Friday, March 26, 2010

Friday, March 12, 2010

Wake up: 6:55 am- we got to sleep in.

Driving:
Today is our last full day in South America. We got ready and packed up and cleaned up. We got back in the bus and had to say our goodbyes to people like Molly. We were on our way to Georgetown. We stopped at Andy and Kathleen's real house on the way to take some pictures. Then we stopped at the church where they had clinic last year.
I've enjoyed riding in the bus with the breeze. It's so hot, but we've adjusted. The first few days were the worst. I'm getting sleepy too because not only do we get a lack of sleep from short hours, but the next door neighbors have a noisy, coarse-sounding rooster. The other neighbor is a Muslim who does a noisy prayer daily that sounds like a dying cow.
I like looking out the window. Right now we're driving past the ocean. We're below sea level, so there's a tall seawall. We've driven past cemeteries. The coffins are cement and are above ground. I'm guessing it's like this in case of a flood.



A lot of houses have a bunch of flags sticking up like flowers-the flagpoles start together at the bottom. A Hindu lives there because the different flags represent the different gods.



Georgetown: Today was pretty much our free day and we spent it in the big capital city, Georgetown. Our first stop was the dental school, which was awesome because it's the first (and only) dental school in Guyana. The very first class is graduating next year, so this could have a big impact on Guyana's oral health and our future mission trips. It's great that we made this connection to help each other. Earlier in the week, their students came to observe our clinic and do some hands-on activities.
At first we toured their school, which was three stories. We saw a room under construction, which I think was for the new dental units. We saw their current clinic, which had about seven dental units, a PAN x-ray machine, and a sterilizing room. They also had a children's section. This looked very similar to a dental office because it had a hallway with about ten dental rooms. The units looked old-fashioned, but they were donated for free from England. One thing I thought was helpful was that when you lifted up the suction, it automatically turned on instead of having to lift a bar or press a button. There was anther sterilization room at the end of this hallway. They were actually working on a patient when we were there. We saw their small lecture room and library. They had a fun learning clinic that had about 30 DXTTR-like heads attached to chairs. At the end of our dental visit, we went to Dr. Jean's office. I can't remember his official title, but he has done a lot for the advancement of dentistry in Guyana. He might have been the Minister of Health. I couldn't understand him that well, so Ashley was my translator. We were sitting next to a bookshelf that had a few of our dental hygiene books, like Wilkins, Darby, path, RAD, and medical emergencies.







After the dental school, we went to the fancy hotel called the Pegasus where we had a lunch buffet. Overall the food was pretty good, except we were surprised by what we thought was homemade mac and cheese. Amy P. called it mac and mustard because it tasted nothing like cheese, but everything like mustard.





After the buffet, we went to St. George's Cathedral, which I believe is the largest wooden cathedral in the world. It was breathtaking! Kari and I went to the bathrooms downstairs, and there were funny instructional posters on how girls and boys should use the restroom.








Here is a video of the cathedral:



After the cathedral, we went to the market to go shopping. The market was about a block long and it had a bunch of little huts with souvenirs. We knew we didn't have much time, so I felt rushed. There were a lot of really neat things- jewelry, wooden sculptures, paintings, purple heartwood bowls, hammocks, pipes, clothes, figurines, perfumes, shoes, mugs, keychains, etc. There was so much to take in with so little time. At the first shop I bought one large purple heartwood bowl and five regular sized ones. I also got three bracelets and a little purse. She liked me and Ashley a lot, so she gave us small discounts, an extra small purple heartwood bowl, a small Guyanese flag, and a Guyanese $100 bill, which is equivalent to our $.50. Later she even gave Kathleen 22 small purple heartwood bowls for everyone, which Kathleen said is very unusual. At the next few stores I got a hammock, donkey figurine made of the gum of a tree, turtle figurine, pen with wooden figurines surrounding it, a green shirt, a carved coconut, and shoes. I really really really wish I would have bought some fun earrings for Mom and myself, but I just ran out of time. When I saw the jewelry too, I kept thinking it was easy to make, so I searched for ones that were really original, but I couldn't find the perfect one. I should have just bought a bunch. That's my only regret of the trip.






