The Broken Digit
Ordinarily, one wouldn’t bother to write a
blog about a broken finger. There are
plenty of worse things and more interesting, but I think you’ll enjoy or possibly gasp some of
this. let me say though - up front - that the actual doctors involved in this were excellent: professional, caring and with a good sense of humor. So Dr. Ronald - if you're reading this know that you and your team were great. But someone needs to invest in a ring cutter of the non-saw-wielding kind.
In the Beginning:
It was the second day of Safari when it
happened. Could have happened to anyone
– and frankly I’m REALLY glad it happened to me instead of one of the
kids. We were all unfolding from the 4X4
– wild animals called – and we answered.
I had my hand in the door frame pulling myself forward from the rear
seat of the Prada and seem to remember
the driver commanding: “Shut the door!”
And so – the door was shut. Thank
god it was not a Mercedes of one of those other heavy, air-tight
doors. My whole hand would have been
toast – or more aptly – crumbs or mush. But this was an old and well used SUV and the
doors were not so heavy nor so tight. And
this – as Martha Stewart would say – “is a good thing.” It was a bit before anyone else realized what
had happened and my hand stayed shut in the slammed door.
Well – nothin’ to do after the scream but
get out and see animals – although I have no memory of what they were. This is Africa – no ice for swelling. No Minor Emergency Clinic around the
corner. It was three days before we made
it back to Gulu and the possibility of help.
As a good friend told his wife some years ago: “Just wrap it and go (he’s
learned to regret that …) and so we
did. I had a ring on that finger – a
nice silver thing made in Ethiopia.
The finger swelled to look like a purple sausage… Brett – traveling as always with a medical
kit, devised a dandy splint and we wrapped it.
At any restaurant with ice (a rarity in these parts) we got a bag and
put it around the finger. Damn! It was
my “shootin’ the bird finger!” It’s a
rather obvious finger to have wrapped and even here people know what that means
and look a little askance at this white woman who seems to be making an obscene
gesture – and has the audacity to wrap it in white. . It’s not intentional – really.
Anyway – moving forward… I called PC Medical and they called the best
hospital in Gulu to see if they had/have a ring cutter – standard for any
trauma or emergency center. “It is not there - but we have a man who works in
the metal shop and he can cut if off under a doctor’s supervision.” Oh Jeeze – the combination of words metal
shop – cut off under supervision was making me sweat. So we four canvassed Gulu for a pair of
wire cutting dikes. No – no such thing
in Gulu. OK – still weren’t sure whether it
was just a nasty smash job or a break.
So we fell upon an “X-Ray and Imaging Studio” on the second floor of a building accessed by
a perilously shaky winding metal staircase leading to a balcony/walkway with no
railing. (I’m developing a better
appreciation for US building codes.) I went up while the other three continue
to look for a pair of dikes. As luck
would have it, while I was there I ran into the Sociopathic Head Teacher from
Peter’s school - you remember the SHT?
Is there no mercy? Well – I have
broken the appropriate finger it appears.
I was ushered into a small, dreary back
room, seated next to an X-Ray machine from somewhere back in the 50’s and
several pictures were taken. No
protective shielding for me – 6” away, but the lab-tech left the room… They were developed fairly quickly and I paid
less than $10 US for what in the States would have been in the hundreds. The digit was broken for sure and interesting
looking bifurcated break. How to get
that ring off?
We got a private hire to the hospital and the
day was getting toward afternoon. We
piled out of the car and headed for the
Casualty Department and the doctor who had been called was in surgery, so I was
left to find the metal worker and negotiate the removal of the ring. And this is where the comedy began. You can’t make this stuff up. And this was the sign outside the hospital the waiting area of the hospital. I like this.
The Blade Master:
We were intercepted by a nurse to whom I
told my story and suggested she might want to locate the ring-cutter soon to be known as The Blade Master. She sent someone
to the metal-working-shop and we
waited outside. Soon, a middle aged
Italian man drove up in his truck, about to leave the hospital – it was closing time, but we chatted. He was large, boasting several days of white
stubble, mischievous twinkling eyes, a display of large fuzzy, yellow teeth and a shirt straining at the
stomach. Nothing wrong with any of
this, but not a comforting for someone who is about to cut your finger
off with a saw. Oops - did I say that - I meant cut your ring off - not finger - no - not finger.
