Medical Care: Let Downs and Hopes for the Future
December 1st, 2005Last Thursday Dr. Bob Moffitt (a general practitioner) and I set off for a 2:00 o’clock appointment with a government health minister, Ms. Busi Grootboom, at her Westville office, located a few miles west of Durban.
At two o’clock sharp we exchanged greetings in a waiting area and were promptly ushered into a spacious conference room easily capable of accommodating as many as sixteen board members and anyone who may have reason to appear on behalf of some worthy cause relating to the care of the disadvantaged sick or one of the many health issue each day ushers in.
Dr. Bob came prepared with multiple copies of his proposal in hand, for eyes that scrutinize such requests upon entrance into the bureaucratic arena of delays, until finally, resurfacing on the desk of the one person who may say “yes” with an authority of near mythic proportion, thus setting in motion a course of discernable results.
To back up a bit, Dr. Moffitt’s proposal was motivated by an email from Fr. Jim McCartney who was at a gathering of philanthropists at Malvern Prep. One such person expressed interest in helping the disadvantaged, sick-poor by possibly financing a medical facility. Fr. Jim wasted no time in emailing us on his conversation and that is the background of our being here this afternoon.
An interesting development has surfaced these past three months. It is of note that several medical professionals: a cardiologist and his teacher wife, a social worker, a physical therapist and nurse, have all expressed interest in serving the neediest of the needy in South Africa. There appears to be an enchantment about this land which seems to intrigue the mind and spark adventure.
Within two weeks Mr. Kay, the other health official with us, committed himself to an onsite visit to all three missions: St. Leo, St. Helen and St. Aloysius, to determine the neediest region for such a facility. Ms. Grootboom expressed enthusiasm in the following three areas:
a. The possibility of a small maternity cottage built nearby, where expectant mothers could come, rest and cook for themselves a few days before delivery.
b. The probability of an American donor who would provide the financial wherewithal was like manna fallen from heaven. She promised every assistance to further this initiative.
c. The mere mention of an initial inquiry by the dean of the Villanova Nursing School was received with considerable interest evoking a willingness to help facilitate entry for such purposes.
The following incident happened three weeks ago involving two Augustinian Volunteers and an Augustinian Sister. While ministering at this facility, a patient became quite ill, in need of medical attention. The volunteers’ car was readily available and so, they were quickly off to the hospital, not the nearest one; rather, towards the hospital that had the better reputation at Marian Hill. Ten hours later the volunteers were home again, this time with an indelible experience that’s sure to be told many times over in future kibitzing sessions.
Amy took sick the following two days and Tierney, a trained prenatal care nurse and graduate of Georgetown related the following. Before one is able to be seen by a doctor in the hospital one must have a clinic referral. First, one goes to the reception desk then, you wait for your blood pressure to be taken before you are ushered into the hospital waiting area where a doctor will eventually examine the patient.
They witnessed a woman die, chocking on her own vomit. The incident was reported. Fifteen minutes later the deceased was brought to the morgue and the bed remade for the next patient. The concerned relative was not informed of her death. Rather, he was told that she was in the operating room and he should come back tomorrow.
It was noted that there were no briefings between shifts – the nurses were out of there! As a nurse was drawing blood from a patient she asked Amy to help without normal precautions against AIDS. One patient waited in the hallway for two days without food. Tierney gave her, her lunch. No such luxury as a private room; rather wards accommodating fifteen or so patients. Although an I V was inserted into a patient’s arm, the plastic plasma container was left on the bed of the patient without elevation. The doctors were impersonal and yes, this is one of the better hospitals according to standards in the area.
Is there a silver lining in all of this? Not really. The volunteers sang, chatted with the waiting patients, learned a few new words and became aware that Zulus will not attempt eye contact unless you engage them first.
Fr. Al