Through the good and the bad....

Heidy Ho, hola hola hola. I find myself back again after a time of being extinct. Thanks for bearing with me. Man, time passes fast.

I'm going to summarize this updates in points:
1) Trip to Belize to renew passport visa
2) Learning to become the charge nurse on the floor
3) New baby in the Plank family: aka. I'm an aunt!
4) Haven't started teaching yet, also haven't started planning, which I'm embarrassed about. Working full time is hard to have the energy left to use your free time to plan, but I really truly am stoked about it!

So, in general, pretty good spirits. It has been really hard for me to not be present in Iowa with Allyce, my sister, while she went through labor, delivery, and the adjustment of moving home with the new little baby (Eva Maria, 7 lbs 3 oz). I didn't know Allyce was pregnant when I left for Honduras. So, it was definitely an unanticipated sacrifice. It's strange, because when other babies have been born, I've always kind of been like "big deal." But this baby is different. It's really surreal to see this beautiful little girl in pictures and understand that this little human being is of my blood, and of my sister. I guess I just feel like I'm missing out, and that I would like to be there to help Allyce. It also kind of set in as to how much more time I will be here.

Don't get me wrong. I really do like Honduras in general. I do not regret committing 2 years here. But some difficult and frustrating experiences have presented here. Frustration with the culture, frustration with my work facility, with the community in which I live, frustration with the everyday happenings of violence, robberies, assaults, and fights, frustration with communication, frustration with being so separated from my friends and family at home. Experienced expats can laugh at me, but I think I have a right to think these things. I'm pretty new at this living in another country thing, even if it has been 8 months. I'm just not really sure how to deal with this stuff. Do I accept the frustration? When is it worth it, or even acceptable to try to change the source of frustration? How much can one really add to an established facility as a newbie? Just really difficult questions. Sometimes i'm embarrassed to state my thoughts b/c they may just seem kind of ignorant and stupid. I mean, what were you expecting, Malerie? You went to a third world country, were you hoping for cheese and wine?

I took an obligatory week trip to Belize, which was pretty great. Would have liked to travel with a good friend, but it turned out fine, apart from the fact that I lost my camera on the way back. I tell you, I have the worst luck with cameras, EVER! I took a ferry across the gulf of Mexico and landed in Dangriga, Belize. By far the WORST boat ride ever. Just really really rough. But on this trip I was introduced to the world of international travelers: European, Brits, Australians, Belizeans. Very cool. It's quite impressive how many languages these people can speak! I'm not sure that I am cut out for long term (talking 3-4 months of free international travel). I like to travel, but I also like to be at home with internet and phone access, not living out of a backpack.

The last month or two I got trained to manage the floor during the shift and be charge nurse. My Spanish is improving, but still proves to be a pretty big challenge sometimes, but thank God, the girls are learning the way they need to speak to me so that I can understand what they are telling me. It was a good challenge, and made me appreciate the chillness of the other shifts when I'm not charge nurse. But it was just nice to be challenged again, and help me utilize my critical thinking skills. i find myself enjoying Intensive Care as well, which really doesn't end up being too high acuity, but usually a busy shift, which I like. I think little by little respect is won between individuals, which always feels great when you feel like one more coworker was won over to having report and trust. Of course with that, always comes the threat of breaking that trust, which is kind of scary too.

The doctor I am living with came back from his 5 month trip to the U.S. to visit his sons and family. So it's nice to not be living in this big house alone, but of course will be an adjustment after living alone for a while.

Well, I think that is about the end of this post. Hope you are all well. I haven't forgotten you. As always, thank you for your letters, thoughts, prayers. This month I received a care package and a snail mail letter from some friends, and I about died from glee. :)
Take care!

Happy Independence Day, Honduras!

