A link of us!

Recently, the president of Adventist Health International and Loma Linda University traveled all the way to visit our little bush outpost here in the heart of Africa. We had a huge event with all the important people from the state and city governments, our own employees, and a large group of volunteers who helped with construction of the nursing school.

It was interesting to see the clash of culture and importance. Grown men were huffy and puffy that they were not the last ones to arrive and everyone was very segregated. I felt sad because I have friends who sat in all 5 places.

-Important government officials were front and center.
-Western volunteers were on their right.
-Local chiefs were on their left.
-Hospital employees were far right.
-Women with little to no education were way off to the side, waiting to help.

I kind of just floated around in my colorful traditional outfit helping with that, saying hello to them. It was fun but also quite stressful.

Thankfully, it went nearly as planned and we received an awesome write up from Dr. Hart. I highly recommend you look it up at: http://myllu.llu.edu/newsoftheweek/story/?id=15069&utm_source=newsoftheweek_email&utm_medium=20140213&utm_campaign=story0

Well, that’s all for today other than I think I had too much coffee. Oh well, such is life in Chad! Take care my friends!

Zachary Gately
zchgtly
zgately.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

I’d be Lai-ing if I said it wasn’t fun!

So as many of you know, we work very closely with our Traditional Birth Attendants and Community Health Workers. They are not paid by us. Either their hearts are open to aid their communities or they just enjoy having a title. Regardless, we make sure they work and we have enjoyed their enthusiasm. We completed the CHW trainings in December and the TBA trainings will be finished within the week.

One thing we do compensate them with is supplies for working. We give non-sterile gauze, tape, bleach (for bleach water solutions), and a few other tools. Each Friday is restock day for 25% of them. They come in and we look at what they have done that month. We determine what supplies they need based off of what work they have done and restock them.

Some of the things they regularly see are cuts, pregnancies, and malaria cases. For malaria, the best predictor seems to be flu like symptoms plus a temperature of 101F or more (38.3C). So we have given them all thermometers to use. These are the traditional glass armpit ones. They have had a rough time reading those small blue lines because 1) many of them have no higher than an 8th grade education and 2) many of them need glasses badly.

Needless to say, I had to jet over to Lai (17 KM east) to the hospital supply store for more tape, gauze, and thermometers. Our moto doesn’t have the proper papers to leave the district so I had to take a taxi moto. That was an adventure but it was a much needed distraction. Tensions are high at the hospital as big decisions are being made about leadership and as many of the Nasara’s are looking forward to their annual leave (in April, it will be me and and the Netteburgs).

As the wind is blowing through my hair that needs a haircut we see one moto go down as he hit a sand pit. We see huge trucks fixing the road. We see the nomadic Fulani people traveling. Adventure only a few minutes from home!

We arrive and I can’t quite communicate that I need the hospital supply store. I have never been there but after a few questions to locals we find it. The guy inside is nice and quickly processes my order and I’m out in a flash. I run over to the Alimentation Oaisis to buy things like olive oil, cheese, and a new melange of green and mint tea. Then over to the “hardware” store for varnish, rope, and paper. These are all things I cannot buy in my little outpost of Bere. The hardware man like us in Bere so he throws in a brush for free! I’ll take it!

The ride back was about as eventful as coming with the exception of no accidents. It was just so nice to get away for an hour and enjoy the freedom of the road! It is necessary to have these little breaks (even work related!) to stay sane.

Like I said, I bought thermometers. We have a joke with our CHW/TBA’s about how to tell the difference between rectal and oral thermometers (its taste!). But some how I still bought rectal ones! I have no use for these but at these times, all you can do is laugh and make another trip to Lai. haha!

I am pumped for next week as a couple of us will be headed up to N’Djamena for a little pleasure and a little work. We can’t do much research due to internet speed here but up there we can! So look forward to some more pictures! I was actually able to get some posted last weekend (timing is everything, i.e. 4 am) on the blog at zgately.com. Go check them out and have a good week!

Zachary Gately
zchgtly
+235-9112-2492
zgately.com

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boite Postal
Kelo, Tchad
AFRICA

Visual Update Encore!

Here is a nice spectrum of what has happened in the last month or so….

It was awesome to have my mom here for a month! We did the Tchadian thing of having matching family outfits. Diana and Raisa where so happy to hang out with my mom!

For Johnny’s 22 Birthday, we played a great round of four-square.

Here Johnny is lecturing the quartier of Tcha-Asse on Maternal Health and Breast Feeding.

I have begun a garden. Let me tell you, if I did not have that rototiller, I would not have a garden.

Diana is now beating Josh at arm wrestling. Don’t mess with those Tchadian women.

