Shanksteps #57

Shanksteps #57 Aud

I WANT MY LAMB!
There are many causes of anemia in Africa, especially in kids. We often see kids come in repeatedly with anemia from malaria, so it wasn’t such a surprise to have this 4-year-old boy back in the hospital for the second time in 4 weeks. However, things were bizarre from the beginning. First of all, his father left his mother, so he was being raised by his father’s concubine (the children are property of the father.) Both the concubine and mother came in with the child. Because the child was living
with the father, the birth mother said that it was the responsibility of the father to provide blood. The father was in a town at least a day’s travel away. The concubine was the wrong blood type to give, as was one of the neighbors. So, we were left with a child, severely anemic, without someone to donate blood. We asked the mother how she would feel if the child died because she was unwilling to give blood. Again, she said that he was the father’s responsibility. In the end, his biological
mother got permission from her father to give blood to her own child. Throughout, the child said not one word.
He remained in the hospital for malaria treatment for several days. Four days after arriving, he was again severely anemic, having difficulty breathing and in need of another blood transfusion. This time the father was present and gave his blood. We started to wonder where he was losing blood. Was he bleeding from somewhere, perhaps internally? Nothing to suggest that was found. Was he breaking up his red blood cells? There was no evidence of this. Was he not making blood? This shouldn’t
show up that quickly after transfusion. Was he sequestering them in his spleen? This was a possibility because his spleen was enlarged. We changed his malaria medication with the thought that his malaria was resistant and the continued illness was causing hemolysis (breaking up of his blood cells). After 3 days he was doing well and was discharged. Still he wouldn’t talk.
He ended up staying at the hospital overnight after discharge for financial reasons, and when I went to see him the following morning, he was again severely anemic. UGH! I would have to try to find the cause later; right now he needed blood. EVERYONE in the family refused to give. The father said he would take him home to die. His rationale was, “When will the end, how long will we have to keep giving?” Although I agreed somewhat with his reasoning, I could not give up on this child. So,
I agreed to pay for the transfusion, and Greg gave his blood. Four transfusions in 5 weeks∑ Not a word was heard from the child’s mouth.
The next morning, when I went to check on him, he was playing and talking. When I asked him who I was, he said (in a very adult tone), “Oh you are the Nasara (white person) who has been taking care of me every day.” When I asked whom the nurse was next to me, he answered with her name and that she was a nurse at the hospital.
Finally I was privileged to hear the rest of the story. In this society, twins are VERY powerful (spiritually/magically). If someone in the family doesn’t do what a twin wants, strange things happen (usually to one of the twins). Often these manifestations are physical, so we see them sometimes at the hospital. We have seen children appear blind (no eye reaction whatsoever) until they are allowed to go home. We have seen kids unable to walk or talk until their needs/demands are met. I have
seen strange things in very small kids (2 years and under) that I can’t explain by simple childhood manipulation. Well, there is only one person in the world that has more power in a family than a twin, and that is the first child born after the twins. This particular 4 year old was one of these powerful children. Apparently his father had just bought a lamb for another child in the family∑and he wanted one too. That was when his illness and inability to talk began. The night before he got “better”
he had a long talk with his father and he agreed to sell what he had to buy a lamb for his 4-year-old. Once this agreement was completed, the child started talking again, and was restored to health. I had a talk with him before he went home and it was like talking to a wise old man, definitely not a four-year-old child. He promised that he would not become sick again because he had his lamb. I have seen him since, and he hasn’t been sick since discharge.

Some people will do almost anything to get what they want.

Satan has control of people’s minds and lives all over the world. Local beliefs in the supernatural are encouraged by experiences like this. Satan orchestrates situations to support their confidence in the spirits. If you don’t believe that Satan has power – come here and witness what he is doing firsthand. He works right out in the open. What happened to this child could have been entirely medical, or entirely spiritual, or as is usual, a bit of both. Please pray that we stay strong when confronted
with these situations, that we use them to lead the people here to the TRUTH.

Shanks
Hopital Adventiste de Koza
BP 53
Koza, Extreme Nord
Cameroon

Phone from USA 011-237-522-0278
email checked every 3-4 weeks in “town” missionsurgn@yahoo.com

website: www.missoindocs.org (to see needs list and view photos)

Needs

Warren this is an exhaustive needs list that could be all put in a container if found:

2 OR tables that are fully functional
2 delivery room tables
Orthopedic No 8 surgical gloves
0, 2.0 and 3.0 absorbable and non-absorbable suture
2 Infant incubators
Surgical robes, masks, drapes
3 Glucometers with MANY test strips
220V 50 Hz 5000 Watt generator for our lab equipment
110V 60 Hz 2000Watt generator for current oxygen concentrator when electricity is out.
2 small autoclaves
1 large autoclave
C-section surgical pack
Abdominal surgical pack
Cast saw
6 oxygen concentrators (220V 50 Hz preferable)
2 refrigerators
Blood Pressure Cuffs all sizes- 4 sets
Good quality stethoscopes -8
Incubator for lab cultures
Other culture lab equipment and medium
Sterile Vaseline dressings
Xeroform dressings
Electrocautery wands/tips
Vaginal and anal self-retractors
4- 100ft extension cords
20 IV poles
Computers for administrator, accountant, director, pharmacy
Wire to rewire the entire hospital from original wires
220V to 110V converters 2000W up to 5000W. (6)
Jackson Pratt surgical drains
Non-sterile large and medium gloves
Sterile gloves sizes 7, 7.5, 8.0
Urine bags
Foley catheters
Cast materials
Cervical traction Halo apparatus
IV tubing- any amount
Steinmen pins for Perkins traction
External heavy fixators for bone fractures
Nasogastric tubes
Penrose drains1/2 inch and ≤ inch
Medical books in French
Christian books in French
C-arm for dynamic x-rays and related monitors
Cystoscope and related equipment
Chest tubes- 30 in various sizes
Chest tube canisters for suction
2 suction machines
MANY spinal needles 20G, 22G
surgical 10, 15, 11 blades
4 infant ambu bags
MANY nasal oxygen cannulas (infant and adult)
infant feeding tubes
2 infant oxygen hoods
50 interosseous needles
wide variety of antibiotics oral and intravenous
Cephalosporins IV and oral
Omeprazole or other proton pump inhibitors
Alpha blockers like Flomax, Proscar, Cardura, UroXatral, Hytrin, Avodart
Viagra
General anesthetics (inhalational and intravenous)
(I would be happy to make an extensive list of medications if that would be helpful)
6 “Dynamap” (or other brand) – auto blood pressure, pulse and saturation monitors with included batteries

Shanksteps #56 -Audrey

Shanksteps #56 -Audrey
I wanted to give you an update on our patient Ngossa, so I copied the beginning of her story from a previous Shanksteps.

We have unfortunately just started into the meningitis season again, and it looks like it may be another epidemic. We have seen 7 cases so far in the past 2 weeks. The family of one young woman is convinced that she is sick because she is ready to get married. Let me explain. This young woman, Ngossa, until recently had many male suitors. She had 5 or 6 men who were competing for her hand in marriage. Now that she is marrying age (15) she has made her decision and chosen the one she wants to marry. Apparently all (or some) of the others were irate and put a spell on her (or paid the sorcerer to do so), which is why she is now sick. With this understanding, no amount of medications is going to solve the problem. (She remains in very serious condition. Please pray for her recovery.)
UPDATE:
At the time of the first writing, Ngossa was conscious, but unable to talk. She was not eating very much, was unable to walk, and only seemed to understand very simple directions. Almost immediately after sending out the story about her, she started having severe vomiting, a series of seizures and fell into a coma. I was very upset, and couldn’t understand why God would let this happen to her when we were praying for her sooooo much. (He is infinitely more wise than I∑) Most of her family left wailing that she was going to die; I was unfortunately thinking the same thing. (I found out later that her neighbor (a local “traditional healer”) told the family that they should take her out of the hospital because we were trying to kill her, and were only keeping her there to get money from the family. Fortunately the family did not act rashly and left here at the hospital several more days.) Obviously her family was very discouraged. They had already paid a huge amount on he
r bill, and now she was worse. At that point I started paying her bill myself to help out in hopes that the family would allow her to stay in the hospital. They agreed. We increased our daily prayers for her and her family. After two days, she came out of the coma, but again was unable to talk, walk, eat or understand what was being said to her. I was very discouraged, but at least she was out of the coma. About three days later, when I came in to make rounds, there was Ngossa, talking, walking, and washing her dishes outside the ward with the other women. I couldn’t believe my eyes. I had thought she was going to die, and here she was, almost as if nothing had happened. We asked her if she recognized me, and she said, “No!” She was still a bit slow to respond to questions, but as far as I was concerned, I had just witnessed a miracle! After two days we let her go home. Several days later, I found out the rest of the story. When her family initially went home wail
ing after she was in the coma, they called the whole family together for her funeral. Family members from as far as Douala (3 days travel) away came to give condolences to the family. Weren’t they surprised when the day after they arrived, Ngossa came walking into the village as if nothing had happened? I believe that God wanted more than just the immediate family to witness this miracle. Now they could celebrate life together instead of death. Ngossa and her mother came back to see me last week, and I could find no problems whatsoever with her, mentally or physically. I still don’t know where she is spiritually, so please continue to pray for her. Her family however knows that they witnessed a miracle. Praise God!

Shanksteps of Faith #55

Have you eve had your eye burst? Has it happened to
any of your family? If you lived in Koza Cameroon it
could happen to you! Yesterday a patient came to my
office because his eye had burst in the morning. I
could not understand so I questioned further. Any
trauma to the eye, eye infection, pressure applied to
the eye, products put in the eye. The answer to all
was no. I asked what happened. I woke up this
morning with severe eye pain, when I got up it burst
and a white thing came protruding out. So I looked in
his weeping eye. It was blood shot and had what
appeared to be his eye lens, sticking through his
cornea out in front of his eye. What a sight to
behold! I was unsure what to do. What would you
ophthalmologists do in a place without any eye
equipment other than an ophthalmoscope. So I
amputated the part protruding out. He had not seen
for four years and I told him that I did not think
anything would bring back his sight now. I wanted to
refer him to Maroua before amputating the ���thing���, but
he refused and said essentially to do whatever I could
and that would be it. I hope to see him back in two
days.