In the spring of 2021, I spent three months in Tigray, Ethiopia. It changed me in ways I never would have expected.
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ACEP Now: Vol 41 – No 10 – October 2022As a new field worker with Médecins Sans Frontières (MSF), I was eager to respond to the humanitarian crisis in Tigray, a northern region of Ethiopia. When Tigray entered into a civil war with the Ethiopian government in November 2020, invading troops drove tens of thousands of people from their homes. With the few possessions they could carry, these internally displaced people (IDPs) resettled in camps in cities in Eastern Tigray like Shire, where I was headed.
When I arrived in Shire, there was a sense of being in the eye of the storm. In front of our base, MSF staff and locals gathered in the afternoons to drink coffee and people-watch. But a short walk to the massive IDP camp down the street revealed a grim reality: thousands of people living in and around an abandoned school. As an on-site clinic supervisor, I worked alongside a talented and compassionate group of Ethiopian medical professionals treating patients with upper respiratory infections and diarrheal illness, as well as those with chronic conditions who couldn’t access medication.
The situation in Tigray destabilized as fighting flared over the following weeks. Our Ethiopian colleagues did not feel safe walking to work – they reported being harassed and sometimes assaulted. Tensions grew higher every day. One night, military troops entered several camps and abducted hundreds of Tigrayan men. Our patients were terrified.
Amidst all of this, something strange began to happen to me. About eight weeks into my time in Tigray, my right hand started to swell and ache. Day after day, the swelling and pain got worse until I was unable to use my hand for even simple tasks. A week later, I woke up with swelling and pain at the base of my right big toe. Next it was my left ankle, then my right elbow. I struggled to walk. One of my colleagues, a logistician, crafted a makeshift crutch from a tree branch. My resolve that I was “fine” gradually weakened, and I confronted reality: something was very wrong. My supervisor made the decision that I couldn’t. I had to return to the capital for medical assessment. I knew I would not be coming back.
One long, painful car ride later, I was on a plane back to Addis Ababa. Other joints began to swell and ache: my left hip, right sternoclavicular joint, and the small joints in my feet. At the same time, I grappled with overwhelming guilt and sadness at leaving my Ethiopian colleagues on such short notice. Compounding this grief was my awareness of the privilege I had as a foreigner to have access to the best possible health care when the people of Tigray had nothing.
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2 Responses to “I Spent Three Months in Northern Ethiopia with MSF. I Will Never Be the Same. ”
October 18, 2022
SenaitHi Doctor,
I am glad to know you are doing great and praying for you to go back to your normal self soon.
In behalf of Ethiopian/Tigrayan descendent I just want to extend my selamta and to let you know how great-full we are for your kindness service.
Thank you so much
Senait
November 29, 2022
Rachel T. MoreskyAs your Columbia University Global Emergency Medicine Fellowship Director responsible for sending you with MSF to Tigray during a conflict, I was admittedly concerned about your security. The government-imposed lockdown of Tigray and the communications blackout affecting the internet, cell phones, and landlines caused me frustration as I could not check in on your safety. Your husband and I texted daily. Having also worked in Tigray as a Global EM Fellow in 2001, precisely 20 years before, I had mixed emotions. I was delighted that you might contribute in valuable ways to the Tigrayan communities; however, I was concerned for your safety. The recent ceasefire took two years too long and getting food and medication into Mekelle. As Alex De Wall has written about for decades, famine and mass starvation are used as weapons of war. https://global.oup.com/academic/product/accountability-for-mass-starvation-9780192864734?lang=en&cc=az
I am grateful to the Tigrayan people, MSF, and your Rheumatologist that you are almost back to normal. I wish you that last 5% soon.