Wednesday, January 20
Pour la version française, cliquez ici.
I had the scare of my life this morning. I had hoped I could sleep in an extra 10 minutes because I’ve been working on 5 hours a night for the last week and am hitting the bottom of the barrel.
No such luck. I suddenly felt my sleeping bag on the bedroom floor rocking back and forth. For about a second I thought maybe I was dizzy from being tired. But that thought didn’t last long when the rocking
got stronger.
I jumped up, scrambled to the door in the dim morning light in my pyjamas and ran downstairs to the locked front door. I didn’t have the key, but fortunately my colleague caught up to me to unlock it and we both got out.
I was shaking and on the verge of crying, and so was he. He had survived the quake last week, but he still had the courage to run back inside the house to get our two other colleagues out. My heart was racing. I finally understood the meaning of vulnerable, to be so exposed to this overwhelming force.
That was the start to this day.
This afternoon I spent a few hours at our field hospital in Carrefour. The entrance is through grey thick plastic sheeting, which is attached to two trees, spanning across a street in the middle of the town. This is the triage area, a wound-dressing area, and an inpatient ward.
It hurts to see so many injured children and adults, some screaming in pain as their dressing gets changed by a nurse. They have serious burns, wounds that are infected, broken arms, deep cuts in the skull, gangrened limbs, and the list goes on.
The entrance into the hospital courtyard is through a small door in a gate. This is the surgical ward, which is basically a series of beds under two blue tarps and a tree. On one side, there are pregnant women who are giving birth, or who need c-sections. On the other side, there are three beds for more serious surgery, such as amputations.

The surgical ward is basically a series of beds under two blue tarps and a tree. Photo ©MSF
Our teams are performing surgeries outdoors mostly because the staff are too traumatized to work inside the hospital building. Despite these conditions, in the five hours I was there, the team did at least three amputations, two for young children. They removed necrotic tissue on a young woman’s thigh, and did a c-section.
Our team is tired. They have been working long long hours in the heat, in crowded, noisy, demanding and stressful conditions. Fortunately, we’ve located a brand new spacious school building that was not affected by the earthquake, just down the street from our hospital. We hope to move to this new location in the coming days.
The one shining light in all this physical and emotional suffering is the birth of healthy little babies. Eight healthy little new ones arrived today under the blue tarp of our hospital. We all need them to breathe new life and hope into this torn country.
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Mercredi 20 janvier
Ce matin, j’ai eu la peur de ma vie. J’aurais bien aimé pouvoir dormir une dizaine de minutes de plus vu que depuis une semaine, je tente de tenir le coup avec 5 heures de sommeil et je n’en peux plus.
Mais je n’ai pas eu cette chance. Installée par terre dans mon sac de couchage, je me suis sentie tanguer. Pendant une fraction de seconde, je me suis dit que c’était un petit malaise, dû à la fatigue accumulée. Mais lorsque tout s’est mis à trembler encore plus fort, le doute n’était plus permis.
Je me suis levée, me suis précipitée vers la porte, en pyjama et à la seule lueur du petit matin et j’ai dévalé les escaliers. La porte principale était fermée à clé. Je ne les avais pas sur moi, mais heureusement mon collègue m’a rattrapée et a ouvert la porte. Et nous sommes sortis.
Je tremblais comme une feuille et j’étais à deux doigts de pleurer. Lui aussi. Il avait survécu au séisme de la semaine dernière et il a encore eu le courage de retourner à l’intérieur pour faire sortir deux autres de nos collègues. Mon cœur battait à tout rompre. Je comprends finalement ce qu’on ressent lorsqu’on est à ce point vulnérable, exposé aux forces de la nature.
Voilà comment j’ai démarré la journée…
Cet après-midi, j’ai passé quelques heures dans notre hôpital de campagne à Carrefour. Pour y entrer, on passe sous une épaisse bâche en plastique gris, attachée à deux arbres, surplombant une rue au beau milieu de la ville. Nous y avons installé une zone de triage, une zone pour panser les blessés et des « lits » d’hôpital.
Cela fait terriblement mal au cœur de voir ces centaines de blessés, adultes et enfants, qui crient tandis qu’un infirmier change leurs pansements. Certains sont grièvement brûlés, d’autres ont des plaies infectées, des bras cassés, ou encore d’importantes coupures au niveau de la tête. Quand ce n’est pas la gangrène qui s’installe. Et je pourrais encore continuer longtemps cette énumération.
Pour entrer dans la cour de l’hôpital, on passe par une petite porte. On pénètre alors dans la salle d’opération qui consiste en fait en une série de lits installés sous un arbre et deux bâches bleues. D’un côté, ce sont les femmes qui sont en train d’accoucher ou qui ont besoin d’une césarienne, de l’autre, trois lits pour des cas plus sérieux, comme les amputations.

