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Friday, 27 June 2008

Friday, 08 December 2006

  • The Promised Tro-Tro Post

    Okay, another manic post of enormous length. This one is about my trip out of Kumasi to visit Lake Bosumtwi, which involves a tro-tro ride out among other things. Again, only read if you have too much time on your hands. Hopefully next time I post I'll be back in the States. Enjoy!

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    8:37 am. It's the first time I'm traveling alone and I'm making good time, but I guess that all depends on how long I wait--in the tro-tro, waiting for it to leave. You see, the tro-tro is the most common type of transportation here in Ghana--everybody but the upper class uses them. Given how the country is dependent on these things, it's amazing how backward the whole system is. For one, the tro-tro leaves when full--which I guess could be both a plus and a minus. I just don't know how anybody could ever plan their day, or guarantee punctuality--but wait--nobody does that here anyway. There was a time when we waited over 2 hours for a tro-tro to fill--and I think the time could have potentially been much longer--before we left. Another time we only waited 47 minutes, but that time it was in the blazing heat of the afternoon, and I overheard a girl from Holland trying to explain to one of the blacks what a sauna was.

    On the way to the tro-tro lot a taxi driver yells for my attention. "Eh! Obruni! Obruni! (meaning white man)." I've never decided what to make of that label. Apparently it's not considered rude here. He wants to take me to the lake, my final destination, for what started out at 150,000 cedis (about $15) but surprisingly dropped to 80,000 as I slowly kept on ignoring and walking. I want to take the tro-tro, I tell him. It only costs 3,500. I tell him that I have no money, that back at home I am not only not making money but more than $100,000 in debt--a number I know he cannot fathom. We both laugh, and he tells me that a few of my brothers and sisters have already gone to the tro-tro station and to see if they would like to split the taxi fare. My brothers and sisters?

    I soon find out what he means when I make my way to the chaotic station and spot white people--A German couple, the guy who is wearing a safari hat that makes me mistake him for being Australian, and 2 French girls. Other white people. As clueless as me. The German couple is extremely friendly--they'd only been in Ghana for 2 weeks, as tourists and not as volunteers, which is extremely rare. The French girls are also nice. One of them has this perpetually high voice, as if she was constantly excited, or maybe just out of breath from the fresh air generated from the trash fires.

    I'm actually quite lucky with the tro-tro this time, as within 5 minutes of my locating the tro-tro we are ready to board and leave. This tro-tro is in average condition for a tro-tro, which of course is not that good. Tro-tro's had orignally been imported into Ghana most likely used, mainly from Germany (and hence many of them are ironically branded with the reputable name of Mercedes Benz) to transport cargo. And transport cargo they must have, as they look like they have transported a lot of cargo, on bad road. Over time random seats were inserted into these already variable vehicles, and walah, we have the passenger tro-tro, a true sign and representation of Ghanaian quality and reliability. As expected, these vehicles are highly unreliable and are subject to constant breakdowns--sometimes they require a Poosh Staht like a bobsled to get the engine going, and in my experience over the last 3 months of traveling on tro-tros the chance that one breaks down, at least once in the trip, is about 40%. And yet I've always gotten to the final destination eventually. The highly unreliable system in the end actually is reliable--and it's cheap--and maybe that's why there isn't any push for improvement.

    The cargo on this short trip isn't that interesting--just a few bags of rice stuck under my--and everybody else's--feet. One longer trips the cargo gets much more in quantity--and in peculiarity. Some tro-tros have goats tied onto the roof, on top of a huge stack of irregular miscellaneous objects stacked so high that the height of the cargo is actually higher than the height of the actual tro-tro. I once, or rather on several occasions, was in a tro-tro when a man brought on 2 live chickens, bodies covered in a plastic bag, with heads popping out and pecking the owner. And though I've never seen it myself, my 34 year old covolunteer witnessed 2 full grown cows tied onto the roof of a tro-tro in Burkina Faso (the country north of Ghana). How 2 cows got onto the top of a tro tro is a big mystery, but certainly maximizing cargo transport on vehicles is what these people do best.

