Sunday, March 4, 2012

photos!

My posts can hardly do the trip justice... I wish I had a video-camera attach to my shoulder the entire trip. That way, I could at least offer a taste of what my adventure was like! But photos will have to do. Enjoy!

A little bit of Quito & the hospital
Our first full day in Quito was a 'free' day so I travelled to the Otavalo Market and Cotacachi Leather Town.




Bright and early Sunday morning we headed off to the hospital to begin our week of surgeries....



The hospitals do not offer pillows for their patients, so CAMTA brought their own. The beds do not move up or down, and you're lucky if the head can be raised a few inches. Also, several little things are done differently - for example, the biohazards waste disposal, or sharps containers, are simply empty jugs or pop bottles.



A view of the operation ward and recovery room...



The amazing sunset that can be seen throughout Quito...


 More photos of Quito - homes, streets, graffiti, mountains.





More to come, stay tuned!

Danielle

Wednesday, February 29, 2012

Back home.

I got back home safe and sound on Monday night. Thank-you for all your prayers and support during my 10 day adventure - my appreciation is endless.

In all honesty, I am heartbroken to be back. I love my family, love the opportunities of Canada, but when the realization of being back hit, I broke down. I feel like part of me has been left behind. On one hand, those 10 days seemed like years, yet on the other, not enough time at all. I've been waking up disoriented, still expecting to see the hills and homes of Quito through my hotel window. Adjusting to my old routine is difficult... I have two midterms to write tomorrow yet catch myself daydreaming time and time again. 

On a happier note, my initial sadness is evolving into motivation and drive to return. I have found where I love to be, and am already scheming on how to best work towards returning. Task number one: learn Spanish! As of today, I've enrolled in Spanish lessons through school.... can't wait! Task number two: excel in school. If I want to travel as a professional, I need to aim high and work towards my NP or possible MD. And daydreaming certainly won't be helping with that :) 

Every moment in Ecuador has left an indefinite imprint on who I am. I am beyond inspired and dedicated to return. 

Again, one million thanks to everyone who supported me through my entire experience. 

Sincerely,
Danielle

PS - I will still be updating this blog! Photos and stories to come, once school settles down... 

Sunday, February 26, 2012

The hardest thing.

Today was one of the hardest days I can remember.

It was a half day at the clinic, so the Week 1 ward team went for a few hours in the morning to finish last minute tasks - dressing changes, administering medications, walking patients, etc. My morning was busy, but I had tied up all loose ends by lunch.

Unfortunately, my patients could not be discharged today so I had to say adios to them, not the other way around. Two of my ladies were in the same room, so I managed to communicate in broken Spanish that I would heading back home but another fabulous CAMTA nurse would be there for the afternoon. Before I knew it, tears were streaming down their faces, and their families suddenly rushed forward and embraced me like a friend.

I could barely keep my composure until I made it to the staff room. I just cried and cried. The only other time that I have felt such saddness is when I left home for TWU in BC after spending Thanksgiving with my family. That feeling of dread, of heaviness, was my sign that going to school in BC was not right. In this case, this feeling confirms that I need to come back here. Leaving tomorrow does not mean that I`ll never return. Quito and I are not over yet!

This has been the best week of my life. Between patient care and making friends, I could not have wished for a better experience. Unfortunately, I need to jump back into a regular routine once again. However, I am more inspired and driven to make something of my career than ever before.

I suppose this is my final blog entry while in Quito... I tried to write as much as possible, but sometimes words cannot simply explain the moments in my day. I am sure I`ll post more stories as they come to mind once I am settled in with normal life

For now, adios and see you at home!

Danielle

Sunday Morning.

Exactly one week ago we began clinic, and suddenly here I am - on my last ward day.

I am in love with Quito and the work CAMTA has been doing here. Although it has been 10 days, I am intrigued by the culture, the people, and how beautiful the country is. Both inside and outside the hospital I have met the greatest people - despite the language barrier, the friendliness and sense of community here is evident.

The sense of community is so strong, that at times it can be a detriment! For example, when I walked into one of my patients room, a cluster of people were standing at their bedside. I asked if they were family, and they all said yes - when in reality, some were neighbors, friends, bosses, etc. Straightening out who is who when 'family' has no clear cut lines is always fun, especially with minimal Spanish skills.

