While it's not Los Angeles, Juba is a very nice town as far as the developing world is concerned. I compare it to L.A. because the greater Southern California Metropolitan Area is about 1,000 square miles of pavement and Juba just got four or five roads paved in the last couple of years. These few streets are beautifully done and traffic seems to be respectful of their importance. Traffic is rather polite actually.
I get around Juba mostly by Boda, this is, on the back of a hired motorcycle. Every part of the world has a different word for them: piki-piki, ping-ping, Taka.... I've mentioned in other posts my affinity for getting around the developing world on the back of a bike, and Juba is the perfect example of a Boda's utility. In a congested city like Kampala or Dhaka, a motorbike cab would be a death wish: if an accident didn't kill you, then you would surely die when your lungs lept out of your throat in protest of all the smog you'd been inhaling. But in a smaller city like Juba, a bike is the most elegant way to travel. It can take smaller, unpaved, roads with ease; meaning you usually beat your high budget comrades to the press conference. The cost is fractions of a car. You never get hot when you are moving and yet there's no shock to the system when you step out of the air conditioned SUV into the warm dry air of Souther Sudan.
My Boda driver's name is Abdul and he's been great so far. I find that I kind of believe in Boda Monogamy: I like to find a guy I like and stick with him until he lets me down in a big way and then I go looking for someone new. I had another driver earlier in the project, but he didn't show up at 7am on the day of the vote when I needed to be somewhere and when I walked out to the main road, there was Abdul with his cap and sunglasses. He had me at "ok." Abdule's a quite young dude (most boda drivers are talkers) but he knows the town really well–with a few exceptions–and he's fair on price, which really, is kind of priority #1 when you're freelance.
OK, that's it for tonight, I need to go to bed. Lots to do in the morning. The Documentary is looking good!
So my driver shows up in about an hour to take me to the airport. It's 4:28am right now. I've slept a little more than 2 hours and I have a ton of bureaucracy to deal with tomorrow Juba, which is what took up a majority of my time today. The day ended on a really good though note so I'll take it. See you all on the flip.
[col-sect][column]I’m planning a trip this winter and that means getting my field kit back in order. As a recovering Boy Scout, I struggle with the idea of “being prepared.” It feels like that sort of thing always takes the “thrill of life” out of my adventures and leaves me with less cool scars than I thought I would have by this age. On the other hand, it’s nice coming home without infectious diseases most Americans haven't thought about since the Gold Rush.
I’m planning a trip this winter and that means getting my field kit back in order. As a recovering Boy Scout, I struggle with the idea of “being prepared.” It feels like that sort of thing always takes the “thrill of life” out of my adventures and leaves me with less cool scars than I thought I would have by this age. On the other hand, it’s nice coming home without infectious diseases most Americans haven’t thought about since the Gold Rush.
The trick about a first aid kit is that it’s only helpful if it’s on hand when you need it. So my work-in-progress is always to find a way to pare down my kit without leaving out something that could save someone’s life.
I’m not really a war photographer, so I don’t usually end up around a lot of wounded people. But, when I’m out, I’m usually pretty far out. So, I like to have enough on hand to soften the blow if something big were to happen.
The problem with kits you buy at outdoor stores is that there’s a lot of stuff in there you don’t really need. On the other hand, the bag that it all comes in is actually pretty handy.
Below is my kit as it stands; it fits in a pretty small bag.
3 pairs latex gloves (more if you’re going to be out longer than two weeks )
Your hands are dirty and you don’t know where someone else’s blood has been. Keep your hands wrapped up whenever you are working on yourself or anyone else.
2 or 3 four-inch trauma pads
Get the big ones and cut them down as needed. Three big pads are less clutter in your kit than twelve little ones.
Gauze
Butterfly wound closures
Super useful for their size, but they don’t hold well on joints or if there is a lot of blood. I also like to use butterfly clips to hold a deep cut for a few days if I have the slightest chance that I might be able to get into a clinic and have someone actually sew me up.
Med tape
I’ve substituted gaff tape before, but it hurts a lot more when you take it off and the adhesive can irritate some people’s skin. Some guys swear by duct tape, but the rolls are too big for me.
A suture syringe kit is a courtesy to the med who is patching you up and a precaution in case your doc is not well supplied. It should only be used by amateurs as a last resort.
I don’t like going into the field as an observer and expecting the village clinic or the MSF camp to spend their limited supplies on someone who is supposed to be a non-participant. Mostly, however, I don’t like the idea of going to a clinic, bleeding out of my leg, and finding that they don’t have the right supplies or that they aren’t sterile.
Superglue
Ah… Superglue. Invented during World War II as a liquid suture for the field, it’s the best way to hold a deep clean cut together without stitches and the surest way to protect it from getting infected.
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It’s also the best way to get a really nasty infection underneath closed skin and wind up with a slow death if you don’t have antibiotics, not unlike the man in The Snows of Kilimanjaro. If you leave even the smallest bit of nastiness in your cut, locked away forever beneath the seal of glue, you will regret it. Under-skin infections are painful and can leave bad scars.
If you’re using an adhesive or stitches to close a wound, treat it just like an ER surgeon would: CLEAN IT OUT!!! Get a sterile syringe, like the one in your suture kit, some very clean water, and jet out everything. This will hurt. Wipe every corner of the wound (in and around it) with iodine, hydrogen peroxide, or rubbing alcohol (whatever you can find) and then glue your 3-inch flesh valley up. I like to use butterfly bandages as prep to help hold a cut together if I’m short on hands or if the wound is long.
Polysporine
Apparently something in Neosporine sits in your kidneys for the rest of your life. It’s not found to be harmful, but still… get Polysporine.
Iodine tablets
Because you never know when you’ll need to disinfect 5 gallons of water. See, this is that Boy Scout thing again….
Cypromax
Sooner or later, I always seem to pick up a GI infection in the field.
Doxycycline
Doxy is great. It still protects against malaria in most of the world. It’s easy to find and cheap to get. It also fights blood, skin, and upper respiratory infections. Just watch the sun exposure. I burn pretty good every time I take it.
Z-Pack
A five day salvo of antibiotics–and who knows what else–designed especially for colds and all things upper respiratory. It’s the fastest way to beat back that stupid cold that shows up 14 days into a 20 day project.
Tylenol, Ibuprofen, Aleve
Notice I don’t have bandaids on here. I do keep a few on me, but they aren’t in my first aid kit because I don’t need them right away. I have my polysporine and that usually does the trick for an afternoon and then I can patch up that evening.
Only colleagues and competitors care about strategy. Your audience, they don't care, they just want to find something to believe in. The people with whom you want to affect change, they really don't care, they just want your collaboration. Your funders, mostly, they want to know you ship and are on time.
No one cares what mics you use, what cameras you use, Mac or PC, Word or Lotus, Paper or Computer, 4 Track to Tape or Digital, Real or Synth. Your work speaks for you, not your strategies.
