Sunday, April 9, 2017

South Africa Part II

December 22, 2016 - January 4, 2017



After a short flight from Pretoria to George, the afternoon of December 22nd found us cruising east on the Garden Route of South Africa, admiring the blue waters of the Indian Ocean that crash into the cliffs dropping off quickly from the continent.  After stopping for an organic salad (with steak) and springbok burger lunch at Zucchini restaurant in the town of Wilderness, we continued east to reach the popular holiday town of Knysna.  The city sits atop a lagoon created from the Knysna River running south into the turquoise ocean.  The city is a popular summer destination, with the Christmas season being one of the busiest in the warm southern hemisphere December.  After settling in at the cute backpacker lodge 52 on Main, we explored a bit of the town on our way to the waterfront.  We were soon on a boat heading through the lagoon toward the two headlands that block the Indian Ocean inlet to the lagoon where many boats of historical lore have met with the rocks to their doom.

The following morning we enjoyed an eggs benedict breakfast with a view at the East Head Cafe before continuing along the Garden Route and returning inland on our way to the lovely town of Montague.  The town itself is tucked away amongst the jagged and rocky landscape, with the road to town passing through a blasted portion of a large rock jutting from the mountain edge.  We stayed at the beautiful Mimosa Lodge, a quaint and tranquil location with a lovely terrace, old world styled bar, and offering a fantastic four course dinner with perfectly paired wines from their own vintner.  Unfortunately no photos taken here, as we were enjoying the atmosphere, delicious food, and refreshing wines.



Our Christmas Eve day started with a delicious breakfast which we walked off by meandering the streets of Montague before traveling toward South Africa's wine country.  The town itself had a few quaint shops, however after walking the few streets, we determined that the real draw for anyone wanting to visit the town was by far the relaxing Mimosa Lodge.  We then drove west through the Robertson wineries, making tasting stops at Arabella, Viljoensdrift, and the bubbly at Graham Beck.  In addition to the beautiful weather, gorgeous scenery, and fantastic wines, tasting had additional perks as we were able to select a few favorite varietals to pack into our little rental car and save for enjoying on other days of our journey.  As we moved west toward more wine country, the road wound through mountainous passes leading to the wine town of Franschhoek, with the town settled in amongst the mountains and green with the many vineyards.  We stopped for a lovely lunch consisting mostly of cheese and bread before continuing on to the final destination of Stellenbosch.  We stayed at The Stellenbosch Hotel in the heart of town, within walking distance to several lovely shops.


Christmas morning was bright, warm and clear, and started with a relaxing morning run through the streets of the town lined with trees and then out of town amongst hilly trails behind Stellenbosch University.  Later, we wandered through town to get a better feel, quickly realizing there was a sharp distinction between the quaint, affluent part of town and the sudden transition to the working and lower class side, with much of the distinction also following a racial divide.

We were sorely missing our families for celebrating Christmas, but as fortunate would have it one of our GHSP Mbale housemates, Julia, was only a 45 minute drive away in Cape Town. We couldn't pass up the opportunity to spend the day with a member of our Peace Corps family so Dennis and I packed up a bottle of wine and set out for the coastal city, making a stop at Speir winery along the way where a multitude of families were picnicking on the green lawn.  

We met up at Julia's hotel, then walked to the Mount Nelson Hotel, also known as the Pink Palace, for a late afternoon Christmas dinner of bubbly and appetizers and lounged in the summertime heat while hotel guests basked by the swanky pool.  

Nearing sunset Dennis and I made our way back to Stellenbosch.  As we drove through the outskirts of the city, overhead electronic road signs read in capital letters, "HIGH CRIME AREA - DO NOT STOP" while we passed the densely packed corrugated metal shanty towns with rows upon rows of houses being supplied with power by seemingly unending rows and rows of electricity poles towering above.  I spent Christmas evening contemplating the extreme economic and racial divide which I was encountering and even participating in firsthand: in Cape Town and Stellenbosch where that divide becomes even more clear as you see such a stark contrast between the airy and bright central part of town filled with wine bars and restaurants where we were staying to the tiny shacks of corrugated metal crammed together with almost no moving room on the outskirts of each town.  

For those traveling to Africa, and specifically South Africa, I highly, Highly, HIGHLY recommend reading the book "Born A Crime: Stories from a South African Childhood" by comedian Trevor Noah, which in straightforward and oftentimes comedic terms outlines the history and its implications of exploration, colonization, discrimination through apartheid, and difficulties transitioning to democracy in South Africa and beyond.  

In spite of the ever-present racial tension and economic divide, we did continue to explore the country and take in as much as we could. 


The following day Dennis and I continued wine tasting in Stellenbosch, stopping at (* = recommended, - = pass in future):
*Avontuur
-Ken Forrester
*Peter Falke
*Webersberg

The wines were fantastic and the green landscape incredibly beautiful.  For dinner that evening we went to The Fat Butcher, where every table was "booked", but they managed to find a table for us next to the upright piano.  The menu was incredible, and the steaks even more amazing, grilled to perfection and served with a whopping side of bone marrow to make the meal decadent.  Paired with a bottle of Syrah wine, we were in heaven.  