    But no interesting cargo today. Just the German guy taking up a whole nother seat with his backpack, which he is willing to pay an extra fare for. But the driver wants to charge him 3x the passenger fare. An obvious scam, and after they duke it out and the German guy threatens to walk away (and thus stall our tro-tro as we wait for another 2 passengers to fill the tro-tro) he gets down the price to what it was supposed to be in the first place. He tells me he's been peeved by how the Ghanaians have tried to rip him off right and left. Every white person I've talked to think the same. It must be a national standard.

    This tro-tro is crammed, but no to the max. I'm disappointed. We have about 26 people on board. Comfortably it would seat about 20. We could potentially fit 32. Tro-tro's usually have a fold down seat that folds into the center aisle (and before it does so serves to scrape everybody with its sharp rusty metal edges). This fold down seat essentially locks every passenger in and allows no way of excape in case of any emergency or bathroom urgency. This one actually has a permanent center aisle with no fold down seats. Granted, it's 6 inches wide. What a waste of space. We could have fit at least another 6 passengers in the wasted aisle space.

    Everybody is now seated, and yet we're not going anywhere. I don't know why this happens, but it happens everytime. This sitting duck phenomenon renders the various sellers to come by and sell things from the top of their heads. Fried doughnuts--crackers--toothpaste--cheap flashlights from China that short out and melt and burn the user (personal experience)--bad tasting bread--umbrellas--oh wait, he's not selling umbrellas, he's only using it to hang the towels--it's the towels that are for sale--a combination of a toothbrush, toothpaste, pen, pencil, with a plastic bag thrown in!--plastic cups--shaving cream--toilet seats--???--toilet paper--oh wait, come back, I need toilet paper. The last place I stayed didn't provide any. How can any place deprive a person of something so essential--maybe that's what the left hand is for. I ask the lady how much through the tro-tro window, over the squashed woman sitting next two me. 2 for 6000. How much for 1? 3000. Then why did she tell me the price for 2? Do I look like somebody who needs 2 rolls of TP for the tro-tro ride? I don't argue, but get 1 roll. This is great. Why go shopping when shopping comes to you, in a tro-tro of all places?

    After some unexplained commotion and shouting--this happens everytime too--I think commotion and shouting is a national pasttime--the tro-tro leaves the lot. Immediately the loud blaring radio is turned on. This is standard on every ride. Bad radio--in audio quality and in content. At a volume that the speakers cannot handle. The guy on the radio is already shouting at the top of his lungs--sounds like a charismatic preacher but probably isn't. Even though he's shouting we still find the need to turn the volume high. And I can't understand a word he's saying. Maybe the Ghanaians can. Or maybe they just like noise, as a Ghanaian once told me.

    Throughout this journey we make many unexplained stops--passengers jumping off, passengers jumping on, plantains, yams, no chickens this time. Luckily we have an aisle to facilitate this passenger/cargo transfer, though I've seen this done without an aisle before. A big salute to efficiency. At one stop 3 men step on board. First one, average skinny male. Second one, average skinny male. Third one, woah mama! Or rather, papa! This guy is huge--how is he going to fit? It's rare for a Ghanaian male to be big. The majority of Ghanaian women over the age of 40 are big, if not huge, but not the men. I once got put in a row with 3 large Ghanaian women, in a row that could barely accomodate the 3 of them alone. This guy manages to fit. I guess we really have enough room to fit 6 more of him if we really wanted to.

    Surprisingly, our tro-tro makes it to the final destination without breaking down. Immediately upon pulling into the lot 3 taxi drivers spot their prey through our tro-tro windows--5 white people. "White man, white man, where are you going, where are you going?" It's obvious where we are going, and they already know--there's only 1 tourist destination in this direction, and they get plenty of white people all the time. We're not even out of the tro-tro, and they're already claiming us. I feel so rushed. Strange in a country where there is never any sense of rush.

    It's a shared taxi to the lake, 5000 cedis (50 cents) a head. That's fair. But the German guy thinks the guys are trying to scam us--he had heard that it was only supposed to be 2000. He dukes it out over 5 minutes, and gets it down to 4000 a head--a clear victory of saving a dime each.

