I am now back from medical mission trip to Papua New Guinea. Douglas was one of the most memorable patients that I met during my 2 month-stay. He was a 16 years old guy who goes to high school in Mt. Hagen. He enjoys studying and playing soccer. In PNG, students have to take exams to get in to 6th grade, 7th grade and so on... Only a small portion of children get to the high school level education. Douglas was in his 12th grade I believe. He was surely a smart, gentle and polite man. I still remember that day when I first met Douglas. On that sunny afternoon of early May, he entered the room where I was having my afternoon clinic. He came in with "2 week" history of abdominal pain and "growing mass" in his abdomen. He said how sometime, pain is severe that he would wake up in the middle of the night. As I examined him, I did notice a ~ 8 cm solid mass in his right upper quadrant. It didn't take for Dr. Bill and me to do ultrasound and came up with a devastating diagnosis - hepatoma (malignant tumor of liver).... He and his mother were Christians and we all prayed to lift everything in God's hands. During the following few weeks, I did see Douglas back in clinic. He came in to get more medicine for pain and again, I remember Dr. Susan (pediatrician) mentioning that only God could decide how long he could live. He hoped that would be years and not months. That afternoon, Dr.Susan and I suggested mother not to take Douglas out from his high school semester just because he has "terminal" illness. We prayed for his best. I encountered him once again in a few weeks as I was walking through the internal medicine ward. He was admitted because of uncontrollable nausea and severe pain. He still looked o.k and still recognized me and talked to me for a while as I tried to stop by at his bed side at the end of each day. I did get to meet his biological mother as well as the other "mother" (ie second wife to his father) as well as his siblings during my frequent visit to his bedside. I remember his mom saying how she has a "faith that God can heal Douglas." I made my best attempt to pray in Pidgin... but there are no words that I could come up with besides "yu mi pray.. papa God ... lukim thispela family, make thispela man strongpla algeta time...... in nem belong Jesus... Amen." On one Saturday afternoon, as I was walking back to the mission station after tubing down the river.. I bumped into Douglas' mom. She was on her way back from doing laundry in the river. I asked how Douglas had been doing... she said he went out to river to play. I was happy that he could get some break from the hospital ward. Douglas's symptoms seemed to be stable. I discharged him home during my last week of stay in PNG. His nausea has gone, he was eating well... the only his complain was his abdominal pain. I sent him home with enoguh supplies of morphine, paracetamol, and reglan (I believe....). I told him to come back for outpatient clinic in 2 weeks. I knew that I was going back to the U.S. so, on that day, I said my official good-bye to Douglas and his family. I encouraged him to keep doing what he enjoys and to eat whatever he wants to eat. I left PNG shortly after. On my departure day, I had a same flight with Dr. Bill who was traveling to U.S. for a short visit. While we were waiting for our plane at Kakamuga airport in Mt. Hagen, we happened to bump into Douglas' father. Dr. Bill chatted with him for a bit and told me that his dad seemed to understand the prognosis of Douglas although his mom may not completely understand the seriousness of the situation. ------------------------------------------------------------------------------------------------------------------ Yesterday, I received an e-mail from Dr. Elizabeth, a PNG doctor who lived next to my guest house. She let me know that Douglas passed away last week. I prayed to God that He would be the comfort for Douglas' family. I prayed that more people in Papua New Guinea would truly come to know Christ and embrace His love for them quickly yet at His timing... It is devastating because I saw lots of deaths in such a short period of time. People deteriorate so quickly yet naturally because there are no advanced cares there. As I close my eyes, I can still see Douglas' disappointed face which he showed on that first day .... when Dr.Bill said there was no surgery for his cancer. I feel blessed that I could be a part of his life as he continuously showed me what a brave young man he was as he lived his daily life with his illness. He never complained. I am thankful that God allowed me to see the glimpse of what a palliative care is like in developing countries... lessons that I would never learn unless He allows me to travel that far. May God's blessing and comfort be with Douglas and his family. May God keep using those doctors and nurses in Kudjip Nazarene Hospital. Someone once said that doctors do not "save" lives... but they "prolong" people's lives so that they may earn more time to be "saved." It is so true. |