First Introductions to the Uganda Cancer Center and Mulago National Referral Hospital

First Introductions to the Uganda Cancer Center and Mulago National Referral Hospital
Nikko, Jeff, Benjamin, and Stacy outside of the Uganda Cancer Center

Today, Wednesday, was our first day to work in the hospital and Uganda Cancer Center (UCC) wards and we all had a great experience. Stacy worked in the UCC pharmacy and learned a lot about how the medications are dispensed. She was impressed to learn that the pharmacy technicians have 3 years of training to be able to hold this position as compared to sometimes no training at all for the technicians in the USA. One funny story she told us when we had lunch at the canteen is that she was surprised by their question asking her if soon to be married grooms have to pay money or provide gifts to the brides family in order to be wed (bride price). She wasn’t aware that this is still a common practice in Uganda. In the USA the only thing that would be similar to that traditions is that a long time ago a bride might have brought a “dowry” to her husband which is money and gifts that she or her parents have accumulated for her wedding but this isn’t usually done these days.

Huge traffic jam in Kampala - a frequent occurence

Huge traffic jam in Kampala – a frequent occurence

This picture shows a “Jam”. What we, in the USA, would usually call a “traffic jam”, the Ugandans have shortened to just “jam”. For example, they might say they were late because of the “jam” or I got caught in a “jam”. Also note the boda-boda. These are motorcycle taxis and many people use them because they are very inexpensive and they get places more quickly- primarily because they weave in and out of traffic and go where cars can’t go, like on curbs and sidewalks sometimes. The drivers are supposed to wear helmets themselves and provide one for their passenger but this is seldom done. But, the Ugandan government has recently been increasing their efforts of making people aware of the law about helmets and has a new campaign to convince people that the increased safety is worth it. Boda-Boda accidents cause the majority of death and injuries from road accidents. The new initiative is called the Global Helmet Vaccine Initiative. What a clever name and way to put it into perspective- wearing helmets is to boda-boda accident deaths/injuries as vaccines are to illnesses like tetanus and influenza.

A lovely night out and a delicious meal.

A lovely night out and a delicious meal.

This final picture is at dinner our first night in Kampala. The restaurant is Mediteraneo, a very fine Italian restaurant. The food is excellent- I highly recommend the beef filet and mushroom sauce, and the ambiance is elegant. From the moment you enter you are greeted and attended to like royalty. We will definitely eat there again!

Posted in My Safari (My Journey/Adventure) | Tagged , , , , , | 4 Comments

1st Stop London- On our way to Uganda

DSCN0026
London by Nikko
It took me 23 years, but I finally had the opportunity to leave the United States. I have to say, London was a really great start to our travels. We left the Dulles Airport at 10:30PM and arrived at the Heathrow airport at about 10:00AM. As soon as we got to Heathrow, we set off for London since we knew we would only have a limited amount of time there and didn’t want to miss our flight to Uganda. Unfortunately, Dr. Bohan opted out of the trip to London since she had knee surgery three weeks ago and we were going to do a lot of walking. So, my classmates and I boarded the Heathrow express to London and were on our way.DSCN0053
We were left off at Paddington station and started walking to Hyde Park to go to Big Ben, when we started seeing people wearing jackets from all different countries including the United States! We chanted USA briefly and quietly to ourselves. As we walked further we saw that people were running along blocked off streets and came to an area of vendors and thousands of people who had participated in this event. We had just so happened to be in London the day of the Pruhealth World Triathlon Grand Final London. Talk about a surprise. People had traveled from all around the world for this event. Some of the countries we saw were the US, Japan, the UK, Germany, Austria, and Ireland.DSCN0064
Even though it was cool to see the triathlon, it was also a big obstacle because we couldn’t figure a way out of the park due to all the street blocks. Eventually we made it out and saw the Buckingham palace, Big Ben, and the London Eye. To get a better view of the London Eye we found this boat/ restaurant to take a picture on. And, since we all are Harry Potter fans, we went to King’s Cross to see Platform 9 & ¾ which was quite exciting.
We ate lunch at a pub across the street from Big Ben called St. Stephen’s Tavern and we all ate fish and chips. While eating, some people were seated next to us and saw that I was wearing a Penn State shirt and he just happened to be a Penn State alumni – small world. Needless to say we immediately bonded with him, his wife and friend and they took a picture of us to send to their daughter who is also a Penn State alumni.
Needless to say, London was absolutely amazing to see despite the fact we walked about 8 miles. I loved the buildings, people, and the sites. Now it’s time for Uganda where we will be working at Mulago hospital and working with Benjamin at the cancer center.

