Shanksteps #58

# 58 Shanksteps- Greg March 9, 2007
The Real Reason We Are Here!

Oh what a wonderful day this has been for me, mainly because of one patient. I have always thought that the reason this hospital was created was to minister not only to physical needs but also to spiritual needs of our patients, as the founders thought back in 1953.

Last night I was called to see a patient that had consumed the poison used in the cotton fields as insecticide. She was in an altered state of consciousness. We put down a nasogastric tube(NGT) and evacuated the substance from her stomach and gave her charcoal and another medication. Unfortunately this is all we can do for poisonings; then we just treat the symptoms as they occur. She did well through the night. This morning when I was doing rounds she asked to have the NGT out. I have made
it a habit to counsel all the patients with suicide attempts before letting them go hoping that they will not repeat the error. So I told her I would take it out after she talked to me in my office.

After rounds I found her waiting outside my office. First I wanted to know what her religious beliefs were to give me a base to start from. She was “pagan” as it was translated to me. Meaning animist. So I chose to tell her of my beliefs. “I believe in a God who cares about each one of us. He has called each one of us His children. And I believe my God was very sad last night when this happened to you and when you drank the poison. I believe my God cried! I believe my God is sad because He
sent His only Son to die that we could be with Him someday. He died for our sins! He loves you whether you believe in Him or not.” I paused for a minute. She let a tear or two fall, then said “If there is a God who loves me then I want to become a Christian.” I was overjoyed. I led her in a simple prayer to accept God into her life. I don’t know if you are at that point in your life. If so pray this prayer as she did.
“God, I don’t know anything about you, except that you love me. Please come into my life and help me to follow you. I accept that Jesus died for me. I want to follow you. Please help me.” I am again overjoyed thinking about God using me to reach someone for Him.

Please pray that I/we would have more confidence to reach out more directly to lead people to God.

Shanksteps #59

A CALL FOR HELP!!!

This is to inform all of you that we need help at our hospital. We are going on furlough from June 18 to August 13, 2007. We desperately need physician coverage during this time frame at the Koza Hospital. If you are a physician or know one who may be interested in helping, please contact us. We can offer our house to stay in i.e.(a clean place to stay with running water, a rural environment, and an experience of a lifetime). Please help us help the people of Koza with their medical needs.
Shanks

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