Tuesday Clinic
The first time we met Blessed we
thought she was dead. Her mother brought her into clinic and sat down on the
bench next to our group and patiently waited her turn. Her seven-week-old baby,
Blessed, was wrapped in numerous layers on her lap. She patiently waved over
our translator, Ellah a Kenyan physician who was helping translate for us.
Ellah calmly looks over to us and states, “It’s an emergency.” Side note: all Kenyans seem to
speak impossibly soft and are difficult for loud Americans to hear.
After Ellah states that it’s an
emergency, we come over and see this tiny infant looking blankly into the air.
After a few agonizing seconds, she blinks. Feeling her forehead, she is burning
up. Dr. Walter Scott, a pediatrician was called over. He states that she is
having a seizure and feeling her head quickly determines it’s a febrile
seizure. While we spend time
worrying about how to stop the seizure, he’s worrying about the cause of the
seizure. Her mother begins to unwrap the multiple layers that surround the
child, which seems to grow smaller the more clothing/blankets she takes off.
Finally, we see her thin body and are able to examine her. Her pulse is racing
and she is using accessory muscles to breath. Wheezing is heard over her chest.
She probably has pneumonia and needs more than we are able to give her. Dr.
Scott immediately orders a shot of antibiotics to give to her before we
transport her to the hospital.
The
shot is brought over and her leg looks too small to give a shot. It is so thin.
Blessed’s mother states that she has been feeling like this for one month and
has been seen and treated at the local hospital without improvement. She
couldn’t afford to go back. Three of us got into the van to bring her to the local
hospital while Ellah stayed behind but called the hospital and told them to
expect us.
We
arrived at the hospital and men with guns opened the gates to the parking lot.
We got off the bus and followed our translator to a room full of five women who
were completely confused by our presence. The nurses here are on strike. Evidently, a different civil service
group goes on strike every week according to the locals. We then go to the ER
check in and jump to the front of the line. Robert was there and said he had
just gotten off the phone with Ellah and was waiting for us. He briefly looked
at the child, did an exam, and spoke with the mother (Lillian) and decided to
admit the child for work up and treatment for possible pneumonia. We tried to
pay ahead of time but we told to wait until discharge. Robert was told numerous
times to take good care of Lillian and baby Blessed and that we would pay.
We
haven’t been able to get back to the hospital to check on baby Blessed and pay
the hospital bill, but Mama Joyce, the medical coordinator here, has been in
contact with Lillian. We hope to check up on them soon and see the progress
Blessed has made. This is just one example of the times when you feel like you
really made a difference. We hope to have many more in our remaining 2 weeks of
clinic.
Anna Craig
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