This trip has also given me TONS of practice with my nonverbal skills. When you can't speak more than hola and adios, a smile is all you got! Back at home, my 'non-smiling face' often comes off as angry or inpersonal. Here, all I have to work with is my smile! So basically I go from patient to patient, beaming, because I want to present myself as trustworthy.

Leaving the ward today will be hard. These 10 days have been incredible, and I am chomping at the bit to return. Unfortunately, students are not allowed to return for 2 consecutive years. Meaning that I can't apply as a nursing student next year. I can, however, apply as a translator - yes, I will learn Spanish by next year! - and have the possibility of returning. CAMTA's focus is on spreading the value of mission work and branching out to those who may have not considered it or are first timers. By allowing a student to come once, they open up oppertunities for many others. I appreciate their focus, but I certainly don't like it!!

Again, a huge thanks to everyone who has supported me in your thoughts and prayers this week. I have felt supported, healthy, and effective during my time here. One more sleep until I'm Canada-bound.

Adios!
Danielle.

Friday, February 24, 2012

Feb. 22/23 - Wed/Thursday

I don't know where the days have gone - it's Thursday! I'll try to recap the best I can:

My first patient was discharged yesterday. What a bittersweet moment! 2 days following her hip replacement, she aced the PT stairs like a pro and was officially released from our care. Although we couldn't verbally communicate, I felt a bond with her, and I think she felt the same. When her family came to escort her home, they iniated the picture taking! I think a certain ''celebrity status'' is given to those who recover from our team care.

A second patient of mine was discharged today. She is a young woman, single mom, and unbelievably determined to recover - 1 day post-op she climbed the PT stairs and was discharged with a clean bill of health! Being sent home one day post-op from a hip recplament is a rarity in Canada... we are a bunch of wimps! She was surrounded by family her entire stay, and again, at discharge, it became a mass mob of photo-taking with team and family members.

I am still loving my ward team. It's great gettingto know other nurses personally - I am endlessly asking an ER nurse about her patients and stories. I also work with a pediatric nurse, so her take on patient care is unique.

The ''feel'' here is something else. Although traffic is insane during rush hour, the culture is laidback and friendly. Beautiful music, spicy food, rainy days - my cup of tea! I have lost track of the number of times I've been addressed as a Spanish-speaking person... I think I found my 'real' ethnicity!

Tomorrow, Friday, is our final full day of surgeries - Saturday is a 1/2 day and believe Sunday is free! A bunch of us are headed to the equator one of those days, and rumours of seeing a soccer (footbol!) game are also floating around.

That's all for now - Adios!

Tuesday, February 21, 2012

Monday! (Feb 20th)

Feb. 20th - Monday

Being part of this team is just a blast. I am so fortunate to be the student on this trip, and have the ability to move between the ward, recovery room, and OR as needed.

I followed two cases today, the first one being a young girl, about a year, with a club foot. Preoperatively we got her prepared, but the anxiousness of her parents was evident. This is where the language barrier is very strong - and frustrating. No matter how genuine our smiles or our intentions, carrying a crying child away from their parents and into the OR is challenging. Translators lessen this divide, but it still exists.

Thankfully, this beautiful little girl did wonderfully through surgery and recovery. While I was watching, the surgeons gave me a play-by-play of every step, and although I wasn't "clean'', I was encouraged to get as close as possible to see it all.

I  saw a total hip replacement following this, and was still enjoying every moment in the OR. There is quite a bit more hammering and "construction work" involved than a pediatic case, and at one point the femoral head did a hot-potato dance in the air from hand to hand! This lady also did great through surgery and recovery, and became my first official Ecuadorian patient!! YAY!

The ward is beginning to fill as 4 adults and 4 children went through the operation room. By tomorrow evening, every bed will be filled.

We wrapped up the night with dinner, as per CAMTA tradition, at a waffle/crepe house, of all places! The desserts were infamous among CAMTA returnees and this year it certainly did not disapoint!

Day 2 of the ward begins tomorrow and the time will go rapido until Saturday. The OR slate is under constant revision as the charge nurse and surgeons ensure that we can see as many people as possible.

Yet another day has come to a close, and my mind is still turning cartwheels over the excitement of today. School seems so far away, so menial in the light of CAMTA's work here. Daily, minute by minute, I am seeing the contributions, fundraising, and prayers of everyone back home come to life as we are able to use our skills for amazing work here.

