Wednesday, July 28, 2010

Buenos días again...




Good morning. I wanted to post some photos I took from the rooftop terrace a little while ago. The volcanoes are covered in fog, which is typical; but, the Quito panarama is beautiful.

I was blessed with a wonderful hot shower this morning and it looks like it'll be a perfect day for shopping -- neither too hot nor too cold.

I hope you all have a wonderful day.

I'll be home sometime tomorrow.

Tuesday, July 27, 2010

Did you say HOT water?

Tuesday, July 27, 2010

We left our hotel at 6:30 am this morning after a wonderful buffet breakfast. We were headed to the airport to fly back to Quito (a 30 minute flight -- as opposed to the 10 or so hour drive back up the mountain.) As it turns out, our last screening had to be cancelled because of a communication gap we don't fully understand. Of course we were a little disappointed, but I think it was a blessing, given that we're so tired and we haven't had much leisure time for renewal and rest.

We had already planned to visit the Termas de Papallacta (Papallacta Thermals)located in the quiet little town of Papallacta about 40 miles east of Quito, Ecuador's capital. So as a result of the cancelled screening, we got to stay a little longer at the hot springs and not be rushed.


The thermal baths are right on the banks of the Papallacta River in a unique natural environment accommodating nine hot thermal pools and three cold water pools. The hydrothermal value of Termas de Papallacta's Hot Springs is thanks to Papallacta's location between two volcanoes, Volcano Cayambe and Volcano Antisana.


Though the ambient temperature was cold at the springs, it felt wonderful once we got into the pools. The water was very hot and the temperature varied according to which pool you were in. It was raining a heavy mist the entire time we were there with heavy cloud covering, so photographs were a challenge -- the lens kept getting water droplets on it. Some of us sat and soaked in the healing warmth of the waters; others, including Dr. Moss, jumped from pool to pool so they could say they tried them all.


We ate lunch at the restaurant directly adjacent to the pools, then drove back to Quito to find our lodgings. We're spending our final night in Ecuador at a large hostel -- 2 people to a room with an en suite bathroom. There is hot running water and I have great expectations for a hot shower tomorrow morning.

For dinner tonight, we scooted downtown to the Terraza del Tartaro rooftop restaurant for a lovely meal. They had a warm fire glowing in the fireplace and blessed me with delicious iced tea, served with fresh limes. This was definitely a night to remember.

After breakfast tomorrow, we're planning to drive over to the Middle of the World Monument for shopping. We'll go to a restaurant for lunch and dinner and squeeze in a debriefing meeting with Mike, our Extreme Response host. At around 8:30 pm, we'll board the bus one last time for a short ride to the airport, then take a late flight to the states tomorrow night.

I have such mixed emotions...

Riding back into Quito earlier today, I realized Ecuador is growing on me. I've warmed up to the style of the houses and the city and no longer think they're as shabby as I once did. After getting to know some of the Ecuadorian people, I'm able to see the way of life here for what it is and am not so eager to compare it to what we know in the states.

and I wonder...

Did I meet the goal?
Did I impact community health in Ecuador in some small way?
Did I make a difference?

Combing the beach for rocks...

Monday, July 26, 2010

We hopped on the bus this morning after breakfast and drove to Manta, which is on the coast. We were scheduled to conduct a health screening at the dump. We worked in conjunction with a mission and there was a doctor to write prescriptions and follow up with the patients on site. There were only 50 people and I was able to take blood pressure and pulses again. We worked more efficiently than ever, since we're staying at the Howard Johnson's ocean-front hotel (5 star) and we were eager to hit the beach!

It was chilly down by the water and there was hardly any beach to speak of – mostly rocks. Not a soul was on the beach except us – apparently it's not safe here. The security guard from the hotel didn't take his eyes off us as we stayed near the hotel, combing the beach for shells. Well, mostly combing the beach for rocks.

Here I am -- looking over at the beach from the railing of our hotel...



The best part of going down to the beach was coming back to our room and taking a hot shower -- with all the water pressure you could ever want. We also had ice in our drinks for lunch and dinner -- Thank you Howard Johnson!!

We have internet access in the rooms and I'm a little crazy trying to catch up on blog posts and homework. We can't believe it's almost time to return to the states. It seems like we just got here and we have to fly home Wednesday night. Where did the time go???

Tomorrow we fly back to Quito first thing in the morning and conduct our final screening in the early afternoon. Wednesday has been reserved for shopping and touring.

A little bit of Heaven...

Sunday, July 25. 2010

This morning's church service was wonderful. We attended Pastor Noberto's church and made up half the congregation.

Here is Pastor Noberto...



The worship service was refreshing. We sang "Shout to the Lord" and "Lord, I Lift Your Name on High" with them – us in English and the congregation in Spanish – and I thought of how big God is and how lifting our voices in praise together was a glimpse of what Heaven will be like.

