Nursing student Holly from Griffith University reflects on a fortunate 3 weeks of hospital rounds, mobile clinics with interesting cases and delivering health education in gorgeous Laos.
Nursing
Griffith University
Laos
January 2020
Favourite part: Making such a positive difference for those in need
Author: Holly Morrison
Where we went
Trip Itinerary
Brisbane, Australia
Luang Prabang, Laos
Pak Xeng, Laos
Travel Log
Week 1
Fifteen Griffith University students stepped off a plane onto the Laos airport tarmac, greeted by an intense dry heat and Lao officials ushering us into the airport. After fifteen hours of travel and attempting to sleep on airport seating, we were finally ready to embark on our trip! English was no longer the dominant language and fumbling through ‘Hello’s’ and ‘Thank you’s’ was giving the locals a good laugh. Our bags were put onto the top of a Tuk Tuk, strapped down by the trusty rope, and we were off to our hotel in the middle of Luang Prabang.
The stark contrast between the French inspired architecture and the instant poverty that seemed to follow was confronting, houses were missing segments of roofing and children were playing with broken toys. I was staring into a completely different world that I had never seen and there was a sudden realisation that warmth, a comfortable bed and running water were not a given for all, and this fuelled the anticipation for the week to start. Our weekend was spent getting to know each other and our facilitators Liz and Elizabeth, who soon became known as ‘Mum and Aunty’. We were shown the beauty of Luang Prabang by our translators as we hiked up Mt Phousi, where they explained the deep cultural significance of Buddhism in Laos history. Shrines adorned the hillside with gifts placed at the bottom of each statue, and we got to admire the sun setting over the river at the top of the hill.
While the weekend was all fun, the week was all business. In our first week as a mobile clinic, we saw over 280 people pass through our doors in need of healthcare. The main health concern we were faced with was muscle pain, caused by excessive weight-bearing, often caused by their jobs as farmers. Girls as young as 13 were coming in with back pain from carrying rice, and we often paired muscle cream with stretching to avoid further injury. Our team worked so hard and did an amazing job at using the skills we’ve learnt to assess and implement plans of care.
We had two interesting patients:
One of which came in suffering from right-sided numbness, oedema and had experienced slight facial dropping for three months. So, the team did a full Neurological Assessment and they deduced that the woman was suffering from a stroke and was referred to the hospital for further treatment.
The assessment team had another patient who had urine that tasted sweet for two years and numb feet for over a year, and figured out the lady may have diabetes, and referred her to Pak Xeng Hospital for further treatment.
Sometimes it’s different jaunt to remember that what we do is helping long-term, there is a restriction on the amount of antibiotics we can give and it feels like we only help for a certain amount of weeks, but seeing the impact earlier groups have had on the communities is amazing. We spotted groups of children from the villages visited last year brushing their teeth outside of their homes, people washing their hands before they had eaten, and a look of recognition would cross men’s faces of stretches they’d learnt and performed before, and I think we all realise that healthcare isn’t necessarily always through medicine, it’s through the education we implement now that will help people in the villages long-term.
Looking forward to the next two weeks!
Week 2
Week 2 was a blur consisting of high altitude and chilly mornings as we geared up for our longest week - 4 clinics in four villages that were situated above the clouds (approximately 4000 ft above sea level). Instead of staying in a traditional village home stay as we did the week before, we were placed in homestays residing in the town of Pak Xeng. The night we arrived we were welcomed with traditional Laotian dances from the local high schoolers. The students all had the patience to teach us the moves, yet we seem to lack the grace that they naturally inherited, and this was showcased as we performed the Macarena for the crowd of kids who cheered us on.
Every time we arrive at a village, we receive the same warm welcome, starting with school children lining up and clapping, holding onto sweet gifts of flowers wrapped in pieces of paper with Laotian writing scrawled across it. We later found out they wrapped the flowers in their homework, which was hopefully marked prior! After the greetings with the school children, we meet in the middle of the village and exchange greetings with the chief, and hand over the donations accumulated over the months beforehand.
