“Not only medicines make patients feel better. Dancing can do that too!” – Dr. Zola

Liz B | Clinician |

I’ve shared several posts now about the challenges and frustrations I’ve encountered while caring for cancer patients in Botswana, but I also need to mention a couple funny and soul-nourishing moments which could only happen here.

Dr. Zola
Dr. Zola

One day on rounds, I was evaluating a patient with Dr. Musimar Zola (who came to Botswana due to the political instability of his home country, the Democratic Republic of Congo) as well as several nurses.  He gave me a short history of what brought the patient to the hospital, and mentioned that the patient believed he got prostate cancer because an enemy put a curse on him.  I looked at the patient, then looked curiously at Dr. Zola and the nurses, strangely feeling the need to state the obvious.  “But…you know that’s all superstition, right?  That’s not real.”  They looked curiously back at me, and it was one of those moments where the cultural divide felt like a huge yawning canyon between us.  One of the nurses simply said, “We are Africans, we believe in magic.”  Dr. Zola then proceeded to tell me about the different categories of magic, including white magic and black magic, and the manifestations he’s seen of each.  I had never had a conversation like this on rounds before!  I realized at that moment that many (though not all) African physicians have this unique ability to marry their scientific understanding of disease with their spiritual and cultural beliefs.  American physicians tend to strictly separate the two realms with no acknowledgment of an overlap.  It was fun to get an education from the African doctors and nurses about a topic that was definitely never mentioned in medical school!

Princess Marina Hospital Oncology Team
Princess Marina Hospital Oncology Team

While in the US we have very sophisticated technologies to diagnose and characterize all different forms of cancers, in Botswana we still have to rely on simple and limited tools.  One of the easiest cancers to diagnose clinically is chronic myelogenous leukemia (CML).  The internal medicine doctors alerted me about a man who had a big spleen and an extremely high number of white blood cells.  All I had to do was look at his blood under the microscope, and it looked like a textbook picture of the disease—a dense crowd of white blood cells at different stages of maturation, and an increased number of dark purple cells called basophils.  I sent his blood for further testing to confirm the typical switching of chromosome parts, and started him on treatment to reduce the number of white blood cells.  Luckily in Botswana we have the wonder drug which has completely changed the lives of people with CML—imatinib (Gleevec).  After starting him on Gleevec, he rapidly improved—his enormous spleen, previously jutting out above his hip, shrank to normal size, and his sweats and aches disappeared.  His white blood cell count went from several hundred to normal.  When he came back to see me in clinic, he grabbed my hands and thanked me for saving his life.  Good outcomes for cancer patients are so rare in Botswana, and each time they happen, I feel like I could burst from happiness.  There is truly no better feeling.

Comments

  1. God Bless you and the amazing care you are giving to your patience. The conversation you describe sounds like one I would have loved to hear. What a wonderful gift.

    M | | 1:12pm

Share Your Thoughts

Please remember that your posts and comments are available for all to see. For your privacy, you should consider carefully before posting personal medical information to the internet. This site does not offer medical advice, diagnosis or treatment.

We reserve the right not to publish comments that are abusive or that contain foul language, spam or advertisements for commercial products. Disagreements and feedback/criticism are welcome, but mutual respect is a must.

Part of the conversation "Global Oncology"