Tuesday, February 7, 2012

Travel In Mali

Travel in Mali. Where to begin… I’ve been working on this post for ages, and really I probably should’ve just posted it months ago, because pretty much every time I travel in Mali it ends up a story. In fact, writing this is overwhelming, because Chrissy keeps asking, “Did you write about this trip? Did you write about that trip?” You get the point. Or you will by the end of this post.

Back in March, I described my first, long-distance public transport experience in Mali. It was not fun. Now that it’s not Hot Season the trip isn’t quite so bad, and I’ve found some strategies to make it more bearable. But when you get down to it, traveling in Mali is just not fun. It turns some people into Site Rats entirely because they just don’t want to deal with public transport (Ahem, Chrissy).

A few of my traveling stories:
To begin, among other long trips, I’ve done the San-Bamako or vice versa trip 19 times now. Only 5 times have I done it in under 8 hours. It’s funny, that used to seem like such a long trip. But a few months ago, I was sitting around with a bunch of PCVs and one of the veterans was talking about a film festival in Burkina Faso. She mentioned that it’s only 17 hours by bus and we all exclaimed, “Oh wow, that’s short!” (A group of friends who recently went to Ghana had a 60 hour bus ride coming home – it was supposed to only be 28). How perceptions change…

Are We Still in Mali?!?
In early June, (still hot season), all the PCVs from my stage (The Kennedys) headed into Bamako, after our first two months at site, for 2 weeks of In-Service Training (IST). Chrissy and I went down to Bko together. We’d heard about this fancy new bus company, Africa Tours Transport, that was super reliable, fast with no superfluous stops, and occasionally air-conditioned! Please understand, all of this is completely unheard of in Malian public transport. It’s enough to make your jaw drop when you first hear about it. In addition to all of that, they charge you the normal price (6000 cfa) but give you a 1000 cfa food voucher for lunch at the midway point. Brilliant.

We got up in the morning and headed to the bus stop to catch the ATT bus. Unfortunately the first bus was full (it’s starting departure is a region farther up north) so we waited for the second bus and were able to get on that. We made the halfway point in 3 hours, a whole hour quicker than usual. Trips are so much more pleasant without stopping constantly and having the bus invaded by women selling every Malian food item imaginable and beggar boys singing for coins. (I’m going to take a video of this experience one of these days). After lunch, Chrissy and I both slept for a long time. We woke up after several hours and realized we had no idea where we were. Nothing looked familiar. With the rate we’d been going earlier, by this point we should have been passing the villages where we all lived during homestay, which are about an hour out of Bamako. Nothing. We started joking – where are we? What happened while we were sleeping? Did the bus make a detour? Are we in Cote d’Ivoire?!?

(That’s pretty much impossible. Mali has one main road going from major city to major city, and our particular road went straight to Bamako, and only to Bamako).

Despite the joking, I was slightly worried. We should’ve been recognizing signs, and an hour later, we still didn’t see anything familiar. Eventually we realized everything looked so different because it was all green. I hadn’t seen green like this since the previous summer in Amεriki. Rainy Season had begun in Bamako! It was still mango season, and we passed literally thousands and thousands of mangoes lined along the sides of the road, waiting to be bought. I can’t begin to imagine how many mangoes must go bad every year, simply because people can’t eat them all.

Eventually we did make it to Bamako. It took us the usual 8 hours, which means while the first leg of the trip was shorter than usual, the latter leg was longer, in spite of the lack of extra stops. Between the weird timing and all the green everywhere, it was a very confusing trip! Thank goodness our bus had air-conditioning. :)

Sick & Traveling/Bashés
After IST, Chrissy went back to San (It took her 29 hours, including an unplanned overnight stop. But that’s her story.) and I went with my friend Michaela to Manantali for the PCV 4th of July party. We stopped in Kita, Michaela’s regional capital (mine is San), for a night, as it is about halfway between Bko and ‘Tali. After 6 months in Mali diarrhea-free (believe me, it’s quite the accomplishment!) I’d gotten sick that morning. On a travel day. So not cool, Mali…so not cool. I managed to sleep the whole way to Kita and most of the night. The next morning I downed some Imodium and prepared for the trip – I’d heard it wasn’t the most pleasant. Sure enough, we crammed into a bus and enjoyed a fairly pleasant one-hour trip on a paved road, and then turned off onto an unpaved road for the next 4 hours. That’s right. Four hours on an unpaved road. During rainy season, with pits and ditches and mud everywhere. And I was sick. Good times.

A Bashé
Well, we made it, thank Allah. And had a great 4 days in ‘Tali. But then we had to go home again. This time we were on a bashé, a bush taxi. Basically it’s a van with crappy seats in the back – it’s the same public transport I can take between San and my site. I was feeling much healthier this time, but the trip was much more miserable. The seats were designed 5 to a row, 4 rows, but the seats were made with midgets in mind. Or Michaela, but she is an extremely tiny human. No one else could ever comfortably fit in those silly little seats! Which means at least one of your shoulders is on top of someone else’s, or their shoulder is on yours. Not to mention other body limbs. You don’t actually fit on the seat, so you end up sitting half on one seat at one height, and half on another seat at another height. My backpack was too big to fit on the ground, so I had to put it on my lap. It was heavy enough that it cut off the circulation in my legs, and after 4 hours on the unpaved, pot-hole filled road, my legs were swollen and I could barely climb out of the bashé and walk to the ɲεgεn. It was miserable. And after we got to Kita, I still had another 4 hours on the bashé back to Bamako. At least this time there were less people and a bit more space.

