Si, Si Senor- Estoy En Ecuador!

Watch Lisa in her Ecuadorian escapades!

Small Joys

Small Joys
These kids were so entertained by these glove balloons we made- tons of more kids came asking for some, but we ran out of gloves :(

More CPR

More CPR
This is like the 15th CPR class we taught. We are pretty popular- we were even in the local newspaper because of it!

Maternity Sala

Maternity Sala
Here is a post partum room- it has about 40-50 patients at a time in it and the mothers just lie in bed with their babies. The saddest thing was how many woman lose their babies in labor here, and yet they are in the same room with other woman who have their babies with them.

Teaching The Nurses

Teaching The Nurses
The nurses wanted to learn about evidence based care for umbilical cords. They were very excited and open to learning for the patients better outcomes.

The Nursery

The Nursery
We got to go in the nursery, feed the babies, and clean them- probably the highlight of maternity here- so cute!

This was my baby for the day- tempted to steal him and take him home.

I would tell you his name, but the moms here don't name their babies for awhile usually because they die so often, and it helps them cope with it more.

Delivering Babies

Delivering Babies
I have moved onto working in the maternity hospital. Woman here start having kids young (like 15-16) and lots of them. So at this hospital they average almost 100 delivers a day! These are the awesome clown sized scrubs. Short pants, huge shirts.

This is the delivery room- just notice how all the beds are just lined up- all the woman are exposed with no privacy and little attention.

There is no pain medication here and none of these women have heard of hypno-birthing for sure ;) So we would help them with techniques like counter pressure, etc. Here is Becky and Aubriegh helping one woman. The woman are usually just on their own yelling until they actually deliver. They were all so grateful for us being there to help them.

This is a woman I was helping through her labor and delivery. I could barely understand her, but I was able to help her through it and give her support. She was kissing my hands and thanking me afterwards. The mothers and the babies are seperated right after the delivery, so I went and took pictures of her baby in the nursery to show her. Here she is the first time she got to hold her baby. It was very sweet.

The Ones' Everyone Abandoned.

May 18, 2008

This afternoon was one of the more special experiences that I have had here. We got to go to the mental hospital to sing hymns to the patients. I wasn't sure what kind of things to expect at a mental hospital down here- but I was sure surprised. It was basically what most people would imagine a mental institution in the States about 60 years ago. Lots of patients, just running around doing strange things, with hardly nothing to care for them. All behind fences. Kind of a scary thought. There were close to 1,000 patients in the hospital with one nurse. There were lots of guards, and the whole place is run by nuns. Since medication isn't very available, patients were just in horrible conditions- both mentally and physically. It was hard to see, and the sweet little nun taking us around was trying to settle our obvious fears.

Yet as we started singing songs all the patients would get so quite and would come over and listen to the hymns. We only had time to sing about 3 songs per unit, but you could just see how happy and enamored to see and hear us they were. One little guy followed us to each unit being our cheerleader- clapping the whole way along. Another man started signaling others to quite down and put his hands together in prayer as we sang 'Hallelujahs' and would mouth the words along. At the end the nun told us how almost all these patients had just been abandoned there, left behind those fences. She told us that by being there and showing them some kindness and love, we had given them the greatest gift possible. It was truly a sweet experience.

I am sorry I don't have pictures- I wasn't really able to take any while we were there- but one teacher did and I'll try and post them later. Love you all.

Santa Ana Hill & Las Penas

Santa Ana Hill & Las Penas
This is this hill with all the cute little pink houses- we got to climb up to the top to see the beautiful lighthouse view from the top.

Las Penas

Las Penas
The first residential neighborhood of Guayaquil

Lots of stairs- just the beginning


The Lighthouse

There was a Cathedral at the top- here is the beautiful view

Overlooking the city coast line. It is crazy how big the city is, then just across the river is jungle.

Me & Sara

444 stairs- to be exact

Lights coming on at night

Welcome To The Jungle

Welcome To The Jungle
We went hiking in the jungle today! It is a part called 'Cerro Blanco'- it was soooo cool! It was basically like being in the movie 'Fern-gully' (anybody remember that?)

the official bird of the area is the parrot- these are not the real parrots.

cool huge spiny green trees that grow everywhere here

This is sign posted next to a tree- it says that the tree is my friend - haha

The roots of trees grow in these crazy twisty patterns- it's so cool.

Me and Sara overlooking the jungle

It was so amazingly viny ever where- these trees just droop all over- it was like being George of the Jungle

Us all with those big trees

Yep- a big 'ole tarantula just sittin' in the road- there were spiders EVERYWHERE- and for those of you who know me- it was a freaky thing because they are all HUGE!


