the regular train of children holding onto my pants, trying to reach in my pockets (to give me trash…which they think is funny…or to remove my keys, phone, hanky, pen…you name it)

I had another miracle of sorts happen today. I had wanted some of the able bodied boys to help cart the kids back and forth to PT…the walk is rather long and time consuming. This has not worked well as they are easily distracted and also in school most of the time. I now, as of today, have a boy wanting to help me out! His name is Brian. He is new to Busega as of 2 weeks ago. He was living alone on the streets, is very smart but was abandoned by his family with a skin condition requiring a hospitalization. The Brothers have taken him in and obtained treatment (which is now helping). He hasn’t yet melded with the other boys yet and had been hanging out by himself most of the time. I make a point to talk with him when I come. I understand how hard it is to be “new” and not quite fit in.

Where the new door/ramp will go
(before construction)
The urinals which will be lowered for
the little ones with grab bars on both sides
He has been wonderful. He is a quick learner (how to move a WC with 2 kids piled in it up and down 3 steep ramps…not OSHA standards by any stretch but functional). He has watched the boys when I have to run back and forth to be sure they don’t get into trouble AND to be sure the able bodied boys don’t sneak in and grab the only soccer ball I have! It’s rather humorous in a way…they watch when I leave and then sneak in. I have to lock the door every time I leave now, which is a PAIN. I don’t blame the boys…they are bored and have NOTHING. It’s sort of a game…I will mock “mad face” at them and they run off giggling.

One of the 2 upper courtyards at Bethlehem Home
Dorms in the background
The soccer balls need constant repair as these kids play HARD! The first time I didn't lock the PT room door, mine went AWAL in 15 minutes. I had to track down the ball first then manage to pry it from the kids, but not without split seams! Brother Festis reduced the pressure for me so at least I can still use it for PT. It just doesn’t roll very straight. No one seems to mind. The boys in PT beg to paly with the ball. It’s my one most precious piece of equipment as they will stand and walk just to kick it!

The Dorm Matrons shelling
"Cow-Peas"
they got a kick out of the fact I had never seen
those before
So I have taken to NOT missing any prayer times. I have quickly realized this whole project is NOT and has NOT been in my hands at all! I now pray that I remain open to what I am supposed to do that day, listen for the cues and be the warm body that I am asked to be! I can’t even begin to tell you how I get a hits all day to do someting only to find an issue that needs to be addressed. Today I got a hit to turn to my Left while walking to the PT room with a child. I suddenly spotted a red spot on a boy’s hand. Turns out is was scraped down to the fascia and bleeding. He was not crying or making any signs of pain. This might have been missed otherwise. I was able to get Brian my helper to take him to the clinic to see the new Medical Officer, who at that moment was walking towards us.

Again today, I got a hit to grab a couple bath towels that had been stored in the PT room before I headed down to grab my first group of boys. It was quite chilly today. The boys were finishing their baths. They usually drip dry but today they were all FREEZING! I was able to dry them off so they wouldn’t get a chill. It’s as if I am getting hits on what to do, where to turn or look or what to listen for without knowing where this is coming from.

That is why I decided I need to “pray” more than “plan”. The plans are already taken care of from above and are being implemented faster than I can even keep up. I need to pray for stamina and openness only (and sleep). It is rather nice in a way... There is a deep level of PEACE just being a servant in all ways.




Tuesday, October 30, 2012

OUR NEW M.O.


The PT room is coming along fine in that the ramps are completed and stained a rusty red to match the floors.  The sink is going in and the tile work is being completed. I walked in this morning to a bit of a flood in the bathroom, which looked like it was coming from the toilet. Not sure what that was all about but decided NOT to worry about this.

Douglass and his entourage
We now have a full time Medical Officer at Busega Bethlehem Home. His name is Douglass and he is just out of school. A tall dark and (yes and handsome) kind young man with a wonderful smile and a very soft spoken voice. He is quite intelligent though very humble.  He is insightful, proactive and loves the children.  The children also LOVE him. His office is filled with at least 6 assistants all day long. They follow him around on his rounds.

