Friday, May 22, 2015

Where in the world are the Greenes?

SO... it has been quite a long time. And I thought, well, it might be time for an update! Last fall, Chris & I moved to Cap Haitien in the North of Haiti. We have loved the change of scenery, meeting new people, and exploring a new place. While we initially moved here for my job, we are both now working full time. Chris starting working with Meds & Food for Kids (MFK) the beginning of this year, doing logistics and supply chain. MFK has a factory right down the road from where we live where they produce Plumpy Nut (or Medika Mamba as we call it in Haiti), a peanut butter supplement. It is known and used all over the world to treat malnutrition.

Photo credit: Hope!
We have been learning a lot- the grant I am working on just finished it's first fiscal year, so my Program Management job has been a lot of reports. But this month I am getting back in the field, working with traditional birthing attendants and community healthcare workers. Chris is learning about shipping, ordering, &, well, peanuts I guess. We are also scheduled to head home to visit family for a 10 day break in June. Blessings.
My job sometimes requires very official UN visits
In April, my sister treated us with a visit, the first time she has gotten to come to Haiti since I have lived here! It was so fun (except for getting sick, sorry Nancy Hart)- she & some of the other staff from the hospital where she works in the States come to do teaching. We have also been enjoying the beaches, the Citadelle, & being close to good restaurants (with pizza!).

List of some good books I have read recently:
Scary Close: Dropping the act and finding true intimacy by Donald Miller
I am Malala: The Girl Who Stood Up for Education and was shot by the Taliban by Malala Yousafzai
The Name of the Wind by Patrick Rothfuss

And I am currently working through the devotional
Savor: Living Abundantly Where You Are, As You Are by Shauna Niequist
Our sweet little home!
Here is hoping that my inspiration to write continues!

"Didn't they say that only love will win in the end."
-Mumford & Sons

Tuesday, November 18, 2014

The Battle of Vertières

It can be very difficult to keep up with holidays here. I am slowly learning the significance of them- year by year. Today, November 18th marks The Battle of Vertières- a battle that signaled the defeat of the French. It is a particularly important holiday in the North of Haiti because this is where the battle took place. The President is in town today and we are hoping and praying for a peaceful time of remembrance. If you are interested in learning more about this, I found a blog that gives a good synopsis. Haiti Bonjou
Renwin- a mom who lives at The Maison & her 5 pups
Our time in Cap Haitien has marked lots of new things for me. First off, driving. I am now driving a stick-shift vehicle for errands, meetings, and just general needs. Driving in Haiti is fun and terrifying all in one. There is one rule: The Biggest Truck Wins. So you learn to weave in & out of traffic, avoiding potholes and motorcycle drivers. Second, Excel. I am working with HHA on a large grant to improve maternal & infant care in the Cap Haitien area. So I am learning to better navigate Excel, as well as to translate documents into Creole. Lastly, patience. Chris & I are both learning to best navigate our living situation when we have essentially been living out of suitcases since August. We will build a private apartment in a place called The Volunteer Village, and we are hoping that will happen sooner rather than later.
Chris eating a fish... or some kind of dinosaur
We also have the privilege of working with some phenomenal people- Haitian & expat. Just as an example, on the ground right now we have many countries represented- USA, UK, Ireland, Canada, & Switzerland. Not to mention the Chilean U.N. base down the road. So Chris & I are working on our many accents and I am currently watching a British comedy called Gavin & Stacey- a classic, apparently. 
The Maison de Benediction is a respite center for kids with disabilities. Always a joyful place!
I re-read A Wrinkle In Time a few months ago- a classic that my Mom read aloud when I was little. There is a passage that continues to ring in my mind as I am learning and growing in my new position here. So as I head out to check on a few things at the hospital, this is what is running through my mind.

"My child, do not despair. Do you think we would have brought you here if there was no hope? We are asking you to do a difficult thing, but we are confident you can do it."
-A Wrinkle In Time, Madeleine L'Engle-

Tuesday, November 4, 2014

Rainy days in North Haiti

We are officially in Cap Haitien! I write this as I sit in my office and stare out at the rain that has been falling for 3 days. We are finding our way here- making new friends, wandering out amongst all of the green farm fields, and getting to work. While Gonaives is only three hours from Cap Haitien, they are so different. It is green here- trees and farm fields everywhere. Fat cows. Birds singing in the morning. Oh, and of course the tarantulas. We are also helping take care of 6 dogs, 4 cats, one balding rabbit, 5 puppies, and a hand full of very fat and healthy chickens.
Green charcoal takes farm waste & makes it into business!! Green Charcoal
We are getting our rhythm set and getting used to a different area. We have loved living at the Maison de Benediction, a respite home for children with disabilities, as well as getting to know everyone here at HCBH, which is Haiti Hospital Appeal's partner here in Haiti.
This is how I find the boys most afternoons.
As you read this, people all over the US are heading to the polls to vote. Today in Haiti we remember that local elections here are three years late. Think of the people of Haiti today as you put on your "I Voted" sticker as they fight and struggle to have a voice. If you're interested in hearing more about the political situation in Haiti, check out this ABC Link.
My view from the office Day 3 of rain
"In the end we will not remember the words of our enemies, but the silence of our friends."
-Martin Luther King, Jr.-

Friday, October 10, 2014

Thoughts on our first year of marriage in the third world

I was riding with a friend on the back of her motorcycle to grab some plants a few weeks ago, and we got to talking about what I had learned during my first year of marriage. Our dating, engagement, and married life have all been pretty unusual- and I think that's an understatement. Our time together has almost exclusively been in Haiti, which makes things, well, a bit out of the ordinary.

