Tuesday, October 26, 2010

How Bake With Silicone Cupcakes

The last few weeks in review - Visitors, campaign and other experiences

mid-September were 6 members of the Lugala working group, which the hospital for 20 years has supported, as a guest. Without this financial assistance would be mainly to supply the patient with drugs is not possible. Now the visitors had plenty of surgical material, various devices including a new cordless screwdriver for the OP and some culinary delights for our luggage.

Our main activity was the day before in the cleaning up, unpacking and sorting. Bed linen, towels determined, a thousand (!) Washcloth from previous broadcasts, all waiting for months in crates and boxes to use. When asked why it is not distributed to the stations, we are told that it will disappear. Will it not be distributed, it is also of benefit to anyone, but that is the nurses care. Lieber allowed to rot away unused things, as that one does not begrudge the truly needy. Take a towel in her mud hut, then the purpose is fulfilled as yet. The washcloth we now distribute to the many mothers with their children, they are grateful and happy about it.

trips to Dar es Salaam are always associated with a variety of purchases, in addition to medicines and laboratory supplies to office supplies, cleaning materials, spare parts and consumables of all kinds are concerned. addition, you drive never alone, there are always passengers who are in the morning before the door, this time we still had patients to continue treatment at Muhimbili Hospital on board and rice bags, which we were given by employees for their relatives in the capital. The expected arrival of our Guests on Monday evening gave us the opportunity for a weekend in Zanzibar. After all the daily bustle of such a small time-out is very quiet, apart from the constant sms with wishes, what is missing all of a sudden and we still would not forget to bring, such as batteries, etc., printer cartridges.

During the two shopping days in Dar, we had a total of 3 flat tires, fortunately, the guest house of the Capuchins, our head quarters in Dar. There, a friendly helper has taken over the repairs. The tubes have already been patched several times just to be replaced at some point. The climatic conditions and road conditions have been a particular hardship for people and materials. On the way to Lugala there was for the guests with a stopover visit to the Bishop in Ifakara. In addition, we received the request, but still bring 2 new mattresses for the guest house. So rope was concerned and found the fully-loaded car with lots of luggage on the roof and another 2 mattresses place. In Germany, should be met with such a charge probably no traffic control.

On subsequent days, the visitor priest, medical staff and an administrative specialist have - their activities in the hospital looking for. The 20th anniversary of the partnership was a colorful evening with many photos of the past few years, mutual gifts, with Coke, and peanuts held shower entertaining and worthy.

Peter was then with the group in our Dispensary in Tanganyika Mazagati that we had visited during the rainy season before. There necessarily had to be repaired, which are only now the dry season on the buildings. No one has been spared in this effort and the building was in addition to the necessary repairs above all a thorough cleaning and fresh paint - so neat, it has probably never looked there. Was stayed in Taveta. So this three-day trip bound deep in the African Busch the pleasant with the useful.

was during this time the hospital (control) visit to the head doctor of the district, a day later, the health minister, because it's election campaign. This opportunity should be used to once again highlight the importance of the hospital. The precarious financial situation has its cause in the fact that the government only to personnel for a 60 - bed hospital recognition and only pay for salaries. Over the years, the number of beds has increased to double, sometimes even these are inadequate and of course more staff than in the early years employed. In addition, each year 15,000 patients treated as outpatients. Thus, the device a highly frequented by the public rural hospital and guaranteed basic health care for over 100,000 residents. However, it does not have the status of a district hospital for which staff is paid more, because this comes in Mahenge, about 6 hours, for many people to rainy season almost reached. The Minister took note of it, nothing more. Success remains questionable, perhaps to somewhere else more. In any event, had to be, well that time worked with the departure of our Lugala working group for the high-score geradeso visit the guest house completely cleared. Catherine and Kurt, two German students who have completed an internship at the hospital, had to move out as well. The two I simply quartered on us, so at least I was not alone, and during our subsequent absence someone has lived in the house.