    Along the taxi ride we come across what looks like a checkpoint. Not 1, but 5 guys sitting at a wooden booth resembling an elementary school project, blocking the road with a length of rope. It's 5000 cedis a head to be entering the lake region, the guy says. 5000 a head? Nobody ever told us about this. The taxi driver remains silent. It's a holiday, and thus it should be 10,000 a head, the checkpoint guy tells us, but he's only going to charge us 5000. Oh, so he must be doing us a favor. What a good guy. I like good guys. As we remain incredulous he points us to the sign--situated behind us about 100 feet so we could barely read it--and indeed, it says 5000 a head. Does he have any receipts? He does! and he shows them to us. So we pay him, and get our generic "Market Ticket" receipts stamped 5000 cedis. Another obvious scam, this one so complicated it took 5 guys sitting around to pull it off. Probably 3 to paint the sign, 2 to stamp the receipts, I'm guessing. If only such hard work and persistence were channeled elsewhere. . .

    We arrive at the lake--it's beautiful--and attempt to walk to the shore. We are intercepted by the "caretaker of the lake" and 2 other guys that seem too friendly and enthusiastic to see white people. According to the caretaker, the lake is safe--no crocodiles--and clean--no schistosomiasis (the worm that buries into your skin and mates in your bloodstream, thereby laying eggs that lodge in your organs causing multiorgan failure), as confirmed by the University of Kumasi--We nod--The precious lake has been slowly destroyed thorugh erosion and they've been planting trees--oh boy, I see where this is going--and thus visitors are to give a small-small donation for the upkeep of the lake. Bingo. Why didn't he just get to the point? The French girls and I put up some resistance. The German guy goes on a rampage. Profanity is exchanged. I am called to moderate. Slowly the seemingly mandatory donation becomes optional to becoming unnecessary. The German couple storms off--amazing how you can become so angry after only 2 weeks in the country. The French girls walk away. I decide to take the opportunity, now that I am the good guy and the peacemaker, to educate George, the caretaker, about how asking for money like this is what the white people despise, that doing so would hurt their tourism in the long run, etc, etc. He assures me that he is no beggar, and I don't think he understands the concept of looking out into the future for the benefit of his descendants. At any rate we become friends, especially after I agree to exchange his 2 US dollars that he scammed from another white man (which would have been worthless in Ghana) into the local currency.

    Next I befriend a Rasta dude--there are so many of them out here--who tells me that he'd like to house me, to take me hiking around the entire 72 km circumference of the lake, to take me fishing. . . He'd done this for some other tourists in the past, from Germany, from Belgium, from Holland--the resume is amazing. As I tell him I might come back for his services, for which he claimed he did not charge, he eventually shows me the road to the guesthouse, my final destination. And he doesn't ask me for any money. Amazing.

    Along the 50 minute walk, I walk through many villages? "Obruni! Obruni!" chime some kids. "Hahlo? Hahlo?" chime some other kids. Apparently they think that every white person is named hello. I say hello back and they get excited. I think I've been the highlight of their day--I like being the highlight of the day. I pass by a guy who looks like he's on the way to farm. "Good morning," I say. "Fine" he answers in response. Fine? I didn't ask. But I guess that's the way it's translated.

    I walk through another village and out of my side vision I see someone waving to me. Everybody is so friendly. I look over ready to wave back. Oh, it's actually just a goat wagging his tail. There are so many goats here, along with other animals. Man and beast live so closely side-by-side.