On the 27th we left Stellenbosch to continue our trip to Cape Town, though not without a few more stops in wine country including:
-Brenaissance
*Jordan

Jordan was by far the favorite winery visited, a secluded vineyard nestled at the end of a single-lane dirt road, overlooking a small pond.  We sat on the veranda and tasted delicious cheeses alongside homemade bread, olives, and a lovely bottle of Chenin Blanc.  That evening we settled into our cozy Airbnb apartment in the Walmer Estate area, with Devil's Peak towering high overhead.  


The morning of the 28th we started the day with a beautiful morning run along the ocean and continuing toward the touristy, but thankfully not yet open for the day, Victoria and Albert Waterfront.  On the run back we stopped to watch a pod of dolphins playing in the surf.  Later that morning we made our way from Cape Town down the peninsula, stopping first at Boulder's Beach, known for its large penguin population.  That's right, penguins! The beach was filled with the awkward-on-land yet beautiful-and-sleek-in-water birds that cannot fly.  I was giddy and loving every second with them.

We continued south to Cape Point, with a long line of cars waiting to get in to the park.  We were greeted by a friendly park ranger who warned that the wait time to get a parking spot in the park itself could be upwards of 2 hours, and to return on another day much earlier in the morning.  We hedged our bets and continued into the park, encountering a pair of zebra running wild and a troop of baboons, and within a mere 20 minutes we were parked and making our way to the top of the lighthouse at Cape Point.  The view is spectacular, almost a shear drop to the bottom, and water so clear we could see a seal playing in the surf far below.  From the lighthouse we hiked down to the Cape of Good Hope, the southwestern most point of Africa and of historical and literary lore in the exploration era traveling around what was then considered to be the southern most point of the continent.  It is rumored that the Cape has some of the best air quality, as the winds travel northward from Antartica.  

For dinner that evening, we had lovely French fare at Bizerca Bistro, highly recommended for future travels.  

The following day we chose to sleep in and relax, then finally started the day in the later afternoon with sushi at Willoughby & Co, before apologizing profusely to the fish swimming around in their tanks at the Two Oceans Aquarium.  Continuing with the down day, we looked for grocery stores to purchase a few simple items for dinner, however encountered the economic divide once again, finding that most of the grocery stores we were frequenting were not in the nicer areas of town, and unfortunately had food that was definitely not of quality or taste value.  It wasn't until the fifth stop in a distinctly better-off area that we were able to find quality fare for munching during a low key movie night.

Friday the 30th of December was an early start for the two hour drive south to the town of Gansbaai, where the mighty Great White sharks can be witnessed firsthand in the South African waters.  Only 30 minutes out into the water, with chum laying the scent and tuna heads as the main bait, we saw our first Great White shark!  As someone who loves Shark Week on The Discovery Channel every August, seeing the shark up close and personal in the wild was a childhood dream come true.  The massive creatures move so efficiently in the water, and their might is impressive up close.  

Once we had seen a few sharks from above the water, it was our turn to get into the cage.  With a wetsuit and goggles on, you jump into the frigid ocean with your head just above water until a shark is sighted and you are told to go down below the surface to see the shark in its own environment.  For the first shark that came our way, the apex predator surprised our guides and the bait was not moved out of the way quickly enough, causing the shark to slam into the cage before swimming off into the deep blue yonder.  The shark hit right in front of where Dennis was positioned, giving him a face full of teeth.  Before hitting the waters we had rented a GoPro, which was essential to capture the incredible creatures on film.  

After a morning with the sharks, we travelled further south to reach the absolute-most southern point of the African continent at Cape L'Agulhas.  The directions took us down a gravel road for over 22km before reaching the town of L'Agulhas.  When pulling into the national park area a passerby graciously pointed out a very flat tire.  In inspecting the car, we also noted a large crack caused from a rock flung up from the road.  Awesome.  Thankfully Dennis had become an expert at changing tires, and this time there were no opportunistic predators for me to look out for.

At the southern-most point, the Indian Ocean meets the Atlantic Ocean.  The waters are pristinely clear and blue, with the waves crashing against the rocky shore.  Absolutely worth the cracked windshield and flat tire to get to this point.  After a snack of calamari, battered fish, and chips, we carefully made the three hour drive back to Cape Town.  Once there, we were able to change out the vehicle for a new rental.  Thanks, Thrifty!  Once at home, we enjoyed a bottle of one of our Stellenbosch wines while reviewing the amazing video captured earlier in the day, then sending the video or some select still shots to unsuspecting friends and family.

