Dance of Celebration for the Opening of the New Nar Sarah ClinicI’ll begin with a few personal updates: Today is our last day in
Kabala before going first to
Foria, and then on to the
Loma Mountains for Aaron to re-evaluate the location as a site for doing research. His initial trip was a disappointment, having discovered the very recent devastation incurred by commercial hunting. It looks likely that the ‘beef’ (this refers to all types animals that are eaten) is being routed towards
Kono, the Southern region of the country where diamond mining is taking place. However, since Aaron’s alarm went out, local chiefs have been extremely proactive about curbing the hunting. They too, value
Loma as a ‘breeding grounds’ and the idea that ‘outsiders’ were coming in and taking too much was not appreciated. It’s likely that if Aaron does research there, hunting will altogether cease in the region. One thing that makes this more realistic than in
OKNP is that there are no human settlements in the mountainous area. In this regard, among others,
Loma would make a good national park, and there are actually some in government who are in support of this.
Today we’
ve been experimenting with smoking beef to take on the trip. I think I’
ve perfected a marinade, but we’re still working out the kinks on speed of cooking and heat. Yesterday, Aaron cooked a perfect batch, but that was
pre-marinade, so once we get the two to work together, we’ll be golden.
Kumba just came back from Freetown, where she was meeting with a doctor regarding serious back pain. It sounded to us like a pinched nerve (she was telling us earlier how the upper part of her right leg has been numb for much of the year) but they did a whole battery of tests including x-ray, blood work, ultrasound, etc. They came back with pain medicine, a ‘wrap/brace’ for
Kumba’s back, x-rays, and a vague understanding of what was wrong, although
Sesay was talking about ‘ribs’ – so I think someone missed the mark in making an explanation, as it was clear from the circles and the arrows on the x-rays that it’s the disks of cartilage between lumbar vertebrae that are the issue. It seems like she has two compressed disks… which can cause real pain. I know a few people who have suffered from this, and we have a notion of what stretches should be done and which activities avoided, but are hesitant to suggest anything as we’re without real ‘medical’ knowledge. I’ll bring the x-rays back to the US. If anyone has recommendations regarding this, please let us know.
The round house in
Kabala has become the location of a ‘mini-
IMAX Theatre’ (on our laptop) and you’
ve never seen a more rapt audience. Jane Goodall’s Wild Chimpanzees is the favorite. I’m thinking of downloading the ‘Education Guide’ and getting the kids to do some follow up.
Brain TrustsTomorrow will hold the ‘ground blessing’ (complete with traditional dances and great celebration) of the new ‘
Nar Sarah Clinic,’ developed in partnership with C.I.T.A. (Christ is The Answer). As this is one of the most encouraging ‘development’ projects we’
ve come across during our time here, I thought I’d relate a bit of the story to you all.
Dorcas and her siblings Theresa and ‘Peace Maker’ grew up in Freetown. Dorcas attended a secondary school staffed by a young couple who were teachers from the US. A friendship began, and a year after the couple returned to the States, they asked if she would like to come live with them and get a college degree in nursing… which she did. Following her graduation in 1974, Dorcas returned to Sierra Leone for about a decade to teach nursing – after which she went back to the US to pursue a medical degree. While in the States for a second time, she met her (now) husband (also a Sierra
Leonian), who teaches ‘education’ at the college level. The two returned to
SL in the early 1990’s, just as things were beginning to heat up and break loose for a horrific decade-long war. She relates a story of sitting on the balcony of the round house where Aaron & I are now staying and having a military vehicle pull up and summon her daughter to come with them. Fortunately, she knew enough ‘big men’ (as she relates) to be able to get them to leave without consequence… but the experience was sobering. She quickly started to hear of other friends in the country whose daughters had been ‘taken’ and friends who had been shot as a consequence of making a protest to a son being abducted into ‘action.’ Family advised that if she had an opportunity to leave, she should take it… and get out with her family before things got worse. Which they soon did. It’s obvious from speaking with her that this was a wrenching decision; that her heart is, and always has been, with this place. Dorcas now teaches at both Brown University and University of Rhode Island in their nursing and
OBGYN programs (
Kamandad@mail.uri.edu).
