05-AUG-B-4

 

EVENING AT DINNER, COFFEE CEREMONY

AND THE ERITREAN FESTIVAL CELEBRATION’S FINALE, THEN A FULL DAY AT HAZHAZ HOSPITAL IN FIRST DAY OPERATING WITH HERNIAS AND GOITERS SCREENED AND THYROIDECTOMY DONE WITH A RETURN IN RAIN TO A FAILED ATTEMPT AT INTERNET CAFÉ CONNECTION

 

August 8, 2005

 

We were invited last night to dinner at the home of a special public spirited family who had hosted prior medical missions at their home, by turning out the whole family, including the uncles and aunts, and elders in their finery. A few of these were at risk, cooking over a roasting fire of charcoal in a brazier, especially at the concluding coffee bean roasting ceremony. I had seen this at the home of Haile Mezghebe and had photographed his wife in the middle of the ceremony of the special coffee service.  I am told that after the multiple steps in making the coffee up from freshly started bean roasting to the first serving (after the pot had been heated three times with discarded brews) the guest must immediately respond after the first sip “Tahum" = "Delicious” or the hostess must throw it out and start all over again from the beginning..  I did not make that social faux pas, so had watched after the dinner and a number of courses from the Negira bread (like that which I had had in ‘Ethiopia not that far away part of which this once was,) and the separate courses, of what seemed to be a spicy lentil sauce and chick peas (“hominy” to US southerners) we also had an Asmara beer—label saved for further scrap book verification.

 

            We left somewhat early since we had wanted to take in the last day of the Eritrea Festival, which is like a giant theme park, market with containers spilling out the contents of what looked like a used clothing bale.  We paid the entry fee, and then went inside to be accosted by spitting camels that were hobbled as they squatted in front with the fancy saddles and awnings, even one with a love seat built for two.  We went in as the subject of a great deal of fascination since I believe we were the only non-Eritreans here, and most of us were African American, so causing a double take when they encountered at least one white skin in the crowd.

 

There were band platforms with the high amplifiers and sound effects form a screeching mass of fans ululating.  There were men in camo army uniforms and swinging sticks to be sure the crowd stayed back and did not mob the platform.  The whole crowd seemed to gyrate, with the shoulders giving occasional seizure like jerks. One could be convinced that the whole crowd stood still, and that the occasional distortion of movement was caused by the observer’s head being twisted.  I could hardly thread my way through the curious but courteous crowd, as we passed through the group, and saw a few displays of the kinds of hovels and huts that were part of the anthropology of the cultural displays of their religions and cultures of Eritrea on display until the earlier rainstorm had shut them down.  In short, it looked like the “Folklife Festival on the mall” after a rainstorm had turned it to a mud bowl.  There were lots of neat scenes of country folk coming to the big city to see what was new and spending a few Nafka on the ability to party on the festivals last night.  After a while of the wavy beat, I was more than eager to quit the back-straining of standing around and head back.  There were taxis coming at regular intervals and being mobbed by passengers, and I tried to get one along with one of our group who spoke Tigrini.   We finally all piled into one at which time a policeman took away his license and fined him for stopping in an unauthorized place.   We got a later ride back to the hotel after the taxi had to take the high risk of driving without a license and also paying the fine, which he did with the proceeds of our inflated cab ride.  We were all supposed to get up early and work in the Monday morning that followed, so I tried to turn in early.

 

HAZHAZ HOSPITAL

NOW I HAVE BEEN IN THREE OF THE EFOUR OF AMARA’S

HOSPITALS AND OPERATED IN THE ONE NOT OFTEN USED, SINCE IT HAS NO AUTOCLAVE THAT FUNCTIONS.

 

            Today has been mostly hurry up and wait.  We waited a long time to get set up in the Hazhaz Hospital across from the state prison—which DOES have a rather imposing view of the city from a hilltop.  We got started very slowly as I had introduced the OR routines to Amy and Sherri, and showed them the ropes as they came to watch the examination of the pre-op patients of a different group than those we had already screened in the Halibut Hospital. Later in the day we did get a chance to go over to the newere and fancier Orotto Hospital which is associated with the new medical school.  We had to go there since there has been no functioning autoclave at Hazhaz Hospital for the last two years, and the packs must be sterilized over at the newer and fancier Orotto Hospital and carried over as we were to the Hazhaz Hospital

 