Hiking in 80% humidity = sweating like a pig

This bird was huge and was trying to bit my face off- but I think in some way we are friends


Me overlooking the Valley- this jungle in the back of me is 'virgin'- meaning nobody is allowed in it, except sometimes scientists. It was so amazing to see something so untouched.

Canoeing

Canoeing
We got to go canoeing down this jungle river as well. The mangroves were crazy huge with iguanas in the trees everywhere. It was really beautiful and made me feel like I was in Indian Jones or something.

When we came the men were bailing water out of the canoes- maybe not the most sea worthy vessels.

The mangroves. Their roots grow in tri-pod shapes into the water to support the branches as they inch out over the water.

Museum of Anthropolgy

Museum of Anthropolgy
We went to a museum of Ecuadorian anthropology- it was pretty darn cool. The ancient art work is very different than the Aztec art I am used to. Way too go Incas!

Wierd little statue guys.

The Junta

The Junta
The Junta is the organization hosting us down here. They run all the health care for those who can't afford it. We got to meet with some of the head haunchos and have a conference. It was very informative and impressive how much they really care about making sure people are taken care of. For being a 120 year old organization with 6,500 employees- their mission really shows all the way down to their staff.

Showing Off The Scrubs

Showing Off The Scrubs
We basically have to wear our scrubs all day- so we were livening it up by rolling up the pants and sporting some flip-flops. Woah- dream big!

Moving On To Maternity

Moving On To Maternity
First day at the maternity hospital- we got to teach some of the nurses that work there. As you might notice the nurses here still wear the white dress, stockings, shoes, and of course - the cap. Grandma would be proud.

NICU

NICU
Me in the neonatal intensive care unit- I was kinda shocked they let me take a picture but- teehee?

Health Fairs

Health Fairs
So when the wards and stakes heard we were down here they got really excited to have the American nurses teach them stuff- next thing you know, we are doing 4 stake health fairs. It is pretty fun- and all the people are so super excited to have us there. Here is some pictures of our classes- this is teaching injections (here, a lot of medications come in injections and you either do it yourself or have to pay someone to give it to you)- so they're practicing on oranges.

CPR- they thought that the whole process was very funny and kept laughing

Nutrition & Excercise

And my group taught about asma (aka asthma)

Protest!

Protest!
So everyday going out to the community involves a long bus ride through crowded streets. Today there were people protesting in the middle of the street, burning tires- so we ended up sitting in the bus in the same place for an hour, and I took pictures!



Jose

Jose
This is Jose. He is a 19 year old kid who works for the Hogar de Cristo (the organization we go out into the community with) teaching sex education. He is really dedicated to helping people and very nice. He is right now trying to get into BYU Hawaii, so we are all trying to help him out as much as possible. I was helping him with his English for a long time today. Definite trouble with the 'th' sound. So, he is looking for a sponser to get into school if anyone is interested :)

More Fiesta-ing?!

May 14, 2008

So to many of you it must seem like I am fiesta-ing quite a bit, and it is true I suppose- haha. Really though, it is just part of Latin culture to stay out late every night and live it up. They definitely aren't as concerned with time like us- which explains why they aren't as stressed, but also why buses and meetings are lucky to start at anytime within the hour specified.

So this party was for David- he is one of the guys that came with us that is actually from here. His mom lives around the corner from our hotel, where she owns a restaurant. She closed down the restaurant down for the night and had a private dinner with all of the yummiest Ecuadorian food for us all. It was also to celebrate David's birthday (on Monday) and so we got surprised with another mariachi band!!! Not that I'm an expert or anything- but these guys were awesome. They were so funny and really good. It was hilariously loud in this tiny private room. But we danced for hours with them. It was so much fun. I have to say that Latin people know how to party and we are all incredibly boring in comparison- hahaha.

Yummy Food!

Yummy Food!
A huge buffet of all Ecuadorians finest.

It's Not A Fiesta Without A Mariachi Band

It's Not A Fiesta Without A Mariachi Band
Now, this is the second mariachi band I've seen since being here, and they were hilarious. We were partying it out with them for several hours. I don't know how these guys sing for so long and wear such tight pants! Ahh!

Lisa Con Sombrero?

Lisa Con Sombrero?
I was trying to fit in.

Sheri Gettin' Down

Sheri Gettin' Down

Conga Line Anyone!

Conga Line Anyone!