Malians Are Awesome
I spent a night in Bamako and the next morning headed back to San alone. I found myself a cab and told the driver I needed to go to the Sonef Company Bus Station. ‘Which one?’ he asks. ‘Well crap, there’s 2?!’ I asked the prices for both and picked the most reasonable sounding – the cheapest, of course. (In Mali you negotiate taxi prices before ever getting in the car). So he drove me to the station, and I knew immediately it was the wrong one. I asked him if I could get out and ask for help at the counter. Not only did he agree to wait, but he got out with me to help interpret. Sure enough, I needed to be at the other station across the river, but at least I could purchase my ticket here. The driver and I got back in the car and he told me he would give me a slight discount on the price to go to the second place. On the way, he taught me how to give directions to the correct station for the next time I came to Bamako. Once we got to the right station he got out of the car, took my 2 heaviest bags, walked with me to find someone who could point out my bus, and waited with me to make sure my bags got on the bus. And when I paid him, he didn’t even complain that I needed change! (Most Malians use nothing but change. Most people rarely have change. Most banks insist on giving out the highest bills in existence. It’s all very problematic). Best taxi driver I’ve ever had. And on the bus, my seatmate offered me the seat next to him when he saw I didn’t know where to go, shared bananas with me, and kept me updated on where we were and what was going on. Moral of this story: Malians are wonderful people!

Totally Normal
Another trip to Bamako a few months ago I again wasn’t feeling well and was traveling alone. A lovely young woman on the bus decided to take me under her wing. At each stop she sought me out and found a seat in the shade for the two of us. She watched my bags while I went to the ɲεgεn. When we unexplainably stopped in a particular town for over an hour, she explained to me we had to wait because the President of Mali was coming through and all the roads were closed until he passed.

The bus I had wanted to take – the fancy ATT – was full, so they put us on another nearly-full bus. In fact, in order to accommodate for me, two boys had to squish together into one seat so I could have the other seat. And like typical Malian kids, they were used to it and never complained the whole 8 hours. They were so cute, the big one taking care of the little one. They would find ways to sleep, the big one with his arms wrapped protectively around the little one. I felt bad they had such little space.

It was strange, I kept hearing chicken noises near us. Chickens on the bus are totally normal, but I couldn’t figure out where these sounds were coming from. Near the end of the trip I realized there was a box with chickens in it under the boys’ feet. So in one, little, two-person seat, there was me, two boys, and a box of chickens. Totally normal!

Making My Way
A Bamako Sotroma
Back in September I was in Bamako and had the opportunity to visit my Homestay family for two nights. The hard part about visiting is that the village is not easy to get to. It’s outside of Bamako and another 7km off the main road. The first visit I was able to take Peace Corps transport most of the way there and several Sotromas (similar to a bashé but sort of a city bus system) and a taxi home. This time I was already half-way there – I’d gone to a resort for two nights with a group of friends for a birthday celebration. The resort was located in a town I’d once biked to during homestay to go hiking. So I was pretty close, but still had to find transport the rest of the way.

Moto-Taxi
The resort was several km off the main road, and we took a moto-taxi to get to the road. A moto-taxi is a motorbike with a sort of cart attached to the back, and people ride in the cart. They’re pretty fun! Once on the main road, my friend and I shared a cab – me to the turn-off to my vill, and him continuing on to his vill further down the road. I was able to find another moto-taxi to take me the 7km into Mountougoula. The cart was full, so the driver put me on the bench right behind his moto. It was a great ride, and I felt so…Malian! I was breezing into my old town, joking with the men who were riding in the cart. I’d found my own transport, negotiated my price, and was chatting with Malians, all outside of my comfort zone of San or Bamako. I felt pretty good. :)

Getting out of Mountougoula was more complicated, and I wasn’t sure how I was going to do it. To complicate matters, it was Rainy Season and a storm was approaching, but I needed to leave; I had business to take care of and I’d already stayed several hours later than I’d intended. My brother Moussa walked me to the main road and almost immediately we saw a pickup truck approaching. It stopped and the man in the passenger seat moved to the back to join another man and a woman so I could have the more spacious front seat. Several minutes later we picked up another man who also squished into the back, again leaving me alone in the roomier front seat.

I had only asked for a ride to the main road, but when the driver found out I was actually headed to Bamako, he offered to take me as far as he was going. It was a good portion of the distance I needed to cover so I happily accepted. As we turned onto the main road, the wind started to pick up and the sky darkened. Just after we passed the town with the resort, the rain started. I was frustrated that my bag was in the back of the truck, getting wet, but what could I do? Well, it turns out I didn’t have to do anything. The driver stopped and one of the men got out to get both my duffel and his backpack. He passed his small bag up to me and crammed my bigger duffel into the back seat with him and the other 3 passengers; and despite my protests that I had plenty of room up front, he said it was no problem to keep my bag in the back. One by one we dropped off passengers, and by the time it was my turn to get out, the rain had stopped. I was willing to take an expensive cab the rest of the way, but the driver passed his turnoff and kept driving until he saw a Sotroma where he could drop me off. The remaining man in the back got out and took my bag onto the Sotroma for me. Then the driver got out and walked me onto the Sotroma, made sure I had a dry seat, and made sure the Sotroma door guy knew where I needed to go. Again, Malians are wonderful people!

The Sotroma was pretty quiet most of the ride. When the door guy asked for my money, I had to ask how much I owed, and he answered me in super-dumbed-down Bambara, obviously thinking I couldn’t understand much. When I gave him the wrong amount he clearly thought I was confused, so I explained to him in Bambara that I understand Malian money perfectly, I just didn’t have the proper change. Immediately everyone in the Sotroma swiveled their heads to look at me and broke out into huge smiles – the toubab speaks Bambara! After that, everyone wanted to talk: who was I? Where was I going? What was I doing in Mali? And as usual, they took care of me; told me where we were in the city and when I should get off.