    I stop and chat with another kid. Apparently he has the same skills and same resume as Rasta dude did in taking around tourists. I tell him I'll look for him tomorrow. I keep on walking and come across a 10 year old boy brandishing a rusty machete and a plastic jug of water. Is he going to mug me? I don't know what to do. I hope he's nice. We walk the same way, and out of nowhere asks me if I like coco. Sure, I said. He runs up to some trees that I don't think he owns, uses his machete and hacks off an unripe coco fruit. Now I am carrying a coco fruit in my left hand, unsure what I will do if somebody accuses me of stealing it. As we walk into the boy's village, I decide that maybe I should try to be nice (and try to avoid having him ask me for money) by sharing a granola bar with him. From the US, I say, trying to make the granola bar worth more than it actually is. Immediately  I attract a crowd of 5, all wanting a part of this granola bar. And then a girl comes up, evidently inspired by my holding of the coco fruit, with 2 almost rotten papayas. She wants to give them to me and have me dash or tip her in return. I guess what she actually wants to do is sell them to me. I don't know what to do. I offer here 1000 (10 cents) for 1 and she laughs. Why do people here always laugh at nonobligatory "tips"? I guess she wants 2000. So I give that to her, revealing that I have an extra 1000 in my wallet, and now the man standing by wants that one too. Eh! I exclaim in Ghanaian language, acting surprised by his request. He laughs, and I get on my way. I managed to foil his begging. I continue on now with hands full of 1 fruit each.

    I finally reach my final destination--the Rainbow Village Garden guesthouse. It seems quiet--must be for being so far out of the way. I come across a Rasta dude--another one!--and he says "Welcome!" He smells like he's been drinking and smoking quite a bit. "This is Rainbow Village Garden. Our owner is a German man." Another plus to the resume, I guess. "We are the best among the equals," he emphasizes and repeats several times. I have no idea what that means, but smile and nod. "We are all brothers, yah mahn, one love." I keep on smiling and nodding. Yes, one love. Yah Mahn.

Monday, 04 December 2006

  • Goodbye Tamale

    I'm sorry it's taken so long for me to put up another post--my motivation now is Ghanaian. I have completed my volunteer work (and hence the title of this post), and am making my way south. I fly out in 1 week. To make up for the lack of posting, I became manic and decided to write long, long, long. Read only if you have time--this post is about my bus trip down. And warning: there may be another long post, as promised about the tro tro, coming up in the future.

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    It’s 3:45 pm. Our 7 hour bus ride down south to Kumasi supposedly leaves at 4. But we’re still not at the bus station when the ticket said to show up at 3. Why the ticket says to show up at 3 is a mystery—it’s almost a joke. Usually the bus shows up about 2 hours after the advertised departing time. Today I bet the Australian that our bus will show up at 5:30.

     We finally roll into the station at 3:47, and I’m a little worried that we’d be yelled at Ghanaian fiery temper style for showing up so late; or I’m worried that our bus left early—this, I find out later, is a real possibility. But instead nobody seems rushed—rush does not exist here. Rather, we are told over a loud, completely incomprehensible loudspeaker that our luxury air-conditioned bus broke down and that a “non-luxury” bus was coming in its place—and as an apology we’d get $3 off our $11 fare. Why AC on a hot dusty road for 7+ hours is only worth $3 I don’t know.

    We say our goodbyes to the doctor we’d been working with—I hate goodbyes, especially with this doctor that I’ve grown to admire and respect so much—he’s one of the few people I have met in the country who is genuine and honest in his dealings. Over the next hour we say more goodbyes in person and over the phone to some more of our friends. Ghanaians for the most part are very clingy and emotional—I think in one of the goodbyes I got a statement along the lines of “I want to be with you forever”—from a guy.

    At 4:42, my goodness, the bus actually shows up. This is so much earlier than expected. Now the chaos. Ghanaians not only have no sense of a line, but also seem not to understand that the benefit of having assigned seating is that you don’t have to form a herd around the bus trying to push your way in before others. Perhaps this is because the seat assignments are only a suggestion—on previous bus rides we found out that some people stepped on the bus when they weren’t supposed to—probably because he or she was the driver’s “brother” or “sister”—everybody here is related somehow—and thus had such special privileges; we were actually lucky to even get onto the bus with our tickets that we purchased a week ago. I tell the Australian to butt his way into the herd while I go and make sure our bags get into the cargo hold. The cargo crew is moving the bags around to the rear of the bus, so I think that I should help by wheeling my bag myself, thereby relegating the cargo guy’s job to lifting my bag into the hold. He looks at me—I’m expecting a thank you—and instead he makes this hand to mouth movement trying to simulate eating, and tells me that I am required to give him a tip, or dash as they call it here. This is not the first time this has happened. The nonobligatory nature of a tip is another concept that many Ghanaians seem not to understand. I refuse, saying that I needed to see the black people giving him a dash too before I jumped in on the activity. Of course, there are no black passengers around—they are in the herd trying to get into the bus. It is the stupid white man who stood around trying to help who is required to give money. After standing around and confirming my suspicions, I quietly walk away and join the herd, with a great uncertainty that my bag will remain safely and untampered with in the bus.

