"You can't save them all. Only Jesus saves."
Wednesday Oct 7, 2015, was already starting off to be a rough day. Alex, a girl from Puerto Rico, who came to be a midwife teacher, grandmother, and friend left that morning at 430 am with one of my boys. Don't worry, we didn't fall in love and I'm not getting married.
I was sad, however. It was nice having another American around who understood some of the struggles, who ate pancakes with Ella and I, who enjoyed some good old fashioned butter. But it was her time to go. We paid our dues and said goodbye.
Yet, the day had to continue as always. I went to my first class, economics, a little bit late; also typical. Soon after we started, Ms. Leishimi came running in the class
"Kameron Sir? There is one very serious patient in the nearby village that you need to go see. The father just came and wants us to come. I can't go because I'm teaching the midwives."
And my first thought, "and I'm clearly here having an ice cream party because I have nothing else to do..." I always hated moments like this. It was one of the downfalls of being a teacher and a nurse for the village. I couldn't and still can't do both effectively. At times, I am forced to neglect my students for my patients and my patients for my students.
I asked her if he was breathing and stable, and she said she wasn't sure. I told her I would go after lunch cause I didn't want to miss all of the classes for my kids. Plus, I could count many times where villagers pulled this stunt just to get me there faster and I show up and everything is completely fine.
My students in the class I was in piped in and said I should go because what if he really was serious and died.
'Twas a good excuse but I also knew they wanted to get out of class. So then I decided to go right after that class and hope and pray I could solve the problem in my 40 min before my next class.
So I finished that class and kind of put some "pep in my step." I wasn't that excited to go to this patient's house just to have everything be fine.
So I called one of the midwives, the one who knows the most garo and English, because if it was an actual emergency, I would need her.
Right before I left, I told the kids I would hopefully be back before their next class. When I went up, the midwife I asked to go with me said that another garo midwife was going to go. I wasn't sure why but i wasn't going to argue because this midwife did know English and I had worked with her before on many occasion.
So we got on the bike, said a prayer and began the "down the street" journey.
When we almost got there, while going up a hill in too high of a gear on the bike, I stalled. Awkward. Lenitha, the midwife with me, got off and walked up the rest of the hill to the patient's house while I pushed the bike up the hill with a garo man nearby.
Then everything began to happen like a dream.
Lenitha told me to come fast from the hill. I did as I was told because there was much stress in her voice.
When I got inside, there was a small boy about the size of my leg, lying on his mother's lap. The mother was crying and yelling, and I took note the boy didn't look like he was in the best state. I told her to quickly put the boy on the ground so that I could check everything better. In her distress she did as she was told. I began to check vital sounds while I asked Lenitha to ask them exactly what happened. If I was going to save this boy, I needed to know what happened.
She told me that he was eating rice and then all of a sudden he stopped and went into this state
Vitals were finished. Pulse and breathing seemed a little low for a 5 year old boy. I still wasn't sure what was going on. I was starting to get a little nervous.
I asked more questions: had he been sick before? What were his symptoms? how sick was he? Did he fall? Did he cut himself earlier? How long has he been sick and like this? Exactly what just happened? Does he have allergies? Did he suddenly choke on rice?
I needed to know more. When examining the boy again. He was definitely losing levels of consciousness, with his eyes slightly open. He looked yellow in his body and wasn't responding to much stimuli. His heart rate and breathing still a little slower than I expected. He was a 5 year old boy, not a grown man.
By this time the mother wasn't as distressed but everyone around me started putting oil and garlic on the boy's arms and legs. Not my favorite thing at the moment in time. But you can't always argue with the culture.
Then Lenitha got word that he had a cough for a week and that he had malaria and they were giving treatment. But then they said that he hadn't gotten a blood test and they just suspected he had malaria so they brought medicine.
Now I was confused. This is where communication began to become gray with me and the Lenitha, and therefore the people I desperately needed to talk to.
I just decided to do a malaria test really quick. However getting blood became a serious problem with all this oil and garlic they were putting on his body. Cleaning his skin and trying to get fresh, uncontaminated blood was the most stressful thing at the most inappropriate time.
Stress began to rise on both sides. My heart was starting to thump as I poked his skin and poked trying to get blood, trying to keep everything clean, trying to think of what I was going to do because at the moment, i didn't know.
By this time, we had gotten a gathering of neighbors outside and inside the house. Perfect, I thought. These extra people is exactly what I need right now.
I was somehow able to get enough blood, that may have been contaminated after poking this boy an infinite amount of times. I put in my drops and waited.
I checked my vitals again, thinking I still don't know what to do. I don't know what happened. Everything was still blurry. The boy wasn't getting better. I knew that.
I kept asking questions. But I wasn't getting answers. At least not the ones I wanted.
"Lenitha I really need you to ask them what exactly happened. Did he choke? Was he sitting there eating and then all of a sudden he feel over or he just started feeling bad? What? What sickness did he have before? I need to know all this; if not I can't help."
Part of the conversation
There still seemed to be a divide. Miscommunication. The works.