Immediately after I got off the Sotroma in the grand market, a man came up to me, took my bag from me, and asked where I was going. I assumed he was a taxi driver, so I told him my destination and he said, “Ok, let’s go!” Again, I was totally willing to take an expensive taxi. But then he didn’t move and I certainly didn’t know where to go. Turns out he wasn’t a driver, just a guy carrying my bag for money. After a few moments of awkwardness, he asked someone else how to get me where I was going, then the two of us walked a few blocks to another Sotroma. The driver told us it wasn’t the right one, but he did flag down the right one for me. A woman on this Sotroma overheard where I was going and also took me under her wing. She made sure I got off at the right stop and pointed me in the right direction for where I needed to go. So by the end of this trip it had taken me much longer than a simple cab would have, but it’s not like I had anywhere to go, and thanks to lots of help from some really good people I saved 5x as much money as I would’ve if I’d taken the cab!

Annoyed.
After a trip to Bamako in October, I left with 2 other girls at 9am, all of us to take 10am buses back to our various sites. The cab driver (who was very nice) said he knew both bus stations where we had to go. Mine should've been first, but I didn't know the exact turn-off so I didn't realize he'd gone too far till we were almost at the other station. After we dropped off the other 2 girls, the driver told me he didn’t know exactly where my station was. So he asked directions from another cab driver. We went back the way we came for awhile before he made a turn, realized it was wrong, and asked directions again. We went back the way we had just come (I'm now passing some places for the 3rd time) and he once more asked directions as we stopped at an intersection. By the time we actually got to my station, I'd missed my bus and the company didn’t have any other buses going to San that day.

I called my friend Virginia for help and she promised to send me phone numbers for some other bus companies. I waited for 40 minutes before calling her back. Apparently she had sent the text, but somehow it never arrived at my phone (Thank you Malian cell service). She said she'd try again, so I waited another 15 minutes before giving up – if I was going to try to catch a noon bus I needed to leave now! I grabbed a cab to the main bus station and the driver found me a company that was going to San - but not till 6pm. I put my name on the list but didn't pay (trial and error has taught me that!) and sat down to wait for 7 hours at the dirty, noisy bus station, all alone with my 4 heavy bags (Don't judge me. We all know I suck at packing). Virginia called back and gave me the other bus company numbers over the phone. My best shot was a bus leaving at 4pm, which meant I still had to wait for 5 hours, and then I would be traveling alone at night, and wouldn't get to San until at least midnight. OR I could go back into Bamako, stay the night, and take a 6:30am bus in the morning with Virginia and our friend Tom. On the super-reliable ATT bus with air-conditioning and no superfluous stops, cutting the trip short by 2 hours. Done.

Carrying My Bags
For this particular company you have to personally go to the station the day before to buy the tickets. I was close by, so I offered to go get the tickets for all of us. I walked out to the main road and decided I could walk to the station, so I climbed 36 stairs in order to use the pedestrian bridge to cross the busy road. Oh, and all this time I'm carrying my backpack, my purse, my duffel bag, and my giant pink plastic Malian bag - on my head. Up at the top I realized I couldn’t actually see the station, so I decided to walk back down to the road, suck it up, and take a cab. Well, the cab driver wanted to charge me at least 4x an appropriate price, which was just insulting. I talked him down, but not to the correct price, and I was so pissed off on principle that I told him I'd just walk - and I did. I walked for 25 minutes at noon, in Africa, with all that crap. The bag on my head had soft stuff at the bottom so it kept conforming to the shape of my head and pushing down on my glasses. I kept having to take the bag off my head to pound it back into shape and then put it up again. I walked past scary motos, around people who wanted me to stop and talk to them despite my obvious struggles, and through trash in the street. I was so hot and exhausted by the time I got to the bus station, but right next door was an ice cream place! I stopped inside and bought an ice cream and ate the whole thing right then and there. The price was almost as much as the cab ride would've been, but way more worth it. And the cashier felt sorry for me and gave me a discount. Booyah, stingy cab driver!

I finally bought the bus tickets and grabbed a cab back into Bamako. On the way there, I decided there was no point in going back to the PC house right away. I had all of my stuff, I might as well go to the American Club and hang out at the pool! So I did. I bought ridiculously overpriced food and beer (the AC is notorious for that) and hung out at the pool all by myself for 4 hours. I was the only one out there the whole time. It was awesome.

Kimparana
My friend JClay lives in the town of Kimparana, about 25km down the road from me. It’s fairly easy to get between our two sites, so we occasionally make a day trip to visit each other.

My first visit, I left JClay’s house at 4:30pm. That gave me 2 hours to get home – plenty of time. Not. My bashé sat there forever before leaving, and then it took a total of 72 minutes to get home. 72 minutes. To go 25km. That’s approximately equal to 4.6 mph. So. Painful. So much for getting home before dark!

The second time I went to visit JClay, I left even earlier, just in case I got stuck on the bashé from hell again. While we sat in town forever again before leaving, this bashé moved at a normal speed. Thank goodness, because under my feet was a carpet of goats. In Mali, you quickly get used to animals as travel buddies. This particular vehicle was leaving Kimparana on market day and therefore a lot of people had purchased goats. Basically I used a live goat’s head as a footrest. Totally normal, I swear.

