Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Friday, June 7, 2013

Summer Spaghetti Squash


Nate and I are always looking for fun, new, and tasty healthy-eating recipes! This is one that's so super easy and you can vary it with whatever you have around (presuming you have a spaghetti squash). The funny thing is spaghetti squash is TECHNICALLY a winter vegetable so it can be hard to find in the summer (although to me, it tastes summery, so silly vegetable, you're being born in the wrong season!). However a great food market called Citarella's has it year-round so we're lucky.

You take the spaghetti squash and cut it halfway down the middle and gut out the seeds. While it's baking, you prepare your filling - so this is a super quick meal! Sometimes we like to sauté the tomatoes, sometimes adding spinach or olives, and then top with crumbled feta. Tonight we made it with fresh heirloom tomatoes, basil, and mediterranean feta (a mix that is one of our favorites from Trader Joe's). We served them room temp (didn't sauté them).

This recipe is almost all vegetables, super quick and easy, and delicious! And it's perfect for summer! Enjoy!

Ingredients:
  • 1 spaghetti squash, halved and gutted
  • 3 heirloom tomatoes (or 2-3 cups of halved cherry or grape tomatoes)
  • 3 tablespoons fresh basil (or 1 teaspoon dried basil)
  • 3 ounces or so of feta. Add at your own discretion
  • 1/4 cup diced olives, if you like
  • 1 teaspoon olive oil
  • Salt and pepper to taste
Directions:
  1. Preheat the oven to 350 degrees
  2. Place the two halves of spaghetti squash inside-down on a baking sheets. Bake for 30 minutes.
  3. Dice your tomatoes, basil, and olives and toss with the olive oil in a separate dish
  4. Remove spaghetti squash from oven and separate strands using a fork
  5. Toss with your tomato-basil mixture and top with crumbled feta cheese
  6. Serve and enjoy!

Saturday, April 13, 2013

Recipe: Grilled Salmon with Avocado Salsa!

Nate and I have been making strides in eating healthier - with my long commute and him being in class, it got tempting to order delivery every night. One of our favorite new recipes is a grilled salmon fillet with an avocado cilantro salsa. The avocado, cilantro and onion perfectly complement the salmon. We served it with roasted cherry tomatoes drizzled in our favorite Italian balsamic from Tuscany! The original recipe can be found here. We highly recommend it!

Friday, November 23, 2012

Happy Thanksgiving!


Happy Thanksgiving everyone!

We had a wonderful Thanksgiving with new friends in our neighborhood. It's one of the many things I'm thankful for - we have made great friends in the city this year. We're also very thankful for our new addition Siena and how much joy she brings to our lives. We are thankful for our families, even though they are far away (Florida, Colorado, and Dominican Republic). We are thankful for our jobs, our health, and our apartment. We are so lucky to have so much to be thankful for!

I am extra thankful for Nate :)

Thursday, November 1, 2012

Summing Up the October Health Challenge



So... it's November?!

I know. Tell me about it. It will be 2013 in two months. I can't even... let's not talk about it. I can't believe it for a second. I actually can't wait to sum up 2012... it's the historian in me. GAH I can't think about it yet. Out of control.


So anyway, back to the October Health Challenge! I'm most certainly holding myself accountable, so let's run through the challenges and see how I did!


1. Stick to Weight Watchers. Done and done. I tracked every single day, rarely going over my suggested daily points, occasionally dipping into activity points, and not once dipping into the weekly flex points. Can I say winning? Is that too 2011? I feel like saying it, so there.

2. No alcohol. Did it. 31 days without a happy hour, glass of wine with dinner, or anything. I am super proud of myself for adhering to this because it absolutely made a difference in jump starting the healthy challenge. I'm looking forward to treating myself to a glass of wine this weekend!

3. No carbonated beverages. I think I mostly passed. One day I had seltzer water at a happy hour just to have something fun to sip on. It has carbonation, but no syrup. So technically I broke this rule once, but the goal was to avoid Diet sodas and energy drinks so from the true intention of this challenge, I succeeded.

