Sunday 20 September 2015

Antenatal care at Potters!

We were thrilled to be given a beautiful cow by the Government as part of their wealth creation scheme. She is supposedly pregnant so we stood looking at her..

...How can you tell if she is pregnant?

...By sticking your arm up her backside.

...Any other way?

...Do you think a human pregnancy test would work?

...Who's going to volunteer to collect the early morning urine specimen?

...Good point, I guess we'll just wait and see if she gets noticeably fatter.

Yep, we are nothing if not thorough!

I was sitting at my desk when a pint-sized whirlwind appeared at my side with an enormous grin - young Ivan had arrived. He sat on my knee chatting away about goodness knows what. He then climbed off and I was told he was asking to see the Grandfather. We went to the Medical Centre where he insisted Mike admire his shoes. He then demanded his porridge. Having been given some, he asked for more for his Mum (Grandmother). We took some back for her and some for him. He sat on the ground and insisted Mike share his cup.

 

He tried Mike's glasses on but looked as though he felt a bit seasick and quickly took them off.

When departing and handing me his cup, his Gran asked him what he should say to me. He didn't just say 'thank you' his response was to say 'thank you for cooking for me'

The staff laughed at his politeness.

What a wonderful boy and being very well brought up.

 

 

No-one has come forward to claim young Miracle found abandoned beside Potter's Village. He is starting to copy what is being said and two days ago walked alone. Here he is walking and talking with Rev Florence our Chaplain.

So far we have been unable to find anyone willing to foster him. They fear they will grow to love him and a family member will appear to claim him. Unlikely really. Poor Miracle.

He now gets out of his room and toddles or crawls to the next baby room and calls for Isaac to come and play. He is a very happy chap with a lovely smile.

 

Leonard got creative on the side of this standing frame for Deus. The frame is an excellent fit and very sturdy. It should be good for strengthening Deus's legs and for helping him feed himself. I had to get creative for the material part to keep him stable. I sacrificed our shower curtain in order to have ready made strong holes and discovered some key rings given to us were the perfect size to fit over the pegs. Nothing gets wasted here.

 

As for young Brian, the other abandoned baby, it's hard to get him to keep his eyes open for more than a fleeting look. He has been known to manage 12 mls by bottle before giving up. Often it is no more than 5 mls. It's a big worry. He was the one found in a plastic bag still attached to the placenta. We really do not want him to be profoundly brain damaged. I give him daily pep talks but I think he sleeps through them all.

 

 

 

 

 

 

 

This Dad of premature twins is very hands on. He is very proud of his sons and assures me he will come to the office every day until I get him a copy of this photo printed. The mum was busy trying to breast feed Kato, hence the photo taken from behind.

 

Sunday 30 August 2015

How much would you be worth in coca cola?

In what was a wonderful riot of colour, we spent Saturday afternoon at the Give Away ceremony for the Bishop's daughter Charity. We were entertained by dancers while we waited and then the bartering began between the two families. Traditionally the bride price was measured in cows, now it's crates of sodas - mainly coca cola. Once the price is agreed the groom's family bring in the crates and put them in front of the bride's family to be approved. Coca Cola would never have imagined their product could one day be a bride bargaining commodity!
 

 

 

The two Doctors, Ruth and Rebecca were also invited. They are here for nearly 4 months and have settled in well. Behind them, Rev Florence wanted to make sure she got into the photo.

Back on site, this lad was reluctant to go home. He had to stay to finish his treatment for typhoid but you would not have known he was ill. From morning to night he was outside on the wooden bike. Whizzing down the ramp from the Omega ward kept him amused for hours. Leonard came to say there was a possible fight brewing between mothers as this lad would not let anyone else have a go. I found a plastic one but no....everybody wanted the wooden one. Once he left, the others lost interest. It was good to see it so well enjoyed.

 

Bridget, our latest Potter's baby, arrived on August 24th. She was born on July 2nd but at 2.2 kg was very undernourished. She has a big appetite and is putting on weight at an amazing rate. We were told her teenage mother had become mentally ill. Winniefred visited the family. The mother is deaf and unable to communicate apart from a few basic signs. Since the birth she has been disruptive and making a lot of noise banging things - though she can't hear that. She has made aggressive gestures towards the baby though not harmed her. She has refused to breastfeed. What can you expect? Who has ever explained sex and birth to her? She must be so confused and frightened.

