November 7, 2005
Abu'! Where to begin.
Well, it all started shortly after Sabbath School saturday morning. Wendy
was in the clinic finishing up with her regular patients, when here comes a
man who hasn't been to the clinic in the recent past.
Wendy talked to him and found out his wife had a baby the night before and
the placenta was not yet delivered. Further questioning brought forth these
facts.
1. She delivered the baby Midnight Friday night.
2.Placenta did not deliver still (Sat. afternoon)
3. father did not know sex of baby
4. Umbilical chord was still not cut
5. Their house was very very far.
Considering all of this Wendy knew it was probably very important to leave
for their house as soon as possible. Well, potluck had not yet started so I
ran down to church and told them to go ahead without Wendy. After we ate
and as I was cleaning up, Wendy came and got the leftoever food and asked if
I wanted to go with her. Of course I wanted to go but knowing it was an
emergency and very far I was worried that I'd be more of a hinderance than a
help (because I hike slower than most people). Wendy said that it was OK
that I hiked slow and she would like for me to come with her if I was
willing. So I went.
When we started hiking we weren't very sure what way we were going and how
far it was so we followed the father of the new baby. Wendy thought we'd go
up by Angtak and maybe just past that but she wasn't sure. On the trail we
passed a couple people and when they asaked where we were going and our
guide told them they only said, "Oh wow, that's far away." We said, yeah,
yeah we know but we thought maybe the fact that we were American came into
their minds and knew it'd be far for us but not very far over all. Well, we
were wrong to assume that because they weren't joking. It was far. Once we
reached the top of our mountain we hiked the ridge for a while, crossing
over to the other side of the mountain. We eventually came to the other
side where we couldn't go any further unless we went down.
Grabbing a machete that he had left in a friends' house along the way, our
guide apologized because he said there was no trail to his house and it was
very hard. "Sigi lang!" we told him. That's OK. And it was then that we
started down. Abu'! He literally cut the trial as we went. Bushwacking our
way throught the jungle. The mountain was steep probably a 60 degree angle
and just as we were starting down, it began to rain. I just assumed get wet
and cool off anyways so I declined a banana umbrella at first.
We began to plan what to do in the even that the delivery of the placenta
was an easy and quick procedure. we knew that the people would probably
feed and house us but the further down the mountain we went, the closer we
got to Brooke's point where Michel and Becky were staying to help with Bisil
the burn patient I wrote about earlier.
I suggested that if we were really that close that we just stay in Brookes
poin with the gilrs. But we still weren't to the patient and still didn't
know where exactly we were going.
Further and further down the mountain we went until we were drenched from
head to toe from teh rain, the wet bushes we brushed against, and our sweat.
The further down we went the more we knew we wouldn't be finding our way
back in the dark that night so we'd have to stay somewhere. The big problem
was that the next day was Sunday, the busiest day in the clinic.
Finally we got to the hut where the patient was and all the old ladies were
gathered around comfroting the new mom and taking care of the other 4 or 5
kids she had. Upon arriving we found that the umbilical chord was still not
cut but hte baby was wrapped up and healthy looking. *they had not cleaned
her though*. Wendy asked if one of them wanted to cut the chord but they
all declined because they were to shy. they asked if I wanted to and I
asked Wendy if that'd be OK. She said sure and quickly explained how to do
it. She gave me a clean blade and dental floss. (you use what you have in
the jungle) i tightly tied off a section of chord and cut in between. Then
Wendy asked if we could pray first before trying to pu out the placenta. We
did so and then she pulled and told the girl to push. She was basically in
shock from the pain, her pulse was 148, and BP was 84/50 with respiration of
36. Her eyes flittered around and Wendy feared she's lose conciousness when
she pushed. Praying in our hearts, she tried again and the third time it
cameout. Thanking Jesus we gave the placenta to them to discard and told
the mom to rest. The old women were very happy but not surprised that Wendy
was able to help. Everyone seems to believe Wendy can do anything but most
people wait way too long to come for help. This family didn't wait too long
and that was good. But still, it's only by God's grace that these miracles
happen.
We gave the mom some ORS and I asked to take some pictures. The people were
so excited to see a digital camera with their picture they laughed and
laughed as I took picture ater picture. As we were packing up to get ready
to leave I asked what the name of the baby was and they said she wasn't
named yet. Then they asked if I wanted to name her. I had no idea what
name to give but finally decided on Rita, my mom's name. They seemd to like
it and it sounded Palawano so they agreed to name her Rita.
We talked to the family and asked how far it was to Bing Bilang (the place
at the base of the mountain where we hike into Kemantian the village I live
in....it's about 20 minutes by trike to get to Brookes Point from there).
They told us it wasn't far and that he had a brother there that owned a
trike and would take us to Brookes point for free. It was not long until
dark so we had to hurry down. The trail was wide and very clear and well
maintained. There was absolutely no problem getting down it took us no time
at all. In fact we wondered whether or not it would have made more sense to
go that way in the first place to get to the patient, instead of having to
blaze a trail.
