Tuesday, September 8, 2009

Joining the bloods

Since I've waited way too long to write, (sorry mom and dad!) I can't tell you everything that's happened, so I'm just going to tell you a little bit about a few subjects.....

Amigos y chiquititos:

In the friend department, I think I have incredible luck.  I don't think I had mentioned it yet, but I made my first friend from Cochabamba before I even arrived to Cocha.  Her name is Paola, and she is amazing!  She is an architect/pilates teacher here.  We started hanging out immediately and have been somewhat inseparable ever since my second week here, since I was sick the first couple of weeks..  She is so down to earth and easy to talk to, which is something I really needed when I got here.  She however, is fully bilingual.  Although we speak alot in Spanish, I love the fact that I can speak in English with her because there are just so many things that I haven't learned how to express yet in Spanish.  It was really lonely at first before I started hanging out with her more.  I could tell that alot of the people that I hung out with were nice, but I only understood about 10% about what was said when they were chatting, telling jokes/stories etc.  So I would pretty much just sit at the table while we were all eating and try really hard to concentrate at first, but then after a while, it would be pretty easy to tire out and tune everyone out.  I was starting to feel so alone in my own head, especially when I became sick and was pretty much out of commission stuck in my room for almost a week!

We have so much fun here.  I have met some people that have a climbing wall that they built themselves in their house.  It's awesome.  It's this tiny room with all walls and the ceiling covered with climbing rocks, so you can literally "climb" upside down.  We climb tuesdays and thursdays.  The same people also have a paragliding company, so I think I'm going to go paragliding pretty soon with the girl, Natalia, which only costs $25.00!  The other day we went to the lake to go tubing behind this guy's jetski, although we actually couldn't get it started after all =).  Most of what we do, though, is pretty normal.  Watch movies, go out to eat etc.  However, the other night, I found myself in this hilarious situation.  My friend Mau asked me to come over to his friends house to "preparty" before going to Mandarina, the local club.  I got picked up in an old beetle-bug (which along with 1979 land cruisers are the most common cars here)and when I arrived, I found myself sitting around a table in this house that probably costs more than any house I've ever been in with a bunch of drunk cantadors (singers) crooning traditional Bolivian songs, reciting poetry, (crying), and telling really perverted one liner jokes in between each performance.  I was pretty sure that at any minute a spanish version of Al Pacino was going to come walking out smoking a cigar or something slightly more risque.  I felt like the biggest blonde gringo ever, so obviously my first response was to start drinking very quickly.  Unfortunately (or maybe fortunately), the only thing they had was whiskey.  Needless to say I drank more than I probably should have and hours later was of course way more comfortable laughing my head off as one of the cantadors was (barely) standing up (swaying), crying and yelling "Mierda! Mierda! Mierda! (Shit! Shit! Shit!)," of course speaking about Bolivian futbol and his ex-wife.  At least I think that's what he was talking about.  That night I decided that I might never come back to the states ;)....  One of the videos at the bottom is an extremely brief and understated version of what I experienced that night, but I couldn't film obviously since the cryer didn't like it.  

Anyway, these are just a couple pics of my friends over here.  My best friend Pao, is in the of this pic, taken in the club called Mandarina!  Apparently it's one of the only clubs that people go to.  Have already been 3 times in two weeks.  She is an architect and is designing the bar that is being built right next door, conveniently called Mandarina Bar.  I'm not actually sure who the other girl is....




This is a pic of my other good friend, Mau.  He's the one in the right in the pic (my left).  Yes, I'm aware that my two closest friends here are named Mau and Pao.  So adorable =).  He used to play tennis and soccer for University of Illinois and has been living in the states for 8 years, just got back one week ago, lucky for me =)



Two of my closest friends here --Cate and Kenny.  They are the one of the cutest couples that I have ever met.  They have been going out for almost 6 years and still act like they have only been dating for a month or two -- still all googly over each other.  Soooooo cute =)




Work: 

Work really is never boring in a sense.  It's really not very hard to wake up at 6 every morning when I love the people I work with so much.  Pretty much 80% of each day of it is spent laughing or being laughed at.  I have the most amazing team, who only speaks spanish, but I have really connected with them.  I told you a little about them already.  Gimenita (the doctor) and I have decided that we are the "hermanitas de un otro madre," the slightly less rhymey version of the english saying, "Brothers from another mother."  She's hilarious.  Most of our conversations are spent making jokes, or making fun of each other, but we are also able to communicate about things that matter.  I have become very close with her, as well as the other parts of my team.  However, I have noticed that alot of the laughing that we do is at my expense, at the way I pronounce words, or my terrible grammar, or how I am the most "olvididisa" (forgetful) person that they have ever met.  