Traveling with Moose
A line of bashés at the San bus station
Traveling from San to my site with my puppy, Moose, for the first time was dɔɔni (a little bit) ridiculous. He was tiny enough back then that I was easily able to carry him to the bust station while carrying my other belongings as well. Then we sat down to wait awhile for our bashé to leave. Somehow Moose and I were the last ones to load. I’ll give you a refresher course on bashés. It’s important to remember a motto I learned in Niger: “In Africa, there’s always room for one more (in the car)!” These bashés are basically vans with rows of seats in the back. Each row is the width of a normal van – maybe 5 feet or so. And each row has 5 “seats” in it. That’s less than a foot of space per person. It’s utterly ridiculous. Malians tend to be pretty thin in general (result of lifelong poor nutrition + physical labor) but even 5 Malians don’t fit comfortably in a row. In fact, you really don’t even fit. Four can be a tight squeeze and certainly not comfortable. But if enough people are waiting to take a bashé, somehow they all fit in.


By the time Moose and I loaded, we were put in a row that already had 4 adults, plus a toddler sitting on a woman’s lap. We were to sit in the middle. Basically I was sitting on one thigh each of the man and woman on either side of me. I was supposed to put my backpack (which is technically normal-sized but pretty large and overstuffed) on my lap but I had Moose on my lap, so the bag was mostly on the lap of the guy next to me. The woman on my right had the toddler on her lap. I was in a middle seat, which has a short seat-back only about mid-back height that has the ability to fold down to allow for climbing in and out of the various rows. Since I didn’t have an actual seat, I was doing my best to keep the majority of my weight balanced between my legs (I was pushing off the floor on my tiptoes) and my back, but I was terrified at any moment the seat-back would break and Moose and I would fly backward into the laps of the people behind us. Thank goodness that didn’t happen!

This was Moose’s first travel experience with me, not to mention in a bashé, and I really didn’t know him all that well yet. In that tiny, crowded space I held him in my lap, praying he wouldn’t pee on the lady and toddler next to me. I was so proud of how well he did! He didn’t move at all for the first half of the trip, and he calmed down pretty well when he got antsy a little later. What a good puppy. :) But I was really grateful when that trip was over!!

Life is Good!
After finding myself sick with malaria, I needed to go to Bamako to finish my medical treatment and get the all clear to go back to site. I convinced my friend Lyle to go down a day earlier than he was planning so I wouldn’t have to go alone. We didn’t buy bus tickets in advance but rather assumed we’d find transport pretty easy in the morning.

We headed to the San gare (bus station place) and had only just sat down when a bus arrived. We headed over with our bags, only to find that the bus was full. So we went back to our seats. Again, we’d been sitting for just a few minutes when the bus station people called us over again – but they were pointing at a civilian car. Lyle and I were confused, but we went with the flow. Sharing rides in Mali is totally common, I’ve just never had a bus station-person put me on one before. But the bus people know us and maybe they just wanted to help us get to Bamako quickly.

Whatever the reason, the driver of the car was given our bus money, and they started to load our bags in the car. The very small car. With a very small trunk. Which already held 4 people plus their luggage. Allah only knows how they managed it, but somehow they got both of our bags in the trunk, tied it down, and moved the few things they’d removed from the trunk to the backseat. Lyle and I crowded in the back with another man, each of us holding something on our laps, while another man and woman smushed into the front passenger seat and the driver settled into his seat. And we were off for our 8 hour ride!

A short while down the road, Lyle tried to ask our driver a question in Bambara, but the driver seemed to be having a hard time understanding. He responded in French (neither Lyle or I speak much French) and when that didn’t work we switched to English. As it turned out, the group we’d hitched a ride with were actually from Cameroon. Our driver was a Cameroonian gendarme (an armed road police officer) currently living in Bamako as a student -  not sure what the other 3’s stories were; they didn’t speak much English.

It turned out to be a pretty fabulous ride. They blasted music the majority of the way and our driver either sang or danced most of the 8 hours. I’m pretty sure at one point we listened to a marching band version of the Cameroonian national anthem on repeat. When we stopped about 2 hours out of San for a rest break and food, the Cameroonians bought a bunch of meat (a fairly expensive treat) and called us over to help them eat it. “Take food! Eat meat!” Our driver shared his wisdom: “Life is good. We sing. We dance. We eat. I do not like problems. Life is good!!” Then he pumped up the music and danced outside next to the car. Later in the car we were driving along and out of nowhere he bursts out, “Barack Obama!!!” I replied, “Yes, he is the President of the United States. Do you like him?” The driver answered, “He is not a woman! I like women!” This guy was great. Despite the moderately cramped conditions, it was a pretty sweet trip to Bko.

Chuckie
A few weeks ago I traveled from Bamako to San. It wasn’t terrible but it also wasn’t a very good trip. The craziest thing that happened? The bus had a TV and played the movie Chuckie. In English.





Another typical form of transport which thankfully I have not had to do!

View from behind.

Monday, February 6, 2012

Happy Anniversary to ME!!! :D

Last Thursday, I officially celebrated one year in Mali!!!

