Chisapa is one of our favorite clinics. It is the farthest that we go into the bush, and the site is so fun. It takes about two hours to get to the site from the lodge from Ndola. The first hour is on the hard-top road and the last on dirt. The dirt road was in better shape this year because the rain has been less. Still, it is pretty rough, bouncing over rocks, and the width is made for oxen carts and perhaps small cars, but the clearance for our bus is just inches.
We pass wide swaths of true African savanna punctuated with mature Acadia trees. Some thirty years ago, this savanna was populated by herds of elephants, but they have been poached and moved on to safer places.
We arrive at Chisapa, which consists of two large block structures and two block toilettes. To one side is a magnificent fig tree. I think the circumference of its accordion pleated trunk and roots is more than three of four people could wrap their arms around. It is really breath taking. This towering tree is the central core of our setup at this site. We circle its trunk with our duffels and tables.
Immediately after arriving in the walk around to plan our setup, we find a woman near the tree lying on the ground. Doctor Macki and Doctor Capella evaluate her and find her lethargic with an elevated heart rate of 160 and systems of an acute abdomen. That diagnosis is beyond our scope to address in the field, so Doctor Macki transports her back to Ndola General Hospital for further evaluation. This brings us down to two docs for the rest of the day. It is such a strong and integrated team that we can still function despite this hole in our ranks.
So much happens in the busy kaleidoscope of a clinic that it is impossible to process everything that occurs. I can only tell you my perspective and experiences. I saw a lot of legs and feet like always. Some were “boo-boos” and others were axe wounds. I am proud of the aseptic technique we are able to provide under these primitive conditions, as well as the professionalism and compassion that is shown to all of our patients.
Some significant patients that I saw:
Finetta with snake bite. I treated her last year. The wound still has not healed, but it is not infected.
Home visit, or hut visit, to Sikangezile (sp?) a thirteen-year old with lower extremity paralysis due to a spinal tumor. Doctor Lantz treated her last year and OMNI obtained a hand-propelled wheelchair for her. She has significant decubitus ulcers of perhaps two and half to three inches on both trochanters as well as her saccrum. Her mom says that the ulcers heal until they run out of supplies. Then, the irritation of her lying on wet plastic and urine breaks down the skin again. We cleaned and dressed the child’s wounds and left as much supplies as we could. The seat of her wheelchair was essentially a board so I also managed to cover it with a pad contrived of an elbow sling. Her family is interested in education for this young girl. Elijah says that a boarding facility for handicapped children exists nearby. Must follow up on this.
Daniel Douky. A seventy-year old with a large open wound on his right ankle. My hand span could not cover the wound. He has also had significant weight loss in the last month. We suspect he has hiv/aids. He was treated and remained on the sidelines of our clinic for transportation back to Ndola hospital. He was so very grateful to be cared for. We left rice and salt with his wife who clapped and curtseyed to receive such largess.
Two babies were transported back to town. I didn’t see those patients to know their stories, but Karen and our docs have rounded on them at Children’s Hospital every morning. Was just told that one of them has died.
We are doing much good and saving lives here. In the process we are changing and transforming ourselves, and that may indeed be the savings of us.
Thank all of you at home that sacrifice to make it possible. We love and miss you all. 241 Gil