Tuesday 26 July 2016

Home Make-Over: Togo Edition





Things are busy in House 3 these days. That's the house just between us and the pool / sports court area. The kitchen and family room areas are being renovated for the Kendalls, who should be arriving some time late this week.






We (the 'we' being Kossi #3, Togbe' the mason... not Togbe' the carpenter... it gets confusing, and me – and sometimes Logan) spent last week smashing and chiseling out concrete and tile from the kitchen, dining area and family room. This week it's been putting new tile in. After thirty years of use and abuse, it's time for a refresh on some of these houses. The kitchen counter was weakened by termites eating away at the underside, many cupboard doors were loose on their hinges. The kitchen itself was like a cave, with no windows in it at all.  A big section of the wall between it and the dining room was removed to open things up.  Much nicer!


The new tile floor, some fresh paint, the new cupboards and a termite-free counter will go a long way towards making this place one of the nicest around!

That's taken up a lot of my time and energy this past week. Hopefully it pays off in the end.  




Maternity Ward

Christine has spent a lot of time with the infants. Just a few days ago a baby was born at 24 weeks gestation. The normal period is 40 weeks, so this one was very premature. The limbs of this little girl were like bony chicken legs. There was just nothing too them. My index finger was fatter than her thigh! She seemed to be doing well for the first few days, but after putting up a good fight she wasn't able to eat anything substantial enough to keep her alive. Sadly, she passed away after five days. Even in North America you would only see a 50% survival rate. There were good lessons learned, and the staff was encouraged by the length of time she was alive. It would have been nice to see another miracle, but it was not in God's plan.







There were twins – both boys – born by C-section. They were premature, as well. Both were put on CPAP to get them off to a good start. They were sent home after a couple of days. That was a nice feeling for the maternity ward staff!


One of the twins on CPAP, his brother
in the background

There are so many women who have had multiple pregnancies and have no, or few, surviving children to care for. Christine has seen several medical records showing five or more pregnancies and no children. This is more the norm than the exception. Having good prenatal and maternity care will go a long way to help improve the trend. This is where performing C-sections for the good of the baby comes into play. The doctors are more likely to do a C-section earlier here because of the poor natural birth stats when risk factors are present. Dr. Sam refers to these as a 'vaginal bypass delivery'. These surgeries also greatly reduce the chance of HIV transmission from mom to infant if the virus is present. Performing C-sections and being able to pass a healthy newborn to the mother is a rewarding experience!




General Hospital Stuff

The staff have been encouraged recently by some of the success stories they've been part of. There is a sense of renewed purpose and hope with these successes.




While pushing for the best outcomes for the patients, there are guidelines and policies to adhere to. We can't afford damage to equipment or go through tons of medications fighting a losing battle. It becomes an ethical dilemma, as anyone involved in the medical field can attest. There are times when you are wishing for just a bit more time / medication / technology because you know you're close. There are other times when you know it's time to stop care because this battle can't be won.

Pray for both the Togolese and North American staff as they fight against patients' diseases, illnesses and limitations on what they are able to do for the patients here in a resource limited country.  Also pray for unity as they all work together for a greater goal.



And just in case someone has a spare oxygen concentrator sitting taking up space in the house - we could use one desperately here. Just sayin'...




Chick Magnets

Since the chickens don't seem to be too keen on sitting on their eggs, we (myself not included) decided to get some pre-hatched chicks. We received a grand total of 15 of these little McNuggets-on-legs. However, due to complications beyond the control of the chick owners such as runaways, sick chicks and accidentally dropping them out of your hands, we are down to eight baby chicks. The remaining chicks have survived a week here in and around our house. I had to lay down some strict rules about smuggling them into the house in pockets or under hats.




Hudson built a play area for his chicks


So, no chicks running loose in the house. They are put up in a big box in the spare room to sleep at night, and let out to roam during the day. The big chickens are getting used to having the nuggets running around the yards. So far, no jealousy has set in.




Logan has been doing the lion's share of the chores and giving them the most attention. He is doing a great job with them. He was crushed when a couple of the littlest chicks became ill and died. He took it pretty hard, thinking it was something he did – or did not do. He's come to grips with it now and he's learning about taking better care of them. Pretty soon we won't have nuggets walking around here but ¼ chicken dinners instead!




Farewell, Kiong!

We were sad to bid farewell to our buddy, Dr. Kiong. He was a great guy; quiet and understated, but with a good sense of humour, keen insight and observation - and a tolerance for our boys! We hope that we'll be able to meet up with Kiong some time back in Canada.



