Thursday, December 30, 2010

Christmas in Ghana

12/16
Because most of the other volunteers have left for other countries or have returned home, outreach today was only Anthony, Birgit and myself. We treated well over 100 kids. One little boy, about 10 years old, sat down and showed us a cut on his upper thigh. The showed another similar one on his shoulder and another, even worse, on his back. I asked him what did that and he told us that it was from a knife. I then asked him who did it and he said that it was from his mother. Unfortunately Ghana does not have the same services for situations like this. Telling an authority would only make the situation worse and only serious situations allow the child to be taken from the home.  When I got home Delphine had one of the puppies in her room. He had been stumbling around and was very thin. She kept him in her room and took care of him all night. We found out he has worms.
12/17
This morning Katja, Birgit, Anne, Jamie, Saka, Delphine and myself left for Axim. We took a tro to Takoradi and then another tro to Axim. We ate at Zanzibar for dinner and stayed in the Frankfaus hotel.
12/18
This morning we left for Beyin to visit Nzulezo, the stilts village. We pay a fee for the canoe and guide and then a fee to take pictures. We took 2 canoes for the 7 of us. It was a little over an hour canoe ride through stream, marsh, jungle, open lake and finally up to the dock at the village. 
my canoe

the jungle

the village

The entire village is built on the stilts above the water. We were told these were people from Mali escaping from people from Senegal. They have lived on the water here for over 600 years. There is one long “main street” and houses, a school, hotel, and gift shop. I did not see much else in the town. The people of Nzulezo do not work. There is a town chief and they take a trip every 5 days to a farm across the river to bring back food. Money for the town comes from donation, gift shop purchases and the government. The people drink the water straight from the lake, where they also use the bathroom, shower, and dispose of trash. The lake water is red from the vegetation and probably also from the waste they put into it. We met with the chief and gave a small donation for the village.
the main street in the village
the school

on the main street

Then we headed back to Beyin, where we ate lunch. The food on this trip has been a lot of Jollof rice and chicken. I normally enjoy eating chicken, but eating and seeing the chickens running around while you are eating their relative is a little disgusting.
12/19
This morning we left Axim and went to the Ankobra beach resort. Oh My Gosh! This place is right on the beach, palm trees come right out of the sand and over the water, lounge chairs moved to where we wanted them, tables on the beach, welcoming drinks and fruit, wonderful food, beautiful rooms, friendly staff, and just all around perfect place. We sat on the beach all day and played in the ocean.

me on the beach


me and birgit

this was a pet of the woman that owned the place...Bambi


The restaurant makes all their own food and uses local organic products. The menu said even the pastas were homemade. For lunch I had zucchini soup with bread and for dinner pasta carbonara with real cheese and a salad with balsamic vinaigrette and for dessert we had pineapple rings fried in some wine and topped with coconut and brown sugar…mmmm…
12/20
Jamie, Birgit and I the morning before the left

This morning we headed back to Kumasi. After searching for one hour, we finally got a taxi to take us from Kejetia-where the trotro dropped us- to Atonsu-where we live. We came home to find the little puppy was healthy! We have named one puppy Fluffy (I chose the names), another Terrorlita, and the sick one is Arthur. :)  
12/24
While I have told myself that Christmas is just not happening this year, today finally felt a little like Christmas. This morning Delphine and I went to the internet café. We were dropped in the middle of Kejetia. It was every man for himself. You just had to walk and pray you don’t trip or fall because you would get trampled! People were shoulder to shoulder and back to back. I was afraid my backpack would get ripped off and me and I would never find it. We finally made it to the internet. After a little timet here we did our Christmas shopping. We got gifts for the Projects Abroad Christmas party and for each other for tomorrow. The supermarket was packed as well. When we came home Agnes made a lunch/dinner for us. She and her daughter-in-law spent today making food for tomorrow. The house smells so good! This night Projects Abroad had our Christmas party. We played a white elephant Christmas game and ate cookies, ice cream, candy canes and other desserts.
Birgit and I at the Christmas party

12/25
This morning we woke up and ate breakfast. Then Christine, Delphine and I exchanged Christmas gifts. We gave the family gifts we brought from home as well. We then spent all day playing cards, Yatzee, and Oware-an African wood game. We had a nice relaxing day.
12/26
Today Ben did not have to work, so we had our family Christmas celebration. Agnes had another son’s daughter there, Ben’s other daughter was there, and two family friends. Ben grilled out. It was a very American scene. We had grilled chicken, steak and bratz. We also had rice with tomato sauce and noodles. The family gave Delphine, Christine and me a Kente scarf!
me on the porch waiting for dinner

