From what I can see, here are the three biggest
differences between the medical problems of average Chiapans and their counterparts
in the U.S.:
- In isolated Indian villages almost everyone has intestinal worms. A high percentage of
the children display distended abdomens filled with worms.
- Tuberculosis is very common. In the corners of many huts often you see old people simply
lying, waiting to die.
- Especially on weekends and during festivals, Indian males tend to get drunk and hack on
one another with machetes, or shoot one another.
In the January, l973 issue of the Newsletter, Dr. Robert Bowes, who was at
Yerba Buena during 1972 and 1973, writes about his extraordinary experience with one
patient with a too-ordinary ailment:
My attention was drawn to the sound of wretching
outside the "Consultorio" window. It was toward the end of a busy Sunday full of
many interesting cases, but the sounds which caught my ear were the harbingers of a very
long evening. Eighteen-year-old Santiago was assisted into the examining room by his
concerned family and friends. He was pale, sweaty and feverish and almost unable to walk.
After a few minutes of questioning, I learned that for the past three days he had run a
high fever and vomited everything he ate. Physical exam revealed a very firm, tender
abdomen with tenderness accentuated in the right lower quadrant and a positive rebound
sign: almost certainly appendicitis, probably ruptured with peritonitis. A few quick
orders for IV's, catheter, and other preparations for surgery, preceded my summons for Dr.
Sanchez. After a short consultation we agreed that surgery was the only chance this lad
had to live. Dr. John Trummer, the out-going Social Service doctor agreed to assist with
monitoring the patient and giving general anesthetic. With prayerful hearts we began
laparotomy with the aid of spinal anesthesia plus sedatives and ether. Upon opening
the peritoneum -- foul smelling pus heralded the dreaded complication of peritonitis. It
was with much difficulty that we examined the matted-down intestines until we discovered,
not ruptured appendix, but a l/2" hole in the small intestine! With no small effort I
managed a double row of sealing sutures to close the defect, praying that the friable
tissues would hold and heal. More exploration for other holes and possibly a large
roundworm (Ascaris lombricoides) which we now suspected to be the culprit responsible for
the first hole. (A few weeks before in a similar case a roundworm was found free in the
peritoneum during surgery.) No more holes or any worms! Inflamed appendix: removed! Quick
closure! After surgery, the family revealed that Santiago had vomited a l0-inch roundworm
the day before, undoubtedly the culprit responsible for his condition.
Heavy doses of IV and IM antibiotics, several
vensections, and good nursing care were adjuncts to the Creator's healing power. Today, l5
days later, Santiago is eating, walking, and spending some time each day in the sun. He is
still weak and treatment to strengthen him and rid him of his parasites will continue for
several days, but we at Yerba Buena feel that God has already answered our prayers in his
behalf. With his body whole, we pray that his mind will now be open to the message of a
Better Land where such problems will exist no more.
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