New Year's Eve day found us hiking up the beautiful and steep Table Mountain that domineers above the city of Cape Town.  After the hour and a half of what felt like sheer vertical climbing up the Plateeklip Gorge, the top of the mountain offered spectacular views of the city and the length of the cape past the Twelve Apostles - 12 peaks in a row - and on to Cape Point.  Spectacular view.  We made the additional hike to Maclears Beacon, offering a trek through the beautiful flora decorating the top of the mountain.  On the way down we took one of the contour routes, walking along a ridge jutting out on the side of the mountain and leading us toward the lower cable station.

Back at our apartment we celebrated the hike and the end to a lovely 2016 by enjoying a bottle of sparkling Rosé with some delicious cheese as our "lunch" before heading out for NYE celebrations.  While getting ready I had an amazing and much needed hour-long catch up session with the lovely Meagan Campol Haynes, a true highlight to end the year.  Later in the evening we made our way to Camp's Bay to enjoy dinner and NYE festivities at a Japanese fusion restaurant called Umi.  As midnight drew near, we were surprised that there was no plan for a countdown, and even more surprised when we began to hear slow waves of cheers coming from outside the restaurant, as each location decided when it was the new year on their own.  There was no Dick Clark's Rockin' New Years Eve countdown, no ball dropping in Times Square to mark the beginning of 2017.  It would be over 8 hours until that would be happening in New York City.  We kissed and toasted to the new year while watching the fireworks display over the waterfront as the streets came alive with revelers.  When we joined the throngs of people on the street, there were numerous people begging, holding out Coca-Cola cups to pick up coins from the drunken good will pouring out from the bars and restaurants.

New Year's Day was relaxing, with a short venture to the Gardens district for brunch at Knead and a stroll around Company Gardens before returning to the cool apartment to escape the heat and enjoy some wine for an easy day of catching up on journaling.

On Monday the 2nd we drove out of town around False Bay and took the scenic R44 drive with the mountains dropping sharply on the left and the vast blue ocean bay on the right.  It is one of the most beautiful coastal routes we have ever driven, rivaling the famed Pacific Coast Highway from San Francisco to Los Angeles.  There are signs and stop-off points along the road to enjoy the view, as well as whales during the birthing season from June through November.  But the real destination for this outing? A large colony of penguins that reside at Betty's Bay.  There were far fewer crowds here, and with the amazing backdrop of the steep and majestic mountains.  


Food recommendations for the day:
-Sotano for breakfast/brunch with a great view of of Green Point and the ocean beyond.
-A stand near the penguin colony served up some of the most delicious calamari.
-Hussar Grill: chain in western South Africa.  Tasty steaks, although nothing can live up to Stellenbosch's Fat Butcher.


The next day we explored the historical parts of Cape Town, beginning in City Bowl with the District Six Museum, dedicated to the former inner-city residential area in Cape Town. Over 60,000 of its inhabitants were forcibly removed during the 1970s by the apartheid regime. We fed our minds with caffeine from Truth Coffee and our stomachs with dumplings from I Love Laundry, a laundry facility that also makes amazing vegetarian and carnivore friendly fare.

We continued the historical tour to the Bo-Kaap neighborhood, a multicultural neighborhood with a predominantly Malaysian as well as Islamic influence and a background of brightly colored, tightly packed houses, and cobblestone streets. We sampled some of Malaysian food at Biesmiellah Restaurant, with a perfect view of the Tweede Newe Jaar, or second new year minstrel celebration, parading by. There was music, dancing, and everyone wearing bright neon costumes and carrying equally bright umbrellas. The evening found us at a lovely outdoor cafe, sipping a glass of wine and reading while watching the sun slowly set in the distance.



Wednesday, January 4th marked our last day in Cape Town. I took adv
antage of the spa facilities with a facial and pedicure before afternoon brunch at Truth Coffee.  We then drove toward Signal Hill for a beautiful view of the Atlantic, watching paragliders jumping off the hillside and cascading down toward Sea Point below.  After a relaxing afternoon at Camp's Bay, our last fantastic Cape Town meal was Spanish cuisine at La Boheme, once again taking one of the last available, not booked tables in the restaurant. The food was fantastic so we're adding it to our list of highly recommended restaurants for future Cape Town visits.



That evening we packed up our gear and prepared for the early morning flight to Victoria Falls, Zimbabwe!



