How 18 Days in Kenya Changed My Perspective of Medicine Forever

Samantha Baxter, OMS-II

Participating in an international outreach trip as a medical student who just completed her first year seemed a daunting prospect at first. Pathology had barely been introduced into our curriculum and pharmacology was as unfamiliar to me as a foreign language. I worried that I did not have enough of a knowledge base to be very helpful to the people of Masara, Kenya. Armed with my physical exam tools and a suitcase full of medications, I joined eight other students at the Bonyo’s Mama Pilista Clinic to help serve the community to the best of our ability over the course of our 18-day stay in Kenya. 

After arriving in Kenya, we were struck by its beauty and the kindness of the people welcoming us to their country. The lifestyle was so relaxed that it gave us a chance to adjust without the pressure of overcoming jet lag. Our first day at clinic was a Monday, giving us a few days to review our exam skills and OMM treatments that might be useful for the population of patients we would encounter in the upcoming days. The excitement of being able to work with real patients kept me from sleeping the first few nights. I could hardly believe that in a few short days I would be able to make a difference in the lives of the people around me. As an osteopathic medical student, I was acutely aware of the differences in culture between myself and those from Kisumu, and therefore tried to soak up as much Luo (the local dialect) as possible before my first day. Morning runs to Lake Victoria gave me a chance not only to keep myself well-rounded but also the rare opportunity to glimpse locals at their jobs and the natural beauty of a lakeside city. 

The thing that struck me the most about my time in clinic was the simple victories that medicine affords not only the providers, but also the patients. Every day that we saw patients was the opportunity to make a difference in someone’s life. Over the course of our trip, we welcomed over 500 patients. The experience that stood out to me, was an older woman who came in too weak to stand. A neighbor who spoke English sat by her side, patting her hand and translating back and forth as I asked her about her symptoms and performed my physical exam. The simple kindness this neighbor displayed spoke of the strong bonds present in the community. My patient had collapsed outside three days before and had since been unable to eat or drink anything. All her symptoms pointed to malaria, so I admitted her to the clinic after her rapid test came back positive and helped the nurses start her on fluids and treatment. The next time that I saw her was the next morning as the nine of us were completing rounds with the doctors, nurses, and clinic director. Where she once was quiet and barely responsive, she turned to survey all of us from her cot. I asked her, with the help of a translator, if she was feeling better. She took my hand and told me “I feel much better. Thank you so much for helping me.” Those simple words were the greatest gift that I could have asked for. Later that day, my patient was up and walking and came to sit next to me during a short break. A translator helped me to understand more about her and her daily routines. The emphatic gesturing during her stories and the bright smile she wore warmed my heart. A day before, this woman was barely able to lift her head in response to my prompting, and now she was telling me about her family. Like many people, I chose to pursue a career in medicine from a desire to help others, but up until this point I didn’t realize just how large an impact doctors can have on their patients. What seemed like a simple solution to a clear problem to me made a world of difference to her. That experience is one that I would not have been able to have if I hadn’t chosen to go on an outreach trip with DOCARE.

At an opportunity to attend church in Masara we were introduced to the community. The welcome that we received and the gratitude we were shown demonstrated how important this mission was to them. Some of the members of the village would not have been able to receive care without these trips to the clinic. I walked from the church back to the clinic hand in hand with some of the local children, a few of which I had treated myself. Their excitement to show me their games and houses made me smile and appreciate my surroundings even more. These were real people, with real problems, that came to the clinic at their lowest asking for someone to help them. Each day we shared chapati and tea for lunch with the translators and learned about their hopes and dreams. Every experience in the village and the clinic taught me to appreciate the patient as a whole person in a way that I am not sure I would have learned without the opportunity to take this trip. I learned the importance of a kind word and gentle touch to make a connection with someone who is scared and doesn’t understand what is happening to them. That kind of experience can’t be taught. It is part of the art of medicine.

I am eternally grateful for the opportunity to participate on this mission to Kenya. My perspective was forever changed by the small difference in the lives of the people of Masara that nine American students were able to make. Though I have always been interested in global medicine and outreach programs, I could not have predicted what a profound change it sparked in me. I learned the importance of meeting your patients halfway and treating them not just as a case, but as a unique individual. The necessity of working as a team with limited resources brought all of the student doctors closer together and demonstrated how a unified approach is invaluable to medical care. It is my hope that I will one day be able to return to Masara as a practicing physician and be able to once again donate my time and skills to help the wonderful members of the village and community of Masara.

Hey ya'll! I wanted to share an essay/perspective that my BFF did after we went to Kenya together! This is a couple of years old, but still amazing. Thanks to her for this awesome piece and allowing me to post it on my blog.

Cheers!

Kenya Series! What To Pack?

Okay Ya’ll.

I was given a 3 page packing list of what to bring for this trip per the professor heading it. It was nicely broken up between what to put in our carry on and what to put in our checked baggage.

