Wednesday, February 5, 2014

Curious Kate and the cracked tooth

I guess it’s not really an adventure until you’ve had a medical emergency.  The honest truth is that this was no adventure at all.  This experience tested every ounce of my faith and trust in the one I call Lord.

Last week, my sweet, curious and energetic 3 year old jumped in the pool and somehow managed to hit her chin.  Hard.  So hard that it cracked a molar and chipped a tooth.

We watched it all day and gave her pain meds to help, as it was obvious she was sore.  That night she woke up several times crying out in pain.  By morning her cracked tooth was visibly worse. 

We now knew the tooth was going to need to be taken out.  Ugg.  She’s 3.  We asked some local missionaries about the availability of a dentist in Soroti.  Yes, indeed Soroti does have a dentist, but my missionary friend did not suggest we use him.  His exact words were: “he’s rough.  It will traumatize her.”  SO. NOT. AN. OPTION.  We also consulted a doctor friend in Soroti and he thought the local government hospital would have the equipment necessary.  He would make the call if we wanted.  (Just to insert some background here.  When we first arrived, we were told to NOT go to the government hospital or to EVER take our kids there.  It is extremely unsanitary and would likely expose us to serious illness.)  AGAIN. NOT. AN. OPTION.

It was now Friday morning and we were making quick plans to make an emergency trip to Kampala.  We had to find a clinic that was open on Saturdays, as we knew we would not be able to make the 6+ hour trip to Kampala in time for closing on Friday.  We were given a referral to Jubilee Dental Clinic.  This is where many Muzungus (us white folks) go in Kampala for their dental needs.  Marc called and they were open on Saturday, but booked.  They encouraged us to come early and just wait and hopefully we would be seen.

So that is exactly what we did.  We were seen very quickly and had a consult with the dentist.  He agreed extraction was the route we needed to take.  Then the drama began.  Kate freaked out about the numbing gel.  Not even the needle.  The gel.  We quickly knew this was not going to work.  Even if we did get her numb, she still had to have the needle and then the actual pulling of the tooth.  Could we sedate her? Sure.  But not at this clinic.  BUT THIS IS THE CLINIC THAT 2 DIFFERENT DOCTORS RECOMMENDED. 

Now we had to contact a new clinic.  It was Saturday and we wondered if we would have to wait until Monday for the procedure.  Keep in mind, Kate was hardly eating because her mouth was so sore.  We contacted the clinic and were told to directly contact the anesthesiologist ourselves and arrange with him.  This is not the way things are done in AMERICA.  I started feeling anxious.  We arrived at the clinic and my anxiety did not improve.  By US standards it was in a location we would never visit or take our children to.  Uganda has reminded me “you can’t judge a book by its cover.” Most of the store fronts or clinics look like shambles, but the products or services inside are excellent.  We place a lot of value in appearance in the US, and not that this is bad…but in Uganda it certainly causes me to re-evaluate everything.

We met with Kate’s anesthesiologist and booked the surgery for Sunday morning.  Really? Sunday morning.  7:15 am.  I broke out in hives Saturday night as I anticipated what was to come the next day.  Sedation involved an IV.  Kate does not do well with needles.

As a mom my mind went to every possible worst case scenario.  What if she doesn’t wake up? She’s never been sedated before.  What if she gets seriously ill from lack of sterile equipment?  Are these doctors as good as American ones?  What if I lose my baby girl????  We are in a 3rd world country having oral surgery.  For Kate I was keeping it together…but on the inside I was a wreck.

My dear friend in Australia reminded me: “Everybody is praying.  We love you and we love Kate. But, more importantly, you need to remember that the same God that kept her safe in the US is watching over her in Uganda.  It may be harder for you and me, but it is NO more difficult for Him there than anywhere else!”  Thank you Ellie!

Kate woke up Sunday refusing to leave the house.  She screamed and cried.  I felt so sick, but kept telling myself I had to keep it together for the sake of my whole family.  But all I could think about was what if I lose her?  And trust me I have had to work through this fear already when we agreed to this grand adventure. 

At some point on the trip to the clinic, the God that I LOVE SO MUCH, sent me a small note of encouragement.  A taxi van drove by with the verse “For I know the plans I have for you, declares the Lord.”  Jeremiah 29:11.  Oh God I needed that.  This verse has been an anchor for me for the last 10 years of my life.  His plans.  Good plans.  The verse continues…“plans to prosper you and NOT TO HARM YOU.  Plans to give you a hope AND A FUTURE.”  I held onto the promise that no harm would come to Kate and that she would have a bright future.

Kate did amazing.  She really is the most brave 3 year old I have ever known.  Marc and I had to physically restrain her while the IV was inserted.  She screamed and said the most heart-breaking words.  I put my face in hers so she would see me and not the needle.  I spoke reassuring words to try to calm her down.  I prayed to Jesus to protect her.  Once the medicine was injected she was out within seconds.  At that point her body went completely limp and I burst into tears.  Marc welled up with tears as he handed her over to the doctor to position her properly on the chair.  Our precious little baby girl was out cold and it was scary.

BUT…the doctors were both AMAZING.  So gentle and kind.  The equipment completely sterile and opened from brand new packages.  All my fears were slipping away.  Almost.  The procedure was over and my girl still had not woken up from the sedation.  Spencer came in and talked to her.  Marc talked to her.  I talked to her.  We rubbed her arms and legs and coaxed back to this reality.  And when she opened her eyes…. Honestly I can’t put into words all the emotions that took over at that moment of those precious blues opening and focusing on me.  I knew all was right with the world when she instantly asked if she could have her treat now.  Oh my girl!!

My brave brave girl did amazing.  Thank you to all who prayed and sent words of encouragement.  In hindsight (like in a few years) I may look back and laugh at how worked up I got over this…or not.  This would have been traumatic in the States.  It certainly was traumatic in Uganda.  But my God is big and I am so grateful we were not alone.  Not for one step.

 
The tooth


















Our little drugged girl