Posted in Uncategorized | Tagged , , , , | 3 Comments

We Have Arrived in Kampala, Uganda

20130916-225331.jpg
Hello all- we have arrived. Boy I forgot just how long and tiring this journey to Uganda is. About 32 hours after we left Washington DC we arrived at Entebbe Airport. Our flight out of Heathrow was delayed for almost 2 hours while we waited in the plane, but when we got in the air the pilot was able to make up some time and we were only about 1 hour late. Then we had to run around here and there to deliver our luggage to the Mulago Hospital Guest House- remember all 10 bags plus carryons. I wasn’t sure they were going to fit in our driver’s car and it was quite tight but we did it. I am so thankful for our wonderful driver, Haji, who was waiting patiently for us (he got there really early so he had to wait almost 3 hours.) Then he spent the rest of the day taking us all over Kampala to get water and SIM cards for the phones and a USB modem for my computer. The picture above is not the best but it was mid-day and we were finally able to relax in a lovely coffee shop called Good African Coffee and have delicious mochas and a light lunch. We missed our first appointment with one of the pharmacists at the hospital but he can meet us tomorrow morning. We also weren’t able to meet up with one of the Makerere Pharmacy students as planned, but that can also happen tomorrow. But, we were able to meet with Benjamin, the wonderfully competent and dedicated chief pharmacist of the Uganda Cancer Center. The best thing about the day was meeting up with old friends! It was like we could pick up just where we left off last fall when I visited. Even checking into the Mulago Hospital guest house was like coming home. Both the head manager and the daily operations manager were on hand to greet us. Well, it has been a tiring trip and it is finally time to get some shut eye. More adventures in the days to come.

Posted in My Safari (My Journey/Adventure) | Tagged , , , , , | 3 Comments

Donations for Ugandans

20130915-151950.jpgLast year when I visited the Reverend Mother at the Masindi Kitara Diocese of The Church of Uganda to deliver quilts that my friend, Janel’s quilt group had made, I asked her what I could gather and bring to her on my next trip to Africa. She mentioned that reading glasses would be very helpful for the older women and men who were having difficulty reading their bibles as their eyesight worsened with age. Boy that hit a chord with me as I have needed reading glasses myself for several years now and don’t know what I would do without them. So, I lifted up this need to the Christian Education director at my church, St. Luke Lutheran Church in Bloomsburg, PA and she jumped at the chance for the youth to get involved in this project. A call went out to the entire congregation and they gathered some 250 pairs and my Mother’s church in Florida sent up some more for a total of 275! Then last Sunday, the church Sunday school middle school and high school youth created bubble wrap eyeglass cases using brightly colored duct tape. We figured this would not only serve as good packing material but also could be used to safely store the glasses.

20130915-152446.jpg
This year I am also bringing about 80 lb of pharmacy textbooks to Makerere University, several prayer shawls- 2 made by me and several more made by a friend at church, a bunch of newborn baby hats made by one of my pharmacy students and her mother as well as by people from my mother’s church, and not to forget, a couple of boxes of “Little Dresses for Africa” that were also made by members of my Mom’s church.

20130915-152510.jpgAll of this stuff has filled about 9 suitcases that we are bringing in addition to our personal clothes. We will offer these gifts to the Ugandan people we meet as a small token of our appreciation for letting us into their lives so that we can grow in our global understanding of different cultures. We want to better understand the health challenges they face in hopes that learning and sharing our knowledge will lead to a greater awareness which will breed new solutions and compassion and help us to be better pharmacist and healthcare providers.

20130915-152604.jpg

20130915-152625.jpg

Posted in Pay it Forward Projects | Tagged , , , , , , , , , , | Leave a comment

Destination Uganda: On Our Way

20130914-210942.jpg
It is 9pm at Washington-Dulles Airport and after checking in 10 bags with additional carry-ons, the 4 of us eagerly await departure on this exciting adventure. Jeff is looking forward to being back in Kampala, a city that is bustling and alive with activity (remember he went to Kampala on a 2 week trip last fall). Nikko’s mouth is watering in anticipation of fish and chips on their excursion to London during our layover at Heathrow. Stacy says she’s looking forward to getting settled in when we arrive in Uganda and meeting new people. And at this moment, I am most looking forward to getting some sleep on the plane. 😊 This trip has been a year in the planning and of course this last week has been crazy trying to pack
9 suitcases filled with items to donate (more on that later) as well as my personal luggage. Today right before the students arrived at my house to go to the airport, I nearly had a meltdown when I realized that my 2 carry-ons were going to be too much for me to handle and I had to consolidate and re-pack. But, my wonderful and supportive husband worked his calming magic and helped me solve this problem and got us on the road right on time. Now, as I write this in between talking to the students about all of the activities ahead, I have become excited to meet up with all of my old friends from Makerere University School of Pharmacy, Mulago Hospital, the Pharmaceutical Society of Uganda, our drivers, the hotel staff, and the staff of The Water Trust. In addition I look forward to meeting many new friends like the pharmacy students and pharmacy interns. So I’ll sign-off for now. Next time you hear from me I’ll be in another country.