As we say goodbye again, we also get a chance to welcome back a long term family. Dr. Eric, his wife Melissa and their two kids, Sam and Lizzie, are back. They are getting their home set up and preparing to start surgeries and patient care in early August. They also help by leading worship on Sunday evenings and that has injected a bit more volume into our singing time.



More Pictures From The Cutting Room Floor

As usual, here are some pictures that don't warranty a lot of explanation. These depict some of our sights and activities here in southern Togo.


Here are a bunch of little creatures.  Normally we wouldn't pay any attention to them, but they were created for our viewing pleasure... and sometimes our annoyance.








How do you torture a kid who is missing five front teeth?  Feed him corn on the cob!  This is what nine bites looked like the other night when Hudson tried to eat some rather bland field corn.  This certainly wasn't peaches and cream sweet corn!






This is Andy.  He's with the radio project up in Mango.  He wasn't feeling well so the medical staff at the Hospital Of Hope sent him down to Lome and Accra for some further medical tests.  If you have been following along, the team up north in Mango has had two surprise deaths and they aren't interested in any more.  Hence their vigilance in sending Andy for further testing.  

I just happened to be coming out of the guest house when his wife and kids arrived a couple of days later to stay on the grounds here while they awaited the tests and results.  I was able to snap a couple of pictures as the kids jumped out of the van.



All the tests came back negative for anything life-threatening, and we were able to bid them farewell so they could return to their work and teammates up in Mango.





Big, noisy bullfrog from down near the cuisine


Christine and Melissa doing their best to be product
models for hand soap.

Oh look, a hornbill!

Keenan brewing up a pot of goat soup.
He's made two delicious batches so far.

A lizard chilling out on an old shop rag.
Kokou and a bunch of the kids


Lots of little 'easter eggs' to hunt for in the stone work
around the hospital.  The HBB initials almost dead centre
of the picture, for those who are still guessing.)


Thursday 14 July 2016

Google Maps, You Failed Us!








Washing Machine Blues

John and I had a fun time working on a big industrial hospital washing machine last week. It wasn't working through the cycles properly and stayed full of water. After messing around with a bunch of parts and following the manual's instructions for resetting it, we figured out that it was an improperly functioning drain actuator that was causing the problem. Since the drum had lots of water in it there was only one way to get it out. John opened the floodgate as I headed for higher ground!







John magically waved his hands over the drain actuator and it was back working properly. We put the machine through the paces and found it to be working flawlessly. No time to celebrate, we had more work to do.

Like fix the autoclave machine...

This is a bad level of steam pressure.

Much better!
 
While we were working on the autoclave...

The autoclave is an essential part of the hospital's infrastructure. It sanitizes all of the OR tools and many of the reusable glass containers we have here at HBB. Without it working properly, no one could be sure of proper sterilization of the equipment – and that's bad for infection control!

We had to adjust the steam pressure for the sterilization chamber and the surrounding jacket. Once that was done we tested the autoclave. We soon discovered, through a cloud of steam, that the seal on the door was not working as it should. Time to replace a seal. John had one in storage so he pulled it out and we set to taking the old seal off and installing the new one. It must have been a few years since it was replaced because the bolts were seized in place. (Nothing is simple and straightforward here, I'm learning.)

New seal going on the door. 

After removing most of the bolts, snapping a couple off and having to drill and tap a couple of new holes, we were in business again. We stuck the new seal in place, fastened it and closed the door on another day! We managed to turn a 15 minute job into a 3 hour task! No time to celebrate, however. John received a call a couple of minutes before I received a text message from Christine as we were finishing up with the autoclave...

No water pressure in the houses or hospital.

John and I checked a few things that would be the easy fixes – pump switched off, circuit breaker, faulty float in the tank, leaks... Nope. It was going to be more involved than that. We switched to the secondary well pump and diverted water into the main tank for the hospital and compound instead of to the community tank. We finished in time to rush home, grab a shower and a quick bite to eat and head off to the Wednesday evening prayer meeting... both of us a few minutes late.

The next morning a good bunch of the maintenance department had the pleasure of pulling the pump (and all 145' of pipe it's attached to) out of the primary well. John figured the pump wasn't working. We had a lot of guys on hand for that job. With everything out of the well and laying on the ground in the yard, Agbessi discovered a broken wire about eight feet from the pump. Thankfully an inexpensive repair! With the wire fixed it was time to reinstall the pump and pipe and turn it on again. This job wasn't on the schedule - but it made the top of the priority list pretty quickly!