D.

Monday, February 20, 2012

Clinic Day One! (Feb 19th)

February 19th - At the hospital

Today - clinic day one! The hospital is a 1/2 hour bus ride to the other side of Quito. It was in better condition than I anticipated. However, although it had been built only a year ago, it looked dated to the 70's - apparently it had taken 15 years to build! Crazy!

Half the day I worked with the other adult ward nurses unpacking and 'moving-in' to our ward. We did inventory and set-up, breaked for lunch, then headed downstairs to the clinic to assist with assessments. Locals from far and wide travel for a chance to be seen by our team. I was able to jump right in and work with the clinic nurses in screen potential candidates - going through their health history, medications, vital signs, etc.... All with the invaluable help of a translator, of course!

It was noisy and crowded, and people lined the hallways waiting for their turn to be seen. Many sat on chairs, the floors, or stood supported by crudely fashioned wooden walking sticks. Depsite the busy environment, the whole process ran smoothly from beginning to end. All the patients I assisted in assessing were approved, however I know that was certainly not the case for everyone.

Tomorrow is the first surgery - a bilateral hip and club foot. And I am scheduled for a follow through - I CAN'T WAIT!!! The kindness of the team is astonsihing - the nursing staff truly want to teach and have taken me under their wing. For example, here we take blood pressure manually - I shouldn't have been shocked, but I was really taken off guard. I haven't done it manually in almost three years! Take my gap of know-how in stride, two nurses sat me down and practiced with me until I had it down pat.

Afterwards, we returned to the hotel for a quick wash-up prior to pizza in the lobby. Virtually nowhere is open to eat on Sundays, and it is forbidden to drink alcohol too - literally against the law! 

Tomrrow the first patient goes under the knife and the ward will soon be brought to life. A OR nurse brought scrub caps covered in Canadian flags for the team, and I am just dying to try it on! PTL it has elastic on the back because fitting my mane under those things can certainly be a challenge!

In the mean time, my goal is to turn off my brain. Countless times in the day I can't believe I am here, that I've made it to South American and able to offer help to people in need. I am so blessed to be part of such an amazing team.

Adios!
D.

Sunday, February 19, 2012

The Market! (Feb 18th)

Journal Entry: February 18th

Day 1 of Quito began after a quick rest fom yesterday's craziness. Both my roommate and I were anxious to get started as today we were headed to the legendary Otovala market. Following the oh-so-fabulous fresh juice bar, we met up with another pair of girls and borded the bus. And finally - we could se Quito in the daylight!!

The best way I can describe it, based from my limited previous travels, is like a touristy Mexican city, but without the touristy draws. Some hotels, mixed with cube-like houses, palm trees between rubble, and endless traffic. People on bikes, foot, cars, weaving in and out of traffic, most making lanes from themselves. As our 2-hour drive began, we took in the rolling city. Somehow built over massive rolling hills, Quito is patially covered by dense clouds, giving it a real feel of 'foreign land'. Car honks and merchant shouts filled the air, and the humidity could be felt within the bus cabin.

As we left the city, the "poor" became more evident... my notion that those living in the city core where poor was quickly reconstructed when I saw children, 4 or 5 years old, playing in mud on the highway side, mere steps away from speeding trucks and tourist vans. Crumbling shacks with zero signs of electricity or water supply scattered impossibly tretcherous terrain conditions. Eventually all signs of habitation dissolved and Ecaudor sprawled out in deep canyons and dense forests that ran as far as I could see. One sid eof our road was a sheer rock face, with its top invisibile beyond the clouds. On the other, vast expanses captured our view.

Our first stop was a mini-break in a "leather-town". Many botique-y shops modelled jackets, boots, and purses - it had a 'high-end market' feel to it. We capped off our break with coconut fruit pops and continued on our way.

 The second time our bus stopped, I was confused - he had pulled and opened the doors in the middle of a street that was lined with questionable businesses, crumbling roads, and packed with locals. I thought that leaving the safety of the bus was a mistake until we unloaded and walked around the corner - and the expansive Otovola market lay before us!!