Honestly though, since there are not very many patients right this second as a result of holidays and fiestas (something that happens about 8 times as often than in the US), many of our days are spent walking to the market, drinking tea and eating fried doughy things with cheese inside, helping the street vendor cook fried doughy things with cheese inside, playing basketball, cooking in the disgusting kitchen inside the center of health, and forcing me to eat viscera and other strange things like animal hearts and chicken feet.  Obviously they think it's hilarious.  One day I knew I realized just how different this place is when Gladis and Heloina came back after walking around the town getting surveys and mentioned the eggs that they "found" in the street.  Apparently they were the property of a wild chicken.  Without a second thought, Gladis and Eloina had decided to put them in a plastic bag to take them home and cook them. We had to spin them around the table and shake them next to our ears, because we were worried that there might be little chicks inside of them.  




















To the left are pictures of us playing basketball, a picture of me on the verge of tears eating a chicken foot, the team outside of our morning corn drink and fried dough stop, Don File and Gladis outside of our clinic, and me hanging out with the vacas behind the office.   

Our patients are also just completely different from anything I've ever seen.  I thought I had seen and smelled it all at Grady hospital in Atlanta.  Not true.   As sweet as they are, the 230 pound cholitas that work outside and havent' taken a shower in at least a week and a half are something else.  Alot of our patients also issues that many people don't have.  Nerve palsies, blindness, complete deafness and other things are way more common than they are there.  Actually I had a blind patient the other day that tried to sit on me. I guess I was sitting in the chair that he usually sits in.  So when Gimena led him in, he took the seat that he usually does.  When I saw his butt looming in my face, I tried to jump out of the seat, but I was stuck.  Gimena noticed it at the last minute and pulled him up.  He didn't get it though, and tried to sit on me again.  I was able to escape in time before he sat in my lap and quietly took a seat across from him.  For people from Emory, though, you should know that noone that I've seen here soaks up the sweat from underneat their breasts with bread.  They don't use anything, actually, which makes putting the EKG stickers on really pleasant ;).  They really are the sweetest patients though, who despite the ridiculously poor state that they live in, living off dollars a month and sometimes paying for doctors appointments and other services with homemade cheese, seem very happy.  I've really never met anyone like these people before.  

Struggles:  Express yourself!  

I would say that that just about sums up my biggest struggle over the last couple of weeks.  I had no idea just how important it is to be able to do just that.  Every day, most of us speak to a number of people (I only know a few schizoid Unabomber types ;) and we are spoken back to.  We don't even give it a second thought most of the time.  Potentially you can speak to anything; people talk to themselves all the time, people talk to their dogs, some people talk to imaginary people (which was actually starting to sound kind of nice).  The point is, communication is one of the most common yet important parts of our daily lives.  Here, I communicate as well, but when I first arrived, I did so more on the level of a third grader.  Remember being in third grade when you thought your jokes were funny  (Like knock knock who's there banana,  banana who one that goes on and on until it turns into an orange and you say... "orange you glad I didn't say banana)?  Yeah, those weren't really funny.  We hadn't really gotten down sarcasm, or irony, abstract thinking or any of the other things that really put an "edge" on effective communication.   For the first couple of weeks, this was the hardest part of living here.  It really gets lonely not to be able to joke around with people or knowing that they are joking and having no idea what they are saying.  I would say that the first two weeks here as a result of that were a bit depressing, despite loving Cochabamba and Bolivia and knowing that this is where I'm supposed to be.    Thanks goodness that I've found my comfort zone with friends that I can really connect with.  And.... now I'm back to where I'm started.

I know I've left a ton of stuff out, but the truth is I shouldn't have waited two weeks to write this blog.  I promise I'll do better.  It's a lot easier to write and post pictures when i'm stuck in my bed sick with no other choice.

P.S.  The title was written when I thought that I had a moto to ride, but it turns out that the moto that I was planning on using to join a motorcycle gang only turns on about 20% of the time.  Right now I'm looking for a bigger, better one =)  

Since its pretty hard to post lots of pictures on this, I've included links to my facebook albums that allow everyone on facebook to see.   I haven't figured out yet how to post albums besides facebook, but I'm working on it!

 I think if you just click on the links below you should be able to see lots of pics!



Friday, September 4, 2009

HOW TO LOSE FIVE POUNDS IN TWO DAYS

COME TO BOLIVIA!!! I have just the stuff for you. It's called bolivian water. It's a sure way to lose weight. Think about it =)

Thursday, September 3, 2009

Besitos, chiquititos, vomititos and other thingitos.

