Breaking the gods.
Dude just had an accident and is being wheeled into the ER. I am on duty so I am on ground to 'welcome' him.
My stethoscope is hanging on my neck as usual, even though, Nonso Oguonu hates that. But, I don't care. He is just a lump of meat waiting for egbe ìgwè to tear apart, on my behalf. 😂😂😂
I am also carrying the investigation forms and other things. And I am thinking about the back side of the girl I saw in Nauth earlier in the day, as I wait for the patient bearers to meet up with me.
The nurses are running helter-skelter, perhaps because they're are confused by the blood and screaming from the injured guy who's also cursing.
"It's a set up!"
"It's a set up!"
"God!"
"Iam dying! I am dying"
He is crying, shivering, bleeding from here and there. I feel pity for him because I always feel pity for the patients when I'm in a good mood, when the sun is up and the day, bright with daylight. Plus the girl I met in Nauth is bombing my WhatsApp with messages.
So I say, as the trolley stops abruptly at the spot I'm standing in the ER and the dude is being rolled onto the couch from the stretcher, "Nna, sorry oh! I'll take care of you." I actually felt for him. At times, it's difficult not to feel for a man when he is crying.
The flowing fresh blood stain the mackintosh. Broken ones creak. Some held only by dangling flesh. The words of an old man flash through my mind. 'Aren't we all nothing but, lumps of meat, held together by nothing but, bones? Aren't we all ashes, in the end?'
The story is that just a few minutes ago, the patient was hit by a truck on reverse, while he tried to unload the truck. But, that's not all there is to it.
Some of the people with him are saying that the truck guy had done it intentionally.
"They had a little quarrel last night and then, this happened this morning. Can you see the correlation, doc,?" one asks. He's the guy with clean shaven head and long neck. His hands are stained the most with blood. His clothes too, are stained with blood. He's the little brother of the wounded guy. He has some tears in his eyes, too.
He is also angry, just like the rest of the men. And they're getting rowdy, each speaking whatever the hormones and the sight of the horror, threw into his mouth so, I try to calm down them down.
"Can you guys please, move to the out-patient? I need space. We need space to work."
My voice is calm. I don't shout at men in situations like this because, situations like this turn men into beasts. The other day, my colleague was nearly stabbed by angry boys because, she couldn't wake their dead friend. Down here, in this jungle, you don't meet up with friendly people all the time.
My calmness pays off, as the men begin to clear. One by one. Each muttering some angry words. But, the patient asks for his little brother to stay behind.
"I want my brother to be with me," he pleads.
Little demand. No problem. So, I let him have his wish. And it soon pays off.
I take history and carry out examinations very quickly. I ligate the few bleeding vessels. I also take care of the major wound sites. I sterilize them as much as possible. I pack them up and bandage and splint some of them. He is fairly stable. Youth is on his side.
But, there's a problem.
Whereas the guy allows sutures, and the other things, he vehemently refuses to allow me set up an IV line in order to administer fluids and other medications. The refusal baffles the nurses and the men who are with him. And to an extent me, too.
The thing is that patients refusing to allow one form of treatment or the other is not a new thing to me but, the dude on the couch looks like someone who cooperates, judging by the fact that he's been so polite from the beginning. And when I scan his body, I find no talisman or charm on his body. Or marks even. Hence, my surprise at his refusal to let a needle near him.
Time is running out though, and I need to act fast, in order to free up time for the other patients. There are always many of them, waiting.
At first, I shout. "I'll slap you! Will you keep quiet and let me treat you so, I can see the other patients?"
I try to look as stern as I sound. I've used the trick before. And, at times, it works. In fact, it has worked more times than not. But, this time, it doesn't work. The guy is not giving in. Cha cha.
His wife comes forward and cries a river of tears. His friends shout and cajole. The nurses pet him and beg him. Some other patients and passersby try but, all fail.
I too, try to beg and cajole. I try to explain things. I try diplomacy. I even tell him some funny things. But, no way. Then, I become more stern and coldly tell him off.
"You're going to die and I'm leaving you. Don't ever call me back."
I make a fuss about downing tools. I remove the apron and gloves and try to remove the boots and only then does he try to compromise, to comply.
He looks at his wife and kids and shakes his head. He looks at his wounds and at me and shakes his head again. Then, he whispers, imploringly, "Doc, I did 'odeshi.' If you give me any white man's medicine, I'll die. Please, give me some time to call on my 'chi' and perform some rites."
Really? Rites? Rituals?
For those who don't understand Igbo, 'odeshi' is a form of juju that makes one immune to bullets. A lot of people trust in it but, in my experience, it doesn't work. I always tell them that 'odeshi' is not for an AK47.
I want to laugh like I've always done each time I've come across such patients but, the guy is looking real(sic) scared. His eyes tell as much as his words. "I don't want the spirits to kill me," he pleads. "Let me speak with the gods, first."
They say a good doctor, listens and I want to be a good doctor. So, I listen to him and move a few paces away. I instruct the nurses and the other people to move away, too. Only the patient's brother stays. Because the patient needs him to stay, to help him 'call on the gods.'
I watch from where I am standing, along the passage that leads to the morgue, as the little brother brings out a red clothed charm from the patient's back pack. I watch him smash the charm on the patient's chest and fore head, three times, before moving it round his head thrice, chanting in Ebonyi dialect. I watch him reach out to the earth.
He scoops a hand full of sand from the nearby lawn and hands it to his wounded brother. The ritual is about to be completed. But, I am disturbed. Because the sand is contaminated, probably full of infectious agents.
This is a hospital for God’s sake and the earth in a hospital soaks too much blood. And diseases reside in blood. Spilled or not. So, I try to stop him but, his brother urges me not to interfere because the earth that breaks the 'odeshi' must come from the immediate surrounding.
"The earth must come from the immediate surrounding" he states. They are both still chanting. Their eyes are rolling. Their hands are up in the air. The people watching must be scared.
Yet, almost everyone urge me to allow them finish the ritual. His wife and friends also urge me and so, I step back and only watch in horror as the patient pours the sand into his mouth, chews it and swallow all of it.
Then, he declares in a whisper to me "the charm is broken." Relief is on his face. Even with the injuries. Pure relief. The gods must be happy now.
I want to laugh but, instead, I move in to complete my job. My hands move fast as I suture the remaining fine lacerations in his tongue and lips and face, after the lidocaine infiltration. I finish up in no time and remove my apron and gloves to do a little write up.
As I leave him for the nurses to clean up the move him to the ward, I feel another urge to laugh but, I restrain myself.
I remember the words of the old man 'we're just nothing but, what the world around us makes us to be.'
He was a wise man. I met him on the day that they shot many people. He often said to me, before he died of his wounds from the assault rifles.
"Some of us are fortunate to have enlightenment, to know what's true and what's a lie. It doesn't mean that we should have disdain and laughter for those who believe in other things."
The sun is suddenly cut off by a rain cloud. I can feel the new cool breeze on my skin. It will rain soon and I know I will like it because I like rain.
It reminds me of childhood and freedom.
By Nnaemeka Ugwu.
©all rights reserved.