September 7, 2008 at 3:49 pm (my journey through Rwanda) (, , , , , )

Mara muzze everyone,
it is a wonderful morning here in Gisenyi – Rwandas little Nizza at the south of lake Kivu and a stone throw away from the Democratic Republic of Congo.

Last weekend the Internet connection of the clinic broke down and with it my only web access in the range of a one-hour motorbike trip.
It was surely bad timing with the call for donations just being sent, but it’s amazing that you people helped us anyways!

Thanks to your contribution the children will have enough food for the next three month! Of course we are far from a stable situation and I hope that anyone of you who is considering it will overcome his doubts and help us out.
(here you find a pdf with all neccesary information to make international transactions:
how-to-donate-to-another-hope)

In the orphanage I became friends with Innocence, a 20 years old boy who grew up there after loosing his family in the troublesome Rwandan history. Together we use the free time during the weekends to travel around lake Kivu.
Last Saturday we rented a motorbike and drove southwards, following the invitation of some engineers to visit their project.

After a stopover in Cyangugu -a small city in a triangle between Rwanda, Burundi and the Congo- we drove into the Nyungwe national park. It is one of the oldest jungles in Africa, crawling up a group of high mountain slopes.

Not really aware what was waiting for us we drove as we were directed: “just follow the nicely paved road up to the sign to the Banda primary school, then it’s a small way down the mountain…”

A warning that the “small way” was in reality nothing but a tiny track, going down a steep mountain through a wild tropical forest would probably let us have rented a dirt bike. But so we were driving a street machine down the slippery slopes, thankful that the rain started only after we had reached the village. The weather became so bad that we happily accepted the invitation of staying over night and so I had a lot of time to learn all about the project.
“Kageno” (www.kageno.org) was started by a New Yorker orthodontist with the aim of helping remote living societies in the developing world. His first project in Kenia went quite well with reaching self-sustainability by selling craftworks and so he decided to start something in Rwanda.

Provided with energy by a hydropower station (the project the engineers worked with) they are building a Community Center, a Nursery School and a Clinic. As the remote village lacks opportunities to sell stuff (nobody around to buy it…) they are building a Eco Lounge to gnerate sustainable income and I am quite excited to follow the project over the next years.

The next morning we learned that the other road out of the village got blocked during the storm in the night and that the only chance we have is driving up the exact way we came down yesterday. Adrenalin filled two hours later we arrived the paved road again and it was sheer luck that our front wheel went flat just there and not on our way up! After an hour of driving with a flat tire we reached a village where they repaired the damage and wished us good luck for our 4 hour drive home through the purring tropical rain.

In the clinic I spend most of my time in the pediatric ward and the maternity where I assist women giving birth, either naturally or by cesarean section.

Hygienically the conditions in the hospital are one of the hardest I ever experienced and its not always easy for me to feel myself comfortable working there. Sterility is something quite relative here and I won’t forget the moment when I opened one of the drawers in the OR to find a several days old umbilical cord establishing its own microbiological cosmos in there.

Non the less I really learn a lot and whenever things are going to bad in the hospital I go over to the laboratory and spend my afternoons leaning over a microscope to check some blood smears for malaria.

As it was quite an exhausting week so I wanted to spend a relaxing weekend.
I was also in the urgent need of getting an Internet connection (no one knows when the one in the clinic will be repaired) so I reserved a room in a recommended hotel in Kibuje, the closest (1h) city to the orphanage.