I love kisses! Who doesn't love kisses, really? I get a lot of kisses here, on the cheek of course. The normal greeting here is "mucho gusto" with a kiss on the cheek. I love it because I receive at least 10 kisses a day. We kiss when we see each other, and we kiss when we leave. Of course sometimes I am not ready for it and I have had some near makeout misses ;).... The kisses are called "besitos" (literally means "little kisses"). If you add -ito on to pretty much anything, it makes it little. Cochabambinos apparently love little things, like riding motitos (little motos), waiting a ratito (mini-periods of time, similar to momentitos, which they also say), chiquititos (which means anything small, a name that they can assign to pretty much anything). Many cochabambinos are pretty small, so i guess they are Cochabamb-itos?

I came to Bolivia as a Meredith-ito (skinny little meredith), and I leave a Meredith-gordito (little fat meredith), due to the incredibly delicious food that I keep finding everywhere. I think it will be well worth it. After finding tiny chicken livers still in anatomically correct form and edematous, squishy fat chicken feet floating in my soup in Peru, I was ready for a change.
The transition here has been great. Of course there are always bumps in the road. I have become so awkward and klutzy here. I guess it stems from not knowing the language and always feeling a bit awkward and clueless. It's tough, because I feel so out of my element in a way, never knowing what anyone is talking about, trying to serve coffee to my coworkers in this archaic coffee maker while it explodes all over the wall, trying to figure out how to open a bag of milk and instead spilling all of it into the silverware drawer, literally tripping up the stairs of the office and busting my butt three times in the past week, accidentally ripping a all my curtains out of the wall while simply trying to close them, and the whole time saying "Como (what?), Perdon (sorry?) and Otravez, por favor (say it again please?). Aaaggh so frustrating in a way, but the people here are so gracious and welcoming. It seems that the most common thing they say to me is, "Tranquilaaa Mariaaaaa" (Meredith Caaalm doownn).

The people here really are amazing. I have had people literally give me tv's, stop their work to help me find my way around the city, interrupt their day altogether for hours at a time to come to the police station with me to interpret, take me to "la cancha" this huge mile long market just to help me find a shower curtain for my bathroom. It makes me feel guilty about all the times I have known someone new to town and been much less gracious and generous with my time. I am definitely learning many things from the culture, including that rushing around all the time is not the way to live the life. In fact, I'm learning how to be pretty lazy!

Speaking of lazy, today was my first day of work in Punata. Punata is where I will be working on my project on Chagas. It's a poor province on the outskirts of Cochabamba with 24,000 people. There are mini towns inside the province that my team and I will be visiting one at a time, surveying the people to tease out people with heart disease or people at risk of heart disease, while also screening for Chagas, and helping guide them to treatment, if appropriate.

So I arrived in Punata today ready to work! Revved up after sitting on my booty for the last month, I was ready for some action. Daniel Lozano (this doctor that I work with) and I arrived at a comfortable 11 am (I will usually leave the house by 7, but it seems he wanted to take it easy on me today) and walked around the hospital of Punata, which is 1 story tall and super sprawled out, with stucco buildings, tons of flowers, and of course a hut that sells snacks and egg sandwiches. We stopped for about half an hour to sit while some other doctors were eating a mid-morning snack (egg sandwiches) outside at a plastic table outside of the hut. They argued for a bit about whether or not it was a good idea to start a study on Brucellosis, a bacteria that causes a disease sort of like TB and comes from goats milk and raw cheese.

After that, I was picked up by somebody on my community team that I will be working with for the next six months, and we caught a cab stuffed with 6 other people (that I didn't know) out to Laguna S ulty, the community that we are studying right now. We were dropped off at the "Center of Health," aka a covered basketball court in front of a church/school/clinic. I went into the clinic, which was completely empty except for my team, which consists of Doctor Gimena, another Doctor from Punata (I can't remember his name), three nurses (Heloina, Gladis, and Serlia) and me. All the patients had gone for the day, and they had prepared a hot dish, rice with milk, to welcome me since it was cold outside. The next hour was spent sitting around a table drinking our snack and talking about the compatibility of astrological signs (in spanish, of course).

Pretty intense work, I know. I was pretty wiped out as we finished our arroz con leche (rice milk), so we decided it was time to head home. All seven of us hopped in the car, only to find it wouldn't start, so we had to jump out and push it while the Doctor pressed on the gas and tried to get it going. It worked! 10 minutes later we were back in the main part of Punata, and we caught our hour-long cab ride (this time only stuffed with six people) back to Cochabamba. I slept the whole way back and when I woke up I was surprised at how nauseated I was. I assumed it was carsick ness, but when i got home and sat down for a bit, my stomach kept jumping around and soon enough I found myself with a fever that kept rising, and all my muscles were aching, and I couldn't move from the nausea. I won't include details after this point =)....

