Last Thursday I was rudely awaken at 6:45 (had intended to sleep til 10) by a phone call from Tokkie, a sports field consultant from Pretoria who wanted to meet with me. The meeting was scheduled for 9:00 on Friday but he moved it up since he was going to be in the area so he would only have to make one trip to the area. I showed up to the meeting and was walking into the building but started to feel dizzy and staggering back and forth kind of like I was drunk. I told Tokkie and we sat down to start the meeting.
As I was starting my computer and pulling out my papers I started to lose motor function and would miss when trying to complete the simple task of reaching for a book. As I was trying to talk my jaw started to go limp so that I couldn't even form sentences. I called the Peace Corps Medical Officer (PCMO) and she said to sit still and relax. I started to go get much worse and could barely even move my mouth to make words. We called the PCMO back and I forced a few words out that probably made only a little bit of sense and she told us to go to the hospital in Pretoria.
They had to almost carry me to the truck because I had such little control of my body and was almost in a state of paralysis. The part that made it most scary was that my cognitive abilities were unaffected but I couldn't move my body to talk or move so I spent the entire thinking about the possibility of being paralyzed for the rest of my life. About an hour into the trip (Pretoria is 1.5 hours away) I started to be able to talk and move again but I was incredibly dizzy so I couldn't really sit up.
We pulled up to the entrance and they came rushing to the truck and I asked for a gurney because I was so terribly dizzy when I sat upright. Instead they brought a wheel chair; later I foun out they didn't know that a gurney was a metal stretcher on wheels. Since they speak British-English and not American-English the term is "trolley" so they didn't know.
The first care that I received was almost immediate where they inserted an IV into my arm with some basic drip but I can't remember what it was. Then it wasn't really helping me so they said they were changing the drip to something called "Jet Fuel". It was brownish, left a metallic taste in my mouth and it gave me quite a boost so it lived up to its name. After that initial care they put me into a wheelchair and left me there for quite a while since they needed my bed. I hadn't had anything to eat all day since I rushed out and didn't have time for breakfast so they gave me a sandwich menu from which I ordered a ham, tomato and cheese sandwich. I sat there for quite a while and slowly ate it and seemed that I was keeping it down fairly well.
They scheduled me to have a MRI (Magnetic Resonance Imaging) scan done on my head shortly after. When scanning your head they put you in a large tube and make lots of head-pounding noise and it creates a computer image of your brain activity. Just before putting me in the technician instructed me to push an exit button if I felt nauseous and the bed would come flying out and she would burst in with a bucket. Fortunately, just before going in I vomitted up the only thing that I had eaten all day; the grilled sandwich. Problem solved.
Shortly after I was brought in for an electroencephalogram (EEG)which measures brain activity when at rest. I've been having these done all my life and I usually would have to stay up late the night before so I'd sleep through the test without problems. I used to look forward to those tests because that meant my mom would take me to a late movie on a weeknight which was a huge privilege. The last movie I saw was "Bill and Ted's Excellent Adventure" which I remember being totally tubular. You also weren't supposed to eat anything the morning of (I took care of that as previously noted). The technician was pleasantly surprised when I fell right to sleep without any sedation.
EEG technology has improved which was a nice surprise. They still use the electrodes which they attach to all parts of your skull but they've improved the worst part of it; the glue. They used to use this glue that was pink and stuck to your head like superglue and took about a week to fully remove. Now they have this really nifty gel that not only is easily removed without residue it causes a really neat cooling sensation when applied.
Immediately afterwards they brought me to the ICU hooked up to 6 different electrodes for monitoring plus made me wear one of those irritating thumb pulse things. The brought my dinner which in my experience in the U.S. usually involved some type of potato or pasty food, corn, and jello. They brought me glazed chicken and vegetables over a bed of rice with a cream of vegetable soup on the side and a kettle of tea; I was shocked but delighted.
The guy who was in the bed next to me had a neck brace and feeding/breathing tube installed. The whole time I was eating and trying to sleep it sounded like he was coughing up a lung and watever mucus that was in it. The night crew came in so there was a change of nurses. I must admit, my primary nurse was rather cute however she was not a very good nurse. She spent most of her time either away or flirting with me and telling me how much she hated being a nurse and wanted to do something else so it wasn't very comforting. Hopefully she never decides to become a surgeon then tell her patients just before the operation how much she hates it.
One of the monitors I was hooked up to would occasionally start beeping really loud and not stop for about 5 minutes and the nurses would either wait outside or not even come over. If there wasn't anything wrong with me and the nurse didn't need to come check, was it really necessary to have the buzzer, probably not. By the time it was getting late I was feeling much better so I was able to take a shower using surgical scrub so that may have been the cleanest I'd ever been.
