A tale of two tumors
The privilege of not going to the doctor
Last week, while working on the hospital ship in Dakar, I met a man I’ll call Amadou.
Amadou is from Senegal. Like many of the patients I see on that hospital ship, he has a tumor. Unlike many, however, he doesn’t have a very big tumor.
He’s had it for about five years, this benign overgrowth of fat cells called a lipoma. In that time, it’s grown to about the size of an apricot pit.
(It’s true; we Americans will do anything to avoid using the metric system).
Amadou’s lipoma may not be big, but it’s in a very visible position, just below his hairline on the right side, overlain by a poorly healed scar.
“What’s this from?” I asked him, touching the scar. “Have you had surgery before?”
Over the last two and a half decades of working in medicine in hospitals across both North America and the African continent, I’ve heard an absolute raft of unexpected patient stories. The kid who got too drunk one night and told his friends push him backward out a second-story window. The other kid who went to a bar specifically to pick a fight with a stranger because he needed a story to tell the girl he wanted to impress. The patient who snuck out of the hospital two days after a free flap to get his cocaine…