4. Dinners at home. Cheated twice. Both times were sushi delivery. I feel like this is acceptable. At least it's healthy - we never get the fried rolls, always the ones with raw fish and veggies rolled in a little bit of rice.

5. Working out. Did well every week except this recent week due to Hurricane Sandy (bad weather, new puppy, gym closed).


So... how am I feeling about it? I'm super proud of myself. Without going into all the details... I will say it was a double-digit weight loss month. And I believe people are beautiful no matter what their size, but I knew I'd lost my healthy habits and I needed a strict month to jump start the motivation. I'm looking forward to enjoying some things, like eating out, in moderation in the next month. I'm looking forward to continuing to work out, get back into running, etc. It doesn't stop here.


The bottom line? You can do anything you set your mind to. 

Sunday, October 7, 2012

October Health Challenge

Bah.... I'm behind on blogging again. What happened to September?

September in a few words: work, UNGA, work, UNGA, work, birthdays.

I'll be catching up on that soon. In the meantime - I've decided to challenge myself this month to kick-start healthy habits again! I'm calling it the October Health Challenge (although when I'm complaining to Nate I call it "Noctober - things I'm not allowed to have this month."

Disclaimer: I don't believe depriving yourself is a good long-term strategy for healthy living. I don't believe in dieting, I believe in a lifestyle of moderation and healthy habits, and enjoying food, wine, and exercising. However after my very very bad month of September with no healthy habits and lots of excuses for junk food, I challenged myself to go a month without my vices in order to kick-start healthy habits. So, what's the challenge?

1. Stick to Weight Watchers. It's a lifestyle, and it works. Just look at Jennifer Hudson. I've been on it for a year but I decided to "take the summer off." THAT worked out well. Not. Haha. It's such a great system and if you stick to it, it just works.

2. No alcohol. But it's October!!!!! It's pumpkin ale season! Yes I know. But I can do it and it's going to make a difference by the end of the month. I'll add it back in once we get to November so I won't be completely deprived of my favorite seasonal beer, Sam Adams Octoberfest. ;)

3. No carbonated beverages. Bye bye diet soda and red bull. I don't even really LIKE this stuff. But when you're working overtime somehow they become the most delicious treats in the world.  I don't need them and after a week I can tell you I honestly don't miss them. They may not make a reappearance in November. I am, however, letting myself have coffee. :)

4. Dinners at home. We ate out a lot in September and cooking is cheaper, healthier, and when we cook together it's even more fun. So we're cooking this month and not eating out (woah, a whole month you might say?). It goes by faster than you think. We've already had some delicious healthy meals - and it's much easier to stay on healthy habits when you're cooking and planning ahead.

5. Working out. Those who know me know I LOVE working out. Those who know me well also know when I am stressed the gym is often the last, not first place I turn to. Well I'm trying to change that! This month I'm keeping my workouts varied, doing kickboxing, pilates, running, elliptical, and walks in the park.

I'm already one week into my October Health Challenge and I'm LOVING it and feeling great! Stay tuned for an update at the end of the month!

Wednesday, March 2, 2011

We Feed Back



So… what’s all this about We Feed Back?

Hi Family and Friends,

So if you’ve been on my facebook, or seen me on gchat, you’ll notice a LOT about something called We Feed Back. You’re probably wondering what is this and why is Dana making a big deal about it? It’s a new initiative my organization World Food Programme is launching to increase awareness and engagement in world hunger. It shows that by each of us doing a little, we can achieve a lot!

So what is it? Social networking for social good.

How it works:

It's easy: You choose your favorite food, put it into the Feedback Calculator along with the estimated cost, and then calculate how many hungry children this would feed. The next step is to donate exactly that amount. Or, if you want, you donate multiples of that amount. In this way you feedback more portions of your favorite food.

At this point you are a member of the WeFeedback community. But in order to participate fully, there is another step: share details of your favorite food and your feedback with others. You can do this through your networks, if you ask them to join WeFeedback. They then ask their networks and before you know it, we have thousands of people like you using their networking skills to raise awareness for a great cause.