We arrived just as it was dark and teh father told us he'd go get the trike.
We waited for the trike and discussed how happy and surprsied Becky and
michel would be that we were there. Also, we had heard a couple days ago
that Bisil (the burn patient from before) badly needed blood. No one was
willing to go down and give blood but the doctors said he needed it or he'd
die. Finally they found someone who would give half of it to him but he
still needed another pint. I wanted to go down and give blood but I was
needed in Kemantian and I couldn't go by myself. But now that we were in
town anyways, I suggested that I could give blood for Bisil while we were
there. Michel had been worried sick about Bisil and had tried everything
she could to find people willing to donate, but it's not free to donate...it
costs a bit of money and most of the time the Palawanos get dizzy and
nausious after they give so they weren't excited about going all the way
down to give blood to him.
When the man's brother finally arrived with the trike, we quickly found that
not only was the man not very willing to take us, he also would not take us
for free. settling on a price of 300 pesos (it costs 35 in the day time) we
were on our way.
Michel and Becky were thrilled to see us (They were a bit bored by
themselves for a week) and were very determined to keep us there till
Monday. We explained that we wanted to go right to the hospital and give
blood and then hike back early the next day because Sunday's are really busy
for the clinic and she had to go back. Michel told us that the place that
takes our blood was closed and wouldn't open until the next day. We said OK
but we were going first thing in the morning.
The next morning happened to be Wendy's birthday too, and when we got up and
left for the hospital to see Bisil, she was happy we could all be together
on her birthday. When we got to the hospital (which is debatable because if
I wasn't told it was a hospital I would have assumed it was condemned
building) Bisil didn't look great but supposedly he was much better than
before. Wendy saw that he was fevering and that his IV needed to be taken
out. We told a nurse and I looked around the room that he was staying in.
It was smelly and there were flies everywhere and it was hot. There were
about 5 other patients in that room and all they had to lay on was the hard
wood or a thin thin matress over springs. No sheets, no blankets, if you
wanted them you had to supply them yourself.
The way their system works in the district hospital is, the care is free but
the medicine and equipment you have to pay for. So if you need a bandage,
you have to buy one. I fyou need a dressing changed you had to buy one. If
there was no dressing then it didn't get changed. And you can't buy it in
bulk and have avalable. yOu have to buy it one at a time. The doctor
writes a note saying what is needed and if it's medicine you take it down
the street to the pharmacy. If it's an IV or bandage or guaze, then it gets
charged to the account. It's terribly time consuming and not very efficient
for the patient's healh. however, people are poor here and that's the best
they can do.
We made our way down to the other private hopsital where they'd take our
blood after visiting with Bisil. After taking my name and age (that's all
the information they wanted) they did the normal pretesting of the blood to
see if I had enough iron. I'm usually anemic but that day I wasn't so they
said they'd take it. No tests were done to see if I had AIDS, Malaria, etc.
A few minutes later, they had taken a pint of blood and after marking on
it the type and my name and who the blood was for, they gave it to me to
take down the road to the district hospital where they would transfuse it
for Bisil. No one asked any questions, looked at any ID, or test my blood
for anything except for the hemoglobin and RH. We brought the blood down
the road and gave it to the nurses in the nurses station. They said to
leave it on teh counter and they'd transfuse it later. I was apalled. We
checked on Bisil again and told him he had more blood. he thanked us and we
left. Walking by the nurses station, the blood was still there in a plastic
bag.
The windows in Bisil's room didn't work so they were always open, it smelled
really bad, and everything looked dirty. There were absolutely no machines.
eveyrone just only had an IV and a bed. I left, shaking my head and
watching a Caribow walk through the murky ditch that the kids were playing
in right in front of the "hospital".
We decided it was best if I didn't hike back up to Kemantian that same day
so we spent another night with the girls. Wendy was sad she had missed out
on seeing the many patients that were sure to come but we got ahold of
someone up there and they said that it was mostly local people and they
would surely come back tomorrow. One of the first things I did was get some
icecream since it's available down in the lowlands but not in Kemantian, and
I was seriously craving it.
We hiked back home the next day, and God blessed me because this time it
wasn't nearly such a horrible hike as it was the first time (maybe I"m in
better shape....). That night we slept soundly and thanked God for the many
blessings of that weekend. A safe delivery of the placenta, a healthy baby,
a mom that would expect a full recovery, blood for Bisil, making Michel and
becky less stressed, and a Happy Birthday for Wendy. God is good.
And as for the burn patient Bisil?? Well, thanks to the many prayers, and
God's angels, he was able to go home 2 days later. He isn't yet fully
recovered but he is over the hump and what looked like an impossible
situation in the beginning, is now a praise to God.
Thank you for your many prayers,
Blessings,
Kiana