Since we were traveling for close to 24ish hours to get there, he told us to make sure we had a spare set of clothes in case our luggage was delayed. And also so, ya know, you weren’t having to wear the same dirty clothes. We left Kansas City on July 2nd, at around 12pm. We arrived in Nairobi, Kenya on July 3rd, 9pm. We then stayed the night in Nairobi, and took a small plane the next day to Kisumu. So yes, I packed an extra day of clothes lol.

There is an 8 hour delay between Missouri time and Kenya time by the way.

Flight to Amsterdam!

Recommended Carry on:
  • Like I said before, an extra change of clothes.
  • Toiletries
  • Medications
  • Passport/copy of flight/yellow fever vaccination card/visa
  • Snacks for traveling (I brought Kind bars and Cliff bars for the trip)
  • Camara/small flashlight/travel alarm clock
  • Small locks for suitcases
  • Warm fleece or light jacket.
  • Sunglasses/regular glasses
  • Converter (Kenya is type G). I honestly had no idea there were multiple types of outlets in the world. I clearly don’t leave the States much…
  • Earphones/earplugs (I couldn’t sleep without earplugs while I was there)
  • Kleenex
  • Binoculars
  • Baseball hat
  • Alcohol wipes/clorox wipes (Didn’t use these much on the plane because I’m fine with germs. Makes my immune system strong! But I know people who did use them)
  • Empty ziplock bags
  • Otoscope, ophthalmoscope, & stethoscope
  • Books/ipad
  • Chargers

Reminder this is for the way there. I wanted to check my instruments in my checked luggage for the way back. Unfortunately my otoscope/ophthalmoscope has a lithium non-removable battery. So it had to come with me on my carryon on the way back.

Funny story

The year before us, the Kenyan security/cops at the airport had pulled a student over to the side because they accused him of having a sex toy in his carry on, when in reality it was just his otoscope kit. The said student freaked out, and he was questioned for a bit. Big headache for our amazing professor who brought us lol.

Well the Kenyan security/cops also stopped me because they thought the same thing. However instead of freaking out, I just started pulling it out AND THEY STARTED FREAKING OUT. NO NO NO! Shaking their hands at me. LOL. I’m a hoot.

One of my classmates explained to them as I was pulling it out to show them that it was for looking in ears and when I put it together and turned it on they were less upset.

Anyways. Turns out I’m still a spicy meatball in another country lol. Also don’t bring sex toys in your carry on.

What I packed for my carryon:

Mostly all of that. I also packed:

I packed an additional 2 pairs of undies, 2 pairs of socks, 2 sports bras as part of my additional clothes. I have packing cubes and I just used a small one to put all my clothes in.

I packed my sleep mask, an RFID safe wallet, a safety travel belt (so I can most importantly keep my phone and passport on my person under my clothes at all times). I probably could have put the belt in my checked bag, but it didn’t take up much room.

I also brought my digital camera. And because my camera is a bit old (2011), I also brought the battery charger for this in case it ran out while I was there for 3 weeks.

Oh, and lip balm. Because you girl wants to make sure she doesn’t end up with 3rd degree burns on her lips this summer like last summer.

That’s a story for a different time.

Recommended/Brought Vs What I used, checked baggage:

What I packedDid I use it?
9 pairs of underwearYes I used this. It helped not feel so gross.
6 pairs of running socksYes
6 pairs of hiking socksHonestly, didn't need this many. Running socks would have been fine
2 Thicker pairs of socksDidn't need. I was just being cautious
3 sports brasYup. Honestly, could've used more since I wore mostly these
1 nicer braYes for when I wore nicer clothes
3 sets of scrubsyup. I wore these everyday at clinic. Don't recommend more, just reuse them. If you don't wish to take them home, you can usually leave them at the clinic.
3 pairs of shorts (2 nice, one workout)Honestly 1 pair would have been fine. I did use the workout shorts a lot
1 pair of jeansI maybe wore these one night
1 light weight pair of pantsYup. These were nice and breezy. Wore them a lot
1 pair of fishing pants/cargo pants for safariyes.
5 t-shirtsyes. for both leisure wear and for running in
low cut hiking/trail shoesI used these to run in, hike in, and at clinic (needed that ankle support)
2 leggings (I wore one on the plane)Yes. For mostly running in and traveling
3 workout tanksyes. for both running and leisure
sleepwear yes. but it was basically a pair of cheer shorts and a tank so... I could use those outside of sleeping if needed
swimsuityes. but I only went swimming once. Some people swam more
3 dresses + 2 coverupsI had 3 sundresses. We had several occasions where we could be more dressed up/wear a dress
safari hatmust for me. I was on antibiotics
flip flopsI mainly wore them around the hotel. but I didn't wear them much outside of that
2 sweatersI probably didn't need the second one as I had another one on my person while traveling.
"tennis shoes" (they weren't really running shoes tho)Wore on the plane. Wore intermittently on my trip if I didn't want to wear hiking boots
long sleeve shirtI wore this on the plane. I would wear it periodically if I got col
2 giant bottles of sunscreenWas being cautious. I really only needed one. Gave an extra one to some Kenyans
4-5 large spray bottles of 40% DEET bug sprayRecommend bringing wipes and maybe a smaller bottle. If you don't spray/soak your clothes before leaving, then bring a bottle or two. But I didn't need this many and gave it away to a few Kenyans before leaving.