Party Paige

Party Paige

Maybe I'll Run Away An Join A Mariachi Band

Maybe I'll Run Away An Join A Mariachi Band

Dancing Lessons

Dancing Lessons
Me trying to dance to mariachi music- don't worry Rick ; )

Senor Suave

Senor Suave
The lead singer really liked dancing with the American girls- haha

Teresa, Corey, and Me

Teresa, Corey, and Me

My Lucky Machete

My Lucky Machete
This guy was doing yard work with this huge machete, sharpening it on rocks as he went. I thought it was awesome.

Los Animales

Los Animales
Today I took pictures of all the animals I saw- here are the chickens that wander around the streets eating the trash.

Here is one of the piggies that also are around to eat trash. All these animals just totally run around peoples yards and houses- probably not the most hygienic. But for how much trash there is everywhere, they probably need some more piggies and chickens.

This was one of the families we taught pets. It was soo cute- just hopping around the house, and started eating one of our pamplets. Haha- sorry if I get bird flu.

Another Family Taught

Another Family Taught
We taught this family who had a daughter with epilepsy. They don't have access to epilepsy medicine- so the girl was 30 years old and has been confined to her bed basically since she was 3. She was just on a padded matteress in the back room and just lays there all day. The family really wanted us to help them in some way- but there just isn't much we could do. It was pretty sad, but they were still grateful to have us. I actually taught a whole lesson by myself- so my espanol must be getting better.

Community

May 13, 2008

So today was my second day out in the community. It is so different from anywhere I've ever been. People just have sooo little and are dealing with the lack of such basic needs- food, water, shelter, where to put your trash! It makes all of our problems seem so insignificant. Yet, these people are so excited to learn. They have so little, but want to do the best they can to give their family a better chance. It is so amazing how receptive people are to two random strangers coming into their home who barely speak their language and are telling them what they need to change. We should all be so willing to learn from each other. I know that I am learning much more from the people than I feel I am teaching them. Love you all (especially Rick!)

Basura

Basura
Trash!!! Out in the communities there is trash EVERYWHERE!!! The people just don't have anywhere to put it, so it's in yards and sides of the roads. There are chickens, pigs, and dogs running around that eat some of it- and then they burn it a lot (which is totally carcinogenic). When we asked one of the people we work with why it is like this, he said it is because the trash company can't get out on the roads to the communities. And the trash company is actually literally down the street- the second you get onto paved road the trash company is right there. It is so sad. Not to mention that the smell is horrible! If I could take a picture of a smell I would, just for you to understand- blah!

El Tanko de Agua

El Tanko de Agua
This is how that people get water. They have 50 gallon tanks in their homes that this truck comes and fills with water. The water is not garunteed as being clean in any way, shape, or form. So we are trying to teach them to purify it with bleach. The price to fill their tank has just liked doubled, from 40 cents to 70 cents, and all the people are really stressed about being able to afford water. Yesterday we had one woman faint while we were teaching her because she hadn't drinken water all day. Such a small thing to us has a huge impact in a community like this.

Teaching In More Homes

Teaching In More Homes
This was day 2 of going out teaching in the homes. It went much smoother. I swear we look like two missionaries though. haha

Una Familia

Una Familia
This is one family that we taught that actually out-rightly asked to hear about STD's. STD's are such a huge problem here, but have an incredible stigma and taboo, so nobody wants to talk about the problem. The father in this family was talking about how all the people needed to hear our "beautiful message" about STD's so they could teach their kids and save lives. It was pretty neat.

Little Girl Cutting Her Vegetables

Little Girl Cutting Her Vegetables
She was using somewhat clean water- much more than most people. Clean water is a big problem out in the communities and one of our main teaching points.

Me Con Bebe

Me Con Bebe
While the more fluent people helped teach, I helped by playing with the kids and holding babies- I don't know why but brown babies are just sooo cute

The Children...They Love Me!!!

The Children...They Love Me!!!
So I might not be fluent but me and los hijos understand each other.


In Front Of The Lighthouse

In Front Of The Lighthouse
Katie, Sara, and Me in an artistic shot (apparently pointing out that I'm the shortest is artistic)

Statues

Statues
These were just some wierd statues we found in the city of some of the founders (I'm guessing). We are copying their odd glares.

The Most Amazing Car You'll Ever See

The Most Amazing Car You'll Ever See
This is their ambulence, but nobody ever uses ambulence here, so we get taken out to the rural parts in it. 30 year old Land Rover taken on roads that you can hardly walk, much less drive! Pot wholes the size of cars! Imagine the Indian Jones Ride at Disney Land, but like for over an hour (not quite as fun)- we all huddled in the back.

