Showing posts with label unidentified Juba illness. Show all posts
Showing posts with label unidentified Juba illness. Show all posts

Thursday, December 25, 2008

2008 recap/ 2009 resolutions

I've been thinking about the past year - what was good, what was bad, what was joyful, what was sorrowful, and although a lot has happened, I think I have a pretty good handle on how to take things in stride to carry on into 2009. Here is a recap of my year:

January 2008: New Years in DC and Katina & Renzo's wedding in Santiago, Chile! Had a fabulous time but the election violence in Kenya (and the fact that I couldn't get ahold of Simba) were looming. Ended up staying in the US an extra week because flying through Nairobi wasn't deemed completely stable yet, and routing through Ethiopia on my way back to Juba.

February: Went to Zambia for a technical conference on HIV Counseling and Testing, and ended up in the hospital for 3 days with Enterocolitis (bacterial infection in my large intestine) Moved out of my organization's guesthouse (which I shared with my boss and another roomate), and into a house with a new roomate. House was not quite finished, and on the dusty main road, so started my twice-daily sweeping battle with the dust.

March: Started out with a R&R to Pemba, Mozambique with Simba. Lovely, lovely place - motorcycle rides, warm beaches, home-cooked fish, cheap beer, speaking Portuguese - and the trip solidified our relationship. We were a couple before we left, but when we came back we became inseparable. Found out that while I was gone, there was an "alleged" security incident at the house, and therefore I was no longer allowed to live there. Moved into a hotel next to my office while another house was sorted out. Get sick with a stomach bug (3rd time in 6 months). Things REALLY started rolling with my programs at work, massive hiring, trainings, coordination, and fundraising.

April: Had a joint birthday party at Bedouin Bar with a fellow Juba-ite, and it was hailed as one of the best Juba has ever seen - the place was PACKED with hundreds of people, the music was fantastic, and I danced the night away in my Kikoy and Mets t-shirt. Took a boat trip on the Nile with a bunch of friends and a pet monkey, and one of my friends even managed to send me a homemade cake!

May: There started to be a string of armed robberies in Juba, targeting agency compounds. 2 days before I was supposed to move in to my new house, there were 2 attempted robberies on the same block. As a result I was no longer allowed to live in the area because of security concerns. I checked out of the hotel and into a tent at Acacia village, a camp site 9 km from the town center. Longer drive, but it was quiet, and I know I could be there long term until whatever "permanent housing solution" was decided for all the expats working with my organization. Moving 5 times in 8 months was just too much. Climbed up Jebel Kujur for the first time (with a view of the whole county) and celebrated at the top with wine and cheese. It was Gorgeous. Got sick - again. Had a fever of 104 and had to be hooked up to an IV overnight in a clinic. They never really found out what it was - malaria and typhoid tests came back negative, but the antibiotic and malaria treatment helped whatever it was. Go to Nairobi to go to the dentist and also go camping on Lake Naivasha with Simba.

June: The rest of my family came to Africa for the first first time. We met up in Tanzania and went on a very posh safari in the Serengeti and Zanzibar. Amazing time! Super Frenchie and JC come to Juba to work with us, and I am THRILLED to have some more good friends out here. Two more partners in crime in Juba. Adopted a kitten, who promptly divorced me. Boo. :(

July: Remaining tents are finished at Acacia, and the place fills up quickly. Rather than just 3 or 4 of us, there are suddenly 10. More people to kick back with in the evenings, and I feel I have a good, solid, non-judgmental support group at home. Stress at work kicks in at high gear. Targets aren't being met, even with our best efforts, and everyone is feeling the pressure. Nuroticism begins to set in. Am afflicted with Nairobi Eye - the beetle that leaves toxic "acid" behind when squished. This little bugger decides to do so on my face. Takes 10 days to heal.

August: Visit Beatrice and Keir in the UK! Went to London, Stonehenge, Exeter, Cornwall, and had so much Cream Tea that it made me sick. But in a good way :) Simba gets really sick. Turns out it is Hepatitis A and Malaria. He stays at home for 5 weeks.

September: Quiet month. Had a spectacular trip to Mundri. Spectacular as in very very muddy. My colleague delivered her first baby, Patience Samuel. She is very tiny, but beautiful!

