A 5 minute experience stretched over 3 weeks!

For the sake of a brother-in-law and anyone else who doesn’t like medical pictures I promise than there are none. And neither will there be any detailed descriptions of the pathology! I have just come across a picture in association with an album of hymns to which I was listening’, and here it is.

The picture reminded me of two things. Firstly of all the anti-Trump news about his attitude to abortion. He may have been lying (an art perfected by politicians) but I heard him say (unless it was doctored by media experts) that he was against the generalization of Roe v Wade but that he felt that the people in each state should be able to vote on it. He claimed that he personally believed that there were 3 legitimate reasons for abortion – rape, incest and if the mother’s physical life was in danger. A very different view from what his opposition presents him as holding!

But what has that to do with the title of my article? Nothing! But the picture reminded me of the hundreds of cases of ruptured uteri that I have operated upon in countryside Ethiopia where in the late 1960s our small hospital was the only hospital for millions of people and we were so busy that we could not operate things like antenatal clinics – to which people wouldn’t have come because of custom, distance, lack of roads and means of travel. We served with 1-2 doctors, 5 trained nurses and a good group of Ethiopian helpers (a few of them trained elsewhere as dressers) as the only hospital area for more than a million people!

So I have seen many babies who have died before they were born. The picture above is one suggestion as to where they end up. But this is not a theological discussion.

One day, when I was the only doctor in the hospital I was faced with three ladies with ruptured uteri arriving within 5 minutes of one another. Our ‘operating suite’ had 2 operating rooms, one of them large enough to have 2 operating tables. So I had 3 tables for the 3 women. I had a nurse who was capable of watching an anaesthetic (she was v good) after I had induced the patient. We called for help from the ward and so ended up with the sickest, having been resuscitated, asleep and me operating on her. Behind a sheet for visual protection a second lady was being resuscitated as was the third lady in the smaller OR.

It was a long morning but all were eventually taken into the ward on appropriate IV, pain and antibiotic therapy. All three babies were dead (and hence the picture above). Two ladies progressed very well and were able to go home in 7-10 days. No matter what we did the third lady did not do well. She ran a high fever and using all our available antibiotics, changing to new ones as appropriate and doing an X-ray to make sure that we hadn’t accidentally left a pack or an instrument inside we eventually had to conclude that we would probably see her depart in a box.

Sadly, I believe that much of what is called ‘faith’ healing is sham. But I do believe in God and I think that He can do wonderful things. While I was operating on that same evening on which we had come to the above conclusion, the nurses and a few of the families of workers on our mission station spent the night in prayer specifically for the healing of this lady. In spite of all our failed treatment, the lady’s temperature the next day was down considerably, she felt much better and was discharged ‘well’ about 5 days later!

Dominic Cartier