Recap:

It’s Been One Year (or more) Since I’ve…
·      Hugged my mom
·      Played games with my dad
·      Fought with my sister
·      Seen snow
·      Eaten a variety of foods, including, but not limited to:
  • Blueberry waffle cone ice cream
  • Mango margaritas
  • A real Chai Latte
  • Jif Peanut-Buttered English Muffin
  • Skim milk
·      Been skiing
·      Ridden a rollercoaster
·      Driven!
·      Worn heels
·      Flown in an airplane/left the country
·      Not slept under a mosquito net
·      Channel surfed
·      Gone to the movies
·      Bowled
·      Gone a whole day without lugging around (at least one) a Nalgene
·      Seen a white baby
·      Been to a Wal-Mart or a Target
·      Attended and understood a church service
·      Gone a day without seeing, or hearing, at least one donkey, goat, or rooster
·      Worn contacts 2 days in a row
·      Been to a library
·      Gone to the beach
·      Gone on a date
·      Baby-sat (although I do run an unofficial day care center at my house every day whether I want to or not)
·      Experienced weather <50°
·      Worn a coat
·      Seen or used a washer or dryer
·      Been to the chiropractor
·      Used a hair brush, dryer or straightener

Surprisingly, I HAVE:
·      Consumed the following:
  • Yuengling beer
  • My dad’s homemade chocolate cookies dunked in cow’s milk
  • Amεriki-style PB&J (made with Amεriki bread, PB, and jelly!)
  • Pop-Tarts
  • Jameson
  • Delivery pizza
  • Gelato
  • Pig (4x!...remember, it’s a 95% Muslim country)
·      Salsa danced
·      Baked challah
·      Gone out dancing till 5am
·      Worn my lip ring
·      Managed to keep up with 3/6 Amεriki TV shows
·      Laid in the grass (once!)
·      Ridden an elevator (after 357 days)
·      Ridden a boat
·      Tried to teach a villager how to use a laptop, in Bambara
·      Played Pub Trivia
·      Used glitter glue!
·      Watched a soap opera
·      Learned new Amεriki music from villagers

New Things I’ve Learned:
·      To like tomatoes, eggplant, cabbage, and beets
·      How to plant fields of millet, beans, and peanuts
·      How to harvest peanuts and cotton
·      How to balance and carry things on my head
·      To speak a new language
·      How to walk in a tafe (wrap skirt) without tripping (usually…)
·      How to navigate a country, alone, where I’m a foreigner to the language, culture, food, and pretty much everything about it
·      How to eat rice and sauce with my hands
·      How to feed milk to a baby goat
·      Not to put water into a pan of hot oil unless you want to burn down your hut
·      How to read the skies: the directions storms approach, the movement of the sun, star patterns
·      How to play a new card game without a common language
·      How to administer polio vaccines and Vitamin A supplements
·      How to tell the difference between sheep and goats
·      Wash my clothes (ALL my clothes, ALL the time) by hand
·      The fine arts of Patience, Sitting, Thinking, and Sleeping
·      How to bargain prices
·      To make peace with ants and roaches

New Things I’ve Done:
·      Lived alone in my very first place! (Sure it’s a mud hut with no electricity or running water, and I don’t pay rent, but it’s a step in the right direction…)
·      Ridden in donkey carts
·      Seen real, live cases of lymphedema, the most common symptom of chronic lymphatic filariasis
·      Gained 5 new families (Homestay in Mountougoula, my site host fam, my homologue’s fam, the CSCOM fam, and my Peace Corps fam)
·      Ridden a bike with 2 people
·      Fulfilled a 12 year curiosity of shaving my head! Plus worn a mohawk and unintentionally started growing a mullet.
·      Purchased, carried, and vehicle-transported a live chicken.
·      Eaten bugs
·      Lived through 4 consecutive months of 100°+ everyday without air conditioning, fans, or cold drinks
·      Experienced and lived through ‘fun’ diseases: Amoebas, Malaria, and Intestinal Bacterial Infections
·      Gotten away with calling my boss, friends, and strangers a donkey or a farting bean-eater
·      Gone to the doctor/dentist ALONE and navigated the hospital/appointment with limited language skills
·      Gone more than 1 day in a row without email, Facebook, YouTube, OR Wikipedia
·      Made travel buddies with goats and chickens

It’s been a great year…may there be much more greatness to come!! :D

Friday, December 30, 2011

Sickness in Mali - In All the Gory Details

*Disclaimer: I’m giving you my real experience here. So if you don’t want to hear all the finer points of various illnesses, skip this post.

Being sick in Mali sucks. I mean, it really sucks. Being sick anywhere sucks, but in Mali it could be one of a million things most people have never even heard of. It’s a wonder PCVs make it through service without becoming hypochondriacs.
      “Oh my god my head hurts!! I must have malaria!!”
   “Oh no, my pee is red! I have schisto!!....Oh wait, I ate beets tonight.”
 Plus you don’t have the comforts of home, like vegging on the couch in front of the TV, toast, the sick blanket, easy-to-make-soup, temperature control, and a proper toilet to be sick in.

I made it 6 months without anything more than a cold, which I felt was pretty successful, considering the amount of germs that are passed around in a society where one of my main roles as a health educator is teaching people to wash their hands with soap. I hadn’t even had diarrhea once, a major feat!

But when it rains, it pours.

Sickness #1
All the PCVs in my group went to Bamako in June for 2 weeks of In-Service Training. Post-IST, many of us went to Manantali, a town in the southwest of Mali, to celebrate the 4th of July. I’ve written a little bit about that experience. Tragically, I got sick the day Michaela and I left Bamako to go to her regional capital, Kita, and then on to Manantali. In a country with no roadside rest stops, being sick while traveling can be pretty terrifying. Luckily I was able to sleep most of the way to Kita, and Michaela The Pharmacy gave me some Imodium to get me to ‘Tali. The Mr. D (as PCVs fondly refer to diarrhea) tapered off for my vacation, which I was incredibly thankful for!

But it never really went away… I continued to have on-and-off Mr. D, mostly on, for the next 8 weeks. I woke up several times during the night to throw up my dinner. To be honest, none of this ever struck me as odd. I figured it was just my time to have the real Mali experience. PCVs are so constantly in a state of not-so-perfect health, that it really just becomes our way of life. So my gastrointestinal issues never really registered, until about 6 weeks later. Actually, Cisse, the CSCOM’s (health center) head doctor’s wife, noticed first. I was over at her house one day and she kept asking me what was wrong. I said I was fine, and she responded that I was quiet and something was wrong. I was annoyed by her persistence, but as it turned out, she was right. I was falling sick with my first major Malian illness.