We arrived at a beautiful place and were mentally all prepared to jump in the water – just after the check in – when we were told that our “reservation” was never written down by anyone. Now all the rooms were occupied and there was no place to stay for us. Very frustrated we walked back to the city center (no motorbike taxi available), crossing a small harbor. Here a man walked towards us and asked if we wouldn’t like to come aboard his ship, leaving for Gisenyi that evening.
It was an amazing trip, shipping slowly between the Congo on the left and Rwanda on our right with our load of empty bottles and a goat illuminated by the stars of the Milky Way.
Here in Gisenye we stay in a nice little hotel, situated in an old colonial house constructed by the Germans some 156 years ago. One of the modern hotels directly at the border to the Congo has wireless internet and so I am finally able to write this blogpost, answer the eMails that accumulated during the last week and send my thanks to the donors :-)

(Sonja K. and Johannes K., please send me a mail to hesse.sebastian@gmail.com as I dont have your contact, thanks)

Thank you all very much and with the best wishes to wherever you are
Basi

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update

August 19, 2008 at 3:16 pm (my journey through Rwanda) (, , , , , , , , , , , )

YoY and thanks for visiting my Blog

Anyone keeping up with this site will have noticed that I didn’t write as much since staying in Kigali and there were no new photos for a while.
The reason is that this city actually doesn’t offer too much so write about or take pictures of. Everything is quite sterile. I meet a lot of very interesting people though (Engineers, a psychiatrist helping traumatized people, all different kinds of NGO workers and of course: Rwandans and their life-story)

After spending some time in the hospital here in Kigali I learned that it isn’t really what I came to Africa for. It’s a pretty big and decent institution, offering high class medicine. In my department of Gynecology I probably see the same things as I would in any European clinic; excluding the case of a prolaps that has been untreated since 1956…
So with being not really happy with my current situation I took a look around.
Staying in contact with a American group from “Engineers Without Borders” I heared  about their project in western Rwanda.
They are helping  an orphanage near lake Kivu with technical improvements and this is a nice opportunity to get known to their inventions.
It will help me to learn about technical solutions for a lot of the problems we will face when building the orphanage in Nansana. (The also offered all their help once the project reaches the stage of construction.)
There is also a hospital near by and according to them it is offering a lot of what I would be interested to learn.
So now I wrote a bunch of mails and wait for their answers, keeping up optimism I think it will all work out…

I am very much looking forwards to get out of the city, in any case I will do so!
If its this clinic or another, there are loads of intersting projects out there :-)

About current politics in Rwanda: this Blog is about my journey and to help the orphanage in Uganda, politics isn’t really the point.

So now I am waiting for the responses to my mails and look forwards to see new places ☺

With the best wishes to where ever you are

Peace,

Basi

P.s.: There was a quite interesting discussion with a doctor at the clinic:
He told me that it is his aim to introduce in vitro fertilization here in Rwanda – home to approximately 10.1 million people it supports the densest population in continental Africa. (http://en.wikipedia.org/wiki/Rwanda)

His arguments:

1) we should use the advances of modern medicine everywhere in the world, not only in countries where people can effort it

2) it is highly important for gaining a social status in Rwanda to have children; families without are excluded from society and suffer badly from it – besides from the grief of not being able to have a child

3) people all over Africa don’t use contraceptives fearing that this would unable the to have children for ever. With showing that medicine can help against being infertile it could encurage people to use contraceptives, letting them know that there is a “cure” for their anticipated side effect

I would love to hear your statements to this topic, please leave your comments in case you have a opinion.

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new plans

August 14, 2008 at 9:40 am (my journey through Rwanda) (, , , , , , , , )

Hi there,

after getting some rest I spend the last days with some administrative tasks.
Blaise came into the city to help me finding a spot in the university hospital of Kigali. Starting from Monday I will work in the department of Gynecology and Obstetrics as a intern doctor, nightshifts included! ☺
(before more people ask: nope, I haven’t completed my studies of medicine. But me and Blaise had a talk with the professor and he was convinced that my knowledge will be sufficient to start in this position… for that I just love the Department of Pathology in Pécs, its really amazing what they taught us there.
Anyways, I organized some reading material about Gynecology to work through)