He and I have been working as a team in helping the boys. I have brought him children with whom I was concerned and he has done the same regarding children who were having pain and mobility issues. I had been very worried about a boy named Hebed who had been having increased seizures. I had asked the part time MO to look at him but nothing had changed. Hebed has CP and epilepsy and I had been seeing him in PT. He had been making good progress until last week and had just learned to feed himself though could not stand outside a standing frame.

I explained to Douglass my concerns that Hebed was no longer able to feed himself and unable to sit upright without support. 3 days later, Douglass told me to go ahead and continue PT with Hebed that he was now ready. I was surprised but went ahead. Hebed was actually able to stand with minimal support and walk the length of the dorm advancing his own feet with only a little assist. He was again able to feed himself and was even able to stand alone holding a rail with close guarding. This was miraculous and better than he had done a month ago!

Brother and the boys
I went back to report to Douglass and ask what it was he did. Douglass had just changed the timing of Hebed’s seizure medication. I was amazed and ever so grateful and realized what a gift Douglass was to this home. I told Douglass this and thanked him for being so caring about the children. Douglass just looked at me and softly replied, “ I am the one who is lucky. I would stay here 24 hours if I could. The children have already taken my heart”

This is just one of the many miracles Douglass has facilitated. The children have benefitted greatly from his presence and he continues to be a lesson in great compassion and humility. 

Saturday, October 27, 2012

THE MONTH ONE WOOD PILE!

I have now been here 1 full month. I am also a LIST MAKER. I love to check things off, so those of you who enjoy the same thing will enjoy this entry. My dear friend Robin has affectionately called this "listing the Wood Pile". This is for those (including myself) who want to know..."What the heck have you done in the last month???" Well...here we go:

* Met the 2 PT's here (both work at the Good Shepherd Home though one comes to Busega where I work for 2 days a week) We will start having PT meetings (starting tomorrow) on Monday AM's for discussing challenging patients, procedures, doing continuing education. 

* PT's will meet with the Medical Officer (similar to a nurse practitioner) 1 x week to discuss patient issues

* PT patients have been identified and medical charts are being coordinated (instead of intake, medical and PT being in 3 different spots) PT documentation started on regular patients

* The PT room was cleaned out of old broken walkers and wheelchairs and put in storage (they don't like to throw things away here) The room is 19.5' x 22'

* The closet was also cleaned out of floor to ceiling clothes donations (we found its a 9x10' room!!!)

* Training of a new Saturday local volunteer to help with PT. Her name is Florence. She showed up out of the blue on Saturday morning while I was thinking to myself "How am I going to get all of these kids seen today?". OK....THAT is a bit odd, don't you think??? She is a wealthy local woman who wanted her girls to see how other people have to live. The girls were about 8 and 7 and shy. This woman brought a friend from a local hospital who is in charge of procuring equipment. ANOTHER synchronicity as I had been looking for PT equipment. The friend is going to help me locate a local vendor. 

* Spoke with a seamstress re making bean bags for the kids for rehab along with waterproof aprons for the PT's and the volunteers to protect their clothing (I wash mine daily after work) 

* Father Raymond (who is overseer of Busega Bethlehem Home) has sent his masons and carpenters over to the PT room this week to start renovations of the PT room. I was told, whatever the children need we should do now and plan for the future. The Brothers want the best that Western medicine can offer their children. We will be putting in a door from the PT room to the bathroom (along with a ramps the bathroom is 2 feet lower) We are also going to put in a hand sink in the PT gym as well as another ramp to exit the room (again 2 steps). This will start in a week or two once the estimate is done. I hope this is something within my budget but then...it all seems to be working out. Mother Teresa used to say, ' if He wants it, He will provide the funds' and hopefully insight on my part to do it right.  

* One of the Brothers is now working on setting aside a rehab room at Good Shepherd Home as well. We might be coordinating 2 rehab room renovations at the same time. 

* Planning with the carpenter any furniture needed (mat table) shelving; standing frames and poles; installing a heavy duty swivel hook for sensory integration in the gym 

* Obtaining a quote from a local welder to make a set of parallel bars for the gym 

* Calling and E-Mailing any and all NGO's/businesses and hospital rehab departments here  I can think of to look for rehab equipment (mats, mat tables, parallel bars, standing frames, crutches, etc) 

* Purchased drums and a shaker for a group of disabled boys who are musically talented. Set up a music group for Tues and Thurs PM and Saturday Mornings to allow them time and space to write music to record and sell. They are thrilled!! The music is AMAZING! the day I delivered the drums, they sang and played me the most amazing music...all the masons were dancing outside the window...they didn't know we could see them. It gave me goosebumps. These kids have AMAZING rhythm, even the toddlers. If I leave Africa now or manage to accomplish nothing else, then my year would be worth it if for this alone. 

