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oh anw just read JL's blog and found tt my english is so bad! at least for these hurried posts. just rattle off my mind. not writing composition heh. So yups. for a better blog entries on Uganda adventure, go to her blog heh
This is my weekly update. Yes, it is exactly one week since I last have access to internet, as I am now physically back in Kampala, to settle some stuff and cos we are invited to dinner at the Korean missionary's home. They have also invited us to go on an outreach tomorrow, into the villages. It is definitely a new experience for me.
But indeed, the past week has been nothing short of interesting, in a different way. I am now doing my rural rotation in Wakiso Health Centre, in Busiro East district of Wakiso Town. We first arrived at the health centre on Monday afternoon, after a long wait for the driver from the university. This was something like a polyclinic, a mini hospital of sorts, for they have one doctor, who doesn't seem to see patients at all, as he is usually doing his administrative work. The main people seeing the patients are the clinical officers (they've got diploma in medicine, not doctors but something like paramedical staff) and the nurses. Here the nursing officers can prescribe. So we met the doctor in charge and of course, it was waiting for the health officer to bring us to the place of residence.
Here the accommodation is quite cheap, 10000 shillings per night, equivalent to less than SGD10. But disadvantage is that it is near a pub, so they're blasting music till 1.30am every night. (Ha, but yes, I've gotten use to all the noise in my place of residence at the university, so I can sleep despite all the noise, even when the light is on. Good training. Never used to be able to do that in Spore.) And the room here is much smaller than that which I've been staying for 5 wks. There is a small attached bathroom. But it is really really small. About slightly less than 1metre square.
Here things are more primitive. So yups, its quite rural. In Kampala, I get power failure once a week. But here, the power failure is almost everyday, then after certain time in the afternoon there is no water. At night there is not a single drop of water. So yups, they've provided jerry cans for us to store water. Interestingly, as this place has a pub, they have a backup generator. So we still have lights (if at night) when the power failure comes. Except the generator is just outside my room and they use petrol to run it so I smell it everyday. However, the light isn't fantastic. Can't really read with this light. Been using my torch and rechargeable batts ha.
So yups the main problem is with the water. Yesterday, there has been no water from the tap for more than 30 hrs ha luckily there was rain and they stored some water. So I've replenished one jerry can of water! That's all ha.
BUT no worries, people. I am fine with this living condition! ha sorta expected! Rural what! Ha this was what I wanted to experience so yups. And army has trained me well. I can choose not to bathe and still be clean! hahahahaha erps shan't go down to details. But heh interesting life here.
Eating out everyday, at the hawkers. Food here's cheaper, but the bottled water is more expensive than in kampala. But life here is really simple and interesting and slack. Cos I start seeing patients at 9 plus, then by 1plus 2 we're done and would be off for lunch and home!
Ha, yes, I get to run clinics here on our own. Not really confident at first but you soon get the hang of the things here. (erps must say it is really NOT good practice, but yups, we just do as they do here lor… can't really try much radical stuff) so got a feel of how it is like being a GP. But yes, the cases here are definitely much more interesting than GP in Spore sees. My first case was syphilis. Then hyperthyroidism. (the clinical officer gave me the ???WHAT??? look when I diagnosed hyperthyroidism. Think he'd have given some propanolol and reassurance and send the patient off.) Think: for somebody who was tachypnoeic, sick looking and not looking dehydrated, (I couldn't take any history cos of lang barrier, so I;m not sure what the patient told him) he took the blood pressure. It was 140/90 and he diagnosed it as hypertension. Treatment for this "hypertension" was IV fluids and observe. Firstly, the BP isn't all that high. It is just abit high. Then even if this was hypertension, the treatment wasn't IV fluids. And for her condition, I need to find out why she is so tachypneic and having some shortness of breath. I examined, chest was clear, everything else was fine. I couldn't take the history, so could find out no more.. So just had to agree to let the senior health officer treat it as hypertension and give IV fluids.
Many others… the first day I was full of ???? in my head. Ha but later recovered and yups, just did best what I could, using what little knowledge I have to help. At least, I saw patients with a stethoscope. The clinical officers didn't even use any. They just SEE patients. Don't even examine sometimes.
Ha feeling quite tired now, that's why this post does not seem coherent. Anyway, in SUMMARY: have adapted to the new environment pretty well and yups life is interesting!!! Looking forward to the outreach… and Kimchi!!! 4 more weeks and I'd be back!