Inside The Hospital

Christine was training a couple of nurses to be more competent in the respiratory field. They were able to get into the OR to see what happens for a C-section, as well as get some experience on some more equipment. They are keen to learn more and have weekly training sessions scheduled now.

A three year old who needed heavy medication for a seizure caused by cerebral malaria wasn't breathing on her own. Christine and Dr. Kristi (and Keenan, who tagged along) worked with her for about an hour until the drugs wore off a bit and her drive to breathe came back. These are the happy stories.

A baby required an emergency C-section, and Christine was called to assist. The baby was not well at all. When the baby came out of the incision, she was covered in thick meconium. She required extensive resuscitation. A heart rate of 30b.p.m. isn't good for infants.... less than 100 is bad. She was suctioned a lot and assisted breathing via a breathing bag was given to her for 45 minutes. Dr. Ken and Christine were both praying for this little girl during this tense situation. After that time, she was taken to the nursery and put on one of the CPAP machines we brought from London. By the next morning she was miraculously off the CPAP machine and by that afternoon was nursing well with mom. Discharge from the hospital came a couple of days later.

Dr. Ken was doubtful of her survival during her early hours, but God, The Great Physician, had a hand in keeping her alive. Her survival is just one of many miracles we get to see here.





Lome Bound!



Dr. Bryant's mom was coming to visit for three weeks. He asked if our family would like to join his family for a couple of days down in Lome. We left Thursday morning with them headed for the capital city.

Lome is a port city on the coast of the Bay of Benin, in the Gulf of Guinea of the Atlantic Ocean. It's busy and crowded. It's dusty and dirty. It's like nowhere else I've been before. I'm starting to like the hustle and bustle of the city. It's not like Toronto with lanes and lanes of traffic, it's more 'pedestrian' than that.

The drive there was uneventful, except for being stopped at one point along the way for some logging operation that looked like it went a bit sideways. Normally, loggers like to drop trees in a certain spot. I'm sure 'across the second busiest road in the country' is not the ideal location! Once we got through that spot with minimal delay, it was smooth sailing to the city.

Once in Lome, we had a few destinations in mind: get money exchanged into CFAs; stop at a couple of grocery stores to restock; do NOT forget to stop at the airport to get the Mom! All three tasks got accomplished successfully. We also got to kill a couple of hours with Amy and Andrew and their kids, friends of Rachel and Bryant's from the US Embassy. We went to a beach and our boys got to play in the ocean surf for the first time.






The boys loved the sand and surf. Getting pounded by the crashing waves was fun – so fun that mom joined in as well! I stayed back and played lifeguard in case any of the kids got into trouble and to keep sand from getting all over. I know where sand should and should not be!








After picking up Bryant's mom from the airport, we went to the outdoor pizza / go kart track and met Amy and Andrew's family again. As is the norm here in Togo, things are loosely regulated. I mean, of course a 9 year old should be permitted to drive a 40mph go kart. Why not?? So, he did. Keenan (the 9 year old), Logan, Charlie and Greta all raced against Hudson and I. Well, Hudson couldn't drive his own kart after all... He couldn't reach the pedals, and didn't know which one did what! (And the fact that he's 7 years old made even me a bit nervous about sticking him in his own go kart!)

We spent the night in a cheap but clean little inn along the ocean. The Togolese don't go to the beach. They don't play in the water like we do, so the beach has no appeal for them. They don't learn to swim (Kokou says he swims like a rock). The ocean is cold and they don't like cold. Beachfront property isn't something they value. We thought it was pretty nice!

In the morning we met up with Amy and her kids and went out to a big phosphate mine on the oceanfront. The reason was to search for shark teeth in the dredged ocean dirt that they extracted the phosphate from. Once we got an instruction – yes, one... simply, watch out for the huge dump trucks – we were turned loose in the dirt to see what we could find. Sharks lose their teeth regularly and there was no shortage of them to be discovered. Some big, some little, intact or broken, we found dozens of them. It was pretty cool to collect them, and a bit unnerving to know these toothy creatures were in the water we were swimming in the day before!






Watch out for this, it might sneak up on you!

This one too!

A spur-winged lapwing kept a close eye on us as we
were scavenging.
Here it is again.