After market we went to King's Jewelry World, which was a fancy jewelry store. We heard that we were going to go there before the trip, so I knew I wanted a ring. It was a really fancy store and it was expensive. It had two stories. The main floor had only silver jewelry with diamonds. Upstairs had gold jewelry with different colored gems. I ended up buying a ring. After the jewelry store we stopped at a hammock store, then we were ready for our hotel/resort for the night.




The sign in front said Jubilee Amusement Park and it was in the middle of the rainforest. Too bad it was dark, so we couldn't see anything. It didn't look like the hotels in the US, and we had the place all to ourselves for the night. The entire place consisted of a two story building with about eight rooms, a bathhouse/restaurant, and a pool with two twisty waterslides. The first thing we did when we got there was change into our suits and went swimming. The water was a decent temperature- probably about 75 degrees. There were other people in the pool, which was unusual because we thought we had the place to ourselves. They were kicked out later. We went down the slides by ourselves a few times, which was actually a lot of fun! It's so fast. Then we got creative and went down in pairs and eventually had a long train of about 6 of us. Kari's camera is waterproof, so we had a lot of fun going down the slides and taking videos and pictures. Afterwards we showered and got ready for our evening meal and meeting.






It was an almost perfect evening except for the big bugs flying around, and I was surprisingly chilly. We were all sitting outside in the roofed patio area sitting at pushed-together restaurant tables in a big rectangle. For dinner we had chicken with yummy seasoning, mixed vegetables like carrots and cabbage, and mac and cheese loaf. Then they surprised us with individual ice creams with wooden flat spoons and I got orange flavored.
Then we started our debriefing meeting talking about why we went on the trip or what the trip meant to us. We each had to share one thing. It was very personal and there were a lot of tears and laughs. What each person said had so much truth to it. We were all severely impacted in more than one way. I know I have many fond memories and feelings from it. While patients were waiting in line, they were able to talk to people from the church about God. There were 16 new believers because of these talks. I liked that we were able to bring people to the church to not only get their teeth cleaned and restored, but also to introduce them to other Christians and God. Andy and Kathleen continued to talk to us and gave us each an envelope. Inside the envelope was a hand-painted bookmark and a letter of gratitude and encouragement. They also passed around Guyanese coins. Maybe I'll make earrings out of them.
It was a beautiful night , especially the stars and conversation, but it was so late and we had to be up extra early. Jeanna and I went to our bunkbeds and talked for a bit. Jeanna, Ashley, Andrea, Amy J., and I shared a room. Then Ashley showed up and we talked more. We fell asleep around 1 or 2 am and woke up at 3:15 am to be at the airport by 4 am.

Thursday, March 11, 2010

Wake up: 5:55 am, but it was encouraging knowing it was our last clinic day.

Breakfast:
eggs and toast- I tried guava jam with my peanut butter toast. I liked it even though I didn't like the guava that I tried the other day.

Clinic: I had a few patients in the afternoon. I was in a pretty good mood.
I assisted Dr. Jim for a while, and it was pretty cool. We started off with a patient I had earlier that day who had a huge cavity his front tooth (#10). Nori, Dr. Jim, and I put a composite on it. I had such a satisfied feeling when I saw the end product. He went from having a huge black cavity to a normal looking smile. It made me want to be a dentist.
I was nervous to assist because I had never done it before, so I didn't know exactly how he wanted things, but I still did a good job.

Before:


After:


Lunch: chicken, curry, rice, and flat bread. I didn't like it as well as other meals, so I had a granola bar and Cheez-Its.