October: My friend Jason passed away after a long battle with brain cancer. Heartbreaking but he was still fighting up until the very end. Juba County Commissioner issues an official order banning "Niggerly" behavior in Juba. Women are rounded up and arrested for wearing pants. Working overtime on communications materials, which just refused to go smoothly. Spent a lovely day at an island on the Nile with a bbq, playing cricket and some weird tag game involving a ball and running around. Moved out of the tent and into my brand new pad - air conditioning, hot water, woo hoo!!! Went to Nairobi for a conference and to the border with Uganda and Kenya for a work exchange trip. Got Malaria. Was treated. Got better.

November: Go on R&R on the south coast of Mombasa with Simba. Had an absolutely fabulous time. Had incident on the road with my colleague in which assault and broken headlights and money were involved. Ugh. Things at work were insane. Worked 7 days a week for 4 straight weeks and I was a nervous wreck.

December: World AIDS Day! Went wonderfully, it was a big success. Things went really well at work - we had an all-staff planning meeting, a marketing planning process workshop, and the programs met virtually all of their targets. Ended up the year in Paradise well.

And my resolutions for 2009? Relax more. Try to not take things at work personally (as in do not base my worth as a person on how things go at work) so I am not so manic with my moods based on work. Smile more. Drink less. Instead of stopping to smell the roses, stop to remember what roses smell like (there are no roses in Juba). Any resolutions beyond that would be putting too much pressure on myself. I do that enough as it is :)

Here's to a happy and healthy 2009!

Peace

Monday, October 13, 2008

things that affect your brain

Has it really been a month since I've written? It's quite insane how time flies. My blog is suffering as a result of one of my personality traits - when all is well I am very social, call and write people often, and generally reach out quite a bit. When things go wrong, or I am upset or depressed, I retreat into my own shell and tend to disappear for a bit.

My freshman year in college I had a friend named Liz. She was one of the wonderful women I met in the phase in my life where I attended frat parties in my PJs and drank cokes without any rum (was on my university's varsity soccer team and decided not to drink during the season). These boys were fantastic - they loved me all the more for my PJs and stocked up on cokes for me in their minifridges. Liz was always the most "grown up" of all of us - she held dinner parties for her friends and looked like she belonged on the red carpet even at a semi-formal dance. Some broke up with their boyfriends, some went to study abroad, and some, like Liz, morphed into a completely different person, taking on the likes, dislikes, and all characteristics of her new boyfriend. Basically, many of us grew apart. Fast forward to 4 years later - Liz was diagnosed with brain cancer. She went through surgery and treatment, beat it once, it went into remission, but then came back stronger. Liz was fading fast and I was getting updates from friends. One of whom which was her former roomate, but they had a falling out, and never really patched things up. I listened to her agonize over whether or not to send her a letter, and what it should say. What do you write to an estranged friend who is dying? In the end, Liz passed away before the letter was sent. We were all devastated. She was 24 years old.

On September 23, 2008, my friend Jason died after his own 4 year fight with brain cancer. I've never seen anyone fight for his life like he did. You can read about his life and amazing character on his blog, Team Jason. Towards the end, Jason was still incredibly upbeat, very focused on beating the cancer, and through his blog I BELIEVED he would win. His last post was just days before he died, and while very honest about the setbacks in his treatment, his attitude didn't miss a beat. Jason was the definition of an inspiration to all who knew him, and I know his memory lives on. This is the last picture that was taken of Jason, days before he passed away (as appears on his blog). Still smiling and positive as always!

Please consider making donations in Jason’s honor to the Wellness Community of St. Louis at 1058 Old Des Peres Road St. Louis MO 63131. This organization helped Jason immensely during his 4 year battle.

This time, it was me who was left with an unsent letter. I had an unfinished email to Jason I started the week before but kept putting off saying "I'll send it when I have enough time to write a proper email." But, of course, that time never came and I am left with guilt. We were not estranged in any way, but it still hurt that I never got to say all the things I wanted. As time goes on I realize more and more that it is an extremely rare thing to be able to properly say goodbye to someone and to say everything that needs to be said. A very rare thing indeed. My mother never got to say goodbye to her father, who also died of cancer, and that is something I think about a lot, how painful that must have been. But what can you do except vow to seize the moment and tell people who matter to you that you love them? I am going to try, that's for sure.

Is it strange that I have had 2 of my friends, both under the age of 26, die from the same kind of brain cancer in the past 3 years? Last time I went to get my eyes checked the opthamologist offered me some sort of a test that looks at your eye and can somehow tell if you have a brain tumor (don't ask me how this works), albeit with the statement "you're young so you probably don't have to worry about this and the test is optional." You'd better believe I got that test right quick.