‘Peace Maker’ was one of C.E.S.’s early ‘hires’ for community health work in the mid-1980’s. His formal training is limited to what has been available in Sierra Leone, but his knowledge of tropical medicine is immense. One brief illustration: Dorcas was telling me this morning how a woman came with a swollen breast with giant abscesses. She started to think (out loud) of all of the unavailable resources and ‘tests’ that one would use in the States to figure out what exactly was going on (make sure it
wasn’t cancer) and treat her. Peacemaker sort of smiled and quickly assessed that there had been a pregnancy following which impacted breast milk had led to an infection. This infection had simply gotten a long way down the road before she managed to come in. Dorcas was also impressed with his treatment: using boiled water and salt for unblocking and cleansing and later (strangely) sugar… which truly does have the effect of re-building tissue to the extent that an ulcer or wound actually has something with which to heal.
I guess that’s not exactly ‘tropical’ medicine (though he does know how to respond to about every typical disease and ailment of the tropics), but it is very practical medicine. Peace Maker is one of the rare individuals here with both extensive practical medical knowledge –and- a respectful way of dealing with people and explaining their treatments to them. Aaron and I find ourselves sending someone his way a couple times a week when in
Kabala (we have a running tab…).
Theresa is one of the women with a really powerful ‘presence’ in
Kabala. (Imagine what I have described of
Kumba; add 10 years and a more advanced education). Mary
Kortenhoven hired her in 2001 to work with C.E.S.’s ‘Women’s Project.’ This initiative was put in place to help train women to be more self-sufficient after the many tragedies and losses of the war. They were trained in cloth-dying, soap making and tailoring – with the hope that they would have skill to start up small businesses. A number of them have.
Two years ago, as C.E.S. began to focus more on ‘preventative health’ than curative, and as the women’s program was winding down, Theresa, Peace Maker’ and Dorcas began to discuss the need for a medical clinic in
Kabala. The hospital here is so filthy and
undersupplied (partly do to the ‘corrupted’ practice of selling donated medical supplies) that people try to get to
Makeny or Freetown if they have the means to do so. Not really wishing to take on the hurdle of working through the system to make improvements to a government hospital, Dorcas has been providing small funds and a supply of ‘good’ medicine from the USA. Note: Zed, a pharmacist friend of the
Kortenhovens in Freetown, estimates that 70% of the medicine in S.L. is counterfeit. The clinic began in a room off of Peace Maker’s house, and sees people every hour of the day or night… or so it seems to Dorcas, who has spent the past few weeks here. She believes that it is a miracle, the grace of God, or both, that has prevented her extended family from picking up the sicknesses of all the people who come through – with the clinic being so close to their living quarters.
Now building is underway for a
bona-
fide clinic, for which they still need to raise about $7,000. If interested in donating: check out
http://www.narsarah-cita.com/. Dorcas plans to set up a way for her med students (especially those going to live or serve in tropical areas) to do a ‘rotation’ out here, both to learn and bring knowledge of their specialty. Aaron & I are also hoping to work out an arrangement with Theresa and Peace Maker where a handful of secondary students interested in medicine and community health work (some of whom our ‘benevolence fund’ is helping with school fees – thanks!) can do small bits of observation and work around the clinic. Maybe cleaning!
One hears much about the ‘brain drain’ of Africa and other developing countries, so it is wonderful to see a case like this, where there seems to be a true ‘brain trust’: a family who cares deeply for this place and who applies the best of both indigenous resources (including medical and cultural knowledge) and external knowledge and resources to build a better ‘system’.
This
doesn’t happen much. More than 90% of those who get visas out never come back.
Kerenkie, one of
CES’s employees, has a son (
Fama) in Canada… and is wading through the murky water of trying to sort this out.
Kerenkie sent
Fama with the full expectation that he would come back to work in the country. Fortunately for both, they have great communication and a lot of honest dialogue going on.
Fama is doing very well in graduate school, and they both understand that he will be better able to provide support to the family by staying where he is – if he can keep a visa. As
Kerenkie says, “The work, it is here… but the compensation is not.” For families that do not have good communication regarding these issues, the stresses can just get too great, and the children ‘go loss’ (essentially disappear without word). Perhaps new communication tools like email and cell phones will improve the situation.
Well, that’s about all for now. Dark has set in, and so has a bit of rain. Tomorrow is ‘cleaning day’ for
Kabala (a once a month affair – that is probably the best of the legacies of Valentine
Strausser. His lack of even a secondary school education may not have made him the best of Presidents, but Freetown was as clean as it has ever been since!) Thoughts and prayers would be appreciated as I attempt what Aaron assures me will be ‘the most challenging climb of [my] life… but one well worth it.’ It would also be nice to not get rained on every day of the trip, though that may be wishful thinking as this IS ‘rainy season’.
Grace, peace, and love to all,
Emily & Aaron