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healthcare/social life

Douala, Cameroon


even this small clinic, with quoted hopes to serve the underpriveledged, does not quite have what i think is preferential option for the poor. the ones i thought i came to serve can't afford the 1000frs (2 dollar) admission fee to see the doctor. they cannot pay the few hundred frs fee for the taxi. they are in villages who've known few doctors and little medicine. those who watch loved ones toil to their graves, their early graves made from deaths caused by treatable, preventable diseases like malaria, TB, and typhoid. those are the ones i came for. ..and i'm not sure where they are really. i was hoping someone would show me, especially here in a foreign country. i'd go myself to find them...
but i'm a nurse. i need a doctor. i need supplies.
otherwise what do i have to offer people but a caring hand...a hand that holds them as they die from causes i know to be nonexistant or rare in the luxuries of the US...the hoard of most of the world's finances.
hmm...i know they're out there.

there's so much blame in the world put on the poor for being responsible for their own circumstances. i find myself repulsed by this especially when it comes from a healthcare provider. DESPITE all the structural injustices, i know too personally the ease by which a person can make choices harmful to themselves as a result of difficult circumstances in life. what i dont' know is what it would be like to have no choice. to be born into poverty, where at times it seems the only escape is through one immoral decision or another, whether it be drug use or prostitution or crime. where healthcare is inaccessible or unaffordable and you know the rest of the world is turning a blind eye while you die. how can a person born into one of the wealthiest families of the world, who's never known hunger or thirst, who's never lacked...how can i judge them? ignore them? forget them?

"rats and roaches live by competition under the law of supply and demand; it is the priviledge of human beings to live under laws of justice and mercy."
-wendell berry
.....

at work i've been making posters. so far i've made four. while i'm slightly enjoying being able to express a bit of creativity, i'm very uncontent with the work. especially when i see patients (what few that we have) go behind the doctors door and recieve medications that i could administer myself. i'm very displeased with the responsibility of the nurses, which mostly has been writing down a patients name and carrying water...until now....now i'm making posters.

....

i've discussed with the doctor my ideas of sending two of us nurses out to the community to do a sort of door to door education program. this isn't what i really would love to do, but i'm sort of desperate to do something...and i feel better walking about this town speaking with strangers rather than sitting in a mostly empty clinic all day. even when it's not empty i feel there's not much point to me being there. it doesn't seem the doctor trusts her nurses to do so much as an IM shot, much less start one of the few IV administrations she's ordered. anyways...there's always excuses about why something won't work, can't work...and if there's no excuses then my prodding seems to typically be ignored. and my mother will tell you how well i feel to being ignored.

...i'm not really sure how all this is going to work out really.

......
BESIDES that...
the social life of cameroon is vey busy...well...mine is. the tradition is that if someone invites you out then they buy your drinks AND they feed you...i've been invited out quite a bit by work friends, friends of those friends, and often by complete strangers. please trust that i'm making wise choices and i hope you can believe i only go out with the ones i know...despite the temptation of grilled meat & onions, fish, plantain, boiled egg (all served with a side of a hot pepper mixture), and free beer. i'm really amazed at the generosity, but every time i go to thank them they seem utterly confused.
it's really enjoyable to go out though. i enjoy watching everyone, seeing everyone interact and talk and rest. the people are very free. by free, i mean that they dance, eat, dress and enjoy freely. i love to watch them dance!it seems the music enters their blood and their body responds. i'm amazed that even the babies can move their booties like professionals. it'd take years for me to acquire the skill of some of these three year olds, i'm telling you! but since i only have a few months to learn, i'm trying to make the most of it :) it's not very difficult to let go though, because their music is GREAT! i'm definitely going to have to get some cds....or something!

oh! and if i'm out later than 630 (close to dark) i'm always seen directly home by at least one or two friends. i hope this comforts a few of you :) a girl i met from belgium was telling me about all the different crimes she has heard of since being here, and since that one day at the clinic with the girl who came in who'd been mugged midday i've been properly scared of being out after dark alone...which probably is wise anyways. i just always wish i could be brave...be above all of that crime business... no worries, family. i don't think i'll overcome my fear of the dark anytime soon.



permalink written by  theresa on November 13, 2009 from Douala, Cameroon
from the travel blog: to africa
tagged Healthcare, Friends, Africa and Poverty

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"For me, an area of moral clarity is: you're in front of someone who's suffering and you have the tools at your disposal to alleviate that suffering or even eradicate it, and you act. " (paul farmer)

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