I know this is a long list. And honestly I spent way too long trying to figure out how to best compare/present this information to you. My apologies if it isn’t the best way to be represented.

I brought a lot of sunblock, giant safari hat, and baseball hat because ya girl was on doxycycline (which is a bitch when you are already very white and prone to sunburns in the first place) and I didn’t want to get too sunburnt. There was a running joke that I was khaleesi (I had super white hair on this trip) because I managed to NOT get sunburnt with the amount of precautions I took.

Yay me!

For the most part of the packing list we were given, I stuck to getting everything on it. I added additional underwear, socks, and a few additional clothing pieces just because I am an overpacked and was unsure of what I would need in Kenya…

For shoes, most people just used their running shoes in clinic, to run in/exercise in, and on their hikes. I preferred to use my low cut hiking trail shoes as the roads were not all flat and I wanted extra stability for my ankles. PLUS, if they got muddy while in clinic it was less annoyed by it.

I did however bring several flushable wipes (not on the list), a small first aid kit, face cream, body lotion, hairbrush, hairties, q-tips, a razor (just in case because I did bring a bikini), an extra travel toothbrush, a few pills of Advil, probiotics, and I brought 2 additional travel size containers of shampoo and conditioner. (I have a lot of hair, I mostly need a lot of conditioner since its semi curly and just doesn’t every listen to what I want it to do…)

Oh, and tampons. Because of course I started right before we left for Kenya. But hey, at least I won’t be expecting it unexpectedly while there right?

That is what I told myself anyways.

I then looked back at some old notes when we had our very first meeting together, and also packed a beanie, peanut butter, a little bit of laundry detergent, and melatonin ( I think I brought 20 pills?) per those requests. I didn’t use the beanie or laundry detergent (this was going to be hit or miss when we arrived), but I def used the peanut butter and melatonin.

Prior to leaving:

I stayed a long weekend at my besties place as she still lives in KC. Since we all had to leave from KC’s airport together for this trip and I now live in Joplin, I headed up early to spend some time with her and her husband. I also wanted to give my cat a few days to acclimate to being in their apartment, since they were kind enough to watch her for me while I was gone!

Because I didn’t want to deal with unpacking or repacking things for my checked bag OR my carry on, I actually brought a separate bag. It’s usually the one I bring when I go up to the city to spend time with her. This brought an additional 2-3 sets of clothes and some extra undies and socks. I also brought an extra bathing suit/towel since they have a pool. I also spent 2-3 days with them after returning. This gave me time to slowly acclimate back to central time and recuperate a bit from traveling before heading back home.

This served to make sure I had fresh clothes for both before and after my trip. I will also leave my computer in their apartment, just so I can use it while they are away at work. Plus, I want to be able to blog the memories while they are still fresh! (Side note: this did not happen. I’m finishing this post in January 2020…)

Kitty prep!

In case you are curious, I’ll just add what I brought with me for my cat lol. By all means, this is of no importance to ya’ll, just something fun!

  • A box of canned kitty food (turns out they make these now?). I brought the box that had 30 cans instead of the box with 48. She doesn’t need 30 cans of cat food, but it was just easier to carry the whole box. Especially since we will be there a few days before I leave and a few days after.
  • Her dry food bucket
  • 2 dishes
  • Her food mat (she’s a messy gal)
  • Her litter box (I got her a new one. We don’t have a hose so it’s hard to clean out her current box. It’s also easier to bring a clean one there so it saves space on the travel north.)
  • 2 things of litter
  • Litter catching mat & scoop (again, she’s messy)
  • Her bed
  • Her favorite play toy
  • Brush (because she sheds like a mofo and my bestie really likes a clean apartment).
  • AND her favorite kitty nip toy + kitty nip. I forgot this last year and I think she will feel better with it.
  • And then obviously her carrier because I need some way to transport my little monster.

And that’s it. It’s not everything for my cat, because she’s a spoiled brat and has way too many toys and bags and boxes at our house. But, it should be enough to not only cover the basics but make her feel more at home. I anticipate a chunk of the canned food to be gone and a chunk of the litter to be used before the trip back. Which means less bulky things to bring back!

Let me know if ya’ll found this helpful for your trips abroad! Cheers.