L’unité chirurgicale se compose simplement d’une rangée de lits sous deux bâches bleues et un arbre. Photo ©MSF
Si nos équipes opèrent à l’extérieur, c’est surtout parce que le personnel haïtien est bien trop traumatisé pour travailler à l’intérieur de l’hôpital. Sur les cinq heures où j’étais sur place, l’équipe a réussi à réaliser au moins trois amputations – dont deux sur de jeunes enfants. Les chirurgiens ont aussi retiré les tissus nécrosés sur la cuisse d’une jeune femme et fait une césarienne. Et tout cela en dépit des conditions de travail très difficiles.
Notre équipe est sur les genoux. Ils ont travaillé très très longtemps dans la chaleur, le bruit, la proximité et dans le stress. Ils ne savent plus où donner de la tête. Heureusement, nous avons repéré un grand bâtiment scolaire, toujours intact malgré le tremblement de terre. Il se trouve juste dans la rue en bas de notre hôpital. Nous espérons pouvoir nous y installer dans les prochains jours.
Seule lueur d’espoir au beau milieu des souffrances physiques et des traumatismes : la naissance de bébés en bonne santé. Huit nouveaux-nés ont vu le jour aujourd’hui sous la bâche bleue de notre hôpital. Nous espérons tous que ces bébés nous apportent un nouveau souffle d’espoir et de vie dans ce pays dévasté.
January 21st, 2010 at 10:09 am
Isabelle,
I’m in my office and the tears are running down my face reading your blog. I’m concerned that you didn’t cry when you were so scared. I know you are holding on to your shock and if you need not to feel to get you through this – I understand. You know what you need to do. If you could have a little cry though, that may be helpful to relieve some of the stress. I’ve sent $100.00 last week to MSF, and our school has raised over $4000.00 (from kids who are very poor themselves). I’ll dip into my overdraft to send another $200.00 today – the last thing you need is to be running low on supplies. I wish I could make you a cup of tea or a martini and give you an eight hour sleep. My thoughts, prayers (and money) is with MSF and your patients. When you get back I’m sending you to the spa for sure. I don’t care what your home country is, I can find a spa there and book you in over the phone. Our school prays for you all every day. Words seem so flimsy and small at a time like this – but thank-you. Thank-you. Thank-you.
Liza – Toronto – Canada
January 21st, 2010 at 12:42 pm
Bonjour Isa,
Un petit message d’encouragement de Gatineau!
Le comité social des Politiques de l’ACDI et moi, travaillons très fort pour amasser le plus de fonds possibles. Nous sommes de tout coeur avec vous tous!
January 21st, 2010 at 1:02 pm
Hi Isabelle
Thank you for your updates. I have nothing but admiration for you and your colleagues. I wish you the very best in your work and I am very happy to be able to contribute in my small, small way.
With my kindest regards
Tony Hill
January 21st, 2010 at 3:24 pm
Isabelle,
Thanks for making your blog despite the gruelling schedule you and your colleagues have. I have worked seven years full-time for MSF many years ago. I still feel very much part of the movement, and I am proud of what you are all trying to do there. Stay sane and safe and good luck!
Jos Nolle – Niagara
January 21st, 2010 at 4:07 pm
Hi Isabelle,
I can’t tell you what your updates mean to me. Thank you so very much. I have given a donation and wish I could do more to help. Hearing from you makes all the difference. You make us feel not so far away. It must be hard to write, especially when you are faced with the fear of another aftershock.
I have such admiration for you all working so hard under such terrible conditions. You and all the suffering in Haiti are in my prayers and thoughts.
I will be reading your updates whenever you manage to write.
Jenny J
January 21st, 2010 at 10:07 pm
Thank you for all that you are doing for the people of Haiti and for sharing your time with us. Our thoughts are with you. Stay strong and know that we support you both financially and in our prayers. It brings me to tears.
Take care, Cate
January 22nd, 2010 at 8:13 am
I’m in London, but my mind is in Haiti. I’m very glad for the team that you are there because I know you will be a boost to them. Stay safe.
January 22nd, 2010 at 10:01 am
Thank you MSF for making a difference, one patient at a time.
January 22nd, 2010 at 11:44 am
Hi Isabelle,
I am so humbled by the tremendous efforts of you and your team. Thank you for keeping us posted on the progress, and it is progress for the people of Haiti as they work through this terrible tragedy.
January 23rd, 2010 at 6:50 am
Hello Isabelle,
This is Rémi and his Mom writing to you from Toulouse, France.
Thanks for informing us about what is going on there. We feel so far away.
The only thing we can do from here is sending money, but we would rather help with our hands, time, and heart. Thanks for everything you are doing there, all of you, please tell Haiti people that we love them.
Thanks Isabelle for keeping us informed, please tell us how we can help.
We would like to stay in contact with people in Haiti and build a correspondence with mothers, children, schools, Universities. Is someone coordinating such initiatives? Thanks and Courage to you all!
With love,
Rémi and his Mom
January 23rd, 2010 at 2:35 pm
Isabelle, I’m ever so proud of you and your collegues. Continue to do the great work you’re doing, be safe and know you’re hugs are missed by your friends in Toronto, especially me!
February 23rd, 2010 at 11:24 pm
Hi Isabelle hope all is well …thinking of you and hope to see you in mc carthys for a drink soon…you do amazing work and should be so proud of your self