I found myself downtown today, watching the "desfile", or the parade, because henceforth, even though all of September here is pretty much a celebration with morning songs from downtown rising up to my house (an elevated one) with drums and rhythms, and yeah, I still don't really get where it comes from, and why i hear it as if it were outside of my window, though it's a good half hour walk from here. Anyways, I find myself in good spirits today.
The parade lasts a good long while with mostly highschool and middle school kids representing their schools, or a cause such as "caring for the environment" or "preventing Dengue" or carrying flags of the 5 Central American states as, if I am not mistaken, all have their independence days in September, maybe even on the 15th. These included countries are: Guatemala, Honduras, El Salvador, Nicaragua, and Costa Rica. Not exactly sure why Belize and Panama are not included. Some history there that I obviously have not done my homework on. Also, I was informed today by an expatriot from Spain that North Americans don't know anything about culture. All in light jest, but still. As I always say, behind every joke is a half-truth, and no doubt about it, most Europeans really pride themselves in knowing that being their countries are so close, they are full of culture, and us rich Americans truly just don't know the slightest thing about culture. I don't know. compared to them, probably it's true. I was raised in a place that didn't value other languages, or at least didn't promote the importance of learning other languages. But whatevs. I'm here now, struggling with learning another language at the age of 24 aren't I? Too bad I wasn't raised in bi and trilingual schools like they were. :)
Also,today I was presented with a plan for me to hopefully start helping teach and give nursing courses in the nursing school on campus, which although will be a true challenge, I'm stoked to find something to throw my efforts into. I think inevitably, it will have to help my Spanish too. So, with some review, studying, and enough effort put into my power points, and lots of prayer for guidance, I think I'll be okay.
Sometimes I really wonder what the world I'm accomplishing in being here. Is it just self-improvement? Am I adding anything to this hospital and community? Would I have been better off studying more in the U.S.? Sometimes these feelings really can get me down. Also feeling like I don't understand this culture, and never will. Sometimes I feel like I am not respected here for being a gringa, for my language struggles. Sometimes I get hermity and stay in my house more than I should. But you know, there are days like today where I feel hopefully and even content with my confusion. Ever so slowly I'm building a group of friends, a church family, and it keeps me happy through the struggles. I'm finding that when you reach out and make yourself available, people receive you when you find the right folks. :)
Want to know a struggle that really ticks me off. I'm not sure if I will ever get used to the comments the girls make about weight here. I have now been told twice, straight to my face, that I look like I'm gaining weight. Straight up, without shame, without any thought that this could be offensive. The first time I was so shocked and offended I didn't know what to do. The second time I mentioned that in my culture this is offensive to a woman. (especially if its true.) and also, they are not my friends. Who do they think they are telling me this without any respect to our coworker relationship?!?! Cross cultural differences? Yes, I think so. I think the next time I'm going to tell them that they look awfully fat in their scrubs, maybe they should consider eating less tortillas. Kidding, I would never do that, just giving an example of things that happen when living abroad that are hard to swallow. I will probably never really shrug off those things. Sorry, I lived 24 years in a country where getting fat is not really funny or fun, and saying it out loud will never be acceptable. It's hard to change that mentality, and I don't feel I need to. well, I suppose changing that mentality would sure make it easier to shrug off those comments.
Also, did you know that if you whip instant coffee with a little water and sugar till it's foamy and then add hot water and milk you have one delicious cup of joe?
Well, I will leave you with that. Keep on loving each other, and showing love to the world. Everyone needs it. Blessings!

to be noted...no pics=boring

I apologize for the boring visual of this blog. stupidly, somewhere on the way to the U.S. in June, I lost a baggie I had of my camera charger, my Ipod cord, and along with that, my camera cord to download pics. Blug. I was actually going to do that tonight too. Lame. Maybe I'll have to see if I can order another online and send it down with one of you when you come to visit. ;)

6 months in...

So I am a half a year into this. Time is so relative so I don't really know if it's gone fast or slow. Either way, half-way is certainly 182.5 days, so whether or not it's gone slow, it doesn't matter.

My good friend Brianna visited me this past week. I had some days off, and we went to the island of Utila and enjoyed the sun and sea for a couple days, and then spent the last 7 days here in Siguatepeque. I worked mornings, and she either relaxed, did some of her own work, or she got involved in volunteering at some local organizations. I was blessed to have a friend from the states, who knows me well, to now know where I dwell, and what are some of the challenges I am facing.

Today (Sunday) I found myself at church twice, napping 2 hours in between, and surprised to have a last minute call from some friends who wanted to come over and hang out. It was a good day, even though I was sad to send Brianna off, but my friends filled that gap, and I am thankful. We ate "catrachos" with is a tostado (corn tortilla thinger) with beans, parmesan cheese, and a salsa-like mixture called Chismol. Catrachos is the slang word for a Honduran person. Spanish can be pretty fun.


