Friday, July 26, 2013

Day 64 7/25/13 PART 2 (Calzone, PowerAde or Gatorade?, more holes in the wall at the hospital, puffing up a chair seat and fixing the arm, buying more chain, heading back to the clinic to close autoclaves and give out manuals, dumping tools at the hospital and then heading to the Koama)

So where was I? Yes lunch. Very important. Anyways so Dan and I ordered the pepperoni and salami calzone to split and the Holland chicks (Lelou and sdfjhasb? Don’t know her name) ordered a normal pepperoni, green olive and caper pizza. We sat and chatted until the food arrived and I tugged at the water I was drinking (I would’ve ordered a PowerAde since I was massively dehydrated, but it cost 37 YES 37 Cordobas (unlike the 20 cordoba cost at the hospital). Plus the menu said it was Gatorade. Fail. Anyways We ended up talking about a whole range of topics including what the two had thought of the hospital while they both had Dengue at the same time (they were in agreement that it was one of the worst experiences ever). They also then proceeded to talk about many of the flaws of Nicaraguan mentalities: the lack of incentive to try hard at public work (the story was about a plastic surgeon working on reconstructing a man’s face after an accident, but the surgeon didn’t work as hard doing the public work at the hospital as opposed to his clinic), bad shift hours (it sounds like doctors do these awfully long shifts at the hospital all in chunks of four days and end up wasting like 2 hours in the morning each day), not enough follow through on projects (things getting started and never finished (which is true as it would take us days to get something done through the staff at times (getting bulbs for instance))) and bad care of objects not their own (the story was of a doctor’s house that was built in 2002, but was trashed and nothing was working because they never kept up the place). Personally I don’t want to generalize these much more than these incidents because I don’t have the bid data to support these conclusions for all the people (as I know many Nicaraguans that don’t follow these stereotypes). Anyways I also hoped online and worked a bit more on my translation of the manual and FBed a bit. So it was a pretty solid lunch although we stayed quite late until like 2:30 and then paid and left with the two girls. They walked most of the way back to the hospital with us and then wished us well and safe travels before heading off in their own direction.
            Back at the hospital it was time to knock out those last 3 holes and get this chain project finished. Dan decided he wanted to drill the other hole above the one I had already drilled and put in the top bolt, so I let him. After some more tedious measurements and checking of measurements Dan drilled the hole and it was a bit off, but we managed to correct for it and got the bolt through without too much issue. After that Dan put the two holes on the outside of the wall for the other two bolts. I then went inside with all the tools and shifted those friggin hospital beds around until I could think about drilling the holes. I had taken measurements and then drilled the bottom hole (which pretty much nailed the exterior hole. BAM! I then measured the top one and tried the drilling, but ended up missing by almost a centimeter +, so I had to make an adjustment for that and then finished the hole without issue. After that we cleaned out the holes and put the bolts through without further issues. Dan then went to Constrúmas to get the chains and more washers and nuts (because we put 4 washers and 8 nuts on each set of four bolts (1 nut and washer per side and then 1 extra nut to hold on the chain on the outside). In the interim time I filed down the ends of the bolts to enable the nuts to twist on (as the cutting process had rendered several of the bolts impassible to nuts). Meanwhile the alarm for the oxygen tanks (being filled with liquid oxygen in a different close by area had decided to turn itself on with its irritating whining. Anyways I was doing fairly well as I would file the end down and then cut a notch in the top to make a starting thread. I would then clean the threads with the nut before moving on. I did about two of these and then I decided to go to the shop and grab the ear protection to try and drown out the annoying constant buzz of the alarm. I also decided to fix the chair in the laboratory at some point through the afternoon (as Dan had already done the one in the ER). So I grabbed the duct tape and headed over to the chair to grab the foam and put the foam down and then tape the entire seat. This actually worked quite well as I managed to cover the bad area and I had enough duct tape to basically cover the entire seat nicely and the seat was much better afterward! BAM! Fixed! 

The chair before FOAMIN' it

The foam to be added (also the ghost water on my lens)

