Saturday, September 29, 2007

Brief Relief Work Part 2

One month later...

A few of us from the first brigada woke up very early and met up with the director of the program for tuberculosis at the Ministry of Health and a couple doctors and people what work with him to drive down to the affected area. The goal was slightly unclear to me, (as they often are) but I had it understood that we were going to show the Ministry of Health (MINSA) officials what the health centers of the affected cities were doing to control an increase in health problems due to the destruction of the earthquake. People with tuberculosis who are positive, aren't supposed to live too closely with their family members. But after the earthquake, many families all had to cram into their kitchen or whichever room survived the tremors. So there was a big fear of contagion. Another vital aspect of TB care is taking your medication every day. With the disruption in their lives and destruction of some health centers and hospitals, there was a fear that people weren't able to take their medication appropriately.

We met with directors of the 3 main hospitals, promotoras, and doctors. We walked through the now empty streets of central Pisco. Right after the earthquake, the streets were filled with people looking for food, help, or a place of refuge. But the streets have now been cleaned enough to at least let a car go through most of the roads.

There are tents and little flimsy houses set up. But it was hard to believe that a month had past, and it still looked like it did. We past a huge field filled with the rubble that had been collected.


In one hospital we saw guys trying to make computers work that had been damaged, sitting next to piles and piles of destroyed paperwork and patient charts.


We walked past the spot where a 6 story hotel had fallen down where, it's said, a large group of American tourists had just shown up. They've stopped looking through the rubble for bodies.

The roads no longer have as many people lined up begging for food or water. There are no more trucks of donations with lines of people waiting their turn for their allotted donation.

The trip, done all in one day, had a very different feel from the first one. During the first trip we all had a sense of caution, panic, and preparedness for whatever it was to come. This time we were more calm, laughed more, yet still shocked at the damage. I saw the same homemade tents in the streets with families cooking outside.

Wednesday, September 05, 2007

quotes from Zoe

My good friend Zoë has been living in Myanmar since last winter at a meditation center. Ever since she's been there, she sometimes will send me thoughtful poems or fables. She just sent me this one as we were talking about the familiar discussion of "life direction." To work hard or to live simply. To strive to be a top researcher on medical issues or to live in the mountains, enjoy hearing myself and watching other people's lives. I remember talking to a friend about this topic as well (life direction,) and said that part of me wants to just stop everything I've been doing, stop thinking about sad hard topics like how hundreds of thousands of people don't have water and what I can do about it, and do yoga all day instead. I don't mean to down play the importance of yoga--clearly it is something that also has pulled me. Zoë said, Chloë, choose the mountains. I want the mountains and the research and the sad topics with difficult, yet exciting and possible solutions. That's what I love. That's what drives me to apply for grants, study for the GREs, work with doctors who can be so rude they make me cry. I just wish on my walk home everyday I could see the mountains that are just a hundred miles away. Anyway, here's the poem:

My work is loving the world. . .
Are my boots old? Is my coat torn?
Am I no longer young and still not half-perfect? Let me
Keep my mind on what matters,
Which is my work,

Which is mostly standing still and learning to be
Astonished. . .
Which is mostly rejoicing, since all the ingredients are here,
Which is gratitude, to be given a mind and a heart
And these body-clothes,
A mouth with which to give shouts of joy. . .

-- Mary Oliver

Brief Relief Work Part 1

The earthquake happened on Wednesday evening, August 15th. Holly and Katie, my fellow volunteers, were running an errand, and I was eating dinner reading the New York Times online about Machu Picchu. We've had earthquakes here before, just a couple really small ones that lasted 10 seconds. So when it started, I thought it would stop immediately. It didn't stop, and everything was shaking. I didn't know what to do, so I went to the doorway to the stairwell. Everyone in the building was leaving, so I followed them out. I stood next to the doorman (door kid) and watched our building sway, the chandeliers in some apartments shaking. The feeling of being in the building with the walls and floor swaying was creepy. Getting to the ground outside and feeling the ground continue to move was even creepier, not to mention my extreme sensitivity to motion sickness. After a little over 2 minutes, the shaking and trembling stopped. Holly and Katie returned, and all was fine. We felt a "replica" that night and the next day, but nothing serious.