Lugala The adoption of the Working Group follows the visitors in welcoming our guests for: vera and Uwe. The two were allowed to suffer too, like the msd-shopping before the "adventure vacation" should start the next morning. We had just left the capital when suddenly a stone flies through the windshield. But bad luck that there was no personal injury and thanks Sunglasses was nothing in `s eye. People said, this raises Confused ... more bricks.

blessing in disguise

role pavement is held together with the rest of makeshift, built into the Toyota garage a replacement disc, a new South Africa must be purchased. On the site of the workshop, we heard a distinct hissing sound, the next flat tire, as appropriate.

On the way to our evening milestone Mikumi to welcome giraffes and zebras. The visit to the park brought this time ein besonders schönes Erlebnis: wir haben ein gerade geborenes Impalababy entdeckt und konnten beobachten, wie es immer wieder versucht, auf seinen wackeligen Beinen zu stehen – und es doch noch nicht schafft, allerliebst!

Noch keine Stunde auf der Welt

Am nächsten Morgen macht uns der Lodge-Inhaber freundlicherweise auf einen platten Reifen aufmerksam, Nr.5. Wir hatten uns dort ohnehin mit einem nach Dar fahrenden SolidarMed –Mitarbeiter verabredet, also übernimmt dessen Fahrer für uns die Reparatur und kauft neue Schläuche, wir erledigen in der Zwischenzeit unsere Formalitäten. Die Tagesetappe ist außerdem nur short, our goal is the Udzungwa Mountains. A day hike takes you through shady forests to the Sanje waterfalls, from the small bush elephants living there, we see only the remains.








Refreshment in the jungle to the Sanje waterfalls, 170 feet high, now in the dry season only a little water

The drive to Lugala uneventful, no flat tire, the ferry is intact. Even on our arrival we take a strange, yet unique smell was and we suspect a decaying animal in the adjacent field. Hang the laundry the next day I noticed a colorful cloth in the tree behind the garden. Closer inspection confirmed the suspicion that there is somebody I think in short, now we are also observed from this side - the people are usually only on the street in front of the house and gucken – aber er bewegt sich nicht. Peter geht näher und meint, dort hängt jemand. Wir holen Peter Hellmold und benachrichtigen Polisi Steven. Man weiß inzwischen, dass es ein seit 4 Tagen vermisster Patient war. Er muss von seinen Verwandten identifiziert werden und soll, da man ihn nicht mehr in die Leichenhalle transportieren kann, solange dort hängen bleiben. Die Familie wohnt 40 km weg, das bedeutet: Hängenbleiben bis zum nächsten Tag. Mit dieser Gewissheit und dem immer stärker werdenden Gestank ist es keine angenehme Nacht. Am Sonntag kommen die Angehörigen und schaufeln direkt unter ihm ein Grab, eine andere Bestattung war nicht mehr möglich. Charles meldet sich am Montag krank, er hat sicher nicht verkraftet, dass He has worked in the garden, without anything to say.

sort The following week I devoted to Vera books for the library, Uwe is the virus-infected computers of our "Internet cafes". Time for bike rides, trips to Malinyi, Biro or Furua and reading is for the two of course.

On the way to Biro

The planned trip by TAZARA back to Dar has been canceled, announced the 14 h delay, it may well be even more sind auch für tanzanische Verhältnisse ein bisschen viel. Außerdem erwartete uns dann eine Nachtfahrt und das heiße, staubige Ifakara ist nicht gerade eine attraktive Metropole, um sich dort die Zeit zu vertreiben. So fahren wir gemeinsam mit Kuandika im Auto in die Hauptstadt, er kauft diverse Ersatzteile für Hospitalfahrzeug, Traktor und Generator sowie zwei neue Reifen für unser Auto, damit wir für die nächste Regenzeit gerüstet sind. Wir gönnen uns ein Eis, für uns inzwischen Luxus, den es außerhalb der großen Städte nicht gibt. Für Kuandika war es das erste Eis seines Lebens.

Gemeinsam mit Vera und Uwe verbringen wir eine Woche in einer Strandlodge Pangani in the Indian Ocean. A trip takes us to Tanga, the third largest port city in East Africa with German history, morbid charm and pleasant atmosphere. We will go there again determined.