Clinic: It felt so wonderful knowing we were almost done and helped so many people. A few of my patients told me how grateful they were and I even got a hug :)
Towards the end of the evening, there were too many people, so we had to tell them to go. I went around with Andy to pass out toothbrushes and toothpaste. No one gave a hard time or begged us to make an exception. One lady's eyes welled up, which got to me. It made me wish I could have worked faster on easy patients so I could have reached more people. We helped so many people though that it was still rewarding. One lady (20 years old) sat down with me and told me how grateful she was for us. She knows that the dentist in Guyana aren't very good. Her and her brother drove a few hours to come. It made my day because of the simple encouragement.
Towards the end of clinic we were all busting our butts. We wanted to spend about a half an hour on each patient to get as many in as possible. Some of them were a bit longer, but we picked up the pace a lot. Calculus chunks were popping off everywhere. One landed in my hair- disgusting! Katie had the biggest chunk I have ever seen. She said it flung on the floor and made a ping noise.

This isn't the most calculus I saw down there, but it's a common example of what to expect:


We got all cleaned up and ready to go. Ashley and I went to the bathroom, but there aren't any lights, so we brought a headlight. There was a rumor that there were frogs in the toilet that jump out when you flushed, but we didn't see one all week. But this time, we finally saw one on the wall. It was a small tree frog.




Leave the clinic: 10:30 pm. A later group came back around midnight. While we were waiting, we talked, ate dinner, and showered. Dinner was a bunch of leftovers, so I had shepherd's pie again.
One of my favorite parts of the day is coming home to share stories about the day. The girls make me laugh so hard.
When Jeanna was in the shower, she saw a huge spider, so she got done and called people in there. It was honestly the size of a small plate for coffee. Everyone was screaming. We were all trying to calm down in the living room and about 10 minutes later, saw a big cockroach scurrying across the floor. We were screaming again and jumping on couches, even the little boy Reuben.
We watched another NOOMA video and got to bed at about 1 am.

Wednesday, March 10, 2010

Wake up: 5:55 am

Breakfast:
Dutch pancakes with peanut butter and syrup

Clinic: I had two patients and I had a great unit at each, which had an ultrasonic. My second patient had never had his teeth cleaned and had a lot of staining and calculus, especially on his lower anteriors. I was so excited to show him the mirror afterward and to see his reaction. He was looking at his teeth in the mirror for about a half a minute and then in a thick accent said, "There is still a black spot." Not quite the response I was looking for. It made me laugh.

School: At 10:30, a group of us (Ashley, Katie, Rachael, Kari, Norma, Trey, and Dr. Greg)and I went to the local elementary school. When we arrived, all the kids in their green uniforms were playing outside. The building was a large wooden structure painted yellow. We walked upstairs to the 5th grade classroom to give a presentation. It was large room about half the size of clinic. They had wheelable chalkboards, wooden desks for two or three, and handmade posters on the wall. Nothing looked new. There were about 100 kids.







Dr. Greg spoke first about what teeth were, then Ashley talked about how to care for your teeth, then Katie talked about proper nutrition. Even though the kids were a little antsy, I think they all learned something. Dr. Greg ended with a magic trick and they were more captivated by it. I had such a good time. During the presentation, they got volunteers to do different things, like chew on disclosing tablets or brush the dinosaur's teeth.



Here is a video of the Guyanese boy brushing the dinosaur's teeth:




After the school we came back to Andy and Kathleen's for lunch and a half hour nap/free time. I'm so thankful to have a small break after working so much on very little sleep. For lunch we had beef tenderloin that we put in roti (a pita) with ranch, bok choy, and something else that was greenish and had curry.



On the way back to clinic there is a shack that is a dental office with a sign out front that says "Dental Works Done Here." The whole week we wanted to take a picture of it. Our driver stopped for us and let us get out to take pictures. As we were standing under it, we looked down and realized that I was standing in a big pile of green-brown cow poo on my white clinic shoes!





