I've finished my journey around Africa, and now I'm sitting in the departure lounge at Joburg airport, ready to board my Heathrow-bound plane. It has been a fantastic month.
I struggled with Ghana in the first week. The hospital wasn't what I had expected at all, and my presence there felt pointless. The staff had no interest in changing their practice based on anything I suggested to them, and all I learned from them was how not to do things. The Work the World house also wasn't quite what I expected, but that was far easier to adapt to, and contained some great people. Possibly the prospect of cold showers wouldn't have been so irritating if I hadn't come back to the house from a day of watching dangerous and dispassionate midwifery at Kwesimintsim. But after accepting I wasn't going to change anything about Ghanaian healthcare, and instead making small differences to individual women when I was working, it became a lot easier to detach myself from the awful things I saw staff do to women most days. Other aspects of Ghana were brilliant: the people I lived with, the day we went to Lower Dixcove and health screened the residents, meeting a village Chief, choosing fabric to make clothes with, surviving marketplaces, learning to hand-wash clothes, Busua beach, Hotel Fespa (only with hindsight...), Cape Coast Castle, crocodile stroking, catching tro-tros, Kakum canopy walk, trying Ghanaian food, learning some Fante, the friendliness of most of the people, and the 'personality quirks' of some of the others!
For the rest of the trip the good times are almost too many to list. Collecting dozens of new stamps in my passport, exploring the Cradle of Humankind, caving in the Sterkfontein Caves, seeing Victoria Falls from both sides, and above, camping in some beautiful places, seeing hundreds of animals in their natural environment and living according to nature, driving on some stunning mountain roads, seeing the stars with no light pollution obscuring the view, trying all kinds of African food, trying all kinds of African alcohol and (apparently legal) 'traditional herbs', doing stupidly reckless things, having a bash at dancing with a tribe, trucking across the Kalahari Desert,, meeting people from all over the world, and mastering the art of walking in fli flops with numb feet. I crossed Victoria Falls, a safari, and seeing an underground lake off my bucket list (plus saving a life in Ghana, I guess), and sowed the seed for more adventures over the next few years to complete some more.
There are also little things which I'm proud of doing. The flights to Ghana were the first I've ever taken on my own. 10 months ago I couldn't stand up, but now I've just got myself across Africa and back. I had extremely good medical insurance so the moment my legs started hurting, new parts of my body started going numb, or Crohn's relapsed I could have called it a day and either got to a hospital, or gone home on medical grounds. But I didn't, and that takes a hell of a lot of willpower when the alternative is having the shits at a campsite in Zambia. I think biggest of all, after leaving Ghana no-one really knew about my medical history. It was all on a form somewhere at Acacia head office, and I think our driver knew one of us had a bit of a history, but I don't think he knew it was me - and even if he did, he didn't treat me any differently. I loved being able to take part in everything I wanted to, with no-one asking "are you limping?", or "are you sure you can do that?", or "do you think that drink is a good idea?", or "have you remembered your drugs?", or "have you missed an injection?", or "let me see your pupils", or "do you need any help with that?", or "are you getting an aura?", or "you're slurring your words, you must be smashed!", or "do you think you need to go to a hospital?". Having travellers tummy was left at that, and the only person who had 'this is actually a Crohn's relapse' or 'could this be a trigger for another autoimmune attack?' at the back of their mind was me. It was so good to feel normal for a few weeks.
A key part of my safari was camping. As a child I loved camping holidays, and I loved animals, and combining the 2 meant an unbeatable trip. I loved the sense of feeling self-sufficient, and so connected to the environment around me. Also, I love trucking. At first I saw it as a necessary evil for a safari spanning several countries, but now I've been converted. The feeling of sitting there with other like minded people, knocking back beers, swapping travelling stories, playing cards and glancing out of the window to catch a view of whichever desert, mountain or animal you're passing is hard to beat. After the first couple of days of the 2nd leg I felt so light and carefree, a feeling which I hadn't noticed was missing until I felt it again. As much as I love my job, it was the first time in 3 years that I was able to not think about it, and that was refreshing.
Eating meat is a luxury in Africa, and after the first week of my trip I opted for temporary vegetarianism in view of the 'meat from miscellaneous origin' which seemed to be an ingredient of most meals. After 3 weeks of being a vegetarian I'm not missing meat nearly as much as I thought I would, and I'm toying with the idea of making this a long term choice. Ever since watching Babe (in 1996) I've refused to eat sausages, but having had iron deficiency anaemia for most of my life I've always thought, or been told, removing red meat from my diet, would be a recipe for malnutrition. Since being in Africa, I've seen first hand that meat isn't just produced from a storeroom of a supermarket; it's the goat or chicken I was stroking a couple of hours earlier. For the past few years I've only bought cosmetics and toiletries from companies which are against animal testing, so perhaps becoming vegetarian is the next step of this hippy spiral. On a sort of related side note, I also try not to buy Nestle products - but it's really surprising how difficult that was to stick to in Africa... I thought here would be the first place to boycott!
I'll be very sad to board BA0054 and leave this wonderful continent behind, but necking champagne in the departure lounge is taking the edge off it, and I'm already making plans to return next year.
Love Emily x