    The trip seems to start well, until 40 minutes down the road we hit this big downed powerline, hear a big pop and subsequent hissing from a tire. The hissing is accompanied by a bunch of “Ooo!’s” and “Ah!’s” from the passengers. We decide to offer a few Ooo’s and Ah’s of our own, and wonder why the driver didn’t stop or even attempt to slow down. 20 minutes down the road we make an unexplained stop at a village that appears to be a tire graveyard. Another bus is stopped there too. The driver steps off, and after a few minutes comes back onto the bus and faces the passengers. There is a long pause. I am full of expectation. Is he going to tell stories? Is he going to preach? He addresses us in Twi, the local language, and everybody makes a mad rush off the bus. Yes, we are stopping for a flat tire, another passenger clarifies. Nobody seems angry or frustrated. There are no apologies given. This must be a standard occurrence.

    The rush off the bus is a mystery, as nothing happens for the next 15 minutes. Well, a lot happens, but only in my head. Why are all the buses getting flat tires? Why are there stacks of tires sitting in this village? Why don’t they just fix the powerline lying in the middle of the road? Or do they even want to? Is the tire even flat? Is this all a big scam? Could it be? Could it be in a country where I’ve been scammed around every corner, where the people even scam their own, where over half of the people I meet pretend to be my “brother” when all they want is my money?

    Or maybe we’re here to boost the village’s economy. Women and small girls with the miscellaneous on their heads seem very happy to see us come off the bus. “Puurh Waahtr!!!,” a small girl exclaims at the top of her lungs. It’s amazing the voice power expended to make a 1 cent profit off of every sack of water. Nobody seems to want any water. She comes to us and specifically asks if we want water. What great service. How did the mentality that the white man needs to be approached, that the white man doesn’t know how to ask for something when he needs it, get to Africa?

    The Australian and I become rock stars as we attract a group of boys. They all want to touch our hands. Why do they always want to touch our hands? I used to be into hand touching—I touched every kids hands—I even went out of my way to touch their hands—but now after a bout of explosive diarrhea I decide it’d probably be better to hide my hands. “Give me pen,” “Give me water bottle” is the extent of our conversation. This is what the relationship between the white and black man has amounted to. I’m surprised that they haven’t asked me for 5000 yet. 5000, or 5000 cedis, worth about 50 cents, is what every kid seems to ask for from a white man, even if the kid doesn’t know another word of English. The Australian and I decide to turn the tables and preemptively ask the kids for 5000, which catches them by surprise. Some laugh. Others run away. One kid lingers around, looming, not saying a word, but quietly following in the background. I watch his every move. A fellow black passenger tells him, as if we didn’t make it clear already, that he isn’t going to get anything from us. We thank our fellow passenger. This country needs more people like him.

    It is now dark, and the only light aside from the flashlight used to fix the flat tire is the huge trash fire nearby, 50 feet from the gas station. 4 men busily replace the tire. 20 men stand around and watch, ready to jump in had one of the 4 fallen out of commission. 20 minutes later the tire is fixed, the flat is put into the bus, and we are off. The Australian and I are confused. There was no exchange of money, or tires even, with the village of flat tires where every bus stops. Maybe every suspicious activity was just a coincidence.