The further we travelled, the easier it was to see the difference between villages at the base of the mountain, with easy access to the river and crops, and where there was a slight reprieve from the cold that seemed to hang around until the afternoon in the villages above the clouds. The higher we went, the more the clinic was exposed to respiratory infections and muscle pain due to the hour walk many would do daily just to have water.
Within the four communities visited, we came across two boys:
Aged 7 and 18, suffering from hernias, which if left untreated can grow to become more painful and cause issues regarding intestinal mobility, and our group made the decision to fund their hospital trips to ensure they are able to go and receive surgery without impeding on the family’s finances.
As we go from village to village, we find people living with conditions that have worsened due to the inability to access healthcare that in the Western world would be fixed with a minor surgery and a restful few days. Often in these villages taking the time off isn’t an option with the family’s livelihood at stake. When a family member goes to hospital, it can impact the ability to provide food for the winter months, as the family dynamic shifts to care for the injured/sick member of the family in hospital whilst another member of the family must care for the children.
It feels unjust to see people struggling and know how easy healthcare is to access at home, but at the end of the day, the fifteen of us and our facilitators do our best to provide healthcare for these villages and know that these differences we are making that mean trivial to us, could mean a difference for those in need.
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The journey continues
Week 3
Week 3 had crept on us quickly, and the week didn't slow as it continued. On Sunday, we travelled back to Pak Xeng from Luang Prabang and started off the coming week with bamboo rafting down the Seuang River. On Monday, we geared up for a clinic located just under 2 hours away from Pak Xeng, where we treated 74 people, amongst them a man with a debilitating mass located in his lower back which had been impeding his ability to walk. He had grown used to either dragging his foot behind him or using a bamboo stick to support his weight, so the girls got him set up with crutches which seemed to make him quite a happy man!
Our last two clinics were both based close to Pak Xeng, and our flow as a group had us treating over 70 people before noon, and we got to focus on head lice treatments for the younger girls as pharmacy dispensed the last few remaining medications.
Wednesday afternoon, after our final clinic, we met with the Pak Xeng Health Minister for a closing ceremony and a final report of the clinic. We were pleased to hear that we treated 877 people, 515 of which suffering from pain, often caused by labour and farming, 154 people with gastro-intestinal issues and 153 people with respiratory conditions. It was almost overwhelming to hear, and we were chuffed to hear that we managed to achieve this within such a short period!
Thursday consisted of quick packing and many goodbyes, starting with a massive thank-you to our cooks, who managed to dampen our cranky moods and fatigue with every single amazing meal, and the goodbye was slightly sombre as we had to deal with the fact that we couldn't bring takeaway on the planes home. To celebrate the group's effort, a Baci Ceremony was prepared where the local villagers met and blessed us, white strings adorning our wrists as a cultural gift of good luck and well-wishes. Prayers were said, our thanks and gratitude received in return, and we said goodbye to our newfound friends - our drivers and fellow healthcare workers, our security and our translators - all of who are the embodiment of true compassion and happiness, and never once complained about our singing on the road or our butchering of the language. And what felt like too soon, we were on our way back to Luang Prabang, to enjoy the last few days of shopping, massages and time with each other.
The impact we made
This trip had me starting to think about the power of community, how the people in these rural villages have come together and created homes which were a privilege to visit, and I can't help but feel an innate sense of belonging now to the people I have only known for three weeks, and yet we had built our own community built on positivity and strength.
So, a very big thank you to:
KK, Song and Vong, who made our jobs so much easier (and made every clinic a laugh)
Our liaison Chipseng, who worked so hard to help us provide healthcare within the district and organised our referred patient’s hospital trips.
Liz and Elizabeth, thank you for showing us what true leadership looks like, for your guidance and education and the effort you put into helping us all grow individually (and for taking on the role as Mums away from home).
And a very big thank you to the girls, I am amazed at the strength and resilience of you all and couldn't have asked for a better group to be graduating with.
Goodbye Laos!
“This trip had me starting to think about the power of community, how the people in these rural villages have come together and created homes which were a privilege to visit, and I can't help but feel an innate sense of belonging now to the people I have only known for three weeks, and yet we had built our own community built on positivity and strength.”
- Holly Morrison, Bachelor of Nursing,
Griffith University