Saturday, January 10, 2009

Dr. Quack-Quack


Maybe when I retire I should open myself up a little clinic. I can be Dra. Quack-Quack, which in the local language would mean ‘sort of like a quack but not exactly”. It shouldn’t cost much to set up. After all, quack doctors do not need any training. They have no boards, no licensing, and no annoying bureaucratic oversight. Why, I could set up my living room to be the waiting room. I could hire a friend to make snacks for people to buy while they are waiting. Another friend who is a master of detailing every bodily symptom and the minutest sensation – including ones you never thought even HAD any sensation - could sit there and write down a list of peoples’ complaints. Another friend does massage so she could work there too. And, we have a floor tile in our living room that sort of looks like some saint's face. I could hire another friend to sell candles so visitors could burn candles to it while they are waiting.

Yesterday a friend got a frantic text from her mother in the village saying that she needed $40 immediately because the quack doctor had told her she had a huge kidney stone and needed treatment urgently. At first I was breathless – who ever heard of a quack doctor charging that much for anything? In a country where the daily wage in rural areas can be as low as $2/day, that is phenomenally steep for a quack doctor. Usually they are paid only a small donation. As I finally began breathing again and oxygen returned to my brain, I began asking how she knew she had a kidney problem? After all, my friend had just been out there last week for New Years and she was fine then.

Turns out she had numbness down her backside and the back of her thigh. Now, it may have been a long time since I was in nursing school but the human body hasn’t changed and I’m sure that is NOT the symptom of kidney stones. In fact, sounds suspiciously like sciatica –pinched nerve in the back. I told the daughter to bring her mother to town. There is a real doctor, a neurologist even, who does charity work every morning and charges only $1. The mother argued a bit because she was apparently quite convinced by the quack doctor that she needed treatment. She said the quack doctor was going to operate on her and it was urgent! Operate???? Yikes!!!

Really, I could do better than that. For only 5-10 cents (I’d have to pay my workers) I could look at all their complaints, listed by my able friend, and any I couldn't help I could at least send them on their way in the right direction for help, whether to the massage lady, the pharmacy, the charity doctor, the appropriate specialist or the government hospital.

My friend put her mom’s name on the list to be seen by the charity doctor this morning and then met her at the bus terminal. As I suspected, he told her it is not kidney disease as she has no trouble urinating, no blood, no pain. It is a pinched nerve. All my friend had to pay was $4 for her mom’s bus fare, $1 for the doctor and $5 for medicine. Saved her a whopping $30 and everybody’s stress has decreased enormously!

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