A Week at Bere

Saturday May 12

What a week. I wish I could’ve written every day because every day there was something worth writing about. Every day we had cases and surgeries that I saw for the first time; every day we met with obstacles, frustrations, and medical challenges we would not have had to face had these cases presented themselves in America.

Saturday night there was the midnight “kidnapping” of Chad and meeting face-to-face with two hippos we had disturbed after throwing him into the river and singing Happy Birthday off-tune at the top of our lungs.

Sunday I rode the moto with Chad a few kilometers away to find 3G network for an hour of “unlimited data” by a giant termite hill in what seemed to be the middle of the Sahara Desert.

Monday was my first day rounding on patients. I saw severely malnourished kids, two hippo bite cases, awful trauma cases, and mothers whose newborn babies had just died.

Tuesday in the OR we removed a keloid the size of an orange on a 19 year old’s face. Then there was a fairly large pediatric umbilical hernia (the incidence of umbilical hernias here is outstanding. The Chadian tradition of yanking babies’ umbilical cord off instead of allowing it to fall off could be a contributing factor). That was followed by a D&C, a hippo bite reconstruction on the leg, and bilateral massive psoas abscesses removal. “Dr. Danae” (as the local staff affectionately call her) and her surgical skills continue to amaze me.

Wednesday was a tough day. There were multiple occasions of patients’ families trying to take advantage of the hospital which Dr. Danae had to take care of on rounds, in addition to rounding on all the services and performing all the scheduled and emergency surgical cases of the day. We worked non-stop (Dr. Danae usually works through lunch, as does her surgical staff) until 10pm. The last two cases of the day were very complicated C-sections. I set my alarm for 2am and went to check in on the mom and baby pairs that we had just delivered. While rounding on them (we honestly did not know if some of them would live until the morning), a L&D nurse grabs me and points to the labor and delivery room. I follow her in and met two women in labor. The first one was complete and thrashing on the bed. We helped her down and had her lie on a mat on the floor to avoid the potential of her falling off the bed. The nurse then tried to explain her concern to me but as I do not speak French I really had no clue what she was trying to tell me. I did pick on the fact that she wanted to call Dr. Danae. I didn’t realize why until my patient started to push and I saw the cervical prolapse. She was a multipara, however, so her second stage of labor did not last long and before I knew it I had delivered her baby boy on that mat on the ground. I was praying the entire time and was extremely thankful the delivery went smoothly overall and we had a healthy mom and baby (and she then stopped thrashing!). I went back home to sleep a few more hours before morning, sleepy, yet grateful to God for keeping our mommas and babies alive.

The case that stood out to me on Thursday was the repair of a man’s football-size inguinal hernia. Not only did his scrotum contain a large portion of his intestines, it also had housed his bladder.

Friday we had more D&Cs, a pediatric bladder stone removal (likely caused by schistosomiasis), and a giant leg abscess I&D and heel debridement. The patient had come in the previous day; I had seen her in the ER and when I examined her foot, I noted several maggots eating away at the dead flesh in her heel.

Friday night we all got together at the Netteburgs again for a sweet time of prayer and worship.

Saturday morning at 4am we had an emergency C-section. I came home afterwards, got an hour of sleep and was called in again for another C-section. After we all cleaned up and ate some breakfast, we headed to my favorite activity here at Bere – Bush Church! This was my second time at Bush Church and I loved it just as much.

As soon as we pull up to a particular mango tree, 30-40 kids come running. We lay out the mats and start singing “Animals, animals” in Njaray. As we continue to sing songs such as “Father Abraham,” and “Making Melodies,” more kids run over to our little church under the mango tree. Soon, some women and teenage boys gather as well, in time to hear Dr. Olen tell another Bible story. Last week he told the story of Noah while Dr. Danae and their kids made the story come to life with felts. This time he recounts the Tower of Babel while everyone listens intently. After the story, Dr. Danae asks if anyone has memorized any of the Bible passages they were given a few weeks ago. One young man gets up and in front of everyone recites all 19 Bible passages. It had taken him only three weeks. His prize is a Njaray Bible, the first Bible that village has received. And these Bible stories that the Netteburgs have been faithfully telling them are the first Bible stories these people have heard. They have never heard the stories of Daniel, Joseph, and Adam and Eve before. They are thirsty and receptive.