Maabenaa, Ben's friend, Christine, Roselyn, Me, Agnes and Junior, Delphine, Ben and Samuela

12/27
Today I returned to work in the hospital. On my week off, I missed some exciting events! An eleven-year-old girl was admitted with severe gangrene on one of her legs. It started as probably a little cut and then got infected and maybe turned into a boil. The mother was using herbal treatments for her. When the treatment was not working and it was too late the mother brought her to the hospital. The girl had her leg amputated, but then died soon after surgery because the gangrene had already spread to most of her body. The doctor at Atasemanso is opening a restaurant now and has been coming into the hospital very late the past few days. Also many patients have been discharged and most are probably waiting to come in until after the holiday season. SO it has been fairly slow…

Tuesday, December 21, 2010

The start of the Holidays

12/1
Today the 3 American volunteers showed the others how to celebrate Thanksgiving. For our meeting we prepared and ate a semi-traditional Thanksgiving meal. We spent the afternoon cutting yams, carrots, onions, apples, tomato, and cucumber, snapping peas, and then boiling the yams to simulate mashed potatos, boiling carrots and cooking green beans. We ate chicken, as turkey is rare in Ghana, mashed yams with butter and salt, cooked carrots, green beans, salad, and rolls. For dessert we made crepes and rolled in apples soaked in cinnamon and brown sugar and nutella. It was a pretty good simulation of a great thanksgiving meal. We all went around and said what we were thankful for as well. Some of he Projects Abroad staff was skeptical about the mashed yams and we assured them that nothing could be worse than the stinky dried whole fish they eat! There was a Projects Abroad staff member in from Cape Coast to talk with the people working in the orphanages, Jenna. She was from GEORGIA!!! It was so exciting to talk to another southerner!!! We talked REAL football, food, family, and shopping. It was refreshing.
12/3
This morning the majority of the Projects Abroad members as well as Anthony and Enoch went to Accra for a holiday celebration with the rest of the volunteers from Ghana. Projects Abroad paid for our VIP bus ride there and gave us money to get home. 
on the VIP bus

We spent the afternoon meeting volunteers working in Accra, the Hills, and Cape Coast. They played music for us and provided great food and drinks.
Iona, Me and Enoch in Accra

Afterwards Delphine, Jamie, and I dropped our luggage off at our hotel in Accra and then met up with the rest of our group to explore Accra’s nightlife. Accra is much more developed than Kumasi, but on the street at about midnight were young Indian children begging for money…they would come up to us and hold their hands out. It was a scene straight out of Slumdog Millionaire. It was sad and scary! After that night everyone else got on a late bus back to Kumasi, but Delphine, Jamie and I stayed the night in Accra so we could head to Cape Coast in the morning.
12/4
This morning Jamie, Delphine and I went to Cape Coast. We arrived at the Metro Mass station expecting to take a 7am bus. The line was HUGE! We ended up taking a cramped trotro all the way, which wasn’t too bad…plus it was cheaper. We arrived and took a taxi to our guest house. We stayed at the Sammo Guesthouse. It was really nice! There were 2 queen beds in our room and a bathroom with shower! There was even an option for hot water…but it didn’t work. We rested for about 45 minutes, snacked on some food, then headed to Cape Coast Castle. We were able to walk from our hotel. Because we are volunteers we got in at a discounted price. We were able to first got through the museum. The Castle was basically a slave quarters owned by the Dutch followed by the British in the 1600s-1831. It was one of the stops for the triangular trade route on the Gold Coast, as Ghana was once named. It was interesting to go through the museum and hear about the slave trade through an African eye, instead of the typical Western story we all know. The tour started with the guide explaining what the Castle was used for and about the general story behind the process of the slave trade. He then explained that above the male quarters was a church. Just as we would like to judge these people for doing these terrible things especially in the name of God, he reminded us that we are not to judge and we would be doing just a terrible a thing, judging, as our forefathers did to the African people. It was a very nice introduction. The male holding room was pitch black aside from 2 tiny openings that you could see light and hear the ocean waves. The wall was marked about a foot up where the trenches along the side of the wall had been covered in feces, and shackles. There were something like 2000 men crowded in the 2 room chambers. They relieved themselves in the trenches, which were poorly irrigated. I cant even imagine the smell… We then saw the view from the top fo the Castle and the generals quarters which were beautiful and had such a view. 
the castle

view from the castle...me delphine and jamie

next to the castle...fishing!

view from the captains room

next to the cannons

There were also several chambers used for misbehaving slaves They were locked in a small room without food or water and in pitch black until they died. There was the “Door of No Return.” This was to signify that once you left Africa and were shipped away you would not be returning. A few years ago on the other side a sign for the “Door of Return” was added to welcome those whose ancestors had been taken away to come back. It was a beautiful place full of so much history and meaning. 