The power of food

We're taking a new approach to fighting hunger that is social, fun and focused on the positive. We believe food is an amazing force: It is a giver of life, a canvas for creativity and a catalyst for our social lives. If together we can harness the exuberance, creativity and sense of identity people associate with food, we can tap into a powerful positive force for change.

That's why the WeFeedback community is focused on a common love of food and the possibilities it creates to improve lives. If we can do that, then we can do a world of good.

Beating hunger:

WeFeedback is a social media initiative of the United Nations World Food Programme (WFP), the world's largest humanitarian organization (which is where I work!). Each year, WFP brings food to 90 million people so they can move on with their lives, receive an education, find employment and create a better life for their families.

So… who benefits?
We Feed Back benefits school children around the world.
How?

WFP provides school meals to an average of 22 million children each year in 60 countries. Why? Because providing a nutritious meal to children in school is one of the best ways of breaking the cycle of hunger that traps nearly a billion people globally. Here are four things that make school meals such a powerful tool:

1. Incredibly cost-effective: In regions that suffer from hunger, school meals play a vital role in breaking the hunger-poverty cycle. Children only get meals if they go to school regularly. In many programs, attendance also earns a take-home ration that will help sustain the child’s family as well. Just US$5 will provide one month of school meals for a child.

2. Gets poor kids into school: Education takes a very low priority when a family is hungry. Poor households are often obliged to choose between sending the kids to school or to work in fields, streets, factories or sweatshops. With school meals, parents do not have to make that choice. School becomes the best option for securing food. This also helps gender equality in cultures that do not typically educate girls since parents are eager for their girls to attend school for the food benefits.

3. Breaks the cycle of poverty: When children are forced to work, they grow up without an education or proper nutrition, thus increasing the likelihood that they will remain poor and have to keep their children home from school as well. This is how poverty perpetuates itself. School meals break this cycle by giving both kids and parents a chance to focus beyond the next meal and achieve their potential.

4. Creates a sustainable solution: Whenever possible, the food used in these programs is bought locally, helping to boost the local economy. Once a program is running smoothly, our aim is to hand over the program and let it be run locally. In fact, over the past 45 years, WFP has handed over school meal programs to 42 countries where the programs continue to thrive.

Why does all of this matter? That’s easy. Because making the world a better place starts with food. Food fuels education. Food fuels free choice. Food fuels economic independence. Food fuels peace. That’s why WeFeedback and WFP are determined to break the cycle of hunger. We need your support.

It would mean a lot to me if you would check it out! Join my network at http://www.wefeedback.org/supporters/dana-vettel or donate directly from the widget on my blog! Help spread the word about hunger and see how easy it is to help make a difference!



***Source: We Feed Back and WFP websites***

Sunday, March 21, 2010

Final Thoughts from India



So I wasn’t able to post blogs continuously due to internet unreliability, so here is one long post with a few pictures to explain my journey and travels! First, the getting there. We arrived at the RDU airport at 11am. Our flight was at 1:50 and we flew to Chicago, where we had a 5 hour layover (actually longer, second flight was delayed). Next we had a 14 hour flight from Chicago to Delhi, India where we stopped for the night. The next morning we had a 5 hour drive to Jaipur, our final destination. On the way back it is even harder. We had a 6 hour drive to Jaipur (due to traffic), a quick dinner break then practically 2 hours going through airport security, customs, MORE security… it was intense! Our flight from Delhi departed at midnight, and is about 15 hours to Chicago. We land in Chicago early (5:30am Central Time) and have a 5 hour layover before boarding the flight to Durham (including claiming luggage, customs, rechecking luggage). Once in Durham (about 1:30pm) we pick up our bags and head back to Station 9. This was the plan, although our flight from Chicago was delayed over 2 hours and I had the “Delhi-belly” on both flights so I was in a lot of pain, but I finally got home and got to bed (much love to my EA for picking me up at the airport)!