________On Thursday, went to the Kasubi Tombs (yes, finally, after the spate
of poor weather and so on) and learnt a lot about the history of
Uganda. Apparently, Uganda has many tribes or kingdom, and the biggest
one is that of Buganda Kingdom. They have approx 8million out of the
28 million pple they have in total. I forgot how many tribes in total
they have but I believe it is like 50 plus? So yes, the Kasubi Tombs
is where they bury 4 of their Buganda kings. There are other tombs
elsewhere of those other kingdoms. Yes, the smaller tribes have
chieftains. But I guess finally the Buganda kings are the overall in
charge. So Uganda come from "buganda". Basically it works like this,
every new king will choose to build his palace on top of a hill. (for
easy defence and so on) and there will be a fireplace within that
palace, which just keeps on burning. It will only be put off when the
current king passes away. Then when the next king succeeds the throne,
the fire will be burnt again. Now for this tomb, it was the palace of
1 king. Then when he died, it was converted into a tomb. And 3 of his
other descendants chose to be buried in the same place.
And kings cannot be described to be dead. They have "disappeared". So
the tomb aka the previous palace has one huge African type house (yes
those with grass etc) where the king stays and every day 2 of his 84
wives will go in and serve him. So when he dies, half of it is sealed.
They dig deep down into the soil till certain depth then dig at right
angles forwards into the forest. Then they will place the coffin
there. So basically, the king has disappeared into the forest. So that
half of the house is sealed. And yes there are 4 kings there in total…
almost all are in succession. They can be requested to be buried there
or elsewhere or in their palace.
Other then the central house, there are smaller houses in the
peripheries, where all the 84 wives of the first king stayed. So when
he died, all the wives still have to stay in that house until they
die. Then after they die, the family of these wives have to select
another woman from that family, who will then take turns with the
other 84 families… So every month there will be 2 women from these
families staying in the central house to keep the place tidy. Etc.
Yes. They stay there. Then the next month another 2 families. And this
tradition is passed on for generations. Cos they consider it an honour
to be part of that "royal family". Of course, those kings after that
king have only one wife, so yes, they have only added a few women
family to that list. The current king is staying somewhere far from
it.
On Friday, we wanted to search for the crafts place where we were told
traditional crafts sold cheaply. But when we went there we did not
find the place. Ha so we went back home, put down our stuff and then
went to the film festival, called Amakula Kampala. We took a taxi to
the national theatre. Now you must understand the term 'taxi' in
Uganda means 'bus' in our context. It is a mini bus (actually like
those vans) which carries 14 passengers, where there will be a driver
and person who opens the door from the company. He is the one who
opens the door and collects the fare and shouts where the taxi goes eg
"Kampala Road, Jinja Road" So basically to take a taxi, you go to the
stop or "park" and start telling people the road you want to go, or
you listen to the shoutings. Er no bus guide or labels. Just ASK. Ha
so it was quite a fun experience for us. We were directed to the right
bus stop and managed to get on the 'taxi'. How do you alight? Just
shout "parking" when you think it is near where you want. They will
stop at the nearest stop. And the door opener collects the fare. Yes,
he can actually remember when one boards and alights. So yes, the fare
varies. To town it takes about 50 cents per person so it is rather ok
for us. This was the first time we took a 'taxi"
Another mode of public transport we tried was the "boda boda" which is
essentially a motorcycle. So only one passenger per boda boda. So it
is more expensive then the taxi. Of course, it can be dangerous. But
yes, we felt that if we never tried it we cannot say we have lived in
Uganda before. Ha so yes, we took it last week. It was pretty smooth.
Back to the Amakula Kampala film festival. We went at the right time,
for they were showing some short films by Ugandan directors. Erhm,
budding young directors. And yes, I do agree that for some of them,
the Singapore slapstick "Gui Ya Gui Ya" (Men in White) was better in
many areas. Ha. That is the standard. However the last one was good,
there was meaning and it advocated against child abuse. It was
touching and saved us from the agony of watching yet another (dots)
short film. Yups, then there was a small play cum dance thing put up
in traditional language, which of course we couldn't understand but it
was talking about the tribe's reaction to a couple having a pair of
twins. It was quite entertaining, all the dancing.
