She was destined or rather plotted for an early grave.
She’s just 22, and G3P2 few moment ago. Now she’s Para 2 plus 1, 2alive. The plus 1, was an expulsion about 45minutes ago.
Husband is a young man of 29. Hardly could speak English (turanshi), a little better than a church rat financially, but he has a wife and he loves his wife.
Few hours ago she developed abdominal pain and PV bleeding, and her loving hobby, despite his penury state, brought to our facility.
Inevitably, as diagnosed by the casualty doctor, she expelled the POC, and in the event lost quite amount of blood.
By dint of fate, while rushing back to beat the curfew from the yawo I went for. Instead of retiring my tired legs and body to my bed and sleep, my mind dragged me to the A&E. There, I saw the couch that was screen, and I felt it was probably a fresh corpse. The whole place upside down. Then the casualty doctor arrived from God knows where, restless and . . .
‘Ok, you’, addressing a man, who turned out to be the woman’s husband. ‘I’m sending your wife home now, so pack your things, I need that couch for another patient’, he said.
The man obediently helped the woman to fix her blood soaked rapper, and took her down from the couch. Like a mere leaf, despite the husband support, she was freely yielding to gravity . . . with my suit on (remember my yawo), reflexively I helped her to settle in the nearest chair.
I looked into her conjunctiva, and she’s paper white! Felt the pulse, it was small and running. Yet not an I.V line on her.
I said doc, this lady cannot go home now, she’s pale and in danger of imminent shock.
I thought I was talking to a reasonable colleague, but my mistake, a ki**er he was.
‘She is going and that’s the final. If you like you can take up her management.’
That exactly was what I did.
He felt with the way I was dressed, I’ll not be willing to soil my hands and perhaps my attire, but he was wrong. Why? Because the art of true service is beyond self, talk-less of material things as vain-fool as apron!
I secured an IV line, commenced N Saline, took the husband on my bike off to the lab. Specimen bottles collected for GXM and urgent PVC.
Her blood group was O-ve, and an ‘angel’ was generous enough to release a pint of the precious blood for us, for the husband to pay the bill later.
I went back to the A&E, put her on a wheel chair and admitted her all by myself (without a nurse), and commence the transfusion.
I have theatre session the following morning, so I’d to catch some sleep.
Early in the morning I went to check on her. Her vitals were stable and she was looking better, though still weak. I sent consult to the gynae dept.
Throughout that day, because we had surgery till after 10pm, I couldn’t see her again. On the 3rd day, I went to review a post op patient in the same ward, I checked her bed and she was not there. Then I finished up with my patient and was about leaving, a young beautiful lady just stood in my front, grinning, in a very familiar way. Finally she said ‘SAN NU LIKITA’. I replied, ‘san nu’.
Realizing I did not recognize her, she walked past me, with her smiling gaze fixed squarely on me, she went to her bed, and then it clicked.
I too burst into laughter, so it is you!
She could not speak a word of English, but I can see and understand all she’s saying in that ‘san nu likita’ and her innocent smile.
This afternoon, I saw the young couple, holding hands and talking over a piece of paper, the husband probably showing her the receipt of the hospital bill . . . When they saw me they paused and rushed to meet me on the track, yet they could not say much but several ‘san nu’ with unhidden expression of gratitude pasted on their faces.
I’m in my room now, very very tire and worn in my body, but my mind, my spirit, ever-ly youthful and agile yet tells me other SAN NU LIKITA awaits my service still . . .this call I cannot neglect, so help me God.
G3p2 – G3 means three pregnancies(G: gravid). P2 means two previous deliveries (P: parity – Childbirth).
PCV; Packed Cell Volume
POC; product of Conception
GXM: Group and Cross Match (for blood grouping)
Likita: Doctor (Hausa language)
san nu; weldone (Hausa language with a Yoruba pronunciation)