How do we begin to help in this situation? The girl used to go to a school for the deaf but kept running away so the family was told to keep her at home. They are a very simple family so it is hard to have constructive conversation.

 

 

The girl is Bridget's mum with her mother and brothers. The house is very dirty and they share it with animals. Can we really put Bridget back into this? One good thing is that the girl is on family planning - so long as the mother monitors it carefully.

 

 

 

 

 

For those who gave money for fruit trees last Christmas, Leonard has been grafting two varieties of apples onto one tree. He is having problems with aphids and fungus on many of our vegetables, not helped by all the dry weather. It is a race as to whether the aphids kill the seeding broccoli before the rains come and kill them. He has used so much soap powder on the plants that he fears to use any more. We will have foaming broccoli not sprouting broccoli!

 

 

There is a good crop of tree tomatoes forming, the lemon trees are looking good but the mango trees need to put in a lot more effort. They are going for quality leaves....but 10 good leaves 5cm from the ground cannot be called a tree.

 

Spot the mango tree! It's had to be marked with a small stone so we can find it and not tread on it.

 

Tuesday 11 August 2015

Vibrations.

A few nights ago most folk here woke to being shaken a little. I woke thinking how pleasant it was to have a massaging bed. Then I realised it was an earth tremor and what is a pleasant shake to us, can mean disaster elsewhere. Going outside in the morning, I looked at the volcanoes and asked God if they were still dormant. They are. The epicentre was on the other side in the Congo and although not a massive earthquake, it was enough to kill two children and flatten many flimsy dwellings. For those thinking of visiting Kisoro, don't worry, tremors here are rare and no damage was done on this side of the mountain range.

 

Mike and I took off for a weekend of R&R. We traversed the bends to Kabale and stayed at a Hotel looking down over Lake Bunyoni. Photos never do justice to the amazing view. It was very peaceful and pleasant. The food was a bit of a gamble...you couldn't be sure you would get what you ordered but so long as you ordered a couple of hours in advance, it arrived on time...well almost!

Mike's hot chocolate fudge sundae was a definite disappointment. It amounted to a hot baked banana with a minimal drizzle of chocolate sauce from a squeezy bottle. It takes a lot of imagination to regard that as a hot chocolate fudge sundae!

 

Before heading back, we went down to the lakeside for lunch at the Bird's Nest. This is the most expensive Hotel in the region...and you can see why. Here the spectacular view was along the lake. On the left is a jetty area where tourists take canoes or motor boats to stay on some of the further islands. It is also where local fishermen bring in the fresh crayfish for sale. You can take them home live in a plastic bag or if you are prepared to wait quite a while, they will kill and shell them for you. As they look like mini black lobsters with effective pincers, I couldn't help but think they would have worked their way out of the bag in a short while and we would be in horror movie situation with snapping crayfish scuttling around the car. Not what you want to deal with whilst navigating a very bendy road. I failed with walking a live turkey home at Christmas, I also failed with live crayfish as passengers.

It was nice to be away from the noise of babies and Carers for a while but it was also nice to be back. Generous came for a visit and told us about her weekend. It was a bit of a one-sided conversation but she showed her agreement with big gummy smiles and the occasional 'goo'.

 

The latest confusing conversation with Winniefred...

W...The lady who is going to foster M is not a lady.

.....Oh, she's not a lady, she's a man?

.....What? No. She's not a lady yet.

.....If she's not a lady and she's not a man, what is she?

.....she won't be a lady until the 21st.

......Hmm! (Mentally thinking- I didn't think that was permitted in Uganda but obviously it is). So when she's a lady she will take M?

......Yes

Festo emerged from the corridor chuckling. Winniefred was saying 'ready' but transposed the r for l, as they do, and added a vowel in front of the consonant, as they do. It makes a totally different conversation!!

 

Wednesday 29 July 2015

Lies, lies and more lies.

