This morning I got up, made a wonderful breakfast of two eggs + yoghurt AND remembered my lunch! We’re making progress, folks. As soon as we arrived at the clinic, we were brought into the post-natal ward to watch as women received contraceptive implants after giving birth. These implants in the arm provide contraception for three years, so they’re ideal for women who don’t have the time to come in every so often for injections or don’t want to be responsible for daily oral pills. However, about halfway through the implantation, a woman sitting in a chair began having close contractions. Women don’t come into the labor ward until their water has broken but once they arrive they are asked to sit in a row of chairs until their contractions are enough that they need a bed. Since there are only three beds, the midwives and sisters prefer to keep them empty until the absolute last minute so that a woman with a long labor isn’t taking space away from somebody giving birth right then. However, this can be a problem when women wait until too late to leave their chairs. As this woman experienced major contractions fairly close together, the sisters tried to get her into a wheelchair to bring her to a bed. However, when she lifted herself up, the baby began crowning and, thus, she gave birth right then and there in the chair. After a large clean-up crew and some stabilizing support, she was able to get into a bed and breast feed / heal but it definitely started the day off with a bang.
Later in the day, once four other interns arrived, another mother gave birth with all of us watching. Honestly, I felt bad that her labor had become a viewing theater but she was very gracious about letting us watch. As the baby emerged and the sister asked for the time, every single one of us yelled “11:37”– our eagerness was palpable. As she cared for the mother, she let us weigh the baby and take its measurements (head circumference and length) then watch it as it laid under a heat lamp to avoid hypothermia. We showed the other interns how to feel the soft sutures of the skull and check for all of the other reflexes (balance, sucking, crying, etc.). Even after two days in the maternity center, we were learning a whole lot.
The day ended with a conversation between Nikki (Connect intern), the two Mercer interns, the “Jemster” (one of the nurses), and me. We discussed the differences in healthcare in South Africa and in the United States. It’s crazy that two nations can develop completely different systems that both have their pros and cons. Jemster was floored that the US had no government-run clinics or hospitals. Where we work, nobody pays for anything and it’s all government-funded. She was also amazed that we don’t have many paper files in America. She asked if “all nurses have to be computer technicians” to operate with that system which is an interesting way of thinking about the technological revolution in America compared to other parts of the world.
After work (and gym, shower, talking to roommates, etc.), Maci, Nikki, and I headed down to Bree St. for the famous “First Thursdays”. On the first Thursday of every month, galleries, shops, and restaurants open with special hours and streets close down for patrons to walk around. We started with dinner at IYO burgers where their bunless burger salads with all sustainably-sourced ingredients blew our minds. This one is high on the recommendation list. Afterwards, we walked around for a while, checking out a bar called “The Man and the Machine” (an ode to men and bicycles), a Patagonia store turned lounge, an Aperol Spritz truck, a gallery called L99P, and, finally, Sgt. Peppers, a bar with live music and a lovely deck for looking down on Long St. This was such a cool cultural event with many of the locals walking around (all impressed with American accents) and a very lively atmosphere. After a long night, I’m finally ready to hit the hay. The Xhosa phrase of the day is “I don’t know”: Andazi.