Ohh, non, Robert, pas encore ...
But, I am again, after about a half months, it is again due. -
No, I do not speak of my own report, but were only words of welcome in my tribal hospital again, where I am already well known and will always be welcomed most warmly.
greet at least as friendly and all I'm writing after a longer break.
As already guessed, I would like this time with the Togoischem health care system and believe him deal made with respect to personal experiences.
Alors, comment ca va? - So it goes on and the doctor actually there is the question of how to do it one, only two answers: ca va bien (- I'm fine) or ca va un peu (literally: it's a bit), which means, I'm not s good at all.
will gradually change between the dry and rainy season taking place again and use the occasional big rain breaks. In most cases it all starts with a contraction of the threatening clouds, followed by hurricane-force winds that announce by loud roar of the approaching end of water. When one has done it in time to clean house and brought the laundry, then you can relax enjoy the most exquisite shower under the rain gutter and saves to bring the course to the well for water.
come this time of year, certain fruits in masses on the markets and the table. Represented are greatest avocados, followed by Anna Assen and the same ones that are mature gradually, while bananas there seems to be all year.
The second trimester is also now coming to an end and we must once again make our notes diligently while seeking a possible change of liquid to get out.
The unit "rope climbing" is fortunately over, because it is clearly the least popular discipline among students and also provided so far most of the bad notes. had to be the way it is not without, as there is no hedging and the rope itself, by high letters on a concrete framework installed new every day. The subsequent discipline, shot put, which I myself had to first acquire again was much better - especially with the problem cases of climbing.
football
The great school and sporting events of recent months but not from playing during class, but afterwards. This is the great-Agou Internal football tournament, competing in the different colleges against each other. Since January was for the Team and its preparation of any priority, it was about the honor of the school. The best players are determined and had to be prepared once determined by regular training for the next opponent. Actually, the task of the sports teacher.
Another, very dedicated teacher took the job mainly in and to me fell the task of the wizard, all I could not afford even the best intentions.
encountered not infrequently lately, German sense of duty to Togosche honor. The players were as good as not even to school and the time and place of gym class could actually use to work out much better. I was already there before pretty stuffy, when I was on my teaching, arguing there would be seventy other in every class and with whom I wanted to have a program to end.
somehow arranged one each time and the more often I came up with the appropriate teacher in the way, the more we understood better then us.
The games themselves are, however, only highlights the right and the whole preparation each time and value. This is not about some trivial students kicks, but to correct major events. The schools all have their own jerseys, each student has their own created player's license with photo, there is always a complete referees, which not from any teachers there, but from qualified referees, also dressed in uniform who put on each game in a complete game for last. The very first game of my school was almost canceled because there was no sufficient mark on the field. is organized
everything from the Prefecture and the "Sports and Youth Ministry for the region", which should be basically responsible for me. It is in any case taken at each game entry and the games are always well attended. Thus, while there is order and system in the field, refers to the "ranks", so off the field, rather than the biggest party. With tireless Condition of the girls sing their songs all known schools up and down and thus fire dancing and partying on their team. Instead of large drums are carved in a simple plastic container, which perform their function at least as good.
My school has done not bad, and ultimately during the first uncoordinated kicks, the whole effort was not prescribed, the number of training showed a bit of success and the team made it to the finals where they lost on penalties. While a wildly cheering her laps around the place turned and carried their players and head on hands, my students were devastated and the otherwise strong and often outspoken players were rolling down tears from his eyes.
hospital
diseases and their treatments are a great and eternal theme in Togo, both for the population, and for me. Accidents, malaria, Fehl-/Unterernährung, intestinal bacteria, genetic diseases, AIDS, pregnancy, ... there are many reasons for a medical treatment, Represented by hospitals, pharmacies, and fetish priests - medicine men.
but more often I come in contact with health care, than I would have previously expected - I'm regularly on the work the hospitals need. This was also a forward, unknown before leaving the area. What will be the supply, which can happen, such as hygiene, it is there, what's there on drugs ... and most importantly, what about malaria? The issue that has occupied me most.