We left the Castle and met up with a woman working with Global Mamas. This is an organization, I think in many countries, formed as a cultural organization to teach visitors about the local customs and traditions from dance and music to art and food. We took a Batik workshop. Mary is a native Ghanaian. We went to Mary’s workshop/shed to learn her craft. We each got a sheet of cloth. We picked stamps out as she melted the wax. The stamps were soaked in the wax to build up a good waxy layer. Then we designed patterns on our fabric dipping the stamp in the wax between each stamp. Once the wax was dry, which was very fast, we mixed the dye. The powdered dye, made from plant extracts was mixed with caustic and hydrogen sulfide in cold water. The fabric was dipped over and over again to get good coverage. It was then rung out and set outside to dry. We then dipped the fabric in boiling water to get all the wax off. After that where the wax was is still white and we were left with beautiful fabric!! 






We then went back to our hotel and showered fro dinner. We walked up to the Oasis Beach resort for dinner. It was right on the beach like a tiki bar. Dinner was wonderful and we had the best fresh Pina Coladas! 
jamie and i at dinner

12/5
This morning we woke up early again to head to the Kakum National park. We took a trotro and were dropped off just outside the park entrance. We did a morning hike into the Rainforest and walked across the Canopy walkway. We saw some amazing trees and lots of bugs…no cool animals… 
on the canopy walk


We came back from the walk and ate breakfast at the “Rianforest Café.” We had great porridge, which is oatmeal, and French toast!! We then went down the road to the Hans Botel Crocodile Sanctuary. We saw a baby croc and 2 adults. I was walking towards where the baby was…or where I thought it was and turned around to talk with Delphine and heard a noise. I looked and didn’t see the baby croc so I assumed the noise was it jumping in the water. Then I turned back around and saw it was RIGHT in front of me! The noise was it hissing at me! Very Scary! …don’t worry, I still have both legs and feet! J We ate a terrible lunch here. The food should have been good, but were so full from breakfast and the food was too salty. We saw some beautiful weaver birds in the trees next to the table we ate at. We then headed back up to Kakum, for our night walk and camping trip. We ordered dinner to take up with us, and waited til 4 for our guide to arrive and take us up. 
weaver bird

A man came over and told us there was an issue with us going up to the tents. He said the place where they get the weapons was closed and they could not get the gun to take up with us. A few minutes later he said that they had figured things out and we were good to go! We set off at 4 to go up into the rainforest. Right as we started our hike, we noticed dark clouds and thunder. Our guide suggested we wait about an hour to let the storm clear. The very second we stepped back under the covered area, the sky fell! It was pouring rain with thunder and lightening. Right at 5 it let up enough to walk the 1-2 mile hike to the tents. We were each given a flashlight, small mattress and pillow. Our guide stayed in the tent behind our and the three of us stayed in one tent. We played cards for about an hour then went to sleep. We heard several animals walking around our tent, which was a little creepy. We heard Mona Monkeys in the distance and some very near us, including many bids, and the tree haylx. The tree haylx makes a screaming baby noise and stays in the trees until it is ready to come down to get food. There was one right above us. The noises were incredible. We then heard our guide on the phone as we were falling asleep. We then woke up to him telling us to come out, and that the park manager wanted to talk to us. We had been asleep for maybe 30 minutes. We walked outside and there was 5 park people standing around. They said it was not safe to be up in the rainforest right now. Then it started pouring and thundering. We waited out the storm a little bit in the tent, then they said we needed to head down now. So in the pouring rain we hiked back down the rainforest. 
not happy after walking in the rain

