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Diary HABS


 Diary - June 10, 2003 

Greetings to family, friends, and colleagues,

I am having a fantastic time in Tanzania!! This experience has been so wonderful and extremely educational in every regard. Lately I have been balancing the clinical work with pleasure. In the last two weekends I have done two safaris. The first safari that I did was to Ngorongoro Crater. The second safari was to the Selous game reserve. With both trips the animal and plant diversity were incredible. The scenery was absolutely astounding and breath-taking. I am very grateful to nature to have had these experiences of a lifetime. While I was in Dar es Salaam I visited a friend of whom is a Canadian diplomat and stayed at the residence of the Canadian Embassy. This was a very informative and interesting time.

In my last correspondence, I mentioned that I would discuss clinical experiences. These experiences have encouraged and inspired me to be constantly on a learning continuum. The massage therapist and I are challenged every day. The education and skills that we have been taught in Canada are certainly being used. We are both so thankful and fortunate to have these tools in order to assist others with the simplicities of life as well as complications.

Yvonne and I have had success with several neromusculoskeletal conditions. The patients have been truly amazed that their conditions that they have been experiencing for months to years to decades have been resolved with very few treatments of chiropractic and massage. Their activities of daily living have been enhanced and overall they are happier people and more productive with their lives in general. A primary example is a patient of ours who has had advanced scoliosis her entire life and has been living in pain and discomfort suddenly has become a person of vitality with treatment. Other case scenarios include; discopathy, headaches, ergonomic pathologies, osteoarthritis, tendonitis, frozen shoulder, Osgoode-Schlatter's, chondromalacia patella, jumper's knee, abdominal pathologies, skin disorders, parasites, bacterial and fungal infections, viral complications, psychopathologies, and blood related disorders. Specific cases that we have encountered include; sickle cell anaemia, multiple myeloma, cerebral palsy, club foot in infants, gastroenteritis, hepatomegaly, splenomegaly, hyperlipidemia, cardiovascular disease, hypertension, schizophrenia, epilepsy, malaria, schistosomiasis, ascaris, tinea capitis and pedis, filariasis, multiple sclerosis, diabetes, peripheral neuropathies, dysentery, upper motor neuron lesions, erectile dysfunction, menstrual symptomatology, post-stroke syndrome, communicable diseases of Africa, tuberculosis, lymphedema, endometriosis, congenital abnormalities, heart dysfunction, and many more...

We have been using our clinical skills to the best of our ability. Quite often people present with cases of dehydration for the people don't drink enough water considering their environment and work. We have been doing simple education on hydration to improve their quality of health. Extreme emphasis has been placed upon diet for they have a very high carbohydrate and low fibre diet. It is amazing how such simple advice can make such a differerence to their lives...

Our interpreters, Pandu and Mrisho, have been most influential with instilling to the people the importance of nutrition and diet. It has been inspiring to see their motivation to promote health and wellness in the community. We are most certain that they will continue to do this with their dedication to health and keeness to learn and educate others. Without them we would not have had the opportunity to educate the community and make a difference. At this time we would like to thank them for all their generosity, kindness and helpfulness with contributing to this project in their community. They have been most influential in the development of this project in Jambiani...

On a different note, I was invited to attend and observe an english class at a local school the other day. All of the students had arrived and I was waiting for the teacher to arrive as well. The students then told me that I was the teacher for this class. All of a sudden I had to get very creative and decide on a lesson plan. We all agreed upon a conversational english class. This was a great time. One of the students was the chief councillor of the village. After the class I went to his father's home(for he was unable to walk very far) and gave him a treatment for degenerative joint disease of the knees. The chief then wanted to give me some eggs for this gesture. I did not take him up on his kind offer for I was going for a walk down the beach.

LOVE,
HAPPINESS,
andHEALTH
SHAWNA


Jambo from the massage clinic!

The past couple of weeks have been very busy for me in the clinic. There has been the ongoing challenge and stimulation of new patients with interesting and complex pathologies as well as the positive feedback and results from our returning clients.

I am feeling very ALIVE and dynamic on a professional level. It reminds me of those initial days and months of internship in the outpatient clinic in massage college. I would like to invite any motivated Registered Massage Therapist to partake in this amazing Hands Across Borders Society project. From the recent graduates with their keen academic perspective, to the experienced therapists who can bring their own specialties and history of hands-on practical knowledge to the team. I can guarantee your lives will be enhanced by the experience.

Last week I began a project of my own which I feel very passionate about. I am teaching relaxation massage to some of the locals here in Jambiani. Tourism is starting to take off on this side of the island, and a few people who are already offering relaxation massage on the beach and in hotels are participating in my course. My goal is to increase their knowledge and skills so they can offer professional and therapeutic treatments, thereby providing them with a means of increasing their income.

The theory covers contraindications including some of the most common skin conditions endemic to this area, basic anatomy and physiology, principles of treatment, and client/therapist interactions. Our classes are 2 hours long, and there will be 8 classes in total. Once we've completed the training, I wish to assist them in "making it happen" ...ex: how they advertise and speak to perspective clients, how much do they charge, what do they work on instead of a proper massage table, etc.

I currently have three Tanzanian students, one Jambiani woman who is at beginner's level of English, and two others who speak English very well, and are translating for me. We have had 5 classes so far, and I am proud of the progress that they've made. There are another three women who have signed up and are waiting for my next course to begin!

I am so enthusiastic about this project, and eager to see my students profit from their hard work.

Tutaonana badai!

Yvonne

 


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