Many a
January start with plans to drink less, spend less and weigh less. I achieved
all three, but not by design. I woke up New Year’s Day with intense stomach
cramps and prolific diarrhoea. Convinced it would pass quickly, I stayed in
bed, ate nothing and felt terrible.
I received
a constant stream of visitors and offers of help, which was of course nice. But
I was desperate to be left alone to sleep.
It didn’t
pass quickly. It got worse. I’d been keen to avoid the spectacular queues and
abundant health risks that a Brazilian public hospital affords its patients.
However, by the second day I acceded to Sonia’s persistence. Her pharmacist
friend ordered me to hospital, and contacted her doctor friend, to prioritise
my case.
At the
hospital, after a few words, I was seen promptly by a nurse, ahead of all the
other patients. Soon after the doctor called my name (Machin, Mah-teens,
Marcheen, Senhor Height, Senor Haichy). There were no available consulting
rooms so I was consulted in the corridor, around patients holding their own IV
drips, others lying on beds and a mentally displaced gentleman.
The doctor
had that familiar arrogance where you get the impression you are the nerd at a
great party, and he is stuck with you. Constant leg tapping; constant looking
around at everything apart from you; long silences after you finish talking
before he realises it’s his turn to talk; desperate searching of the
subconscious memory to find whatever it is you just said so he can repeat it back
to you to affirm his attention; and the next silence while he thinks of the
next question he’s socially (in this case professionally) obliged to ask.
Once he ran
out of questions/interest he walked off. Disappeared. For about 20 mins. He
returned and took us into a rare available consultation room, and struggled to
make notes while trying to recall our earlier conversation. As his conversation
with Sonia revealed some mutual political friends his attention and service
slowly improved.
The physical
examination suggested appendicitis, and he referred me for IV and some tests. That
was a challenge as there was no information and all the staff seemed thoroughly
trained in arrogance and protection of any helpful information.
I was put
on IV and carried the drip in my other hand to the X-Ray department, before
moving to a temporary marquee-style structure where I would be staying. 55
beds. 2 toilets. One with a door, one without. A shower which seemed to be more
a smoking room. No soap or handwash anywhere. An eclectic mix of patients. Plenty
of flies, ants and spiders. I was impressed to have a bed, in a ward, rather
than spending days sat in the corridor holding my own IV.
The attending
doctors ignored my apparently inappropriate “hello”s and made it clear that there
job was not to say hello, explain what they were doing, or explain the drugs
they were injecting me with.
One nurse,
Rogerio, did introduce himself as he started his nightshift, and it made all
the difference. He was to follow his 12 hour night shift at this hospital with
a 12 hour day shift at another hospital.
I had
constant company from various well wishers, everybody concerned. Sonia’s friend,
a physiotherapist at the hospital and who treated me 4 years ago, constantly
popped in to check on me and was a delight, chasing the staff for news and to
make sure I was treated well. By all accounts I had been, whether because I am
white, a foreigner, or due to our contacts, who knows, but it left me grateful
that I hadn’t received the standard service.
Officially
patients are allowed one visitor. Rather like the speed limit, this is treated
as a minimum, as most patients had a few visitors. The result was probably 100
people or more, plus the staff, on the ward. A cacophony of loud conversations,
mobile phone video clips, ringtones each more annoying than the last, scraping
chairs, coughing, shouting and crying.
Two overnight
visitors next to me felt they could rest their feet on my bed. They then leant
their chairs against my bed frame so I felt each frequent fidget. They
disappeared and returned smelling of smoke. They talked as if they were not
surrounded by people wanting to sleep.
On the
other side was a motorcycle accident victim and his visiting wife. She was 19
years old and they had been married 5 years. I believe they had 2 children.
Rogerio
came in the morning and struggled with an injection, then with swapping the
drip, so swapped to my left arm. Gloves were put on and taken off with no
apparent order. Coughs were stifled by coughing into the glove. In preparation
for securing the drip Rogerio cut off strips and attached them to the IV pole.
The pole that everyone carries to the toilet and back. The toilet which has no
way of washing your hands. I began to imagine the amount of bacteria and
infections lurking on the pole, and asked him to use clean tape, but this
should be obvious.
Another
nurse, Eldon, introduced himself and was superb, constantly checking on me, cheery,
friendly, chatty, informative and helpful. After the ultrasound, around lunchtime
another doctor confirmed gastroenteritis, prescription and discharge. No
appendicitis, no surgery needed. Result.
At home I
researched the condition and it appears antibiotics are not the standard course
of treatment for gastroenteritis. I suspect I was prescribed them to deter any
infection I may have picked up during my admission.
I soon
recovered, and was back to normal within a few days. I was left with a heightened
concern for hygiene, and the knowledge that it would be a constant struggle to
avoid risky situations. Both arms were very painful from the IV and had to be
raised constantly. The left arm was back to normal quickly, but my right arm
still concerns me. I just don’t have faith in the public health system to make
it worth seeing anyone about it.