Thursday, March 26, 2015

Goshen: A Gift from God

“A great name among men is as letters traced in sand, but a spotless character will endure to all eternity.”
~EGW, God’s Amazing Grace, p. 81~

 
I first met Goshen when she was about 8 months old.  She was admitted onto the pediatric ward, from emergency, with a diagnosis of pneumonia due to pulmonary hypertension and bad heart.  She was being breastfed at the time and the trick was to maneuver a way in which her twin sister, Shiloh could also breastfeed, without getting sick herself.  After about two weeks, Goshen was off oxygen and fit enough to go home. 

About six months later, our dear Goshen, was back in the hospital for the same thing.  She had been seeing the cardiologist, Dr. Priester, for her heart condition and, along with Dr. Varona and her parents, we were working on a way to have her see a pediatric cardiologist in South Africa or India, for further assessment and possible treatment.  Just like when she was admitted before, even though there were no bilateral crackles in the chest or fevers, Goshen’s biggest issue was weaning her off oxygen.  Other than that, she was pretty much a happy baby. You could walk into the room, find her standing, talking, eating and playing and her oxygen saturation would be 50-60 percent (she’d manage to remover her nasal cannula)… her lips would give her away (they’d be a little blue and dusky).  She learned to cope with her hypoxia. After about two and half to three weeks, she was discharged. 

A year had passed since I last saw the spunky and energetic, Ms. Goshen.  I remember coming into work that Monday morning, receiving the report and saying, “I know this little girl!” (Her name was too unique to forget and I loved it!) Yet, this time, when she was admitted, she was worse.  It seemed as if, she was not going to make it through the night or at least before the week was out.  Considering Goshen’s current condition, medical history, and council from the pediatric cardiologist, Dr. Kennedy, even Dr. Varona prepared the parents for the worst.  However, by Thursday, Goshen had improved drastically.  By week three to four, after not seeing any change in her ability to be weaned off oxygen, Dr. Varona decided that was most likely an issue that was chronic and would not be easily remedied. Therefore, she’d have to go home on oxygen. 

Goshen faced other challenges, as the days tarried.  Her health seemed to be on a see-saw; teetering up and down, over and over again.  She’d develop fever or have to be on high oxygen flow; not to mention, the fluid in her lungs or the wheezes never seemed to really go away (it just wasn’t as much).  We used the maximum dosages of bronchodilators, vasodilators, medications to decrease the pulmonary hypertension in the lungs, and increase the contractility of the heart. We exhausted every option when it came to the battling infections…

REGRETS

Sabbath morning (less than two weeks ago), I had made an unannounced visit to the pediatric ward to see Goshen.  I had baked some banana nut muffins, accompanied by a homemade card.  As I entered room six and stood before the last bed near the window, I remember seeing how happy she was.  She was standing on the bed, playing, while looking at the window, people watching.  She seemed to be in her own little imaginary world, content at being 2 ½ years old.  I said hello, played with her a bit, and had a word of prayer, and thanked God for His goodness and Goshen’s will to live. She had beaten so many odds (That day she was on 3.5 liters of oxygen, instead of the 13.5 I saw her on that Thursday). I was happy.  However, I felt as if the Holy Spirit was prompting me to go ahead and take a picture with my little friend, because I may not have another opportunity to do so.

I never took that photo.

Regret. 

Goshen is gone today and all I have are memories. I’m heartbroken.  Yet, I am grateful I was her nurse those almost 2 years ago and the same nurse before she left this world 2 years later.  I will remember the good times and those funny and intimate quiet moments that she and I shared. I will remember the times we smiled together, played together, and how she finally saw me as her friend; someone she could trust. 

It’s very difficult to write this little memoir without crying.  She had such beautifully contagious spirit, that she affected the lives of all she came in contact.  From housekeep, to kitchen staff; theatre, the hospital chaplain and orderlies; from nurses (old wing/new wing/ICU), to lab technicians, doctors, and her fellow pediatric inmates J ; Goshen was our longest staying patient.  She made friends with all and she will be greatly missed.

As I stood with Mrs. Chaputera, transporting her tiny body to be sent to the College of Medicines mortuary, I couldn’t help but notice all the love that surrounded this little girl.  I had never seen so many people gather outside to pay their final respects.  Parents of other children on the ward, who had a chance to befriend Goshen, as well as nurses from other areas of the hospital.  Goshen will be missed, but not forgotten.  I can’t wait for the day to be reunited with her and others we’ve lost along the way in heaven.  Death is but a sleep!

Even so, come Lord Jesus!

“A great name among men is as letters traced in sand, but a spotless character will endure to all eternity.” (EGW, God’s Amazing Grace, p. 81)