This morning started early again...getting up before 6 to share showers and bathrooms. We are relocating our housing to a really lovely area in San Salvador. It was a VERY long day, and we got here in the dusk, so we look forward to seeing the area in the daytime tomorrow. We should be staying here until we leave Sunday. The luggage all had to be loaded and taken with us, and sat in the back of that truck under the hot El Salvadorian sun alllllll day.
The drive was beautiful. We stayed along the southern coast of El Salvador, so we were able to see the ocean part of the time. We drove through some tourist towns as well as a lot of areas of poverty. The traffic is SO crazy here...and the streets are absolutely every which way. My shout out today is to our facilitator and driver, Ronald. TODAY, the drive was technical and sketchy at best. He executed it all superbly and got us everywhere we needed to go in one piece.
The ride was around 2 hours and the last leg started out by having to go past the turn off in order to turn around and hit it from the right angle...We then drove a little bit of a terrifying ride straight up a one lane very rocky/rough road full of short switch backs. Going down, he honked at every switch to alert oncoming motorcycles that we were coming. Only a few times did we have to pull as far to the left as we could and squeeze our butt cheeks together while we waited to see if the oncoming traffic would make it by. The views were amazing though, and the town was small and sweet. We were a little late arriving, and a full house was waiting.
The El Salvadorian team (including the translators) were about 30 minutes later than we were...so the chaos of trying to figure out who was going where, getting supplies where they needed to be and navigating in a very, VERY tight space was the first order of business.
If all of that wasn't enough to fry my tired brain, this little sweetie wanted to talk to me and kept trying, but I just couldn't understand...well I couldn't understand his words...I completely understood when he was making toothless little pucker kisses. I finally blew him a kiss as I darted off to get something and that appeased him. The old, old people all look a lot like him...not many teeth, very deep wrinkles, and twinkling chocolate kiss eyes. The young people often look a lot older than they are, and many of the 40 year olds look 15-20 years older.
The first problem of the day was that our A1C kits have to be between 40-83 degrees. We had clinic rooms with AC the last couple of days, but today, it was all open air. We had brought an ice chest, but the ice was leaking all over the bottom of the cooler and I knew that the reader would get too cold. So I pawed through boxes until I found something that would work for me...which turned out to be a tiny purple plastic sack. So I blew it up, knotted it off and put it on the ice...my reader in a baggie...and PRESTO...a perfect system to save the day. Once again, I was eternally thankful for these devices, as we were able to diagnose more people today with very late Pre-diabetes, and very early diabetes stages. That means that we were able to give them a good objective reason to make changes now. Most of them were sad to know but glad to know because they knew enough people with consequences of diabetes that they didn't want. Knowledge is power...and you won't change if you aren't convinced. I can't make them change...and neither can the medical staff here...but by the grace of God and generous donations, I was able to leave them with very compelling evidence as to why they should.
The registration table crew took care of getting names, ages, complaints, and issues...they were also in charge of handing out dresses, glasses, colors, trinkets, and bookmarks.
These kids were well spoiled today!! The magnitude of the health problems was much greater today and felt really overwhelming...Again, trying to decide how to best manage the problem at hand in a way that will be sustainable for another 6 months. I've treated more parasites in the last couple of days than I did the first day, and there continues to be a wave of viral stomach flu and a basic upper respiratory infection going on here. The educational needs are extreme as well, and I'm having to cut the instruction to the most basic things I can. Most of that is "quit drinking coca and juices." I have been afraid to ask anyone how much sugar they drink...I don't think I can handle the answers. But they know. I can see it in their eyes when I ask if they drink and eat a lot of sugar.
Cami taught Paul to run the A1C tests today. Each of those takes 7-8 minutes to do from start to finish, so this made it much easier for her. He did a great job at it. A couple of the guys made a home visit early this afternoon and they wanted to do blood sugars on her because she was very obese. We stopped back by on the way out of the village...Her blood sugar was in the 180s, which made it more important for the A1C...which was packed away in that truck load of luggage you already saw. I would have given up, but the guys kept looking through, and Paul came running in with it just as we were getting ready to leave. Of course, then the reader was too hot...so we took turns holding it up to the air conditioning vents in the van where the rest of the team was very patiently waiting. The collection cartridge could only be open for 2 minutes before it would be invalid...but you didn't know if the reader was working until you put the cartridge in...I had already drawn the blood which was just waiting for the machine to play nice. As I stood up in the van squished between the door and the chairs...opened a new cartridge...found the reader STILL too warm...and had Paul count me down to 30 seconds remaining before the cartridge was no good. I turned it around and around in the cold air and asked for favor from the God that sent us...I'll bet you can't guess what happened. The cartridge was popped in...the reader worked...and we were able to get her A1C...She is .10 point away from being a diabetic...but if she doesn't change her ways, she will be...much sooner than later. We were, again, able to give objective evidence that her body wasn't working right...which gave more merit to the advice that we were offering her.
Sugar is SUCH an addiction...as strong as cocaine. It will be hard for her to change. It will hard for any of them to change. But they must...They don't have the luxury of a "pill for an ill" that we have here in the US. They don't have the luxury most of us have of a doctor any time we want, or a fairly short drive to a specialist, or extra money for medications...especially without an insurance company to foot the bill so we can take a med and not make any changes ourselves. Our health care system in the US is sick...but I'm not sure the lack of a system here is helpful either. It's lose-lose.
Molly will be back to doing teeth tomorrow, and the word on the street is that she may be learning AND doing some tooth extractions. Monica, above, will be taking her under her wing...I can't wait to hear about their day.






















