So here are some thoughts on our first year of marriage in the third world:

1. Be very cautious at giving and receiving advice regarding marriage. You do not have a full view of someone else's marriage, and no one has a full view of yours. Advice can be a very dangerous thing, so seek it cautiously and ask advice of people who know both parties in your marriage. I believe that if we spent more time listening to our spouses and less time rallying people to "our side" our marriages would have stronger foundations.

2. Be together. I know that sounds simple, but it can easily be overlooked. My love language is definitely quality time, so I may also be a bit biased. I can look back at the amount of time Chris & I have been able to have our first year and see how vital it was to our marriage. And I am not just talking about the ooey gooey romantic stuff- though that is nice too. Spend time together in, what Patrick McManus would call, A Fine and Pleasant Misery. These things include but are not limited to: trying to sleep in blazing heat and sweat (do not touch me and I will not touch you), fighting off mosquitoes, cleaning up dog vomit &/or puke, paying a power bill (not a simple task in Haiti), hauling drinking water up and down the stairs, washing clothes by hand, etc. Be together. Listen when your tendency is to talk, and talk when your tendency is to listen. Choose to be together when it is uncomfortable, frustrating, and difficult. We have learned to better communicate (yep, we will always be working on this one) simply because we have waded through hard things. Also, by being together you get to learn about your spouse. Not a stereotype of a man who, honestly, may or may not be your husband, from a book. You get to learn more and more about who he is. If we spent more time with our spouses and less time reading about who society tells us they should be, I believe our marriages would not only be stronger but have greater depth.

3. Do not underestimate the power of continuing friendships with your single friends. Sometimes I feel like we are told to forsake any individuality and cling to your marriages. But I have some dear friends who are not married who are the most encouraging, fun, and easy to talk to people. They are not depressed, bitter, or angry. I feel as though we can underestimate the influence single people can have in marriages, and vice versa. By embracing each other as who we are, single or married, we challenge and enjoy each other. We bring the Kingdom to Earth and we challenge the world to change.

I believe by continuing to figure out who we are as individuals as well as couples, we build stronger people and stronger marriages. Embrace frustrating things because they teach you to forgive, communicate, and sometimes just laugh at yourselves. 
First anniversary celebration in Labadee.
Yes, in my one year of marriage, I have essentially learned three things. Who knows what the rest of the years will bring?
"If you never did, you should
These things are fun and fun is good."
-One Fish, Two Fish, Dr. Seuss-

Friday, September 26, 2014

Cap Haitien here we come!

Happy Fall! You want to know the funny thing about fall in the Caribbean? It looks pretty dang similar to winter, spring, and just a bit cooler than summer. So we sit, sweat, and dream of Pumpkin Lattes, candy corn, and falling leaves. On a happier note, it has started raining in Gonaives! Since I moved here in 2012, we have had very little precipitation. It bring me such joy to watch clouds roll in and cool the earth off about 2 or 3 times a week!
With the changing of seasons tends to come other change. I am happy to announce that Chris & I will be moving to Cap Haitien! This is a city about 3 hours north of Gonaives where I will be starting a job as Programme Manager for a UK-based organization called Haiti Hospital Appeal (check out the link!). We are insanely excited for a new chapter in our lives in Haiti- as well as sad to be leaving friends and neighbors in Gonaives. 

This city we are leaving will always be close to our hearts. It is where we first lived in a third world country. It is where we fell in love, where we spent our first year of marriage. Where I first experienced being exposed to tear gas. Where Chris became a University professor. It also contains some of my favorite people. 

Gonaives is a place that is considered, even for Haiti, to be an undesirable place to live. When we travel & tell people that is where we live, their response is typically, "Why?" But it has the best bakery in Haiti. Better power than Port au Prince. And is home to some of the most rambunctious, resilient, and amazing people.

Transition can be hard. As we gear up to move next month, my calming reminder comes from the Jesus Storybook Bible.
"All day they listened to stories about the wonderful things God has done for his people. How he made the world. How he gave a promise to Abraham. How he rescued them from slavery. How he spoke to Moses and showed them how to live. How he brought them to a special land. How he rescued them- no matter what, time after time, over and over again- because of his Never Stopping, Never Giving Up, Unbreaking, Always and Forever Love."

