Saturday, January 30, 2010
More photos from the island
Friday, January 29, 2010
Tuesday, January 26, 2010
Obyan Beach
Work here is fascinating, and exciting and depressing as it is probably in any third world country (although this is technically not as it is a U.S. territory). There is extreme poverty here and many people on government assistance of one kind or another. People here do SO much with so few resources. I assisted in screening many, many Headstart and school age kids one day with my colleague. The majority with hearing loss have holes in their ear drums that have never been and will likely not be corrected as there is no ear surgeon on the island. The other reason for hearing loss? Cerumen (ear wax)! Can you believe it? Daily we see kids who have ongoing bilateral hearing loss that has been there for months because they have impacted wax and nobody will do anything about it! We have been brainstorming to see if there is something we can do as the Audiologists but parents can't afford to come to the hospital to get it taken care of, can't or won't take the kids to see a Dr. in the clinics, there are very few school nurses to provide ear drops, and with such a huge case load we can't get back to see these kids frequently enough to apply treatment ourselves. Of the kids with permanent hearing loss, they are well taken care of audiologically. Hearing aids are provided for them at no cost. However, there are no teachers for the deaf and very few people who know American Sign Language, but they really do the best they can for these kids. That is really the theme, "Do the best you can with what you have got." One of the reasons I love it here is that everyone has PASSION for what they do. You could not stay here and function very well without it. I visited a baby in the NICU that was born with many craniofacial anomalies, including ears that were so low set they were affixed to the baby's neck and had canals that seemed to enter directly into his throat. And who is taking care of this baby? NOT a neonatologist (none on the island), NOT an Ear Nose and Throat doctor (none on the island), but a first year resident pediatrician (working here as a loan repayment project) and the most dedicated nurse I have ever met. She is the one taking care of this baby. She should be paid the salary of 4 neonatologists in my opinion but is surely not. Anyway, the baby is thriving somehow under her care and she is working to get the baby transferred off island for care. This however is also a major challenge because it has to pass through a referral board and then they have to find a hospital that is willing to take the patient as the family likely cannot pay for any of the medical bills. Doctors in general are incredibly scarce on the island. When local people find out what I do, they are sooooooooooooo gracious and thank me over and over for coming to Saipan. People understand that the healthcare system leaves much to be improved upon. Also interesting is that because of the mix of cultures, there are many Asian practitioners of acupuncture and other eastern medicines. However, I have seen only one chiropractic office. Anyway, more than you probably wanted to know but it makes me so very thankful for the quality of our (admittedly flawed) healthcare system.
Sunday, January 24, 2010
Another Seeliger First From CNMI
Wednesday, January 20, 2010
The Darker Side of Island Life
Well by now you have been reading and seeing images of this blissful life on Saipan. So in case any of you were getting too jealous, I thought I would add a little bit to each blog about the practical realities of up and moving your whole family to Who-ville (you know the tiny planet inhabited by microscopic-sized inhabitants featured in Horton Hears a Who). Although Saipan is a wonderful place full a wonderful people and we are having a grand time, there are definitely things that we miss about home. I will try to categorize them for you under he header of The Darker Side.
The Darker Side: Power
Electricity is very expensive on the island, about 20 times more than in the continental U.S. People are very conscious about conserving energy out of necessity and there are some a significant number of inhabitants who live without any power at all. Even I take my laptop to work to charge it and then use it on battery at home. Also, power outages are quite frequent on the island and to us, they seem completely impossible to predict. It is not based on stormy weather, time of day, or any other single indicator that we can wrap our minds around. The first couple of times they were very short and were during the day so we didn't really think much of them. Last night we experienced our first significant inconveniences caused by a power outage. It happened at 7:00 PM. For our family, this is the worst possible time. For one it is pitch black as there was very little moon last night and seeing as we are new to the island, we were completely unprepared. We had one headlamp, my otoscope (aka ear light), the kid's Nintendo DS and a diving flashlight (which is super bright but consumes 8 batteries in no time flat). Two, it is homework time, which the boys were finishing by the light of the headlamp and otoscope. Third, it is poppy's bedtime which means time to make and heat up a bottle. This proved to be an impossible task. I couldn't clean out the one pan we own to heat up the bottle because the well pump is run by electricity. Also the stove is run by electricity so I had no way of heating the bottle up even if I could. We let her stay up until around 8:30 but then had to go about putting her to bed sans bottle. This was not easy but not impossible as she did eventually fall asleep. This is good to know. Matt went out and bought candles, matches and extra batteries today so that we are better prepared next time the power goes out, which could be at any moment. You learn to take nothing for granted :)
Monday, January 18, 2010
FNGs no more!