Which brings us back to Sudan. I came down with malaria this past week, and althought (thankfully) it was not cerebral malaria, one of the symptoms among many including high fevers, chills, joint pain, and achiness, are headaches. Mine have kept going even though I finished my medication on Saturday. All this means is that I need to drink more water, but with each nightly throb (usually when the headaches arrive) it reminds me of all the strange and incomprehensible things that go on up there, and how lucky I am.

Is that strange and morbid?

Sorry, it's been that kind of month.

Soon to come: happier posts about my new diggs, new friends, and some upcoming travel!

Sunday, July 27, 2008

Petunia's Sudan Sickness #4462

Just when I thought I had escaped further sickness for a long while, I have a run in with a a seasonal bug called the Nairobi Fly, also known as the Acid Fly. If this red and black fly lands on your skin and you squash it to kill it, an acid-like substance secretes from its body and causes severe burns in that location. If it stays on your hands and you touch another part of your body it spreads. Here's the Wikipedia post for more info along with pics of the Nairobi Fly and an example of what it does to you:

"The name Nairobi fly is applied to two species of beetle which live in East Africa, Paederus crebinpunctatus and Paederus sabaeus [1]. They are species of the rove beetle genus Paederus, and are black and red in colour, and about 6–10 mm long [2]. They live in rotting leaves where they lay their eggs. The beetles neither sting nor bite, but their haemolymph contains pederin, a potent toxin which causes blistering. The toxin is released when the beetle is crushed against the skin. People are advised to brush or blow the insect off their skin to prevent irritation [1]. Heavy rains, sometimes brought on by El Niño events, provide the conditions for the Nairobi fly to thrive.Outbreaks have occurred in 1998 [1] and 2007 [3]."

And where has this wonderful little creature chosen to land on me? ON MY FACE!!!!!!!!!!! So I have these patches of swelling, blistering burns on my face, one right next to my left eye, a bigger one on my chin just below the right side of my mouth, and a few smaller ones on my left cheek. It hurts to open my mouth really wide or to smile (because it causes the skin around my eyes to crinkle). There's nothing I can treat this with because if you put ointment or anything on it it spreads. But they tell me to put "bicarbonate" (aka baking soda) on it to neutralize the acid. But a friend just told me to use toothpaste instead because I don't know where I would even start looking for baking soda. So I'm sitting here in my tent writing this blog post with toothpaste on my face. Just thought I'd give you all that mental image :)

Speaking of sicknesses, Simba was also sick once again (couldn't keep down any food for a week) and they made him fly to Nairobi to get it checked out. Turns out he has Malaria AND Hepatitis A. There seems to be never-ending concoctions of nasty things to get here. So Simba will be in Nairobi for a whole month. Hep A is the one that is transmitted through contaminated food/water, and it affects your liver. His eyes were a bit yellow when he left. He has to drink 5 litres of water a day, and not eat any fatty foods or drink alcohol for 3 months. Talk about a weight loss plan. I thought my India weight loss plan was pretty good, but this one is going to be nuts!

In order to stay well and healthy you need to drink lots of water, eat lots of fruits and veggies, take your multi vitami daily, and DON'T MOVE TO SUDAN :)

Tuesday, July 8, 2008

Love in the Time of Cholera

Besides being a fantastic book by my favorite author (Gabriel Garcia Marquez), I feel like I am living out the title. I'm in love, and there is a Cholera outbreak in Juba where a couple dozen people died. So our Community Outreach Officers are working overtime to educate people about water/sanitation, and how to treat their water. Cholera is SO easily preventable, and yet the majority of the world's population do not have access to clean water. In the region of Sudan I work in, 60% of people do not have access to clean water. Keeping in mind that definition of "clean water" used in surveys could still be from rainwater or boreholes.

