Dr Carlos Gomez
Varela, 37, is one of very few surgeons Malawi has. He has performed over 5000
surgeries including separating conjoined twins. He is the only surgeon
government banks on to service the whole of the central region and as I found out, he is a jolly element Malawi should celebrate.
The wide
battered door to the main theatre at Kamuzu Central Hospital swung open and
there in front of me he stood.
Valera |
Dressed in a
black collarless top and a black and yellow bandanna atop his head, the
towering doctor ushers me in to the office. His beard trimmed thin and to a
pattern making a distinct “w” under his mouth.
The Portuguese
name, Carlos Gomez Valeira, is just his name, he is a proper Malawian, his
mother from Mzimba and father from Ntcheu, his ancestors came in from
Mozambique of course.
“I am a very
technical guy, I like fixing things. I wanted to be an orthopaedic surgeon but
that dream never came true.”
Valeira did his
primary school at Namiwawa, and then went to Phwezi Secondary School. He was elasticated
from there while in form three and had to finish his form four at Liwaladzi in
Nkhotakota from where he got selected to go to Chancellor College.
“My father was
not happy and I wanted to make up for the shame I had brought my family so I
told him that I would become a doctor.”
He did and his
parents are now proud of him.
He left
Chancellor College and joined College of Medicine. He salutes Dr. Arturo Muyco,
his mentor and former head of the surgery department at KCH and his mother for
inspiring him to go for further training, his mother actually offered to pay
for his further training. So he did.
Apart from the
seven years at COM, he did an extra 5 years at Groote-schuur which is under the
University of Cape Town in South Africa, under the Fellowship of College of
Surgeons South Africa.
His Malawian
friends he trained with in South Africa picked up jobs abroad. Valeira returned
and as of January 2012 assumed the mantle of head of surgery and is the
consultant surgeon at KCH.
“I would have
decided to stay where I was but I feel for poor people, that is why I am still
stuck here. Poor people drive me; I decided that if there is no one for them, I
would have to be the one. It is a calling.”
Valeira however
does not rule out the possibility of flying out of Malawi, he says he works
under serious challenges which might frustrate him.
“For example, I
was supposed to operate on five people today but because we don’t have gauze, I
will just do two. It’s not the financial part but the work dissatisfaction. We
have no equipment such as patient monitors, sometimes we don’t have anaesthesia
or antibiotics.”
Surgery is definitely an art |
Valeria performs
five or six operations per day and he works does the surgeries on Tuesdays,
Thursdays and Fridays on the other week days, he does ward rounds and his job
description does not stop there: He does administration and is a lecturer at
College of Medicine.
“An am always on
call that is I can be called at any hour of the day. I never really go on
holiday, I cannot afford to be abroad for more than two weeks and even when am
abroad, I have to keep my phone on sometimes so that I can advise on complications.”
The brain drain
problem which sees fine doctors like him trek to the United Kingdom or anywhere
but Malawi does not always involve air tickets, some doctors are lost to
private practice right here in Malawi.
So far
government boasts of two surgeons in Blantyre, Valeria in Lilongwe and on in
Mzuzu and one wonders what the ratio of surgeon to Malawians would be in this
case.
Not that Valeira
is a boring workaholic. He still has his weekends off, his three children
Caroline, Ashley and Hoollie still get to go to play grounds or visit their
grandparents in Blantyre.
His wife, Amanda
whom he met while he was in fifth year of college still goes to bed smiling
because he sometimes cooks for her.
Valeira also
plays basketball and now and then enjoys a cold one with friends. He is also a
fan of action thriller movies and Malawi music, so relax, not all doctors are
nerdy.
A catholic, he
does not hide his respect for intelligent design.
Valera separated these twins who shared a liver |
“Sometimes when
I am about to operate on a complex case, I inwardly pray because I know that no
matter how good a man can be there is need for divine guidance.”
Talking of
Jesus. Comparing Valeira to Jesus, Valeira has made many people healthier but
like Jesus not many come back to thank him, he says he gets an occasional
whisky bottle or a tie as gifts…but then again, Jesus never lived to be
thanked.
Devine guidance aside, Valeria is good. I
joined him in the theatre as he was performing a revision colostomy for an
imperforated anus. Scratch that: a girl was born without an anus and before
they can make one, she has to use a hole on her belly and the procedure was to
repair something about that hole.
The theatre was
crowded with about eight adults in masks, aprons and gloves. Machines flashing
graphs and digits and beeping pulses. The patient covered in linen and the only
exposed part was her belly.
Valeira did his
magic in thirty minutes, using what I would swear was a soldering iron to cut
her open, grab the intestine, clamp it with about ten silver scissors and them
yank off about 15 centimetres which was thrown away.
The way he
stitched the belly would make a seasoned tailor want to go back to school,
working the thread with careful dexterity. Are surgeons born or made, was my
constant query as I watched.
While the
operation was underway, jokes were being cracked and the anaesthetist bringing
in more news of cases that need the knife.
“We work as a
team in here,” said Valeira introducing me to his team, as if I would know them
in the masks.
As he worked,
his assistant on the other side stands next to about a thousand tools, scissors,
pincers and knives and thread and fluids, when Valeira demands a tool she
fishes is instantly and hands it over and when the assistant needs a tool she
barks the instruction to another assistant to the assistant who fetches it from
the drug cabinet in the corner of the room.
Its teamwork |
One guy sits on
the head of the operating table with a stethoscope constantly in his ear,
another minds the monitoring machine, I gasped when the machine stopped
beeping, I didn’t want to witness anything apart from a surgery and I was
lucky, he buried his hand under the linen, fumbled with something and soon the
beep was back!
Valeria earlier
told me that he has lost two people on the operating table, one was a case the
maternity team failed to handle and he was called in too late, the other was a
stab victim who also came to the table too late and both died due to lack of
blood.
“Like I said, we
try but things such as lack of blood supplies frustrate us sometimes,”
complained Valeira.
The colostomy
revision was over and another guy lowered a pipe hissing with air into the patient’s
throat and in a flash the baby coughed, she was then instantly attached to the
oxygen supply.
Asked to cite
some of the interesting cases he has attended to, Valeira points to the case
where he separated Siamese twins who had one liver. He said he can remove
cancers and repair blood vessels but he said he enjoys trauma surgery.
“Surgery
interested me because it gives you instant results, you bring in a patient, I
work on him and instantly see them improve.”
Again he
complained that even if he can do cancer surgery, it is not complete without
radiation and chemotherapy machinery.
As Valeira took
of his gloves and chattered with his team my mind was racing with questions,
does the extravagant government know his real value? What if he gets frustrated
and goes abroad? Will Malawians get surgeries on political podiums?
I was there to see Valera in action |
I stepped out of
the theatre and someone wondered how I managed to stand the sight of blood and
cutting tools. Well, it was not that bad, my photographer Thoko Chikondi
refused to join me and I knew why.
But at least I
witnessed a minor one, Valeira showed me photos of someone whom he fixed by
opening his chest, I asked him what he used to open him up and he said “hammer
and chisel,” to which I replied by staying silent.