2-18 Epi to Vila to Brisbane

It is ten o’clock at night. I’ve been up since 4 am.

We got up and left Epi at daybreak this morning. Between the plane check and the weather, we didn’t get in until 7:45. The Peace Corps Medical Officer met me at the Vila Airport and gave me a ride to the office. Once we got to the office, Nelsine looked at my hand and it confirmed her initial impression. There is likely nerve damage.

I still have no sensation in part of my thumb, though my range of motion remains intact. If I tip my hand sideways, I get a tingly feeling next to the numb part. If you look at a diagram of the nervous system of the hand, where my thumb is numb almost perfectly maps onto the branch of the radial nerve the feeds the top and outside of my thumb.

There is no microsurgery in Vanuatu. There is no guarantee of a sterile environment. Given the position of the incision, an infection could have serious effects on the movement and sensation of my entire wrist and hand. They sent me to Brisbane, Australia.

After I met with the PC doctor, she got an appointment at the hospital to talk to a surgeon. He looked at my hand and agreed with her assessment. From there, a lot of paperwork happened. A lot of running around happened. I was in and out of the medical office enough that one of the PCMOs started joking that I should just get my own key.

I signed a lot of forms. I got a visa to go to Australia. I got given my per diem in US dollars for the visit to Australia. I signed a few more forms. I got an insurance card. Eventually, I went to lunch with a few friends. It was nice to see people and pretend like nothing was wrong. Then I went back to signing forms.

My flight was leaving at 4 pm. By 1 pm, the Brisbane hospital hadn’t gotten back to my PCMOs about a hand surgeon. I couldn’t leave Vila without the Brisbane coordinator giving the ok for me to go, which she couldn’t give until she’d found a place that could give appropriate care. The next flight was on Sunday, which would have been fine, except that there is a tropical depression over Vanuatu which is likely to turn into another cyclone over the weekend. That would mean I couldn’t get out until sometime next week, which is not ideal for getting my hand put back together.

At 3:10, the paperwork came through. Did I mention I was getting on a 4:00 flight? I grabbed all my stuff, stuffed it in my bag and ran out the door. We got checked in by 3:30 and through security. When I tried to call Jason to tell him I’d made it on the plane, I found out my phone had to credit. One of the security guards was nice enough to take my money and go top up my phone. I called and left a message for Jason saying I was leaving, on a jet plane.

2-17 To Start at the Beginning

Who’s the biggest klutz on Pentecost?

The answer to that used to be Sarah who managed to fall down on a knife and had to get medevaced into Vila for six stitches within the first month of getting to site. I think today I took the cake.

I was opening a coconut with my bush knife. I was making banana bread. I thought it would be improved with some coconut milk. I was about three-quarters done with skinning the coconut. The skin was wet, which makes it less brittle and harder to pierce with a bush knife. My bush knife bounced. The second bounce landed on my wrist.

I haven’t had sensation in the back of my thumb since then. That was about eight hours ago.

After I did it, I called the Peace Corps doc. She told me to clean it up and that she’d call me back in half an hour. I told her I thought it would be alright. She called me back to tell me to be at the airport at 4 for a chartered medevac to Vila. I told her I didn’t want to go. She said too bad. Conveniently for one of the volunteers on North Pentecost, we picked him up on the way. He is supposed to be flying out of Vila for a trip to New Zealand for a month but his flight was cancelled.

I am going to interject here, that I don’t want to go to Vila. Though Vila is a lovely, if over stimulating place, it is not my place. It is not my island, my house with my partner and sleeping in my bed. Not to mention I’m going in again in 2 weeks for my training. I tried to convince the doc that 2 weeks would be plenty of time. She didn’t buy it. I spent the next hour packing my bag and cursing at myself.

Jason called a truck to ask for a ride to the airport. The driver said sure, he’d pick me up shortly because he was going to Ranmawart which is about 20 minutes north of the airport. Jason and I walked down the hill to wait at the main road for the truck. After about 45 minutes, we called him again. He’d gone past the village and wouldn’t be back for a bit because he had to find diesel for his truck. I’m not quite sure what happened there. I think he forgot me.

Luckily, my uncle who owns a truck happened to drive by. I asked if he’d give me a ride to the airport. He agreed so, at 3:00 we left for a 4:00 flight. The airport is about 45 minutes away.

We made it. My uncle even had time to stop for cigarettes and to ask about diesel for his truck. Then we sat at the airport for 45 minutes.

The plane landed, much to my chagrin. I think the truck I rode in on the way down to the airport was bigger. It certainly had more leg room. We spent a bit of time discussing weights and weight issues. The guy from up north is not small and he’d brought his bags for hiking. I pulled out a couple of books and asked my uncle to take them back for me. I dumped out my water bottle. We figured we’d be alright. We got in the air.

About 15 minutes into what should have been an hour flight, the pilot says, “Do you want the good news or the bad news first?” The guy from the North says, “Bad news.”

“We won’t make it to Vila.”

Can I point out at this juncture that I didn’t want to go in the first place? Now, I’m not even going to get to Vila. My hand doesn’t hurt but I’m a little crabby about the turn my day has taken. And the part where I have to go to Vila for an unknown period of time. Now, I wasn’t even going to make it to Vila. I think it was a good thing I held my tongue. I was working on a nice string of profanity.

The problem was purely legal. There is a law in Vanuatu saying something about small planes landing at the airport after civil twilight and how that is not ok. We were going to miss civil twilight by ten minutes. If we’d left slightly earlier, if we had slightly less weight, if, if, if…but none of those ifs were true. The pilot tried calling ahead and giving the subtle hints about needing permission to land after twilight. It didn’t do any good.

We diverted to South Epi. We are staying at a lovely guest house. It has hot and cold running water and hydropower electricity. We were fed an amazing meal of curry and chocolate icecream. I’ve spent the evening BSing with interesting people. Really, this is a really nice guest house. I would happily recommend it as a place to come for a chance to see the area in comfort.

I don’t want to be here. I want to be in my own house, working on surveys and Aid Post Committee meetings. I don’t want to be on Epi, I don’t want to be heading to Vila. Hopefully, I’ll make it through to Vila in the morning.

2-20 I’m in Purgatory

First off, Happy Birthday to my Pops! He’s old now!

On to details other people care about:

I think I am in purgatory. I didn’t realize it was going to be a hungry place. I was hopefully going to get into surgery today and so I fasted from midnight last night until a little after lunch today. Sometime around then, a trauma came in the ER and my chances of getting surgery today went out on the incoming ambulance. At least I got lunch out of the deal. I supplemented my lunch with chocolate. It was delicious. The chocolate anyway, somehow the hospital found a new way to ruin rice. It tasted like styrofoam. (Yes, I’ve tasted styrofoam. Don’t act surprised. You know me.)

The current plan is surgery tomorrow morning. I will be fasting again from midnight on.

Late last night I was moved up to the Gyno ward. My bed is much more comfortable. I am sharing a room with three other women, instead of 3 guys and 2 women. I have a window. My neighbor is a lovely woman who has repeatedly offered me the use of iPhone to check my email. She is in my awesome book right now. All together, I think I upgraded. I like the change.

Now, I’m back to purgatory to wait for my dinner and tomorrow’s knife. Hopefully it will be more useful than the last knife to hit my wrist.

2-19 Details forthcoming

I wrote up a much longer post about this. It is on my computer. I am on a computer at a wireless kiosk and so I can’t transfer the writing easily. That will come.

On Thursday afternoon, I hit my hand with a bush knife while opening a coconut. The cut itself is superficial but I managed to damage the branch of the radial nerve that goes to the back of my thumb. I have currently have no sensation there.

I got med evaced to Vila. I arrived Friday morning and it was determined that I needed surgery that can’t be performed in-country. There is no sterile enviornment or micro surgery available in Vanuatu. I need both on this one.

I am now in Brisbane, Australia at Brisbane Royal and Women’s Hospital. I will have surgery tomorrow, if all goes as planned. Hopefully, I will be back in Vanuatu at the end of the week.

I am fine. Let me re-iterate that. I am fine. At this point, the parts of me in the most pain are my dignity and my emotional state. My hand doesn’t hurt (though that is sort of the problem) and the Peace Corps has done an amazing job of taking care of me.

I don’t want to be here. I want to be on Pentecost doing the work I believe in. I want to be making banana bread with coconut milk (which is how all of this started) and falling asleep listening to the flying fox and the ocean. I want to be with my partner as he starts his job, for real this time. I want to be in my community teasing my papa and learning to weave. I don’t want to be in Brisbane.

At least there is ice cream and chocolate crepes. And internet. Fast internet.

Sometime this week, there will be a complete write up including pictures, diagrams and details. This is just to explain the grumpy facebook updates because I hate it when people put cryptic things on their facebook/livejournals. Just tell the story, people!

I do have internet so email, comment, write on my wall, chat if you catch me online. I miss my friends and family. Keep me in the loop.

1-7 Sick is a Fact of Life

Unfortunately, being sick is just a fact of life for Jason and I. Our immune systems are not up to the task of fighting off every new flu, cold, fever, diarrhea, and infection available here. One or the other of us has been sick two days a week since we got here. The illnesses range from a runny nose and sore throat to four day bouts of explosive diarrhea, strep throat or a fever of 102.7.

One of the other volunteers asked how I could laugh about the situation. Well, what else am I supposed to do? We can’t force our bodies to not get sick, we can only keep taking care of ourselves and each other. We are taking better care of our bodies than ever here, the lifestyle is conducive to that.

We are eating well, if simply. My diet here is even healthier than it was at home. There is almost no processed food on the island and dinner regularly consists of cooked veggies. Water taro and island cabbage is a complete protein and we eat plenty of those two things. Pentecost is the land of water taro.

We sleep more than we ever did at home. A short night is eight hours of sleep. I nap probably five days a week. Some days I nap twice, because I can.

We are still training, though not as intensely as we were at home. I’ve got back into running, though this island is made up of giant hills which makes running a bit of a challenge. I’m going to have a really nice butt when I leave here. Because of those giant hills, just walking around is a work out and we walk a minimum of an hour a day. To get from Melsisi to Vansemakul, the walk is 45 minutes to an hour on a main road which is easier than the “short cuts” through the bush. To go to Vanwooki, the walk is about the same and we are making that walk once a week at minimum. Basically, we walk a lot.

Yet, despite all these things, we keep getting sick. Go figure.