Kpalimé it is in two hospitals, one large and one very small. Medical practices, such as Germany do not exist, if anything, is you go to the hospital. In the villages there are often small medical stations, too small to name it still hospitalized. With me around the corner, in Agou Nyogbo, about 6 away is the Bethesda Hospital, my current hospital of confidence. It is a huge area was created for the hospital, where foreign doctors have also frequently stays and what the book "Fufu is not a food of the gods' * by Dieter Jacobi.
A general nationwide supply is available, at least in this region, with differences between individual hospitals with significant variations. Smaller ones are just a few simple microscopes for analysis and, at best, assistant doctors and nurses, and other features can only provide power for the simple standard complaints. Larger, in-Agou Nyogbo, consist of several stations that have modern X-ray machines and are major operations set. Doctors have partially studied abroad and know their areas very well.
pharmacies are plentiful, but in Agou-Gare, the village of my school, there are four small depots for the most essential, even in Kpalimé several large pharmacy, which are equipped with many drugs and materials.
Once Bethesda and back
As in any hospital in Bethesda, each patient must buy before the first visit a small blue booklet in which all subsequent visits.
is first check at the entrance to the nurses. You take the little booklet, who have complaints of the patient and routinely take blood pressure, pulse, weight and temperature. Today, slightly elevated temperature, but this is normal, blood pressure and heart rate in order, weight is also unchanged. Usually it is the stomach, makes the problems.
Next it goes to the doctor, who assessed the whole situation and sends an out for analysis, either a Fingerpikser for malaria rapid analysis, a stool sample, or complete blood analysis. This will be reported as such in the booklet, it will first be paid and the analysis can be made. Smaller analysis can often quickly be picked up within an hour, which It again goes to the doctor. Asserts the booklet, looks at the result: Formes d'Entamoeba histolytica vegetative et Kyster +, two amoeba species that have no business there and enters a drug.
What did you eat last, sometimes the right and left, that is, from a roadside stand? - No, not regular food in the family, rice, yams, salad before, - ahh, no further questions, the salad again. Drinking well water, but now no more, right? - Yes, but it is cooked well, and filtered, not everything goes. - Ok, come back in a month, for the post and pass good on you and come after not first over. - I give my best. leads
The last stop myself with the booklet to house pharmacy, there arises the interesting question of whether the drug is actually in place or not. If so, the price is entered, it can be paid at the cash register and back again at the pharmacy, the drug can be taken. The drugs are usually not without any broad-spectrum antibiotics quickly, and often prescribed several drugs at once. On the other hand, the results and diseases with which one shows up, usually not without also, so that a full treatment is highly desirable in order to develop any major problems can.
I'm with the doctor at the hospital now already well known that every little bit longer-lasting irregularity I make a detour to see him. With him I feel quite confident in good hands and also to his generous drug prescriptions. If my disease even in an "African health guide" looking up, I read the greatest horror stories and am glad to be still alive.
confidence in the doctors and laboratory staff is therefore fundamental for my stay.
also concerns about the lack of sterile conditions are completely unfounded. Especially the hospitals have now found the time to fight major diseases and want to do well especially in the field of education (Sensibilisation) to contribute so that people do not even need them. Since it would be very ironic, if not every syringe, without being asked would be opened before my eyes and then disappears in the extra space provided trash.
addition to the devilish disease hospitals are a thorn in the fetish priests who enjoy very high reputation of the population. Often a féticheurs is sought to be first who knows how to heal with the help of ointments, dancing and great sayings diseases. If after several treatments, the money cost and time again, no improvement is coming, it is also for the hospital often too late.
* "Fufu is not a food of the gods" by Dieter Jacobi, appeared at West Cross-Verlag, ISBN 3-929 592-68-1
it is a bit different when you on the scene a book can go there myself. From 1980 - 1983 he lived and worked for the German surgeon Dieter Jacobi right here in Agou, in the hospital where I now regularly prescribe my medication leave. His experience, insights and impressions, he published in 2005. First, it is shocking to his current problems are described and, second, interesting to compare his experiences with today.
The descriptions of the mentality of joy and hospitality, and the fear of change I meet today as well. To the people of the region and its problems to come closer, this is a perfect reading material, in which I often found my own thoughts.
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