N’Djamena to Béré.

Well, well, well. It has now been 8 days since landing in Chad and so many things have happened! Last I wrote was just an update to let you all know that I made it safely to N’Djamena and since then, it has been go-go-go. We were able to relax a bit in the capitol on both Saturday and Sunday after arriving. We visited the market and drove down by the center square as well as saw the largest mosque in N’Djamena. Sunday night, the other student missionaries arrived. They were lucky and had the Air France route through Paris, which is a much shorter series of flights. All three, Daniel, Josh, and Shannice, are pre-med students, ready to take on the world!

Monday morning was planned to be a jam packed busy morning. We need to get up at 4 am to drop off our bags with the Parkers since they were leaving early. Then we would need to be ready to go by 7:30 am to go to the police station to get registered, we had to get our money changed, and then arrive at the bus station as soon as we could to catch a semi-early bus to Kelo, then on to Béré. 7:30 came and went and our taxi man wasn’t showing up and was not answering his phone. 8:30 came and went so Marci, the previous public health project coordinator who came with us to get us settled in, decided we could walk there, as we needed to hurry. As we were walking out, he showed up, all smiles and apologies. We got what we needed done but by that time it was close to 11 am, leaving us no choice but to stay the night in N’Djamena. Remember, we had none of our suitcases, only small bags with what we slept in and what we needed for the day. We spent the afternoon napping and practicing our French (highly entertaining when everybody had different backgrounds for languages studied). Even after several naps, when 8 pm hit, we were all went to bed. We had to get up and be out the door by 5:30 am to catch the first bus to Kelo in order to make it before dark. Rumors were flying of the need to travel by motorcycle inside of a dugout canoe and that would not be fun at night, especially through hippo-infested waters.

We arrived at the downtown bus station and were the first people on the bus. We picked our seats and waited for the driver. Vendors passed the windows selling everything from French dictionaries to ladies underwear to fresh baguettes. I am now beginning to understand African time. The bus inched out through the crowds at 7:21 am and we were on our way. After breezing through the N’Djamena suburbs and several passport checks, our bus coasted to a stop in the middle of Chadian farm country. Thirty minutes, one dagger pulled from a sleeve, a flaming battery, and six wide-eyed Nasara later, we were back on the road with our fingers crossed. It is here that I learned that Chadians are the fastest people to break something but they can keep broken things jimmy rigged the longest.

Our midpoint/lunch stop/gas fill up stretched out much longer than anticipated, guaranteeing our needs to stop for Muslim prayer at one and three o’clock. After an hour and a half, our driver returned with a new battery. Though we were thoroughly tired of waiting around the bus, we were happy that we would now make it to Kelo before dusk. Not too long after lunch, thunderheads rolled over us causing us non-Muslims to stick to a more rigid prayer schedule.

Arriving in Kelo, we were told we could not continue via bus on to l’hospitale and therefore would have to find another mode of transportation. Though exciting, motorcycle was not extremely enticing. An older lady on our bus told us not to worry, a truck was continuing on with us to Béré. I know she was trying to be comforting but she only brought on anxiety as I wondered how a 30 passenger bus was to fit into/onto a Toyota truck! Lo and behold we fit with 22 of us on the outside and 8 on the inside. Daniel and I ended up on top of the roof with our feet dangling by the driver’s and backseat passenger’s head. The same lady who let us know how to get on the bus was told repeatedly to put her feet like I had them but instead, she yelled back that she would surely fall in since there wasn’t much to hold onto where she would be sitting. After pulling out on to the road and forging our first major puddle, she defiantly told everyone around her how if she had listened to them, she would have ended up in that puddle.

It was great to take the truck. Though when we first got on the truck, the hood was up and it had no steering wheel, it made it as soon as dusk finished without hippo bites. It goes to show that Chadian really do keep things working. Tammy came and picked us up in her AC equipped truck, which also meant we had a hot meal waiting for us at the hospital. We were quickly filled with happiness as we ate our fill of spaghetti, garlic bread and green beans.

Up to this point, Charis (the other public health professional working at the hospital) and I had had little explanation of our housing arraignments. Student missionaries and other short-term (less than 9 months) volunteers typically stay in the village with a family in a hut made from clay bricks. We had heard great stories and terrible stories but we both were thoroughly prepared for the worst. After supping to our fill, we grab our bags and hit the road for our new accommodations. Charis and I find out we are living in a duplex on the backside of the compound. It is one of the new buildings put in by Maranatha earlier this spring with special ventilation to control for heat! Eventually, we will have our own showers and toilets on each side and will no longer have to walk across the compound to do both (well, I can cheat a bit…).

Now comes the fun part. Though these events are getting farther and farther behind, I need to get to bed. I’ll update the workings of Béré, my host family, and how work has gone so far in a day or two! Thanks for reading!

Zachary Gately
zgately.com
zgately@gmail.com

Laborious Limbo

Aside

 

 

Since graduation in June, live has been less than action packed. It’s been filled with gardening, baking, memorial service planning, and running. Reflecting on these activities now, it seems that I have turned into an 85-year-old woman. Needless to say, it has been quite relaxing. Maybe a little bit too relaxing…

I’m still preparing for my upcoming job in Bèrè, Tchad, which is ending up to be a bit more work than I have expected (as far as the preparations). Since I am not living near Loma Linda University anymore, I have had to rely on emails and conference calls to suffice for my communication with most of the preparations. Between finances, the Global Health Institute (shout out to Angeli for TONS of help), and knowing what to pack, I’ve been on the verge of pulling out my fingernails several times.

I am stoked for this opportunity but I am also hesitant, as so much has already been jumbled. This position is dripping with potential but where my abilities end and luck has to take its course is still up in the air.

