Sunday, April 15, 2012

How it all started



ALL ROADS LEAD TO BATABIKA
Prior to Malayaka’s birth on December 22, 2005 I had been organizing a perfect plan with the local authorities to get Sarah to the right people.  Helen, the officer in charge of the Child & Family Protection Unit of the Entebbe police station was working with me to coordinate the effort and we had everything ready.  Together with the Medical Superintendent of Entebbe Hospital we were going to take Sarah to Batabika, a home for the mentally challenged and the right place for Sarah to deliver her baby.  Once this happened I was going be done with my “Good Samaritan” effort and on with my life.
 
Let me back up a few weeks in the story… I found Sarah in a place called Kitoro, a special little town in Entebbe, Uganda.  I first noticed she was pregnant, homeless, and mental ill and I was shocked.  I have seen many terrible things in life but never have I been completely stopped in my tracks.  When I first noticed Sarah I began asking the locals, “what’s up with that lady?”  Some shrugged me off, many laughed, and others just told me the obvious (pregnant – homeless – crazy) as if I couldn’t see for myself. 
 
Over the years I have learned that in Uganda, not unlike many parts of the U.S. and India, people can be heartlessly indifferent to the homeless and mentally ill.  I find it hard not to wonder, when I see people like this, what if that was me, a friend, or one of my family members?  How strange that nothing could make more sense than doing unto others as we want them to do unto us, yet actually doing something often seems senseless.  How can I look past certain things and do nothing?  I remember thinking that if I do nothing and Sarah’s baby dies, I will have nobody to blame but myself. 
 
I started visiting Sarah on a daily basis and we became friends.  I would bring her water and food.  When the locals saw me talking with the insane lady, they would circle around laughing and making jokes.  I had no problem with this but it infuriated Sarah and she would chase them away with a big stick.  In her mind she became my guardian and protector and accepted that I meant her no harm.  Sarah was on another planet…mostly gone, but not completely.  She had moments of clarity and she would talk about her previous life with intensity.  The stories bounced through time, from one topic to the next, but there was a thread of consistency when she talked about experiences at the university and hospital.  I believe she once had a family because she talked of five children, a husband, and a bad accident.  Her stories made me think she was once a teacher, nurse, or other professional.
 
Everyone knew Sarah but no one knew anything about her.  Apparently, she had just walked into town and set up camp.  Sarah was frightened, sad, angry, and like a ghost to these people.  They would mock and make fun of her.  When I would ask about the big stomach to see if she knew she was pregnant, her response would vary.  Sarah would tell me she was attacked and raped, that she was going to kill this baby, or that there was no baby at all.  I became increasingly worried by the set of circumstances facing this young woman (about 30 years old) and the apathy and total disregard of everyone witnessing the tragedy playing out before them.
 
The plan to get Sarah to Batabika was in place, but it was a few days too late.  When I visited her on December 21st she told me her big stomach was hurting.  Knowing nothing about pregnant women and childbirth I started making calls.  Apparently, the water broke and the clock was ticking.  The doctor told me to get her in the car and take her to Batabika, and she would make all the arrangements for them to receive us.  I thought it would be better to get her straight to the maternity ward in Entebbe than try to drive her 40 minutes to Kampala, but she insisted.
When I asked Sarah if she wanted to take a drive and visit her friends at the university, she accepted.  She had no idea what was about to happen, that a baby was on the way, and it is a miracle she agreed to go anywhere with me.  It took her 30 minutes to pack all her belongings into a big sack, and another 30 minutes to get in the car.  Once we started driving, the contractions started.  The louder she shouted the faster I drove, and the faster I drove the louder she shouted.  I was talking to the police and doctors and begging for help.  They insisted I get her to Batabika.  Sarah was vomiting and trying to jump out of the car.  I was holding her arm, swerving through traffic, and she kept saying she wanted to defecate.  The only thing going through my head was not causing an accident and hoping she doesn’t deliver in the car.  I was not prepared!
We made it to Kampala, but got lost trying to find the hospital.  When I stopped to ask someone for directions Sarah escaped and took off running.  Two men helped me catch and drag her back to the car…and told us that all roads lead to Batabika.
We entered the compound of the hospital and I finally felt a sense of relief and a light at the end of the tunnel.  I remember thinking, “Maybe this is almost over and I can go clean my stinking truck.”  I started asking people for assistance.  One person told me to go upstairs, but when I got there other people sent me back downstairs.  I talked to four different people until finally they told me no one was going to help me and I should go to Mulago, the government hospital.  All the while Sarah was in and out of hysteria and I could not let go of her.  She wasn’t fighting but wanted to break free.  I was trying to calm her with stories and anything I could think of, but nothing was working.
The roads leaving Batabika all go to Kampala, but I was totally lost and had no idea how to get to Mulago.  It was about 5:00pm and I found myself in a huge traffic jam on the outskirts of the city.  As I look back now I realize that the driving induced something in Sarah that had us both panicking.  She was in pain and making a lot of noise, I was trying to get to help and we were both stuck in traffic.  This was an emergency, so I decided to drive accordingly.  There was not much of a shoulder, but I was able to get the truck off-road and negotiate through some rough terrain for about 200 feet until I saw police officer looking at me, surprised to see someone driving so recklessly straight for him.