In The Back Of The Ambulence

In The Back Of The Ambulence
It is quite cozy :)

Subcentro de Salud

Subcentro de Salud

Teaching In a Sub-Central

Teaching In a Sub-Central
Here they have little buildings, called sub-centrals, where the local people come to learn health principles, get immunizations, and sometimes get to see a doctor. It is a run down little building, with everything outside. Mainly mothers come here to learn while all the kids run around. This is David teaching about STD's - which is probably the biggest problem in the community because it is socially accepted that men sleep around. They were all very interested, but knew so little- information that we would just take for granted- like that STD's get passed if the male has had multiple partners.

Getting Questions

Getting Questions
We had the woman write down what they wanted to learn about, but about half of them didn't know how to write.

Cute Kids

Cute Kids
All the kids here are so cute and excited to see you- I started playing with them and they kept wanting me to come over, yelling "Senorita!" They were also very excited about my camera.

The Street

The Street
This is a much poorer than the area that we built the house- there is a very distinct odor of trash and sewage water everywhere, since they have no collection of either.

Teaching In The Home

Teaching In The Home
We went out in the community, house to house, teaching health principles. We have this big binder of health powerpoints to teach. So I would read the powerpoints and then David (the fluent one) would expand on the point. It was basically like being a missionary- haha. I definitely need to improve my spanish pronounciation, it was a tad embarassing, but good practice.

Baby In A Hammock

Baby In A Hammock
Awwwww!

Having Fun

May 10, 2008

Last night we went to a Dia de las Madres fiesta with the local branch. Man do they know how to party. No green jello and primary performances here. Mariachi band, contests, and dancing the night away- not to mention yummy food! They were so excited to have us there and put on 'American' music for us to dance to. What else should come on but Brittney Spears' 'I'm A Slave'- haha, we were cracking up. They had no idea what it was saying, but it is not exactly the type of song you'd think of playing at a Church activity. But we danced and taught them a few moves from the States.

Then today we went to Salinas, the biggest tourist beach in Ecuador, and had a blast. It was so nice to be the water- it was probably in the 70's- so much warmer that Southern California, but not as warm as the Gulf of Mexico or anything. I guess the Pacific Ocean is the Pacific Ocean where ere you go. The water was beautiful though, and we stood out quite a bit as a huge group of white girls in bathing suits. Haha- I have to say we are quite exotic in Ecuador and it is normal for men to cat-call while you walk down the street. We attract a lot of attention where ever we go to say the least.

We got to eat at this resort by the beach that had every food under the sun- even salad! We aren't supposed to eat anything that has been washed with tap water and we can't peel to avoid getting sick and stuff. But since this was an international resort, they used purified water and we all got to eat raw veggies- it was a very exciting day.

The most fun was probably getting to go cruising around the port in the afternoon and diving off the boat. We had a great time. And no matter how much sunscreen we put on we ALL got sunburned- I guess that is what you get for being at the equator. Love you all!

Salinas

Salinas
We went to the most popular beach in Ecuador for the day. The water was super blue and much warmer than Southern California for sure.

Beautiful

Beautiful

¿Cuánto Cuesta?

¿Cuánto Cuesta?
At this beach the stores come to you. In seconds every vendor - selling anything from jewlery, to pots, to hats, to tatoos- surronded the gringos and bartering began.

Vincent

Vincent
This is Vincent- he is basically our tour guide for the Junta. He usually wears a shirt.

The Whole Group

The Whole Group
We asked one of the vendors to take this picture- I made sure I could probably out run him before giving him my camera.

Ecuador 2008

Ecuador 2008
Me and Paige

One Word- Buffet

One Word- Buffet

Boating

Boating
We went out on a boat around the port for awhile- way fun!

Jumping Ship

Jumping Ship
Once we got out a distance we decided we didn't need a boat anymore and jumped off

Sara, Me, & Katie

Sara, Me, & Katie

Happy Mother's Day

Happy Mother's Day
The ward here had a Mother's Day fiesta on Friday night. It was much more fun than anything we do in the States at Church activities. This is the mariachi band that was there- they had tons of games and dancing. Tons of fun!

Our Instructor Gettin' Down

Our Instructor Gettin' Down

Mr. American

Mr. American
This guy is so awesome- he knew we were coming and he totally got decked out in his American gear- BYU shirt, jeans, sneakers, fanny pack, and army hat.

