“Doctor, Doctor Help Me”
This was a common refrain I heard as I walked through the halls of our temporary hospital to go visit the bathroom. I got to hear this often thanks to the handy parasite I picked up while I was in Nigeria. As I walked through the halls, masses of people reached out and grabbed my arm asking me for help. They assumed I was a doctor because almost everyone else in our group was a doctor or at least training to be one.
I spent two weeks in Nigeria along with 40-50 other assorted Nigerians and medical students from the USA. We worked with an organization called Pro Health International. Here is a news spot that a local news station from Erie did on our group.We arrived in the country to a not-so warm welcome from immigration and were told that we should enjoy Nigeria as long as we didn’t visit the Niger Delta. Pre-Nigeria, I had no clue about the Niger Delta as I am sure most of you are presently in your understanding.
Niger Delta
Here is a quick lesson on the Delta. There is a lot of oil in the Niger Delta so guess who is there extracting the oil? Not Nigerians. On top of that, the Delta is one of the poorest regions in the world even though they are on top of the largest quantity of oil in Africa. In fact if you filled your tank up with Shell gasoline lately you are supporting Nigerian oil exports. Therefore, the local mobsters decided that the best way to drive out the foreigners is to kidnap oil workers and hold them for ransom. They have kidnapped over 200 people in the past two years. This has brought down productivity by over 25% as a lot of companies are withdrawing their oil workers. While we were there they kidnapped a 3 year old British girl which you may have heard about in the news. If you want to read more about the conflict in the delta check out this article. This is the context into which we went to do free health care for two weeks. It was a great opportunity to help people who are in the most dire situation, while at the same time showing that Americans can do something at no benefit to themselves. However, we did have armed guards everywhere we went in Nigeria because of the situation with the oil workers.
I am going to give a non-linear explanation of our trip because the liner time-line is so boring and that is what I have done for the Uganda and Kenya blogs.
Pharmacy- My love/hate relationship with drugs and patients
I spent the majority of my time in the pharmacy. However, I don’t want you to get the wrong picture of what the pharmacy was like because you are probably picturing Walgreens or CVS. We were in a dingy, run-down room surrounded by bottles of drugs and engulfed by people trying to get their drugs through the bars that also served as windows. It was more like being in a prison cell with no electricity. Here is a picture of the eager patients in the midst of a pouring rainstorm.
I spent at least half of my time in here because it was the one place that I could give the most help. This was the downfall of being a non-medical student, but it was also good to know that I could contribute. This wasn’t my favorite place to be, but I was reminded that being a servant is not always fun and glamorous so I settled into days of pill-counting and sorting. After a few days of this, I decided that I could help to dispense the drugs to the patients. My responsibility was to take a card from one of the patients, fill their drugs and then explain to them how to take their drugs. Imagine hundreds of yelling patients trying to get their drugs while I calmly explain to the patient “You need to take 3 5ml of this tonight and in 6 hours take 1 5ml and then in 24 hours take 1 5ml.” I tried really hard to make sure they understood what they were supposed to do with the drugs. The patients were always extremely thankful once you handed them the drugs, but until they got their drugs they had this fierce sense of entitlement and anger that they had to wait for their medicine. This was something that perplexed me and made me think about the merits of a free health care system and its fostering of this attitude. Overall, it was an incredible experience to know that over 10,000 people were treated and received drugs during our two week hiatus in the Delta. The practical help we could offer was enough to remove my thoughts of the entitlement system and be thankful that I could help. It was good to do something practical even if it was oftentimes monotonous.
