So 3 months in Togo tomorrow which is one eighth of the way through my time here. It's going pretty fast and yet, in some ways, I feel like I've been here for a very long time. As I said to someone the other day, life here is at a much different pace; very slow. I have decreased expectations of what I can or should get done in a set amount of time. My work pace doesn't require too much quick thinking (except sometimes on the phone since a good deal of our contact with sick volunteers is over the phone rather than face to face). The likelihood that we will have something critical happen right here in the office is very slight since our patients are mostly spread out all over the country. We spend a lot of time preparing for what-if scenarios which makes sense because if something serious happens there are huge logistical considerations here that would never happen in the US. There are ambulances but not many and you can't really count of them -you would be better off finding a taxi even if you are exsanguinating. There's one morgue in the city of Lome and one pathologist in the whole country who does autopsies. (I'm not trying to be morbid but we spent last week doing an exercise on how to deal with a death so now I know arcane facts like the above.) We need to know what resources are available outside of Lome (they're kind of limited, needless to say) which Aurelia, the other PCMO, is looking into this week while I hold down the fort here.
I've gotten mah jongg going here but, as we mah jongg players know, there's a bit of learning curve so it'll be a while till I have a real game going assuming I can get my new learners hooked enough to keep with it. The new card has arrived in New York along with a tentative spring and I find myself a little homesick for both!
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