Building A Home

May 9, 2008

This was one of the best experiences I think I could have possibly had down here. We got together with a organization called 'Hogar de Cristo' to build some houses for people out in the community. You might think- but Lisa, you don't know how to build a house! Well, you're right- BUT these house are a little different. One room, made of bamboo, tin roof, and on stilts in order to keep it from flooding and away from mosquitoes a bit more.

The woman whose home we helped to build was so grateful to have us there. Even though she had so little (see picture below) she automatically got out the best thing she had to offer us (7 Up) and wanted to make us lunch. We thanked her and got to work. Luckily it was a perfectly sunny and 90-something degree day with 80% humidity and we were right out in the middle of it doing hardcore manual labor ;) We dug her foundation for about two hours- removing rocks and making sure it was deep enough that her house would be strong. I don't think I have ever sweat that much in my life. We were drinking gallons- but none of us had to pee the whole day, if that gives you an idea.

It took about 6 hours to get the house up- a long day where I hurt everywhere and wanted to fall over and sleep- but when the woman, her children, and her grandchildren came and started smothering us with hugs and kisses, and asking when we would come back and stay with them- all the pain went away. Service is such an amazing thing- it makes you forget about yourself and your problems so completely. It is a good feeling to think that I was able to help give this woman a home.

Out In The Community

Out In The Community
Houses are mostly bamboo and tin roofs here- some are cement if you're lucky.

The Street Where We Were Building

The Street Where We Were Building
This is one of the nicer areas in the community

The Street

The Street

The Family We Built The House For

The Family We Built The House For

Home Sweet Home

Home Sweet Home
This woman who we were building a house for had had her house destroyed in the floods earlier this year. This was her and several children's home when we came. On the left- the bedroom, on the right- the kitchen, behind the wall- the bathroom. And that is the whole house. She was, needless to say, super excited for us to be there to help.

Digging The Foundation

Digging The Foundation
That's right- we put in the most important part :)

Me With The Cutest Little Boy

Me With The Cutest Little Boy
This little boy was the great-grandson of the woman we were building the house for. His name for Jeremy and liked practicing English.

Sittin' On The Floor

Sittin' On The Floor
This is the floor of the house. You can see that it is really high (had fun climbing up fences and trees to get up and down) in order to keep mosquitoes and water out better.

Raising The Walls

Raising The Walls

Playing Volleyball

Playing Volleyball
We were up working on the house and see this one kid start to wind out this rope around the street- and walla- a volleyball court. And they were playing without shoes too! Ouch!

It's Done (except the roof)

It's Done (except the roof)
The roof got put on after had to leave- I promise.

Lots of Bananas

Lots of Bananas
This is where most of the US bananas are grown apparently- and what we get must be the crap bananas, because here they are delicious!

Street Market

Street Market
My favorite part was all the raw meat hanging out in the open. The butcher just cut it with his bare hands and then went about buisness. Very different- but the produce is AMAZING!

Iguana Park

Iguana Park
For some reason, there are about a million HUGE iguanas acumulated in this one little park infront of a Cathedral. They are really BIG and climb all over. I saw one of them fall out of a tree and jump up on a woman's lap- I think it was one of the funniest things I have yet to see.

Big Iguana

Big Iguana

Run! Run Small Child From the Iguana! It will Eat You!

Run! Run Small Child From the Iguana! It will Eat You!

Cathedral

Cathedral

Look Familiar?

Look Familiar?
So, as many of you know, LDS temples have a statue of an angel on top of them. This is the Cathedral with a statue of Jesus on top of it! I thought it was pretty cool.

Love.

May 8, 2008

So I have so much that I want to share with you all, I am learning so much and having such new experiences, that it is hard to keep track of them all and share the emotions that go with it.

So today was my last day at the 'Luiz Vernaz' hospital and it is amazing all the things I have seen there. I hope that you get a chance to read the captions from the pictures I have been posting so I don't go over all the same events again. Today I was on the women's unit and met the most awesome Doctor that I seen thus far. His name was Xavier, he is a general surgeon, and spent all morning with me and my friend. First he just wanted to practice his English with us, but then as we got to know each other, we starting discussing patient care and the differences here and in the States. The doctors here spend the morning doing rounds, examining each patient, and actually talking to them!!! The doctors here basically do everything nurses do in the States- assess the patients, do basic procedures, and talk with the patients, etc. We did rounds with them and they put us on the spot and said, "What does this patient have"- pointing to their stomach. We were both taken aback, then looked, and guessed- umbilical hernia? Bingo! Then he said, "See, you diagnose. You doctors!" Haha, we told them how doctors are in the hospitals for like 10 minutes a day in the States, and the nurses are with the patients and basically tell the doctor what needs to happen. They laughed, and said the we were the doctors- we just said no, and laughed.