Matt and I also went through our very own island initiation. WOW what an event! It started early in the week when our new friends, Angie and Tyce, inviting us to participate in something called a Hash Race. We agreed with the caveat that neither of us are runners and we would need to find childcare. Angie offered to let our kids stay with her kids and their nanny Leoni. So with no more excuses, we agreed. Later Tyce informed Matt that he was going to help him set the route and would be participating in the role of Hare. Details of this role unfolded slowly throughout the week, which was good because if he had known the details up front (including the punishment for getting caught by the harriers) I am not sure he would have agreed. Matt and Tyce spent hours during the week scouting the path (aka hacking a trail through the dense jungle with Machetes, fighting off bees and spiders, wrestling with darkness and mud). The last of these scouting exhibitions was the morning of the race at 6:15 am. When I got home from breakfast with the kids I found Matt asleep on the couch. When I asked him how his morning was he responded, "spiders…wet...mud…very tired." Finally the afternoon of the big race had come. As I had gone out the night before with some girls from the clinic and was feeling less then energetic on four hours of sleep (and yes, perhaps a bit too much tequila) I was admittedly worried about how I would do with the big event. However, Sylviah and the boys were easily settled in with Leoni (who is now my new heroine because she managed to distract Poppy all night with very few tears while simultaneously assuring that 5 little boys stayed safe and happy) and Matt, Angie, Tyce and I hit the road for the race. We signed in, the group was gathered (many with beers in hand) and the Hares were off (they get a 10 minute head start). Meanwhile myself and the three other FNGs were explained the instructions for the race. I was more than confused and happy to have so many veterans close by. The next hour was unbelieveable and pretty much unexplainable. If you want to learn about the details of the Saipan Hash House Harriers you can check out their website. The trail that Matt and Tyce set was awesome. More jungle than road. They lead us past amazing bamboo stands, a beautiful church (although running around and over graves was a little disturbing), up and through this awesome cave that was filled with these little birds called flitlets that use echolocation like a bat) and ended very near Angie's house overlooking Lau Lau Bay. Although I was not in the first group that was only aboout 5 minutes behind the hares (Matt successfully escaped having his shorts stolen) I did come in about sixth or seventh (not too bad for my first hash). I ran across a large E that Matt had made out of trail flour and had strewn many flowers across my own personal finish line which I cartwheeled across. Awww! The finish line was also complete with two trucks, one filled with assorted beverages and the other filled with fire wood. Later in the evening there were many songs, honors and traditions, and general carousing. Matt and Tyce were greatly honored for setting a truley bitchin' trail that only left senior wiener and his son alone in the jungle after dark. The top photo is of their part of the ceremony where they got to tell "tales from the trails." They even brought one of the huge paper wasp nests that they chopped down for show and tell. Matt volunteered publicly to be a Hare again so I think he had a fun time after all.
Week 2 in Saipan
The rain has not kept us completely off the beach or out of the ocean but we spent much more time exploring the city and our new backyard. The boys found a huge Gecko that was Kaden's pet for a while. They spent hours learning about and harvesting the fruit that grows around our house. Lessons learned:
- the papayas and mangoes are NOT ripe yet, even if we really really want them to be
- coconuts are really really hard to get open even with a brand new machete
- bananas come in two forms, the eating kind and the cooking kinds and there can be no mistaking the two
- oranges on the island are actually green
- if you eat more than 5 star fruit it is highly likely that you will get a belly ache
- banana leaves make great umbrellas
- we may have a lemon tree or it may be a lime tree so for now we have a citrus tree
Tuesday, January 12, 2010
Lau Lau Beach
I have decided to upload some photos of the beach closest to our house today. It is called Lau Lau Beach. It might be my favorite because there is never anyone there! It feels so private, almost like it is our family's secret spot. It is however a challenging beach to do much swimming on because you have to get out past the reef and then it drops off into 40 to 50 feet of water. When Matt and the boys went out there, they saw big fish deep down and also saw a large sea turtle. The shoreline and shallows remind me a little bit of a Wisconsin Lake in that it has large smooth rocks and seaweed. However, when you look a bit closer you can see that the shallows are teeming with sea life. Kierik almost stepped on a little flounder that Matt then tried to catch with his hands. There are also many bright blue fish and hermit crabs of all sizes. Several of these hermit crabs have been temporary pets. A few nights ago, I decided that we should all go down to the beach to exchange out our current pets for some new hermit crabs and also see what we could see in the shallows at night with our Dive flashlight that can be submerged in the water. Well, it was rainy and Sylvie kept splashing the water when we would try looking for creatures. I started to get complaints about my "Bright" idea when the night took an unexpected turn. The boys discoved these HUGE marine toads hopping around everywhere up on the shore. Then the night got much more exciting. Sylvie was absolutely beside herself with excitment! She was signing FROG FROG FROG and squealing with delight. I couldn't stop laughing. She so desperately wanted to hold one but as we didn't have hand sanitizer and Iknew her hands would end up in her mouth, I denied her emphatic requests. We will have to go back again another night armed with Purell so she can hold one.