First thing this morning I went to the clinic to hand over all kind of documents they asked from me. As only some of the doctors and almost none of the patients speak English, I bought an audio course in French and will spend the following days studying it. (My week of speaking Spanish in Uganda pays of here as it got me back in the system of roman language)
My plan for the weekend is to travel with Blaise up to the north of Rwanda to visit his family and the national park “des volcans”. It is the site where Dian Fossey was living with the Gorillas for many years and tourists are invited to track those big apes – for the insane price of 500$!?!
DAMN… but as I red there is a cheaper possibility of Gorilla tracking – how and where I won’t publish before I did it ☺
The rest of the day I will spend searching a better opportunity to live in Kigali, so far I stay in a Hotel and even though they made me quite a good offer for the month I would like to search some cheaper place. (…which isn’t easy as Kigali is a really expensive city)
I am also thinking of visiting the genocide memorial here – but as I know that those things tend to touch me quite intensively I don’t know yet if I should really do it.

…I head of into the city center now to see what the day will bring

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live out of the maternity OR

August 10, 2008 at 6:32 am (my journey through Rwanda) (, , , , , , , , , , )

(I love this country… we don’t have any running water since my arrival but internert everywhere!)

Bonjour!

Yesterday I had an amazing start here in Rwinkanwavu!
From the early morning till the afternoon I worked in the pediatric department.
We have all different type of cases here, from malaria, malaria, malaria, TB, congenital malformations, malaria, malnutrition, burns, snakebites,
HIV & all his friends, malaria, heart failure and also some malaria…
After the clinic I was invited to join a wedding in the village nearby.
Unfortunately we had no Internet yesterday so I couldn’t upload, and right now I am sitting in the maternity OR, preparing to assist my first caesarian section…
(I hope I make it trough the first one as there will be some of them today)

09.14h :…ok, patient is anesthetized , lets go…

…I put on some Amadou & Mariam, music makes things easier :-)

10.15h: Yeah! I love it! …next one is waitig :-)

…ok, seems that I have some time left: so here a fotostrory of the last days:

on the way through Rwanda, searching for the clinic:

…kids are everywhere, so you never feel alone:

finally, I arrived :-)

last but not least some impressions from the wedding:

…ok, that’s it for now, I go and get sterile again

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visit all the places at Google earth!

August 8, 2008 at 6:46 pm (my journey through Rwanda) (, , , , , )

Good day everyone!

This morning I started with visiting the bus station and asking around for “the american hospitals in the east”, trying my best in a mix of English, French and random words of Swaheli.
Anyways, I managed to find out where they are, took the bus and motorcylce to the indicated place and tada! finally arrived at the Rwinkwavu hospital.
Right now I am sitting in their office, enjoying the awesome internet connection.
Over lunch I will introduce myself to the doctors working here and figure out what I can do here.
The Rwandan staff invited me very kindly to work with them, now I only have to get the final permission from the head of the pediatric ward.
One of the Rwandan pediatricians, Dr. Bucyibarva, was very happy to meet someone from Germany. He visited a variety of universities there and was delighted by the friendliness he received. Happily he invited me to stay at his house for the weekend. (love goes out to my fellow countryman, proving that Germans can be very hostile!)
In fact he was helped a lot by the White Fathers – the Christian Missionaries I went with to Ghana and stayed in contact with since.
Hopefully it will all work out with my stay here, the Headquarter in Boston didn’t seem to be very happy with my rather un-bureaucratic approach – but well, this is Africa! ☺

Now, finally and very proudly, I present the Google Earth Tags of my journey!
This allows you to visit all the places together with me ☺
Enjoy

The orphanage “another hope”: http://rapidshare.com/files/135915121/Another_Hope.kmz.html

The future site for the new orphanage: http://rapidshare.com/files/135915566/future_site_for_building.kmz.html

where I stayed at Lake Victoria: http://rapidshare.com/files/135915824/Mu_o_o.kmz.html

The site of the PiH clinic Rwinkanwavu: deleated as I don’t think that they would like mo to put this up :-)

(just copy/paste the link into your browser and click on the free user download,
after finishing import the file into google earth – which you have to install in case you haven’t yet…)

here some more pics from lake viktoria:

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