* Averaging 11 patient visits daily and a few injury consults. The children are making progress despite my lack of experience. We have autistic kids making their first noises and interacting with toys and other kids; we have children walking and moving under their own power for the first time. I have to wait another week to take pictures as Father Henry was called out of town again for another week. 

* 1/2 way through developing my English level I lesson plans (for the new Brothers), pretest and vocabulary list. I am to start teaching 3 semesters beginning in a week (I hope 2 weeks) Father Henry wants his Brothers to be able to easily communicate the word of God in English. 

The ball is now rolling in rehab and it is NONE of my doing! It is rather odd and I have been reflecting on this. I wonder if we may just be used for tasks unbeknownst to us. I can honestly say I am doing NOTHING to make any of this happen. It is as if my presence is allowing the creativity and the inspiration of the Brothers to kick in full force. I feel like I may simply be a pawn of God. He might have just placed me here because her heard the cry of the children asking Him for His help. I just happened to be a convenient placement. He is using me like people use figureheads with no power....just a place holder and a face for people to believe in and start their own changes.

I am overcome with the miracles that happen around me daily. I am wondrous why I am so lucky to be able to witness this. It scares me the responsibility that is set before me. I just wake up daily saying "This is your project, not mine. Make of it what you will. Give me the insight to make the right decisions and protect the children from any mistakes I may make" 

Sunday, October 21, 2012

SUNDAY OUTING

Boda driver with "Stuff" 
SUNDAY 10/21/12: I had an adventure to Bumamwaya-Mutundwe an area just up the road (and I do mean UP). Nurse Christine invited me to attend the open house she organized at her church. She is a 53 year old native Kenyan nurse involved with an NGO working on free AIDs testing/counselling as well as women's support groups. Christine does this in addition to volunteer work at her church, maintaining a family (3 boys and a husband) as well as running a large clinic she and her husband (an MD himself) own. Christine also teaches basic nursing skills to the Brothers at the Monastery in the evenings.

Fr Raymond arranged one of the parishioners to take me on her way home after church. Her name is Annette, a beautiful petite woman, well dressed and well spoken. We turned right out of the Monastery ( I was excited as I had not been this direction before and was quite curious). The road was dirt the whole way and began climbing at a greater than 6% grade. This is steep for loose dirt and huge potholes (which seemed to be in greater number here). We came upon the top of the rise to find a moderate sized "trading center" (multiple small container shops). It was here Annette had to call for directions. Turns out we were just down the road.

Boda driver with a woman
she is sitting side saddle
There is something to say for being just outside of town...though the roads were considerably worse, the contrast between the red dirt and the now increasing green foliage was stunning! Many more banana trees and palms covered the lush green hillsides. colorful red and green rooftops added to the backdrop as an impressionist painter would paint.

Local stand near home








We arrived when Mass was still in session. Women sat with their wares under a tent to protect them from both the hot sun and the potential rain. The women were part of a support group of HIV positive women trying to find a way to make a living. The stigma is still present and people tend to stay away from and not hire people who are HIV positive. This is why many people do not get tested. They say they would rather NOT know. Christine is a one woman army trying to change that and to empower women to take charge of their lives and be self sustaining. She wants to "bust" all the myths and stigmas though education and awareness.

I enjoyed meeting all of the ladies! There were so many items to choose from including hand stained and woven handbags made from banana leaves; my favorite, bags of Geenuts; beaded sandels; woven pots and wide bowls which were amazing! I wish I had brought more money as I wanted to buy something from each of the women!

People did file in after mass and also arrived from the community to take advantage of the free testing. Christine was hoping for more than 200 people and we were close to that (though she preferred MORE). I would hear Christine tsk then shake her head..."We needed to get the word out more...we needed to advertise more" She is quite passionate about her work and wants to help many more people.

