Friday, June 17, 2016

Data and Demos

The first two days of this week were great for engineering, which meant they were also really boring for blogging. More exciting things have happened since though so I have to get this one out of the way. I’ll try to keep it spicy.

First a note: life at Annie’s is significantly different than it was before Liwonde for some reason. I have no idea why some of these changes have occurred. 1) The power is out about 50% of the time now. It was almost never out during the first part of the trip but is very unpredictable now. So that keeps things interesting! 2) The weather is much colder, it causes me pain to put on a skirt in the morning because pants are the only thing warm enough to save me 3) the shower, once consistently steamy and delightful, is often tepid and trickly. But that’s really not so bad showers are for the weak and 4) where I used to eat peanut butter none of the time, I now eat it all of the time. Jess got a jar from a T&L girl and we now eat it on everything. Tuesday peanut butter was the center of every meal.

As this was our last week of work we knew we had to get straight to business getting the remaining feedback on the devices and I needed to record Bluetooth signal data for my sensors in the hospitals. So Monday, Penny and I hopped on the bus with everyone else but I was laden with my thermistor stuff, two tablets, the infuse IV drip stand, and all the infuse pieces. I felt a little silly walking around with all that but it’s not as if people wouldn’t stare at me if my hands were empty so I shrugged it off.

Penny and I were dropped off at Zomba Central while Jess and everyone else continued to Domasi. We went to an administrative office to check where Hendrina was, the pediatric nurse that I had attempted meeting with twice unsuccessfully. When we arrived the assistant told us “feel free.” That’s a really common English quirk that I love here, “feel free” is like a greeting to visitors, they literally want us to feel some freedom! The assistant told us she was in ward 9 so we hustled over there before she vanished. When she saw me from behind the nurses’ station she lit up and ran over saying “I’M SO SORRY I’M SO GLAD YOU’RE HERE” which was so nice because I really like her. I feel like if we met at Virginia Tech or something we would be good friends.

She took us back into the malnutrition bay of pediatrics and was really excited to see the devices. I showed her the thermistors first, and she had me try it on a patient. The little girl had a MUAC (mid-upper arm circumference) of 110 mm, which is categorized as Severe Acute Malnutrition. Holding her arm felt very delicate and precious, I felt really nervous. She was older, so the bones in her hands were longer and made the device a little tricky to slip on, but she didn’t fuss while wearing it and it fit. I showed Hendrina the app I wrote to simulate the display of temperatures (since we don’t have approval to actually take these babies temperatures). She was so excited, and she said they need the technology and all this other great praise. She even loved the app and said she could use it and teach others how to use it which is huge because one of the most important parts of all this is integration to the hospitals, so acceptance by the staff.

Next I showed her the infuse device. She thought it was pretty cool. It is, it works a bit like one of those Rube Goldberg machines so it’s pretty fun to play with. She gave some feedback on it and wanted to practice setting it up and tripping the cut off, which was great because she completely understood it and was excited about using it.

Last I asked her if I could put the armbands around ward 9 and walk around recording signal strength from each one. She got REALLY excited about that, and went around with me choosing places to place the sensors that would be high-likelihood for a patient being. I had drawn a map of ward 9 in my notebook so we recorded on that all the spots we placed sensors. Then, with Hendrina holding the tablet and me writing in my notebook, we walked to different places in the ward recording the signal strength from each sensor. She would read them out to me. It was so collaborative and she totally understood what we were doing. It was like a strange fun scavenger hunt in a hospital.

After we were all done she and I just talked about school and we exchanged contact information. Penny told her about how some Malawians have been sponsored to come to VT to get masters of public health degrees, and her eyes lit up. I promised to email that night so that we could keep in touch and I could help her investigate the possibility of becoming a Hokie!

Penny and I had some time to kill before Jess would be dropped off so we got a cab and went to Tasty Bites. Tasty Bites can take a long time though so I told our server, who is the same every time, that we were in a rush and what followed was the world record for service at tasty bites. We had finished eating within 15 minutes of arriving. It was awesome. We also treated our cab driver to lunch and he was nice and happy.
oh Tasty Bites

Then Felix turned up at ZCH with Jess. He picked her up a little late though so when we popped next door to the District Health Office for our meeting with the District Health Officer, he was gone. That was a big bummer, but the administrators called in the deputy DHO and she arrived about an hour later. We drank tea in the meantime. She was great to meet with and was excited about our work and answered a bunch of questions.

