Tuesday, December 06, 2005

Day 4


- Arrived yesterday at Bulawayo and spent the past two days figuring out what in the hell I am going to do for the next year. Apparently this position takes on more of a physician role than a nursing role which sort of freaks me out given that I did not go through medical school. The clinic that I will be working at is for HIV patients and I will be dealing with all of the follow-up as well as opportunistic infections. The nurse decides what meds to put the pt on as well as what tests they need to have and follows up with their treatment and improvement. (yeah, yikes). There is always someone to consult with for questions but there is so much work to do that basically I need to work very independently. I am also in some way excited for the opportunity to learn, but mostly just nervous right now. In being completely honest I am impressed with the staff with regards to their medical knowledge, but they are lacking in management techniques and basically just complain about the national, Zimbabwean, staff being lazy and not doing their proper jobs. Today there was a huge argument with regards to the gentleman, Muabe, who is supposed to be cataloguing and keeping updated the pharmacy. A delivery of combivir arrived on Thursday and no one was aware because he just left the unopened boxes in the main pharmacy and on Monday on of the docs, Elana, was calling all around trying to get these meds since many pts were going to run out within the week. Lo and behold the drugs turned up after someone opened the boxes. Elana felt like she did not need to hold Muabe´s hand through his job, but they really have not implemented any plan of action for him to correct his behavior. I think they have a meeting with him tomorrow to discuss this. Hopefully in the next month or so I can try to make some small positive changes, but I am also learning so much right now that I am still on the steep upward climb of the learning curve.
The house that I am living in has seven msf staff at the moment, but that is changing in the next few weeks given that four of the staff are leaving by the end of December and two new staff are coming in the next few weeks. It is difficult, to say the least, to work and live with the only people you know in a country, but for the moment it is nice to have a bit of a large ¨family¨ so to speak.

On a lighter note I am completely amused by the way African women walk around with HUGE bags on their heads. It is almost likes a hands-free Zimbabwe. Even if they have no other bags to carry and nothing in their hands they put bags on their heads and walk with more ease than I can muster walking through the large puddles that are gathering from the rain. Maybe I too will learn, but that is doubtful.
Anyhow, until later.

1 Comments:

Blogger emily berg said...

Hi Nancy!! It's 3:30 in the morning in Boston, and Susan Rooney and I are at work just checking out your blog for the first time. So fun to read about the beginnings of your adventures, and we are very excited and proud of what you are doing. Sue thinks that she might have a friend in the same area as you are... what a small world! Well, as it turns out, her friend, Bettina, is in the Congo--- guess that's kinda like us just "running into" someone from Kansas City. Oh well, worth a shot. She is out of the Barcelona office like you, so who knows. We love you! Emily and Susan

3:50 AM  

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