When we were in Addis Ababa earlier this year, 3 of our trustees visited Fetla. This is her story. She is 50 years old and is married, living with her husband and their 2 children. As an Orthodox Christian, she feels supported by her religious faith.
She was recently referred to the Black Lion Hospital with a likely cancerous breast lump and the hospital made a diagnosis of breast cancer with a cerebral metastasis (the cancer had spread to her brain). The hospital had offered to do a fine needle biopsy (presumably of the breast lump) but no hospital records or letters were available to see. Fetla had received 5 doses of radiotherapy to her head.
She also received domiciliary support from her local health centre and 2 health centre nurses visited her while we were present. This is the first time we had seen an outreach team from a health centre visit a patient in their own home.
Her symptoms of blurred vision and ataxia (poor balance and coordination) improved when she started taking the steroid dexamethasone. Her constipation was treated with bisacodyl and she was also prescribed pantoprazole to protect her stomach from ulcers which could be a side effect of the steroids. Her nausea and vomiting had improved on the antiemetic medication metoclopramide.
Nurse Kalkidan had established that Fetla had been made aware she had cancer, but not that the disease had spread to her head. She spent time talking with her providing psychological support and encouragement and will visit her again in 2 weeks.
Hospice Ethiopia UK 