Chair is finished

The lab techs also loved the new chair and were quite thankful (as this is where patients sit to have blood drawn and whatnot, so I’m sure the patients were also happy). Meanwhile Dan had been working on the chains and it was going quite well. The lady wanted me to fix the arm on the same chair (as it was broken and being taped on) and initially I tried to put in some identically sized bolts before realizing that the required nut inside the arm was missing. I then almost gave up on the project and went to file more ends of bolts. A little later I went back to the workshop and tried some screws which also didn’t work, but I wasn’t quite content yet, so I went back and found some slightly larger bolts and they fit perfectly! SO BAM! FIXED THAT ARMREST! Basically all it needed were those and now it’s tight on there (except for the broken front part, but I can’t really fix that)! After that I had to make another run to Constrúmas to grab two more 6.5 foot chains because the guy at the store had not cut them for Dan in his last purchase. After trekking there and buying the chains I said Dan and I would be leaving San Carlos tomorrow at 8 and said goodbye and thanks to all of them there. I gave the chains to Dan and then headed to the centro de salud (after quickly running back about 1/3rd of the way there to the hospital for some pliers) because I wanted to fix the autoclave (put the case on) and teach the folks how to use it and give Guillermo the manuals. Rigo (the lab tech) actually called me to see if I was going there and I said yes and got there like 15 minutes later. Upon arrival I caught the guy I needed to teach this morning at 9:30 and showed everyone in the room how to use the autoclaves (Guillermo, Rigo and that guy). I also gave Guillermo the manuals and thanked him as he thanked me for all my work at the clinic. I still have to work more on that manual and send it to him, but it’s good for now. The guy I had to teach seemed a tad annoyed with me, but I think it was because it was like 5:30 on a Thrusday. Anyways after putting the case back on the unit (and maybe breaking two of the screw holders too) I headed to the hospital for one last time. I also thanked the director again for his help and he was quite thankful. Popo wanted us to leave all the tools at the hospital for him to use which was fine as it saved us from having to lug them around and back to the States. Would’ve liked one of the two DMMs, but hey next time. I did grab the programming base for the PICAXE that was going to be left there (two of the actually) as I don’t think they’ll be doing anything with it really as there is no IC. After that Dan and I said goodbye and thanks to Popo and clocked out at 6 PM. BAM! Long day of work achieved! Secondary chains project completed (Dan and Popo had worked on enlarging the chain links to fit better on the bolts while I was at the centro de salud). So basically we are done! That was crazy amount of work today, but we finished basically everything we set out to today! After that Dan and I felt elated to be done and ready to head back to the States right now (darned presentation is still in the way, but that’ll be tomorrow’s 6.5 hour bus ride). Anyways back at the hostel I packed up everything and realized I can make it back home with just my LL Bean carry on (leaving the other bag here in Nicaragua (saving me $25 for the checked bag)). Anyways we’re taking the 8 AM bus so we have to get up around 5:50 AM and be at the bus station by 7:15 AM. I chilled for a while and typed up blogs and then we had chicken fillet, B&R, avocados and egg whites, coke, a salsa like thing and tostones. So tasty! After dinner we chilled a bit more until like 10 ish when we headed to the Kaoma (we took a quick walk past the Champra which was so dead the lady wasn’t evne collecting money outside it). We didn’t even have to pay a cover tonight either at the Kaoma! We walked in and it was much less smoky than before (I could breathe!) and we headed to the bar after I stood awkwardly in the corner for a bit. Interestingly enough we actually met Marlon there! He was just chillin’ at the bar with some of his crew and so we were pretty good from then on. I also saw one of the SILAIS women form the centro de salud there too, so it was a good time. Basically Marlon got me a PowerAde early on when we arrived and got Dan a Toña and we talked to him for a bit. It was karaoke night again so there wasn’t all that much dancing which was kind of a shame. I had hoped our host cousin would come dancing tonight, but she didn’t unfortunately. Anyways I never at any point through the night as I never asked any woman too in the sporadic dance times. Marlon got pretty drunk through the night and then got really set on me dancing with the SILAIS woman, but at that point it had entered the “only karaoke” portion of the night it seemed and I left before it ended at like 12:55 AM (I have to get up in like 5 hours). A couple of interesting things throughout the time there from 10 to almost 1 was that Marlon seriously offered us cocaine. We never saw it but he and this other duded went outside and disappeared for a bit and then came back (and we don’t doubt that is what he did). Marlon was also hilarious as a drunk; just wobbling around and being kinda crazy and having short term memory loss. I also talked to this dude about Nicaragua and he thought it was sick I liked Gallo Pinto and his mom lives in CA in San Fran. Dan is still at the Kaoma (and it’s 2 in the morning (O.o)). I headed home to sleep a bit, but that’s not possible at all. Also it’s presently thunder storming out (which is pretty cool, but I hope the power stays on). Looking forward to tomorrow and glad that I’m finally done with work! I had a fantastic time working here in San Carlos and enjoyed the challenge and new adventures of every day. In total we fixed 20 things in the clinic (most of which I fixed myself as Dan had Dengue) and 31 things in the hospital and did the secondary project of the adding 6 chains around 3 clusters of oxygen bottles, so BAM! That is a ton of junk fixed. Sure we had devices we couldn’t fix, but those were usually something beyond our skill levels or our resources. Anyways it’s been real keeping you guys updated each day about fixes and repairs and whatnot. I’m going to finish out these next few days on the blog just to say I covered everything, but I think the next few days will be less exciting (although I am quite looking forward to the States again). Peace!

Working hard with Popo on the secondary project 

Pups on the way to the centro de salud

Look at that professional work!

Can't be too careful

The centro de Salud

The area by the ambulances with the slope

Pup just wanting some food on the way to the centro de salud

That wheel chair (a 4 week project) finally coming to fruition!
          

Also additional note, the power went out at 2:18 AM ~.~// stumbling around in the dark trying to find a table to flip. 

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