 

Prossy's father has also been giving us the runaround. In the beginning he arrived with his mother - only it wasn't his mother. Winniefred tried to get him to give details of his family but he kept stalling. Last week he admitted he hadn't told his parents about the baby. Winniefred said that if he didn't, she would, as these were Prossy's family. Yesterday he said his mother and Aunt had come to the Office but no-one was there. Not true. The Aunt said that she had lied to him about that as she didn't want to tell his mother about Prossy. Winniefred spoke to his parents and whilst with them put Prossy's father on the phone. Not knowing his parents were listening he continued with his lies. They were very sad at his behaviour. It has been agreed that the Aunt will take the child and the father will pay support. The Grandparents say that they will not admit to their son that they know about the baby until he tells them himself.

Late one evening an abandoned baby was brought in by a Policeman and a Counsellor. I took the details of the story and phone numbers. The next day Winniefred went to the area but discovered a completely different story. The baby had been found with her 4 year old brother. The Counsellor contacted the Police. The boy told them where he lived and they took him home - to a village way out of the other side of Kisoro from where they were found. They left the boy with his father and as the mother had disappeared, agreed a story to tell us. When confronted, it took the Policeman and the Counsellor a while to tell the truth even though they knew Winniefred had been following it up. The Policeman's justification? 'Sometimes it is good to lie for the betterment of a child'. We would have taken in the baby anyway. All they did was waste Winniefred's time.

Winniefred sums it up well. She comes in, sits down, hangs her head, shakes it and says...

'These people, what are they like?'

She deserves a medal.

Four well-fed cuties getting ready for bed.

 

 

 

 

 

Saturday 4 July 2015

Mike re-enacts the Vicar of Dibley scene with the puddle

Mike spent last week in Kampala. One evening he was walking along whilst talking to me on the phone. All of a sudden there was an anguished cry, clattering sounds then no-one was there. My first thought was that someone had snatched the phone out of his hand. What had happened was he had stepped into a hole in the pavement and was up to his knees in muddy water. He dropped the phone and it clattered across the pavement. He had to climb out of the hole then feel around for the phone. The following day he retraced his steps to look at the hole. It was a missing water drain cover. It was lucky it was no deeper...and it didn't happen in broad daylight!

 

This week Gift celebrated her first birthday. A relative sent in a birthday cake. Normally birthdays aren't celebrated at all so this was especially touching.

 

 

 

First, hands have to be washed

 

 

 

Birthday girl gets the first mouthful.

 

 

 

 

Open wide, Timothy.

 

 

Baby Beth is our latest Potters baby and has spent most of her time in the Medical Centre. Last weekend we really thought she was going to die and asked people to pray for her. She pulled through and is very slowly recovering but still needs to gain weight. One problem is that she is now lazy and prefers being fed through the tube rather than sucking a bottle. At some stage we will have to get tough with her...but not yet.

It was very disappointing that when we contacted the family to say she was likely to die in the following 24 hours, no-one came to visit. I assume they think she has now died which will make resettling her back to them a bigger problem. How sad that none care whether she lives or dies. Truth be told, it would be a relief to them if she died.

 

It became necessary to let Doreen, the Nutritionist from the Nutrition Unit, go. She has been replaced by Jemima (Jemeema) a very conscientious nurse. She is an excellent help to Promise who is in charge of the Unit. We are giving each child 2 sets of clothes, 4 nappies, pin and plastic pants when they arrive on the ward. It is still a struggle getting them to cover their bottoms. Yesterday morning a pile of mess was left on the ward floor. Jemima went straight out to tell the mothers this was unacceptable - go get em girl!

Toilets - or none use of toilets still takes up too much of my life. On Thursday Leonard donned a plastic poncho, face mask, gloves and wellies and nobly scrubbed the faeces off the Ecosan walls. We have toilet paper but hands then smearing is preferred. Yuk!

 

 

 

It was a proud moment when we packed the truck with tables made in the workshop and delivered them to the Guesthouse.

Mike brought back some tins of quality Matt varnish for us. It didn't say anywhere on the tin whether it was gloss or matt but Mike got charged £5 extra for it which was apparently proof of being matt. You couldn't get varnish any shinier than this.