A few days later I went to San for a Girls Night, a party to welcome our newest San volunteers, and several PC-related meetings. I was supposed to be gone for 4 days. That night I started to feel even more unwell than I had the previous weekend, and although I tried to go to bed early, it turned out I couldn’t sleep at all. I was unbelievably hot, later sweaty, with stomach pains so bad I couldn’t fall asleep. I was up until 6am when I finally managed to catch about an hour and a half of sleep. The next day I was on and off functional. Sometimes I felt ok, sometimes I couldn’t even sit up. Unfortunately, that was the night of the party to welcome the newbies, so all the San Kaw volunteers were at the house so we could do one giant meet-and-greet. It was pretty overwhelming, but I managed to buck up enough to chat with everyone. I did get some sleep that night, and in the morning I felt great, and was totally ready to go back to village the next day.

But then the next day came and I could barely move again. For the next 4 days I planned every day to go back to village, then realized I couldn’t eat, was barely sleeping, and for most of the day could barely walk to the bathroom the every hour that I needed to go. Life quickly got more miserable.

A silver lining, I discovered yet again what great friends I have! Where else can you find a group of friends willing to discuss with you the best way for taking a stool sample, and who will continue to give advice during the process? Or who will then transport your sample 8 hours and 3 days away for testing? Much love, San Kaw! :D

My first real Malian holiday, Selini (celebrating the end of Ramadan, the month of fasting) fell on a Tuesday, and I really wanted to be in my village for the celebration. I was determined to go no matter how I was feeling. Four of us were in the house together, and we made plans to take early-morning transport to our sites on Tuesday. Of course, it never once occurred to any of us that there wouldn’t be any transport on one of the biggest holidays of the year. We were sadly disappointed when we walked to the bus station early in the morning, only to find the doors locked, the benches put away, and not a soul in sight. I ended up celebrating the holiday by cleaning the house, which was probably for the best as I could still barely walk and would’ve been pretty miserable trying to celebrate with my village.

I finally made it back to my village after 10 days in San, rather than the original 4. I was exhausted – that sort of sickness just drains you – but I thought maybe I was doing better. The PC doctors in Bamako, whom I’d been in contact with, thought I was doing better. But for 3 days I basically slept at my house all day, only venturing out to have lunch at the CSCOM. That 3rd night was another sleepless night, and unfortunately a rainy one, which meant I had to sleep inside where it was excruciatingly hot and humid. That was also the week I had my first and only mouse in my hut, so I heard it rummaging around in my trash a foot from my head (I was on the floor, safely zipped in my bug hut) the whole night. At 3am a migraine hit, and I finally passed out around 3:30, probably to escape the pain. When I woke at 7 the headache hadn’t passed. This was the last straw for me. I called the doctors and we agreed that I needed to come to Bamako. My village was great in helping me get ready to go. They had, of course, been checking up on me everyday. Djeneba sent Alima over to help me get my house ready to go. The women’s doctor came over with 2 malaria tests to make sure I didn’t have malaria (I didn’t). The head doctor came to check up on me. I was in San by early afternoon, and the next morning I left for Bamako.

As it turned out, I had somehow contracted both amoebas and amoebic cysts. Amoebas come from ingesting unsanitary water or food, and in the lifestyle we live here, that could have been any number of things. Amoebic cysts form when amoebas are in a hostile environment. They basically roll into a little ball and hibernate until they deem they can survive – which means if you don’t know you have them, you can suddenly get sick at any time. I finished a 3-day course of meds for the amoebas and started a 10-day course for the cysts. They do a number on your system, but it’s all worth it in the end! Most PCVs in Mali end up with amoebas at some point or another. The good thing is I now know the symptoms and can hopefully catch and treat it earlier next time – the bad thing is, I can almost be sure that there will be a next time. =/

The doctors continued to check up on me until I was totally better. I’m thankful that they understand it’s cause for celebration when you have your first solid bowel movement in 3 weeks!

Just as a side note, during my amoebas stint, my scalp started coming off in chunks for awhile. Never did figure out what that one was…

Sickness #2
In mid-November, only a few days after the biggest holiday of the year, Seliba (for which I WAS present!!), I was marveling one day at how great it was to be healthy again. Amoebas and I just did NOT get along. But as fate would have it, I visited a friend in a nearby town for a day, came home, chatted with my family, and in an instant, fell sick. I’ve never experienced such a rapid change, from healthy to sick. All I could think was, “I have to get home, I have to get home.” This sickness was different than the last time. All of a sudden I just felt off. My body hurt. I got hot. I barely ate that night, and sleeping was also a challenge.

But in the morning I felt great, only slightly off. I was hoping my sickness of the night before had been just that – the night-before only! I went about my day just fine, until late afternoon, when again, my body just sort of suddenly shut down and my temperature rapidly shot up. When that happened, I thought I knew what was wrong – malaria. Malaria is a tricky disease. The symptoms are cyclical, meaning, as in my case, you can feel perfectly healthy during one part of the day, such as the mornings and early afternoons, but feel awful during another part of the day, such as late afternoon and evening. By the end of the day I was pretty much non-functional. My fever would spike quite high and my body ached so badly I could hardly move. Alima came over that afternoon to get my water as usual, took one look at my courtyard, and admonished me for how dirty it was (not so much “dirty,” just leaves everywhere). I told her I couldn’t sweep – I couldn’t even stand – so she immediately got my broom to do it for me. My host brothers came over to sit with me while I layed on the ground, immobile. It was actually quite sweet; I’d explained to my family that one of our volunteers had recently been sent home to Amεriki because she was sick all the time in Mali. My brother Shina asked me if I had to go to Amεriki. I promised him that I didn’t, but when he asked if I had to go to Bamako, I said I probably would have to go, and he looked sad.

