Wednesday, October 24, 2012

Discouraged- Carlie



 I am a nurse in the Béré Adventist Hospital in Chad Africa.  But there are days where I don’t feel like a nurse and I just want to give up.   I want to scream and yell at the parents of my patients, then walk out the door without looking back. I want to take their child from them, and tell them they are unfit to be a parent.  But if I did that for every child, soon I would be running an orphanage.  And really could I do much better than them with what they’ve been given?
Chad Africa is a hard place to live.  With death being so common, “survival of the fittest” is underlining attitude here.  Parents have lots of children because many of their children will die before reaching the age of two.  More children means more mouths to feed, but also means more help in the fields.
Working at the nutrition center and seeing so many malnourished children I couldn’t understand why they were not feeding their kids.  The parents didn’t seem to be lacking in food when you looked at them, but their child was skin and bones or plum with edema from lack of protein.  It’s so hard not to jump to conclusions and judge these people.  The kids could be getting food, but because of parasites they might not be getting the nutrition they need.  Also malaria can cause kids to lose a lot of weight and they might not be able to gain the weight back after having malaria.  But we also had a ten year old child at the nutrition center that weighed 8 kilograms and was so malnourished he couldn’t walk; all because his mom wouldn’t feed him.  Apparently she was mad that her husband for loving his second wife more and took her anger out on her son.  How can a mother do that to her child?  How skinny does the child have to get before they seek help?  What is stopping them from getting the help they need, especially when the help is free?  I just don’t understand.  I can’t describe the feelings of holding a child who is so skinny I can see all his bones, and knowing he is going to die and there is nothing I can do.  Though yelling at the parent might make me feel better it accomplishes nothing.  So I accept the death of yet another child.
The other day when I was working in Urgence we had a 5 year old child come in with his parent, and the child was diagnosed with malaria.  He had a temperature of 40 degrees Celsius and a malaria count of 0.25%.  Even after knowing this the parents wanted to leave.  We told the parents that the child would die if he left the hospital and didn’t get the treatment he needed.  His high fever would cause convulsions and most likely his malaria would turn into cerebral malaria without treatment.  But still they wanted to leave.  Thinking that money was the issue we obtained a free form for them so that their entire hospital bill would be paid for but even then they still wanted to leave.  It took us a good half an hour to convince them to stay so that their child could live. What is wrong with these people?  Why did I have to convince the parents to stay in the hospital so their child could live?  I was so angry at those parents.  At one point I left the parents with Alexis (the Chadian nurse I was working with) because I was so angry I was afraid I would start screaming at the parents, or burst into tears.  You shouldn’t have to convince parent to let their child live.  They didn’t deserve their child and shouldn’t be parents.  I just don’t understand, isn’t life precious? How can you live with yourself knowing because you did nothing your child is dead?
I had a family bring in a boy who ten years old and unconscious into Urgence.  The parents had come in on October 4th because the boy had a high fever and wasn’t eating.  He was diagnosed with malaria with a count of 0.40%, which is high.  The parents left the hospital, taking their child home without getting him treatment.  Now four days later on October 8th they return with him, and he is unconscious having developed cerebral malaria.  The family around the child’s bed looks at me like I am going to save their child. As if I, Carlie Munroe have the power to cure him of his malaria. They don’t realize that he probably won’t make it through the night.  They are crying holding his hand, but all I want to do is yell at them.  I have so much anger; I know the minute I start yelling I won’t stop.  So I hold it in and say nothing.  Why didn’t they get him the treatment he needed on the 4th when he was diagnosed with malaria? Why are they here now four days later?! They act so sad, but this is their entire fault!  Their child will die because they didn’t get him treatment when he was diagnosed.  I want to yell at them and tell them how he will die because they didn’t get him treatment. I want them to realize that this could have been prevented!  But I don’t say anything; I hold my anger in check.  Instead I put an IV in and start his malaria treatment; knowing that it will not help.  He will be dead by tomorrow.
I am a nurse in the Bere Hospital in Chad Africa.  But I feel so useless at times.  I realize I can’t save them all, but it doesn’t make it any easier.  I have lost count of how may children I have seen die, how may I have held I my arms knowing death is inevitable.  Death is like a shadow here in Africa, always right behind you, and it is wearing me down.  I am so weary and my soul feels tired.  I have long since stopped crying over all the death I see; my tears have all dried up; there is none left.  I pray that God will soften my heart, but I feel like my heart has turned to stone.  I know if I let myself cry, that I won’t be able to stop.  So instead I pray to God for the strength to go one for another day, and remind myself that God’s heart is not made of stone.  That I might not be able to cry, but God does, and cares for every child in Africa even if the parents don’t.
I am a nurse in the Bere Hospital in Chad Africa.  At times I am discouraged, but the good moments far out way the bad ones. God brought me here to serve his children and I am trying to the best of my ability.  As I recheck the quinine drip on my unconscious child I let go of some of my anger towards his parents; and as I do my heart of stone starts to beat again.





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