We stayed inside the park in the lodge…which was just a tent with cement walls. We are thinking maybe our guide heard some animal noises that were getting too close, or maybe something else, but they didn’t really explain why we couldn’t stay up there. Either way we still woke up at 4am to do our night walk. It was pitch black! We started the walk slowly listening for noises and shining the light into the trees to see animals. We heard a squealing noise I thought was a bird, but turns out to be Bush Babies!!!  We tried to catch their eyes with the light, and finally saw the little guys jumping through the trees. We also saw the biggest tree I have ever seen! It was the tallest in the forest, over 75 meters tall, and several meters wide. It was a silk cotton tree. We ate breakfast after our early hike and headed back to Kumasi.
12/7
I went back to work at Atasemanso Hospital today. Every morning I leave the house at 645, get to the trotro station at 7 or 705, wait til about 730 when a nurse at the hospital named Pricilla joins me in line, get a tro around 740, get off at Dakajom junction at about 755, and finally take a taxi and get to the hospital about 8 or 805. Once I get settled in the nurses station, I make my own rounds through the wards to see which patients are new and talk to the ones that can speak English. Today one woman in the female ward was being sponged down because her temperature was about 105oF. She was asleep and had a feeding tube through her nose. They were also feeding her oatmeal through the tube. She was weezing when she breathed, probably because of the tube. She was only 26 years old as well. She had children, which were not in the hospital and her husband was with her. I left the female ward after I had seen the other patients. At about 1230 I went back in to see a new patient they were bringing in. She was passed out and half her face was swollen. She had had a toothache and had seen an herbal doctor to get herbal treatment. It turns out she was allergic to or the combination of drugs was toxic and caused the swelling. As I was watching her the doctor came into the ward, I assumed to start ward rounds, so I went and stood next to him like I usually do. He went directly to the 26 year old woman with the fever. He said they were not sure what was wrong with her. She cam from another hospital and her husband was not very helpful in explaining what was going on. He claimed she started biting her tongue as if she was seizing so he took her to the hospital and when she wasn’t getting any better he brought her to Atasemanso. Dr. Boateng looked at her chart, then at her. She was still wheezing and you could see her chest moving quite a bit as she took breaths. Then she opened her eyes. She stopped wheezing. And then I noticed her eyes rolled back and her chest stopped moving up and down as well. Dr Boateng, now on the phone, set the chart down, did three chest compressions, listened to her heart with the stethascope, and left the room. The 26 year old woman died. About 5 minutes after she died,her muscles all started vibrating, as she was going through rigor. I was in complete shock! I have not only never seen someone go through the process of dying, but have never heard of people being so nonchalant about the whole thing. Because the wards are open wards, other patients were walking over and looking at her. Her husband held her hand and put a hand on her head and began praying for her. He then made a phone call and put it on speaker phone and laid it next to her head. On the phone was a woman screaming a crying. Another patient walked over and spoke with him coaxing him out of the room so the nurses could take care of the body. One nurse handed me 2 sets of gloves and told me to “double up.” She then told me to roll the body so they could change the sheets and put a new one on. They tied her arms to her side and her legs together, then wrapped the sheet over her body. They told me to tie the end around her head. We then moved her onto a stretcher, whose  wheels did not roll. Once on the stretcher, another nurse came over to put a sticker on her body, so they would be able to identify her. By this time when they undid the sheet, her stomach had swollen pushing against the tie containing her arms. We then wheeled/carried the stretcher around the hospital to a shed in the back where she was kept until her husband arranged for a morgue to take care of her body. It was a very sad day in the hospital.
12/8
Today in the hospital, I helped change the dressing for the man who had the sarcoma tumor removed from his ankle. The wound was from the front of his foot around to the Achilles and from the mid foot up the akle…all an open wound. I could see tendons and muscle fiber around the ankle. I assume at home there would have been a skin graft on something that large.
Tonight at the weekly meeting, we said goodbye to 8 volunteers. They had all been with Projects Abroad since I arrived. I had traveled with all of them and became really close to them. Some were going home, and others were continuing travels in other countries. It was hard to hear them all talking about the first things they would do when they got home, or bout how they couldn’t wait to see their friends and family. I was not even half way through my trip…There is also something special between people you spend time away from familiarity. I know that I can keep in touch with them, and hopefully will with most of them.
All of the volunteers and staff 
12/9
Today for outreach we went to the children’s home. We went to the school part first to treat teachers and students. They are the most difficult to organize and control. We then decided we should go into the boys and girls houses to check on the children that are either too young for school or who are mentally or physically handicapped. In the girls home there were 2 girls, about 3 or 4 years old lying on a mat outside. They had some form of mental handicap, but had not been taught to sit up and just laid there. They only squirmed and cried. The woman working there did not take the initiative to teach them how to sit up or even hold them. One of the girl’s diaper was off and both had terrible rashes that needed treatment. We then went into the room where the babies were. There were 6 babies from 2 weeks to 3 months, all orphaned. The youngest 2 were found on the street and brought to the orphanage. The youngest started crying, so I held her. Normally all the girls get fed at the same time only 3 times a day. The bottles have LARGE holes, so most of the babies choke as they are being fed. I think because we were there they decided to feed the babies a little early. I held and fed the littlest one. She was named Doris. I held her until she went to sleep then laid her back in her crib, which she shared with another newborn. The babies where all wearing long sleeved fleece outfits. They all had colds and most had some form of neck rash, head fungus, or bed sores. They rarely get held, and are not fed or changed as often as needed. The only positive thing I had to keep telling myself was that at least they have a place to go.