Boda with Man and Bucket ( I love this blurred picture)
I don't love the fact there aren't any helmets
The church prepared lunch for the volunteers. I realized how costly it was for the church to do this and I asked Christine if she wouldn't mind if I skipped and allowed her to be with her volunteers. She would have NONE of that. It is culturally important that if you have a guest, you feed that guest. She tells me that people take great pleasure in this and to refuse would be hurtful. I stayed and was GLAD to as I was hungry and would have missed lunch at the Monastery.

Christine explained that when feeding a large gathering of people, which can be costly, one usually serves rice, Matoke and Geenut sauce along with a vegetable/meat stew. Bottled water is also a must. We went through the line being served by the older women who had done the cooking and who were anxious for us to ENJOY thier cooking. I looked around...no forks or spoons! Christine caught me glancing around and smiled, "You OK with your hands???" I smiled back and said "Of course!"

walking home 
I was secretly nervous as I haven't eaten with my fingers since I was 2! It was hard enough to learn how to eat without a napkin at the Monastery! Christine had to attend to a few things so I was glad that she would not have to witness my most certain mess. The food was too hot to touch though everyone else was diving in. I watched carefully on the technique and tried to follow suit. I actually did quite well and was proud of myself. I was nearly done by the time Christine came back. She smiled and said she was pleased I attempted this.

Once everything was cleaned up and put away, we walked down the road to her clinic. I met her husband who had a near constant chuckle and smile. They toured me around the pharmacy (well stocked and organized as I would suspect from Christine). They had an outpatient clinic as well as an inpatient clinic with at least 15 rooms and facilities. I was amazed. The hospital had only 1 client at the moment (everything is private pay here) but there were a steady stream of people coming in on an outpatient basis. Christine tells me there are times the hospital is overflowing. People here know her and trust her care.

Push Ups...1, 2 , 3 
Alas, it was getting ate and I had to leave. I also needed to  allow the 2 of them to rest a bit before the busy week coming up. Christine walked me to the top of the hill to catch a taxi (public bus). I still was not sure which corner to stop so I opted for a Boda Boda instead. Christine guaranteed that she would take me to town to see the real open air market and she would teach me how to go by taxi! I was thrilled about this and gave her the customary 3 sided hug (hug to one side, then the other and then the other again) I have a feeling the two of us will make great friends though she is already me mentor. I waved goodbye and she said "See you again, God willing" ...I replied "OHHH HE will! I have no doubt!"

Saturday, October 20, 2012

PICTURES FINALLY!


FIRST OF ALL: UNCLE STEVE...I have been praying for your speedy recovery and successful outcome on your surgery. Hope you don't mind that the whole world is reading this! :)


Morning sunrise from MOP window
I will introduce you to the children in a week or so. I still have to wait for approval on pictures of where I work and of the children for their protection. I do have some pictures caught candidly from the truck while doing errands with the MOP driver, Medison on Saturday late afternoon. (His name is spelled Medson but EVERYONE calls him "Medison" instead including himself) Medison was one of those boys at the home who is grown up and now working for the Brothers as one of the drivers. Many of the adult boys still come by to help out the MOP Brothers as they feel so thankful for being given at chance at life, food and a safe place to live and schooling. They had a chance in life they would not have had without them.

 I worked my first Saturday this weekend. I missed last weekend due to illness and the weekend before as I had just arrived and needed to take care of things that cannot be done during the week. It is usually a short day (5 hrs), but one gets used to changes in schedule on a regular basis and yesterday was one of those days. Again, the gas gauge was on empty. "Medison!, empty again??? Are we going to get there?" he smiled and replied "I hope so" this is becoming a much too common conversation here. I announced that we ought to say a prayer for a money donation for gas to be delivered to the MOP in the next hour. Medison and Brother Festis laughed..."Isn't that what Fr Raymond just told us to do in the last sermon...C'mon guys! Lets have some FAITH!"

MERCEDES dealer right on the road
to Busega!
Today, the Busega Bethlehem Home was what you WOULD expect from a home with 200 boys all home from school and too much energy to burn! I managed to get some PT done though the little one's I had worked hard with during the week wanted a break from me and I cannot blame them. Christine came by yesterday to see how the Home is going. Christine is a nurse who teaches the junior Brothers basic first aide and nursing skills as the clinics here cannot do much better anyway. It is best for the children in the long run. She came by to show me the Busega medical clinic rooms which has been renovated last year to accommodate outpatients from the community. The plan was for free health care as well as a possible overnight room for very ill patients who cannot travel back home. She was thinking I could use the supplies or rooms there for PT if I needed to.

