Day 2 in Ndiébel
Wake up at 7, head to the poste de santé. Meet the doctor and Fatou the nurse. Fatou asks me when I will be starting the AIDs screening. I have no idea what she is talking about and freak out a little bit. It sounds like she thinks Im going to be running this thing. Thankfully a little later, some lab people from Kaolack show up to start the AIDs screening. We test about 200 people from the Kaolack region for AIDs. The people from Kaolack do the blood drawing and I do the test. Thank God, there aren’t a lot of positives (less than 10) but every time a test turns up positive it hurts a little bit. The rest of the time, I’m just in zombie mode from a combination of heat and no sleep.
Back at home we drink endless rounds of attaya and take numerous showers (they aren’t really showers, you just have a bucket of water to wash with outside. and when i say outside, i mean next to where the horses are tied up and goats' pen and the "bathroom" so it smells like what you would think that would smell like) to ward off the heat (its SOOOO hot!!!!). By the fourth shower of the day, im kinda sick of it. I mean, i dont mind being a little dirty for a week, but everyone seems to think its of the utmost importance, so what the heck, why not.
Day 3 in Ndiébel
Im finally awake and alert! I surreptitiously take the butter out of my bread and put it in the other breads that are left. I make it to the hospital by nine and find Fatou, the nurse who I had met the previous morning. Fatou still seems to be under the impression that Im some sort of doctor or something, (yes I did try my utmost to disabuse her of this notion) and sets me up in a room to do consultations. What the heck, I think, Fatou’s still here, and when am I ever gonna get the chance to work as a doctor (without you know, going to med school, which is way more stress than im willing to put up with).
Patient 1 is a five month pregnant woman here for a prenatal checkup. I take her temperature, blood pressure, height, weight, measure from her pubic bone to the top of her stomach and then Fatou tells me “mets tes doigts dans sa vagine” and I choke a little. I know my French isn’t perfect, but im fairly certain that Fatou just told me to stick my fingers up this pregnant woman’s vagina. Fatou does not seem to appreciate my reticence to probe pregnant women’s private parts and shoves a white two finger glove on my hand. Then she babbles on about how im supposed to be checking if the baby’s head is the right way and something about the perineum. I don’t really understand anything she says, but she’s quite insistent that I stick my fingers up this woman’s vagina.
Let me just say, for those of you who have never had the experience of sticking your fingers up a pregnant woman’s vagina in a swelteringly hot room surrounded by relentless mosquitoes and fist sized African bees, it is NOT a fun experience.
On the other hand, this is kinda the coolest thing to ever happen to me. Here I am skipping the whole organic chemistry and med school thing, but still getting to play doctor, wait scratch that, being a doctor, in a real poste de santé.
So I figure what the hey, here’s a big fuck you to everyone doing things right and going through med school before they become a doctor, and I go ahead and stick my hands up the pregnant woman’s…you know…
And that was basically how I spent the rest of the week. Many many pre natal consultations, and even a few post natal consultations.
Friday (last day in Ndiébel)
On my last day, I don’t do any pre-natal consultations. Instead I take care of the growing line of sick people outside the poste de santé. Im a little scared at first, and have to rely on Fatou’s advice in terms of what to prescribe.
Which, yes, by the way, I was writing out prescriptions. For like real medication. And filling out patient records. And diagnosing illnesses. What?!?
Like I said, really scary, but kinda the coolest thing ever. Halfway through the morning, I thought, fuck the paridisical toubab diallo, if I ever get a chance to go back to Senegal, this is where I’m going back to!!
And then, suddenly, its all over. Some guy showed up from APROFES, and tells me he’ll give me a ride…on his motorcycle, but he was leaving in five minutes. And I was like HELL YES! I would take a motorcycle ride over a concussion inducing sept place ride anytime. So I run home, throw my clothes in a bag, and then one of the wives (the same one who slept all over me, actually) insists that I eat before leaving. And presents me with a plate of mafé.
Mafé is possibly my least favorite of all Senegalese foods, and im not even a fan of Senegalese food. Its basically a very thick, very oily meat and peanut sauce dumped over oily rice. Yeah, not awesome.
So I spend about 10 minutes redistributing rice on my plate to make it look like Ive eaten and then were off on the best traveling experience ive had ever.
I’d never met the motorcycle driver before, and I briefly wonder what he thinks of me. Im pretty sure he can catch my reflection in his mirror and im grinning like a chessire cat high on x, but also I don’t care what he thinks because all I care about is that I get to ride on the back of a motorcycle down a dirt road past lazy cows and donkey carts.
Plus I have to hand it to the motorcycle dude (I can't say that I remember his name), he never stopped once, not for gaping holes in the road, not for a crowd of cows crossing, and at the same time, i felt safe the whole way. And also it was like the coolest thing. It was, of course, devastatingly hot, but being on the back of a motorcycle, there was a nice breeze, and i couldn't have been happier. The one downside was that i couldnt grab my camera and take pictures of the stuff we passed, most notably a nightclub in the middle of NOWHERE, like literally it was sand sand sand sand sand sand sand nightclub sand sand sand sand.
When I finally got back to Dakar, I like tackle hugged my little brother (Namm naa la terop, Diég!!) who I had missed so much. As much as I LOVED my week in Ndiébel, it felt really good to be home.