Monday 25 February 2019

A patient update and something quite unbelievable (but true)


I thought people who heard me speak on my last home assignment would be interested in an update on Abderamane, the man who had a fractured leg and arm after a motorbike accident and who had sought 7 months of treatment with a traditional healer (which didn’t work) before coming to be treated at Guinebor.  When I returned to Chad last November, Abderamane had already left the hospital after receiving surgery on his leg and subsequently his arm.  Apparently, all had gone well.  It wasn’t until the start of February that I saw a guy on crutches at the entrance to the hospital and I thought to myself ‘I recognise that guy’…..It was Abderamane!  Full of smiles and walking adeptly on his crutches, he told me he had come for a check-up with the surgeon.  He welcomed me back to Chad (well, he wasn’t to know I’d already been back 3 months!) and asked if I’d had a good time in the UK.  A few days later, a Wednesday, we were going around the inpatient wards praying for patients as is our habit on a Wednesday morning.  We go around in twos or threes offering to pray for patients and I was with one of the male Chadian staff members.  There in one of the beds was Abderamane.  Turns out that he needed further surgery on his leg.  He was happy for me to pray for him and I did so.  The guy is amazing, always smiling despite his ongoing health issues with his leg (he broke it back in September 2017, so 18 months ago now).  Fast forward to today and I bumped into Abderamane in outpatients!  Zipping along nicely on his crutches, he told me he had come for a dressing change.  He thanked me for all we’d done for him and I told him it was no problem, it’s what we’re here for.  I’m so glad to have had these further brief catch-ups with Abderamane and to hear that he is on his way to recovery and is extremely grateful for the care he received here at Guinebor.

Early the other morning, I called across to Christophe, one of our nurses working in the emergency room, asking if he’d seen Kalbassou (my Cameroonian nurse-surgeon colleague).  ‘No’ he replied, ‘but I need him in the ER, we’ve got a young girl here who has been bitten by a panther!’ ‘Really?!’ I exclaimed.  Christophe shrugged his shoulders ‘I’m not sure if it’s exactly true but she’s been bitten by something’.  I continue on my way, find Kalbassou and ask him to go to the ER.  I then get busy in the pharmacy for a while.  A few hours later, I leave the pharmacy and am stopped by one of the guards ‘the local mayor and his team are here and want to see the girl who was bitten by a panther, can we let them in?’ I’m not sure that this is really a wise idea, that a hospital is not an entertainment theatre.  So, I do what I always do in these situations – I went to ask Kalbassou!  ‘Of course, they should come in’ he says and so I pass that message to the guard.  Fifteen minutes later I see a gaggle of our staff around the entrance to one of the wards, an unusual sight.  I ask one of them what’s going on ‘oh, the mayor was here because there’s a girl in there who was bitten by a panther’ (visiting officials always attract a crowd).  At this point, I’m starting to suspect that there’s some truth in the ‘bitten by a panther’ saga.  I ask one of the nurses if it really was a panther ‘oh yes’ he replied ‘the military killed it and brought it by the front of the hospital earlier in the back of a pickup and lots of people have photos of it.  Ask Allamine (another nurse) to show you’.  I find Allamine but he says he doesn’t have his phone on him.  I’m still inquisitive and curious and I think it showed on my face!  Bamon (another nurse) says ‘I’ll take you to the patient’s bed, her father has a video of the dead panther’.  Bamon asks the father to get his phone out and show me.  Sure enough, he has video footage of a soldier in the back of a pickup with a dead leopard.  I now believed the story!  I’ve been living here long enough now that I should’ve realised that it was probably true.  Stories that seem too far-fetched rarely are here!  News filtered out on Chadian online news outlets about the leopard attack.  It apparently hurt 10 different people in the next-door village to Guinebor.  I’m not sure why only one person ended up with us.  The rest all ended up in another hospital in N’Djamena.  The girl we took care of was taken to theatre to have her wounds (mainly on the back of the head) cleaned and packed and dressed.  As well as having a visit from the local mayor, she was also visited a few days later by the Minister of the environment, water and fishing (cue another crowd of staff around the ward entrance).  She left hospital a few days later.  I saw her this afternoon; her Dad had brought her back in to have her stiches out and all the wounds seemed clean and well healed.  None of those the leopard attacked died I don’t think.  This story could easily have had a worse outcome.

I know the question everyone will be thinking: why was there a leopard on the loose on the outskirts of N’Djamena?  There are two different stories circulating.  I will leave you to decide which (if any) is true.  I’ve got my suspicions as to the real answer!  One story is that an army general kept it in his compound and it escaped.  The other is that it came over the border from Cameroon.