Most of the supplies that were stocked by a US nurse had already been used. There were sparse cupboards with a couple old rolls of silk tape, a partially used bag of cotton batting, a few cotton balls, some antiseptic solution, a tweezers, forceps and suture scissor. Soap and towels were hard to find. No gloves to be found though Christine found some surgical gloves in a box in one of the back rooms. It would be a good thing I had a tour of the clinic because today, it would be put to good use!

Along the road to Busega
The clinic itself was well designed with a reception, waiting room, staff and separate patient bathroom. There was an MD consult room along with 6 private rooms of good size. There was also the overnight room with 2 beds and a curtain with IV poles next to the beds. Little did I know that this room would be well used today.

The boys were just out of control. There were some playing soccer (foot ball) out in the parking lot and another whole group in a large room making all kinds of happy noise with donated old trumpets, trombones, various drums and other wind instruments all in various states of disrepair. The boys were dressed up and waiting transport (unsupervised as there is limited staff on weekends) to music lessons. They were taking good advantage of their time though it sounded like they were about to rip through the drum tops...the Brass was playing loudly all out of tune and with no music...just joyful noise. I peeked in to find the boys dancing in a line all playing their instruments the way you would expect a large drunken Mardis Gras band!..lots of scrambled noise. The drum tops had already been torn. I went in to ask the boys to be more gentle on the instruments....they played softly until I walked out of the room when the volume again shot up to something I would liken to deafening noise and laughter.

Children who call to us on our way home
"Bye Brothers! Bye Muzungu!"
I was chasing down my PT (Physical Therapy) boys with a line of younger ones running after me calling "Mama...Mama" Especially one 4-5 yr old albino Uganda boy who everyone teases by calling "Muzungu" (white person) Matuko (I don't think this is his real name as it means banana...) likes for me to hold him. He is sweet but needs much TLC. He is well loved by the Brothers though gets teased a lot. He is a bit heavy to hold more than 5 min but he cries when I put him down so I keep carting him around.

The medical day started about about noon when I heard one of the Brothers scolding a boy and bringing him to me "Look at this! Do you see something in his ear???" I looked in and indeed saw something silver shining where it should not be. "What did you put in your ear?" I asked the boy. He just looked at me. I told him that Brother Gabriel should be able to remove it with tweezers. Apparently this was a successful procedure. Yes...he was that 8 year old ish age...I think this is common?

It was not long before a group of kids run up to me saying Brother Gabriel needed me in the clinic. I went up there to see how I could help shlepping Matuko in my arms and Vincent in tow behind me pulling on my shirt. Vincent is a young boy with hydrocephalus that was untreated before he came to MOP; this resulted in an double than normal malformed skull and delayed motor skills. He was not able to walk until Patricia, the PT that volunteered for a few months this year, worked with him. He can now run and climb stairs but also tends to get teased.

I arrived to find the room packed with boys hovering around the desk. Brother Gabriel was very calmly treating one young boy with a bad toothache. The only thing he could do for the boy was given him some pain medicine and have the boy hold cool water in his mouth. His little eyes were watering but he didn't cry until I bent down and rubbed his back cooing "Ohh honey, I know it hurts, you are being so very brave" the soundless tears just streamed down his little cheeks. Brother Gabriel needed some more immediate help with one of the boys who cut his thumb while peeling potatoes. The boys all work when they are not in school. They have knives only, no potato peelers to use. Most are very adept at using the knives as I had watched them amazed thinking, I could not have done that at 7 years old!

The brick layer finishing for the day
(along the road to Busega)
Unfortunately, the boy had sliced a good way through his thumb. I could see the nail bed was 1/2 cut as well as along the radial side of the thumb and well across the pad on the volar side. It had been bleeding quite a bit per Brother Gabriel who was applying pressure with the cotton batting and needed an extra pair of clean hands to help him. I looked at the thumb over Gabriel's shoulder. It's deep he said. I responded "Yes", he is going to need stitches". The Doctor had been called but hadn't shown up. The boys would run back and forth from the office giving report. Turns out we had to transport him there (which I thought was a good idea).