I told Lenitha to come sit next to the boy and make sure he still was breathing and had a pulse while I looked through my book for some kind of answer
Lord don't let this boy die on me. Help.
My prayer.
I thought that possibly an iv with some fluid going through him might help and at least I could give some medicine that way.
And then, I realized that I didn't have any IV tubing.
YOU'VE GOT TO BE KIDDING ME! I thought. I didn't trust myself to go get it nor could Lenitha drive. So I called one of the midwives at the compound while leaning over this boy still doing assessments. Time passing. I got ahold of one and instructed her with such seriousness how important this was and how fast I needed her to move. "Find someone to drive you in the other vehicle. Go fast!" I hung up.
There was much chaos that was beginning to ensue. My books and everything were everywhere. The number of people began to increase. The mother began to yell the boy's name and say many thing in garo in her distress. She and I and everyone there were scared. I didn't know what to do.
More garo medicine. More garlic and oil.
And then no malaria. At least that's what the test said.
I keep asking questions trying to narrow down what happened. Still no answers.
The stress was only increasing. I felt my stomach in my throat. I think I was sweating. I think everything began to truly feel like a dream.
Then I heard the sound of someone gasping for breath. It was the boy. I realized that was the only breathing he was doing. His pulse shot up. He lungs still sounded clear but from the little information I knew, his body was shutting down. I knew there wasn't much time.
I still wasn't sure what to do. At least with medicine. I grabbed my CPR mask because I knew it was going to come to that.
And then, another assessment. His breathing was little to nil, and no pulse was felt.
Some choice words were said under my breath.
I started CPR.
There is nothing more terrifying than the thought that this CPR thing has more to it than me just simply pumping and giving breaths. Normally this is an AED on the way, someone is about to give epinephrine, there is more help to be given. But no, I just had me and a midwife that I was having communication issues with her.
While doing the CPR, I was praying, trying to drown out the mother's frantic crying and screaming. I tried to teach the CPR thing to Lenitha while doing it myself. She wasn't understanding. Perfect.
I kept doing CPR. It was the only thing I could do right now.
The compressions, the breaths, the oil, the garlic, the garo people, the screaming mother. The chaos.
And then "sir they want you to stop."
The words of Lenitha that I didn't quite hear correctly. Or so I thought.
"They want me to stop?! Are you sure?!"
"Yes"
Ok.
And so I stopped. I respected their decision. But it hurt me so much inside even though deep down I knew I was probably doing CPR in vain to begin with. How long could I have done CPR without knowing what was truly going on?
I checked his pulse and listened for breathing for about 2 min just to make sure of any chance of life.
That boy died right there. That 5 year old died right in front of me. Practically in my lap.
The wails rang clear when I told everyone that he was finished. All the tears flooded the air and the sounds of a grieving mother was the music of the moment. All other family flooded in as I stepped out, giving them space.
Even with everything going on, I was replaying again and again the moment. I thought up everything that happened. I thought of how it could have gone better. I thought of what I could have done more. I thought of the lack of communication. I thought if I would have come earlier, would he have died. I thought of all the questions that were unanswered. I thought of this young family, now childless, for their newest baby died in a still birth and now their only son died and no one knows why.
I thought of how I couldn't save him.
Even though the sun was shining, my mind and heart were sad as I drove the bike home.
I was still in shock so I quickly parked the bike, dropped off my stuff in the room and then tried to leave without being seen. For those who crossed my path and asked "how is that boy?", with a straight face and quick response, I said, "he died."
I kept it moving.
I walked to the river. Down the hill, through the jungle, away from it all. I was ok for a bit. Just really upset.
Then I lost it all and began to cry with such ugliness and loss of control.
It all happened at once. Then I missed people. I wanted Cassie there to give me a big hug and make me laugh. I wanted Obi to give me that look he always does when bad things happen but his face says, God is there. I wanted Jeffrey's incredibly strange but awesome laugh and wanted to just lounge around with him, normally me talking and him listening and then falling asleep. I for sure just wanted to be held. That made it worse.
Then I sang some hymns. I felt the Lord draw close and touch my heart, touch my mind, touch my body. He whispered in his own way, "you're ok. I'll still make something beautiful out of this"
It didn't last too long, all the excessive self loathing. God stopped that real quick. I prayed a lot. For the mother, for the family, for it all.
Eventually, I got up and walked up the hill and back to my room. I avoided everyone and went to sleep.
That was a hard day. It was a day. It was one I won't forget.
Truly God taught me some lessons: 1) sometimes you do your best, and it's not enough. 2) He knows better than I. 3) We can't save anyone. We can prolong their lives. But only he can save.
Jesus is in the business of saving us and getting us out of here. It's because 5 year olds can die just like that is the reason He is in the business of getting us to a better home. I'm not quite sure when that will be exactly; however as I look at the prophetic events being played out exactly as scripture and the spirit of prophecy put it, I know it's soon. No joke soon.
For life sake, I pray it's soon enough. Be ready.
Bless. Bless it all.
Kameron Carter