Medicine
seems to be able to do so much. And yet
we often see the hard edges of what can be done.
We have a
lady who we will call Tina. Tina has a
grown daughter and lost her husband a few years ago to AIDS. Today Tina is sick. Very sick.
Because of her HIV she has suffered from a stroke. The root cause is a viral brain atrophy condition called PML where only 1 in 10 come out recovered. It seems that no real treatment is available for PML.
Add to
this, Tina has HIV 2 – a version usually found in W. Africa and which does not
respond to the basic meds we use. She
has been getting treatment from the main govt. hospital in Mumbai – but it
doesn’t seem to be working.
Her
immunity is very low. She has the mouth
sores that we used to see commonly before the Anti-Retroviral medications were widely
used.
And on top
of all of this she has a large ulcerous sore.
It’s this
sore that brought Tina to us. One of our
Home-Based Care teams was diligently caring for Tina at her home. But things just got too bad. Though our nurses were pressed into
home-visits to help dress the sore, it just would not heal.
Tina’s daughter
goes to work early every morning.
Leaving Tina at home all day.
Someone has to earn if they are going to eat and continue to pay the
rent. But Tina’s wound just has not been
healing.
So to give
mother and daughter some respite, we brought Tina to the JSK centre. Her daughter comes in the evening and sleeps with her - then leaves early the next morning for work.
To our dismay, Tina developed 2 more sores yesterday. These are not 'bed sores.' They point to an on-going infection in Tina. One that is clearly not under control. The basic antibiotics that we have been
giving orally to Tina do not seem to have worked. A pus culture done on the original sore shows a serious bacterial
infection. If it spreads further it could well be the
end of Tina span of life on this blue ball. Sheba had asked for a
sensitivity test to be done – the good news is that the bacterial shows that it may still respond to most higher
level antibiotics.
This morning
we started on a high-dose regime, given intravenously. Will Tina be able to pull through?
We just don’t
know.
Sheba spent
some time with her today. Talked about
forgiving others. Talked about the hope
that we have in Jesus.
Tina responded. She cried and prayed. Prayed to set herself right with God. To accept His great love for her. And then she prayed for those have hurt her
so much over the years. She expressed a
deep happiness that she was able to do this.
Here is a
woman who has lost everything. Who is at
the very edge of her life. But yet has
something that so many do not have. A
real sense of peace. It’s a peace that has
precious little to do with her circumstances.
Others would rage and curse, but Tina is working through what may be the
end – or maybe another beginning – with something nothing short of remarkable.
It is
humbling to serve folks like Tina.
Looking
back on the 11 years that we have now been at this – I can say again how
grateful I am for each person who has worked alongside us at JSK.
Our
partings have not always been the most cordial. But each single person has
touched so many of the quiet unknowns like Tina. The current batch who are part of the JSK
team are so precious, so vital to see the small steps forward in love like we
see happening in Tina’s life.
Agnes, Anil,
Annie, Carmella, Chinnamma, Daniel, Dipali, Dipika, Giri, Kamal, Marise, Peter,
Sandhya, Sangeeta, Santosh, Sheba, Sunita and Vikas are all such a
blessing. Their ongoing love in action
has made many who are poor to be rich in love.
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