Wednesday, March 4, 2009

The Seventh Floor

I lay a hand gently on Tesfa's shoulder. "He may have surgery today. If not, I'm afraid he will have to wait until Monday." She abruptly turns toward me but doesn't look at me directly. Her face becomes ashen, her body shudders, and I fear she will fall if I don't hold her up. "We will know in about an hour or so." For once, she does not say a word. Tariktu, silent and stoic, lies in his bed with his half-brother, Josef, standing by his side. They both perk up when they sense her reaction to the news I have given her. Anticipation hangs in the hair like a thick cloud of smoke. It has been a tense couple of days. When they first arrived two days ago, there were some misunderstandings about admitting Tariktu to the hospital. Tesfa was purported to have given the nurse an earful before finally getting him signed in to a room on the seventh floor – the children's ward.

Earlier in the week, I had seen the multi-colored bed sheets hanging over open windows in order to keep the sun out, but this was the first time I had been on the other side of those sheets. Unsupervised children dart back and forth across the hall from one room to another. Patients and their families are stuffed into undersized rooms. I am having trouble discerning a system of organization. If there is one, it seems to be provided by the patients' families rather than imposed by a hospital and its staff. There is a small office in the middle to the hall. I knock on the door and find three young adults in white lab coats. They seem to have been swallowed up by the swells of humanity. Maybe they are just hiding, grossly outnumbered. They are friendly and helpful. They quickly direct me to Tariktu's room.

The families of the patients bring their own bedding and are responsible for staying with their children overnight if necessary. It is a common site to see laundry drying in the courtyards and clearings just outside the hospital walls. The Black Lion Hospital seems more like a campground than a hospital. You select a campsite, haul in your gear, and set up camp. Maybe there are a few rules such as not playing music after ten, but otherwise everyone happily fends for themselves. Siblings? Cousins? They're all running the halls, letting off steam. They have been there for hours or days, huddled around the campfire waiting for the doctor to call.

Tesfa is noticeably fatigued. She's been on a vigil most of the week. She has a daughter in the hospital who is very ill. She brings me to see the child. I immediately notice that the girl has an adema (swelling) on the right side of her body. She makes a feeble attempt to lift up her right arm and communicate her pain and discomfort. She is limp and drawn. She moans and manages a half smile with the side of her face that isn't swelled up like a party balloon. I can tell that my friend needs a break. Tesfa needs to go home and regroup, get some tea and a quick nap. But she has hours to go before her work is done here.

I leave Tesfa to go check in with the surgical team. I promise to keep her in the loop. I begin my long walk down the hallway through the children's ward. Unexpectedly, I see Tariktu lying still in the middle of the hallway in his rusty metal bed escorted by a woman in white hospital clothes. Could it be? Did word come up from the OR? It's 6:15 in the evening. The doctor has been operating all day. Tariktu's surgery will take at least two hours in the best of conditions. Tesfa follows quickly behind me. She is already talking to the nurse. A smile comes across her face. She appears nervous yet relieved. The surgery will be tonight. The long wait is almost over.

We stand in the hall for a few moments. Waiting for something, someone to call us down. Possibly hand signals or flashing lights because I don't see a phone nearby or a walkie talkie, and I haven't heard an intercom since I got here five days ago. All of a sudden, she begins pushing the bed down the hall. We follow, each grabbing a bar on his little metal cage as if holding on to the side of a moving boat in fear of being left behind in a drifting sea.

We get to the end of the hall and stop at a set of dilapidated green elevators. Up until now, I thought these elevators were out of order. They don't even close properly. I'm somewhat horrified by the idea of packing in to one of these things. A couple of women stop when they see Tariktu and Tesfa. They seem to know them. They appear to be congratulating them. I can feel a positive energy coming from the group, a sense of hope. He's about to set sail. The elevator doors part and an invisible current pulls Tariktu's little boat into the small space. Everyone flows in behind him. To my relief, there isn't quite enough room for me. "I'll meet you on the fourth floor!" I cast them off and race down the stairwell through drifting masses of people. There are people everywhere.

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How to Use this Blog

Read about the World Surgical Foundation and its mission to Ethiopia under the entry entitled "Overview of the World Surgical Foundation's..." below.

