Latest / The World Knowledge / How Dreams Survive Hardship
Transcript
- 0:00Speaker 1: Well, good afternoon, listeners. Thank you for listening to Lament
- 0:03Speaker 1: of Hope podcast. And I'm very grateful. This is gonna
- 0:08Speaker 1: be a little unconventional, because if you're watching this, you're
- 0:11Speaker 1: gonna see it's just the logo for the podcast. But Dr.
- 0:15Speaker 1: Katina and I really tried. And unfortunately, we weren't able
- 0:19Speaker 1: to do video, but that's okay. He is in Sudan
- 0:22Speaker 1: right now, And he is Dr. Tom Katina. And I
- 0:29Speaker 1: actually found out about him because I was doing research
- 0:33Speaker 1: on just different individuals who do any kind of humanitarian projects.
- 0:38Speaker 1: And I came across his name and he works in Sudan,
- 0:43Speaker 1: specifically in the Nuba mountain region. And he is, if
- 0:48Speaker 1: I believe this is correct, you're studying, just the one
- 0:51Speaker 1: doctor for this hospital there?
- 0:54Speaker 2: Yeah, well, I was for many years now, thankfully. We have,
- 1:00Speaker 2: as myself and at the hospital proper, we have three
- 1:04Speaker 2: other NUBA doctors who have finished medical school and internship.
- 1:08Speaker 2: They're junior doctors, but they are medical doctors. They did
- 1:12Speaker 2: the medical school in South Sudan. So I've got those
- 1:16Speaker 2: three other doctors with me now.
- 1:18Speaker 1: Okay, and this is called Mother Mercy Hospital, right?
- 1:21Speaker 2: That is correct, right.
- 1:24Speaker 1: Do you still live... Because when I was doing the research,
- 1:28Speaker 1: it said you lived next to the hospital in a hut.
- 1:30Speaker 1: Is that still the case, or.
- 1:34Speaker 2: Yeah, I live right behind the hospital. Now it's a
- 1:36Speaker 2: little more of a glorified hut. It's a brick building.
- 1:40Speaker 2: And we've got a metal roof now. We had a
- 1:42Speaker 2: straw roof before. My kids stay in a real hut.
- 1:48Speaker 2: So we have a compound with a few buildings, a
- 1:50Speaker 2: few small buildings on it. My wife and I stay
- 1:52Speaker 2: in one of the buildings, which is now a brick
- 1:55Speaker 2: structure with a metal roof. It was at a straw
- 1:57Speaker 2: roof forever. And my kids stay in kind of stone buildings.
- 2:09Speaker 2: same little area.
- 2:11Speaker 1: And the hospital it still is so it serves very
- 2:16Speaker 1: poor people and when i was looking at the numbers
- 2:21Speaker 1: i mean this is probably not accurate anymore but you
- 2:24Speaker 1: were doing at one point you were working seven days
- 2:26Speaker 1: a week and you were doing like 500 patients a day.
- 2:31Speaker 2: Yeah i mean unfortunately hasn't changed that much i'm still
- 2:35Speaker 2: working seven days a week um and it's roughly around
- 2:39Speaker 2: the same number i've got i've got more help now
- 2:41Speaker 2: i've got these the junior doctors that are helping a
- 2:44Speaker 2: fair bit uh but it's still a huge number of
- 2:46Speaker 2: people that i've at least have to see every day
- 2:49Speaker 2: they'll do kind of a screening of a lot of
- 2:52Speaker 2: those patients but i'll and kind of come up with
- 2:57Speaker 2: a plan with them. Definitely better than it was, but
- 3:00Speaker 2: still pretty, pretty fast paced and pretty hectic.
