Ethan

In this article I will explain in more detail the situation we've been through with Ethan, what happened and what are some of the needs and prayer requests.

Everything started last Friday afternoon, when we noticed that our one year old wasn't feeling well. He is usually very active and attentive, the type of child that doesn't miss anything. He loves to play and to explore, and many times he gets in trouble. Friday, though, we realized that he was sick. His cheeks were flushed and he was winning a lot. Lita also noticed that his stool was softer than usual, but we didn't think it was diarrhea. At the time, we didn't consider going to the hospital, especially knowing how they are here in Zomba.

Lita gave him some baby paracetamol and shortly after, Ethan started to feel better. Later than evening he went to sleep. Saturday morning we were awakened by a screaming baby, and we soon realized that it was pretty much a sleepless night for him, as he looked extremely tired. His cheeks were flushed again and he felt really hot to the touch. Oddly enough, both of our thermometers reported that he wasn't running a fever, but he was obviously hot. He refused to eat his breakfast and the little he took in, he vomited it soon after. Since he is teething, we blamed everything on that, but we started to be alarmed just a couple hours later when he vomited again, this time with with force. We then decided to take him to the best private clinic here in Zomba.

Hospitals and clinics in our town are sources of infections and many times we came home with different new illnesses. Wanting to avoid that, Lita took Ethan and I stayed home with the girls.

Unfortunately, soon after Lita arrived there we experienced again the doctors' negligence and lack of professionalism. It was right after the lunch break and it seems that everyone was taking a nap, even as the sick were waiting at the doors. After 1 hour of waiting, she went in and a doctor looked at Ethan. It didn't take her long to find out that not only the medical equipment was missing, but also the medical personnel.

For starters, the doctor wasn't a real doctor, but a student who was still learning, a young man with no experience whatsoever. I understand everybody has to learn, but this is usually done alongside a resident doctor, not all by himself. As Lita was telling him Ethan's symptoms, he was Googling everything, trying to figure out what the illness could be. Google told him that it may be laryngitis or an ear infection but he didn't have any basic equipment to use. The tongue depressors were missing, the electricity was off, there are no backup generators and the tools they use to look inside the ears were missing. It is really sad that these basic tools any generalist needs were nowhere to be found.



More than that, I later found out that even the so-called nurses weren't real, with the exception of one. Yes, only one of them is a qualified nurse, the rest are just the cleaning crew that had to learn medical tricks "as they go". The lack of funds or maybe the corruption has forced that clinic to employ unqualified personnel, give them a much lower wage and train them as they go. I remember there was basic equipment some time ago, but I assume it was stolen or damaged and never repaired. Sick people go there thinking they may be helped, but all they do is waste time and money and possibly risk their lives.

Without electricity, (real) doctors, nurses and medical equipment, nobody knew anything about Ethan's situation, even worse, they agreed that it cannot be anything serious, so they let Lita go home. As she was getting ready to pay (for nothing), Ethan had his first convulsion. She took him back in the doctor's office, where the convulsions continued as the cleaning ladies dressed in white robes discussed the options. At this point, Lita called me and when I arrived, everyone was just looking at each other and nobody, other than my wife, was caring for Ethan. She was shaking, and so was I at this time. Ethan was very sick, lethargic and very hot to the touch.

The doctor wannabe took me aside and started telling me stories of what it could be and how there is nothing he can really do, but he was beating around the bush. After listening to him for what seemed to be an eternity, I stopped him and told him to go straight to the subject, because my boy was clearly not doing well. He then admitted that he can't do anything, giving me no options. After more than 3 hours of time wasted, with Ethan's hands being pricked time and time again, nobody had any idea. I had to be the one that brought up the idea of going to Blantyre, a town 40 miles away from Zomba, which he whole-heatedly agreed with.

For you to understand the situation, here in Zomba we don't have 911 or anything similar to that. There is no ambulances we can call and ask for help. If you are sick, you have to do it yourself or die.

So I took Ethan away from there and we got ready for Blantyre, when the doctor told me that he should put an IV because Ethan was so dehydrated. Sadly, I accepted. It could've been a good idea, had anyone there known how to find Ethan's veins, but sadly they couldn't. The same cleaning ladies tried again and again, pricking Ethan and making him scream, with no good results. I understand it can be hard to find a vein in a child's hands, but they could look at his legs also. This idea was strange to our "nurses" so they continued to make Ethan scream. He was already extremely weak and he could barely react to anything other than that pain. I was upset at this point and picked Ethan up and literally flew to Blantyre.

As soon as we put him in his seat, he closed his eyes and we knew that he needs to see a doctor ASAP. Lita sat in the back with him, making sure he was ok. Those were some terrifying moments for us, not knowing for sure if we will reach Blantyre with a sick baby or a dead one. 



