Yesterday we took a trip to the nearest government hospital--about 30 minutes by boat and then 2 hours by car. And, only one flat tire along the way, par for the course. It was an eye-opening experience for us both. When we arrived we were greeted by the chief of anesthesia who offered us some coffee and then ushered us to the pediatric ward. We like to keep these blogs light, but there was nothing light about what we would see. First a brief walking tour through the 'wards'. The ward was a large communal room with high ceilings, dirty floors and foul odors. It was divided into sections by 4 foot concrete walls. There was the neonatal unit, a series of filthy cots each occupied by a tiny baby wrapped in dirty blankets, typically a mother and some other 'attendants' as well. Some babies had feeding tubes in their noses which were manned by the mothers themselves. Others with tiny IV's. Most of these babies, we learned, were born at home and then brought to the hospital for problems that are all too common in this country-infection, low birth weight, prematurity. The young children's ward was another series of dirty cots where kids with pneumonia, sepsis, TB, skin infections, even leukemia, received treatment. The remainder of the wards for various age groups were more of the same. On our rounds with the head of the pediatric division we learned just how dire the situation is. As we walked he explained how the hospital is run. Although this was a government hospital, almost nothing is provided spare the beds and some blankets. Once a diagnosis is made the doctor informs the parents what is needed, antibiotics, chemotherapy agents. And, the parents must go out and buy the medicines to bring back to the hospital... if they can afford them. We felt terrible for the patients but also for the physician who seemed at his wits end. Towards the end of rounds we were asked a poignant question, 'if pressed do you think you could work here?'
We were relieved when rounds ended and it was time for us to leave. We had been looking forward to our escape to the mainland as an opportunity to buy some bananas and perhaps some other goodies. Jasim guided us to a local fruit stand where, we not only procured bananans, but a cluster of coconuts. The shop keeper promptly pulled out a large blade and chopped the top off of one and popped in 2 straws for us to enjoy. Jasim could not believe that in the US coconut water comes in a box for 4 dollars instead of 25 takas (roughly 40 cents).
We arrived back at our boat. We were to have another interesting meal...goat. A few donors to Friendship were visiting from Sweden so it was considered a special treat, no parts were spared. We had joked about fish and chips the day before and to our surprise a few "french fries" accompanied our meal. These days, that's enough to make us happy!