The man grinned and announced “I haf dooone
eeet… using saw – don’t woorrrry!” I WAS
worried so asked how many times he had done this and he said “at least four or
fiffe times.” And with what I considered a wantonly sadistic gleam in his eye, he offered, “I haf cut riiinggs not just frrrom feenger…!” Asking what else had he cut rings from he
said – a little too excitedly and with a deep chortle– “from peenises.” He thought this was pretty funny and in retrospect it was downright hysterical but I’m
sure I heard several men behind me passing
out.
He left to get his equipment – and returned
full of enthusiasm walking down the road toward me holding a 12” long electric
rotary saw (a router?) over his head
like he the &%#$ Statue of
Liberty. In my freaked out state, he appeared entirely too happy about
this. There was a long cord dangling - no
plug, just raw wires to stick into the outlet – meaning it could stop in mid
cut… Erase any image you may have of those nice lady-like Dremel tools. This thing was BIG with a 6" circular blade - rusty - well nicked. Tim the Tool Man would have been proud.
My innards were beginning to roil as we
were ushered to a treatment room where the man happily stuck the wires into a
socket and turned the saw on – full squeal (the saw – not me – yet) and moved
toward me – still with the twinkle in his eye – and reaching for my arm. This man is jolly and obviously loves his work. Me - not so much.
A group was beginning to form as all of us
gasped in horror and began to pull away from the saw, explaining loudly that he
not getting near my hand with that saw.
This was pretty much the conversation:
Blade Master (BM): “Don’t worry. You not move – no problem.”
Me: "It’s not YOUR hand."
BM: “You too anxious. Someone hold her
down.”
Travis and Brett: “You have to protect the knuckles.”
BM: "If she not move – no worry." I sense that this man is very good at making and repairing all things metal, an expert in fact - but my finger is not metal
Me again: "Your blade (did I say it was a 6" blade?) is bigger than my hand and wider than my knuckles… what if it slips?”
BM - Broad grin: "No worries - if it slips - we're in hospital!" Hahahahah
BM: “Give her drugs maybe… zanax,” but I'm thinking they're gonna have to chloroform me to get any closer with that blade...
Brett: "The safer you make this, the less you
have to worry about her moving.”
BM: Grabs my arm – puts it on the table:
“You just hold her.” whirrrrrrr
Travis: “Alright everyone quiet! Conference – outside. You - turn off the saw."
There are now six people in the room, including two
Ugandan staff are frantically trying to find things to protect the
knuckles and have come up with flat metal pieces to guard the rest of the hand. Molly has left the room –
feeling a bit faint at this point.
Me: “You have a metal shop – right? You cut
wires? Yes? Go get some metal cutting
dikes – now-now. This ring is silver – soft metal – dikes will work.”
BM - crestfallen: “Saw will work – you too
anxious! That ring stainless – dikes not work - but we try.” He left muttering but returned with two sets of dikes and a hacksaw.
The smallest pair of dikes and a strong hand did the trick.
The Blade Master left shaking his head over this bunch of weenies. Wish we’d filmed this – but abject terror
kinda puts the lid on creativity – especially when the photographer was getting nauseous ;-) I think Molly got a picture of me with him the next day. He was a good sport - asked if we had another ring to saw off.
Next day: no setting of the finger
yesterday. By the time we got the ring
off everyone had left and the doctor was still in surgery but called me at home
to apologize. Really nice man - would never happen in the
States.
I was met the next morning by the Dr. Ronald Okidi, the doctor PC
had called. Lovely man – he walked me
through all of the paper work – short-cutting the process by hours and we were
escorted into a surgical room. Again –
this would not have happened in the US. Very personal treatment.
Everyone was allowed to stay and somewhat
of a party atmosphere filled the air out of pure nervousness. Pictures were taken… These guys are very professional and gave me
the requisite shots to eliminate any possibility of my feeling anything while
they worked on the hand. The shots were
hideous I have to say and there were a lot of them. But I had impressed upon the PC doctor who
relayed the information to this doctor that I did not want to feel pain.
Well – the broken bones in the finger had
already begun to fuse and I’ve never
seem so many un-natural movements of a finger, but by that time I was feeling no pain.
Six or so x-rays later, it was clear that this finger was not going to budge and so they re-splinted it and gave me some nice little red pills for pain later. Surprisingly, there was very little. The knuckles are intact and I
think I’ll get full range of motion with the finger someday but right now it’s
still a little sausage like and the tip dips down like it’s embarrassed.
The entire bill from “soup to nuts” was just about 200,000sh – less than
$100 US dollars.
The experience with the Blade Master –
priceless.
Read at your own risk – a little
cannibalism goes a long way. You can always rely on your friends to make you feel better.