Monday, June 13, 2016

No pictures, Just Words

Pressure of the world sitting on my shoulders, that’s how I felt while our last mission Vascular Surgeon was here in Addis. Having an expectation on running our surgical days to the highest possible level of success. Patients came to the hospital hoping to see the surgeon and get a highly sought after surgical slot. These were teenagers to grandfathers, and everyone else in between. Having a health condition not looked after, or early stages of kidney disease that was missed, have lead to these patients requiring dialysis. In a country lacking on expertise the dependency on foreign experts to perform the delicate surgery of creating an AV fistula (a way to get dialysis to clean the patients blood of the built up toxins) is their only option. No other doctors perform this surgery in Ethiopia. We were the only option. This hung on my shoulders for the course of the three days of surgery. For three days I welcomed each patient as they came in, organized everyone’s charts, ensured the Ethiopian nurses were completing the new paper work we had created. Working with the Surgeon to determine the cut of for surgeries that we were capable of completing. Our team worked hard and late. One of the nights the OR was not done until nearly midnight! We are a small hospital, one team of cleaners, one team of OR nurses, and a couple ward nurse for each shift.
 By the middle of day two the needs of a younger 30 year old patient resulted in a tough conversation between the Surgeon and myself, to cancel the surgery of an 80 year old to be able to fit the 30 year old in. Who will benefit more? Why was I part of this choice, it is heavy. Not hard but a heavy task to complete. Praying for each patient, as I had to tell them we were full and could see no others. Taking names down, promising to contact them if we have another vascular surgeon come. Praying they will stay healthy and alive, give us time to help them, time they do not have.
By the last morning I was feeling heart broken over the need and our human limits that fell drastically short. After sending out a massive prayer request on facebook a friend sent me a message that sunk in. A reminder of how Jesus went to the Pool of Bethsaida and healed one man, not everyone but one. God has a plan and uses us to be his hands and feet here on earth in whatever work we do. We are working together as a team in the hospital, helping those who come to us. Why do I have the expectation on myself that we must do the work of hundreds, or the work of God. I am neither, I am a Canadian Nurse, who loves God, and wants to serve and love people. I love being a nurse for the human connection; I love being able to care for those from all walks of life. At home at times it’s washing the old ladies dentures, or brushing her hair that I love about my job. Bringing new socks to someone who is sitting bare foot in wet sneakers. I love the serving part of nursing. I love that I get paid to care for people everyday. I have changed my location of work but still the same love of nursing in my Job here.
I need to celebrate the 20 patients we reached and were able to give AV fistulas to. I can pray and offer understanding and advocate for another surgeon for all those who left our hospital with unanswered cry for help. Seeing the young man understand he could not be seen tear up and walk away with slumped shoulders was hard. It was hard for me and the nurses who had to translate the hard truth. But it is God who strengthens us, and he who gets to hear about the frustrations and disappointment at the end of the day. I don’t need to hold onto that.  
This job is difficult, rewarding, challenging, overwhelming, and so much bigger then I. But I am here now, moving forward and discovering new skills, and still loving being a nurse and this new world I have found myself in. I will remember the patients who left the hospital smiling and hugging us with thankfulness and joy after their surgeries, Glory to God for the chance to be a part of their story, if only for a day or so.  

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