    6:42 pm, and we are back on the road. The trip is uneventful, except for the clanging windows and the pot holed road. And except for the guy behind me who decides to drape his sportcoat over my headrest. Why he insists to do this I don’t know. I personally would never want somebody’s prickly, oily head on my clothes. It’s actually more comfortable for me. Maybe he thinks he is benefiting from the white man’s head oil. Or maybe he just likes my fuzzy head.

    2 hours later, we make our mandatory rest stop, at the same place we stopped on the trip up where the Austalian and I were directed to go pee in a narrow back alley that doubled as a shower place. So much time and energy is expended trying to park the bus in the crowded bus yard—crowded, even at this hour of the night. Why the buses are crowded in this tiny lot is another question—there’s no shortage of land around here—but maybe crowdedness is valued here. We almost run over a parked taxi. We almost run over many others carrying the miscellaneous on their heads. We see women carrying eggs on their heads—truly an amazing feat—yet now, in addition to the eggs, they are also balancing a candle in the middle of the tray.

    We get out of the bus, and find that many sellers have already set up shop in front of our bus. Not 1, not 2, but 3 women are selling eggs, right next to each other. How do people decide who to buy from? I certainly can’t tell who has the better eggs in the dark. Due to the recent explosive diarrhea we decide to pass them all and settle for the safer bread.

    The Australian and I are no longer rock stars—all we attract this time are 2 small girls who don’t seem to speak English. One seems to be going on a tirade to the other, giving us menacing looks. These are interspersed with giggles and laughs. It’s not the first time I’ve made people laugh. I must be good at making people laugh, simply by existing. I don’t know exactly what they are saying, but I can only guess. So I respond in my head: ---- No, my people are not the people who enslaved your ancestors. Those are the people who look like the Australian. Hate him. Like me. My people may be responsible for all the cheap plastic and unreliable goods that just add to your country’s unreliability—so sorry—but not slavery. But these things I can’t explain to you because you won’t understand.

    After what seems to be a random number of minutes all of the passengers make it back onto the bus—how everybody knows that it is time is another mystery. Or maybe they don’t know, because as the bus rolls out of the lot, finally the driver asks if everybody is on board. After a few seconds of commotion, we set off.

    30 minutes later, we pass by an 18 wheeler completely in flames, in the middle of the road. I think it was carrying firewood. A group of 10 guys stand around—I’m surprised there are not more. The whole bus stands out of their seats like kids to look. I’m glad to see that this is amusing even to the locals and must not be so common an occurrence.

    It’s now into the wee hours of the night, and in the middle of sleep (How does the driver not get tired?), on an uphill stretch of road, I hear the engine lose power, start putsing, and then stop. No! It’s too late to be broken down in the middle of the road. Oh no, it’ll be a long night. But miraculously the bus gets started again, and though we’re only going 5 mph uphill, we’re still going. Thank goodness Tamale is higher in elevation than Kumasi.

    Our bus is now a tropical greenhouse, and I guess the windows remain closed to keep the dust out. Sometime around 1:30 am the guy behind me finally decides to take his sportcoat away, and yanks it from behind my head. I guess that was enough head oil for him.

    2:02 am, and we roll into the lot. Total trip time, over 9 hours. Advertised time, 7 hours. Distance, 330 km. Do the math. This distance, had there been good roads and a reliable vehicle, should have taken 3 hours. Ah!. . . Ghana.

Wednesday, 08 November 2006

  • Is Your Workday Ghanaian?

    In the spirit of small-talk, this question was posed to me by another volunteer from Germany that we met last weekend at a national park (and believe it or not, I actually did see many animals), and I knew exactly what she was asking and we both started cracking up. This is because the adjective 'Ghanaian' implies so much when it comes to describing work. To paint a picture of what I mean, let me tell you about a typical day at the eye clinic.