For those of you who read French (or who want to take the time to put it through Google translate), here are a few of the online news articles about the leopard attack.  Don’t read them unless you’re happy seeing a photo of a dead leopard……




There’s rarely a dull moment here at Guinebor II Hospital!

Thursday 21 February 2019

More questions about life (in Chad)


Welcome to my latest blog where I’m going to answer the questions that people have sent me about life and work in Chad.

How long do you see yourself working in Chad?

No idea!  I’m now into my fourth year of working at Guinebor II Hospital and in many ways, I feel like I’m only just getting to grips with life and work here.  There’s so much to learn in terms of language, cultural practices and hospital management (to name a few things).  To leave now would in some ways feel like a waste of all that I’ve learned over the last three years, as it’s now that I’m really putting that learning into practice – and obviously I’m continuing to learn.    As I type, I’ve no plans to leave but who knows what God will want me to do in the future?  It’s in His hands at the end of the day!

If you need help/advice, where do you go/who do you go to?

That depends on what it is I need help or advice on.  If it’s something related to cultural practices I will ask a trusted Chadian colleague like Audrey (the pharmacist I work with) or Allain (our administrator).  If it’s how to manage a sensitive personnel issue, where I need human resources advice and cultural advice all wrapped into one, I’ll ask my Cameroonian missionary colleague Kalbassou.  If it’s something personal to me that I need help or advice on I will ask either my parents or one of my close female friends (many of whom are not in Chad, praise God for WhatsApp!).

Have you seen many people come to faith since you have been at G2?  If so, do new Chri$tians get problems having become Chri$tian in a predominately Mu$lim society?

I obviously can’t write too much about this on a public website, but the short answer is yes and yes.

Do you think Manchester United will win the Premier League?

Haha!!  I have absolutely no idea, I don’t follow football apart from World Cups and I don’t want to risk saying the wrong thing on this subject, given that I’ve friends who support many different Premier League teams 😉.  I will say though that football is a universal sport and there are many Chadians who love playing and watching football.  They enjoy watching football matches from different European leagues (mainly Italian, Spanish and English).  The other day Allain, who I mentioned above, was looking a bit bleary eyed first thing in the morning (we start work at 7am).  I asked him if his 6-month old son was keeping him awake at night.  He replied ‘no, I was up late last night watching the Barcelona v Real Madrid match!’

How do you go about spreading the good news of Je$us in your everyday work?

My work is very practical – essentially helping to run a hospital that provides high quality, low cost healthcare to the local population.  When I was training with BMS to become a long-term mission worker, we were taught the principle of ‘integral mission’.  The Micah Network defines integral mission as ‘the proclamation and demonstration of the gospel’ and more on this can be discovered here.  What integral mission essentially means is that we can’t just tell people about Je$us but we must demonstrate our faith too.  You can’t have one without the other.  So my hope and prayer is that through my interactions with staff and patients in my day to day, very practical work, the love of Je$us will shine through.  This will, I hope, tie in with the work that our Chaplains do.  It’s a team effort!

How do your Chadian doctors, nurses and other professional staff gain their qualifications? Do they have to go outside the country for training or are there places at University within the country where staff are trained?

Great question!  It is possible to train as a doctor, nurse or midwife in Chad.  Medicine can be studied at the University of N’Djamena and it takes a minimum of 7 years to qualify as a junior doctor.  Nurses and midwives train at specialist nursing and midwifery schools.  The training for nurses and midwives is essentially the same and the only thing that defines whether you end up as a nurse or midwife are the practical ‘stages’ (internships) that you do while you’re training.  People can also train to be pharmacy technicians, lab technicians and physiotherapy technicians within Chad.  Other than that, it’s training outside of the country (e.g. to be a ultrasonographer or radiographer).  Our ultrasonographer at Guinebor II has been trained ‘on the job’ by visiting specialists from outside of Chad.  There’s always a hunger for learning here and in an ideal world, we would love Guinebor II Hospital to be a teaching hospital, to train local people in certain specialities, but that’s a bit down the line yet.

Those are all the questions I received, hope they give some more insight into my life and work here!

Here are some photos to brighten the blog and show you some of what I’ve been up to and helping with in the last few weeks and months:

At the wedding of one of our nurses

Enjoying a sunset over the River Chari

Helping to oversee the remodelling of the lab

Pharmacy remodel all finished :)

Remodel of old operating theatre into a new dressings room
and a new emergency room

Inside the new ER
(5 beds now, old one had 2 beds)