Originally written September 21, 2017
Sometimes earthly efforts are not enough….
Yesterday was a tough day in so many ways. It
was a day that started with difficulties...with feelings of not doing things
“the right way” or “good enough” (this is for another post). It was a day that
quickly led into a medical emergency. A precious mama came into clinic with her
2-year-old daughter. I watched from afar as the security guard requested she
sit on a bench and then began looking for Megan. After a couple minutes, I saw
what looked like a black eye on the daughter. I walked over to kind of just see
what was going on…I realized quickly this was a case for medical care. I
quickly recruited Dr. Alicia as Junie was busy with pre-natal clinic. I told
Alicia that I would be around if she needed anything and she said she was not
sure what this was and asked me to go into the exam room with her and the
patient…so I stayed for moral support per her request. The little girl had
intense blisters and sores on her eye, tongue, back, abdomen, and one forming
on her thigh and a few places on her face. Her breathing was labored and she
had diarrhea. We quickly realized she needed to be referred to a hospital. We
got it arranged to send her to our #1 referring hospital. Upon arrival, she got
turned away for “being too severe” from what we were told. They referred her to
another hospital. She was taken there. That hospital did not have any available
beds. So off they went to another hospital…and yes, turned away there as well
because once again, no open beds. We were frantically searching for a place to
send her - - the hospital we wanted to send her to next was very far away and a
logistical nightmare to get her there safely. Through a few suggestions and 6
hours later, we got her admitted at a hospital in Port-au-Prince. She was
immediately placed on oxygen and began the road to recovery…
...or so we thought….
Today…today….we received the news that she
passed away this afternoon. Initially we could not get the answers that we
needed…actually the answers that we wanted. We were all trying to process the
events of yesterday as we questioned if we handled matters appropriately. If we
went through the proper steps to get this little girl the help that she needed.
Of course, intellectually we knew that we did what we could with the resources
we had at the time, BUT sometimes our flesh, our hearts take over and we
question our actions. As the day went on, we finally got information that we
desperately needed (or again, wanted). The events that led to her death are as
follows - she was at the hospital, on oxygen, receiving the care she needed.
The nurse (or nurses) stepped out of the room to retrieve a NG tube to insert
in order to safely provide her food and medication. While the nurses were gone,
the mother got up and tried to give her daughter some milk. When she did, her
daughter aspirated causing asphyxiation. This little girl did not have any special
needs and was typically able to eat and drink without difficulty; however the
illness she had contracted caused difficulty with breathing and
swallowing.
So there we sat…processing that information…
Her precious mama truly did not know that she
could not give her daughter milk. She saw that her daughter was upset and
hungry and she wanted to feed her daughter. We are left to ask how long the
nurses left the room for - was it really just a couple of minutes? Or longer?
We are left to wonder if the mom had been educated on her daughter’s difficulty
with swallowing and advised not to feed her. We are left to wonder and assume a
lot of things. But we cannot get stuck in the viscous cycle of “what if’s” and
“what could have beens”. Being in that cycle solves and helps nothing.
It’s easy here to jump to “if we were in the
states, then…..”. But we cannot let ourselves go there. We can process that and
we can be thankful by the fact that we were fortunate (blessed) to have been
born in the United States where there is accessibility to so much more
healthcare, better healthcare than Haiti. But we cannot get stuck there. Haiti
is not the states and we cannot compare the two (especially in regards to
health care).
The bottom line, fact of the matter is, Jesus
is everywhere. He is in the US….and He is in Haiti. Situational matters do not
change that fact. God was here yesterday and today and he will be tomorrow and
all the days to follow. God loves us all just the same. And He has a plan for
each and every one of us. Many things occur that we will never understand in
this lifetime - such as a precious little child passing away - but we have to
maintain our faith and find peace and hope in His promises and His promises
alone.
And tonight, that is where I am resting, in His
Word. In His promises.
***i do not mean to disclose the sensitive
details of this precious little one’s death; however awareness must be raised
as this is the reality of the health care system in Haiti. Poor to no education
for the parents. Poor accessibility to needed healthcare due to fear of cases
or lack of beds. It is a reality here on a daily basis….but it is a sad, hard
reality. Education and awareness is key. The hard stuff has to be exposed and
opened for discussion.
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