This time another boy came limping in with a bleeding foot. His baby toe-nail was hanging off. He had been playing soccer when he scuffed his foot along the pavement to kick. The kids go barefoot most of the time unless they are in school. Clothing is very expensive and so the kids cannot play in their school shoes. Brother Gabriel removed the nail and I played nurse while helping to bandage the toe.

I had to run to the office to find more gloves, the younger one's running after me crying because I was not carrying them. I came to a screeching halt when I saw shards of glass everywhere. I had to corral the young ones (who thought it was a game and kept trying to get past me) so there wouldn't be bleeding bare feet to fix on top of everything else!

Along the road to Busega
(it's afternoon so no one is out)
I could not find the source of the glass but found it scattered even as far as the dining room. I ran back up to the clinic and ordered the able bodied boys to grab brooms and start sweeping the glass out of the main walk areas (I had already cleared 90% of it but wanted to be sure) They were hesitant until Brother Gabriel scolded them for not listening. Sweeping glass is boring...they all wanted to see blood and tears!

It was about this time that the boy we sent out for stitching returned to us with the same bandage we put on. He said they told him he didn't need stitches. I was upset but Gabriel said the clinics in Uganda are pretty basic and they might not have known how to do them anyway. The boy was no longer crying...he was intrigued with what was being done to the toe of his dorm mate.

Shops along the main road home 
Only the boy with the cut thumb cried and not even that much to tell you the truth. The others were pretty stoic. These are some tough kids used to pain of all kinds. It was a good thing the transport was over an hour late...there was no way we could have left any earlier.

It was an exhausting day with little PT done BUT the boys who were waiting transport to their music lessons were happily off. The boys who were treated along with the other boys were busy watching a soccer match from an old TV mounted near the ceiling (out of reach)

The only major loss was the new soccer ball I purchased for therapy last week. Alas, it bit the dust when I left the PT gym unlocked for 15 minutes. 1/2 of the ping pong balls and 1 of the tennis ball was also missing. RATS...I have to go shopping AGAIN!

We did get more gas for the truck in the long run. I am sure there was a donation waiting at the MOP as we had prayed for, but I bargained to have Medison drive me in the truck to do errands if I fill up the tank. Brother John said "NO NO use the truck but only put in what you need!" I was adamant about filling it as I knew there was wear and tear cost on the truck AND it was really nice to have a driver I knew and ride in a truck! Medison also told me "NO, don't fill it all the way up". WHY NOT? I asked....he laughed and said, because it will cost over 300,000.00 shillings (about $120.00 US dollars) I almost croaked..."You're kidding me!!!". Turns out we have NOTHING to complain about in the US....Try living in a country where you are lucky to make 200.00 dollars a month and you have to pay out the nose for gas! Then on top of that...drive an old gas guzzling truck. HMMM.

Don't let BULL get in your way on the road of life! 
The pictures were taken from the car window so many are off center. I hope to get out and about and take some decent ones in the coming months. This will give you a small taste of my New Home and the last picture, my parting thought!


Wednesday, October 17, 2012

THE RIDE TO WORK


It was actually sunny this morning. The sun felt warm even at 8 AM as it shone through the broken clouds. It had been raining the last few mornings forcing me to take a coat but today, I didn’t need one and the sun felt GOOD. Everyone is gathering outside the trucks laughing, greeting and handshaking. I hear “Good morning Sister Carol” many times over. “Sister” is the title given to the few female novices and the nuns who ride with us to work every morning. I am the only non-Sister, though they still bestow the title on me.

The majority of the group climbs into the back of the old military truck to go to the Good Shepherd Home. Ahh…today Sister Angelina is here! She is a Nun who lives at St George, about ½ mile away. She comes to help clean the chapel 3 days a week. She and I ride in the cab with the driver, Medicine. I no longer volunteer for the back of the truck especially given my continuing sinus infection and the ever- present risk of rain.

The Brothers all hop into the back along with a woman who works at the center. She always insists on riding in the back of the truck even if I am not there.  It’s a funny sight to see 13-15 young men all dressing in white robes and tan sashes or white shirts and khaki pants riding joyfully chatting in the back of an open pick up.

