Thursday, December 4, 2008

The Amazon Woman and other Evolved Species of Homo nerdicus


Diane McTurk must have been quite the vibrant beauty. Even now, the sparkle in her eyes betrays the intense passion that was responsible for the existence of Karanambu. As the Jane Goodall of giant otters (see picture), she refers to her “water dogs”, Benouni, named after the river, and Peche as “my heart, my love, my prides”. With a mischievous pet racoon nicknamed “The Bandit”, she is a most extraordinary lady. Nestled at the confluence of the Amazon and Essequibo Rivers, the eco-lodge also attracts an array of avid nature lovers: ornithologists, entomologists, caiman experts, and fish enthusiasts. These visitors are as interesting as the species that they study.

Donald, a professor from Syracuse, was on a 2-month expedition with his grad student studying the largest freshwater fish in the world, the Arapaima. At an adult length of 3m, the Arapaima is an obligate breather with ineffective gills; this particular feature makes population counting very easy because every 20 minutes, these fish must travel to the surface to breath. After showing us his slideshow and video presentation after dinner, Donald excitedly explained, “And so, we’re here to look for a species that might resemble the 1830s specimen at the Paris Museum of Natural History. The British Museum of course also had a different sample, but this was lost in storage – imagine! Such an important display lost forever!” He face was aghast before he continued, “And this paper published in the early 1900s that refuted the original paper that purported 4 different Arapaima species was based solely on the opinion of one biologist who felt that there was only 1 species – that’s it, no evidence, just an opinion! Well, clearly from the specimens that we’ve found here, there are even more than 4.” This man badly needs a T-shirt that says: Carolus Linnaeus is my Hero!

As a fellow Canadian from Waterloo, it was comforting to talk with Mike about Canuck matters, but it was really his Black Caiman project that got our attention. In order to monitor the population of caiman, much of the tagging occurs at night because the red eyes of these alligator cousins are easily visible with a flashlight glowing in the dark. We can attest to this since we travelled along the river well after the sunset and experienced the surprise of seeing 2 pairs of red eyes glowing by the shoreline. Indeed, a flashlight can also revel the green eyes of Anaconda hidden in the trees. In order to tag the caiman, the team would approach the caiman and with a metal lasso device, they would reign in the caiman beside the boat. After 20 minutes, the caiman would tire and the team would bring the caiman in the boat to be tagged before returning it to the water. The biologists would then be able to monitor movement of the population the following season. These real-life Crocodile Hunters take biology from the controlled lab environment and turn it into a thrill-seeking activity in the heart of the Amazon.

Aside from the fascinating species of human that we encountered, we were fortunate enough to see some truly beautiful animals, worthy of Natural Geographic documentaries. We saw the black-bearded saki monkey, the Amazon kingfisher, the blue heron, the pied plover, the red-shouldered macaw, vultures, and countless other birds, but the truly unusual animal was the Giant Anteater (see picture), which galloped at an astonishing pace across the Savannah. For us, this last adventure of our trip satisfied the childhood fascination that began in Grade 4 biology class when we learned about the ecosystems on different canopy layers and the highly adaptive wildlife that exists in this magical place.

Despite enjoying our time in Guyana, we are both glad to be coming home to the land of beaver, snow and cafĂ© mochas. For all those in Toronto, we can’t wait to see you!

Monday, December 1, 2008

Diabetes/Hypertension Workshop Weekend


All the Community Health Workers of Region 9 and one from Region 8 congregated at the Bina Hill Institute for the weekend. Some arrived on Friday, but the majority had an early start to their Saturday to join us for eggs and delicious fresh-baked bread. We had a fun educating everyone with some of the knowledge that we had gained from medical school and residency. You realize that you did learn something worth imparting to others after the near decade of education! Unlike our own training though, we made the lectures as interactive as possible without the “pimping” and everyone seemed happy to participate.

In turn, we learned about some of the interesting differences in Guyana’s healthcare. Since patients do not have glucometers, one method of diagnosing/regulating diabetes is to see if ants are attracted to a patient’s urine because of the excess sugar spilling out of the kidneys. Fortunately, Pro-Natura was able to supply glucometers, lancets, and Accucheck sticks, which should improve the abilities of CHWs to diagnose diabetes more accurately! We were glad that we were able to help people for at least a short while, but struggled in responding to valid concerns raised about limited supplies. It is Pro-Natura’s hope to be able to replenish these supplies periodically, but sustainability and introduction of technology appropriate for that country is always an issue. It was heartbreaking to hear one of the CHWs say optimistically, “Once the battery runs out for the glucometer, perhaps we could fundraise to get new ones.”

Overall, the workshop was well received, and it was our pleasure to host this event. The CHWs complimented our simple explanations for complex concepts, and they were very grateful, as most had never had formal teaching on either topic. They expressed the hope that other doctors could come to Guyana do more education on topics like parasites, obstetrics, and anemia. We hope so, too; however, when presented with a quarter-sized lesion about 3mm deep on the heel of girl, who casually informed us that this had been inflicted by a piranha during a school picnic yesterday, we must admit that we have limited experience on certain endemic problems!

NB We're off to Karanambu for a couple of days, stay tuned for what I imagine will be some pretty awesome photos when we return.