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The Man Who Returned Home
  by Kari Masson


Second only to the chief, 40-year old Daouda Mbengue is the most respected man in the Lébou fishing village of Sindou. Although he speaks three languages and completed his medical degree in the capital city of Dakar, this is not what sets him apart. His two wives and their sons are considered a symbol of status in his Muslim community, but that’s not why he is admired. What distinguishes Daouda is that he returned home.

After earning his degree, Daouda was offered a prestigious job with the Senegalese military. He worked in the children’s hospital of a large city and specialized in tuberculosis, a very different world than he knew growing up in the small fishing village of Sindou. His father and grandfathers had pulled their lives from the ocean, but commercial fishing boats had slowly emptied the waters. Now, the only way for a Lébou man to make a good living is to leave the villages for the cities, just as Daouda did. But one day he received news that his village had built a clinic, and the country’s shortage of medical workers meant that there was no one to staff it.

Kari Masson“Asalaam malecum,” I said, greeting the man wearing a lab coat as I took off my plastic sandals and entered in. I had only been in Senegal a few months, but already my cultural eyes had adjusted. I could see that this small, cement block building, with no water or power, was a symbol of progress for the people of Sindou. Unlike their neighbors, they now had a clinic. When malaria made its annual trek through the country, they would have a place to go for medicine. When their children fell on the jagged rocks, they could be stitched up. They had someone they could trust, one of their own who had come home to help them. They also had me, a young American who stumbled through their language and didn’t know the first thing about treating malaria. But Daouda understood my greeting, and he reached out to shake my hand. “Malecum salaam,” he said heartily.

Daouda introduced me to the clinic staff, which included Aida the assistant, Pape the pharmacist, and Mbaye Siny the crippled receptionist. His painfully twisted leg was the result of a poorly aimed immunization needle that had damaged his sciatic nerve as an infant, a fact that did not escape me the day Daouda taught me to give injections and run an I.V. I had prayed that my first patients would not be children, the ones with big, fat tears on their pudgy cheeks, screaming to their mothers that they were scared of the white girl. In fact, the experience could not have been any farther from what I’d imagined.

After dousing myself in sunblock, Daouda and I walked across the brown sand, between the dry Baobob trees, to the village of Pintiure. The rumor was that a woman was very sick, but her family did not have the money to have her hospitalized. We found her lying on a thin foam mat in a round hut, surrounded by her sisters who were chanting and praying to Allah. Her name was Fatou. She was severely dehydrated and not responding. Daouda’s resourcefulness impressed me once again as he strung an I.V. up to the straw roof. As I helped him he said, in what I hoped was a joking tone, “Tomorrow you will do this by yourself. I’ll just watch.”

True to his word, the next day Daouda watched me preparing and then administering Fatou’s intravenous cocktail, a complicated five-hour process that became even more difficult when I applied hand lotion without thinking. Daouda only thought he had his hands full with me before – now my slippery fingers were incapable of doing anything, it seemed.

Kari administers Fatou's IV with DaoudaBut my prayers had been answered. The first veins I worked on belonged to an adult who could not respond with tears or cries. Ironically, now I prayed that she would. As we drank rounds of strong mint tea and waited, Daouda asked if I could come back tomorrow and do the same thing alone. Even though we had been joking all day -- like when I asked what to do with the used needles and he told me to eat them to be sure the kids didn’t play with them -- I decided not to respond sarcastically in case he was serious. He was.

Daouda had been forced to pick up a night shift at a hospital in town to supplement his $50 salary each month from the clinic, the most the village could afford to pay him. The next day he would work in the clinic in the morning, come by Pintiure to check on me in on his way to the hospital to work the night shift, then make it back to Sindou in time to work the next morning.

When we left that evening, Fatou had opened her eyes a few times, coughed once, and was moving her right arm. Her oldest sister tried to pay Daouda 2000 cfa ($4) which would cover about a third of the cost of the treatments, but Daouda refused and insisted that the money should stay in Pintiure where many were malnourished. His selflessness and perseverance never ceased to amaze and humble me.

A few weeks later, one of the sisters in my Senegalese host family brought her two-year old daughter to my house. I quickly recognized the symptoms of malaria, which was actually quite easy to do, so we took her to the clinic. It hadn’t occurred to me that the clinic would be closed since it was Friday afternoon and the men were praying at the mosque. Usually the clinic only closed for weekly prayers, and maybe the occasional soccer match against a rival team. Walking home, we ran into Daouda coming back from a shift at the hospital. Even after working all day and night, he opened the clinic for this little girl.

I followed Daouda into the pharmacy room when he went to get her medications. I told him that I wanted to pay the bill for Awa. He looked at me oddly, so I said again, hoping my accent would be better this time “I want to pay for it.” He smiled, and then mimicked me exactly and said, “I want the clinic to pay for it.” To many of us, this may not seem like a lot, considering her treatment cost $12, but in Senegal that was a week’s pay.

Daouda would not let me pay because Awa was part of my Senegalese family. He knew that I had plenty of money to pay for the little girl’s treatment, but in the Senegalese culture, relationships and family are the most treasured things. I left Senegal a few months later with stuffed bags, a filled heart, and a deep respect for a wise man named Daouda Mbengue, the man who returned home.

© Kari Masson

If you liked this read another article by Kari Masson.
 

About the Author

Kari Masson has a very colorful collection of stamps in her passport. She grew up in Cote d’Ivoire, studied in the UK, spent time with the Maasai people of Kenya, camped in the Swedish tundra, worked in a health clinic in Senegal, and currently lives in Lyon, France with her husband.

She draws on her experiences as inspiration for articles that have appeared in travel, cross-cultural, and expatriate-focused publications in North America, Europe, and Africa.  See more of her work here.

The Lébou People

The Lébou people are West Africa’s fishermen. Numbering 300,000, they live along the coastal regions of Senegal, Mauritania, Gambia, and Guinea-Bissau. As large cities have grown up along the coast, they have lost much of their land, and also their waters to commercial fishing groups. Within the cities you can still find Lébou villages, such as N’gor, Ouakam, and Yoff in Dakar. The village of Sindou is located further up the coast, tucked between Bargny, Mbao, and Cayar.

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