Learn from us!  Lessons gained 
from travel in South Africa and Swaziland:
-If planning more than 5 days of national parks in South Africa, look into purchasing a WILD! national park card.  National parks include Kruger, Cape Point, and Table Mountain amongst many others.
-Game drives for animals require a lot of time sitting in the car.  Coupled with road-tripping through South Africa it is A LOT of time in the car.  Plan active outings in between long days of sitting.  Get the humans out of the mobile cage :)
-A 4 x 4 or larger vehicle is preferred on dirt/gravel roads, otherwise make sure to go slow - prevent getting flat tires!
-Having one day at the luxurious tree camp followed by three days on our own/with SAN Parks trekking through Kruger was the perfect amount of time.
-Stay longer in Swaziland - the country is beautiful, with a lot to offer in regard to adventure activities.  We would have LOVED more time here.
-Skip the Garden Route and spend more time in wine country.  Purchasing wine you liked to enjoy later in the trip is amazing.
-Cape Town: rent a car, schedule all out of town activities in sequential days, then return the car and use Uber to get around the city.  Uber was very easy to use, safe, and far less expensive than renting a car.  Lesson learned.
-Book restaurants well in advance, ESPECIALLY during the busy summer/Christmas season.  Restaurants in South Africa are very different from the U.S. - once a table is booked, it is booked for the evening.  There is no turning-over tables as quickly as possible, but rather restaurants focus on sitting and enjoying the meal for the entire evening.
-Ensure to have small bills or coins on hand to tip parking attendants - people (sometimes official, sometimes unofficial) that guide you to an open parking spot, directing traffic as needed for you to get into the spot, and "keeping an eye" on your car when you are out and about.
-Planning days to do nothing, or planning a day specifically for laundry is essential during a long trip.  Seriously.
-Dennis and I had a Sawyer water filter that we used to filter water into our own bottles along the way - great to prevent purchasing multitudes of plastic bottles.  Would recommend bringing one larger than our little 16 oz filter.
-If living in Uganda for one year, enjoying the delicious red meat, seafood, raspberries, wine, bread, and other deliciousness in South Africa/Swaziland is amazing!


Saturday, April 1, 2017

South Africa Part I and Swaziland

South Africa: December 14 - 19, 2016

Pinnacle Rock
We landed in Johannesburg, South Africa in the wee morning hours of December 14th, in time to catch a few hours of sleep before renting a car and heading off to the Mpumalanga province on the eastern side of the country.  Almost immediately after leaving the city, we were greeted by a countryside of incredible lush green rolling hills.  Along R539, we stopped at Old Joe's Kaia, a quaint tucked away villa with a beautiful garden for meandering, with an occasional monkey jumping through the trees.  As we wound through the hills and mountains on R532, the mountains met the sky with an eery mist settling in amongst the green.  After arriving in the town of Graskop we enjoyed a deliciously prepared and perfectly Mozambican-and-Portuguese spiced South African beef skewer at Canimambo's before tucking in to the Westlodge Bed and Breakfast for the night.


Bourke's Luck Potholes
The following morning we awoke early to start the day, sampling the famous Harrie's Pancakes and then beginning the drive north toward Blyde River Canyon.  The low clouds persisted, giving a magical feel to the landscape even if it did obscure the famous vistas of the area.  Along the route we stopped to admire Pinnacle Rock, the viewpoint at God's window, along with a hike through the nearby rainforest, then on to Bourke's Luck Potholes - beautiful curved and swirled patterns carved into the rock by centuries of whirlpools created where the Blyde and Treur rivers meet.  Soon after we were catching glimpses of the beautiful Blyde River Canyon itself in between the moving clouds on our way past the Three Rondavels Viewpoint.  

The landscape quickly changed as we moved out of the mountains and into the lower lands, filled with brush and a much hotter climate on our way toward nThambo Tree Camp.  Almost immediately after entering the gates of the Klaserie Private Nature Reserve, we encountered a large bull elephant waiting for our little vehicle to pass before crossing the road.  Not what you would normally expect to encounter in a little Ford Fiesta!  All along the bumpy roads leading to the camp we also came across a dazzle of zebra, a tower of giraffes, a tortoise and a multitude of birds.  Upon arriving to the tree camp we were greeted with an amazing frozen cocktail in the middle of the hot South African bush.  


That afternoon the entire camp of 9 guests set out for an evening game drive, soon coming across a white rhino mother and baby duo that we were able to admire and watch through the brush.  After cruising past impala, giraffes, impala, elephants, impala, hippo, and more impala, sunset found us enjoying wine and snacks for a lovely happy hour in the bush.  As the sky slowly darkened, the crew was on the look out for night animals.  We were lucky enough to spot a mother leopard sleuthing through the low trees, picking up a previously "prepared" dinner before disappearing to deliver it to her hidden away cubs.  Back at the camp we were greeted by an elephant passing through the grounds before we were all sitting down to a lovely dinner.  That evening we concluded the packed day sleeping in a lovely tent-on-stilts high above the ground, hearing the sounds of the wildlife and the faintly falling rain.

Friday morning we were up before the sun, on the look out for more animals and enjoying a coffee break just outside the vehicle.  Not too long after we found two lionesses lying lazily in the shade of the growing morning heat.  After a lovely breakfast and relaxing morning reading outside of the tree house, we set off from the private reserve and into the adjacent Kruger National Park.  Along the roads leading to the Satara rest camp, we stopped to admire the majestic kudu, many waterbuck, and a mother and baby elephant bathing in the nearby river.

In the evening we ventured out on another drive for a little over an hour, ensuring enough time to return before the rest camp gates would shut us out to fend for ourselves against the animals roaming their territory of the park.  In that short time we encountered wildebeest, a white rhino grazing in the distance, and a cackle of hyenas at the side of the road, waking up for their night hunting.

