Cancer

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.