One thing that is really interesting here is that the doctors who work at the county hospital we are at basically don't get paid. Xavier has been working there for 8 years and has never seen a dime. All the doctors have to have their private practices in the afternoon to earn money, and work at the hospital out of generosity. As we talked to Xavier and talking about this he kept saying, "I am a doctor"- meaning that all he did and was was because he was a doctor- he believed in God, because he was a doctor; he loved others, because he was a doctor; he was everything good, because he was a doctor. He was so passionate about what he did. He took us to each patient to help do assessments. He was saying how important it is to touch the patient- at first we were just watching as he touched them to examine them when he grabbed our hands and said, "No, Touch the patient" and placed out hands on the woman. He said you can't heal unless you are with the patient and touch and know them. He was one of the few doctors that believed in using pain medication (like morphine) to control patients' pain (most patients receive no pain medicine, and those that do get medicine that we would never use in the States because they are not effective, like toporol). He kept telling us that we are nurses and we need to care for patients and show them love. It was such an amazing example of passion and love and service to me. It is rare to meet a doctor like that, in Ecuador or the States.

One more story I want to share real fast is something that happened to my friends as they were out in the poorer communities here. As half of us have been in the hospital, the other half has been going out into the communities and teaching people health principles. The other day they came across a woman who had a daughter who has not been able to walk her whole life, but is bound to her home due because she has never been able to find a wheelchair. So, the students who visited her went back to the community center to see if they could get this girl a wheelchair. The lady in charge found one wheelchair for them to give her, and it was donated by the LDS Church. The Church has had a huge humanitarian effort to gather wheelchairs for third world countries for several years. So they took the wheel chair, strapped to the top of an ambulance they ride around, and carried it through the dirt roads to this girls house. All the girl's brothers and sisters ran out to meet them and were so excited. They set up the wheelchair and took the girl outside. She hadn't been able to leave the house for more than 16 years, and all the sudden she had freedom. She was so happy and the mother was crying and saying it was a miracle. I just thought that was such an amazing experience that I wanted to share it, and especially that it began with someone's donation to the LDS Church and ended with us being able to see it bless the lives of others.

That is what I am learning the most. Serving others means learning with and from them, being with them, and most of all loving them. You cannot help but love those you serve. And in the end, isn't that what we truly need more of? (not to sound too much like a Beatles song). I love you all and hope to hear from soon!

Assessing Patients

Assessing Patients
Patients here were so happy to have us to talk to and just spend some time with them.

Assessing the Patients

Assessing the Patients
We were on the woman's unit in the hospital. We got to interact with the patients and doctors a lot. The doctors actually spend hours with the patients! Amazing compared to the 10 minutes they spend with patients in the States. (All the Doctors didn't believe us when we told them that)

Me With The Coolest Doctor We've Met Yet

Me With The Coolest Doctor We've Met Yet
This is Xavier. He is a general surgeon and spent the morning explaining stuff to us and teaching us about the health care system here. He was the first Doctor we met who believed in pain control for patients. He was awesome and said he would help Rick get into medical school down her if he wanted :)

Xavier Washing His Hands

Xavier Washing His Hands
This is one of the few times we saw a doctor wash their hands inbetween patients.

Saint Teresa

Saint Teresa
This is for my Mama

The Guayaquil, Ecuador Temple

The Guayaquil, Ecuador Temple
We got to all go to the temple last night. It is so beautiful and in the middle of such a poor and dirty city. It was quite the contrast, but oh so wonderful to go.

El Tiemplo en La Noche

El Tiemplo en La Noche

Seal of the Hospital

Seal of the Hospital

La Sala

La Sala
This is the equivalent of a Medical/Surgical floor in the hospital- it reminds me of the pictures of hospitals during WWII that they show.