The Ethiopia mission blog posts begin at the top of the page starting with the most recent post.

Some brief advice on reading blog posts.
1. Go to the top of the page to find the most recent post.
2. Read the date at the top of the latest entry.
3. Read the entries from the bottom up for each date. Each entry posted on that date will be time stamped. This will help you read the posts in order (this may be relevant if we are following a particular story of a patient or event).
4. To find a list of all blog posts, go to the bottom right hand side of the blog. The entries are listed by date and title.

Overview of the World Surgical Foundation's Mission to Ethiopia

Read about the World Surgical Foundation and its exciting upcoming mission to Ethiopia.

Addis Ababa

The Mission

From February 13 - 26, 2009 the World Surgical Foundation will bring its medical team to Addis Abab, Ethiopia. According to a report by the United Nations Centre for Human Settlements in January of 2000 "Addis Ababa...shows a paradoxical situation in Ethiopia. On one hand it, with the highest concentration of facilities per population than other centers in the country, enjoys a privileged position. On the other hand the city is not capable of accommodating the increasing population that is being attracted by the luring facilities and seemingly employment opportunity. Hence poverty is rampant and widespread in the city...urban poverty beleaguers the city and requires serious attention to curb the consequential disaster."

The Blog: February 14th - 25th, 2009

This blog will chronicle the daily achievements of the World Surgical Team in Addis Ababa from February 14 - 25, 2009. Here you will meet the doctors and nurses of the mission and read about them in action. Here you will meet the patients, each with his or her own unique story to tell. Here you will read about the surgeries, each promising to deliver an account of healing and transformation. Please tune in!

The World Surgical Foundation

Created in 1997, the World Surgical Foundation inc. (formerly World Mission of Central PA), serves people in developing or impoverished countries where modern healthcare is not available or is too costly. This volunteer organization of surgeons, anesthesiologists, nurse anesthetists, nurses and other caregivers performs at least one surgical mission per year to bring hope and improve the quality of life for hundreds of people who could not otherwise receive surgical care. The WSF also provides teaching, supplies and equipment for hospitals and medical facilities around the world and supports smaller groups or individuals with the same goal or mission in the United States and abroad.

We Need Your Help!

Dear Friends of the World Surgical Foundation,

We have seen that great acts occur when caring individuals just like you join together in support of building—and in many cases—rebuilding community.

You are needed for our mission to Ethiopia! This is a volunteer mission, and as always the Word Surgical Foundation relies on the generosity of its donors in order to bring life-changing surgery to those who need it most. The doctors and nurses of WSF are poised and ready to bring a better quality of life to the underserved people of Addis Ababa. The Addis Ababa University Medical School has arranged for the WSF to work in area hospitals in order to assist them with their tremendous overflow of patients. Most of the patients who will be served by the mission will have no hope of ever receiving the surgical procedures they need without the WSF. These people are quite literally waiting for our help!

This is a tremendous opportunity for both the health care professionals who serve on the mission as well as those who support it financially to transform the lives of people in need.

The mission to Ethiopia is still in need of essential funds for the following items.

1) Funds to ship a 40 square ft. of cargo at a cost of $11,000.00
2) Operating tables costing $4,000.00 each (5 tables = $20,000.00)
3) Anesthesia machines at $6,000.00 each (we need 4).
4) Laparoscopic equipment totalling $13,000.00.
5) Other equipment and supplies totalling $50,000.00.
6) Support expenses for nurses and others volunteers who have insufficient funds.

In total $100,000.00 needs to be raised in order to make the mission to Ethiopia a success.

Please join us in creating transformation for the people of Addis Ababa and Ethiopia. We invite you to send any amount that works for you. Any gift amount will get us one step closer to raising $100,000, and helping to rebuild and transform lives. We will then share with the people of Addis Ababa your generosity and let them know that they, their families and their community have never been alone.

Sincerely,

Dr. Domingo T. Alvear
President, World Surgical Foundation

Please Send Donations To:

World Surgical Foundation
P.O. Box 1006
Camp Hill, PA 17001

For more information, you can reach the World Surgical Foundation by sending an email to mail@worldsurgicalfoundation.org, calling Nancy Cohen at (717) 232-1404 or visiting our website at http://www.worldsurgicalfoundation.org.