Posted in My Safari (My Journey/Adventure) | Tagged , , , , , | Leave a comment

Pharmacy Student Introductions: Jeff

Jeff in Kampala

Jeff in Kampala

My name is Jeff Geraci and I am a fourth year pharmacy student from D’Youville College School of Pharmacy in Buffalo, New York. After graduation, I intend to apply for residencies in the United States with a focus on becoming a pharmacist in a hospital setting. I have been fortunate enough to travel all over the world in the past few years. I have been to China, England, Uganda, Ecuador, Galapagos, Spain, Portugal, Colombia, and Canada. While all of my travel experiences have influenced me as a person, they have also helped shape what kind of professional I am. I participated in a medical brigade to the Amazon in Ecuador and have previously worked in Uganda at Mulago Hospital and Makerere University in Kampala. These professional trips have inspired me to keep traveling and to give back to people as much as I can. I want to return to Uganda to continue my professional development and I hope to gain further knowledge about how pharmacy systems work outside of the United States. I think the coolest thing I have learned from my travels is that people all over the world are very different but they are also very similar. Everyone has always been so gracious in welcoming me into their vastly different cultures. Even though I bring back souvenirs, the best things I bring back are the memories and experiences I had while on the trip. That all sounds super nostalgic and corny but I’m not sure how else to explain it all! When I’m not traveling around the world I like to watch movies and just be with friends. I could talk about movies for hours, especially some of my favorites like Crash, Titanic, 50/50, and The Impossible (If you haven’t seen them you should check them out!) Now I am getting everything ready for our trip to Uganda, I can’t believe we leave in a little over 2 weeks! I can’t wait to get going, I know it will be an experience of a lifetime!

Jeff in Equador

Jeff in Equador

Posted in Beginnings | Tagged , , , , , , , | 1 Comment

Pharmacy Student Introductions: Stacy

Pharmacy Student Introductions:  Stacy

Hello, My name is Stacy Prelewicz and I am currently in my last year of pharmacy school at Wilkes University in Pennsylvania. Throughout school I have been involved in our student government, pharmacy student senate, Phi Lambda Sigma leadership society, American Pharmacists Association and Rho Chi academic honor society. Outside of school one of the things I love to do is travel. Internationally I have been to Spain, Italy, France, Mexico, Jamaica, and Nicaragua. Although I have been on a few international trips, they have all been short in duration and not medical related. For this reason, I am most excited about learning and being involved in Uganda’s medical and pharmacy practices. I am also looking forward to experiencing a different culture and going on a safari! Besides traveling I also enjoy going to concerts, sporting events, and playing tennis. I am currently a pharmacy intern at CVS (a retail pharmacy) and Geisinger Wyoming Valley Hospital. After graduation I wish to pursue a 2-year residency in Hematology/Oncology so I also can’t wait to learn from their pharmacist Benjamin at the Uganda Cancer Center.

Posted in Uncategorized | Tagged , , , | 2 Comments

Pharmacy Student Introductions: Nikko

Nikko at his Family's Restaurant

Nikko at his Family’s Restaurant

Hello,

My name is Dominick Ardo and I am one of the pharmacy students who will be traveling to Uganda with Dr. Bohan for the Wilkes University Global APPE.  I am from Pittston, Pennsylvania which is not too far from Wilkes-Barre where I go to school.    Thankfully, we have a great pharmacy program at Wilkes University which offers students to travel. At Wilkes, I am involved in Kappa Psi and the American Pharmacists Association.  I have never left the United States before so I know that this trip will certainly be a learning experience both culturally and educationally.  I never really had the opportunity to travel, so when I learned of this APPE, I knew it was something that I wanted to be a part of.   I am very excited to learn how pharmacy is practiced in Uganda and to share what I have learned in the United States.

In the US, I keep busy by interning at a Rite Aid Pharmacy in my hometown, bartending at my family’s bar/restaurant, and landscaping for my own business.  I enjoy both retail and hospital pharmacy and have not really decided which career path I would like to pursue yet.  I have worked in retail pharmacy for 4 years and I love it but I am currently learning and experiencing so many new things while on rotations at different hospitals that I have become unsure of what I want to pursue.  I have a very close-knit family and love spending time with them.  In my spare time I enjoy hunting, fishing, hiking, exercising, swimming, and reading.  I can’t wait for our trip to begin, and I’m looking forward arriving in Uganda!