After the shark tooth adventure we loaded up to hit a couple of more shops, making a “navigational oversight” and driving through the Grande Marché – the hub of Lome's activity; the biggest, busiest, most crowded street market in the country - in our tall, skinny HiAce van. Apparently Google Maps doesn't realize that the Grande Marché is not actually a navigable part of the main highway running north! Realistically, Google Maps isn't that much help here at all! There are no street name signs or address numbers anywhere in the market, or anywhere period! I'm not sure exactly how you are to find a business or vendor.


Part of the road Google Maps failed at marking as
a shopping district.

Pretty little oriole-like birds for sale.  My mom would like
these little guys. 
 


The market was packed thick with people, easily thousands of stalls, large patio umbrellas shading the vendors, more people shouting for your attention, motos weaving in and out of the crowds, all kinds of goods to buy, more motos, vehicles being loaded and unloaded, even more people... Like nothing I've ever driven through before, but it was fun. The market definitely had its own pulse. Bryant drove through gaps, not with inches to spare, but millimeters on either side! I'm sure the mirrors bumped several people, but that's just part of being a pedestrian in the market. The speed of travel was somewhere between a slothful 'very slow' and flat-out 'stopped' so there were no injuries – to the van or the people. Gridlock happened a couple of times. We would idle for a few minutes waiting for a vehicle, moto or cart, or crowd of people to move along so everyone could navigate the throng toward their desired destinations.  A picture doesn't do it justice.

Five hundred yards took 20 minutes to travel along this section!


We accomplished everything that we set out to do so we turned the wheels north-east and headed back toward the hospital. The drive home was uneventful except for having to stop again, on the second busiest road in the country, for a large herd of cattle crossing the road. Again, nothing out of the ordinary for Togo! We made it home at dusk; a successful trip to the big city and back.




A Bit Sick

Christine is dealing with a really sore throat. Not quite strep throat, but not as mild as a little tickle, either. She's putting our stockpile of lozenges in serious risk of depletion – which is fine, as long as she gets better. No antibiotics yet, but if it worsens that is the next plan of action. Sadly, she has not lost her voice so the boys and I cannot plead ignorance for any of her requests! Keep her in your prayers that this will get better soon.





From The Cutting Room Floor

This week we have a few random pictures from Lome, vehicles we passed on the road, odd sights and typically 'Togo' things.

Overloaded with prayer mats, heading north from the port area.

Youthful vendors trying to get us to buy their goods

This is a road in Lome.  One of many similar seemingly randomly laid out
(which is more than likely the case), wide, undulating,
full of motos and people.


Christine's first store-bought coffee since the last Tim's cup
in the Toronto airport!  She was very happy.

And this row of pastries to go along with the coffee didn't hurt, either!

Some of our shark teeth, from under an inch to just about two inches
in length.
Hornbill!!

A tough looking lizard.
Heading into the big city

This moto rider was sitting on his gas tank with the load piled up
high behind him.

Singing this on Sunday morning almost brought me to tears.
How I miss our church services each Sunday!  We all do.

Dr. Hudson learning with some of the pediatric training aids
Christine uses.

Look at the gentle touch.

Keenan told me to take this picture.

Giant seed pod in the teak grove.

Run for cover, a storm is coming!

Made it in time!

Trying to catch some drops while the rain is falling
Hornbills!!  I will get a good shot of you yet!

Rachel and jasper checking out the shel necklaces

Little sand crab couldn't dig in fast enough!




These next few pictures are disappointing to me.  From the edge of the road we could see this beautiful beach, just across from the phosphate mine.  (Arguably not the best location ever, but looking out to the ocean was gorgeous.  Almost a tropical paradise!)



When we walked over the little berm, this is what we were treated to.




Small plastic bags and other floating debris from Lome, washed up on the beach.  How much garbage washed up on shore was saddening.  If we had some lawn rakes and half a day we could have created a great looking beach area for people to enjoy.  But instead... we had this.






Thanks again for reading and sifting through all of the photos.  If you want to contact us, you can email us at penny.missions@gmail.com


Be sure to check out my sister's blog, too.  They're getting geared up to come back to Northern Togo! Exciting times are ahead for them, I'm sure.  (The good kind of exciting... not the nasty-infections, broken-bones, scalped-by-a-ceiling-fan kind of exciting. Those are icky.)
You can find it here:  Erin & Nate Weston's Blog



A short time lapse of a starry night.


And that same night, this is the Milky Way.
You could look up and see every little star.
Click on it to see it larger...
Isn't The Creator awesome?