All is going well 16 days into my arriving here in Cusco. Albeit I'm a little bored! With trying to hook up with everyone, it's has been difficult to take off anywhere very far from Cusco. And while I love the city, I'm not one much for the tourist scene. But, as to the work scene, a couple days ago I got to meet Padre Rene', a 28 year old priest who has a small parish in a town called Huallyabamba. He's the one who has been helping to find me another clinic job.
(I should mention here, with my level of spanish, I get to 'almost' understand everything. And, interestingly enough when I think about how often I have gone on and on about something in order to be understood, was it that damn important?! Especially now as I wander around in the somewhat pleasant state of befuddlement. For example, I did not realize he was not paid to be the priest, and that he also works in a nearby larger town Urubamba, I think within the school evaluating the teachers. And so, he lives in Huallyabamba. And, I thought I was working in Huallyabamba, but as it turns out that will be where I live also when working there!
So, because of this 'understanding' issue, I arrived to his family's home to discover that I did not understand after almuerzo with his family we would be leaving for Urubamba and spending the night in Huallyabamba. (The reason for this particular misunderstanding was that it happened on the phone. There is even more misunderstanding for me when arrangements are made by phone!) And another surprise was to find out the clinic is actually in Urubamba and as I said above, where I would be living was in Huallyabamba. So, I had it all wrong!
Padre Rene was as sweet as I imagined and I was surprised to find him so young. It's funny how you picture people. He explained there is a parochial sponsored clinic for the poor in Urubamba. Visits can cost up to 2 soles and medicines are very cheap. But if people can't afford it they don't have to pay anything. Now there is no doctor but he believes one is starting on in September. (I hope!) So the clinic is only open sporadically. He showed me photos of his becoming a priest at the big cathedral in the Plaza de Armas. His mother fixed us almuerzo. And as usual, my spanish always lightens up any meeting!
We left for Urubamba by bus. He snoozed all the way! And, I love Urubamba! I got to spend some time there when I studied spanish my last visit. So we arrived first to the school and then went to the clinic. But, another surprise, immediately on arriving I was asked to give injections for 2 men who have leischmanis. (I am spelling it wrong!) It's a parasite they got from a bug bite that causes cutaneous ulcerations. So these poor men have to have shots for the next 1-2 months IV. And the lesions are not too pretty either. So as I mentioned I did not come prepared! No books, no supplies and no camera. And then we come to the Laurie/ misunderstanding issue! I thought the sister said the injection was to be in the deltoid and then she handed me 3 ampules of mediclne totaling 15 ml and I came unglued! ie., no es posible aca, indicating my deltoid! I then interrogated the sister in my best spanish about the medicine, (I have NO experience with this particular problem; ie., is there any programming that can fix this?!!), if there was a doctors' order, how much they each weighed, etc. We had since resolved the issue of IM vs IV ! Well I got the prescription but no other information but a smile and the package insert, again all in spanish! eeeks. Luckily much was familiar and made sense. So, I agreed. Nothing like jumping right in. We went to meet the men in the clinic. It is actually very well stocked compared to the one in Sipascancha Alta. But, again all the medicines have spanish names! And the records they keep are all in spanish including the names of the diagnosis. (NOTE TO SELF: TAKE A MEDICAL SPANISH CLASS!!) Anyway I computed and recomputed the dose, drew it up (15 ml), asked them if they had had any problems with it and gave it antecubital. Some supplies we're used to were not there, like gloves, or extra needles, or many 4x4's. Then it was time to clean the wounds! Thankfully they knew what had been used before with the docor in Cusco! So what a trip! But we did it! And in spite of my not knowing where everything was, the men just were so trusting and grateful. It really reminded me of all the basics.
I am hoping there is indeed a doctor starting there in September! I explained to them I wanted only to be careful and that this nurse (ie., all!) NEVER aim to harm and if they don't know something ot is best to not do it, in the aim to not harm! So, they were sweet and assured me I would start out slowly and always have someone around to help me with the spanish and the Quechua. And I am thinking how perfect it would be to work with a doctor in Urubamba and learn from them and then take a bit more experience to Sipascancha. (And , of course medical spanish will help also.)
So then we went by combi (a sort of van) to Huallyabamba which is about 10 Km away from Urubamba and flat. Padre Rene' and I talked about bicycles and he will find me one for the commute! By the time we arrived to Huallyabamba, thev van was just crammed with people! We arrived first to the church. Part of the building is a beautiful old church-no pictures yet- and attached to it is another building in process of being built. He's very proud of it! (When I asked him if it would be possible to live in Urubamba instead of Huallyabamba at the church, he appeared very hurt! So , I dropped it and will just live in the church!) He showed me what will be my room, provided they don't run out of money! A rose garden is in front of it! It's like a hacienda. (NOTE: Who would ever think there would be the day that I, of all people would live in a church?!) So we had a small cena (dinner) of cafe' and pan (coffee and bread) with some of the local kids. And then we went to a neighbor who I would stay with for the night. Her name was Lucy and what a doll! She's a teacher in a preschool in Urubamba. I met her family, 3 children with one she introduced as a 'mi hija muy especial', (my special child), her daughter with Downs Syndrome and 2 others, a brother, her husband, and her uncle. They all made me feel right at home, right down to clean sheets, another hung up over the window to keep out the light, and a pot to pee in so I wouldn't have to negotiate getting to the bathroom during the night. I slept OK but truthfully did nothing but think about what how different my life would be for the next year! She let me know that if the room at the church isn't finished for me, I can always stay with her. And, the next morning it was time for 2 more injections and the ride home. We decided I would return the 17th of September! I'll work all day on Wednesday because the town is busier with the mercado, and half days on Thursday and Friday, every other week. And, I'll have a bike to get back and forth!
So it's set up! Two clinics with great people to help. Lots of kids, too. And living with them! I set up my medical spanish class to start next week at Rossana's school and to follow that will be Quechua. Next week I'll do some shopping for supplies for the clinics and my rooms. And I will try to remember to ask Rosanna if I can use her address so folks can send things if they like.