WOW!

Early this week, I learned the patient who suffered the devastating trauma from the chimpanzee attack had been stabilized and required a medical transport back to Canada. I was honored to be selected as her accompanying physician. On Tuesday morning, I set off for the 30,232 kilometer, five day medical transport.

The journey was filled with many “WOW!” moments:

WOW moment #1: The Canadian Embassy

When I originally arrived in Kigali, Karolina, a member of the Canadian Embassy in Rwanda, was standing in the rain outside of the hospital. She had notified the staff and physicians of our arrival and was waiting to escort our team to the emergency room. We were promptly seen and the patient was expeditiously admitted.

Over the following days, Karolina and her supervisor, Anna-Maria, visited with the patient multiple times per day and brought the comforts of home to the hospital. They did everything in their power to put the patient at ease.

The embassy also organized our trip home beautifully. We were driven by ambulance directly from the hospital to the airport runway and loaded on the commercial flight. Each stopover, we were greeted by helpful, friendly personnel and directed to our next destination. As we arrived in Canada, six officials met us at the airplane door, and assisted our disembarkation and clearance through immigration. The dedication, professionalism and kindness of the Canadian Embassy was astonishing.

WOW moment #2: The Flights

The patient was fairly ill, requiring medication administration, and needed to stay in the recumbent position. We were therefore scheduled for first class travel.

When we boarded the Flight from Brussels to Toronto, my mouth dropped. I felt as though we had just boarded Air Force One. We each had our own compartment with a chair reclining to a nice sized bed, flat screen TVs and a foot rest. Three course gourmet meals were served with white table clothes, silverware and service fitting for the French Laundry. I felt awkward.

It was unbelievable to see how some people live.

WOW moment #3: The emergency

Prior to boarding, I described to my patient a string of emergencies occurring to me in flight since last January. I told her stories of six overhead calls asking for “any doctor onboard”. My first response was for a one year-old patient with intractable bilious vomiting. I observed him until the completion of the flight. The second call was for a middle aged Japanese man who collapsed and was unresponsive. We gave oxygen and a large amount of fluids. The third was for a 3 year-old child with a significant tooth intrusion injury. He was running, fell and pushed his incisor in to the gums. He was bleeding and in significant pain. We monitored him and he was sent a dentist in Uganda. The fourth was a child with fever. He was fine. The fifth and sixth were adults and my internal medicine colleagues onboard took control. I was available for a helping hand.

Lo and behold, two hours in to the Brussels-Toronto flight, I was startled by a stressed call overhead stating “We need a doctor, please ring your call button”. I love responding to emergencies in the children’s hospital where ample equipment is available, but taking control on the plane is a bit different. My heart rate always jumps a bit as I envision the 95 year-old with crushing chest pain and shortness of breath. Yes, any physician should be able to manage a myocardial infarction, but it still makes my pediatric brain slightly cringe.

I responded quickly to the call and was relieved to find a four year-old patient. He was febrile with rigors and “lethargy”. He ultimately had an upper respiratory causing an elevated temperature and was tired. After Tylenol and a little rest, he was much better.

Although it seems plane emergencies are becoming a frequent occurrence, I am still surprised each time it happens.

WOW moment #4: The feelings

I have been in the DRC for only one month. Despite this short stint, I had a detached feeling the moment I left Africa. People on the plane were great and the locals in Edmonton were very nice, but I felt disconnected somehow.

I saw individuals living their lives in the same manner I did just one month ago and it didn’t make sense. How can we spend thousands of dollars on nice cars or break the bank for gourmet meals when children are dying from a lack of 20 dollars for antibiotics? Why do we spend an entire night in a bar watching football when we could be out helping someone in need?

I currently own a non-basic car, thoroughly enjoy sushi and filet mignon, and have always loved watching the NFL playoffs. I am a little surprised, but I am now questioning the importance of these aspects of my life.

Advertisements

4 Responses to “WOW!”

  1. Cam Tran Says:

    Hi Chris,

    Thank you for doing all of your good works for us; keep us posted as your stories will keep us from forgetting that there are other people out there in far away places with very little…

    Stay healthy, okay!

    Best,
    Cam

  2. John and Tere Kearns Says:

    as always chris, the recounting of your ongoing adventures leaves me in awe!! you are a remarkable young man and, even though we’ve only known each a short time, there is a great happiness in knowing you and the work you are doing for so many!!! john and i will continue to look forward to your postings and we keep you and lisa both in our thoughts and prayers….this crazy world is quite blessed to have one dr. carpenter out there working his magic!! oxo

  3. Florencia Pettigrew Prada Says:

    Chris,

    You are experience reverse culture shock. It is a very interesting phenomenon that happens when you are living outside your culture and you first go back. You feel outside of your culture as you were observing it from above. There are some wonderful books that cover it really well but your own experience is really all you need. It is part of the journey of living in many places, adapting to different cultures while you try to maintain your own identity. It is great you are both writing this blog and documenting your feeling, experiences, observations etc.

    Of course, going from the DRC to 1st class Air France is as shocking as you can get!

    Congrats on the safe patient delivery and keep writing. I love to read both your entries.

    Flo

  4. Benoît Says:

    I live and work closely with the people you mention in your article. You don’t mention the volunteer time, travel and dedication you provided to the lady who was attacked. These are rare gestures from a professional like you and you deserve much acknowledgement.

    I perfectly understand the shock we always feel when we get back to our Northern countries. What looked so important before becomes trivial but it remains part of your heritage and culture. You are back in Africa by now. Hope the best to you.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s


%d bloggers like this: