Although long overdue I still have requests from some of you to write about the medical team in summer so thought on this drizzly Edinburgh day I could reflect on some of the highlights and lowlights.
Summertime in Romania is starkly different from Winter and the children play outside in bare feet and that just doesn't seem as harsh. The ground is hard and dusty unlike the quagmire they live in when it rains. They still don't own shoes but being in the stream collecting frogs and newts covers up the reality of poverty. The children run wild and free in minimal clothes spending the majority of days fending for themselves and looking after younger siblings. It is commonplace to see young girls not even ten with a toddler on their hip and another clinging to their legs. Dirty faces with matted hair curiously watch my every move until its confirmed that I do want to play with them and don't have any form of reprimand waiting. Women wash their bedding in the stream and beat their rugs on fences. The men are away working on idly sitting around having been unable or unwilling to find work.
The days are warm to begin with and then for some being exceedingly hot. Spending all day with sweat dripping down your back in crowded buildings in remote villages doesn't seem like the most enjoyable way to spend your annual leave. But in so many ways I wouldn't change it!
This year we returned to the same villages and saw many familiar faces. As usual we set up stations and the people travelled through organised chaos to triage, doctors, pharmacy and opticians. This year I had the privilege of running a doctors station. Although at times it felt more like a second waiting area for those who would see the lead doctor! It was a very different experience from last year in that I had to remain seated at my station with a continual flow of patients from around 9am until they were all seen which varied greatly depending on the day..latest 19:30!! There is a very difficult balance to find in seeing everyone that needs to be seen and spending enough time with each individual or family. And sometimes I struggled not to get up, stretch my legs and play with the children for a while. Although if I ever tried I was quickly rerouted back to my seat with another family promptly assigned to me. And although the children started shy it's amazing what a little persuasion can accomplish (And a sweet).
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| Bundle of Joy with Right sided paralysis |
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| Awaiting mothers arrival before they can be seen |
The children mainly suffered from ongoing coughs and colds that their malnourished bodies struggled to fight off even in the warm summer months. Skin diseases and rashes were common and existed in pockets as the people live in such close quarters with one another. Most families will have two beds for whatever number happen to live in that household and could be up to eight or nine. That is a lot of bodies in a one room house. Due to the poor sanitation it's often hard to rid the children of lice and skin conditions and daily washes don't exist. Unfortunately worms is also widespread due to the poor quality or drinking water. And although some of the children come and do not have anything wrong with them the mother knows that when the time comes they may not have access to a doctor. So they present with 'symptoms' and keep the medication until it's really needed.
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| Maria (Aged 23) and her six children |
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| House fell so temporary shelter with plastic sheeting |
This family's house fell down and so they are living in a temporary shelter constructed by a wooden frame and then plastic sheeting and blankets for walls. As you can see they have two thicker blankets on the floor to try and provide insulation to sleep with at night. The rats and mice and undoubtedly visiting them at all times of day. The only other item of furniture is a rickety table in a corner. Despite all of this the wee boy is proud to have his picture taken.
After the clinic one day we returned with large containers of warm water and de-licing shampoo and scabies treatment made by our very own in house pharmacist! We washed six children in the same family who thoroughly enjoyed the water part but not the shampoo factor. And then we spent 45 minutes combing very visible lice out of their hair!!! My little boy obviously found it very relaxing as he fell asleep.
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| Donkey bite |
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| Calm in the midst of a storm |
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| My glamorous assistant...who sometimes took over! |
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| New Life! |
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| Water for cooking, cleaning and anything else! |
One of the most incredible experiences of the trip was witnessing two individuals (Both pictured below) being fitted with hearing aids. Often perceived by many as the village idiots as they cannot speak or communicate the same as the others. However, they have not been able to grow up, listening to and understanding language in the same way we do. It actually made me realise how much we take our hearing for granted and learning language as a child is not thought about all that much, just a process that happens. So to see the face of a man light up as he heard properly for the first time was spectacular. I think he was just as amazed as I was to see that the hearing aid fitted and worked. What a life changing situation.
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| Hearing aid just fitted |
This wee lady was left to die as her family thought she was ill and passing away. So she was taken out of her house and the whole inside repainted for her wake. Thankfully it was discovered that she was just dehydrated and starved of food. So regular visits were made to ensure that her family were taking care of her. Sometimes it can be frustrating that their lack of insight could lead to something fatal happening that could have been prevented. It makes such a difference that relationships are built up and the people feel able to confide and advice can be given, which sometimes impacts only a little but other times saves a life!
And that briefly sums up the summer medical team....five months later!