Sharp's Box

Sharp's Box
This is a box to put all your needles, syringes, etc. in. In the States it is an impenetrable plastic box- yep, that's cardboard

Going Into Surgery

Going Into Surgery
We had a patient who had gangrene in his foot and needed emergency surgery. We got all scrubed out and ready for surgery and went into the surgery room and the patient is lying there waiting for surgery to start. All the sudden the patient starts to complain of pain...in his arm, chin, and chest... yep, he's having a heart attack! We hooked him up to a heart monitor and he was in atrial fibrillation. All the surgeons are like, "Well, we're not doing surgery today. Maybe tomorrow" and walk out- leaving just us and a man having a heart attack there. Yep, they just left the guy having a heart attack. They don't have anything to treat it, so they just left him, then later moved him back to the ER. He was still alive today though. I am not sure how to take this experience ;)

Different Surgery

Different Surgery
So since we didn't get to see the guy get his leg amputated, due to a heart attack, we hopped into a cranial surgery to remove a subdural hematoma. The OR here is a little different than the States. There is a lot less technology and they let me take pictures! Haha, they literally said "Come closer! Get a good picture! This is Ecuador, not the United States"

Here's A Piece of Skull

Here's A Piece of Skull

Sorry If This Grosses You Out

Sorry If This Grosses You Out

Minor Surgery

Minor Surgery
They just have a window (no glass) for you to watch minor surgery- here is our instructor poking her head through.

Tuberculosis Anyone?

Tuberculosis Anyone?
So we are standing there and the doctors are looking at this CAT scan of a patients lungs, start getting excited, and are all taking pictures with their cell phones. We are curious and ask what they are seeing. Theses are the lungs, see the white squiggly stuff in them? Yeah- that is a classic picture of intense TB! Sweet, huh? We were really glad that we had just given that patient a bed bath- haha.

Compassion

Compassion
This patient, the call her 'abuelita' (little grandma), was so miserable- Angie was holding her hand through getting her lungs suctioned.

Puttin' On TED Hose

Puttin' On TED Hose
We are putting TED hose on a patient- those are basically really tight stockings that help circulation. The patient was dying, but it seemed like a good idea.

Dinner

Dinner
We went to a yummy Argentinian restaurant to celebrate Aubriegh's birthday

Lot's Of Meat!!!

Lot's Of Meat!!!
Those things that look like chicken nuggets are actually kidneys- I tried one and don't recommend it.

Whole Pile Of Seafood

Whole Pile Of Seafood
Name an aquatic animal and we probably ate it.

A Fricken' Huge Shrimp

A Fricken' Huge Shrimp

Hospital Courtyard

Hospital Courtyard
This is the hospital's courtyard- it is beautiful, and yes that is a cathedral in the middle of the hospital. 180 years old.

View From The Hospital

View From The Hospital
This is the housing right next to the hospital- some of the poorest in the city (the same cute colored houses on the hilly coast picture below)

Hallways!!!

Hallways!!!
These are the open air hallways in the hospital.

Used syringes and needles lying around

Used syringes and needles lying around
Umm...probably not a good idea.

Waiting

Waiting
At the hospital all of the families wait, day after day, for the doctors to tell them what they have to go out and get their family members- sitting in the streets and under trash bags to stay out of the rain.

ER

ER
We were in part of the ER with the people who are on the brink- imagine the size of your family room with 15 patients in it- no pain medication- and patients often dying and blood EVERYWHERE- pretty cool, huh?

Gurnies

Gurnies
This is the gurnies outside the ER- the water is from rain the previous night- the patients don't get any bed's other than these and there are no pillows- so they have wicked bed sores

Minor Surgery

Minor Surgery
This is the ER minor surgery- about 10 beds all in the same room

Blood Bank

Blood Bank

Transporting A Patient

Transporting A Patient
Notice it is outside and the security gaurds- they are at every door

Private Hospital

Private Hospital
This is the part of the hospital for people with private insurance (aka- richer) and the difference is night and day- it is totally equivalent to an American hospital. Yes- it is in the same building as all the other pictures.

Steamcell Research!!!

Steamcell Research!!!
Servico de implantes de cellulas madre- yep, they do stemcell tranplants here- and why don't we do them again?

Morgue

Morgue
We got to go see the morgue- fun?

Here comes the bodies

Here comes the bodies
We totally saw the dead bodies- I didn't think it was very nice to take pictures of the bodies so here is a picture of the door.

Me & Aubriegh at the Hospital

Me & Aubriegh at the Hospital

Teaching CPR To The Staff

Teaching CPR To The Staff
We got to help teach CPR to the staff at the hospital- some of them had never even heard of it before- fun experience!

Teaching CPR

Teaching CPR
Aubriegh teaching infant CPR

You Still Have To Take A Test

You Still Have To Take A Test

Pescado a la plancho

Pescado a la plancho
Grilled fish 20 yards from the ocean= amazing!!!