It must have been the size of 6 Strathcona Farmers Markets, and packed with as many stalls as possible. We were told to meet back at the bus in 2 hours - our identifying landmark was a doggie day spa (odd business, no?). The bus would wait at that stop the entire time in case we needed to come back for break. Seemed simple enough, right?

Anyways, the next couple of hours were a complete sensory overload. Earrings, necklaces, rings, cups, whistles, pipes, trinkets... The list of products for sale was unreal. And it was shockingly busy - this is a long weekend for Ecuadorians, so the added local shoppers made the environment intense. Merchants were yelling about their wares, a man was chopping coconuts with a machete to sell coconut milk (which was delish!), and kids were running around with silly-string/spray and just soaking shoppers with white paste. I was hit once, but was assured by the other ladies that it was because I looked Ecuadorian... what?! I was laughing so hard.

The market was more or less a sqaure, with the outer diameter being the most popular path for tourists. As you walked towards the center, the stalls became increasingly dense, so much so that the sun was blocked from view. After bartering (no spell check, sorry!) non-stop, I found myself
with quite the arm load of goodies very quickly. In no time at all, my shopping buddy and I realized we had lost track of time and had only 10 minutes left to get back to bus. We raced out from the market core to the diameter..... and ended up completely lost among the people. Stalls were shutting down, people were everywhere - it was impossible to tell which way was which. That is when the fun stopped for a second. Realizing you are the only two people in who understand dog-spa in English is not fun. Realizing you can't speak Spanish to save your life is really not fun. Panic crept in as we dodged haphazardly through the stalls, seeking anything familiar.

Thankfully, our look of panic drew the attention of a group of young travellers who happened to speak both English and Spanish (PTL!). One was an Ecuadorian resident herself, and so between the lot of us, we managed to find out bus - sitting ONE BLOCK away from where the two of us had originally started our search! Grateful for their assistance, we ran back to the bus, embarassed about now being 1/2 hour late, but relieved to be among familiar faces once more.

(Sorry Mom - I don't think you would like this post!)

Tomorrow is our first day at the hospital, where we screen every condidate to assess who we can help during the next week. For now, sleep is needed once again as a hugely busy and exciting week is about to begin.

Adios!
D.

En-Route (Feb 17th)

Journal Entry: 730pm - in the air, somewhere over South America.

On the final stretch to Quito! I can't begin to explain the amazing adrenalin-fueled day I've had so far. 230am alarm, 345 airport arrival - still going strong! The excitement is contagious.

We departed from the new American Departure gate at EIA without incident, which is amazing considering the sheer amount of equipment we are hauling. The flight to Houston was quick, and a 4-hour lay over in the air MALL-port was a good bonding time with the team, over burgers and fries of course! There are other ''youngin's'' here, but I found myself very included across the group dynamics.

As we fly, slight weariness is combated by a breath-taking sunset that illuminates the sky from blue to deep red. We also managed a peak at the ocean just before it was overcome by night. Our southern descent was first hinted at in the Houston airport were the humidity was certainly evident - au naturale hair is the way to go!!

Currenly the team is rather awake, leaning across seats and chit-chatting with other members. Perhaps the limited sleep and excessive caffiene has provided us a final surge of energy? I hope so, because customs and baggage pickup are up next...

But right now, I'm content being thousands of miles in the air - sleep deprivation, lack of personal plane space, new friendships - this is what an adventure is!!

That's all for now - I apologize for any spelling errors, everything is in Spanish so spellcheck doesn't work so well :)

Cheers!
D.

Saturday, February 18, 2012

HOLA!

Hola from Quito!

I have just a few minutes to say that I have arrived safe and sound in Ecaudor and loving every minute! Blogging time is slim, so I will have to delay updated posts to a later date. But I promise - they will come soon!

Adios for now,

Danielle

Thursday, February 16, 2012

The night before....

At last, one more sleep (or at least 4 hours worth...) until airport time! Finally.

It seems like just last month I was in clinical, running around the orthopedic unit trying to juggle patient care and school assignments. On any given day, I barely had enough time to pee in peace, never mind 10 minutes for a presentation. But somehow, I made it to a quick talk about a mission trip opportunity for a nursing student in South America. In the midst of listening, the joy and passion of the speaker captivated me... and although I didn't known this at the time, taking her business card at the end marked a life-changing point - fast forward 5 months and here I am, bags packed and eager for an adventure.