Some final thoughts about India… it definitely resonated differently with me than my experience in Tanzania. In general I found Tanzania to be a warmer, more welcoming environment. I thought about why this might be, and I came up with a few comparisons. First, I was based in a rural area of Tanzania – Bagamoyo – along the coast. I lived in a house with a lot of luxuries and amenities, but still I felt immersed in the culture and the people. In India we were based in an urban city – Jaipur – and our other excursions were to Agra and Delhi, also large cities. We were also based in a hotel which in a sense I felt in a glass box a large part of the time – disconnected from the people outside my window. I had every luxury – clean room, warm showers, air conditioning, room service, and (somewhat unreliable) internet in my room. It was a strikingly different feeling, and I found myself deeply missing the connection.



In terms of the daily activities, our purpose in India was entirely different than Tanzania. We were there to offer business skills to a local entrepreneurship organization, as opposed to Tanzania we were there to learn and absorb the culture (as the primary activity). So the nature of the trip was different, and I realized I missed the daily interaction with local people, learning from them and engaging with them, learning about their individual stories and developing relationships. In another aspect, Indian culture seemed to me less open to outsiders than Tanzanian culture. In Tanzania I immediately felt welcomed and part of the lives of the families I met. In India there was greater hesitation – a great deal of staring and uneasiness at the sight of outsiders. In Tanzania the kids would run up to you freely offering hugs and love, here kids were certainly interested in us but I was not approached by them.



I tried to do justice to the observations of urban poverty in a previous post but I don’t think I captured it accurately. The things I saw in just a limited time were absolutely shocking to the core. I saw tent cities along the highway, where tents made up of a simple piece of wood and tarp of plastic served home to hundreds of people, including many children. In the cities, I saw children using the bathroom on the side of the road because there are no toilet facilities. I saw men brushing their teeth early in the morning with sewage gutter water. Before dawn, passing down the streets you can see wood cots that line the road where men, women, even children sleep out in the open, with no roof, covering their entire bodies with a blanket. It is all they have. In the slums of Jaipur there were once-streams of water filled with feces, pollution, garbage, and animals chewing through it all looking for any kind of nourishment. Most of the animals, like people, do not have enough food. I saw cows so thin their ribcages showed. Children run around often barefoot, covered in dust and dirt. They still smile and they are so curious about you yet very shy.



Shopping in India was strikingly different from Tanzania – even though bargaining was involved there the pressure to buy in Jaipur was overwhelming. The streets are flooded with shops and boutiques, selling everything from pottery to jewelry to saris and pashmina scarves. The pressure to buy reminded me a little of when you’d be at the beach in Bagamoyo or Zanzibar and people would approach you laying out what they were selling even when you said you weren’t interested. Perhaps because of the population density, but literally I found myself saying no thank you to 5 different guys at the same time, all pressuring me to buy bracelets or postcards or other trinkets. Even in some stores they wouldn’t listen, throwing dozens upon dozens of clothes at you. And you are supposed to negotiate everything – and it’s just not my style. If they say it costs X and I say Z and somewhere we settle at Y, yet still I feel like I’m cheating them or they are cheating me, depending on what you get. There were some in our group who thrived on the bargaining, but honestly when I liked something I got it, when I didn’t I walked away. It was just too much stress for me.



My limited experience in Jaipur showed me so many child beggers. I felt actually less guilty refusing them than I would have before watching Slumdog Millionaire, when you realize a lot of these kids just give the money to someone else because they have to. I wished I could send them to school, or something more sustainable. Unfortunately that dollar only hurts those kids, it doesn’t help them. Still, it broke my heart every time I walked away or pretended not to see them. I still tried to look at them, I couldn’t speak Hindi but I still wanted to communicate in some way that I cared. I feel that it was probably not successful, in all likelihood.



The touristy highlights of the trip included 3 main things for me: the trip to the Taj Mahal, a camel ride, and an elephant ride – all things I can knock off my “bucket list”. The Taj was everything I hoped it would be and more. It lives up to the hype – it’s just incredible, from the design to the size to the detail. Every angle, every design had thought, purpose, and meaning behind it. At the Taj we were surprisingly the minority – most of its visitors were Indian. I expected it to be something like the Colosseum in Rome where it would be teeming with foreign tourists. After our adventure though I realized I am one of few people in the world who will ever see this amazing building – even most Americans that make it to Colosseo and the Eiffel Tower do not get as far as northern India to see the Taj Mahal.