Charis’s cat Mac had kittens on Sunday but she was too young and they all died. At least she still has all those motherly hormones and is being uncharacteristically nice.

This is the biggest threat to peace and quiet in Bere. Meet Lyol.

I am teaching Naomi both what a selfie and a duck face are while we wait at the chief’s house.

Zachary Gately
zchgtly@gmail.com
zgately.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Olympic Lectures

For the past five weeks, we have been going to every neighborhood or quartier to deliver health lectures to the community. While there, we meet with the delegate (chief) of the village and his assistants. We then deliver nine lessons over two days followed by questions and demonstrations for the members of the quartier. If we are lucky, the chief will feed us tea and gateaux after the lecture or even a full meal of rice and sauce.

At all these lectures, we are blown back at how many people come out to listen and are ready to participate. We have nursing mothers, children, and high school students mainly but there are also many men and older people too.

Our lectures were developed by some previous volunteers here at the hospital and we have tweaked them as we see fit for the community. For answering questions, we reward them by handing out toothbrushes and toothpaste. We have lectures from Maternal Health to Malaria to Family Planning. Our Student Missionaries have done a great job thus far of assisting in the delivery of these lessons.

We have had several community members say how impressed they were with the lectures, giving sincere gratitude for the little lessons. Most wish they knew these principles when growing up so they could have taught their children. This is not me tooting my own horn here. It is to show that even though we may see these princples as simple and common sense, many people have never been exposed to the radical idea of prevention.

Honestly though, this is not much different than in western countries. Instead of not knowing what to do, we know what to do but refuse to do it. We eat that extra side of fries at night and skip the early morning run the next morning. We stress out and freak out without any type of release.

Jamie is an awesome handyman and actually rigged the satalite for the Olympics! Sunday, I was able to watch a few events and was in awe at their dedication, skill, and even enjoyment! That is how I want to be: I want to love what I do, be healthy, and enjoy the balance of eustress, rest, fun, and food.

So here’s to the new year (well, whatever…)! Here’s to working hard but also playing hard. Here’s to giving back to the community you live in and participating in it. Here’s to just being you! Who knows, we may just end up in Brazil or South Korea for the Olympic Games!

*if anyone can tell me how to become a biathalete, I would be more than greatful. Researching here is a bit tricky.

**if someone wants to help with my taxes too, that would be awesome.

Johnny and Naomi talking about Maternal Health in Tcha-Asse.

Zachary Gately
zchgtly@gmail.com
zgately.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Malaria Round #2

After three nights of unsuccessful sleep, a slight fever, body aches, and a headache, I gave in and hunted down an ever busy doctor for a lab test form. Dr. Danae, dressed to the nines in her new Fulani outfit while doing rounds, let me slide without too many questions. I get pricked but I then had to go into town with my mom who is visiting. I was fatigued but no worries, I made it there and back. Right before we head out, I got the verdict: positive at 0.05%. Not bad I guess, considering last time my count was 0.25% after a day of treatment.
Thursday night goes by quick and into a fitful
Friday night.

I felt alright in the morning but as soon as I stood up, I realized there was a limited amount of activity I could do. I could be up for about 15 minutes before I had sit or lay back down. We had a lot to do for a big meeting in the afternoon so I quickly made a list and gave it to Charis. She took charge while I sat with our temperamental printer and printed a couple hundred copies off, one sheet at a time. It can’t take more than one paper in the tray or else it eats them. It worked out though since I could just sit and zone out in my malarial state.

Thankfully, I had bought a bunch of peanuts when I went to the market so I would have some type of salty snack. There are very few salty foods here. Most snacks are sweet biscuits, cookies, wafers, or candy. Sweet foods simply do not agree with me when my stomach is not content. So rather than chance sweet foods and medication to result in vomiting and IV quinine (the worst), I happily munched on salty peanuts.

In the end, I was feeling 95% by Saturday morning. It makes a huge difference when you catch malaria early rather than wait and hope it goes away. Its similar to that awkward conversation you’re putting off or going with that idea you have. You’ve just gotta do it. And the sooner you do it the better off you’ll be tomorrow.

“A stitch in time saves nine.”

Zachary Gately
zchgtly
zgately.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Shaking Hands with a Leper

Living in Bere has opened my eyes to how it was like in biblical times. The stars come alive living in a city with no electricity. The Fulani people carry their houses along with all their possessions on the backs of donkeys (in N’djamena they use camels but rainy season is too long here for them). The houses are made from mud and the roads are unpaved. James Appel brings much of this alive in his book “Children of the East.”