- 3:04Speaker 1: So can I ask, cause I mean, even if you're
- 3:10Speaker 1: not the only doctor, you are like the, the most
- 3:14Speaker 1: experienced doctor. So you're going to be the one who's
- 3:16Speaker 1: going to make the hard decisions and also be the
- 3:19Speaker 1: one that is consulted several times. So and maybe you can't,
- 3:26Speaker 1: I don't know, but how does it look? Because I
- 3:29Speaker 1: know you've, you wanted to do this and I want
- 3:31Speaker 1: to talk about your faith a little bit as well. Um,
- 3:35Speaker 1: but you really have a heart for people who don't
- 3:38Speaker 1: have medical care and you wanted to come and provide
- 3:41Speaker 1: very professional medical care for people specifically in Sudan who
- 3:45Speaker 1: don't have that for very poor individuals. And how do you, like,
- 3:53Speaker 1: if you're seeing that many people, in a day or estimated,
- 3:57Speaker 1: you know, we can't know for sure. How does it,
- 4:00Speaker 1: how do you focus in and hone in on one
- 4:04Speaker 1: patient at a time while you're seeing them? Like, cause
- 4:06Speaker 1: I would feel like my mind is running and racing.
- 4:09Speaker 1: How are you, when you sit down with that one
- 4:13Speaker 1: patient and then, you know, you're going to have to
- 4:14Speaker 1: see someone else and everyone needs your time, but you
- 4:17Speaker 1: also want to have a heart of service. How are
- 4:19Speaker 1: you doing that? If there's just so much on your
- 4:23Speaker 1: shoulders to.
- 4:24Speaker 2: Do, Yeah, you know, the numbers are pretty overwhelming. You know,
- 4:31Speaker 2: now I probably will see closer to 300, 350 a day.
- 4:35Speaker 2: It's still a huge number. But over the years, I've
- 4:38Speaker 2: been here now for 18 years. I've been working in
- 4:41Speaker 2: Africa for 20, 26 years. And, you know, that's all
- 4:45Speaker 2: I've done every day for 26 years is see sick people.
- 4:49Speaker 2: So over time, you get pretty good at getting through
- 4:52Speaker 2: stuff pretty fast. and you know it's a lot of
- 4:55Speaker 2: it's a lot of we in medical field called triage
- 4:58Speaker 2: so we kind of see a big picture of people
- 5:01Speaker 2: it's okay this one this one uh i know what's
- 5:03Speaker 2: going on with them you kind of do a quick
- 5:06Speaker 2: quick hello a quick check up this is what we
- 5:08Speaker 2: do today it's got to be at that pace somebody
- 5:11Speaker 2: else that's got something a little more complicated you got
- 5:13Speaker 2: to slow yourself down really take time what's going on
- 5:19Speaker 2: with him or her. But a lot of them, it's
- 5:21Speaker 2: just like pattern recognition. You know, I've seen so many
- 5:25Speaker 2: patients over the years, I can just look at them
- 5:27Speaker 2: very quickly and say, okay, I think this is the issue.
- 5:30Speaker 2: Let's go ahead and do this. Now it's better because
- 5:32Speaker 2: I've got, again, there's usually a junior doctor and we
- 5:36Speaker 2: have other people called clerics as part of the team
- 5:40Speaker 2: doing rounds that day. So I go, I'll make a
- 5:43Speaker 2: quick decision on something, and I have them do a
- 5:46Speaker 2: lot of the back talk. So, okay, I need you
- 5:49Speaker 2: to go back and talk to this family about what
- 5:51Speaker 2: this patient's diagnosis is. What are the potentials that we
- 5:55Speaker 2: can do for treatment? This is why we're choosing this
- 5:57Speaker 2: course of treatment. with that family explaining things. It's definitely
- 6:04Speaker 2: not ideal as a doc to try to do things
- 6:07Speaker 2: so quickly, but I think just through the time pressure,
- 6:10Speaker 2: that's how I've got to do it. And unfortunately now
- 6:13Speaker 2: I still have to kind of follow that mode. We'll
- 6:16Speaker 2: get through things pretty quickly, but it's just been kind
- 6:19Speaker 2: of learned responses over the years. I'm able to get
- 6:22Speaker 2: through a big crowd of people pretty fast just by
- 6:28Speaker 2: nature of having done it so many times over so
- 6:30Speaker 2: many years.