A Physician Assistant In Africa Describes Her Unique Experience
"Hi, I am your Physician Assistant and I will be working in this medical mission with Dr
. Green and nurse Holtz. My name is Wanda and we will be helping to meet your medical needs until the end of this month." I introduced myself to a small village in South Africa. My team was assigned here for our medical mission. As a physician assistant, I provide care just like the doctor does.A few hours after this quick introduction, my team and I started working. Dr. Green was soon occupied by doing head surgery on a boy who fell off a rock. I was then left alone examining patients. Most of the kids were malnourished and sickly. As I was getting almost done with the first half of the queue, a panting man was running toward me. He was bloody all over and worried about him. "Sir, are you alright?" I asked. "I'm ok but my wife isn't. She is under a tree right now." Thoughts run through my head.
"Is she injured?"
"No, she is not. She is not feeling well." He replied.
"What's going on with her?" I asked again.
"Please come with me now." He panicked.
I stuffed my bag with all the surgical tools I had. Looking at this man, I thought that his wife might have a very serious injury. I looked up and looked around searching for the tree. I saw no tree anywhere. "I do not see a tree nearby."
"Maam, it was too heavy to carry her. I left her under the tree around three kilometers away from her." My mouth felt open at this statement.
I wanted to get there fast, so I took the ATV and he sat behind me. I drove as fast as I could until we reached the tree. The woman was shouting, "It's coming. It's coming."
The woman was having a baby. I didn't even consider this possibility. The man never mentioned anything about this. I didn't even have an extra blanket for the baby. Nonetheless, I started working for the woman already 10cm dilated and the baby was crowning. I guided her as she pushed and gave her a medio-lateral episiotomy. After several minutes, under the heat of the sun and the shade of this tree with very big leaves, a baby boy was born. I cut his umbilical cord, cleared his nose from mucus, wiped him and wrapped him with his mother's turban. After that, I delivered the placenta and stitched up the mother. The couple thanked me endlessly. It was their first child.
"Please wait here. I will be back with clean sheets for your baby," I told them and rode the ATV. As I drove back to the village I mused. This is one of the most interesting incidents in my career as a PA. It was not only my first time to deliver a baby alone but also it was my first time to deliver a baby under a tree.
I love being a Physician's Assistant, because my work can vary so much from day to day and I am able to help others in their time of need.
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