Yesterday, Naomi and I were going around to the last few quartiers on an announcement run when we remembered to ask about a friend of Tammy’s. Tammy has a program for those in need. In return, she takes their picture and asks them questions about their life. She had made contact with this particular man but when she went to return, her translator had left and began spreading rumors that she was exploiting these people for her personal gain. Hurt, Tammy was all the more determined to find him again but after 4 months without a hit, she had all but given up.

We had found one of her other friends by accident last time we went around to the chiefs. He was demon possessed when Tammy met him. His brother had chained him to the wall of the house so he wouldn’t hurt anyone and he had shredded all of his clothes. When we met him, he was clean shaven, washed clothes, and for sure, was not possessed. As we passed this same quartier, we asked the chief’s son if he knew anything of Tammy’s other friend. He pointed down the road and mentioned a landmark. We followed and low-an-behold, we found him. He had leprosy. He is missing half of his digits on his right hand. He only has heels for feet, wrapped in thick plastic. His gums are painful to look at and it is evident his sight has been gone for some time. He scoots over on his rice-sack mat and welcomes Naomi and I here.

I am speechless and Naomi is about to cry. We tell him that we are happy to see him and that we have been looking for him. He speaks of God’s grace and his worries for his family. He thanks us for visiting and wishes us to return.We reaffirm that this was only the beginning. We had some gifts that we had purchases but since we couldn’t find him, we couldn’t deliver. We blesses our route and we are on our way, speeding back to tell Tammy about our find.

We head back out to him a couple hours later with a bag of rice and the other gifts. We just sit and listen to his story. He was previously pastor and he was one of the only members of his family that survived the war that ravaged the country of Chad 30 years ago. He told us the only reason he is living today is because he tucked his Bible under his arm as he fled for his life. When caught, his captors released him saying they couldn’t kill a man of God.

His leprosy has stopped its progress and his condition is relatively stable, though unreversable. He talks about how his biggest fear is that his kids will make bad decisions. Already he thinks his son-in-laws are studpid. He worries for his wife and for his grandchildren. But at the same time he begs for God to take him from this world. He has seen so much hurt and experienced so much pain. Yet, he is possitive that God is there actively working in his life. God is taking care of him and God will continue to provide.

In the end, we’ve nothing but time to give. We must spend it wisely but also be willing to spend it with others. We can control so little in the world but we can share ourselves with others.

I know I haven’t written much lately (hence the photos earlier) but life has begun to get mundane. I send of some emails, feed a dozen malnurished kids, practice some French, and forever am sweeping my house. Among many things, shaking hands with a man with leprosy helped me realize that I cannot get too comfortable. I don’t want life to pass me by while I sit there thinking everything is normal. I must live life and look for the moments that can’t be done over as time will always keep passing us by. Like I said, life here reminds me of biblical times. Its simplicity and love of time together as friends and family are some of the biggest reminders.

*movie recomendation*
About Time. It is very nice, if not just for the English countryside.

Zachary Gately
zchgtly@gmail.com
zgately.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Desole!

My Friends! It has been so long since a post so I though the best way to keep you all interested is with some pictures! There are a couple posts in the making so stay tuned for more adventures! Until then, Enjoy!

Shannice took care of Charis while she had 6 liters of fluid put into her frail, giardia ridden body!

Daniel and I completely cleaned out the SM hut with bleach and insecticide. It was quite a task!

Daniel and his children. (He’s been busy since arriving, no?)

Papa and I at Sarah’s surprise birthday party.

In a matter of minutes, i broke out in a rsh that covered my body. By the next morning, it was gone! #whenintchad

The blood bank at the hospital was out of blood so we all donated! First time for our new SM Johnny!

My mom arrived, ready to work with Maranatha as they completed the Nursing school. She brought me a coffee maker, bless her heart!

And here is a selection of the colorful mats available at our local market! I had to buy a bunch for the AHI ceremony that took place Friday. There are so many more awesome colors and patterns available in Moundou and NDJ.

I hope this satisfies your curiosity for thee next day or so as I finish up those posts and get them out! Take care!

Zachary Gately
zchgtly@gmail.com
zgately.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Christmas in Béré!

As you can imagine, holidays away from home can be an emotional roller coaster for many people. First it was Thanksgiving, then Christmas, and now it will be New Years. It seems like only last week I boarded my first flight out of Reno, NV, to head over hear and now we are entering 2014!