Former dt hospital - thanks to donations of money from Germany saved with a new roof before the decline, but it will continue to remain unused








For us this is the first full week of leave for 7 months. Here we reach the mandatory sms, from what Dar is still everything to bring. So we embark on the adoption at the airport again on a buying spree do get the medication in stock, not the last time, it unfortunately is not this time and break again after Lugala. On the way we now have the sixth Plates, this time in the bush. That's enough. A helping tow the broken wheel on `s roof and we reach Lugala before nightfall. The house is dusty total, said Emma has plenty to do on Monday.

It is of Day to day hot, the thermometer in the house now shows 35 degrees, everything is dried up and the dust nuisance. Once rain now would be not bad, we really have to wait until the end of November.

Wednesday, October 6, 2010

Large Amount Of Discharge Before Period

A check on the way

At the end of each quarter, our internet fee must be paid, just over half a million shillings. That's a lot of money not only for our troubled by financial worries Hospital in Arusha, but the provider is a monopolist determines the price, is not exactly customer friendly. The hospital has not offered in the National Micro Finance Bank (NMB), an account, online banking is, so does the payment of bills by check.

order to pay the internet fee Lugala filled in a check-whatever-Hellmold Dr. and Mr. Moses will sign. The check must now be brought to Ifakara, it needs to find someone that goes to Ifakara and bringing the check. This works well, but after a few days after the check is returned to Lugala: the signatures are not the right place. The previous checks were as-signed this time the signatures are just not in place, therefore: a new check. A friend of Fundi Kuandika want to go to Ifakara-Kuandika gets an envelope with the new check and to give to him. A few days later, we are now in Dar es Salaam to pick up guests at the Lugala working group from the airport, we get a call from Mr. Matimbwi, the solar energy expert who for the past few years no longer works at the hospital. He informed us of a call from Arusha, it was still paid more money and internet access will be blocked. Criticism here is never expressed directly, but immer über Umwege angebracht, in diesem Falle über den ehemaligen Mitarbeiter. Eine Nachfrage bei Kuandika: ja, ja sein Freund hat den Scheck mitgenommen. Noch eine Nachfrage: hat er den Scheck abgegeben? Nun ist der Freund per Celfon nicht zu erreichen.

Ein kleiner Einschub: am nächsten Morgen soll ein Mitarbeiter mit dem Bus nach Moshi fahren, um 50 kg Natriumchlorid und 25 kg Dextrose für die Infusionsabteilung zu kaufen. Abfahrt ist 4 Uhr in Malinyi/Lugala, dann ca. 12 Stunden bis Chalinze, übernachten, am nächsten Tag noch einmal etwa 10-12 Stunden bis Moshi. Dort am übernächsten Tag die Chemikalien einkaufen und in gleichen Etappen zurück nach Lugala, immer mit 75 kg baggage.

We learn that Kuandika forget the check and the employee has given him. This has the check then to a passenger who gets out in Ifakara passed, with the request to leave the envelope at SolidarMed. An employee does the banking for our hospital. Another demand: there is the check has not arrived, but he is to be located in Ifakara. We will arrange a phone call that our stub scanned from the check book and sent to Arusha. Somewhat encouraging is that our Internet connection was not switched off. Like everything here it will be announced first, followed by deeds rarely - weder im positiven noch im negativen Sinne. Ob der gescannte Kontrollabschnitt die Firma beruhigt hat oder das Geld überwiesen wurde, wissen wir ein paar Tage später noch immer nicht.

Wenig später erhalten wir von SolidarMed die Nachricht, dass der Scheck eingetroffen ist, bei der Bank eingereicht und nun mit den Unterschriften akzeptiert wurde. Fortsetzung folgt.

