Cancer. It is a word that strikes fear into many of us, as
we have seen the suffering of friends going through treatment, or you’ve
experienced it yourselves. It is a rare person who does not know the loss that
occurs when the disease is stronger than the treatment. In the last year I have
had friends all over the world fighting various manifestations of cancer. Some
of them are winning, some of them are not. I am thankful for the access they
have had to quality treatment and care.
In the village though, it is a very different story.
My friend is a doctor at a nearby hospital. She came to stay
with me in the village for the night when she was doing a TB clinic in a nearby
village. In the morning we had a crowd of people waiting outside for their
chance to see the doctor. When I say the hospital is ‘nearby’, it is actually
three hours away and hard to get to for most people and having the doctor in
the village was a chance not to be missed.
View from my verandah, which was briefly a clinic that morning. |
As there was a limited amount of time before my friend had
to leave, she prioritised the patients who got to see her. One of the first was
someone who had been unwell for some time. After a discussion and an examination
the diagnosis was cancer. To receive treatment, the lady would have to go to a
hospital far away. Reaching the hospital would require three hours of boat
travel and 18 hours of travel in the back of a truck along treacherous roads.
She would then have to stay for months, away from family and garden, with the
outcome of treatment uncertain. When one is a subsistence farmer who is reliant
on a network of relationships for social security, this sort of time away from
people and place is nearly impossible. She chose to stay in the village, where
she will die from the disease.
As part of the same trip, my friend had returned another
cancer patient to their village. Cancer treatment is not something her small
rural hospital is able to offer, and the most compassionate course of patient
care was to return them to the village to die among their family.
Off to the TB meeting with community leaders, having finished the critical consultations. |
This is the reality of life and death in the village and
people largely accept it as such. At home we fight death for all it is worth. I
am glad that my friends have been fighting death this year, as I do not want to
farewell them quite yet, but I also see the value in accepting that death will
come. I wish my village friends had access to the healthcare my international
friends have access to, yet I respect their valuing dying at home and among
family rather than fighting for life in a strange and distant place.
Having a foot in both worlds, I am slowly learning to live
with this and the many other contrasts and tensions that are ever present.