The pick up is a sight in itself. I have no idea how old it is, but it looks like it has been through the war and back. It’s what you would expect from an old farming truck in the USA that lived through 20 years or more of heavy labor. The windows don’t roll all the way down or up easily. The upholstery is torn up and everything is covered with a thin layer of red dust.

Medicine starts the truck then takes out his customary used store bought bottle of water to put in the radiator. Another Brother is always there looking with Medicine under the hood for a few minutes of inspection (I think also for a prayer that the truck will last another day). Medicine finally gets in, though we don’t start rolling until we hear the hands pound on the side of the truck…the customary sign that everyone is in and ready to go. Medicine wouldn’t know because the mirrors are all broken and kadywhampus.

We pause near the gate when the driver of the other truck converses tensely with Medicine. He is obviously trying to convince him of something. I then see him point to the gas gauge and can see for myself it is on EMPTY.  I look at Medicine who does not look at all too pleased. “Do we have enough gas to get there?” I laughingly ask. He smiles and says, “I hope so.” “Do we need to stop for gas?” I ask. I suppose that is a stupid statement and just me pointing out the obvious. “There is no money in the office at the moment”, Medicine replies. “Ahhh”.

This must be one of many matters, which, is continuously popping up. Brother Johnson told me many times when they don’t know how they are going to get food for the kids, someone always shows up that same day with a donation of food to cover them. He told me that this happens all of the time. I told Medicine that I would pray that he has enough gas to get back and not get stuck on the road. This makes him laugh.

We pass through the gate and wave to the elderly man who is in charge of the gate. He does a slight smile and puts a flat hand up as a wave to us though it looks more like a salute. Immediately, there are prayers. I think I mentioned this in a prior note, but the Brothers ay a quick prayer whenever they get in the truck to leave for work or come back. I do hope those prayers work today!

We take a left out of the Monastery and start off immediately navigating trenches that formed from rivulets of rain making it’s own tracks in the dirt. The silly thing is that this place has SPEED BUMPS made out of dirt everywhere to prevent speeding…like they can go more than 5 MPH anyway because of the road conditions??? These bumps would be taken out or shaved down in the USA due to complaints that everyone is bottoming out! NOW, imagine a truck loaded with 15-18 people going over one of these things! YA….you have to be a good driver to drive in Uganda.

We pass a few shacks of vendors selling anything from clothing (used clothes place) old outdated snacks, some water and buckets for washing clothes. A few goats and chickens are wandering around for good measure. I see a mother hen and her chicks going about their day looking for creepy crawlies in the sparse green that exists.

We turn left at the bean field. I see people dressed for work walking around huge mud puddles left from the rains last night. The truck does a worse job at navigating through with the mud covering at least ½ of some of the wheels. Medicine expertly gets us through though the truck is pitched heavily to the R as 2 wheels remain on the bank for traction and 2 in the mud pit. No one falls out.

Several little kids are waving and shouting something. Sister Angela interprets their broken English for me, “ Good bye Brothers! Good By Brothers!”  We pass a HUGE dump on the Right with several roosters pecking in the mess along with a cow and a goat. The mud turns back into hills of dirt and then finally levels out so we can go 14 MPH. I ask what road we are traveling. Medicine replies this is just the short cut and the land belongs to someone. You would not guess it from the amount of car and foot traffic using the road. I am surprised the owner is not charging a toll seeing as everything costs something in Uganda.

We make it to the main road that heads to Busega , a portion of town that appears even poorer than where we live in Mutundwe.  The traffic is heavy with clouds of exhaust from cars as old or older than our truck, people burning trash, cooking smoke and lets not forget dust! Medicine manages an opening and we are off on pavement (potholed but paved).

The streets are bustling with people working or on their way to work. Bicycles and Boda Bodas travel with HUGE sacks of things tied to the back. Most bicycles are used to transport goods. People don’t often ride them. You will see bags and bags of fruit, veggies, produce, chickens, (alive hanging upside down), sugar cane or you name it!