Here is the outside of the church...



The pastor called us up to the front of the church and prayed for us, asking God's blessings and protection over us. Then, as the service ended, he asked us to stay in the front of the church and allow the members of the congregation to greet us and show their gratitude. Of course this was done in the traditional Ecuadorian way – with hugs, kisses, and "Dios le bendigas." (God bless yous) -- all in Spanish.

Their gratitude brought tears to our eyes. We have learned to love the people so much and their contentment is so refreshing. There are no words to describe the love and connection we feel and it's impossible to express the oneness we have with them.

With renewed vision, we reluctantly said our good-byes and headed back to the hotel.

As quickly as possible, we lunched, changed clothes and headed 45 minutes toward the coast to Bahia de Caráquez (Bay of Caracas) for a look at the beach, a little shopping and dinner out. The town seemed shabby, the water dirty and the non-existent beach rocky, so no one wanted to swim. But it was nice having some time to walk around, take photos by the water and relax.

Here I am, fooling around by the sea...





We went to a really great pizza place for dinner and had a taste of home, then it was back to Tosagua and homework for the rest of the evening.

Monday, July 26, 2010

Augustina's hospitality...

Saturday, July 24, 2010

This morning we headed to a nearby community called La Madera, where Noberto, the pastor of Dios Con Nosotros church in Tosagua, and a few church members have been trying to plant a church. Up to this point, they've not been able to make much progress. Their hope is that by having a health screening and providing follow-up for the needs of the people, this will help open doors to enable them to build relationships and thus progress toward their goal.

To access the community, we had to walk across a long swinging footbridge over a river.



The screening was to be in Escuela Enrique-Gilbert, the local school. Here is the wall around the school with typical painting on it.



We used two open air classrooms for our stations. The weather is always mild here and keeping things open helps to ensure breezes. In the corner of both classrooms was a standing basin of water with soap, and a towel hanging on a nail for handwashing when school is in session.


The school desks and chairs were ancient and, though there was a standing white board, the furnishings and supplies were sparse and primitive.



The toilets didn't flush unless you poured water into the tank first. Water buckets are kept full outside the bathroom stalls and there's a converted milk jug scoop for carrying and pouring water.

I found a little frog when I lifted the tank lid to fill with water so I could flush...



Our new Centrifuge broke yesterday, so there will be no more hemoglobin checking station for our screenings. I was able to check blood pressures and take pulses all day and we screened approximately 140 people. With that kind of practice, my skills are quickly improving and the environment among the students is supportive. In fact, we've grown more cohesive each day. It helps that we're not so crowded in the Tosagua hotel.

The screening was like all the rest, with the people showing great love, affection, and appreciation to us with hugs, kisses and kind words. My Spanish is improving and I can greet people in their native language comfortably now.

The highlight of the day was eating lunch at the home of Augustina, one of the residents of the La Madera community and a church member of Dios Con Nosotros. We washed our hands in the same way as last Friday, because these homes don't have running water. We sat at a large table on her open, covered porch and had fried plantain chips, an unidentified soup, chicken drumsticks, white rice and a kind of cabbage salad which Dr. Moss told us not to eat. Three students have come down with traveler's diarrhea and had to be taken back to the hotel as soon as we got to La Madera this morning – so that's taken some of the fun out of meals for me, but I loved being in Augustina's home, seeing her open kitchen and getting a close up look at the way things were arranged and built within her home.

Here are photos showing Augustina's open kitchen leading to the covered porch...




We've been shown such hospitality by the Ecuadorians -- This is just one more example...

Saturday, July 24, 2010

...and they will be my people.


Friday, July 24, 2010

I photographed a handmade banner hanging on the wall of the church where we worked today. In English, it reads, "Thus saith the Lord, I will be the God of all the families of Tosagua and they will be my people."

We headed over to Dios Con Nosotros (God With Us), a local church this morning to conduct a screening for some of the people of Tosagua. The children were more timid than we've seen and less cooperative; so many didn't get their hemoglobin checked. (The hemoglobin station involves a quick finger stick and taking a tiny amount of blood from the fingertip to rule out anemia.) Still more children pouted as they moved from station to station and several refused to allow me to check their pulse or blood pressure! This is quite a change from before, where the children were eager to see what our station was all about and willing to allow us to do most anything as long as we smiled at them and patted them lovingly.

The children, in fact some adults, are a little suspicious of us. I can see mistrust in their eyes. Still others – especially the abuelas (grandmothers) – are very loving, hugging and kissing us over and over and thanking us and repeating, "Dios le bendiga." (God bless you.)

The pastor, Noberto and his wife, Belen (Bethlehem) were very gracious, bringing us fresh mandarin oranges & papaya, freshly baked bread & cake still warm from the oven and drinks throughout the day.


