December has been flying by in Arusha! It has been difficult to get in the Christmas spirit when it is 80+ degrees and sunny outside! My big Christmas present, Phil, will be arriving on a plane in just 2 short days and I can hardly wait!!
My mom keeps asking me to post new pictures on my blog, but I no longer carry my camera around to document everyday life. For the last 2 weeks I have been working on the internal medicine team at Selian. The hospital is struggling financially and the interns have not been paid since September! Most of our antibiotics are “out of stock,” along with several malaria drugs, our urinary catheters, and disposable gloves. The staff is frustrated and patients aren’t getting the treatment they need. We have been seeing a lot of congestive heart failure patients this week. In the US, the most common cause of CHF is a heart attack, but here it results from heart valve dysfunction from rheumatic fever or from long standing, untreated hypertension. We have also had several cases of Brucellosis, which is a bacterial infection that patients get from working with animals or drinking unpasteurized milk.
Outside of the hospital we have been spending lots of time with friends! Winnie, an advanced medical officer at Selian, had us over to her apartment for a traditional Masai meal last week. We ate corn and milk stew and she told us about life growing up in a traditional Masai boma. She is getting married in February and having both a traditional and “Western” wedding! We are hoping to get invited! On Saturday night we went out dancing with Philipo and Sanaa and 2 pilots from Flying Medical Service, Ezra and Travis.

Philipo, Sanaa, and me
On Sunday, Philipo and Sanaa took us to Moshi, a town about 1.5 hours from Arusha. We must be cursed because the car broke down on the way and we had to find a mechanic to fix it! We made it to Moshi in time to have a traditional Arabic lunch with Sanaa’s family and tour the “Africa Muslims Agency” where her family lives and works. This is a compound with an orphanage, a school, a mosque, and a clinic for local Muslim children. Sanaa also told us about growing up in Dar Es Salaam, Zanzibar, and Nairobi and going to medical school in Sudan! Afterwards we went to Philipo’s house and had sodas with his parents and sister. It was a lovely day!

Car trouble on the way to Moshi

Last night Vino and Ali, 2 interns from Mt. Meru hospital, had us over for a Sri Lankan feast! Vino was born in Sri Lanka, went to medical school in Russia, and is doing his internship here in Arusha. The world is a fascinating place and you can’t beat getting an inside perspective!
Tonight is opening night for our church play “Amahl and the night visitors!” Here is a teaser picture from dress rehearsal yesterday. Wish me luck and I’ll post more pictures this weekend!
The 3 kings (Dr. Jacobson is far left in blue) and poor cripled Amahl