Sure enough, morning came and I felt just fine. I went to the CSCOM (health center) first thing to ask for a malaria rapid test, but we just so happened to be out of them. And so I was on the first transport to San. I actually started to wonder in San if I was imagining things; if I was just nervous about something or imagining symptoms that weren’t there. But I went to the CSREF (hospital) and had a blood smear done. (I was SO proud of myself for navigating the CSREF with my Bambara!) And sure enough, I tested positive for malaria. Crap.

Funny side note, several years ago I was on my way home from a 2-week visit to Niger (Mali’s neighbor to the east) when I became really ill. My symptoms indicated that I might have malaria, but in my town in Ohio, doctors aren’t really trained to read malaria blood smears, so we had some trouble getting lab results for awhile. Here in Mali, any doctor, even those with limited training, can read a malaria blood smear. It’s as common here as something such as strep throat is in Amεriki.

I was really annoyed that I had managed to come down with malaria. I’m quite good about taking my daily prophylaxis on a regular and consistent basis. I sleep under a net at night, and I often wear longer clothing to cover more skin. Plus, I’d really been trying to make this my longest run at site without leaving – 23 days!! That may not seem like much, but remember that I have to go to San to buy food at the market, which runs out within 7-10 days back at site. This was going to be a big challenge for me, requiring creative problem solving to find ways to eat. But nope, a mere 10 days in, and I come down with malaria. Go figure. (Chrissy and I later decided Allah did not agree with my plan for creative cooking).

Ironically, I’d just received a package from my sister as well as a few letters, all of which were written during my amoebas phase, and all of which wished I was back to good health! Whomp whomp.

Those malaria symptoms are just so peculiar. I didn’t have much to do to get ready to go to Bamako, but I procrastinated a bit (shocking, I know) and around 4:30 I suddenly started to feel the aches and knew I had to run to get all of my tasks done. Sure enough, I was hobbling before I was finished, and by 5 I was on the couch, immobile for the next several hours. The PC doctors knew I’d tested positive, knew I was coming, and so had started me on the prescribed treatment for malaria, Coartem. It didn’t kick in that first night but by the second day I was functional at night, and by the time the weekend passed and I saw the doctors on Monday, my blood tests came back clean and I was able to go back to San the following day. A miracle drug, for sure!! I’m extremely thankful I caught the malaria early and was able to start treatment early. I’m sure I saved myself a lot of pain that way. Again, I’m even better prepared to recognize the malaria symptoms next time, although unlike amoebas, I’m not as likely to get malaria again. Fingers crossed!

Malaria side note: During this sickness, I ended up with a boil on my arm. I had no idea people other than witches and Biblical Egyptians get boils. They are not cool.

Sickness #3
For Thanksgiving, over half of the PCVs in country met up in a city in the southeast of Mali called Sikasso. Chrissy and I stayed in San for the actual holiday, where we celebrated family-style with 6 other people, but went to Sikasso the day after to meet up with the other 80+ volunteers for an Amεriki-people fix. It was a great gathering; some people I hadn’t seen since IST in June! On Saturday, one of our girls was leading an overnight trip to her site, to see nearby gorgeous waterfalls. It was totally worth the horrendous 3 hour bashe ride with the Shaggy album on repeat. For me, anyway. Probably half of the 30 of our group were sick by the time we arrived at the falls, and most people spent the afternoon lounging and snoozing at the base of one of the falls. Some elected to go home in the afternoon, the rest of us spent the night at the base of the falls. It’s amazing, we could hardly believe we were still in Mali. So different from San!

By the time we got back to Sikasso on Sunday, more people were sick. It was starting to get suspicious. We spent the rest of the day just hanging out catching up on Internet and Grey’s Anatomy. It was a great, restful day. The next morning Chrissy and I woke up early to go back to San. I actually woke up really early, and rushed straight to the bathroom. Mr. D had struck again. To make a long story short, for many reasons, that day was by far my worst travel experience in Mali. And as you’ll realize in an upcoming blog, I’ve had a lot of not-so-great travel experiences here. While it had only taken less than 4 hours to get to Sikasso in a PC car, it took 8 hours by public transport.

I could barely walk by the time we got to San. Chrissy took pity on me and carried my second bag on her head, and we started off slowly walking toward the house. Unfortunately, the road we have to take is very uneven, and with the bag on her head, Chrissy misstepped and twisted her ankle, an ankle she’d previously broken. She landed on the dirt road, unable to get up. I could barely get myself home, let alone her and our bags, so I left our stuff with her and hobbled off in search of help. Thank Allah one of our house guards was just getting off duty, saw me, and came over on his bike to greet me. I pleaded with him to help us, and of course he did. With Jean-Baptiste’s help, Chrissy and I managed to make it home where we both collapsed onto couches and barely moved for the next 3 days. Turns out I ended up with an intestinal bacterial infection – aka food poisoning. Something at one of our group meals in Sikasso must have not been fully cooked or something, because so many of us ended up sick in that 5-day window. Although much more short-lived than the amoebas or malaria, this sickness was by far the most painful. But at least it didn’t have any side issues, like scalping or boils! Just Chrissy, equally as pathetic as me. :)

Overall thought: after all of those Infectious Diseases classes at BU, now I’m experiencing them…that makes me more legit, right??

Fingers crossed for staying healthy!!

