(Stephanie Williams) Imagine a miniature deer with fir much like a wild hare. Make sure you keep it small in your head, sort of like an emaciated cat with ridiculously long legs -all awkward and skittish, skipping around daintily,barely touching the ground. Glue grape sized protruding orbits for eyes and a wee bit of fluff for a tail and there you have it… a dik-dik!

I mentioned to Suzy about how it must taste like rabbit and she cringed. I guess she has a soft bone for family pets. I figure it can be eaten if necessary but is unlikely to satisfy a child.

The resident Dik-dik here on the compound is named Bambi. She looks like something that stepped out of a fairy tale and has an infected eye. It oozes gunk and should come out. Any vets want to come out and do a little surgery? You could save Bambi! :- )

Hi all,

Hello from another sunny Saturday in Tonj.  This morning began with class led by our pharmacist pertaining to basics of pharmacy and drugs.  One of the topics was how to complete a prescription to give to the pharmacy.  As one of the resident “doctors” here (I have completely one year of medical school in the States), I have been filling out prescriptions since day 1 here.  I had to laugh when we talked about completing prescriptions only on appropriate prescription pads.  Here, every patient who comes in pays a one-time fee for his own patient book, which is a 20-page children’s notebook, usually with pictures of imitation Pokemon or Power-Rangers on the cover.  And this patient booklet also doubles as the official prescription pad.  And though these Pokemon prescription pads lack a snazzy In Deed and Truth letterhead, every prescription is nonetheless filled with accuracy and precision.  I found it a humorous example of the way we make the most out of the resources we have here without sacrificing the service we provide to patients too much.

The rest of the afternoon was quite leisurely, and the evening was capped off by a trip to the local Don Bosco Catholic mission for a party.  The occasion was to celebrate the years of service and upcoming departure of one priest and the new arrival of another priest.  It was a fun night, as we were served a delicious meal of rice, goat stew, and soda.  Afterwards we saw some entertaining, if not very confusing, skits about the importance of going to school and the importance of raising a good family (at least this is what I think they were about, although I’m far from clear about this).  I think this was one occasion where the Sudanese humor went right over our American heads, as the whole crowd was howling with laughter except for our American corner.  Don’t let this fool you into thinking this wasn’t an evening of great fun, because it was surely that.

Thanks for reading, and see you next week.

(Daniel Crawford)  This week we had about 150 patients every day in the clinic except for Friday.  I was made to take Monday off from work to rest a little more from my recent illness, and Tuesday I returned to work.  Jessica and I saw 15-25 wound patients each day.  We have had a couple more colorful injuries recently.  One woman has a few lacerations on her palm/fingers due to a fight involving a knife.  Jessica and the twins sutured her and she comes in for cleaning daily.  Another man sustained a pretty serious 2nd degree burn to his outside ankle, which I had the honor of “debris-ing” and cleaning (I got to scrub off the charred skin and blisters. very nasty. a bit of blood).  Yesterday afternoon a woman came in very nonchalantly with a deep and wide 6-inch laceration on her foot from a puncture wound at a construction site.  She was very good humored and funny.  I like her a lot.  There’s another man with partial amputation on two fingers who comes in for cleaning.  And then we have lots of children with cuts and open wounds on their legs and feet.

I have found that the Sudanese people are wonderful patients (as far as wound cleaning is concerned).  They don’t speak much of any English, so that they don’t complain.  They don’t really understand or have a culture of medicine, so that can’t easily know when I’m doing something right or wrong.  And they also have an unbelievable tolerance for pain (some exceptions to the younger generation, whose culture is changing much faster than their parents’ generation).  They don’t cry.  They limit their screams or don’t scream it all.  It’s amazing.

However, there was on boy on Wednesday who needed a tetanus shot, who was afraid to the point of rebellion; he wouldn’t let us do it.  He didn’t fight, but he insisted ‘no.’  So instead, I told him, “If I get the shot first, will you do it?”  I asked him 2-3 times.  His eyes were so sad.  But I looked him in the eye, and he finally agreed.  So Jessica gave me a shot with sterile water in the shoulder, and then I gave him his tetanus shot.  Success.  Sebit explained to me the week before that the culture has a large fear of spears and dying by them; some patients greatly fear needles for this reason.  I don’t know what this boy saw or went through to make him so deathly afraid, but I’m glad he was able to overcome it.

(Jessica Leong) Living here in Sudan, I’ve learned to appreciate the little things.  The days can be long and hard here, spending 8 hours in the clinic in a small room with one window and no fan.  The day can often be overwhelming.  But…I’ve learned to look at things differently and I’m sure my perspective will continue to change as I’m only 1/4 of my way through my visit here.  The things I appreciate now…
…a breeze that comes in the room when the curtain is opened.
…the shower being bug-free.
…finding more gauze than I thought I had.
…sleeping in 15 minutes more than usual.
…the smile of a young child in the arms of its mother.
…hot tea in the morning.
…the cricket’s chirp outside my window as it sings me to sleep.
…licking the bowl and spoon after dipping marshmellows in chocolate.

(Jessica Leong) A busy day in wound care.  I seem to be the wound care consultant.  I’m not too sure how I got that job besides the couple weeks I’ve spent performing wound care on the Sudanese people that come into the clinic.  Anytime somebody comes in with a cut or bite or burn, I get the chance to participate in the decisions of how to treat it.  Melissa was working in registration that afternoon.   She came into my room asking me to take a look at this bite that this man had on his ankle.  I asked how it happened and she stated that it was from his girlfriend.  I immediately thought how bad this could be because of the increased chance of infection that a human bite has versus an animal bite.  I walk outside to see a man pointing to his ankle.  It looked a little bit swollen, but there were no teeth marks.  So again we asked what happened and again we got the same response.  The man was bit by his girlfriend.  “What kind of girlfriend bites a man’s ankle?” I thought.  Anyways, I had to believe the man.  So I look down at his ankle again, convincing myself that I must have not seen the teeth marks the first time.  But again, I see nothing except a small amount of inflammation.  I tell the man that he must wait behind all the other patients due to the fact that his injury was not very serious.  We ask again, this time the men around keep saying “girlfriend, girlfriend,” or so Melissa thought.  I finally figured out that they were saying “scorpion,” not girlfriend (the “p” and “f” sound very similar when spoken by a Sudanese).  Oh, well a scorpion bite!  That makes much more sense!  Of course this man is hurting.  Of course his ankle is swollen.  Of course he wasn’t bitten by his girlfriend.  Come to find out, the Dinka language does not have a word for girlfriend, so they were not even understanding us when we kept repeating back to them, “girlfriend?”  Oh the misunderstandings that occur between two people groups and two languages.  Girlfriend?  No.  Scorpion.