Friday, September 13, 2013

Pecadom Plus day 2: The Sweeps

I woke up on the second day of Pecadom Plus with hope and anxiety.  Hope that the day would go better than the day before, and anxiety having the knowledge that it probably wouldn’t.  Am I a pessimist?  I don’t like to think so, I like to think that I’m a realist.  Not in the waltzian sense (polis ci majors… anyone?)  We got our stuff ready and I find myself riding my bike down that glorious paved road.  Since I actually know now where the dsdom lives I rode on over to his house.  The day before I had delivered the supplies of the ACTs, the TDRs, and the thermometer.  When I arrived I asked him if he was ready to go.  He said he was, but there was a problem: the thermometer was broken.  “How is it broken?” I ask.  “The mercury won’t rise.” Sure enough, the mercury wouldn’t rise.  Shoot.  Now what?  Well, the thermometer is an integral part of the whole process because it helps to identify fever, and the severity of the malaria.  I tried to call Anne to ask what I should do.  Oh wait, there’s no reception… of course.  Ok, so there’s extra thermometers at the health center.  Ah man, am I going to have to bike back to Saraya and back?  Nah, the dsdom has a motorcycle he can use.  OK good, so go get the thermometer, I’ll wait here… and he didn’t have any gas.  So I had to front a mil CFA for the gas and he was off.  He returns like 2 hours later.

“I found a few thermometers.”
“That’s good, now we can start.”
“…yeah… none of them work.”
“So we spent like 3 hours and still don’t have a thermometer?”
“Basically, but I can use the back of my hand to feel if they’re hot.”

(that doesn’t sound very scientific)

“Ok, let’s just start anyway.”

So we begin our sweeps of the village.  Everything is going alright, except for one thing.  Instead of showing up to the compound and asking everyone if there were sick people there, he would just stroll into the compound, say what amounted to “whaddup” and start feeling their foreheads.  Like, “hey, how are you?” BAM!!!! Back of the hand to the face.  It was actually pretty hilarious seeing the expression on people’s faces as they were surprise-fever tested.
 As we came to more houses and I tried to explain the process to him, he would start introducing himself and talking about the signs and symptoms of malaria and asking who showed those signs.  More like what I was told the dsdoms would be doing.  However, he would still go around to everyone and feel their foreheads.  Maybe he just liked feeling people’s foreheads, I’m not sure.  One time we came to this household of about 8 men as they were gathered around watching a soccer game.  As the dsdom went over to ever so gently feel each man’s foreheads the rest of them would crack up laughing seeing the look of sheer discomfort and confusion on the face of their friend.  I thought it would take forever (and it did). 
In our sweep we found 5 active cases of malaria.  I think I’ll always remember that first malaria positive test.  It just made it so real, this child actually had malaria, and if nothing was done she might die.  This child, right in front of me.  I’d always heard about malaria, but I’d never seen it.  I guess before learning about malaria it’s all abstract notions and I’d never had the chance to tie it to real people, to real faces.  It really validated why I’m here and instilled a further drive to do all that I can while I’m here. 
The rest of the pecadom sweep went pretty well.  We had our second causerie that was much better attended, and everyone got a grab-bag to take home (it was maggi cubes, which are basically MSG bouillon, it actually makes things really tasty).
I returned to the Linn Inn late again because of the added event of the causerie.  I think I ate ceeb.  I can’t really remember, but considering it’s like one of three possibilities, I’ll take my chances and say I ate ceeb.  Anyway, I went to bed that night slightly frustrated about the rampant and superfluous head-feeling, but in retrospect this day of sweeps went better than any of those to follow…


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