At 4:30am on Saturday morning, we were up to explore more of Kruger with the sky lightening with the rising sun.  South Africa is a large country spanning over 800 miles from the east coast to the west coast and yet it is on the same time zone throughout, making for very early sunrises and sunsets on the east coast with much later beginnings to the day and evening on the west coast.  With the ever brightening sky, we soon encountered a small pride of lions resting not far from the gravel road, with the male lion keeping a watchful eye while the lionesses rested further back in the bushes.  In the cool morning with a misting rain, we continued down large stretches of gravel road in search of more animals, encountering many beautiful birds, a mother jackal staring us down as her pup emerged from the den to run into the bushes, a few lone bull elephants, and some buffalo.  In the midst of a deserted gravel road, with no cell signal and no sign of another human being, we discovered that we had a flat tire.  I kept a lookout for opportunistic predators, while Dennis hurriedly put on the spare tire, and soon we were safely on our way back to a paved road toward camp.

Almost as soon as got to the paved road, a number of cars passing in the opposite direction flagged us down to let us know that there were two separate lion sightings just off of the side of the road, both along the way back to our camp.  The first was a pair of two young lions, one resting on each side of the road after their morning meal lying partially concealed in the bushes.  On the way to the second sighting a family of three elephants asserted their right of way as they crossed immediately in front of our car on their trek for more delicious leafy fare.  Not long after, another pair of male lions were again resting after their hunt of a baby rhinoceros.  While we were in line for a close up view of the nearest lion, the male resting further off began to wake up, strode toward the road directly next to our car, and stood staring at what felt to be directly the contents of our vehicle (aka US!) only 15 feet away.  To stare directly into the eyes of a lion at such close range is a truly humbling and simultaneously unnerving experience.  I was convinced that the lion was staring me down to eat me, and rolled up the windows in rapid time.

After safely returning to Satara we had a relaxing afternoon of reading and admiring the birds, butterflies, and reptiles that inhabit the camp.  This also gave the car and spare tire a break since we wouldn't be able to get it fixed until traveling to the next restcamp the following day.  That evening we went on a guided drive, staying out past the usual gate closing time to witness the vultures congregating near the lion kills witnessed earlier in the day, rhino families grazing in the cool evening air, and watching a beautiful sunset over the landscape.  Walking back to our quarters, we were greeted by a sky bursting with stars of all shapes and sizes, with the outline of the milky way glimmering in the background.

Sunday the 18th we were again up early, watching the sunrise as we drove south toward Skukuza restcamp.  Driving along a dried river bed, we spotted a creature moving stealthily across the bedrock toward a herd of unsuspecting impalas. We quickly realized that we were watching a cheetah on the hunt.  A minute after it disappeared into the bush, we saw the lightening-quick run of the cheetah and the frantic impala scattering in all directions.  Moving around the large national park and observing such a plethora of animals in their natural habitat, you get a truer sense of nature and its raw power, from the hot sun to the leafy trees that sustain a variety of animals, the carnivores that hunt and the many bleached bones seen nourishing the soil from which it all came.  Along the drive the landscape slowly changed to more green and leafy vegetation.  With that we saw numerous families of elephants in the riverbeds, hiding in the trees, and munching on leaves just off the road.  Monkeys played and jumped from tree to rooftop and back again as we stopped for a morning coffee break.  In the warm afternoon, we caught many rhinos sleeping to stay cool in small water pools, and saw an elephant splashing and playing as we watched from across the lake.  Giraffes munched on the high branches of the acacia trees while zebra grazed on the low green grass.

That evening we again went out on a guided drive, which is highly recommended.  With these drives, you can see the park past self-drive hours, and the guides are very familiar with the whereabouts of the animals, as they constantly radio each other about new finds.  As the sun began to set, over one hundred elephants along with multiple crashes of rhinos were sighted nearly everywhere you turned.  Once the sun was down the lions ruled the rest of the drive.  We spotted two lionesses and their cubs far off under the bushes, a group of two males and one lioness coordinating a hunt in the twilight hours, and a pride of six lions guarding their kill of a baby giraffe on a small dirt road.  The experience was incredibly primal, seeing nature and its food chain from nearly every aspect.  Upon returning to the camp we had a carnivore dinner of our own, enjoying a delicious steak dinner with a lovely bottle of pinotage wine underneath the trees with a sky full of stars shining through as we overlooked a magnificent flowing river below.

The following morning we began our drive to leave Kruger, and found ourselves near a watering hole filled with a bloat of hippos in the center, crocodiles basking on the banks, and beautiful birds and storks searching for the morning meal.  Just after we left the park gates, a herd of elephants crossed the road in front of us and seemingly bidding us adieu as we drove on to the next adventure - Swaziland!    