I'm not going to lie. It was a tough week that just passed. Morning shift is always a struggle with some of the dynamics of staff relationships, and really just me trying to figure out what is my role at this hospital. What are their goals, what are mine? How do I be effective without stomping on feet? What are my abilities anyways? Am I capable of teaching nursing students with my level of Spanish? What does student supervision mean? If I am not capable, am I stuck washing beds and doing the work of any other Honduran nursing assistant can do? I feel like I came on this with a humble heart, but the level of nursing work I am doing has certainly taken a beating on my pride. I have had to stop and ask myself, "just what am I doing this for and for whom? Am I truly doing this for God, or did I actually come to do this for myself?"

And what does effectiveness mean? Change? Well, that's not going to happen. I know it's not my job to change the hospital, but I see that it is my position (tactfully and respectfully of course, always) to put in my opinion. After all, I am an employee, a registered nurse with my bachelor's degree. It's tough. As an outsider, where are my rights, what are my responsibilities? Yeah, not sure. Living in another culture, much less working in a completely different system is very very complex. The complexity of language, communication, culture, change, healthcare, and most of all, one's character, and how they healthily deal with all of those things. This, my friends, is the thorn in my flesh. Am I faithful enough to complete this task just exactly how Jesus Christ is calling me to? Every step? What if it means doing exactly what I am doing now? Because it might be. The change must be the way I deal with it, the way I process it, and the way I choose to exert myself in a way that is actually helpful to this. I feel like I need a master's degree or something to do this. But then again, I might be in the exact same position.

On another note, little by little, I continue to meet new folks, establish new friendships, and the loneliness of living alone diminishes some. I know that God is calling me to spend more time centering myself in quiet times with him. I'm starting to find people who I can trust in, people who care about me genuinely, and that is a wonderful thing. It makes all the difference, actually. I do find myself missing my friends and family from home, but I am slowly building a community here, which is truly rich, and really helps me to grow. It's pretty inspiring meeting people from all areas of the world, and getting their input in issues. I like to know how others really truly see North Americans, and understand the reason behind it. I like to see how they approach their social issues, healthcare, education, etc. I tell you, nothing expands your world view quite as much as meeting people from all over. I feel like if work was going smoother, this would be my dream 2 years! :) But I believe that God's plan is perfect, and staying in that will truly prove to be a very rewarding experience. Also, Spanish--still struggling, but I'm finding little by little I'm understanding larger quantities of conversations, which is obviously very encouraging.

anyways, what's new with you?
Love Malerie

hay un accidente!

Last night I found myself in the emergency on my first evening training there. Not that it is so different from other shifts, but I surely could not manage it if I had to work on my own, so this week is designated for the ER. Maybe it's the luck I bring or something, but around maybe 3:00 pm or so, we received 14 people coming in from a car wreck. It was not clear to me until the end of the whole ordeal what exactly had happened. But folks from the more rural areas hop on a pick up truck in the back and ride in together. So if one truck overturns, you've got a 14-victim accident. We got people coming in from pickups and cars, and all sorts of things. Many just got some pretty harsh road burns, others had dislocated shoulders, others had some pretty bad cuts on their head and face. There was a baby who was so very lucky to have made it out with some scratches.
What really stunk was that I felt like I didn't know the first thing to do. I suppose there is no better way to learn than when learning experiences present themselves. So it was taking vital signs (manually of course with a BP cuff) and taping them to the legs of the patients, and then Dr.s come in and assess the worst ones first, and from then on it's prioritization as to who is the most grave. After vital signs, it's getting basins with soap and water, and trying to wash people up a little, calm them down, and put gauze on their cuts. Then, it's the dr.s turn to write up a reference, and write any orders for IV fluids if they see it necessary, and get them ready to ship off to a hospital that is better equipped for these folks. Also, most of these folks cannot afford a private hospital, so that is another factor one considers when thinking about referring.
All that said, I think everyone is going to be okay with some stitches, casts, immobilizers, rest, IV fluids, and observation. It was chaos. Maybe not for everyone else, but for me with my Spanish levels, and newby levels of understanding a) Emergency care b) Hospital Evangelico's way of treating mass emergency c) students and nurses and doctors working together, it was chaos and confusion. I tried to just be available, and tried to step back and observe, and assess if someone needed to be watched more carefully and was being overlooked due to other distractions. Also, once in a while I went and checked on folks to make sure they knew we were watching them, and caring for them. Some of them were pretty scared. Two girls not over the age of probably 14 were there without their parents, obviously scared. A pregnant woman kept asking what had happened to her. I don't know. It could have been my newness to trauma and emergencies.
One success, I didn't get dizzy and have the feeling of fainting! Usually when I see ripped up skin and bloody faces, I start to get a little whoosy, but maybe it's more like when one is a passenger they get carsick, but not when driving. Maybe it's something like that. Anyways, it was awesome. I think I could get the hang of this.
So, that's an insight into a very interesting evening shift for me. Stressful, but in the end, definitely a good learning experience.
Other happenings: Enjoying having other folks living with me at the house. Work is going pretty well. I found someone who wanted an English-speaking conversation partner, which has been a fun new contact/resource/friend for me. Thanks for your thoughts and prayers. Those are always useful! I appreciate it all.
Love, Malerie

