Tuesday, 19 August 2014

Week 4

“...the Revolution, now first feeling its power, feeling the unnumbered masses it has aroused, the colossal tasks, the pride in success, the joyful failing of the heart at the thought of the morrow which is to be still more beautiful than today. The revolution still has no ritual, the streets are in smoke, the masses have not yet learned the new songs. The meeting flows without order, without shores, like a river at flood. The Soviet chokes on its own enthusiasm. The revolution is mighty but still naïve.”

“...a class deprived of power inevitably strives to some extent to swerve the governmental course in its favour...The Character of a political structure is directly determined by the relation of the oppressed classes to the ruling class. A single government...is preserved so long as the ruling class succeeds in putting over its economic and political forms upon the whole of society as the only forms possible”

“The feeble and reflected light of the moon makes possible important conclusions about the sunlight”

I have almost finished Trotsky you will be pleased to hear, next week will be the last you have to hear from him!


Another day at the clinic. It is unclear if people come especially to treat burns, or if there really are just such high instances of them, but probably 80% of all the patients I saw presented with various degrees of burns, most often to feet and legs, but also a depressing number to faces. As the photo shows, our supply of materials is woefully inadequate. With last week's brief on-the-job training, I am now trusted to do everything, which is terrifying, as I really have no idea what I am doing. Most cases follow the same basic routine- remove the old bandage, clean the wound and surrounding area with something pink, then apply either the violet liquid for a burn, or the iodine for a different wound or a still bleeding burn, (if the patient is returning for a bandage change after visiting us the week before, then this stage is replaced by applying a 'burn cream'), then its simply a case of covering the wound with a compress, and then bandaging it up. Job done. Infection hopefully avoided, but that is about it. All of this done at a cost to the patient of 20-40p, which is apparently the cost of the materials. All of the wages at the clinic, and indeed the clinic itself is a Catholic concern. The work is exhausting, with the smells, heat and cries making it a tough place to work, but it certainly feels rewarding, and I am certainly learning to be less squeamish around blood and puss. There were so many patients this week that we stayed an hour longer than normal, and lost an hour of our daily three hour lunch break! Zoot alores! There is another 'foreigner' working here, a student nurse from Quebec, on a seven week placement to learn on the job skills. Rather than nursing though, she is given the role of doctor, diagnosing and prescribing to the patients. She has to deal with the place every day, so I feel for her, but it is certainly good preparation for a life in medicine. Her English is also rather terrible (there are locals here with better English), which is just crazy, coming as she does from North America. There is a rather strong (financial) presence from Quebec here, with a major solar-panel company, and the Thies University both bearing the Quebec flag, in what I can only assume in gratitude for support. 


Today, our work felt fully like a token measure to keep us busy. Which is not to say it wasn't without merit or purpose, but it was significantly detached from our youth and health focus, revolving as it did around agriculture. We were assisting a local NGO- GRIM – in its programme to grow fruit trees. This involved weeding and counting thousands of seedlings. It was great to get out and see more of the farms surrounding Thies, and my tan certainly benefited, but, as to the overall purpose of it all, I am unsure.

We visited another Daara this afternoon, again to check on the results of the health sensitisation programme. I have grave issues with the value of the programme, as lecturing these kids on the benefits of cleanliness is pointless when one looks at the boys and sees how filthy they are. They are clearly not being given access to water and soap, and when asked if we could introduce and supervise collective washing, was told by the 'teacher' that this was impossible and unnecessary. We will continue to try, but one cant help but feel frustrated and impotent. It is these illiterate and uneducated children that will be the strain - and drain - on Senegalese society once they have left these schools, and the associated unemployment, health and crime issues will all be far more expensive and difficult to deal with. But they all seemed happier than the last group, and the compound was a slight improvement, it contained a mango and lime tree, so no scurvy at least. For mine (and therefore you sake), they also allowed us to take photos, so here are a few. I only had my phone on me, so apologies for that. 

The one day we visit a daara and are allowed to take photos, and i leave my camera at home- typical. These were taken on my phone.


 (Yes, the marks around her face is a tattoo, unique to her Paular (?) tribe.)



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