Swaziland: December 19 - 21, 2016


Crossing over the boarder from South Africa into the small landlocked kingdom of Swaziland, we were greeted by beautiful green rolling hills with a smooth and winding road to match.  The roadside villages were quaint amongst the picturesque backdrop.  Perhaps the most difficult transition from Kruger to the outside world was looking at the animals from the car and thinking you might be seeing a rhino or elephant, only to realize it's just a cow grazing in the fields. Upon arrival to the Mantenga lodge, we took the opportunity to walk around the area and admire the large, green hills.  The humans were let out of the mobile cage!  After four days of almost continuous driving, it was a relief to have the opportunity to move around.  Once the sun set over the hills, we took a short walk to the nearby craft village where we sat outside under a large tree on a lovely summer December evening, enjoying a tasty Roodeberg rosé and eating amazing Italian food from Khazimula's Restaurant.  The owner of the restaurant asked his friend from Naples to help him out while he was away, so we were treated to what was essentially a homemade meal of pizza and gnocchi.  Apparently, the chef didn't have any formal training; he cooked the way his mama taught him. 

Tuesday the 20th of December was our first day to sleep in.  We enjoyed the luxury, and later in the morning walked to Mantenga Nature Reserve where a local Swazi tribe resides, with performers demonstrating many aspects of the traditional culture and dance.  Even though there were signs posted warning of possible crocodiles in the area, we took any and all opportunities to walk around the beautiful area, including to a nearby waterfall on the reserve.  The afternoon found us exploring the Ezulwini Valley, stopping by a few of the many craft centers including the famous Swazi candles.  Near sunset we enjoyed Malendela's complex, an amazing area with a B&B, restaurant, and a quirky and creative concert venue - House on Fire - that looks like something out of by Alice in Wonderland.  The gardens look out across more green and rolling hills, with a creative, up-cycled, Gaudi-esque sculpture garden.  

Once the sun set we again found ourselves enjoying the summer night air with a lovely South African wine with a simple yet amazingly delicious margherita pizza.  A great way to end the day!

On Wednesday we drove our way out of Swaziland by way of Ngwenya glass, a factory where you can watch workers make incredible and intricate glass objects in front of your very eyes.  

Before we knew it we were back at the South African border, making our way to Pretoria for an evening out for some delicious grilled fare at Kream restaurant before flying down south to trek the Garden Route.  Bon voyage!

Sunday, March 26, 2017

Heading home to the USA

November 29 - December 12, 2016



Traveling home!  After a 12 hour car ride, two 12 hour flights (with a much needed fix of chocolate, cheese, and delicious baked goods during our layover in Amsterdam!), LAX customs, and the ride to Burbank, we were excited to be with my mom and Dennis's parents for an amazing home cooked meal.  

There wasn't much time to settle in, as the next day I was off to San Francisco to visit the sis and interview in a few places in the Bay Area.  It was wonderful to catch up with Rebecca and the amazing Natalie Shanks over a delicious and much craved-after sushi dinner, followed the next day by a lovely sister lunch-date of falafel salad while visiting Rebecca's office.  While I was enjoying the raw diet in SF, Dennis trekked south to San Diego to see friends and surprise his former co-workers at the annual holiday party.  They were beyond thrilled and excited with the unexpected guest.

The weekend was a whirlwind of caffeine and studying back in Burbank at BLVD Cafecito for me, while Dennis went on a gastronomic tour of LA with Neil and Ziva, Jen and Randy, along with their lovely daughter Eleanor. On Monday we were off again, this time to Dallas for the ABOG Oral Board examination.  While I was maximizing the little time left to study, Dennis was scouring the town for the best BBQ.  Our first taste of Dallas BBQ, Lakewood Smokehouse, was fantastic and incredibly delicious, and the first red meat we had enjoyed in over four months.  Wednesday morning, December 7th, was an early start for the exam.  It was a huge relief to walk out of the ABOG testing center and know that a year and a half worth of collecting cases, studying, and anxiety was DONE. The only thing that was better was the amazing BBQ and beer that we enjoyed at the Pecan Lodge.  MmmmmMmmmMmmmm.  We had the chance to explore the area a bit, wandering around Deep Ellum and discovering coffee shops, book shops, and the incredible Emporium Pies shop where we were a very charismatic employee instantly sold us on every single pie in the place.

That evening we were off to Portland, Oregon for more interviews.  And with that, we interrupt for some big news...

***WE ARE MOVING TO PORTLAND, OREGON!  

I am thrilled to accept a position at Northwest Permanente, joining the Salmon Creek Obstetrics and Gynecology team.***

In addition to meeting the new co-workers and exploring what will become our home, we loved catching up with Carol Chiu, my former chief resident and soon-to-be coworker over a delicious breakfast at Tasty and Sons.  The feasting continued at the restaurant's sister location, Tasty and Alder, where we met up with my fabulous Aunt Carolyn, Uncle Drew, and cousins Daniel and Philip who had a surprise day off due to the snow and ice storms in the city. And yes, we are very much looking forward to the rain and snow that comes along with living in the Pacific Northwest :)

Friday evening we were back in Burbank, being picked up at the airport and whisked away to enjoy delicious cocktails with Jen and Randy.  On Saturday the Frey-Lovell-Hess household celebrated Thankschrismukkah, enjoying wine and tasty treats at Marche Wine Bar, strolling through vintage shops, and topping-off the family festivities with take-away Mexican food from Cascabel for dinner.  