Back in Honduras

I have found myself back in Honduras after 3 weeks visit in the U.S. It was a good time of spending quality time with family and friends. I got to have a nice ride one summer evening in Iowa City on my bicycle. I tried to do everything that I do not have the opportunity to do here in Honduras. I think I was able to take advantage of that pretty well. Hiked in Virginia, met friends over many a cup of coffee or dinner catching up. Orientation, as mentioned in the previous post proved to be a good time of reflection and learning. But I find myself back here where I was sent in the first place, and I feel pretty good about that. It was a little harder in some ways this time around leaving the U.S. knowing it will be a long time till I go back, but I think that is actually good. It can kind of mess with your head when you go back and forth from what you consider home, and where you are supposed to be making your home.

Yesterday I went on a retreat with the nurses here to a retreat center where we went up on the highwires, securely attached of course, but nonetheless, really high up. It was fun, and I did realize some of the things that hinder teamwork, and what hinders me in particular from joining the team that is in place here at the hospital.

I start back into work tomorrow on 3rd shift. I'm finding myself quite tired these days, adjusting back to Spanish immersion. I love learning Spanish, but it can certainly prove to be a challenge, and super-humbling. Also, I have 2 girls from Seattle visiting Siguatepeque doing some work in the area, and are staying at my house, which has been really great company, and just nice to meet new people from a different area of the U.S. with different ethnic backgrounds, and new outlooks. I'm thankful for them being here.

Anyways, I hope that you are finding peace in your lives, and can feel Christ's presence in your life, even if all else is kind of crazy. or maybe that is my wish for myself too. :)

Orientation

I find myself on a Monday, 3rd day of orientation. A lot a lot of thoughts, feelings, and some tears I have encountered today. I am tired, and all I really want to do is sleep, but I'm finding the increasing need to journal, and process the thoughts that were rolling around in my head today.

I was acutely aware of the sacredness of the opportunity we have as we approach assignments abroad in service and missions. I was reminded what missions are about. Well, maybe rightly educated today by a pair of married, experienced missionaries who are very active not only abroad, but here in their own community in Harrisonburg in the world of missions. I will call them George and Mary. George started out their time of sharing with his testimony, saying that it does directly relate to missional approach. In a nutshell, George was called into ministry simply because of the joy and wonder and transformation he had found in his own salvation. It was not out of Christian criteria, or guilt, or obligation, but simply because Jesus had so radically intervened in his life and gave him hope and joy when he had none, when all other resources had been exhausted. After he made the realization, there was nothing else to do but to share that with others who lacked that power source of Christ.

So that first impacted me, as I have lost what missions exactly is. I have lost what "the good news" or the "gospel" truly is. It is nothing more but Christ coming into our lives and conforming us from people without hope, to people with true joy and love. Living in Christian influence my whole life, the post-modern world has certainly had its effect on me. I have faced the questions our post-modern society has proposed and failed to have answers. I have fallen into cynicism when people use words like "evangelism" and spreading the good news, and saving people for Jesus. but somehow I have still held onto this "call" to go abroad. How I got this far with a slightly tainted view of missions, I do not know. I mean, missions are super-complicated and that is for sure. There are a million dynamics one needs to study and consider before doing something like this, but I think I have been working so hard on those dynamics, but have been so badly failing at the heart of the matter. I think the heart of it is this: Christ has impacted my life. If nothing else, I am convinced that Jesus Christ is real, and for whatever reason, Christ has led me to serve in Siguatepeque, Honduras. The process is not a simple one, but I am going to work to serve to the best of what I can, with the guidance of the Higher Power. I don't even know yet what that all entails. But there isn't any other way. As they say, in Spanish. "Ni Modo." There's no other way.