Hey ho, duped again!.

 

Geoffrey went to visit Nsaba's family for me. The good news is that he has built an excellent sheep house..except we forgot it needed a door. The remaining mum pig and piglet are looking good now but he still wants to swap them for sheep. We will buy the sheep and door from the market and bring back the pigs. The pigs will be used in the Community Support Income generating scheme. My mind boggles at how we are going to lift a big pig into the back of the truck. I only hope there will be plenty of men around. I have visions of me struggling and attempting to push the pig up and over by using arms and head with added danger of being flattened under the pig. Yet more entertainment provided by the white Mzungu!

The best news is that his harvest is so good he needed 5 women to help him gather it in. Thanks to everyone who has donated to help him achieve financial independence and hope for a better future for all the family.

It was the parent/teacher meeting at the school of Nsaba's siblings. The Dad asked Geoffrey to go with him to represent their sponsors. Geoffrey went even though it was his day off. I told him to take a morning off in lieu but he declined saying these were his children too. Wonderful man.

 

Nsaba's siblings with a bag of flour given to help keep them going until the harvest was in.

 

 

Sunday 14 June 2015

God has told me to take your glasses!

Yesterday at midday, Rev Florence our Chaplain appeared at our door. As Saturday is supposed to be my day off I tend to wear trousers in recognition of that. Florence eyed me up and down and said..'you make a good man' Not knowing quite how to respond to that I thought...and moving on...

Florence sat on the sofa and said ' God has told me to take your glasses'.

She produced a piece of paper with very small writing which even with her existing glasses she could not see. It was a form to be filled. Thinking it was an error of translation I thought maybe she wanted me to read it to her. No, there was no error. 'It's 9 pages', she said. 'I want to take your glasses'.

Part of me quickly thought...how do I explain varifocals?...another part thought...and how am I supposed to see? Did I bring a spare pair of glasses with me?

I told her that I didn't think my glasses would be right for her but just before we'd left the UK someone had given me a spare pair of glasses in case they would be useful to someone. They were sitting on my office desk. I went to fetch them.

'Aiee', she shrieked. 'Praise be to God'. She got up and clapped and danced. ' I told you God had said I was to take your glasses and look, He provided a pair for me'. 'This is the first miracle I have seen this morning. How many more will I see before night?' With that she sashayed along the verandah waving her arms in the air.

Mike and I just laughed. She's a real tonic.

 

We've had several visitors this week. Nsaba came along for Community Support and showed off his walking skills. He is one chubby little boy but still with the same gorgeous smile and dimples.

 

 

 

 

 

 

 

 

 

 

Peace, on the right, came along with her sister. Peace was a girl we had taken in with severe malnutrition, feet covered with jiggers, HIV and a Grandmother who couldn't look after her. She is now fostered locally and doing very well. Her sister Maria was also brought to us for care and the foster mother has taken them both. Peace is 6 1/2 years old, her sister is 4 yrs. You can see from that how very stunted Peace is.

 

 

 

 

Our other visitors were goats and sheep to be handed out to some of our Community Support children. Geoffrey had visited to check that suitable animal housing had been constructed, he had chosen the animals from market and they would be dewormed before handing over.

 

 

 

 

 

Young Ivan took charge of his goat but it rather looks like they are heading in opposite directions!

 

 

 

 

 

Beth is our latest Potter's baby. Her young mother bled to death after delivery. She is now 2 weeks old but has not been well. She is on lactose free formula milk. The vomiting has stopped and the diarrhoea has improved but she won't feed by mouth. Up until yesterday she was being fed by a syringe pump which meant she was being fed very slowly. Now she is being fed by nasogastric tube. Every day there is a little improvement.

 

Wednesday 27 May 2015

A grubby start

We arrived back on Tuesday to a lovely warm welcome...and no water. Never mind, we would shower in the morning when surely the water would be back. It was...but there was no electricity! Welcome back to Africa!

The first impression was how smart, green and well trimmed the compound was.