Sunday was our day to relax, enjoying some down time before heading to one last sushi dinner with our families along with close friends Robert, Crystal, Natalie Moniaga, Neil and Ziva.  We were so grateful to have the time to catch up with friends, and a huge thank you to everyone that traveled near and far to see us!

Monday morning offered an incredible surprise: the board examination results were posted almost five hours early, with the best results possible: PASS!! I'm officially a board certified obstetrician and gynecologist!  As anyone who has taken the exam can tell you, soon after walking out of the exam the relief of being done is soon overtaken by an intense anxiety and PTSD, reliving every single question asked and reviewing every minute detail of your answer given, wondering if you said all of the right things or adequately conveyed your management of a situation.  Even with the results, the worry didn't fully wear off until over a month after the exam.  Until I again realized: I'M DONE.

We, along with Dennis's parents, celebrated the good news with some morning bubbly before heading to the airport once more to begin our trip back to the African continent, starting with the beautiful country of South Africa.

Cheers!

Saturday, March 18, 2017

Physician Educator: Teaching the teacher



October 8 - November 28, 2016
Boda-boda ambulance
courtesy of USAID

Time flies.  I can't believe its been almost five months since the last update.  The past few months have been a crazy whirlwind of work, study, election analysis, travel back to the U.S., exams, interviews, travel through southern Africa, and finally returning home to Mbale, Uganda where the action never stops.


The last update involved a catastrophic postpartum hemorrhage and a perimortem cesarean section.  Missed that update?  Many people did.  Catch up here.

In between ward rounds, crazy emergencies, power outages, lecture preparation, and grading exams it is a relief to have a few scheduled breaks to get away and re-focus.

On October 8th and 9th Julia, Dennis, and I along with the best tour guide, Fred, took a weekend break to Kapchorwa, a beautiful area within the Mount Elgon National Park, complete with lush greenery, a beautiful waterfall, singing birds, and skittish monkeys roaming overhead.  The nature walks were beautiful and a breath of fresh air.  Our Saturday night entertainment was a lively conversation around a campfire, discussing a range of topics including the number of wives each of the men around the fire wished to have one day.  It was enlightening listening to the different thoughts on having one wife or multiple wives, as Ugandan culture shifts in between traditional polygamy and more modern monogamy.

On November 1st the Mbale crew celebrated Robert and Judith's 41st wedding anniversary with a potluck feast.  Julia, the baker, made delicious brownies, and saved some batter for Travis and me to enjoy on the stairwell.  Judith whipped up the most amazing homemade pita bread and Baba Ganoush, while Robert made sure to spoil his bride of 41 years with a house full of roses.


The stairwell itself has become somewhat sacred.  Upon returning home each evening everyone in the house can find Julia in her purple plastic chair on the stairwell, reading her Kindle or catching up with the latest person to come home.  At five o'clock it's happy hour, with Robert and Julia enjoying a glass of wine and discussing the latest books that they have read (both of them are incredible readers - you walk away with no less than 3 more books to add to your must-read list after sitting-in on happy hour).  It is not uncommon to find all seven of us sitting in the stairs, catching up on the day, discussing the latest political updates, or debating the best course of action to save the world over a glass of wine.


On November 3rd we traveled to Jinja, the source of the Nile river, for the Peace Corps / GHSP in-service training.  Before starting the training, Julia, Dennis, and I went white water rafting down the Nile River.  It was a beautiful day filled with sun, gorgeous green river banks, and of course the fast moving rapids of the Nile.  No crocodiles in site!  There are eight rapids in total, grades 3 to 5.  We shared our raft with a visitor from the Netherlands and a group Israelis followed along in another raft.  It is of doubtful coincidence that the other group's guide flipped the raft during the first six rapids, while our boat remained upright, then our boat being flipped on the last two rapids while the other boat remained upright.  It was an incredible rush to experience the power and force of the current in the Nile while waiting a few seconds to float up to the surface, then feel the waters moving you quickly downstream.  In addition to the boats there were several guides in kayaks available to assist in the water when the rafts overturned.  Julia was excited to get 'saved' by "The River God," a guide who was mostly without a shirt to show off his well developed muscles.


The rest of the weekend was spent catching up with fellow GHSP volunteers in other locations in Uganda, discussing our successes, challenges, and what we anticipate for the rest of the year to come.  On Saturday we were joined by our counterparts, including Dennis's counterpart Paul Oboth, and my counterpart Dr. Stephen Waiswa.  The schedule was packed with discussing goals and plans for the rest of the semester and year.  Between lectures, team building activities, planning, and lots of food, it was a busy but productive weekend.  