Thursday, September 2, 2010

How Much Does It Cost To See A Vet Opthamologist

New challenges

Vor ca. 4 Wochen wurde eine vom Kreiskrankenhaus Torgau gespendete Röntgeneinheit, die einem Container beigestellt war, nach Lugala geliefert. Dieses moderne und leistungsfähige Gerät mit diversem Zubehör war in insgesamt 4 großen Holzkisten sicher verstaut und sollte nun endlich ausgepackt werden. Für solche Aktionen ist nur am Wochenende Zeit und so hatten sich am Samstag einige neugierige Helfer eingefunden. Die Kollegen der Sangerhäuser Holzbaufirma hatten schöne Kisten gezimmert und es mit dem sicheren Verschluss besonders gut gemeint. Es wurden unendlich viele Torx-Schrauben verwendet, für die zum Befestigen und Lösen ein spezielles Werkzeug benötigt wird. Wer hat so etwas im afrikanischen Busch? Natürlich der Hospitalverwalter mit seinem Akku-Bohrschrauber und den für die Torx-Schrauben passenden Bits. Der Akkuschrauber hatte schon des öfteren seine Bewunderer und in unserem versierten Hospitalfundi Kuandika einen Liebhaber gefunden. Für besondere Arbeiten bekommt er das Gerät leihweise und hatte es zwischenzeitlich schon in seinem für hiesige Verhältnisse gut ausgestatteten Werkzeugschrank einsortiert. Auch im OP wird ein solches Gerät aus einer früheren Spendenlieferung verwendet. Von diesem ist leider das Ladegerät defekt und so diente unser Gerät auch schon zum Knochen verschrauben. Für den OP erhoffen wir uns baldige Abhilfe, der Besuch einiger Lugala-Arbeitskreis-Mitglieder steht unmittelbar bevor, sie werden sicher einen Akku-Schrauber im Gepäck haben.
Die beiden Peter haben sich bei diesem Einsatz nicht geschont und damit wieder einmal Personal und Patienten beeindruckt. Leider gibt not even a photo. We had forgotten to recharge the batteries of the camera and the batteries are already available here unfit before they are even unpacked, you need it so buy the first place.

for construction and commissioning of the complete solution, we are now waiting for a mechanic from Dar es Salaam.

During this time I have copies for an existing local Polisi Steven of 50 A4 pages textbook 20 times. Our copier is indeed a very convenient device, but without ADF. Each sheet must be lodged separately and turned so the whole thing was quite cumbersome and time consuming. Also such a thing is only on weekends, on a normal working day our office is like Grand Central Station. There is no copier here, of course, far and wide, not so that this office will service as well as our Internet connection in the library be worth a lot for the hospital and become a modest source of income.

the afternoon, I've operated as a driving instructor. The hospital has 3 motorcycles, with which our medical officer for patient care now and go over land. The state program for health care requires that nurses also go to the so-called outreach and consultations in the villages and health education on nutrition, infant and child care, protection from HIV, malaria, etc. offer. Until now, Nurses were driven by car, car and driver were blocked for the whole day, transporting patients is not possible. Now we have for this purpose, a moped. The stands around unused for a month, because none of the nurses can take this pikipiki, someone has to teach it to them. I've agreed to, and of course before a round shot himself, after all I have for more than 25 years no longer sat on a scooter, than as a passenger with Jens on his S50. Back then it was my Schwalbe, this time a little, but I think, relatively heavy Honda 50th The once familiar Ride was fast despite this long break from driving again.

We had agreed on the clock 16.00 to the hospital owned airstrip. Of course, an eternity no one came and I had already contemplated again to drive, because now I seemed to me like the monkey in the zoo, or better the giraffe in the park, especially the countless children Mzungu-admired woman pikipiki with. But then they came - Mama Chogo, Prisca and Rose - in her flip flops and colorful Kangas.

first acquaintance with the Pikipiki

Despite these completely inappropriate footwear for the run three short training and less Vorführrunde by motorbike, which was off with the flip flops of course difficult. The layered, cumbersome and Kangas were taken after a short time. The most important: they enjoy and they want to go really own - let's see. are theoretical lessons and a test is not it. If we think it can go alone, then we buy for 5000 TSh (about 2.70 €!) A license to drive for the pikipiki and off you go. Now they practice every day, each with different skills - aber alle mit Turnschuhen.

Mama Chogo in Aktion

Mit Prisca bin ich die 5 km in`s Dorf sogar schon als Sozius zurückgefahren, allerdings in der hier bei den Frauen üblichen seitlichen Sitzhaltung, damit ich notfalls abspringen kann… Heute Nachmittag geht es weiter.

Rose mit Freude am Fahren

Rose war die eifrigste, fuhr jeden Tag ein paar Runden auf dem Hospitalgelände, hat sichtlich viel Freude am Fahren und war eine Woche nach der ersten Fahrstunde allein über Land move. The radius was limited to 5 km course only once, but this event was something special here and rose to be quite proud of himself.