    8:57 a.m.: The Australian (from hereforth my Australian volunteer colleage will be referred to as such) and I roll into work, finding the front waiting area filled with patients who look like they have been waiting for a long time and yet don't have a clue about what is happening and don't complain that the clinic was supposed to open at 8 am. The patients look at us perplexed. Who are the white people? Are they doctors who know more than the black staff?
    9:02 am: We stumble upon eye nurse #1 who acts like he's busy but probably isn't.
    9:19 am: Eye nurse #2 shows up to work.
    9:32 am: Eye nurse #3 shows up to work, and we find out that he actually made an appearance earlier but then had vanished without explanation, consistent with prior behavior.
    9:50 am: Eye nurses 1-3 sit around and conduct a meeting probably as useless and inefficient as any board meeting, spending too much time talking about things that probably aren't that complicated and not that important. Obvious things are written down on paper to make things official. They wonder where eye nurses 4 and 5 are. While waiting around the Australian and I begin suspecting that volunteerism is absolutely non-essential, and start fidgeting around to try to justify why we have devoted much money and months of our lives to this pursuit.
    9:51 am: The haunting thought enters my head: Could the money I had spent to get over here been better used had I just sent the clinic a check in the mail?
    9:55 am: The Australian and I find out that eye nurses 4 and 5 are on a 8 week leave of absence. Why they let 2 eye nurses out on leave at the same time, for such a long period of time, is a fair question, but by now the Australian and I have realized that Why is never a good question to ask.
    9:56 am: Then again, we entertain that they may have let eye nurse 4 and 5 stay home because we were here. Volunteerism is useful after all and I may actually be making a difference. Hooray!
    10:05 am: The Australian and I begin doing what the nurses are supposed to do and sit in the consult room and start seeing patients 1 and 2.
    10:05:23 am: Patients 1 and 2 stop wondering about what had puzzled them since we made our appearance at 8:57 am. --The white people are doctors, and they must know more than the black staff.
    10:14 am: The Australian and I offer our first false diagnoses of the day and begin prescribing unnecessary, or wrong, medications.
    10:17 am: Patient 3 begins spewing out a list of random Asian countries thinking that he has astutely identified my origin. I ponder why I don't have the same supernatural ability to correctly pick from a list of random African countries and tag the country of choice to every black person that I meet.
    10:29 am: Patient 6 has a chunk of something lodged in his eye after he failed to wear protective goggles while welding. I bring the patient over to the treatment room and look for a nurse to either take out the chunk or offer me guidance. Nurse 1 and 2 are busy seeing other patients. Nurse 3 has vanished without explanation--we suspect he has left the clinic to go into town to get money. Nobody seems to mind.
    10:31 am: Unsupervised, but having seen it done once, I proceed to pick out the chunk of metal from the patient's eye with a needle. I can't believe they're allowing me to hold a sharp needle so close to an eyeball.
    10:32 am: The patient appears scared. I hope he doesn't see that I appear scared.
    10:35 am: I think I have successfully removed the chunk. I send to patient away with a random slew of eye drops, hoping that the body will heal itself, and if it doesn't, that I am not around to take responsibility when the patient returns with additional eye problems.
    10:45 am: I walk into the operating theater, where nurse 1is doing a pterygium surgery. The Australian and I are genuinely fascinated. More fascinating is that nurse 2 is also standing around in the theater, feigning fascination but obviously trying to get out of work--or maybe just waiting for inspiration kind of like an artist--I don't know.
    10:52 am: I am asked to do subjective refraction for a patient who needs glasses. The optometrist that the clinic hired to do this job did not appear to work today and nobody knows why.
    10:53 am: I bolster up my confidence to perform refraction, repeating to myself that I have seen this done 3 times and therefore am more than qualified to do the job.
    11:47 am: I am still refracting the same patient, and am about to scream at anybody who comes into my sight, including the patient. Patient continues to respond, after 30 seconds of unexplained silence, "It is good," to my questions "Tell me if this is better or worse." My suspicion that anything subjective should be banned from medicine is confirmed.
    12:02 pm: Nurses 1 and 2 talk about how tired they are. Nurse 3 has not returned.
    12:03 pm: The clinic is quite, but a patient walks in. Nurse 2 yells at the patient and asks why the patient was so inconsiderate to come in at this time.
    12:04 pm: The patient turns and begins to walk away, but the Australian and I conjure up our desire to help people and decide that we can offer one last false diagnosis and prescribe one last unnecessary eye drop for the day.
    12:14 pm: Nurse 2 praises us for our hard work and intelligence.
    12:15 pm: The Australian and I walk out to the patient waiting area and find the registration lady and cashier sleeping on the bench kind of like beached whales. We also find the lady who sells eggs on top of her head, and pay her 15 cents to munch on an egg.
    12:46 pm: After not having done any work for the past half hour the Australian and I decide that we have extended out our workday long enough. We tell the driver to take us home, and I tell myself that upon arriving back in the US I will go to the DMV and offer them praise for their efficiency and hard work.
    10:23 pm: I go to sleep after another hard, long day of work.
    8:37 am the next day: Nurse 3 returns to the clinic.