The next morning I woke up and I was as dizzy as I was the day before and couldn't sit up without getting extremely dizzy and having to lie back down. I couldn't move my head from side to side without so the phsyiologist said I'd probably be able to try standing by the next day which was absurd since I was up taking a shower the night before (my primary doctor confirmed my diagnosis of the physiologist's diagnosis later). I was starving and anticipating a wonderful breakfast to which was fairly disappointed. The milk that came with the cereal was heated and the egg dish that they brought me was covered with liver in brown sauce. I was able to eat the toast with jam and cereal with warm milk and side of fruit so I was satisfied.
The doctor came in to discuss the results of the EEG and MRI. Fortunately both scans were fine but he was surprised to see that there extra connections between the side and top of my brain; I'm forming new synapses and will become superintelligent, awesome. Not as awesomely he told me they needed to run some more tests and also arranged an appointment with the ear, nose and throat (ENT) doctor, scheduled an X-ray and later I'd be moved to a private room.
I met with the ENT and ran a whole bunch of tests that seemed more like an alien abduction autopsy and diagnosed me with an inner-ear infection that was probably caused by stress. The viruses that cause these infections are apparently always in your blood and are prone to surface when your immune system is down which in this case happened because I was stressed out (see my previous posts and you'll understand why). Then I was returned to the ICU, sigh.
They came back for me a little later at around 2:00 and said they were going to do some x-rays of my neck to make sure I didn't have a stroke. The doctor used a sonograph machine and scanned all the major arteries which was probably the longest 20 minutes of my life. she occasionally said something like "Oh", or "interesting"; both ambiguous statements can mean anything from being oddly shaped, to having discovered a clot or major heart condition. Turns out I do have one valve that is slightly malfunctioning that will cause problems in distant future (maybe in my late 60s or 70s). No clots or anything so it was good. Unfortunately they once again returned me to ICU.
At 4:30 they finally came to move me to a regular "private" room for regular monitoring and care. The room was actually with two older men. Since I had been rushed away from site and didn't have a chance to collect my things I didn't have any money on me. In order to hear the sound on the TV I had to pay R12 to the hospital which was impossible. After trying to convince the staff to give me a pair for free due to the extenuating circumstances and their complete resistance one of the visitors of the patient next to me offered to buy me a set since he felt it was torturous to be there with no entertainment.
5:30 I'm getting hungry and I ask when dinner is being served the response was 6:00. At 6:15 the response was 7:00. At 7:15 they said 7:45. One of the other men who had spent most of his time wandering around with his IV stand came over to me and offered me some of his biltong. Biltong is like beef jerky only it is made from meat from kudu or other deer-like animals instead of cow meat. By 8:30 I still hadn't received my food. I asked one final time and the nurse said, "Oh, dinner was served at 3:00 so you missed it". I said "I missed it? Ok, you need to bring me my food not just now, not now, but now now! I have been going through testing all day long and hadn't had anything since breakfast." They found my food which was cold since it had been sitting in the kitchen so they had to reheat it.
9:00 I would have thought was time for my medicine so I asked when I was going to receive it. A similar series of events transpired where I was told "now", "just now", and "The medicine is being distributed to the other patients and she will be getting to you soon". A couple times I got up to go to the desk to talk to them. At 11:30 they came to my bed and told me they had lost my prescription and could not give me my medicine and had to call the doctor. The doctor finally arrived at 1:30 and apologized profusely and said I "did the right thing waiting up" and he gave me my medicine also offering me sleeping pills. Surprisingly it was louder down there than in ICU because the man next to me was snoring like a bear.
I had spent most of the day watching Boomerang which is a channel that plays all of the old Hanna-Barbera and Warner Brothers cartoons like Tom and Jerry, Merry Melodies, the Flintstones and Johnny Bravo. Interesting fact for all of those Family Guy fans: Mayor Adam West of Quahog is based on the actor Adam West who starred as the real-life character Batman in a 1966 verison of the series. A large portion of the rest of his career was typecast and often focused on making fun of himself. Mayor Adam West and all of his idiosyncracies were develop through various appearances in cartoons including "Johnny Bravo" as Adam West, superhero. One of my favorite shows is "Time Squad" so despite being exhausted I forced myself to stay up and finally went to sleep at 3:00.
After waking up and another 3 hours of watching cartoons I was finally told I was going to be discharged from the hospital. I filled out a comment card explaining that my doctors were nice however there is a complete lack of communication citing the dinner and medicine debacles as clear examples. I was given my file and told to bring it to checkout. I reviewed it and I noticed that his initial thought was that I had a stroke; I am so happy that he witheld that opinion from me otherwise it probably would have caused me to have one anyway.
When I finally walked out of the hospital with a bag full of antibiotics with my driver who was from the embassy I felt like I was being released from prison and was free again. This is Africa.