Posted in Beginnings | Tagged , , , , , , | 1 Comment

Uganda Trip – 6 Days to Go

Uganda Trip - 6 Days to Go

Photo: Dr. KarenBeth Bohan in Masindi, Uganda Fall 2012

For those of you who might be new to my blog, I’d like to give you a few sentences of explanation of what I’m doing and where I’m going, and why. This will be my 3rd trip to Uganda with Pharmacy Students. I’m taking 3 students this year and they will be introducing themselves on this blog over the next few days. They will be participating in a Global Health Advanced Pharmacy Practice Experiential (APPE) rotation. That is a complicated way of saying they are spending 4 weeks in Uganda as one of their clinical experiences in their last year of the Doctor of Pharmacy Program at Wilkes University. I’ve developed a partnership with several agencies in Uganda which allow us to come and help them by working in Hospitals, Clinics, and in the Community with the Masindi Red Cross. The students and I get to learn about the healthcare challenges facing the people and medical community in Uganda and in turn, we try model how pharmacists practice in the USA as we work together with other healthcare providers to improve patients’ health outcomes. We also present lectures to pharmacy students at Makerere University in Kampala to help them learn new skills and knowledge. Originally the reason I started to explore a trip to Uganda was because I was asked to help assess the water, sanitation, and hygiene education initiatives of a WASH NGO in Masindi, Uganda: The Water Trust (TWT). My first trip involved talking with small focus groups in the villages that are served by TWT about the impact the access to safe water has made on their health. Last year I gathered data from the Masindi District Offices to attempt to find an objective way to document the change in health before and after access to a well. That part of the process is ongoing and I will continue those efforts this year if my re-approval for conducting research comes through from the Uganda National Center for Science and Technology. Finally, as a big Thank You to the people of Uganda for allowing my students and me into their lives, I like to bring along some items to donate. Last year I took quilts that a friend of mine and her quilting guild made for the people served by Reverend Mother Evas’ Mother’s Union and Giving Hope programs at the Masindi Kitara Diocese of the Church of Uganda. I will talk about this year’s project a bit more in an upcoming post. For now I have to get back to my packing. Stay tuned…

Posted in Uncategorized | Tagged , , , , , , , , | 4 Comments

Preparing for Uganda 2013

I can’t believe it has been almost a year since I’ve written. So much has happened over the past months.  I am in the midst of preparing to take 3 students to Uganda on September 14 and in the near future, they will be introducing themselves to you. But let me tell you a little about all that has happened in the intervening 10.5 months.  In one of my last posts (Oct 2012) I told you about how I participated in a big meeting of the Pharmaceutical Society of Uganda (PSU), Makerere University (MU), and D’Youville College School of Pharmacy (DYC), and we made plans to collaborate to advance Pharmacy Practice and implement Pharmaceutical Care in Uganda.  Well, we have been in touch all year long with MU and PSU and Dr. Darowan Akajagor (from DYC) and I have arranged to bring 2 Ugandan Pharmacists to the US to participate in 8 weeks of training in advanced Pharmaceutical Care Clinical Skills.  I was able to arrange for their J-1 Exchange Scholar Visas with the help of Wilkes Center for Global Education and Diversity and the two pharmacists will be entering the USA just as I’m coming back from my trip to Uganda.  They will also be introducing themselves to you via this blog in the next month or so.  A Wilkes Pharmacy student and I have also been working with a pharmacy faculty member at Makerere U. and the Secretary of the PSU to develop a Needs Assessment survey tool to help them determine both the baseline level of pharmaceutical care that is currently being provided in Uganda and determine the types of educational sessions that already practicing pharmacists will be willing to participate in to help them learn advanced skills.  This survey will be distributed shortly to all of the members of PSU, which composes all of the licensed pharmacists in Uganda.  Finally, my personal big accomplishment this year was to apply for and be awarded a spot on the Fulbright Roster of Specialists.  This means that I have been recognized by the US Department of State’s Bureau of Educational and Cultural Affair as an American Scholar that possesses skills in Pharmacy Education that might be helpful to pharmacy schools in other parts of the world.  This honor puts me on a list of Scholars that other countries can go to for help. Although I would be glad to be of assistance to any pharmacy school worldwide, my main purpose in applying for the Fulbright Specialist Program Imagewas to be able to collaborate more with Makerere University Department of Pharmacy to help them write advanced Pharmaceutical Care Skills curriculum. Currently we are in the process of finalizing a grant submission. This is a short-term exchange of no more than 42 days and if awarded, I hope to go back to Uganda for to work on this curriculum for 3 separate trips in 2014. These would be in addition to taking pharmacy students for my Global Health Advanced Pharmacy Practice Experiential Rotation.  So, as you can see, despite my absence on the blog, I have been very busy.  Please stay tuned in the near future as I begin to chronicle our preparations for this upcoming trip.

Posted in My Safari (My Journey/Adventure) | Tagged , , , , , , , | 4 Comments