Then we went home because we were pooped. When we walked in the door to our room, my big bed was gone and my little bed was back!!! I was so happy. I didn’t want to complain but the big bed was pretty hard, but my perfect soft little bed had come home to me and I could have cried. I’m a little surprised I didn’t actually.
sweet, sweet tiny bed

Then Jess and I went down to dinner. We talked about life and medicine and got to know each other even better and it was a really great dinner. Also our waiter told us about monkeys because Penny had accosted him the day before with lots of monkey questions and he was proud to report he found the answers. His name is Truman. There was also no power that night.

I was by myself in the room for a little while and lit a candle so I could see and read. Then I realized I had no way of telling when the power was back on so I plugged in my phone and it made the little bling sound to signal it was charging. So I had probably been sitting in the dark for a long time for no reason. I think I worked on my AMCAS that night and then hit the hay.

Tuesday morning was lovely because I was trying to make a phone call using facebook so I was awake when the world was still misty and nice.
The power and internet died before I could make the call but it was still a beautiful day. Before getting on the bus I spent a moment alone with my bed because these days you never know if you’ll see your bed again.On the way to the DHO (we set up another meeting since we missed the one yesterday), we passed a sign that said “G-Strings Club” and it was a banner for a party. There were several musical acts listed including “Leggings Boy.”

We had about 3 hours of meetings with the DHO which were informative and important but not exciting to blog about.  The point was the DHO really liked the devices, he even called the thermistors "brilliant" which made me really happy.
Infuse at the DHO

Then we went to Domasi Rural Hospital where some of the NRU employees were making nshima (pronounced "see-ma") and greens for lunch. Making nshima is a lot of work.
I did the same demos and data collection there with Eunice, the head of the Nutritional Rehabilitation Unit. They were excited about the work too!
Showing Eunice (far left) and others the app

Then we walked over to the Government school where Pat was doing a project. It’s a public health project where about 50 standard 7 girls are taught how to sew menstrual pads. They’re cloth and have absorbent cloth inserts. This is a really important project because without something like this, girls just miss school during their periods. That’s missing school for about 5 days every month. It’s a huge reason that girls often don’t make it to secondary school. So we taught the girls how to sew them and it was great.

The only thing was that the group I was helping could not stop laughing at me. I thought maybe they were just nervously giggling because they didn’t know my name yet, so when they asked I was relieved and told them. That’s always interesting because my name is probably the hardest combination of sounds for the Malawian tongue. No one except the extremely fluent in English can get anywhere close. So that was more laughter. But then even after we were all acquainted, they kept looking at me and saying stuff in Chichewa and then all 8 of them would laugh like crazy people. I checked and there was nothing in my teeth. Maybe they were just tickled by how great they thought I was.

After school we stopped at tasty bites to get dinner to go for our last tasty bites meal. Problem was that their power was out too so their menu was really limited. We just got some snacks from there and then headed home. Oh and while they were cooking we hauled booty up the hill to the Wall and Shoprite. THEN we headed home. We ate our Tasty Bites on the porch because Jess had gone to the tailor with my key accidentally and the T&L girls kept me company. That’s when we saw the cat gang roll in. There’s tons of stray cats and dogs around Annie’s lodge, in addition to the monkeys. The dogs all howl periodically at night, but the cats just run around outside like they own the place.

I’ve discerned that their leader is this cat with one ear I’ve named No-Ear Scotty. This is him with one of the entourage.
N.E.S. mean mugging


When Jess got back I showed Abby and Emily the pictures from the hike since they didn’t get to do it. We were enjoying some passion fruits while I showed them the photos and accidentally made one explode everywhere. I had a peanut butter sandwich for dinner because peanut butter is free! I tried to work on AMCAS that night too but the wifi wasn’t working so I napped until midnight and then worked really late.

this is a drawing of me at night

Not gripping days but necessary days, with lots of peanut butter.

With love and the cat gang,
Lauren

June 13
I am grateful for…
Talking to mom and dad last night
The howling dogs
Peanut butter
What will I do to make today great?
Get stuff done at Zomba Central
Write good AMCAS stuff
Shoprite?!
Daily affirmations. I am…
Fun!
3 Amazing things that happened today…
Signal scavenger hunt with Hendrina
My bed is back!
Fastest Tasty Bites service ever
How could I have made today even better?
Stop caring about the schedule

June 14
I am grateful for…
The Christian music I downloaded before coming
Birdsong
Foggy mornings
What will I do to make today great?
Finish my engineering work
Go to Tasty Bites with Jess (?)
Eat a passion fruit
Daily affirmations. I am…
Thoughtful
3 Amazing things that happened today…
Meeting No-Ear Scotty
A bunch of 7th graders laughed at me
I bonded with friends while exploding a passion fruit
How could I have made today even better?
Less napping

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