11:30
am saw me wave the white flag and my surrender
was the undignified stomach wrenching back arching
vomiting into the toilet. I was on my hands and
knees. The ´retching´ lasted 5 minutes.
There was nothing left to orally evacuate, but
the retching continued.
Lisa
was feeling much the same, with a brief reprieve
from the nausea we mustered our wilted strength
and slowly donned our clothes, even moving was
a Herculean effort.
At
reception we mumbled pitifully our best Spanish
and asked for a taxi. “por favour, Hospital
Central” we blurted to the concerned-looking
cabby. I was feeling weak, feverish and my head
was spinning. The motion of the taxi wasn’t
helping. By the time we’d reached the emergency
room of the hospital my legs weren’t obeying
my orders. Lisa and the cabby each took an arm
and sat me in the dirty old looking room. Lisa
was providing information to the admission staff;
I was steadily slumping towards the floor. The
cold concrete floor felt good. Some 10 minutes
later Id been heaved unwillingly into a chair
on wheels, this ´thing´ didn’t
deserve to be called a wheelchair! My fever and
delirium was getting worse.
Out
of the chair and onto an old green emergency bed
smothered in thick clear plastic. This wasn’t
going to help the perspiration issue. I was doing
my best to explain that Lisa was also ill, I could
see she was shaking and her lips were the wrong
shade of blue, but it was falling on deaf ears.
An intravenous was brutally jabbed into my right
arm and secured by thick tacky tape slapped on
haphazardly; this was ´miles away´
from the Albert Einstein in Sao Paulo.
To
my right a middle-aged woman with her face smashed
in was struggling to accommodate the drain tube
that had been shoved up here nose and taped in
place. The slow dribble of sputum, vomit and blood
she’d exorcised to the floor was to stay
there all day. No-one seemed bothered to clean
it up.
Lisa and I were doing our best to explain in Spanish
for the 4th or 5th time our symptoms, how long
we’d had them and the date and times we’d
traveled in Amazonia and Paraguay. By 5:30pm we
were no nearer diagnosis, but the drip had brought
my temperature under control. We’d explained
another 2-3 times that Lisa was ill but my concerns
were dismissed with the now normal “Ahh,
ah, Si, Si”, what’s fucking wrong
with these people? My wife has similar symptoms
and nothing is being done, much like last night!
She’s been told to come back on Monday when
they’ll test for malaria. Great, in the
meantime she can simply faint, shake and vomit
to her hearts content.
We
seemed to spend hours left on our won. 6:30 and
the impossibly young-looking Doctor/nurse pulled
back the dirty cream curtain that hung precariously
on its last 3 rusting hoops and explained that
shed needed arterial blood and was going to take
this from the vein in my groin. Mmmmm….that
doesn’t sound good. The introduction of
the needle made me wince and the unnecessary deep
prodding around of the needle combined with the
horrified look on Lisa’s face made me ´whelp
like a beaten puppy´! She needed two samples
“you’ve got to be fucking kidding”
I thought…….she wasn’t.
Lisa
was getting less and less bothered about being
´seen to´! With the blood taken and
an hour later an English speaking Doctor had explained
I was going to be admitted for 2-3 days and on
Monday, when the blood testing facility opens
(!?) we might get a diagnosis.
My
insistence that my wife was also very sick was
again dismissed with an “Ah Si, but she
looks strong, bueno, chio”. With that he
left. My helpless condition and the hospital staff
indifference to my wife’s obvious plight
was making me angrier by the minute.
The
metal chair complete with its pitted and scarred
dirty cream paint looked like an accident waiting
to happen and the small 4 wheels that had been
badly welded to the legs looked ridiculous. I
had no choice, I still can’t walk and I
was to be taken to an admission room. Being wheeled
backwards through old, dark tiled corridors was
making me feel nauseas. After what seemed like
an age we reached ´the room´. Not
good. The blood from a previous patient was still
on the floor, the bedding was obviously unchanged
and pillow cases here don’t exist. The walls
are painted that odd colour that sits between
cream and green and on all sides deep gouges were
in the plaster, punctuated by black rubber streaks
that highlighted the heavy handed moving of equipment
over the years.
Lisa
was keen to stay but she was obviously feeling
like crap and so after 20 mins of sympathetic
chat, we agreed she should get herself back to
the hotel and should her symptoms worsen she would
call reception. To be honest I was now more worried
about her than I was myself.