Clinic: I had a few more patients, but I don't remember how many. One of mine had the most tenacious sub-gingival black calculus that I have ever seen. I didn't know it could get that bad. I worked for about an hour and a half and had to quit. We were both tired and our group is aiming for an hour a patient.
I did an extraction today! Dr. Jeff and the dental student, Ian, had a lady with three teeth (#6, 7, and 8) that needed to be removed. He started it off and used a curet to sever the ligaments to loosen it up. My fist one was tooth #6 and I was so excited to try it. I took the pliers, grabbed the tooth, prepared to work at it a little, but it was so loose already that it just came out the moment I touched it. Ashley was ready to take pictures and a video, but we were laughing because nothing exciting happened. Then they wanted me to try #8. He loosened it up at first. I grabbed it with the pliers and bent it toward the nose, then the hard palate, then it was ready to come out. I couldn't believe I did it.





Here is a video of me doing an extraction:





Leave the clinic:
8:30 pm! It was so early and I loved it. We came back and had dinner (mac and cheese- yum!) and talked about our day. Then we watched a NOOMA video and had a meeting. I am so incredibly exhausted.

Tuesday, March 9, 2010

Wake up: 5:55 am

Breakfast: eggs, Dutch cheese, toast with peanut butter and jelly

Clinic: I saw about 5 patients in the morning. My first patient was Molly. It made me happy because she was told to choose someone and she chose me. I also finally had my first calculus patient! After that I had many. She only had 8 teeth, but they had crazy calculus. She had at least 6 mm of recession and deep probing depths. She bled a lot. She had a ton of sub and supra gingival calculus, and I feel like I improved so much throughout the appointment and throughout the day. Originally I would slip a lot and didn't have as much control, but by the end of the day, I had much more control and I had more strength and smarts to remove it.

Lunch: chow mein, fried eggplant, and fruit (watermelon and pineapple)

Clinic: I had about 3 more patients. I really enjoy talking to my patients while I'm working. I also like the feeling when I'm done and they thank me. I feel like I worked hard and accomplished a lot. Almost the rest of our lost luggage came in today! So we were able to hook up the suctions instead of using large canteens for dirty water storage. Before we wouldn't be able to use the ultrasonic for very long because the mini vacuum would overheat. Once the suction was hooked up, it wouldn't overheat, so I was able to use the ultrasonic for a long time. I liked practicing with handscaling, but it was nice to give myself a rest.




Ashley and I wore matching braids with matching headbands today. By the end of the day, they looked terrible because of the humidity. We took out our braids and our hair was absolutely crazy.





Leave the clinic: 10:30 pm and we still had to drive home, eat dinner, have a group meeting, watch a NOOMA video, and shower. At least I don't have a headache tonight.

Monday, March 8, 2010

I am so exhausted. It's about 11 pm and I still have to shower. Today we had to be at the dental clinic at 7 am, so it was an early morning. We had oatmeal and cereal for breakfast. When we got to the work site, patients were already lined up.


Here is a video of our clinic while we were working:



Throughout the entire day I saw about 5 or 6 patients. For the most part the ultrasonic didn't work so I handscaled. My patients weren't very difficult. Most had hardly any calculus. There was one tooth on my last patient that had level 3 calculus and I enjoyed getting it off. There were a few things that surprised me today: occlusal calculus on a few patients and "good" oral hygiene. Most of my patients said they brushed twice a day and they didn't have that much calculus. Most patients don't floss daily and one of them had never flossed. I enjoyed bonding with my patients and some were very appreciative even when they waited all day.




In the afternoon, the neighbors slaughtered some pigs, so you could hear the squealing even with all the drills. Ashley and I watched.



We had a half an hour lunch, so I felt rushed. Kathleen and some Guyanese women made snapper (fish), potatoes, pumpkin, Roti (bread), green beans, and pineapple. It was so yummy.



We worked and worked and worked in clinic, but the line never seemed to get shorter. I was part of the late group to come back, so we left at 10:20 pm. I had to eat dinner and shower still. I have a headache, not a terrible one, but it won't go away. We worked for about 15 hours today.