â
âNothing more?â Karen asked.
âNothing else need be said.â Mataa said.
Acceptance was a mandate to survival. Another child would be born and another child would die.
It was the eyes that Karen could not forget.
She taped the wound on the foot of the woman in front of her.
âMataa, tell her to keep it clean.â
âYa, lady doc.â Mataa had started to call her that.
It didnât really matter. The woman would not keep it clean but her body had built up such a resistance to every possible type of infection that the tape would wear off, the wound would heal, and life would go on.
Karen walked out to the old man and the boy.
â Al-salamu alaykum .â She pulled the scarf around her head. It was taking some time for her to remember to do so, but every time she forgot, the looks were a quick reminder.
â Wa alaykum s-salam .â The old man pushed the boy forward towards the doctor.
âOh, my. Hello.â
He had brown eyes that followed her with the occasional blink. His head was on a slight tilt, as if he was protecting his neck. She felt his head and it was burning up with fever. She tried to move his head and the child whimpered. Other doctors may not have known what to suspect. Karen was, however, the daughter of the number-one expert in the world on this disease.
âMataa?â she called for the helper. âPlease ask how long the child has been sick.â
âHe says two days. He doesnât sound very sure.â
âWhy not?â
âThe child is from another village just to the east.â
âOkay.â
âShould I give this child a cot?â
âYes, but not in the tent. Take one out of the last tent and put it there, between the rocks.â It was the best that could be done for an isolation ward.
Â
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âSo, what do you think it is?â
Karen was perched on top of the highest rock with the satellite phone. Peter was standing nearby. She wanted to cry when she heard her fatherâs voice.
âMeningitis. No doubt.â Karen plugged her finger into her ear so as to hear his voice clearly. âWhich strain, I donât know.â
âCanât be a surprise. Youâre in the middle of the meningitis belt.â Paul Stewart used his clinical voice when he talked of medical cases.
âWe have put him on the strongest antibiotic we have, but we donât have vancomycin.â
âI understand. Just make him comfortable.â
It was clear that the child might not survive. He could be in admissions at an emergency room in a major medical facility and still not make it to sundown.
âYes.â She didnât like what was being said, but she knew the truth well before sheâd made the call.
âCan you get me a sample of his blood?â
She knew he was right. It may help others to know what strain was involved.
âWe have a satellite link. I think we can send a picture to you.â
They had a remote location link and a generator that could be powered up when needed. She would have a picture of the slide to him before the end of work the next day in Atlanta.
âThanks.â
âIs everything going well?â It was the fatherâs voice that was now kicking in.
âYes, I am learning so much.â
âWell, you will be finished before you know it.â
âI know. Dr. DuBose has been a great help.â
âLove you. Bye.â
The link cut off.
âMataa, ask the old man how we get to the boyâs village.â
The nurse hesitated. âI donât know.â
âWe need to see if we can stop the spread of this disease before it goes farther.â
Stewart had been fully inoculated to include the meningitis vaccination. It may have not been the right one, but her risk of getting sick was fairly low. However, the disease could spread quickly. Neisseria meningitidis could infect an entire village within hours. Others would get
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