Sunday, February 8, 2009

Bigger and hopefully better!

Then...(2005)





















...and now (2009).















We're into February, but we haven't yet introduced our brand new, bigger than ever team!
From 5 doctors (3 before the Gaunts arrived) and one radiographer back in 2005, we now have:
9 doctors
4 occupational therapists
3 physiotherapists
2 pharmacists
2 radiographers
1 dentist
1 dietician
A total of 22 clinical professionals!
So we're meeting more of the need than previously, though we know we will never actually meet the need!
It's a privilege to work with such a talented multi-disciplinary team and we hope our experience will inspire others...

Saturday, January 31, 2009

Christmas day

Following the water shortage (see the previous post) came the FLOOD! Someone had left a tap on in our guest bathroom so when we got back from a Christmas Day swim, half our house was under water! Fortunately, many hands make light work and things were cleaned up in time for Christmas lunch for 24 people! Who said rural Christmases are small? We had to move the lounge furniture out onto the verandah to accommodate everyone!































There was one other piece of drama - a woman with placenta praevia (placenta over the opening of the uterus) and bleeding arrived just before lunch. We don't usually like taking placenta praevia to theatre here as things can go badly wrong, but we had little choice. Although the baby was stillborn, the mom did well, something we're really pleased about!

Submitted by Ben.

Wednesday, January 28, 2009

A new water perspective


These pictures are not posed! On the weekend before Christmas (already a distant memory) we experienced THE BIG DROUGHT. A power line fault had brought the pump at the dam to a halt and the water tanks at the hospital ran dry. For nearly 48 hours we had no water at all - either at the hospital or at the accommodation. So this is a genuine fetching-water-after-work picture. Our eyes were opened again to the hardships our patients experience as part of daily life. Not only is it a huge job to fetch water everyday, but the quality of the water was horrendous! We were extremely grateful when the water returned on Christmas Day (though for the accommodation complex it was another 72 hours wait as a valve had been closed by "someone who is against us"!)



Submitted by Ben

Monday, November 24, 2008

Adventures in hand rehab – Cape Hand Clinic comes to the wild



A post by Kate Sherry - Occupational Therapist in Chief


More exciting news from the rehab department!

I don’t think I ever posted something entitled “They Knew We Were Nuts”, that I started writing in February. It was all about how 5 of us therapists from Zithulele and Madwaleni got up at 2h30 one morning to drive to George to attend a one-day course. Presented by Karin Weskamp, head of the Cape Hand Clinic (and remembered by UCT graduates for her totally-impossible-to-take-notes-from but fascinating lectures on private practice and human occupation), the course was on splinting hands with neuro conditions. Wired from no sleep and Vida coffee, we sat riveted for the day, shocked the ordentlike George OT tannies, and collared Karin afterwards to invite her to the Transkei.

Persistence coupled with Karin’s adventurous spirit paid off, and a few weeks back we were blown away to host not just Karin, but two OT friends and colleagues – Tammy Williams (hand therapist, ex-Uganda IDP camp worker and soon-to-be second-ever-OT-in-Ethiopia) and Ruth Watson (highly esteemed former prof of UCT OT and one of my heroes). What was initially planned as a Wild Coast holiday coupled with some hand therapy training and consulting became a 5-day adventure in rural rehab.

Between the three visitors, we were in the presence of a wealth of experience in practice, research, community work, and service development (not to mention Tammy’s expert Ugandan 4x4 skills and Karin’s budding potential as a bootlegger). As we trekked over the hills, hiking, crossing rivers on ferries (or not), driving up and down eroded cliffs and picnicking in the wind, discussion ranged from clinical problems and the patients we saw in their homes, to broader issues of rural disability, the challenges of poverty, the power of occupation and the privilege of being here.

After 2 days of home visits from a base at Bulungula backpackers (how many of your university professors would you invite to a place with compost toilets and psychedelic frogs painted on the walls? J ), we moved on to Hole in the Wall, where Karin and Tammy got into teaching mode and gave us an intense day of hand rehab lectures and skills practicals. What they brought could have kept us busy for weeks, but the taste was enough to reinspire us and get us thinking again – they will have to come back for the rest…

This whole trip was inspired partially by the Cape Hand Clinic’s vision for education, and by the conviction that private practitioners and rural therapists have much to offer each other. An incredible thing we’re finding about the OT profession is therapists’ willingness to share skills and ideas, and we have benefited so much from the generosity of not only these three visitors, but many others as well (notably Theresa Lorenzo, another UCT prof, who visited us in August and gave us a fantastic workshop on community-based rehabilitation). A huge thank you to all of these wonderful people, some of whom first inspired us at university, and now continue to do so in new ways. We hope we can contribute to the general sharing and growing going on in the rehab professions – and warmly invite any therapists with skills to share and an adventurous spirit to come and visit!

PS A special thanks to Karin’s friend Nigel, who arranged for them to borrow a Toyota Hilux 4x4 double cab – the dream rural rehab vehicle – from contacts in East London. We couldn’t have done it without him!







Saturday, November 8, 2008

Super Volunteer



Our super volunteer, Becky Chappell (wife of one of our doctors, Simon), has been at Zithulele since January 2008. She is volunteering full time for the Jabulani Foundation and has been a complete blessing and allowed us to make amazing progress in so many areas. She is fast becoming an expert in the community structures around Zithulele and has made friends all over the area with her fun and positive approach and incredible work ethic. She thinks she is leaving at the end of the year…we have different plans, possibly involving tyre slashing!

Elijah Paul Gaunt – born 3rd August 2008



The latest addition to the Zithulele team is a new Gaunt. Welcome, Elijah!

Circle of Friends



A group of American ladies who call themselves ‘Circle of friends’ and get together regularly to make an assortment of beautiful quilts, dolls and teddies have now sent us 2 boxes of goodies. Each bed in our paeds ward has one of their patchwork quilts and plenty of our sick kiddies have gone home with their own toy (big smiles all round).


We have also managed to send quilts home with some of our maternity patients.




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