Not the New Year I Expected

My world has been turned upside down in the past 24 hours. I don't really know how to do this, so I guess I will just share the story from beginning to end...

I had enjoyed a good New Year's Eve and was home at night eating dinner with a neighbor. After dinner I was catching up on a few things and began getting ready for bed at 11:30 pm when a phone call came. One of our cooks in the kitchen at CGA, Phoebe, called to say she had taken her son to the Mbita Health Center a few minutes earlier because he was coughing up blood and they were being referred to Homa Bay District Hospital. The Mbita Health Center only had one nurse on duty; no doctor was willing to come in and they wouldn't release an ambulance to take him to Homa Bay, 45 kilometers away on a very bad dirt road. So they had no way to get help.

To help you understand the severity of the situation, let me give you a little background. Her son was Javan Ochieng. He is 17 years old and used to be a student at CGA. In 2004 through the help of a sponsor, CGA assisted Javan in getting open heart surgery to put two artificial valves in his heart. At the time he had no parents and was staying with some relatives. Since then his mother showed back up after being away for most of his life. After his surgery CGA has continued to support him to travel on a regular basis to see the doctor who performed the surgery. He also was on blood thinning medication that we had to hound him to continue to take as he would resist at times.

So when the call came on New Year's Eve I knew it could be serious. I first called Willis, one of our leaders at CGA. He suggested just hiring a taxi to take them to Homa Bay. The proble was that every taxi driver we talked to resisted because they said the road was too bad to travel at night and it was too dangerous with the bandits setting traps on the roads to rob vehicles coming through. You know it must be dangerous if they were willing to turn down the opporutunity to make money. They said they could take him in the morning.

My vehicle was not at my house so I immediately set off on foot at 11:30 pm to reach the clinic and assess the situation better. It is not very wise to walk around the village after dark, but there wasn't much of a choice. Walking for an hour gave me a good chance to pray and think through the situation. So many things were running through my head before I finally arrived.

When I reached the clinic, Javan seemed to be sick, but not so bad. He was coughing blood and wasn't able to talk, but he didn't seem to desperate. His mother explained that he had been fine throughout dinner, but then collapsed in his room after dinner around 10:30 pm. The nurse had given him some IV's, but other than that she wasn't very much help. It seemed like the best thing was to wait until morning and get a taxi to take him to Homa Bay to see a doctor. But the situation deteriorated quickly. He went into shock and started rocking back and forth and mumbling words we couldn't understand. More and more blood kept coming out his mouth and he had no control over his extremeties. He was like a wet noodle. After being with him for 30 minutes it was obvious something had to be done quickly. I found someone with a motorbike to drive me to my vehicle which I collected quickly and drove back to pick up Javan, his mother, and two of their neighbors who were helping.

At 1:15 am we set off for Homa Bay. It is only 45 kilometers away (30 miles), but usually takes about 1 hour 15 minutes in good conditions because it is very rough and much of the road gets washed away by rain. It took us about 1 hour 30 minutes and we only passed one other vehicle the whole way. I think the two Kenyan men were more scared then I was; maybe because I am too naive. Every corner we would approach they would be looking keenly around for bandits or things blocking the road. Javan was still in shock, coughing up blood, flopping back and forth along the bumpy road and mumbling the whole time, complaining about his back. Halfway there he had to go to the bathroom (#2). That wasn't very easy since he had no control over his extremeties. It took all four of us to hold him, take off his pants and help him finish the process.

Finally we arrived in Homa Bay a little before 3:00 am. We rushed him and the nurse took down notes and allowed a medical officer to assess the situation before admitting him into the ward. In the ward a nurse hooked him up to some oxygen and gave him some drugs. He was flopping around in the bed and moaning about his back. At one point the nurse tried to get a sample of his blood, but even though the needle was right in the vein, she could only manage to get out a couple of drops. That is when I realized he might die soon.

Eventually the doctor came in and got to work quickly. He wanted to give Javan a blood transfusion but there was no blood available in the hospital. He asked if any of us were A +. Since I was, they rushed me back to the lab quickly and drew a sample and tested it to make sure it was safe. After clearing that process I had to rush out to the pharmacy and buy a blood bag. They started drawing from my left arm but it was coming so slowly. They were forced to switch to my right arm to fill the bag. I was so happy that I could actually do something to assist. I had felt helpless all night long to relieve the pain that Javan was in. I was excited that God was going to use me to help save his life.

The exact second they finished drawing my blood and removed the needle, I heard some wailing coming from the hallway. At first I didn't think much of it and asked the man with me to go check on Javan. The lab technician cautioned me to rest for a while after giving blood, especially since there wasn't anything to eat or drink. About ten seconds later, it hit me. I went running down the hall to find Javan laying motionless in his bed, with all the women around crying at the top of their lungs. I couldn't control myself. I broke down sobbing thinking of all the things that contributed to this. How it took me so long to walk to the Mbita Health Center. How we delayed in the decision to drive him to Homa Bay. How the nurses and doctors moved so slowly and how my left arm wasn't producing enough blood. A few seconds or minutes could have helped to save his life. I took turns between crying and praying for God to bring him back.

He didn't.

After about thirty minutes I began discussing with the doctor. It seems that Javan's artificial valves must have failed. He had a lot of internal bleeding including all the blood in his lungs. Once those valves fail, the chances of survival are very minimal unless he can get to a specialist (only in Nairobi and Eldoret in Kenya). Because it all happened at nighttime, there wouldn't have been much that could have been done, even if we would have brought him to Homa Bay earlier of even if he got the blood transfusion. Later on that day we discovered that Javan had gotten into a fight two days ago and was beaten severely. He didn't tell his mother because he must have been trying to hide it. Most likely, that is when the heart began failing and the internal bleeding could have begun.

Amazing how fragile life is.

It took about 45 minutes to clear the bills, acquire a burial permit and leave the hosptial. We decided it was better to bring the body home instead of leaving it in the mortuary in Homa Bay which would be expensive and difficult to later retrieve. So we loaded the body back in my Landcruiser and set off for Mbita at 6:15 am when the sun was beginning to rise. The biggest problem now was that it had begun raining about an hour earlier. The road was terrible and my four wheel drive Landcruiser was slipping and sliding all over the road. Somehow God brought us through all of that and we reached Mbita by 8:00 am. Not much was said in the vehicle on the way home.

As is typical custom here, many relatives, friends and neighbors were in the house waiting for the body. As we arrived they began wailing loudly. Those emotions alway strike a chord in me. We helped carry the body into the house and laid it on a mat. I quickly said goodbye and went home to try and get some rest; totally exhausted.

So many thoughts and emotions are running through me right now. I don't know what to say except that it shows how important it is to make sure those around us know Jesus and surrender their lives to Him because none of us know when our time will come.