One of the Med School Students (Amber Hunt) wrote about her reflections in the Pharmacy and they are far more eloquent and accurate than my musings. “Out of all of the departments I’ve gotten to work in (surgery,consulting, etc.) this was by far the hardest work both mentally and physically to me. There is chaos and frenzy but it’s great because you really have to work together as a team and I felt like I was really being productive and helping, which is what I came here for. At first we were just counting pills and filling bags which is easy and boring enough but as the day wore on and people flooded outside, crowding around the windows they allowed us to start filling prescriptions. I got a crash course in pharmacy lingo (like t.d.s is three times a day here and ii means 2 tabs for example) and my mental math skills were greatly tested. It doesn’t take much. It’s so crazy because there is such a huge crowd waiting for their medicine and they are pressed up against the windows on all sides of you and yelling at you trying to get your attention. Anytime I had to move close to the windows to grab some drugs they would start yelling, “doctor, doctor” and try to get me to take their cards. One time this guy kept yelling “white woman!” trying to get me to fill his prescription. I just went about my business and pretended that I didn’t realize he was speaking to me, the only white girl in the room. The worst part about working in pharmacy is that everything is extremely disorganized and there is a severe shortage of pens. I’ve never experienced the frustration of constantly not having a pen when I need one. It’s great that they were able to come up with the drugs to give out but its always the little things you forget to think of. Peter was great because he helped to dispense the drugs to the people and give them instructions on how to take them. I can’t do that because I talk fast and mumble my words, Americans can’t even understand what I’m saying. The most annoying thing here that is hard to get used to is that Nigerians call attention to someone by hissing basically. It’s a very nerve-grating sound. I wanted to be like seriously, can you not hiss at me for a second!
Dental Work
This will be short and sweet– I pulled a tooth!
AIDS Education–Disaster and Redemption
I went with a group from Texas to one of the local schools to do AIDS education. We had worked on what we were going to say the night before, but when we arrived we were told to give the presentation in 25 minutes instead of the previously promised hour and a half. The three girls I was with decided to educate them with the scare tactic, telling the students that if they get AIDS there is no hope. The motivation behind this was to scare them out of having pre-marital sex because they might get AIDS. At this point I tried to chime in and mention that ARV’s are widely accessible, but I think my message was lost in the wave of hopelessness. I left this event rather jaded towards the idea of HIV education among Christians in Africa.
However, on one of my last days I observed a young man doing HIV counseling with such concern and skill that my hope was restored. He had taken this specific girls blood and he was explaining what would happen if the test came back positive or negative. He also went over the high risk activities she was engaging in and told her that she should use a condom if she was having sex. When the results came back he explained to her how to read the test and she read that she was negative. He told her that she couldn’t expect to keep living in a high risk manner and expect to stay safe. She assured him she would change and she left the counseling center with joy. This was a much more redemptive experience and seemed to be in line with the love of God. I left the other experience feeling like God is a fear-monger and I left this one feeling like God loves people. I agree with the latter statement.
Surgery and Consulting
I spent a small amount of time in surgery and consulting, but I want to try and convey these experiences as I think they contribute to a holistic understanding of what was happening at the clinics.
When a patient comes in they come for their initial consult with one of the doctors. This is where they explain their symptoms and the doctors will either prescribe drugs for them or send them to the eye clinic, dental clinic, surgery, etc… I sat for a few afternoons with the doctors as they saw patients. A few of the times I took blood pressures for the doctors as a token way of helping out. It was very interesting to see how the doctors treated the patients. It seemed like their Christian compass was left at home and their mass-production health care compass replaced it. I don’t know if this was good or bad. I enjoyed interacting with the patients and making them smile. We saw many patients with malaria, arthritis, tumors, hernias, and other general sicknesses. It was very interesting to be a part of the diagnosing and prescribing mechanism at the consulting center.
In surgery I was allowed to help by handing some of the tools to the surgeon while she was operating. I was in the surgery theater for two hernia surgeries. On average, the doctors were doing 20-30 surgeries daily and providing some concrete relief to these people who had so little.
Overall, I had a good experience in Nigeria. My time in Africa was great because I got to see things that most people will never get to see. It would be easy to come back from this trip depressed about the condition of the people and their suffering, but I have realized that I should be thankful for what I do have and I understand that I must do something to alleviate the suffering that the people experience daily. Currently, I am trying to find a way that I can practically support the people who are doing great work in Africa.
Thanks for reading and I hope you have learned something and that you have been able to see that God cares about all people. It is our responsibility to act in line with the character of God and advocate for these people who have no one else.
“Religion that God our Father accepts as pure and faultless is this: to look after orphans and widows in their distress…”James 1:27a




