The next day I was in the car with the nurse who is my boss. We were on our way to group therapy for HIV patients, our first session. She was on her cell phone asking her secretary to call all of our MDR TB patients in Ica, Chincha, Pisco and Cañete--the cities most affected by the earthquake. On our ride back after the therapy sessions, it was clear that the patients could not be contacted, so we were going to send people down. One of the community workers (promotora) was sitting next to me--we both looked at each other and immediately said--we want to go.

She didn't end up coming, but I went with a few of the nurses from Socios, a couple promotoras, and a couple high up figures along with tons of bags of food, used clothing, mattresses, and cots.

Our drive down took longer than normal because the Pan American has been split in a few places. We all gathered to look out the front window of the bus at the big cracks in the narrow highway. At a bridge right before driving through Pisco, cars were going one at a time across because it has been slightly cracked. The houses lining the highway had fires built in front of them for light since the power was out. We arrived in Ica late at night and stayed at the parents' house of a doctor who works with Socios. The next day we woke up early, split up into teams, and set off to evaluate the situations of our patients. We were in groups of 3. In one neighborhood people starting stopping at our bus wondering what goods we had inside. My boss decided it was safer for me to stay with the bus and stuff at the hospital, while she and the promotora went to find the patients. The damage wasn't that bad in Ica, yet still many people's houses of adobe bricks had crumbled. That night we went out to eat, but it was hard to find an open restaurant. Because of the earthquake, people have been left without water or electricity, and the one chicken place with service, raised their prices exponentially. One store selling bread had a line down the block. Another store with a telephone had a similar line.

The next day we woke up early, said our good-byes to the nice family (who had pecan and fruit trees in the yard!) and made our way to Pisco. We had to have a game plan for Pisco because it was so destroyed, it would be too dangerous to take the bus into central Pisco. In an area already poor and known to be risky to walk around in, when suddenly no one has anything (water, food, electricity,) if someone sees any sign of relief, of course they're going to loot. Our plan worked well. The 2 promotoras and I stayed in the bus, hidden behind trucks in a parking lot at a gas station ready to hand out goods to the patients sent to us by the nurses. Our adrenalin was rushing, as we waited and then jumped into action when a patient showed up in a taxi with a nurse of ours. The hospital of Pisco had been destroyed, but we found a doctor who came to our bus in her ambulance. We gave her boxes of medical supplies, which she gratefully received. Everyone had tears in their eyes. Her face showed how thankful she was.

Leaving Pisco was one of the hardest experiences. Because of the delay from the bridge and the cracks in the road, traffic was moving really slowly. The sides of the highway were lined with people of all ages begging food, water, or anything. Some held up open bags. Others held signs saying "we need help." We passed many large groups of people, until it thinned out and it was safe enough for us to throw out bags of food without the worry of starting a fight for the bag. I was sitting at the front of the bus, so I could take photos. I've heard about people walking through villages in Africa where kids are begging for food, but I had never seen faces in so much need as the faces of the people I saw.

We ended our whirlwind relief work weekend in the town of Chincha where I went to with some friends a few months before. We went to see the afro-peruvian culture that exists there, inca ruins, and happened across a beautiful beach. This time I ate the same typical food, sopa seca y catapulcra, but saw a very different Chincha. The streets filled with tents where people were living. The walls around the hospital had fallen down, but the hospital itself was in pretty good shape. We camped out in the parking lot of the hospital handing out the food, clothes, and beds. It was dark when we finally had an empty bus and headed back to Lima. I arrived home hungry, tired, and feeling like I could hardly articulate what I had seen.

Stay tuned for part 2 when I went back a month later with some of the same nurses and people from PAHO and the Ministry of Health to show them the situation and work that needs to be done.

Celebrating 20 years of PIH's work