So we are remembering the stories of what wonderful things God has done for us during our time in Gonaives. We remember that He is a Never Stopping, Never Giving Up, Unbreaking, Always and Forever God.
Photo Credit- Becca Brooks
"Oh, it's delightful to have ambitions. I'm so glad I have such a lot. And there never seems to be any end to them- that's the best of it. Just as soon as you attain to one ambition you see another one glittering higher up still. It does make life so interesting.
-Anne of Green Gables, L.M. Montgomery-

Saturday, June 14, 2014

Real Simple

I love when people ask me questions like "what made you decide to move to Haiti?" I could give you a long answer. But the real one is simple. Ifoceur.

When I first visited Haiti, I worked closely with this sick kid named Ifoceur. He's a kid that has a smile that makes you melt, gives the world's best hugs, and is a leader (for the good and the bad sometimes). Long story short, he ended up testing positive and going through TB (tuberculosis) treatment here in Gonaives. Fast forward to this year.

In April, Ifoceur started being "sickly" again- fevers, cough, ect. It made me nervous- so nervous that we sent him to the joint Cuban/Haitian run hospital in town. He came back with a prescription for some antibiotics. They didn't help.

About 2 weeks later, he started having bloody noses. Like crazy long-lasting bloody noses. And he clearly had lost weight. So off we sent him for another TB thinking surely, it can't be.

They started him on meds after only one sputum test.

We withdrew him from school and started daily visits, but very quickly I realized, he is on the same medication as before. What are the chances he doesn't have a resistant form of TB?

After a few emails with people smarter than me, I knew we had to try something. While Gonaives is the third largest city in Haiti, we lack things like good laboratories, doctors working in infectious diseases, and consistency. 

A little back story- this sweet family had 3 children. When I first moved to Gonaives in January, 2012, Ifoceur had started TB treatment. About a year later they lost their youngest to TB meningitis. After he passed, both parents were treated. The loss of Lifetson, their youngest, continues to feel like a failure for me. Like we lost. It is grief that his parents, specifically his Dad, continue to bear. As I began this journey (again) with Ifoceur, I had this drive- we lost once, we weren't going to lose again.

The only place I knew of that did MDR-TB treatment in Haiti was with Partner in Health- Cange. This is about 5 hours from Gonaives and very difficult to get to. But after a few phone calls and emails, we heard about a place in Port called Gheskio.

We talk a lot here about how Haiti is moving from third to second world medicine. And I got my first view of what that looks like. This place was orderly, clean, and easy to navigate. I met with a female pediatrician with Ifoceur who, after a little back story, did exactly what we had hoped to get done. A sputum test with sensitivity. She was fantastic!

On the visit to get his results, she told us that, while he did have a form of resistant TB it, as she put it, "wasn't too bad." 

This strong, handsome boy and I walked to get a chest xray before returning to talk with her. As we sat and waited, we played a game and he talked about how much he misses going to school. He laughed, skipped and joked with me. When we returned to her office, she showed me a chest xray that blew my mind. It looked like he had maybe 1/4 of function in his right lung, 1/2 in his right. How he laughs, plays, and just lives everyday with that much infection blows my mind. The pediatrician assured me that after he began him new medications & shots (ouch!) his chest xray would improve drastically. 

Sometimes I feel as though things here are so symptomatic that they are confusing- the dramatic lady with acid reflux, the young man who turned his ankle, ect. But every once in awhile I get the opportunity to have a patient with insane, God-sized amounts of strength. Ifoceur is one of those people.

We are one month into treatment and going strong. And the bonus for me these days is that I get time with Ifoceur every single day.

"If God really does exist, then that must have implications for the whole of life."
Call the Midwife: Farewell to the East End, by Jennifer Worth
Chris & I are headed Stateside for a few weeks in July. We are trying to re-stock some much needed items for Klinik Jubilee. If you are interested in contributing, please check out our Amazon Wish list. Our list is simple, but these things go a long way!

Wednesday, April 30, 2014

Never be put to confusion

We have anywhere between 150-250 patients who come through our Klinik door every week. That is a lot of different faces, illnesses, cuts, and difficulties. The shocking part is that there are patients that I see every week and I still have a difficult time remembering their names. Others I will probably remember for the rest of my life. Certain patients stick with you.

I have been taking care of a special family since I first came to Haiti. I have seen every single member of their family for one reason or another. Serious illnesses, cuts and bruises, pregnancies, etc. Our story has involved lots of joy. The joy is sweet when it comes because we also understand great sorrow. We walked together after they lost a child. Still, to this day, the sweet Dad cries when he talks of losing his youngest.

The end of this week and this coming weekend are some big days for this family and for our Klinik in general. Our nurse will be going to Port au Prince to follow-up with a patient who we sent for cancer treatment. Keziah, my fellow ninja nurse, is taking two patients for surgeries. One for a cleft lip/palate repair, another for plastic surgery to repair damage from a burn. I will be taking this sweet family to a different part of Haiti in hopes of getting some more extensive medical care than what is offered in Gonaives. This is always a gamble, but pray with us for guidance, wisdom, and health.

The name of the Momma in this family is Dieu la. Literally meaning "God is here." Her name was written on a boat out by the ocean. As we passed it today, I was reminded that God is here. Right here.

"In You, O Lord, have I put my trust. Let me never be put to confusion."
Psalm 71:1