 

 

This Bougainvillea was very small when we left but now has pink and white flowers entwined upwards. The photo was taken on Saturday. In the 4 days since we arrived the grass had gone from a green mat to a sparse dry area. What a difference from wet season to dry season.

 

 

 

 

 

The Medical Centre is a lot quieter. Apparently it is because it is the start of term at school. Fees need to be found and the harvest is not in. Money and time has to spent on other things. However tonight the Alpha ward is full - they are the acutely sick children. There are 7 on the malnourished ward. This little girl is 2 1/2 years old but is the same size as her 9 month old sister. The healthy looking lady with her is not her mother.

Margaret, a volunteer nurse, works with a nutritionist and one of our Carers. Along with Jane, the wife of a GP that was covering for Mike whilst we were in the Uk, they have established a programme for the malnourished. This includes bathing, play, nutritional advice and cookery. Some mothers have been resistant to the play side. One did not see the point but later said that while her son was playing it was the first time she had seen him smile. Another agreed that after a play session it was true that her child would eat more.

Slowly, slowly!

 

Winniefred has been dealing with a sad case of an abandoned child. As part of her detective work she went to the local radio station. She wanted them to put out a plea for the mother. It transpired the mother had been to them already. The mother told them that she had been walking with the child on her back when she was grabbed by some men. They wanted to rape her but first untied the child and put her to one side. During the attack she managed to get free and ran away, leaving the child. When she eventually returned, the child was gone. For some strange reason the radio men mocked her so she left and has disappeared. They did not bother to write down her name or any details, nor did they make any announcement. Winniefred asked them to put on their news that the child was found and to come for her. For the next two days there was no announcement. Why not? Two days more and the mother and child have been reunited as the mother went to the Police.

 

You can never predict what will happen.

In the early hours of the morning the mother of one of the malnourished children gave birth to this lovely little baby girl. The first anyone knew was someone came to the Medical Centre saying there was an emergency on the rehabilitation ward. Emergency? How could that be? A nurse went and found the mum with the baby's head crowning. She went to fetch a more senior nurse then phoned Mike. By the time he arrived the baby had been born.

Our first Potter's delivery!

 

 

 

 

 

 

Monday 23 March 2015

The future is not orange!

The network is ridiculous. The Internet is connected for a minute then off for two minutes. Sometimes it's only on for seconds. The phone is even worse. We had no phone network for 3 days which was very liberating as it meant I didn't have to carry it around wherever I went. Messages get lost, calls never arrive. They say that they have been taken over by Africell and after the weekend it will be good. They've said that for the last 3 weekends!

The Internet bundle in the office is finished. It is not possible to get it renewed. Aha, we'll switch to MTN we thought...so did a lot of others...there are no MTN dongles to be bought in KIsoro!

 

Leonard and his men are preparing for the thatching of the shelter where the dome collapsed. He used to help a man construct these for herdsmen in the mountains when he was young and is clearly enjoying the chance to do it again.

We now have 3 wards of patients. That means there are a lot of attendants which means a lot of washing. We've provided more lines but despite our requests they prefer to use the fences and the ground. The rainy season is not as wet as usual and our tanks are frequently empty. I never thought I would see the day when I would be so grateful for a downpour.

 

 

Benson, the twin on the left, was discharged from Hospital today. He had an exploratory operation to see if he had testes in his groin. They only did one side because the Surgeon said that post-op infections from theatre were so common he could not risk Benson being rendered infertile. He will operate on the other side in three months. It is sad that two anaesthetics will be needed and regarded as less of a risk than the possibility of infection.

 

 

 

A visiting American Doctor was so taken with the table from our workshop that she bought it to take back to the USA. So far we have 8 colours of home made paint from local rocks. These are pounded and sieved through tights into Blueband margarine containers. Our thanks to those who have sent us old tights....they have many uses. Nicholas our young helper in the workshop was trying to explain tights to some Ugandans. He turned and asked me, 'is it the English men who wear them?' Oh dear!

 

Mike might be a Reverend but I've overtaken him now. Someone in town called me Reverend twice whilst talking to me. I said I was not a Reverend at which he said sorry...and proceeded to call me Bishop. I paused for a few seconds to savour the moment as well as to imagine the reaction of our local Ugandan Bishop Cranmer. Who would have thought I would ever attain such eminence!!