El Hospital

Today was our first day at the hospital. It was an eye-opening experience to say the least. The hospital we are at is sponsered by the Junta, Ecuador's state health care provider basically, so the hospital itself is the community hospital, and mostly serves the poorer people in the city. The hospital itself is huge, probably equal to a city block with several stories, and is very old and different than anything in the States. All of the hallways are open to the air and have open pipes and electrical wires running along it. All of the units are open beds, meaning none of the patients have their own rooms, just beds lining a long hall with curtains you can pull. Even in places like the ICU. If you are lucky the rooms have AC, but in general just some fans up top. We were asking one person about contagious diseases, especially Tuberculosis which is big down here, and having all the patients in one room. She said that since they can't afford masks or have seperate rooms for everyone else, they just put a mask on the infected patient and hope it helps. We all had to hide our surprise. The nurses and staff are really great, very smart and hard working, it is just a matter of supply availability. They have the same supplies and technology we have in the States, but they are just so scarce. In the ICU they had one gown (the kind that we usually just throw away) and they have to reuse and share it- so if multiple people need it, it is just first come, first serve. One of the main problems with the supply delivery is here the family is responsible for anything the patient needs- and I mean ANYTHING. Blanket, catheter, drugs, everything- The doctors will tell the family what the patient needs, and the staff has to wait to do anything until the family goes and buys it. So the hospital is over run by families everywhere- sitting in the street and dirt, waiting for their family members. I think it is amazing how committed hispanic families are to each other- that system definitely wouldn't work in the states. Well, everything is going super- other than missing my hubby :( Love you all!!!

The Coast

The Coast
These houses look cute, but are actually some of the oldest and poorest in the city upclose

Cool Tropical Trees

Cool Tropical Trees

No Fear, McDonalds is here

No Fear, McDonalds is here
Apparently McDonald's is the most bombed place in the world- cool?

A Famouns Statue Along the Malecon

A Famouns Statue Along the Malecon
The Malecon is like a boardwalk along the Ocean with lots of stuff to see. This is a statue of the equivalent of George Washington of South America

The Taxis

The Taxis
Okay, so the traffic here is insane- imagine New York but all with like 30 year old cars. Too many cars and not enough lanes? No problem! Just squeeze and make a new lane!

A State Building

A State Building
A lot of the buildings here are from this time period look- I think like late 1800's?

Our Hotel

Our Hotel

Primer Dia

So we got in late last night and it is about 80 degrees and 75% humidity- awesome, compared to Utah, but still a little like swimming through air. I think I am starting to get used to it. The medical group we are working with came and pick us up at the airport and gave us all welcome gifts and hugs and kisses. As we drove through the city it looks kind of like downtown LA in the dirtier part (like China Town)- lots of old broken buildings, trash, phone and electrical wires everywhere- then just a whole lot of espanol.
Out hotel is like the nicest in the city- The Hotel Palace- and has AC! Hahaha, we're really immersing ourselves in the culture. But after going out in that heat and humidity all day, I have to admit I don't feel too bad about it. They also serve breakfast- fresh mango, papaya, pineapple, and yogurt to name a few- yummy!
Then today we went to Church down here. It was one of the neatest things- the whole congregation was maybe 80 people, so super small, and almost every person would come up, give me a hug, a kiss on the cheek, and start telling me how wonderful I was and how happy they were that we are here. The building is so worn down compared to what we have in the states- but the people are so humble and so full of love. Their tesitmonies were beautiful. Even though I only understood about 50% of everything being said the love that was there filled in the gaps. I have always admired the hispanic people for how welcoming and loving they are- I can't even begin to describe how happy I felt to be with them today. It is amazing how the LDS Church is truly the same all around the world- the same loving spirit- it is wonderful to see.
This afternoon we are going to go exploring and I will take lots of pictures. Love ya!

View From Our Room

View From Our Room
It basically looks like parts of downtown LA/ Chinatown- just lots more Spanish :)

Globalization

Globalization
They were showing the Office on the way to Quito

Fun On The Plane

Fun On The Plane

Flying Away

Flying Away
Leave 6:30 am; arrive 10:00pm (no time difference) - ahhh! Me pondering what I was going to do for that long!

Here We Go!

Here We Go!

Vamanos A Ecuador!

Hola mis familia y amigos! So as most of you know I am am going with the BYU Nursing Program to work with the people in Ecuador. I will be working in a Med/Surg unit, Labor & Delivery, Pediatrics, and out in the community teaching about health principles. I am sooo super excited and want to share my sweet photos and experiences with you all. I have set up this blog in order to make all of that easy and accesible to you all! Yay! So go ahead and pass this blog link onto anyone else who might care and enjoy. I leave on Saturday (May 3) and will get back May 29th. I'd love to hear from you all! Hasta luego!

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