The trip took us 30-40 minutes and I was driving fast, reaching 90 miles per hour as many times as I could. All that time, Ethan barely made a sound and we were happy when we reached Mwaiwathu private hospital in Blantyre. Some say it is the best hospital in Malawi and that is exactly what Ethan needed at this point in time. We took him to the E.R., where we soon realized that the anesthesiologist was not around. Being Saturday evening, most doctors were already gone home, but he and the pediatrician responded on the call and came in good time. The anesthesiologist was the one that put the IVs in, while the pediatrician checked Ethan up and did the blood tests.

The first IV was just glucose (sugar water), but right after the first tests came, they changed that to salty water. According to the analysis, the levels of sodium were very low in his blood. This mineral is very important and the lack of it can negatively influence the cerebral activity of the brain, which can lead to convulsions, comma or even death.

The entire night between Saturday and Sunday Ethan was under IVs and his overall situation was getting better. It was a long night for him and for us also. Being a pediatric ward, even the empty beds were too small for us, so Lita had to sleep by him, on a bench and I slept in the car after midnight. I needed to get some rest because I believed the very next day we would be released and I needed to drive home. Sadly, the african mosquitos had other plans with me, so I fought with them for a while. We left totally unprepared and who even keeps bug repellents in the car? I ended up sleeping for a couple of hours with the engine and A/C on. Lita managed to make herself a bit comfortable using part of Ethan's bed and the benches available. All it mattered was that Ethan sleeps and gets better, which he did.

Sunday morning we were as tired as the night before, but extremely happy to see our baby alive and well, playing with his toys. He was still uncomfortable with the IV in, but at least he was feeling much, much better. The doctors came in the morning, were impressed with his conditions and ordered another blood test just to make sure everything was still in order. Being Sunday, the guys at the laboratory were probably somewhere praying or dancing, so we had to wait for them to come. At 2 pm the results were out and everything looked great. It was hard to keep him still now, because he was feeling good enough and he wanted to get down, walk, play and explore. For obvious reasons, we couldn't allow that, until the nurses came and removed the IV. Our prayer and hope is that we will not have to go through this again.

As you could probably see, the situation with the hospitals here in Malawi, in general, and in Zomba in particular is not great at all. They lack the necessary equipment and so many times even the basic things are not there. Even worse, some are not connected to the grid and don't have generators and others are disconnected from the main water supply. Those that have water, don't have medical alcohol or soap in the patients' bathrooms.

Malawi needs doctors. There are more than 17 million people living here, but only 177 specialist and a total of only 459 doctors, nurses and midwifes. According to World Health Organization, in Malawi we only have 1,9 doctors and 28 nurses and midwifes for every 100,000 people. In contrast, US has 240 physicians for every 100,000 people, while UK has 280.

As a family, we are more than blessed even here, in this country. We have access to internet, we have access to Brothers, Sister and friends with medical knowledge or any other knowledge in general. We have cars, we have money, we have access to private hospitals and we can go there at any time during day or night. Of course, it is not because of us, but it is because of God's faithfulness and care for us. We know that probably the worst hospital in the US is better than the best over here, but at least we have access to it, while the people we serve don't. Most of them never see a real physician, only witchdoctors. Those that live closer to hospitals or clinics receive worse treatments than the one we received in Zomba, and that was bad. Most public hospitals only give aspirin for any illness one may have. People have to wait hours in line, just to see a doctor. Once I met a lady that walked from Kachere to Zomba - 6 hours - and she was sick! A couple years ago I helped a couple that have walked from Liwonde to Zomba, a distance they travelled on foot for 2 days. I gave them money for transport and they went back in just 1 hour.

We are blessed to be able to get better care than probably 90% of the Malawians. A local version of Ethan, with the same symptoms, would've died from this treatable small illness.

We have. They don't. My prayer is the Lord will send a physician or a nurse to us, to our ministry. We need a missionary with medical training and I would love to be able to start a clinic in Kachere first. There will not be a salary, there will not be benefits, but only experience and a reward in heaven. Everything has to do with the real need. William Borden, a missionary to China, once said: "If ten men are carrying a log — nine of them on the little end and one at the heavy end — and you want to help, which end will you lift on?". I know that he was talking about the ratio of ministers in the East compared to those in the USA, but I think the idea behind the quote applies to our situation also. Malawi not only needs more missionaries, we also need physicians.

If you, as a doctor or nurse, would like to help where there is truly a big need, where do you think you need to go? Where there are 240 or where there are only 2?

I would like to thank you all for praying for us and supporting our ministry. We have surrendered our hearts and lives to God and for the people of Malawi, knowing that our lives are at risk and we could die of illnesses that could be prevented or treated in other countries. We are here because God wants us to be here. If not us, then who?

Thank you for your support. We can have vehicles, we can have money for fuel and we can drive anywhere we want, any time we want. In the worst case scenario, we can even fly somewhere else for medical treatment. Thank you for your prayers. Over all, we are a very healthy family, and it is very rare when we have to deal with emergencies. We sure don't deserve this blessings.

Of course, all the glory belongs to our Lord. The fact you have partnered with us is due to Him.
May His Name be glorified!




Pray for us!
Pray for Malawi!

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