Sunday, June 12, 2005

The Illiterate Surgeon - New York Times

. Kristoff writes compellingly about the ostracization of women with vesiculovaginal fistulas (VVF). This last April when I was in Nigeria, I saw first-hand the joy of these women who had their lives in a sense given back to them after VVF surgery and rehab.Many of these were child brides who had been abandoned by even their own families. At the hospital in Jos, Nigeria they are also put up for three months and are given vocational training...

The Illiterate Surgeon - New York Times: "Just about the worst thing that can happen to a teenage girl in this world is to develop an obstetric fistula that leaves her trickling bodily wastes, stinking and shunned by everyone around her. That happened four decades ago to Mamitu Gashe."...

Ms. Mamitu's story begins when she was an illiterate 15-year-old in a remote Ethiopian village unreachable by road and with no doctor nearby. She married a local man, became pregnant and after three days of labor, she lapsed into unconsciousness and the baby was stillborn.
"After I woke up, the bed was wet" with urine, she remembers. "I thought I would get better after two or three days, but I didn't."
That's typically how an obstetric fistula arises...
Soon she stinks. Her husband normally abandons her, the constant trickle of urine leaves her with terrible sores on her legs, and if she survives at all she is told to build a hut away from the rest of the village and to stay away from the village well. Some girls die of infections or suicide, but many linger for decades as pariahs and hermits - their lives effectively over at the age of about 15...They are the 21st century's lepers...

Ms. Mamitu was exceptionally lucky in that she was brought to a hospital here in Addis Ababa that offered free surgery by a saintly husband and wife pair of gynecologists from Australia, Reginald and Catherine Hamlin. Reg is now dead, while Catherine is the Mother Teresa of our time and is long overdue for a Nobel Peace Prize...

After that operation, 42 years ago, Ms. Mamitu was given a job making beds in the hospital. Then she began helping out during surgeries...Eventually, Ms. Mamitu was routinely performing the entire fistula repair herself.
Over the decades, Ms. Mamitu has gradually become one of the world's most experienced fistula surgeons. Gynecologists from around the world go to the Addis Ababa Fistula Hospital to train in fistula repair, and typically their teacher is Ms. Mamitu.

Not bad for an illiterate Ethiopian peasant who as a child never went to a day of school.

A few years ago, Ms. Mamitu tired of being an illiterate master surgeon, and so she began night school. She's now in the third grade...

Ms. Mamitu shows us what a tragedy it would be to write them off. A couple of Australians once gave Ms. Mamitu a break, and so today Ms. Mamitu is not a victim at all, but an inspiration.

And, I hope, an inspiration to us to be more generous.











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