Early in November I got to return to
Tanga to visit my homestay family and teach the new class all about
my favorite topic- mamas and babies! It has been a year since I last
saw this family that I lived with for my first two months in
Tanzania- when I couldn't speak Swahili, wasn't used to the culture,
wasn't used to the heat, and was really terrified of spiders. Despite
these barriers, I really loved my mama; she would kill spiders and
cockroaches for me, she tried to teach me how to cook (I still gave
myself parasites/giardia/I don't know what, but she tried), she saved
me from overly forward young men, and when I screamed because a frog
jumped on me while taking a shower, she rushed in to rescue me from
what she probably expected to be a snake. We laughed uproariously one
night when she made a joke about a cow peeing (ngombe ana choo!
Actually, she might have been using choo as a verb so my broken
Swahili could understand) and my baby dada kept the joke going for
several days after that. We both cried when I left at the end of
homestay. She put up with my incompetence and ineptitude with love
and patience for two months, and, going back, I would finally be able
to express my gratitude to her for that, and to actually talk to her!
I wasn't incompetent anymore! I could help cook- help more than
hinder- now, and I could understand all the gossip about the new PCTs
living in the village. My favorite was when my dada came over and her
and my mama talked about how one of the PCTs was mwenyeji (a local)
because even when he was late, he would still mosey on slowly,
greeting everyone, while another PCT dashed to get places- she had
poured her chai (tea) into a plastic bottle to take with her to
“drink I don't know where!” because she was late. My dada was so
frustrated and perturbed at how this girl could take her chai to go
just because she was late! Ok, maybe you had to be there, but I still
topple over laughing about this. She was so bothered!
So, I am much more capable than I was
in Training. That does not mean, though, that I can handle
everything. Yesterday after regular clinic, a woman came in with
contractions. She was only 6 and a half months along, but this baby
was coming out! The kicker was- I WAS THE ONLY ONE THERE! Both the
clinical officer and the nurse were gone! So, I delivered a very
tiny, 1.5 kilo, premature baby. THAT IS BABY NUMBER 3- BY MYSELF! I
clean up the room, all the blood and fecal matter that comes out with
the baby, and check on Tiny. Her lungs either aren't fully formed or
she has mucus in there, so she was having a really hard time
breathing. You could see the effort in her face; when she finally
opened her eyes, they would roll back in her head sometimes when she
had a particularly hard time breathing. Then another woman comes in
with contractions. And another. We only have two beds, so I find an
extra mattress and get everyone to fit. Women always come to deliver
their babies with an entouarage of other women, so now the clinic was
crowded with about 25 women. I told an entourage member of the first
women that Tiny needed to be taken to the hospital- we don't have a
doctor, and even if they were here, e don't have the supplies to help
her. Tanzanians have a habit of asking stupid questions sometimes
because of the culture of always asking the white person for help, so
in response to my telling her to go to the hospital, she says “But
the baby doesn't have a father, the mama doesn't have a husband, what
should we do?” With two other women in labour, no actual training
on how to deliver babies, and no one there to help me, I looked at
that woman with what was probably a very stupid, open mouthed
expression, and while I wanted to say “HOW THE FUCK SHOULD I KNOW I
SAID THE BABY NEEDS TO GO TO THE HOSPITAL WHAT DOES THAT HAVE TO DO
WITH HER HAVING A HUSBAND” I said “sijui” (I don't know).
I could not handle the responsibility
anymore, so I called my dada- who also doesn't know how to deliver
babies- to come for moral support. I asked her “what do people do
when Mama Mosha and Msuya (the nurse and clinical officer) aren't
here?!” “They help each other” she responded, “We don't know
how to deliver babies, its not our job.” I hugged her, I was so
relieved. Modesta, my dada, is 5' tall, 21 years old, but that girl
will tell anyone off. One mama was angry about how many people were
at the clinic, and Modesta told this woman ho its not our fault! Its
the government's fault for not building and staffing more clinics, so
people come from outside our catchment area because there are no
closer clinics. This mama responded that Modesta and I are no help,
we can't help, we are just pretty. Modesta, who works at the clinic
for free because we are understaffed, fumed about it the rest of the
day.
Moral of the story is 1. I am not
always competent to handle situations I get myself into here. 2. My
dada Modesta is amazing and this is a shout out to her because she
can always handle everything when I go to her for help. 3. Can I go
to med school now so I can know what I'm doing?