Guess that arroz con leche wasn't a very good idea -- who knows really what it was. Bolivia is known for its especially dirty water. Luckily I am surrounded by doctors and Daniel came over and checked me out and left me with some Oral rehydration solution and crackers. It's now almost 24 hours later, and my fever is gone, but it still sucks to move. I just tried to open the crackers that Daniel give me, but seriously tried for over 20 minutes laying in my bed and couldn't do it. I was actually too nauseated to get up and go to the kitchen and get scissors. I think it might actually be my pinnacle of patheticness.

Anyhoo, waiting for it to pass and my friend Wilson is bringing me chicken soup, which will be my first thing to try to keep down. Crossing my fingers. Just because I thought my patheticness was kind of funny, I have enclosed a picture of the crackers and me post fight (they are still closed -- it won)


Hope all is well and surviving from the swine flu up there ;).... I am missing you all. Please dont forget that you can call me for free from any local phone with the number 251-300-5773. I would love to hear from people!

P.S. I just realized that this blog started with kisses and ended with vomiting. heh heh heh. Berg, you are right, I have a serious flight of ideas problem =) In my defense, I wrote it over the course of three days.

Wednesday, August 26, 2009

Bedbugs, cold showers, and instant coffee with curdled milk

Don't worry, all of these things in the subject line were only to get your attention.  Ok well they were true, but now my showers are hot, my bed is bug free, my coffee is still instant, but my milk is soy.  I'm a happy gringa living in Cochabamba so far.

Actually, I think I'm in love with Cochabamba.  It feels so different from Peru here and I can't exactly describe why.  This city is so amazing, first of all.  It sort of reminds me of a spanish New Orleans.  The trees here are sort of weepy-willowish and have a similar look to the oak covered moss trees from New Orleans.  There are flowers everywhere (flowers that you don't see in the states), and the city is in the bottom of a valley, so there are these beautiful mountains with colorful shantytowns surrounding it.  The food is so far amazing, even the street food (people keep telling me that I'm going to gain weight living here ;(, but hopefully my inability to digest south american food will keep my weight in check (malabsorptive malnutrition, oooh yeah).

Tonight, my friend from work asked me if I wanted to grab something to eat.  I agreed, thinking we were going to go get pizza or something down the street.  Instead, we hopped on her moped and she took me to this place called Las Islas (The Islands) -- basically a bunch of street food vendors all piled up next to each other with improvised bands playing andean music, and plastic tables that are haphazardly spread out on the lawn behind the vendors.  She said her favorite thing to eat was this bolivian "hamburger" which I can't remember the name of right now.  It was two pieces of hamburger bun, stuffed with rice, potatoes, a patty of "mixed meat", a fried egg, chopped onions and tomatoes, and cheese.  Holy fatness.  It was amazing.  Then she took me on a moped ride around the city (sorry dad, I promise I won't get on a moped again).  I had so much fun.  I don't know if I'm actually going to get work done here, but that's ok.

As far as my spanish goes, I'm working on it.  I suck at understanding people, and I went out with my new friend, Paola, her sister, and their friends and I really wanted to know what they were all laughing at when they told jokes, but I had no idea.  Paola kept translating for me, but I felt really bad....  I still had fun, and they tried to talk to me in English, but I really just want to be able to understand spanish.  I set up tutoring sessions starting on Monday.  Apparently, I have to learn the indigenous language here as well (called Quechua) because the community where I am going to have my project (Punata) likes speaking Quechua better than spanish.  Apparently, they are really timid but are more likely to let you in if you can at least carry on a basic conversation in Quechua.  Sooo, I've got a lot to learn.  I'm going to go to the community (not to work, just to observe) on Saturday, so we'll see how it goes)

Regarding my project and Chagas, I think it became a little bit more real for me today. My spanish teacher that I had been talking with for a while needed help interpreting some blood work that she had as part of the community study that I am starting to work on.  I hadn't realized it yet, but she had been part of the community that we were studying and used to live in really poor housing that was infested with reduviid bugs.  She says she remembers getting bitten as a kid, and was pretty worried that she might have Chagas (she's 30 - around the age when you can get heart symptoms if you are bitten as a kid).  Her results were negative, thank goodness.  She got really lucky, as about 1/3 of the kids in her community when she was growing up were infected with Chagas disease.   She's sooo young; it was weird to think that she could very easily have had a non-reversible chronic illness that could kill her in the next few years.  Bolivia has the highest prevalence of Chagas in the world, so I know I will encounter a lot of young people in their thirties that are not so lucky.  So weird.  So I guess today it became more than just digging for bugs or percentages on a page, I realized that many people that I will meet and really like are going to be unfortunate enough to be infected -- kind of a harsh reality =(..... 

Anyway, I don't really have pictures of Cochabamba yet, but I didn't want to come in and immediately start taking pictures like a damn tourist.  I'll put some up soon, I promise.

Meredith