The story behind it I found to be exceptional as well – this king, after the death of his wife (who died in childbirth while delivering their 14th child) was so heartbroken (or obsessed, as some might say) that he spent all of India’s money for 20 years building the Taj Mahal as a mausoleum for her. She is buried in the center of the building. The tomb is surprisingly small, in fact the large structure has walls so thick that the center chamber is actually quite cozy. After its completion, the king’s oldest son eventually overthrew him and jailed him in a fort where he could still see the Taj Mahal every day. It’s a magnificent structure, but it cost billions of rupees, used slave labor, and bankrupted a country for practically 2 decades. The king died 8 years after imprisonment and is buried in the tomb – but she is still in the center. This reverence for a woman was in these days and times a defiance of cultural norms – which I find to be the most fascinating thing about it.



The camel and elephant rides were also a blast, I can’t deny it! The camel ride was fun because you get to ride solo – it was like riding a giant horse. But sometimes the camel would turn its head around and look at me which really freaked me out – I thought he might spit at me or something! The elephant ride was my favorite. They are my favorite animal by FAR and the ride was a little longer than the camel ride too. Our elephant’s name was Bovi and he was really cute. He also stopped for a snack along the way, and arched back for a minute I thought Erin and I were gonna slide off! Of course it really wasn’t that bad at all I was just silly.



The other places we visited – Jaipur City Palace, the Agra “Red Fort” and Amber Fort in Jaipur were also fun excursions. But the top 3 will remain the camel ride, elephant ride, and the Taj Mahal. All in all, a wonderful trip.

Wednesday, July 29, 2009

Sijali's Story


Sijali is a beautiful 41 year old woman who is living with HIV that has progressed to AIDS. I met her 3 weeks ago and have had several visits with her. She has been married 3 times and has 5 children from those relationships. All three men are still alive but she now lives at home with her mother. All her children are grown up and live in Dar es Salaam although they come and visit her. She has 3 brothers but 2 have died – one in a fight over a woman, the other from intoxication of being drunk. She says she has too many sisters to count, over 10 at least.

What struck me about Sijali was how frankly she discussed things – she lives with her mother because her mother went and took her from the husband who wasn’t taking proper care of her, she wasn’t taking her ARV medication and thus getting more sick. Once she recovered she went back to him and the same thing happened again, only this time she got TB, a respiratory infection. She is back home with the mother but weakened significantly by the dual medications of ARV and TB – so much so that even trying to eat is strenuous. The mother takes care of her but one eye is burned shut, so she only sees through one eye. Additionally, because Sijali is immobile she’s acquired a fungus on her feet and neck that have caused the feet in particular to swell, the skin stretching across bumpy swollen lumps on both feet.

Charles and I stayed with her a while, hearing her story, and also explaining to her who I am and why I came to see her. We checked her CD4 count and she’s doing okay and hopefully it will go up as she continues to take her medication. The hospital is changing her medication to a different ARV so that will complement the TB medication and not weaken her so badly. We gave her an ointment for the fungus and next week I will go back with body oil to massage the feet and hopefully keep the skin from tearing – if the skin tears it may become infected and since she has progressed to AIDS even a minor infection may cause her to die.

My last visit with Sijali we talked more – she says she wants to get better and doesn’t want to live in pain. She has improved in terms of mobility, once a week she goes to the market. It still takes her time – as much as 5 minutes to stand then walk across the room. We laughed as I explained through Charles what an airplane is and how it takes so long to get back to America. We talked to her mother about Barack Obama – she cannot believe he has black skin. Once more, she can’t believe mzungu (white people) voted for him! I think she was encouraged though, to hear me talk about how he loves the people of the world and America.

It is sad at times but I am glad I’m getting the experience of working with people like Sijali and sharing their stories with all of you.

Mwajuma's Story

A week ago I met Mwajuma, a woman who is extremely poor. She lives on the porch of someone’s house – outside, on a rope threaded cot with no blankets or walls. A few months ago, she was bitten by a rat and became infected to the point of elephantitis. Her foot is swollen 3 inches deep on the bottom, 4 inches on the top. Only the first two toes are still there, the rest are indistinguishable from the swollen foot. We took her to the hospital and she needs to go to the national hospital in Tanzania. She has no one to take her there – her daughter died from cancer, has no husband, and her 4 grandchildren are in boarding school (secondary school at a government school so it is free for them).

