the first day. . .

is quickly coming to a close. It's been a long one. I worked a 12-ish hour shift shadowing the "first on" intern. The "first on" is an intern who knows the ropes, can run a "cita" (appointment) and would be the lead on a birth. She has to have her work checked by a staff midwife, and is still learning how things go here, but all the first ons know lots more than me.

The language is an issue for me. I'm going to study my quick guide to Spanish at Casa tomorrow afternoon. The "me llamo Anja" conversation only goes so far, and is totally unhelpful when dealing with someone who is in labor and needs your help. I need some good words for that situation, so I'm going to try to get them as quickly as possible.

Many of the women who come to Casa live over the bridge in Juarez, Mexico. They come here to have their babies, and give them a U.S. birth certificate. Some are not so lucky, and end up delivering in the car on the bridge. The immigration officials are mighty fine birth attendants, I'm sure, and they end up sending them back home.

There is a lot to learn here--so far I've managed to master the garbage. Garbage is trickier than you would think. There is garbage that goes in the regular trash, the recycling, and then there is the red bag garbage labeled "biohazard." Any yucky bodily fluid containing trash goes in the red bags, and in an outdoor can that is in a locked cage. A special garbage contractor picks it up. You have to know the code for the locked cage. And you have to know how to work the lock. And you have to know that you should probably take your gloves off before you attempt to work the combination on the lock, as you will only end up shredding them anyway while you work the lock and try really hard to remember the code without having to go back into the building to double check for the third time. It's complicated, really. Interestingly, the bathroom garbage (to which I alluded in yesterday's post) is not biohazard garbage.

Many of the people here are doing really amazing things with their skills. Training traditional midwives in Africa, setting up missionary clinics--I'm in awe of the gifts that these woman are offering to the world. The PBS show Nova just did a show addressing some of the issues for birthing women in Africa. It is heartbreaking. But the issues of poverty and pregnancy are not so far away. They are here in El Paso, and I'm sure they are at home, too. It would be lovely if I could figure out a way to help this situation at some point. The poor are always among us, offering us an opportunity to serve.

Well, 10:00 p.m. is about as late as I've ever eaten dinner. I'm going to finish up and head to bed.

p.s. for those of you who were having a hard time posting comments, I think that you may have to get a login in, or use your gmail account information to log in and post comments.