We saw a little over 90 patients and learned how to flush a toilet without running water by pouring water into the tank before flushing. Before lunch, we washed our hands by wetting them in a bowl of water, lathering up well with soap, then rubbing our hands to rinse as someone poured "clean" water slowly over them into a basin. What servant hearts the people of Tosagua have! I really felt humbled having someone assist me to wash my hands.

During a delicious lunch prepared for us by the hotel staff, (fried rice with peas and carrots, chicken, fried plantains, and a warm potato salad with cabbage) the water truck came to fill up the cistern. After that, thanks to gravity, we had running water in the sinks and toilets!

A photo of me with Bella, a lovely lady with high blood pressure...



Following dinner at the hotel, we headed to the open air arena, one block away, to watch what we thought was a soccer game. Pastor Noberto promised to save a spot for us if we would agree to come and we were under the impression he was going to play. We arrived at 8:00 pm and it seemed as though they were never going to get started. We finally left at 10:00 pm without ever having watched a soccer game! We never did figure out what they were doing – it may have been a kick-off for the soccer season or some kind of exhibition – who knows, it was all in Spanish!!

A photo of Noberto, the pastor of Dios Con Nosotros Church in a soccor uniform!


We travel to Tosagua...

Thursday, July 22, 2010
What a journey! Today we traveled from metropolitan Quito, 9,500 feet above sea level, to Tosagua, a rural town near the coast. We bumped and careened our way down inferior roads for hours, as we soaked up the novelty of Ecuadorian culture. At one point, we followed behind some cowboys driving cattle down the middle of the road!


Riding on the edge of a cliff much of the way, we arrived at Tosagua around 5:00 pm. God is good.

Most of what we passed was farmland with cattle, goats, donkeys, horses, chickens, geese, corn, sugar cane, tomatoes and a few empty rice wetlands. Growing (apparently) wild, cultivated in fields and planted in the tiniest yards, banana and papaya trees were abundant. Hammocks hung under houses, on tiny front porches and between trees.

All along the road were houses. Scores of them were built on stilts, even when water was nowhere in site – perhaps to discourage bugs or supply shade and storage for people or animals. Nearly every house we passed was in deplorable condition, many with no windows or doors. A few had beads or a curtain hanging where a front door should have been and curtains in glass-less windows. Countless homes had bars over the windows, glassed or otherwise, as security is an issue even in rural Ecuador. It is noteworthy that the houses lack uniformity – they might be roofed or sided with several different materials, as if they ran out of one thing and were forced to make do with something else. Even brick houses are often not uniform – being part brick, part cinder block and part something else. Incidentally, it was impossible not to notice Ecuadorians don't use a level to lay cinder block or brick. This is true in Quito as well.

Almost every house had clothes hanging outside, sometimes on a clothesline, sometimes over a fence or porch railing. (This was also common in Quito, even with the nicer homes.) One family was outside washing laundry in tubs, as we passed by.


Many times I would spy a ramshackle shed or barn and focus my camera on it, only to find out, as we approached, a family was living there. I have never seen such abject poverty. Indeed it is impossible to convey or comprehend

and yet these families live…

I don't know what I expected upon arrival in Tosagua. I know my expectations were decreasing by the minute as we drove along. Reading the Bienvenidos a Tosagua sign prominently displayed at the edge of town, I seriously began to consider our lodgings.


My relief was palpable when our bus driver slowed to a stop in front of a lovely hotel right in the middle of town. We're staying at the Hotel Punta de Oro and the rooms are quaint and charming. In most cases, we are 2 to a room, with en suite bathrooms. Ashley and I each have our own bed, covered in old white linens with embroidered pillowcases and lacey white mosquito nets hanging overhead.


The walls are a charming periwinkle blue, as are the tiles in the bathroom. Our rusty shower head is equipped with a widow maker, a way to harness electricity in the water pipe to heat water; but it isn't hooked up and doesn't heat water… I know this because I can see the loose wires hanging out above the shower head.


Needless to say, I won't be considering the implications of mixing water with electricity in the morning as I hurry through a cold shower and thank God for running water.

We were given free time before dinner to walk around town in groups of 3 or more. A few of us headed to the open market to look at picturesque fresh produce and the Faramacia to buy some anti-itch cream for somebody's mosquito bites. We endeavored to absorb the sights, sounds, and smells of a town that in many ways seems as if it's living in another century.

Here's a view of a major intersection from our patio-furniture-ready rooftop terrace...


A view of the open market from our roof-top terrace...



At 7:00, we enjoyed white rice and grilled chicken for dinner with peach juice in the hotel restaurant, then spent several hours packing supplies for the next few days of screenings. After that, I headed upstairs to my room to do homework and, with no internet access in the hotel, went to bed earlier than I have since we arrived in Ecuador.