Happily enough, my July 4th weekend was fantastic - my boss and I discovered that the American Independence Day and Thanksgiving were actually written into the employee manual, so I had most of the day off - just spent a couple hours delivering letters to get some face time with people, and then I read and took a nap. Huge party on Friday night including free bbq and dancing on bars, and then Sunday we hung out at the USAID compound to use a friend's kitchen (they have a REAL kitchen with a real stove and oven and AIR CONDITIONING IN THEIR KITCHEN!!!), watched Animal House, and then went swimming in the pool late at night while drinking some Tuskers and taking lots of inappropriate pictures to mark the occasion. Made me happy :)

This week we have one of the Regional Advisers here to build capacity of the program staff on communications - something that I could technically do, but can't find the time because I'm too busy trying to (teach people how to) manage programs. Should also help immensely on tightening up some materials we've been working on but haven't been able to move forward. Sometimes it's nice to step back and take the time to let an objective observer lend a fresh perspective. Yet another reminder that I don't have to do everything myself.

Thursday, May 15, 2008

Yei for Free Rice

Yei is a town about xx kilometers southwest of Juba, and it is absolutely beautiful. The rains started there long before they started here (speaking of rains, they are very slow this year in coming to Juba!), so everything is lush and green. The dirt airstrip was so small that you can't even see it properly from looking out of the side of the airplane, so it is a bit disconcerting when you are decending what seems to be directly into the jungle. Highlights of the trip included feeding a lolipop to a pet monkey named Max, finally getting to walk around instead of being driven around in a land cruiser, actually having a fabulous night's sleep because it is cool enough, and learning that if you crush the leaves of a teak tree, it produces a red dye that you can use as nail polish.

On the drive back to Juba we passed the first primary school built in Southern Sudan, the place where the late John Garang went to school. It didn't even look that old. It's crazy to think that schools are considered a modern invention here in Sudan.

I saw Salva Kiir this morning, the President of Southern Sudan driving by us on the way to a meeting at the Ministries - his caravan is only a few cars long, and although he has bodyguards that hang out the otherwise tinted windows of the SUVs, he keeps his own window open and his trademark hat on so that he can wave to people. So you can literally see the President, not just the motorcade, when he passes. Given the history of the country I personally would be crouched down in a ball on the floor, but you have to give the man props.

Right after seeing the Prez, I got a call that Simba had to be flown to Nairobi to go to the hospital. He has typhoid for sure (two tests came back positive), but there's something else wrong as well because he had a killer headache and fever that wouldn't go away. So off he goes for a week in Nairobi to rest with his family. I have to admit I'm just a little bit jealous :)

My mom sent me this link - www.freerice.com - where you can play a multiple choice vocabulary game and for every word you get right the sponsors of the website donate free rice to the UN World Food Program. Pretty cool!

Thursday, April 17, 2008

who can throw a stick closest to that big stone over there

so i've been stuck in this horrible downward spiral of guilt - i haven't posted, so i need to post something, but it has to be really big and worthwhile, but i don't know what to write, so i haven't posted, etc. so here's my attempt at pulling myself up out of that ridiculousness.

it's April already, and i've been in Sudan awhile now, and have settled into the pace of things. unfortunately that pace includes being sick about once a month (this time it's tonsilitis, or strep throat, they can't do a throat culture here so they're just treating it with antibiotics anyway), going to the same 4 or 5 bars with the same group of people every weekend, and still not having a permanent place to live. although that was promised in November. however, there is light at the end of the tunnel, and i am moving into a house this weekend, as soon as they put screens in and locks on the door. there are trees in the "courtyard" (i'm trying to make the fact that we have to have a 10' high wall around the compound seem a bit more appealing), and my room is painted bright aqua! i don't have pictures yet, because my camera, ipod and external hard drive were all stolen from the other place i am staying by the weekend guards (my roomates had stuff stolen as well - we narrowed it down to a 6-hour time slot), but when i get a new one or borrow someone else's this blog will be graced by photos once again.

things with the boy are still going really really well, and it's time to bestow on him a code name for this blog since, as you may have noticed, i don't use people's normal names very often. from here on out, his Petunia in Paradise name will now be Simba. Simba means "lion" in Swahili. for those of you who know him (or have heard me talk about him) in real life, it will become instantly clear why i chose this name.

anyway, simba and i went to pemba, mozambique for my R&R, which was which was absolutely amazing, incredible, relaxing, gorgeous, etc etc etc. had a hard time leaving. the week was perfect. we stayed at a campsite in our own chalet, rented a motorbike for the week, cooked fish, sat on the beach, got drunk on the beach off of liquor made from sugar cane (we never actually figured out what it was) by playing the riveting game of "who can throw a stick closest to that big stone over there". good times. seriously, it was amazing.