Shops dot the street consisting of old shipping containers carrying items such as Matoke (the green banana that doesn’t taste like anything and needs to be cooked to soften), clothing, MTN or Orange air time cards. And even beds. The beds are some sort of hard wood left out in the weather all day every day…OHHH YA…even upholstered sofas and chairs are sitting out all day everyday getting rained on and dusted on. I would be very afraid of buying anything sitting out like that!

We navigate around 1 of 2 huge traffic circles. I know we are close to the second because I can already see the HUGE cranes flying over. They perch on the street lamps (the only place in town that seems to have them for night are the traffic circles) . These things are HUGE. No one seems to like them. Even the Brothers feel they are “ugly” and “scary looking”.  They are scavenger birds. I finally learned today, from Sister Anglea , that they are there because of the fish. I finally GET IT! I could not figure out why it smelled so bad at this corner. I now know that this is a fish market. How could I have missed that?

We come back around after the second traffic circle after about 12-15 min (and past the ugly scary Cranes), to travel back the same we came but now going the opposite direction (one way traffic). We turn Left almost immediately and head on a path that looks like it goes right into the market.

The roads here are worse than in our section of town. There are trucks and cars parked to the Left in some open dirt are parking lot with people busy cleaning and soaping down their vehicles (like that is going to make a difference). I realized week 2 that there is a public well just around the corner. We then turn Right at the yellow house looking building with a stucco fence of the same pale color. There is ALWAYS a huge lake puddle no matter sunny or rainy day. We pass the public well on the Right as soon as we turn Right.

Most of the time, there are children with huge Geri cans (containers for water) of at least 5 gallons each, gathering water for home. Who knows how far these guys have to lug those things. This is a BID ritual as I see them in the afternoons as well.

Our road is now only the width of one car and one Boda Boda. It is more  residential here after passing the woman’s health and birthing center with high stucco walls. The faded paint says “open 24 hrs” there is also a line under that for birth control and free HIV testing. Uganda’a version of Planned Parenthood? What a funny place to put a center like this.

We wind and twist between old houses made of red brick ( red clay is not in short supply here) I see partial walls making partial small rooms lining the streets. I ask Medicine why the buildings look like they are falling down. He tells me this is new building. People start to build a new house but then stop when they run out of money. The house may sit there for a year or two until more money is saved, then building resumes.  The homes are small one- room brick structures with a tin/metal roof and maybe a window.

We pass children walking to school neat and tidy in their school uniforms (grey and white and maroon and white and some plaids). The girls and boys wear long socks up to their knees and have black shoes. Somehow, they all look so clean and their white’s so very white despite all of the dust here. I have no idea how they do this! 

The smaller children stand up in various stages of dressing and wave shouting “Hello Brothers!” as they pass by. I don’t see as many men, but the one’s I do are laying brick.  We pass by several women doing their wash in large tubs by the side of the road. The woman are squatting or sitting on small stools working hard getting the clothes clean and hanging them on uneven lines string from the tin roofs to nearby trees. They don’t smile but I wouldn’t either with a big truck kicking up dirt.

We come across a young bull in the road. He is startled by the truck and runs down the middle of the road ahead of us. He periodically steps on the long rope tied to his neck causing him to jerk suddenly. Medicine patiently drives behind him until a man rescues the bull by grabbing the rope and pulling him out of the road. The goats seem to be smarter and tend to stay out of the road.

The faces I see are round and dark. The smiles from the children are big and literally light up the many faces we see as they pass. The adults appear stern and focused on their task of getting to work or taking care of shops and household things. Women are generally wearing colorful skirts and some appear in the traditional dress, which the Europeans brought over during colonization. I will describe more another time.  People are well nourished despite the poverty. There is no obesity though no distended bellies through famine either. The men are lean and sinewy and show of hard physical labor.

We make our way very slowly now as there are areas that can throw the truck and the people in it into the ditch. We come upon a gathering of people outside the Busega Home dressed in business casual and Sunday church clothes. I ask Medicine what they are waiting for. He replies that they are in line to sign up for healings with Father Raymond. Father Raymond has the gift of healing, he tells me, and prays over people. Up to 300 come to see him 3 days a week.

We then arrive at the blue gate with the faded hand painted sign lettered in blue on a white background….”Missionaries of the Poor Busega Bethlehem Home for disabled and abandoned boys”. How sad that one should see a sign saying such things at all, huh?