Thursday, December 29, 2011

In My Head - Sat, Aug 20

An excerpt from my blogging journal:

Saturday, August 20
Today was the first day of another polio vaccination campaign, so it was another early morning for me.  Djeneba, Madu (a health center relais, or community liaison), and I were out by 8am, walking from concession to concession to vaccinate all the kids under the age of 5. The process itself gets pretty boring but I enjoy going out into the village and surrounding villages, and seeing lots of people.  Now that I’ve been here for 4 months and recognize a lot of faces, I take the opportunity to have Djeneba remind me of their names since I’ll now have a chance at remembering.  We worked until noon; at that point Djeneba told me (as she always does) to go to the CSCOM to eat and rest while she and Madu finish the rounds.

Back at the CSCOM I hung out with the head doctor’s wife, Cisse, and the kids.  Fanta and I ate together since everyone else is fasting for Ramadan.  After lunch Fanta (who is 4 years old) cleaned up everything and noticed I was tired, so she took me into the house, got me a pillow, and ordered me to take a nap – I happily obliged!  After my nap we were hanging out under the gwa (wood and millet/corn stalk sheltered area) until all of a sudden rain started pouring down.  We all ran to get everything under a less permeable cover and then got ourselves onto the house porch under the awning.  I carried Fanta over and set her down; suddenly her head whipped up and caught me smack in the chin.  I hit the ground on my knees in pain as my mouth filled with blood.  Usually when the Toubab gets hurt people freak out; luckily these people have spent so much time around me that I’m more or less a normal person and they didn’t go ballistic. Binke grabbed my water bottle so I could wash my mouth out and Cisse got me some cotton to help stop the bleeding in my lip where my tooth had gone through.  I couldn’t believe how much it hurt!  Poor Fanta looked horrified, so I tried to smile at her and tell her I was fine.  After the bleeding stopped (my lip was already swelling) I settled into a chair and waited with everyone else for the pounding rain to stop.  I looked at Cisse and she told me Fanta, who had her back to me, was crying, so I picked her up and sat her on my lap until she settled down.  It didn’t surprise me that she wasn’t hurt; this is the girl who once head-butted me (her head against mine) twice just for fun…not so much fun for me!

Later that night I needed to go to the main road to buy bread but I was waiting for Alima to come over, as she usually does every evening to get me water from the pump, so we could go together.  She never came, and as the sky grew darker with approaching rain clouds, I eventually had to go by myself. Not a big deal, except that the afternoon storm had created new streams, including one that completely cut me off from the main road.  It was a very narrow stream, but the place where I normally ride my bike through a small ditch was going to be impossible to cross, and I had to carry my bike over it.  I had no idea how I was going to get back again once the bike was loaded with my heavy water container. 

I stopped at my favorite macaroni lady’s place by the side of the road (she cooks food there and sells it) and gave her daughter some money to buy me bread if the bread-seller-on-a-bicycle came while I was at the pump.  Fanta and Fatim helped me fill my jerry can, but the new pump takes forever and I was growing more and more anxious every moment with the approaching rain and darkness.  Finally I made it back to the macaroni lady only to find the bread guy hadn’t come yet. (He rides his moto to San to bring back bread, so you have to try and catch him at the right moment before he jets off to another village). Since the rain had started and it was almost dark, the macaroni lady told me to go home and send one of my jatigi’s (host family) kids back later to pick up the bread that she would buy and save for me…really, there are just some things you gotta love about Mali!  The men sitting there instructed me to go home a different way than I’d come; I would still have to cross the stream but I would be able to ride through it.  That part worked out ok, but the other side was a mess of sloppy mud, and I had to get off my bike to push my way through, hurrying as much as possible to get home while I could still see a little. 

At home I struggled to get my heavy water container off my bike and into the house, get the bike in the house without tracking mud everywhere, and find a place to store my giant lounge chair in the house (out of the rain).  At this point it was almost totally dark and I was really regretting not having my headlamp, which I’d forgotten in San.  I finally finished and headed over to my jatigi’s house to ask one of the Sinalis to come with me to pick up my bread.  Shina, Seydou, and I headed out together.  With it raining, water everywhere, plus the animal poop that couldn’t be swept out of the road earlier because of the rain, finding our way was difficult.  My second-best flashlight had inexplicably stopped working that morning.  My fourth-best flashlight is an electricity powered one I bought in Bamako and after 5 months of using it the electricity only powers it for all of about a day anymore.  So we were using my third-best flashlight, which was giving off a pretty weak light with only 4-day-old batteries. 

After turning back once to find a better way across the stream/pond, the three of us finally made it to the macaroni lady, who had my bread ready and waiting.  We turned right back around, now in complete darkness, to go home again.  It was like picking our way through an obstacle course in the dark with only the faintest light.  I needed to make one more stop at the butiki to buy phone credit, so I dragged the boys along with me.  I wanted to buy them (and me!) a treat for helping me, so I asked the street-food lady at the butiki if she was selling my favorite fried dough.  She wasn’t, but my usual fried-dough lady was selling it from her house next door.  We went there, only to realize I was out of change and she didn’t have any.  So we traipsed back to the butiki to get change, then back again to buy the fried dough.  When we finally made it home, an hour after I’d originally left to get water and bread, I gave the boys enough fried dough for their whole family and headed home…to start dinner.  I made eggplant dip to go on my bread, and I got to use my new Malian mortar and pestle – fun!!  I’d just finished cooking when Safi knocked on my door, bringing over a plate of macaroni…two dinners!  I decided to take full advantage of having a night all to myself and used precious computer battery to watch an episode of Friends while I ate my two dinners… sometimes life is really good. :)