Thankfully, I have supportive family and friends (I think) who still keep in contact countries, continents, and oceans away. I can’t say that it’s always enjoyable being so separated from those you love or that it is easy being forced into a new community. We make due though. Sunday we began with the feature film Elf, Josh’s birthday brunch, and an evening of snacks and a movie at Parker’s. Monday was an insane day of screaming children, temperamental Toyotas, and Christmas shopping in Moundou. I don’t want children anymore. Ever. I want to be able to hand them back when they are screaming their heads off for no reason. Tuesday we decorated cookies. Jamie was our judge for the competition. With so many cookies, we did categories by shape and my stocking was a winner! Following this we ate pizza, played games, and watched one weird Christmas movie. Everyone fell asleep at one point or another but as soon as it was over more games commenced! Daniel and I opted out when we realized we still had no card or gift for the families here on the compound. We cut and glued and folded until 4 am! We attached the cards and a little token to a roll of toilet paper from America with a sad bow. Inside we said, “Thank you for making our holidays ‘ultra soft’ this year!” Charmin Ultra Soft does wonders here, especially for those extra frothy days.

After a fitful 3 hrs of sleep, we drug our corpses to the Netteburgs for a pancake feast and stockings! Hello Christmas! All of Christmas Day was food, cookies, gifts, and more food! We were pretty tired all day which made for even more interesting conversation and games!

I am grateful for people who are creative and excited for having fun. You cannot just sit around expecting to have a good time, especially here. Last Sunday was Josh’s 21st birthday and it was a bit of a let down compared to most 21st birthdays. We did have an awesome brunch that cannot compare to any other meal here. Right after that, he headed out to clean the OR. Boring. After an afternoon of Elf and an evening at Parker’s (oh yes, we also watched Polar Express), Danae decided to put the kids to bed and was persistent on throwing Josh in the river at 10 pm. We put a pillowcase over his head and threw him in the back of the 4runner and pile in. Olen maked sure he had the ride of is life on the way there. We drug him out and asked if he wanted to go in with his clothes. He thought we were bluffing so he wouldn’t take off his hoodie or jeans. We were not so we just tossed him into the murky water fully clothed! Danae, Olen, and I jumped in so he wouldn’t feel so alone! We sang an awful version of happy birthday as we toasted with D’jino on ice. Since he is a “missionary” D’jino is just a regular, non-alcoholic soda (though it does have some addictive properties. We need to import it to the USA for sure!). A few more people were thrown in before we clambered back in/on the vehicles. Josh was a slightly pissed but once he had D’jino and Tammy offered the use of her hot shower, he said it was totally worth it!

See, we know how to have fun here! Too often overseas work is seen as charity and suffering. It is already hard enough without the added mental stress of these added expectations. We must mix it up with fun and emotional releases. Jesus even escaped when he needed to. I love having fun and just because I live in the middle of Africa, in the bush, and have a difficult time traveling anywhere, I refuse to let these get in the way of a good time!

So here’s to fun, here’s to success, and here’s to moving forward! Happy holidays!

Zachary Gately
zchgtly @ gmail.com
zgately.com
Berep21.wordpress.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Madness!

Madness! This week has been compete madness! We have been conducting our Community Health Worker (CHW) Trainings for the new members as well as having to plan for the entire next year, and prepare for next week’s Traditional Birth Attendant (TBA) trainings. Josh also returned from the States last Friday, giving us an extra pair of hands again. It’s finally Friday which means the training will be completed and at least we can rest tomorrow.

I have stopped counting the week I’ve been here. It’s somewhere in the low teens but there doesn’t seem to be any point in counting since I just live here now. This is my community and I will work my best to achieve an adequate health standard for my community. I have met some incredible people here and it show the resilience of the human race. From orphans to vice principals to government officials, each individual has a different story. As my language skills increase, I can’t wait to go deeper with these relationships. Of course, you all know that not being able to speak French has stopped me from trying to talk to people (I have been told that I can make friends with a wall).

The holidays are upon us, causing all of the nasara different levels of anxiety. Some miss family, others miss snow, and all are missing a well stocked grocery store for holiday goodies. Since we live in a largely Muslim country, Christmas comes and goes without much thought. This is also harvest season so people are mad busy with their fields. Once the New Year hits, it’s party time for days! Fête! Fête! Every one gets new clothes and enjoys the fruits of their toils as they bring in 2014.

I wish I had some profound wisdom to impart as I live and work in a developing country. I wish I could share giant miracles and tell you that the lame walk and the blind see. Due to modern technology, these miracles still happen but more thanks to doctors passing their exams, living lives of service to a community in desperate need of services.

I can, however, give a list of miracles that are small but by no means insignificant.