            We picked out an indirect inguinal hernia of a rather standard size to show the two students and for me to become acquainted with Dr. Hebro, a woman surgeon who is going to be brought up to speed by me in goiter removal, as well as several general surgery cases, although we are operating from a new and different list we have there than the one which we had pre-screened at Halibut Hospital where the majority of our teams had gone today.  There was also a rather imposing goiter that I had picked to be the demonstration run for the first of our thyroidectomies.  I learned that Dr. Hebro had gone to school at the Gondar Medical College and had then done residency n Addis Ababa where I had also worked.  So, we were rather easy to operate together, and she was grateful for the good help and teaching without my threatening to take anything away from her.  The 300 gram goiter came out slickly and quickly from the very worried Eritrean patient in her colorful robes who was convinced afterwards that she must still have it present somewhere under the bandages.

 

            I returned from the OR day to give a go at the Internet Café across the street from our hotel, and I found that the slow speed of the service never did let me access my account at GW, but I finally did enter my name in a web search, and found the Home page and tried to get access to my email through the Home Page.  When I had typed up the whole message to be sent, the machine replied that it could not be sent as directed, but had to be tried again at a later time even though no message had been saved.  So, that exercise was a bust.

 

            I then took Amy and Sherri aside for the promised tropical medicine and surgery lecture tutorial for three hours, using the lap top to teach them all about the conditions they would be seeing.  I also walked out after the rain to a number of tailor shops, now e of whom were wiling to sew up my backpack, until I went to the Zebra leather shop, and paid 25 Nafka for the sewing of the rend that the mountain expeditions in Azerbaijan had rendered it unfit to be closed.  I noted that the extensive collection of postcards I had been writing on many occasions has gathered bulk while standing in the cubby hole at the front desk and since it was now Monday and the three days since which they had been parked there, I wondered if some were actually going to get the stamps and post them off in the mail.    “Oh, you can come to get them to carry them to the Central Post Office any time you would like” they responded.  So I may have to spend a day doing what the considerable effort cost me in Baku Azerbaijan had entailed just to insure that my postcard writing efforts were not wasted.

 

WE ALL WALK THE STREETS

TO AN ITALIAN RESTAURANT—

THE RESIDUAL OF COLONIALISM

 

            We gathered up those who were still mobile, since a few have gone down already with some kind or another of the malaise, that comes form being in summer in a hot environment and suddenly finding themselves at a high altitude cool jacket weather eating and drinking things they had no idea about before they arrived.  We made our way across town along the crowded streets to a courtyard restaurant, and entered to spend the evening talking about the experience so far.  A very long time ago, when Haile had been a surgery resident at Howard University, he had invited me and two other friends to become the Eritrean Medical Association Board of Directors member.  The other person was Dr. Haile DeBas who was an Eritrean who was a good surgeon and prominent in the academic surgical circles becoming chairman at UCSF and then chancellor of the whole university.  He apparently had a falling out with the current ruling government representatives and has joined a group saying that Eritrea is unsafe and a very unstable degenerating government. So, without having been here since before the revolution, he is an influential ex-Eritrean who is denigrating the current efforts and has fallen out of favor.  So, of the original Board members, I am the one who remains, and the only token activity of the Eritrean Medical Association Board that remains is the plaque on my wall.  We have discussed my coming to Eritrea for decades, and Haile anticipates leaving to settle here for good in the next two years.  Even GWU has agreed to help, by the usual means of sending over a half dozen representatives of the Dean’s Office to sign a Memorandum of Understanding, while the junket by the few representatives for a two day stay is the only visible result of such a list of “understandings” that have been signed with a dozen places none of which have done half the work that is already being done by our unofficial group here.  But, we workers of the world have been doing our thing for the decades on display for my medical students in their intensive tutorial today, which will continue ongoing long after other “MOU’s” have come and gone, so those interested in the reality of international work rather than just the formalities of the diplomatic functions of receptions and dinners and signing ceremonies will always be able to find their way to those who are getting the cargo moved, and I would be happy to help them.  That will start up again first thing tomorrow morning with a fresh operative list for us to undertake in the Hazhaz Hospital as we first pick up the sterilized packs we had sent over to Orotto Hospital—the former small, old, run down but operating, the latter being the big new and empty “Teaching hospital” the two extremes of the facilities exactly matching the two kinds of approaches to the international work—the worker bees and the ceremonial diplomatic posturing.

 

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