My tentative leave date is September 12, 2013. Less than six weeks away and so much has to happen. What would happen if I am offered another job in Syria or Sonoma or Siberia? One that paid enough to pay off my massive student loans, plus living, plus savings, plus a trip here or there?

Professionalism is a skill that us millennial need massive amounts of help on. Its just part of “learning to grow up” I guess. If anyone has some good links or ideas on how to be professional, positive, or productive, please let me know! I am always looking for ways to be a better employee, applicant, and colleague.

Stay tuned for updates as I continue to prepare for my next adventure!

Fresh baked today!

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Public Health is Important too!

*DISCLAIMER* I have lots of medical students as friends, I respect their ambitions, I see the importance of the career, and I know they work very hard to earn their medical degree. With that being said, please read with understanding.

I am not new to the notion of spending holidays away from my immediate family. I have spent every holiday away from family at least once, due to both choice (ie, I wanted to go travel) and to distance. Regardless, I can say that I am extremely thankful for my family, as they have supported me throughout the myriad of locals I have lived in and career choices I have brought up.

This Thanksgiving was one of those distance holidays. I had school on Wednesday so there was no way I was going to drive the 10 hours home for only 3 days. I am lucky to have my aunt, uncle, and cousin living just down the road but they weren’t doing a traditional meal this year since 1) my uncle is British, 2) who wants to cook all those dishes for only four people, and 3) we are all vegetarian. Our new family tradition is to make gourmet pizza, drink Martinelli’s, and eat apple pie. There’s much less clean up and we can move afterwards.

Still wanting some yams, dinner roast, and hot apple cider, I ventured over to the second annual “Orphan’s Thanksgiving,” reserved for those whom do not have immediate family within traveling distance over this short break. There we dived into a traditional dinner, complete with a deep-fried turkey, green bean casserole, and so much more food. The highlight had to be a dessert combination of cookie dough, double-stuffed Oreos, and brownie mix baked together.

Since Loma Linda University is a world recognized instituted (and SDA’s have lovingly called it the Adventist equivalent to Mecca), we had students represented from every school who could not go home for this holiday at this Thanksgiving feast. Among them, there were two medical students who caught my attention as they were saying their good-byes. They found out I was in public health and did the whole, “Oh. That’s nice,” with a sympathetic smile.The first medical student proceeded to name the one person in the SPH and I happen to have all my classes with him. He is also in medical school, taking a year to do his MPH in preparation for a career in infectious disease. As the conversation continues, the first medical student mentions that, “it is a nice certificate. A really good add on.” Now, I have worked both with doctors who love public health or don’t see any point in it and I can see where they come from.

But let me tell you: I am working hard for my master’s level degree. I have taken all the same science classes as the medical students as well as the MCAT but found that public health is where I want to be. I plan to continue to work hard in my field, taking care of what doctors do not have time to do.
The other medical student also shot himself in the foot as he continued to agree with the first medical student on how they don’t have time to really learn how evidence based medicine really works. He literally said that it was a good thing they had a recent MPH graduate on their research team or else they could not have found out if any of their research was even significant without her expert knowledge. If he did not have the time know learn how this works (mind you, this was during the summer which means no classes) then I am worried for when these student start practicing medicine. I want to know that my doctor has a solid understanding of why and how and if a medication or procedure will work, not just a hunch that it will work.

This situation is one of many I have recently had of how others with (or in this case pursing) higher degrees, neglect to recognize the importance of public health in the medical task force. It brought to mind several thoughts that I am personal having trouble dealing with. The largest one is what am I doing after I finish? I love public health. I also am very interested in the clinical aspect of health. I also love research, organization, traveling, history, etc., etc. The list could go on but I am still heavily considering a career in medicine, politics, or straight public health. The lack of awareness about public health in medicine both attracts me to and detours me from it.

The Thanksgiving medical students were just the example how both fields need to be better educated of the others’ world and how they need to work better together rather than so far apart. Public health needs medicine and medicine needs public health. So regardless what career I end up in, I will always have the respect to acknowledge and respect someone’s career/educations choices rather than saying it’s a nice addition.

“Now you are the body of Christ, and each one of you is a part of it. And God has placed in the church first of all apostles, second prophets, third teachers, then miracles, then gifts of healing, of helping, of guidance, and of different kinds of tongues. Are all apostles? Are all prophets? Are all teachers? Do all work miracles? Do all have gifts of healing? Do all speak in tongues? Do all interpret? Now eagerly desire the greater gifts.” 1 Corithians 12:27-31

 

Adventure Starts Now!

Well, that may be a lie. Its already week 5 and there have been plenty of adventures causing lack of sleep, great smiles and memories, along with a few “moments,” challenges, and cramming. I can’t believe that time has flown with this velocity. Somewhere along the way I should have hit my stride of Fall Quarter 2012, but I completely missed it.

Like you’ve seen in my past blogs (or you can read them here), I thrive on routines, lists, and time management allowing me to play all the more in between these set items. I just ordered something like 3000 sticky notes, I put up my white board, I have linked my iCal, Google calendar, and Microsoft Exchange calendar all to my phone and to each other but somehow I still can’t drag myself to run or even get to class on time.

Its really just a mind set. Though I have not taken HPRO 509, our health behavior class, I have glanced through the text book and see what I need to do to get myself going: I need a goal. A marathon to train for, a test to study for, a job to work hard for, anything to get me to keep something consistant to wake up and keep a daily routine. It seems easy to do but I’m just not feeling it quite yet.

There is a little bit of that feeling. I’ll do it for a couple of days but then I’ll miss a day and then I am thrown off. But here’s to change. Here’s to keeping that feeling going. To get in that grove and get on that adventure!