She said to me today, my last visit with her, that sometimes she wants to give up. She thinks maybe it is better to die than to live in pain – she has just now developed a fungus that is eating the skin between her fingers on her right hand. This breaks my heart, not because I haven’t heard people that might feel that way, but it was the first time someone said it to me, and meant it. I told her never give up, and to keep trying. She is a very friendly, jovial woman and she is not HIV positive. I hope to hear her future improves even as I leave Tanzania.

Picture: Mwajuma cooking in front of her porch

Tuesday, July 7, 2009

Decision to Come Home

After careful deliberation and discussion with doctors and my family, I have decided to come home next week. I am sad to go but I have had an amazing 2 months in Africa and met wonderful people and learned so much. While I am sad that the last 2 weeks here will be cut short, I also recognize the importance of focusing on my health and recovering so I can start back classes at Duke mid-August.

There are still some unknowns, I’m not quite sure which bacteria is attacking my stomach and blood but I am on several medications that I hope will fight it. I feel better but the medications are strong and so I am left weak with very little energy to do anything except sleep, rest, check email, and eat (even though I have no appetite).

On the bright side I had 10 weeks, over 2 months in Tanzania and I loved every second with my kids and the community. I feel so lucky to have the opportunity to have come and I want to convey that Africa – and Tanzania – is not a scary place, and I have just come across some bad luck that is causing me to come home a little early. I believe in coming here and helping the people here because it is important to our world.

I hope to not be viewed as a quitter, I consider myself someone who is strong and tried for the past few weeks to really fight the malaria and then the stomach bacteria. However, when you are hospitalized with stomach ulcers and a high fever, no matter where you are in the world it is serious and required me to change my plans. I am sad, and I feel a mix of gratitude and guilt. I am so thankful I get to come home to doctors and family, yet I feel sorrow knowing my kids and friends here are not so lucky and lack often the most basic medical care.

I am eternally grateful for the thoughts and prayers of my friends and family. The words of encouragement have lifted me out of my sadness that I’ve felt in making this difficult decision. I try to view this not as the end, but as just the beginning of my experiences in Africa. There is still much I can do for my kids and this community even far away in the United States and that will remain a priority for me. It also makes what I’m working for at Duke so real, and has shown me that I am on the right path towards improving the quality of life for people around the world.

If there’s one lesson that’s hard for anyone to learn – especially me – is when to stick it out and when to let go. This is a case where I want to stick it out, I feel very determined and frustrated that being sick has “beaten” me, but I have to be responsible and come back and focus on my health. Otherwise, my being here doesn’t help in the long run if I can’t get back to school and apply what I’ve learned to my studies and graduate and then start working to help. It’s a matter of perspective, and I’m trying to stay centered (even though it’s hard). I’m disappointed, but optimistic about the future.

I leave Thursday July 16th and arrive in Washington D.C. Friday July 17th. I plan to post more before I leave, once I feel a little better and can say my goodbyes, see my kids, etc.

Thanks everyone for your unwavering support, love, and kindness.

Love,
Dana

Monday, July 6, 2009

Hospitalization

Hi Family and Friends… I regret to say I was hospitalized yesterday for a stomach bacterial infection. I ended up with a fever of 102F and stomach ulcers – I was in a lot of pain. The hospital staff was very kind and very helpful, but there are still a lot of unknowns – no one was able to tell me what exactly is wrong with me.

Right now I’m trying to focus on taking the medications that will hopefully cure the infection. I would hate to leave Tanzania early, I love it here and have had a wonderful time, but I have to focus on my health and preparing to start school again. I will keep everyone posted on the developments and my decision to leave early or stay.

I love and miss you all.

