Emotional Backlash

So today it finally hit me. At breakfast I was told the little baby that we tried to save so hard yesterday had survived the night but not doing well. Lower heart rate, increased work of breathing and low oxygen saturations. And for some reason I could not really deal with it very well. And for the people that don’t know me, I can cry really well. Once I start, it’s like the floodgates open.

Every morning there is sala. It is the church service everybody attends before work. Also, new people are introduced and people that leave get to say goodbye. General information is given, like meetings or in-services. I walked in and sat next to some of the people I have been hanging out with, mostly Dutch. And the floodgates opened. Somehow when people are nice to you when you are emotional, it makes it worse. And then being able to speak your native tongue somehow makes it worse too….So the only thing I can do right now is cry. About the little baby that we saved but for whom? Ourselves, the mother or the baby? Because it is suffering, since we had to stick it a lot of times for a second IV after the first IV came out. And you don’t have the opportunity to just drop an umbilical line in. He has been struggling to breathe for almost 24 hours now. So I know he is in pain. And how about the mom? She already lost one of the babies she was carrying. Now she will lose the second baby. Not only this loss, but now she can not go home for a year beacuse she is considered ‘unclean’. So she has to deal with this all by herself.

Now I am doubting if this is for me. I can’t save the world, I know. But as a nurse it is hard to not being able to help when you know 8 hours away this would have been so very different. And I know now that you cannot really explain how it is here. You have to see it for yourself. Words are unable to express what you see. Walking through the hospital and seeing a bunch of goats in the courtyard. Cockroaches walking around little babies to go for their spit-up. Flies on preemie faces.

I was told yesterday to focus on what you are able to do instead of what you are not able to do. So that is what I have to start working on. Maybe I will do better to go to the outreach clinic since this is basic prevention and you feel that you really do something useful. Because the other thing I was told yesterday that I also have to do stuff for myself. Since I came here and have felt I should give all I have. And you can’t really do that.

So now I am being taken care of. On of the Dutch docs followed me to my room and we talked. Another visitor from Norway just knocked on my door and in a little bit I am going with her to the orphanage to hold some healthy happy kids. She has lived in Tanzania for a long, long time and told me that I am perfectly normal to be crying and it would be worse if it would not affect me at all. And it just says I have a big heart. And I’ll just listen to her, she seems she has figured things out.

To be continued….

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Comments

  1. On October 16, 2009 Marijke says:

    Ik dacht: wat fijn dat Hanneke met haar kennis en vaardigheden gelijk zo concreet bezig kan zijn, maar zo ben je natuurlijk ook meteen wel heel hard tegen de werkelijkheid aangelopen.
    Oei, dat doet pijn! Logisch dat je huilt om je onmacht.
    En dan heb jij wat dat betreft in je werk al veel meer meegemaakt dan je vrienden.
    We hebben als blanke, westerse, goed opgeleide mensen nooit die hele harde realiteit meegemaakt, waar de rest van de wereld wel dagelijks tegenaan loopt. Voor ons lijkt alles oplosbaar (of anders verwijtbaar), maar helaas, de dingen zijn zoals je ze aantreft. Je moet beseffen dat je toch invloed je hebt om het te veranderen.
    Elke interventie, hoe klein ook, heeft zin en grotere gevolgen dan je nu ervaart. Ik denk dat jouw onvoorwaardelijke inzet is gezien door die moeder. Ze zal het vast overbrengen op dit kind en/of haar kinderen die de kindertijd wel overleven. Die kinderen willen later ook jouw werk gaan doen of de leefomstandigheden van de gemeenschap verbeteren.
    Verder heeft preventie en kennisoverdracht natuurlijk ook veel zin.
    Ik ben blij dat je daar aandacht krijgt van de mensen die daar werken en dit verdriet herkennen.
    Ik ben trots op je. Lieve knufs Marijke

  2. On October 24, 2009 Lani says:

    Some things about NICU never change. Whether you have all the technology in the world or a little, the ethical and moral questions break your heart. I am praying prayers of love and comfort for you.
    Lani

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