Wednesday, August 22, 2012

A tummy in turmoil

Dear friend,

The big adventure for last week was adapting to having virtually no running water. It started with poor water pressure in the afternoon, followed by no water in the evening the next day -- then no water at all! It’s amazing how your priorities are forcibly unveiled in a situation like this. Of course drinking water must come first. Then you must keep in mind that out in the African bush, with no grocery stores, you are reliant on your vegetable garden for a substantial portion of your sustenance; a vegetable garden which needs daily watering in the dry season! Then third down the line of importance – a new lesson for me! – is toilet flushing water! I would rather have that than a running shower. Actually you’d be amazed just how far down the list a shower comes in this situation. (I was just glad no one from home was here to witness, i.e. smell, this experience.)

You’d think, living in the 21st century, we shouldn’t have to make these distinctions! But then I’m reminded how little of the global population actually live in what we deem as “21st century” times.

After that hoo-ha, unfortunately I’ve been pretty sick (again). A week and a half ago I had really bad nausea, abdominal pain and loss of appetite; after starting a course of ciprofloxacin (a tummy antibiotic) I started to feel better and by Wednesday last week I was back to normal. Or so I thought. 

On Monday about five minutes into my ward round all the symptoms rushed back with a vengeance. I managed to finish my round then came straight back home. I went over to Dr J’s place to talk to his wife who said with this ‘recurrence’ it was most likely giardia and gave me a high-dose three day course of another antibiotic. She warned me that I should try to take it with food and that it was known to worsen nausea.

A bread roll, two grams of tinidazole and thirty minutes later, I vomited all over the floor of my room.

Yuck.

That’s what happens when it’s so hot that you lie in bed under your mosquito net in your underwear and you know your flatmates are home for their lunch-break and a sudden urge to vomit hits you from nowhere and you’re rushing in this state to try to get some clothes on… but you just don’t make it to the bathroom in time.

Sitting with my head in the toilet and at the same time trying to fight off the ants crawling up my legs, I thought to myself, nothing is easy here.

Nothing.

I’ve been pretty incapacitated since then. I haven’t had anything to eat the past two days. I’m so sick of lying in bed, but I’m so drained I can barely keep myself in a sitting position. The pain has been horrendous, like a giant alien parasite is crawling around inside my small intestines wrecking havoc. I promised myself I wouldn’t talk about my bowel motions on this blog, but lets just say there would be plenty to talk about and it ain’t pretty.

Thankfully last week saw the arrival of the new permanent doctor from the States. Dr R is a Family Medicine specialist (= General Practitioner) and his wife is a nurse by training, although she won’t be working in that capacity here. Dr R is my favourite kind of American – the kind with a firm, strong handshake, burly American accent and a good sense of humour. Because he will be taking over the care of the Female Ward (one I have been in charge of during my stay) he joined me for a full ward round on Saturday morning. On retrospect, I’m really glad he did since I’ll be out of action most of this week.

I just can’t get over how challenging this trip has been. One obstacle after another. I have no regrets, but I am more than ready to be home.

Fourteen days until I am back on New Zealand soil. What a glorious, joyous day that will be!

‘Till next time,
-A

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