The following Tuesday, November 8th was election day in the U.S.  Since Uganda is 8 hours ahead of Eastern Standard Time, we awoke at 4:00am on Wednesday, November 9th to watch the election returns alongside several other Peace Corps Volunteers, streaming the coverage online and projecting it onto a wall in Julia's apartment.  I won't discuss our own thoughts or opinions on the election, but instead offer the reaction of my students and colleagues in Uganda.  Many at the university were surprised and shocked at the outcome of the election.  Others wondered how U.S. elections took place, if one candidate could win the popular vote and yet the other candidate won the election as a whole.  It is interesting to describe the electoral college and the role it plays in the elections.  The most pointed quote from a student was, "I wonder how the U.S. will be able to save face after this election."  As American citizens we are privileged to live in a country whose politics and policies are followed around the world, because they impact the rest of the world in so many ways.  I challenge our country to return that courtesy and pay mind to the impact the U.S. has on other countries and continents in business, agriculture, environment, health, and so many other facets.
Learning to stop postpartum hemorrhage
through uterine balloon tamponade with
a condom and foley catheter

After the elections it was a struggle to put away the stream of articles on post-election analysis and speculation about the incoming administration.  It was time to focus and study for the most daunting test - the American Board of Obstetrics and Gynecology Oral Examination.  

Tutorial session
Yes, another test.  After completing residency training, the next step is to become board certified.  This entails collecting the cases of all of the patients cared for in one year, entering them (HIPAA friendly!) into a database, playing a jigsaw puzzle game to ensure you have the correct number and categories to fulfill each of the requirements, submitting the list to the board, having the list reviewed and hopefully accepted, then being given a date during the one week that examinations take place in either November, December, or January.  All exams take place in Dallas, Texas.  
Grand Rounds Presentation

Then it's time to start studying...

Fortunately studying becomes easier when each day you have the opportunity to teach incredibly bright medical students and interns.  With every complicated case presented during the morning meeting, every question asked during ward rounds or clinic session, each tutorial session held, and for each lecture prepared the knowledge and ability to clearly articulate your answer is tested.  While I was teaching, I guarantee that I was being taught even more.  To all of the BUFHS students and the interns who were working hard on obstetrics and gynecology, thank you.

GHSP champion Steven -
smallest person
with the largest meal
AMR Conference
During November Dennis was doing amazing work taking care of me throughout the study preparations, and more importantly solidifying plans and providing technology support to GHSP volunteer Jennifer Lasman for the first antimicrobial resistance conference in Uganda.  

The conference was a year in the making, and brought together experts from all over Uganda to discuss and bring awareness to the ever growing problem of antimicrobial resistance. Nearly every patient admitted to the ward, for whatever the reason, even if no infection is present, receives two antibiotics: ceftriaxone and metronidazole.   The indiscriminate use of antibiotics has brought about a multitude of resistant bacteria, let alone the effects of intermittent anti-retroviral medication use on the emergence of HIV resistance.  

Interns extraordinaire
During the time of the conference, I was helping to care for a young patient who was initially admitted with what was presumed to be spontaneous bacterial peritonitis following a vaginal delivery complicated by pre-eclampsia with some ascites.  She had been treated for the peritonitis and was improving, but later developed a decrease in her mental status that progressively deteriorated until one day she began seizing due to presumed encephalitis. Why do I say presume?  The family could not afford many of the laboratory tests, and imaging is not available at the hospital.  If imaging is possible at another facility, the cost is incredibly prohibitive.  From what we could obtain, blood cultures revealed Staphylococcus aureus, resistant to almost all medications except for meropenem. That's right, meropenem, one of the strongest and last line / big gun antibiotics.  It costs 75,000 UGX ($20) per dose, when primary school teachers make approximately 400,000 UGX per month.  This doesn't count the cost of other laboratory tests, medications, food, lost wages by the family who is caring for the patient, or the cost of a much needed CT scan of the head.  Unfortunately, the patient later passed despite valiant efforts by the team to save her.

Getting ready for
Thanksgiving
football in Mbale
For each patient cared for, and for each patient who passes, a lesson is learned in the difficulty of living and working in a limited resource setting.  A phrase is often heard in each maternal mortality review: let the dead help the living.  With each death, learn what occurred and find a way to continue to help the other patients that will come your way.

At such a time, Thanksgiving was a celebration of the many, many things for which we are thankful.  My students might not have been the most thankful on that day as they had their end of clerkship examination, although many did offer congratulations on our national "turkey day." To celebrate the holiday, several Peace Corps Volunteers from around Uganda came to Mbale to join us for dinner.  The menu included roasted chicken, soy-sauce glazed pork, mashed potatoes, stuffing, fruit salad, guacamole, hummus, pita, deviled eggs, and about five different kinds of dessert.  While listing what we were most thankful for, the recurring theme was family, both our families at home and the family that we have created here in Uganda.  And then we all started singing Mariah Carey's "All I Want For Christmas" at the top of our lungs.  Classic.

After a final weekend of crazy studying, on November 28th Dennis and I made the long 40 hour trek back to the US and then on to Dallas for the ABOG Oral Board Examination :)


Daily sunrise view from our front door