 

 

We have taken in 4 babies in the last three days.

Generous was first. She spent the night with us on Saturday as there was nowhere to put her in the rooms. She is one week old and very cute. Her mother died the day after delivering.

 

 

 

 

 

This morning Joshua arrived whose mother also died after a Caesarian. She was only 24 years old. Here is Joshua with his incredibly young looking father.

 

 

 

 

 

 

This afternoon twins arrived and we panicked a little. Where were we going to put them? It transpired their mother died two days ago of TB. The twins had not been given any immunisations and are now 3 1/2 months old. This one is Timothy. It was decided to keep them to one side of delta ward until they had taken enough treatment to be safe to put with our other children.

 

We really hope we won't be brought any more just yet!

 

 

 

 

Last time we put out a radio advert for Foster Parents, there was confusion and some people thought we were offering jobs at Potters. This time I got Winniefred to write the advert. We have had several families turn up with groups of children. Somehow they interpreted the advert as us offering to take in their children. You can imagine their disappointment at having to return home with them! One family had even dressed their girls in lovely matching bridesmaids dresses. I cannot understand how they interpreted the advert that way. Wishful thinking maybe?

 

Sunday 1 March 2015

Off site

We were forced to have a week in Kampala to get paperwork done. We delayed two days in the hopes of getting the paperwork completed in Kisoro to register the Home but sadly it wasn't done despite endless promises by local government officials.

We did get the Medical Centre re-registered and Mike re-licensed as a Doctor plus the car licence and Mike's Ugandan driving permit. The last two were quite fortuitous as we were stopped by the Police twice on the way back for document checks.

The date on our re-entry permits was not correct. They had put 2015 instead of 2016 but said it could only be done within a month of expiry. When Mike said they had stamped and corrected his last year, the lady took his passport and cancelled it !!

Mike, in a moment of madness, decided we should try driving through the centre of Kampala to get to our destination. I navigated us off a large and chaotic roundabout and saw two cars coming straight towards us side by side. I thought for a moment...is this Kampala driving or a one way street? Looking at the cars behind it was clearly one way. We pulled over safely but the traffic police noticed and pulled us over as we attempted the roundabout again. There was a long conversation about paying a fine but it became apparent they wanted money not paperwork so in order to carry on we handed over the equivalent of £5. An official fine is £50. We also discovered it is the norm to ignore red traffic lights unless on a major road. We were happily joining the tangle of cars crossing a junction with red lights to our side with a traffic policemen standing in the centre...texting!

Whilst in Kampala I got an email from the British High Commisioner offering us a brand new cooker if we could transport it away. It did not fit British safety standards so she was not allowed to use it. Our first item for the upstairs of the Hostel when finished! It's quite magnificent and not something we would have paid out for. The cupboard on the right houses the gas cylinder. I only hope we can find canisters the right size here. Still, how fortuitous we were in Kampala at the time and how fortuitous we could fit it in the car.

 

 

We also got to visit Jackson. He is much the same, only bigger. Sadly the school no longer has a physiotherapist but they say they still massage his limbs. He can feed himself after a fashion so long as someone guides his hand to his mouth. It is a very nice environment and well equipped.

 

 

 

 

 

 

 

 

 

Back on site our final dome collapsed. I have my suspicions that someone tried to climb it who was more adult sized than child! It provided good shelter for the children to play under. We have removed it and are going to erect a thatched shelter.

 

 

 

Several of our little ones are getting on their feet but not quite walking solo. These children are ones where the family need to have them walking in order to cope. Usually it is a Granny who can no longer carry a child on her back. I reckon that in the next two months we will have half a dozen ready to be resettled.

 

 

 

On our journey we stopped at a cultural museum where we learned some uses of cow's urine. Drunk warm and fresh in the morning it is good for coughs. Instead of toothpaste you can swill your mouth with it. Rubbed on your body it is good for rashes, particularly measles. I couldn't help but wonder who is going out in the morning to collect this fresh urine... and how!

 

 

Now this is what I call a souvenir.

I want one!