SATURDAY. Did nothing much. Had intended to go down to Entebbe. But
due to some unforeseen circumstances, it didn't materialize. So we
stayed at home, and I prepared my SERMON. YES. SERMON. The story went
like this. I contacted the Cornerstone pastor for a place of worship
in Uganda, so he forwarded my mail to his contact in Uganda. But the
pastor was preaching in the villages so we communicated by email and
he forwarded to one of his staff. (who was really friendly btw. We
were really touched) Who contacted me and offered to pick me up from
our workplace on Sunday. But she asked if we could share our
experiences. So I said sure. But then after I realized that this
sharing was more like a sermon. (she didn't tell us…) it was one hour
long. So ya, we freaked out, cos we've never preached before. So yups,
we decided each take half an hour. So yes, we prepared the sermon
SUNDAY. Yes. We went to the Cornerstone Community Church in Uganda.
My, it was really nice. And to our surprise and relief, we were only
preaching to the youth service! Ha but all these made me reflect upon
my whole trip and realized all my prayers were answered and it was
God's hand in all of these. So yes, I teared during the adult service
as I worshipped (it always happens, but this time all the things that
happened really flashed past my mind and I realized how great God IS!)
It was by divine intervention that I met this Professor from Mulago
Hospital at the Wonca conference. I did not realize it at that time. I
noticed she was African, learnt that she was from Uganda, then took
her namecard, cos I thought having another contact will be good for
the 4 others going to Kisiizi hospital in Kabale. I already had a
place in Kenya at that time. So I took her contact and passed it to my
friends.
Then just before exams, the bad news came. Kenya was too tumultuous
for us to go. There was political instability, killings everywhere,
especially in the town that I was supposed to go. Everyone else
freaked out, but I thought this was one challenge God posed. I didn't
fret, instead was rather calm and prayed. I knew I was going to
Africa, so I knew that if I stayed close to God, everything would turn
out fine. (this happened once before the time when NUS suddenly did
not allow us to go Africa in general. Of course we fret, even cried,
but we prayed and miraculously one wk after the whole incident, the
decision was reverted. And yes, the people who took the initiative to
petition was me and JL. We felt it was something we had to do. But it
was not our petition but rather our prayers that was answered.) So
having the previous experience, we knew God was in control so we
didn't fret.
Yet, the time passed and still the situation did not change. This was
in the midst of all the patho exams. After the exams, we knew we could
not wait any longer. One month before our electives, my friend NY
passed the namecard back to us, saying why don't you try this. So yes,
we tried. The application was really smooth until we couldn't believe
it. Then we wanted to buy the air tickets to fly with the other 4.
Yet, the airline said there was no more places. Then we called again
another day. We could fly again, with the rest of the group, on the
same day, with the same plane. The rest, as you know, I am in Uganda
now.
Prayers were answered. And I guess He really wanted to bring us here.
These few weeks I had initially felt empty, as I am still considering
whether to be a mission doctor and wanted to make use of this elective
experience to decide. Yet, i did not go to any mission hospital at
all.
During the past 3 wks in neurology, it dawned upon me that as long as
we keep God in our hearts, the ministry will come along smoothly. We
do not have to burden ourselves with whether we are doing enough for
God. I had expected to do something for the Lord for this trip, to
share to others about Him, yet I found myself largely not doing so,
save for the few patients I prayed at the bedside for during
Neurology. The ultimate was this "preaching" incident. It made me
realized, God is training me up in some way. (ha this was more felt by
JL, for she was really surprised that it was youth service, for she is
serving in youth svc in her church) This is just the beginning and
there is more to come. I asked God to reveal to me His purpose for me,
whether I am doing too little and this incident came up. Yes, I still
do not know the exact plans He has, but I guess, preaching, sharing
and probably missions will be the way to go for me in future.
Don't know what else to do, except keeping close to Him. I know He has
plans for me. I need not worry or burden myself. (ha yes, this was the
'sermon' I preached, and I got a new understanding on the "yoke" which
Jesus mentioned in Matthew)
Yes, but there are still many issues to be resolved. I really hope I
can go to church in Spore, serve the Lord, serve in ministry. More
importantly, I want to grow spiritually. My growth is really minimal.
I am still a spiritual baby, despite the long time I've been telling
others that I am a Christian.
Yes, use me Lord.
KK ENOUGH OF THE WEEKEND. Hmmm just an update… might not be able to
update much in the next few weeks, cos after this current week, I'd be
going to rural rotation at Wakiso Health Centre for 2 wks, for which I
do not know if I'd have internet. Then I will be touring for another
1.5 wks around the country… so moving around, might not have chance to
update.
But yes, I do want to update. And my travel diary is still on DAY 2. SIGHS
And yes, I bought lotsa souvenirs but still tink I have many ppl I
haven't bought hahaha bought mainly for my family.
But yes, keep close to God! Love Him!!!