And somehow this trip just fits. The dates match my Reading Week. I miss a single day of school, and return in time to adequately prepare for midterms. I have a flexible job that allows time off. I have had some experience in world of orthopedics, so I'm familiar with the procedures. I inquired about this position 1 week before the deadline date... and managed to get all my documents together in time. I was able to raise every penny of my fundraising commitment, and able to attend every meeting. 

I know this will be a life-changing experience... from here on in, time can slow down because I want to soak in every minute. All week I was drumming my fingers, watching the clock, daydreaming, just dying for the 17th. But since it's time, I want to be in every second and not miss a thing. 

So a HUGE thank-you is in order: for your prayers, donations, and well-wishes. This could not have been a reality without you!!

On a final note, if you're eager to follow along, here's the trip plan: 
  • Airport arrival at 3:45, LOTS OF COFFEE, then take-off around 6am. 
  • Arrive in Houston around 11 and wait for connection.  
  • Depart for Quito at 4-ish, and arrive in Ecuador at 1030pm, Friday night. 
I'm not bringing my laptop, but I'll try to blog via. Kobo and/or hotel computer. Just in case that fails, I'm bringing a journal! I'll re-type my entries when I return if internet access just isn't happening. 

I'm hoping that by my next post, I'll be plenty south of the border. So until next time... 

Adios!

Danielle

Sunday, February 12, 2012

Outpouring.

In the days leading up to my departure, I've been overwhelmed by the gestures of support and prayers from friends, families, and strangers.

Donations from students.
Phone calls from baby-sitters lonnngg ago.
A 'send off' piggy-bank filled with money and good-luck notes from work.
Scholarship connections.
Facebook messages.

I am caught off-guard by the amazing support from others. Although this is a monumental event in my life, I hardly expected others to invest so much of their own personal time, finances, and efforts into ensuring my safe travels and positive impact.

So I guess that I am trying to say is THANK-YOU,  THANK-YOU for your support! The countdown is almost done, and Friday will be here before you know it. Four days left!

Danielle

Friday, February 3, 2012

So Soon!!

T-minus two weeks until take-off! The tickets were given out at our last General Meeting, and now it all seems 'official'! I have meet my roommate - she's Polish, but coming as a Spanish translator! - and reacquainted myself with the nursing team. There was a high level of excitement in the air as this was our final meeting together before meeting each other bright and early at the airport on the 17th. Everything seems to be going according to plan - knock on wood! - and all the packaged crates have arrived at their destination down south. The only thing left to ship is us!! The farthest south I've travelled has been to the Dominican Republic.... but to get to Ecuador, we'll be travelling right to the equator.



We have one day set aside for an opportunity to explore Quito through various side-trips. One of the options was the Otavalo Market, which I jumped on right away. It's the largest outdoor market in Ecuador, and a hot-spot for tourists and merchants looking to sell their  products.


Originally the market started off selling only textiles, but now includes food, trinkets, instruments, fake-shrunken heads, costumes, and more! Perhaps I'll bring back a head or two...


For the next two weeks I'll be working on my packing list, brushing up on my orthopedic terms/care practices, and trying to stay focused in school. I can't wait for this adventure to begin - not only will we have a great impact on the lives of those fortunate enough to come through our doors, but our lives will changed as well.

Danielle

Wednesday, January 11, 2012

Goal: DONE!

Today it is official: I have met my goal of raising $2,500!! AMAZING!

And it would not have been possible without your generosity and support. Raising $2,500 was no small feat, especially in the midst of school, working, and the holiday season. But because of your kindness, it was more than possible. Again, thank-you.

One month 'till show time!

Danielle 

Tuesday, January 3, 2012

$200

$200 is all that is between me and my goal of $2,500 - and there are 10 days left!!

Any contributions towards my efforts are deeply cherished. Not only do I feel personally blessed at the generosity of friends and family, but deeply encouraged that your display of kindness and support will echo and make a positive impact in every single patient coming through our doors.


  • To donate online, go to: https://camta.com/ and specify your donation to aid in my individual efforts.
  • To donate via. mail, please mail cash/cheques to the address in the right-hand sidebar.
  • To donate any other way, please Facebook/talk to me, or my parents. 
The deadline is January 15th - right around the corner!!

Thanks again for your endless support and encouragement to this point. One more month until go-time!

Danielle