Perseverance / Albania

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A Whole New Way of Thinking About a Successful Dental Appointment

Albania- Mid-May

     In May one year I set up a clinic in a Gypsy village in Albania. I did as much research as I possibly could about the Roma before I left, but one thing I was sure of was that I was not going to know everything. I did read in an interesting anthropology book called ‘Bury Me Standing’ about the Eastern European Gypsies which at least impressed on me that if I was ever going to learn anything about them I should never ask questions, but simply observe.

     I met up with an Albanian dentist friend of mine named Ardi, and the two of us went to a Gypsy village about two hours north of the capitol, Tirana. We met with a young Albanian pastor named Mondi who along with his small church in Leshe was trying to reach out to the Gypsies and help them in what ever way they could, and inviting Ardi and I to set up a dental clinic was one way to do that.

     Ardi and I set up a make-shift clinic in what was probably someones garage with the portable equipment I had brought from America. It didn’t take long for the news to go through the village that two dentists were there to take care of any dental problems they might have. Soon there was a long line of people waiting to see us, or at least it should have been a long line, but instead it was nearly the entire village trying to pack into the garage slash clinic to see what was going on, and to taunt their family and friends who were already seated, and basically make the entire event into a social gathering rivaled only by weddings, funerals, and Christmas.

     We discovered very early that the Gypsy society is matriarchal with the women calling the shots while the men sat around and watched us from a distance. One woman had never been to a dentist before and she was terrified at the prospect of laying in our dental chair which was actually only one of those folding canvas lounge chairs, which I had bought at the Colman’s store in Wichita and lugged over to Albania. The woman was in a lot of pain from a bad tooth and so she finally steeled her courage enough to let me take care of her.

     After I had done what needed to be done she rose from the chair and said, “Oh, that didn’t hurt!” Of course it was in Albanian with her own mother tongue accenting it, but the gist of it was that she was very pleased to be alive and not in pain any more from the previous toothache. After she shook my hand, nearly ripping my arm out of the shoulder joint, she said something that we took to mean she was going to go get her children and set off to find them.

     As it turned out she had five children, none of whom wanted to be anywhere near our clinic or have anything to do with us. One by one, however, she dragged them in and threw them into the chair, the youngest ones first. What I mean by ‘she dragged them in‘ is she literally dragged them in kicking and screaming. One child had thrown himself to the ground; undaunted she grabbed his ankle and flipped him over onto his stomach so that he could no longer kick at her and she dragged him while he clawed the dirt frantically trying to escape leaving long claw marks trailing behind. Like I said the atmosphere was almost carnival-like so even though I felt bad for the child I couldn’t help but get tickled at the way the rest of the villagers interacted with the mother and the child. I don’t know what they were saying and I’m sure that I really don’t want to know what they were saying, but the best way to describe it was animated chaos with a strong touch of vaudeville. I remember making a silent prayer of thanks for my relatively peaceful practice back home, and my own quiet, gentle, loving mother. In the end Ardi and I took turns working with her children and by the time it was all over we were buddies with the four younger kids, who no longer had fear and toothaches.

     The real challenge came later when the woman tried to drag her last and oldest child in. It was a very warm day and her son was wearing only a gray sweat bottom with no shirt or shoes. He was about eleven or twelve years old, so he was much bigger and stronger than his siblings. The mother was having a time with him, but she had managed to latch on to his wrist and was pulling and tugging him toward the dental chair as he was pulling and tugging with equal ferocity to escape to the freedom that lay beyond. Suddenly he broke free of her grasp and turned to flee leaving nothing for her to snag but the back of his britches. He ran with all his might away from the clinic as she pulled with all her might to haul him back. The sweat bottoms ripped away and he ran out of the clinic screaming, and yes… buck-naked as she stood there scolding after him holding the empty bottoms.

     All the men sitting there laughed and pointed as he galloped down the lane. My buddy Ardi looked at me and said very seriously in his thick Albanian accented English, “This does not speak good of our dentistry.” I just stood there too dumbfounded for a moment to say anything. We eventually were able to persuaded the boy to sit in the chair the next day and we took care of his toothache. After that he was our friend and hung around the clinic asking questions and believe it or not, consoling other terrified children that it wasn’t so bad.

     I sometimes have patients in my practice apologize as they leave my office for being afraid or nervous. I usually tell them not to worry about it and that it is normal to be anxious, but then I add that at least they hadn’t run out of the office buck-naked. The story of the Gypsy boy always makes them feel better.

     The Gypsy boy and his britches gave me a whole new definition of what a successful dental visit should look like. As long as I don’t have anyone screaming and running out the door buck-naked I, at least, usually feel pretty good about it.

Until next time, God bless!

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