  1. We were able to get our supplies at a cheaper price and quicker than expected for our CHW trainings.
  2. Tammy asked if she could buy our shelves that were way to expensive, giving us extra cash on hand (there is no return policy or customer satisfaction here).
  3. We have a number if women’s health experts who will be around to talk with our TBAs.
  4. Our Public Health building was mostly completed and we were able to hold our trainings inside.
  5. We found instant coffee that isn’t horrible.
  6. The printer finally decided to work.
  7. One shop in the market sells toilet paper!

All of these things came to pass right when they needed too. Though they are not inanely large miracles, they made all the difference for our lives here!

It’s been an adventure so far and I can’t wait to see what will happen each day. Please check out our blog about the project here: berep21.wordpress.com. This is where the “technical” and “professional” items will be posted!

Enjoy the pictures below!

Me and my friend Doompa after church

Haircut time!

Charis, Daniel, and me with our CHWs/TBAs

Our cooking demonstration at the hospital for families with malnourished kids.

Raïsa and Diana ready for the river

Lunch with Diana and Aurthur. Raïsa is a budding photographer.

Shannice is teaching wound care to our new CHWs.

This is a panorama or my house.

Zachary Gately
zchgtly @ gmail.com
+235 91122492

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
Africa

Good Relationships are Hard to Come by

Béré is a happening place! It does not seem like it on a day-to-day basis but looking back over the last few days, I realized I stopped a lot of things 18 November. Most emails I need to respond to are from around that date, all my receipts from them on were not entered, and I haven’t blogged since then. I had a few great ideas for blogs: “Birthdays in Béré,” “Holidays without Hype,” or “Too much Food for Thought.” Alas, the timing came and went so here I am writing now.

It steadily has picked up pace here and I am more and more surprised at how fast each day and week is flying by. This week started with an awesome celebration. Our translator, Naomi, turned 30 this year! We prepared a feast full of all types of food! I killed the guinea hen and blood squirted all over, drenching my pants and flip-flops. We plucked it then cleaned it. Naomi was running around like a mad women so Shannice and I took over the making of the sauces.

Naomi lives on the other side of Béré, on the edge of “the bush.” It is so peaceful and it was so much fun to be out there with friends celebrating under the wide open sky! Though the day was busy and we were thoroughly exhausted afterwards, her party showed how we are still learning culture, language, and customs, but also how far we have come since arriving in this corner of the world.

Unfortunately, not all gatherings bring happiness. This week we also had to attend a funeral of one of our Traditional Birth Attendants. She was only 32, leaving behind children, husband, and community. She worked herself too hard and by the time she went to take care of her health, the malaria had spread to her brain.

All the Community Health Workers and Traditional Birth Attendants came out and we presented our condolences as a group. It was hard on many of them as they had worked together for two years. We sang a song similar to “We Have this Hope” and talked with the family. I believe her death inspired her fellow health workers to take action in their community. She loved her community and made sure that they knew it.

Late yesterday afternoon, Daniel and I raced into the market to get ingredients for potluck today. It was almost 5pm which meant most of the well stocked vendors were closing up. Muslim prayer is at 5pm but they were squeezing every franc they could out of the day. We walk over to get credit for our phones. We are in a hurry, but by sitting and chatting for a few minutes, we add another layer of cement to building that relationship. This particular vendor has helped a lot recently and by spending those few precious minutes, we showed our appreciation for his help. We then rush over to another vendor who has onions, pasta, garlic, as well as other random things we buy on a regular basis. He’s obviously trying to close but as he sees us, he lights up, stops what he is doing, and asks what we would like. I start going through the onions and find some good sized ones (Coming from the land of supersized, the “large onions” here look more like scallions and the small ones like olives). He shakes his head and pulls me around to the side of his shop where there are even bigger, better quality onions! Score! Daniel noticed how this relationship just grew in that moment and we talked about it a bit on the ride home.

Western countries don’t usually value relationships as much as other countries, especially in Chad. As a vendor of any status, you usually buy on credit but there aren’t banks or collateral items here. Trust is required. People get burned easily as too often business falls through or the crops don’t do as well as expected.

I didn’t understand this (though I was told it) fully until this week as I witnessed the coming together of multiple types of relationships. I like this way of working and I assume that in a perfect world, it would be the way to work more effectively. But since we don’t, this method of working has a huge potential for loss, both financially and emotionally. I’m still learning daily as I gain linguistic skills as well as understand cultural nuances more fully. Good relationships take time to build and regular maintaining! I encourage you all to let those who you care about know it, especially I this holiday season.

Happy holidays to all! No worries, my next blog will be a lot sooner!

Zachary Gately
+235 91122492
zgately.com

L’Hopital Adventiste de Béré
ATTN: Zachary Gately
52 Boîte Postal
Kelo, Tchad
AFRICA