Saturday, July 4, 2009

Reining Filing Queen


So my afternoon work the past couple days slowed down – not a lot going on at the hospital – so I’ve been helping them file HIV/AIDS patients’ records! It’s been fun going back into filing-queen mode from my days at the State Attorney’s Office in Tallahassee! My skills have actually been really useful – we have different color folders for pediatrics (children under 16) and adults and now we file them on different shelves. I’ve also gotten to enter a lot of data in their computer systems. It’s heartbreaking to see how many kids are born with HIV – they are innocent yet they are already fighting incredible odds.

The staff in the Care and Treatment Clinic (CTC) where I work has made some interesting comments. The woman I work for, Martha, feels strongly that there is responsibility on women who have been diagnosed with HIV not to get pregnant. You can only take ARV drugs for your fetus if your CD4 count is high and you have no reactors in your blood. If you’ve already passed to that stage then you cannot have that type of ARV thus your baby will be born with HIV.

Martha says so much health education goes on at the CTC yet she sees women time and again come in pregnant when they are in stage 4 of HIV (full-blown AIDS) and are teetering on the brink of survival themselves. She says unfortunately many of these women are not independent, they rely on boyfriends or husbands to work and they willingly have sex without protection and wind up pregnant. The HIV kids we see every day she calls “the innocents” as they come into the world with HIV yet they have no ability to control or prevent it.

This drove home an interesting point to me – even with resources and education, there are often prevailing cultural attitudes that may keep global health problems like HIV rampant in developing countries. Traditional gender roles may play a stronger role than I realized – so it’s important to think about multiple underlying factors. Personal responsibility shouldn’t be overlooked either, especially when it concerns something as serious as HIV. Whether it’s having unprotected sex and spreading the disease or bringing children into the world infected with HIV, there are definitely ways for individuals who are HIV positive to impact the spread and magnitude of the disease.

As with most of my findings here I’m seeing repeatedly that there is no one-size-fits-all solution to development efforts in Tanzania. Rather than focus on one thing or another, I’m excited about positively affecting the ways that HIV, education, nutrition, and poverty interact with one another. By looking at the whole picture from the micro level, maybe I’ll see how different policies may make a greater impact!

Picture: CCS Volunteers cleaning up the outside of the new CTC clinic

Wednesday, July 1, 2009

From Malaria Patient to Surgeon!


I started my placement at the hospital today. Boy was I in for a big surprise! My first day I was allowed to observe Dr. Allen, one of the CCS volunteers, operate on a woman with appendicitis. He removed her appendix in a surgery that lasted about 2 hours and I was fully scrubbed in, complete with white boots, a surgeon’s cap, and facemask.

The surgery was really interesting – a contrast in many ways from what I’ve “seen” in the United States. The resources are dramatically less and it was clear that Dr. Allen was the expert, even though he was “assisting” the head surgeon with the operation. I watched as first an incision was made across the oblique abdomen, then once through the layers of fatty tissue and weaved through muscle fibers, we were in the body! I saw the small intestine, an ovary, and the appendix, of course!

The removal took longer than I thought and there was less blood than I thought. Periodically dabbing, Dr. Allen had tied off all the ruptured blood vessels and you could see the organs reasonably clearly. Basically the appendix is tied off and the tube rerouted before the actual appendix is removed. I don’t understand a lot of the details, but this equaled a lot of staring at the appendix and watching Dr. Allen tie knots with medical thread. Once the appendix was out he tested the rest of the area just checking that everything looked normal. Then she was sewn back up and taken into recovery!

Only in Africa would I probably be allowed access to such procedures. I have no medical training or background, and I think the last science class I took was Astronomy my freshman year of college! Still there I was in the back, scrubbed in with 3 other volunteers (all going into medicine) and I asked questions. I was curious, and interested in the process.

Some of the policy issues that struck me were issues of knowledge and procedure. Everyone in medicine in the United States talks about how the field is never static; it’s always changing and there are always developments and improvements. It’s clear though that the basics are still lacking in Tanzania, let alone advanced improvements in surgery skill like Dr. Allen brought to the operating room.

It will be interesting to see what lies ahead in my future adventures at the hospital! In other news, I am recovering from the malaria really well and feeling much better. Thank you all for your thoughts and prayers.