work is going well, i'm much more confident about things now, and my department is growing from 9 people to 15 people as of next week. very exciting!!!! and more travel coming up - Mundri in 2 weeks, Yei the week after that, and probably Yambio in the near future as well.

and to close, i will leave you with my favorite moment of the day: Sudan's version of an ice cream truck - a man peddling a rickety old bicycle with a dusty orange water cooler strapped to the handle bars, neon plastic flowers tied to the handle, playing "santa claus is coming to town" from a doorbell he keeps pressing which is attached to a speaker.

always something to brighten up the day :)

Wednesday, December 12, 2007

typhoid schmyphoid

So I flew to Nairobi on Saturday because I had been sick for a few days and it wasn't getting better with Amoxicilin.

I have been dating someone, and he took fabulous care of me while I was sick. Brought me food, brought me back to the clinic, stayed with me until my fever broke, drove me to the airport. There are good guys in the world after all!

Oh yeah, and I tested positive for typhoid on a rapid test kit. Whoopsies! But no worries, I went to a hospital here in Nairobi, they did tests on my blood and other bodily fluids which I will not mention here, and the typhoid was not enough for them to diagnose me, but it was a pretty nasty viral infection. So I'm souped up on Cipro and feeling fine now. And the moral of the story? Go to the clinic the FIRST time I get sick (remember, back in October?) instead of self-diagnosing and self-medicating and having the same thing come back a month later. Duh.

So I'm in Nairobi for the next week, until I fly back to the states on the 20th. I'm staying with a colleague of mine that works in our Nairobi office, and I have to say it was really nice to recuperate in a place with a down comforter and a bathtub.

OH and remember the guy twirling the 6-foot baton up the road in Juba from a couple weeks ago? I forgot to mention that I saw him again twirling his baton on World AIDS Day. Turns out he is the leader of a brass marching band that played that day. I almost fell over when I saw that. Sometimes there is order to the universe and things do make sense - they're just not revealed to us initially.

Wednesday, October 31, 2007

my shitty week

Just so you don't think everything is idyllic and rose colored here in Juba, here's a rundown of my shitty week last week:

1. I got back from Tambura on Monday and immediately started feeling ill. I thought it was the beginning of a cold, but no. It turned into a high fever, aches all over, and a pounding headache. Could it be Malaria? No, I took a rapid test and it came back negative. Then the next day the stomach issues started. Thank the lord for Cipro, everything turned out fine. But that was about 36 hours not being able to sit or stand up and not being able to do work.

2. Wednesday I still wasn't feeling 100% but went to lunch with this guy I had sort of been seeing but he dumped me before I went to Tambura because "I really like you and it caught me off guard, and I decided I can't handle a relationship but I also can't pretend that I don't care about you and just date you casually" blah blah blah. He obviously wants to get laid with no strings attached, but still. Loser. So I basically called him a coward because seriously, I've never been dumped before in my life and he treated me like crap and he sucks. I left feeling worse about the whole thing for some reason. Not sure why.

3. Thursday NOTHING went well at work, I said something wrong at a meeting, got bad news about some procurement quotes, and I just felt like I could do nothing right. And I missed home with a vengence. My friends, my family, all I wanted was someone to vent to and a hug, but I don't have friends here yet that I can do that with, so no luck. I was basically on the verge of tears all day.

4. Friday was better, until I went to play touch rugby after work, which was fine until 2 minutes into playing when I badly sprained my ankle. They had mowed the pitch and in the process left huge ruts form the wheels of whatever machine they used. And I rolled my ankle in one of them. Heard it pop twice. It's still all swollen and purple as evidenced here:


5. Saturday I woke up to find I could not put any weight on my ankle so hobbled to the bathroom to take a shower. Afterwards, in the process of manoeuvering myself out of the shower so as not to put any weight on the ankle, I leaned on the toilet seat cover which promptly snapped right in half. Great.

6. Saturday night was the Halloween party at the USAID compound. Costumes, beer, a pool, and a party guaranteed to go til 6am. In theory this was a great idea, except I couldn't really dance because of my ankle. All in all it was fine, except when at 5am I turned around to see the stupid boy described above making out with one of his good friends who he swore nothing would ever happen with. Fun times! So, feeling slightly ill and almost freaking out, I left.

And that was that. Thank God this week is going better than the last. Life makes sense again and loser boy is out of the country so I don't have to deal with that for about 3 weeks. Yay!