Thursday, 02 November 2006

  • My African Pen

    I'd like to tell you about my African pen. Well, actually, it wasn't originally African--I brought it over with me along with 4 other pens, all of which have either been lost, stolen, or burned in a rubbish fire in somebody's front yard. My African pen was a sturdy, well made pen given to me through the generosity of a drug rep at the expense of the patients who take Zosyn. I think the drug rep would be disappointed to find out that the pen doesn't function nearly as well as the drug, as I took it out of my backpack one morning and found a crack in the clicker mechanism that is so essential to the function of the pen. Perhaps this mishap isn't Zosyn's fault. I've found that everything here in Ghana breaks down earlier than expected, even if it was made in the USA. My outlet voltage convertor blew up on my first day in what appeared to be an electric fireball. My battery charger's failure to function seems related to the fireball. My 2 pound ophthalmoscope that I lugged over ceased to function after 10 hours of use. Everything falls apart--heck, I feel like even my body is falling apart. It is quite a mystery why this happens--Is it the weather? Is it the trader carrying a bucket of cheap plastic slippers on her head? Is it the tro-tro? I can't offer you a logical explanation.

    And yet things always manage to get fixed and everything somehow works out. I've seen, and almost ridden, a bike with a brake pad held in place with a rock (I have come to learn that there are some who just ride without any brakes). The taxis--I have no idea from where these cars got shipped in, or in what condition they were in when they first immigrated--all come standard with a cracked windshield (if not a torn out roof and dashboard). The other day I was in one that had a windshield so elaborately cracked that it formed a somewhat artistic pattern, on par with the stuff I've seen at the contemporary art museum--and yet the windshield still serves its purpose without showering glass on the passengers. When I asked the driver why every taxi comes standard with a cracked windshield, the driver proceeded to explain that it was from numerous head bonkings. I didn't question any further, but happily stepped out of the vehicle a couple minutes later. I hope to never contribute to the art. And then the tro tros--this will have to wait for another time (I promise!). All I have  to say is that everybody, every animal, and every other thing eventually and miraculously gets to the final destination in one piece. The shoddy fix up jobs evidently work to keep things running in this country. Granted, things need to be patched up almost everyday, but everything works out in the end.

    So, after my keen observations of the obvious, I thought to myself, why throw my Zosyn pen away? I disemboweled the pen, threw out the cracked clicker mechanism, and replaced it with a wad of toilet paper. Everything worked beautifully. It wasn't until about a week later that the screw-on mechanism near the waist of the pen began cracking--I disregarded and continued using the pen. A few days later the pen exploded (well, really, popped open) because the midline crack became too large, and the spring near the tip of the pen flew out and was nowhere to be found. Not a problem--with just two pieces of tape, I secured the tip of the pen to hold it out as the spring would have, and then taped up the middle of the pen to render the broken screw-on mechanism unnecessary. Granted, the pen only works now if I hold it at a certain angle, but in the end it all works out. My shoddy, yet effective patch up job is on par with genuine Ghanaian quality, and my African pen, as the Taiwanese phrase would have it, is "glued together with snot" (trust me, the phrase is much funnier in actual Taiwanese).

    So that's my African pen. As one of the eye nurses told me while holding an African ophthalmoscope (made in Germany) that had a battery cover held in place with a wad of toilet paper (while I was brandishing my newly taped up African pen), and as I now tell you, "You see how things are in Africa."

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