12/10
This morning Delphine, Christine, Jamie, Iona, Birgit, Katja, Anne, Louise and myself headed to Lake Volta and Wli waterfall. We took a 7 hour metro mass to Ho then a trotro to Hohoe, where our hotel was. The Metro Mass stopped one time for lunch and a bathroom break. The “urinal” was 3 and a half walls with trenches along the side…yes we peed all together into trenches! A woman was selling pineapple there as well. For one giant pineapple, cut into bite sized pieces it was only 70 Gp, which is about 45 cents! It was so delicious! Once at our hotel I took a real bathroom break, but unfortunately the lock got stuck on the bathroom door. I tried turning the knob only to break it off. We had to get a worker to bring a knife and chisel away the door knob to pry open the door…it was a scary 30 minute ordeal. During dinner there was a drumming and dancing performace by some local children. It was more of a noise making festival…the dancing was great but the drumming was loud and had no rhythm.
dancers 
playing with a cat at the hotel!

dinner

12/11
This morning we woke up and had a hearty breakfasst of egg, toast, and porridge. We then set out to climb up to the Wli waterfalls.
starting the hike

Ready!

The base of the mountain was quite flat and wea ll thought this would be a decent hike until the guide passed us all climbing sticks and made sure we had enough water.

we went to the top of this waterfall!

We climbed for 2 hours holding onto rocks and branches to pull ourselves up and keep from falling over the ledge. We could hear the falls becoming closer and could catch glimpses of the falls between trees. The view from the highest point was magnificent. We could see the town we started from and over the top was Togo. We finally got to the falls. Wli waterfall is the tallest waerfall in West Africa reaching over 400 meters in total. There are 2 main falls comprising the waterfall. We first went to the base of the highest. The water from this falls comes from the Togo side. The height, wind and morning made this spot extremely cold.
Birgit, me and Katja on the hike...the falls in the background was our final destination

the town below is where we started!

finally here

the group

me at the falls
We then walked a little further to look over the edge to the next level of the falls. We then began the decent down to the lower falls. Walking down actually proved harder than the intense climb. Because of loose gravel and steep steps many of us slid most of the way down, including me. I fell once and landed on either a root or cocks that cut my hand. Later Birgit played doctor and cleaned the dirt out of my wound. Getting hurt here makes me nervous of infection, especially after seeing some of the kids at the schools and after watching the amputation! :)
on the hike

the group at the lower falls

me and Delphine at the lower falls
 After we saw the lower falls we headed back to pick up our things and took a trotro to Lake Volta. The lodge we stayed at was beautiful. It was right on the water and had nice showers and beds in every room. We swam around the lake and then ate dinner by the lake.
our hotel

bridge over Lake Volta

12/12
This morning we had an English breakfast, according to the hotel menu. This was a tomato and onion omlette, toast with butter and jam, coffee, sausage—which was a hot dog, AND baked beans…haha oh and there was pineapple after the meal. After breakfast Iona, Birgit, Delphine, Christine, Katja, and myself went for a morning canoe trip on the lake. We spent about an hour and a half paddling up the lake. We saw a little green snake in the water and lots of birds diving for fish. Along the shore there were also kids bathing and people doing laundry in the water.
canoe trip

Christine, Iona and myself

pretty flowers!!

After the canoe trip we packed up our things and headed back towards Kumasi. We took another bathroom break on the trotro ride home and yet again I got locked in the bathroom. I had to slide the key out and they had to maneuver it through the lock from the other side…I will never lock the door again!
This man wanted all of us as his wife :)

12/13
Today was a slow day at the hospital. The woman who was admitted after taking herbal therapy for a sore tooth died in the hospital over the weekend. The man with the sarcoma tumor removed from his ankle was discharged and the new patients were all sleeping. I did help change the dressing on a man with terrible bed sores. He has been in the hospital for over a year. The sores were on both sides of his hip, but one side has healed. In an attempt to close the open sore, a plastic surgeon tried to remove part of his lower thigh and graft it to the sore. All that seemed to do was create several new sores and serious scars. The wound on the thigh was open all the way to the muscle and left a 4 inch circular hold directly into his leg. He had another sore on his back about 2 inches diameter. Both looked very painful and would take much more time to heal. It was depressing seeing this 24 year old otherwise very healthy man just lying on a hospital bed, where he has been laying for over a year…