Another hospital story- for my nursing friends

There are two kinds of stories you can never tell enough of in Kinshasa. Because if you're not suffering some weird ailment, you're probably stuck in a traffic jam of one kind or another. My Western mind will never get used to seeing a car come barreling down the road with it's lights on and aiming right for me. In my lane. I'm ready; years of defensive driving courses have prepared me to respond to anything in the road but I'm never really expecting it. Something about a car in the wrong lane is always surprising.

Just as, while I am aware of the medical situation (or lack thereof) in Kinshasa, my Western mind remains stubbornly surprised at the way things work. A friend of mine recently made the trip across the river and back again to his hometown of Brazzaville. Apparently, the trip can be made at night, under cover of darkness, by way of pirogue. A canoe, basically. This version of the trip requires no documents but a $10 pay-off to the military on this side, again on the other side and maybe $10 to the canoe driver. One must also be prepared for battle. It's a rough trip.

He came back the roundabout way by Matadi to pick up a car and drive several hours to Kinshasa. That's where he ran into trouble. Thieves, bandits and military check points all along the way. Some guys mugged him (to use a New York term) and stole his watch and some clothes just after arriving at "port." Of course, he fought back a bit and somewhere in the scuffle managed to bang up his leg pretty good. He had a small cut there and paid little attention to it- more worried about the cold (after losing some of his clothes to the muggers) and getting the car back in one piece (the police confiscated the backseats in return for payment of some kind of "tax." We're still waiting to get the seats back. He has faith, I remain in doubt and have since suggested installing some wooden benches and making a taxi bus out of the whole thing.)

A few days later, the bruised up leg started turning red and swelling to unbelievable proportions. The pain was unbearable and the coloring terrifying. He went off to the hospital, only to be returned, only to search out another. I did some research online and came up with my own diagnosis. The hospital found a blood infection and began administering a variety of antibiotics. There wasn't much improvement.

After a few days, when talk of finding a traditional doctor began, I decided to speak to the doctor myself. I was quite relieved to hear her name the infection that I'd found on the web and have her answer most of my questions. I went home, did further research and found that healing often took time and the swelling might be a come and go thing. I was comforted by cold, hard facts but also slightly alarmed. Cellulitis has the potential to be dangerous- resulting in amputation or death. The doctor and I had spoken of signs to watch for that would signal a turn for the worse. I was mostly worried about amputation. Things always seem to happen too fast and too slow at the same time, resulting in grave situations that could likely have been avoided in a better equipped country.

But my friend, and his friend, and the patient in the next bed, and even one of the doctors all insisted that this was something you cure traditionally. I could do nothing but examine my own beliefs. I don't discount traditional medicine altogether. I do believe concentrated, bad energy can result in tragic consequences. I just wasn't sure someone had intentionally cursed him, although speculations about who it might have been began immediately.

When you arrive in Africa- well, the hot and humid countries- you can feel the heaviness in the air.  The first time I had an open cut I remember thinking 'Cover it up, things are living in the air.' You can practically feel them moving around. Personally, I think it was something in the dustiness of the port town, maybe coming off the river that got into his skin. And while the traditional wash may help the swelling and redness, I'm not convinced it can get into the blood and tackle the infection there.

So I was relieved when he was easily convinced to continue his rounds of antibiotics. At this intense stage, he requires several different kinds - one of which is an injection. Money issues- and personal comfort- required that he leave the hospital. Not to mention, the staff there weren't too pleased that he kept leaving and coming back. He wouldn't be able to continue the traditional course of medicine if he stayed in the hospital.

However, leaving means he needs someone to inject him. Not just a jab in the backside but into the vein. Yeah- that's not a skill I have. Last night we took the medicines and needles and went in search of a hospital with electricity (our first stop was too dark and he had a bit of fear that they wouldn't be able to see well enough by candlelight to inject him without too much rooting around and pain.) It wasn't too hard to find a clinic with lights and we went in, presented the items and he was given a shot. Very few questions asked. Which is when I really began to understand the differences in circumstance and even see some similarities.

I had found comfort in arming myself with facts, added to my basic knowledge of the workings of the human body. I even printed off some pages in French for my friend to read. While he doesn't have the background knowledge that Americans seem to gain through school and public service announcements ( and trips to the doctor where we ask endless questions and expect clear answers) he was able to get enough information to know what he needs and to self manage those needs. Out patient care. It could turn out to be quite efficient, allowing him to access medical care that he can afford. Apparently the traditional healer is not asking for payment (I'm sure they'll set up a barter system or some kind of gift giving) and the doctor charged a mere 1500FC for performing the injection. A system that has sprung up in the absence of a universal medical care program that ensures the sick will receive attention (money is always one of the first questions to come up before any kind of treatment is begun- no money, no treatment.) 

I'm still trying to merge the Western and traditional schools of thought, exploring how I really feel about each one and examining the different values, beliefs and skepticisms that spring up- part of  intercultural living I suppose - merging the best of both worlds. Maintaining one's own beliefs and understandings of the world while not discounting another perspective. I'm sure I'll have plenty of time to develop my thoughts when I next find myself stuck in one of those crazy traffic jams.

Magic chalk

Just when I had vowed to get back to some kind of regular writing, I was attacked. It was a big nasty Congo sickness attack that pulled me under for more than a week. In fact, just now, I feel it threatening to come back again.

In general, I am a pretty healthy person. I try to eat well, exercise often and think naturally. But it seems one can't really avoid sickness altogether in Congo and of course the problem lies in the fact that getting sick in Kin is not something you can just ignore. Because it could be malaria, a dangerous amoeba, or just the flu. Or an amoeba from last time that you never quite got rid of.

A malaria test is pretty simple to get here and you can even buy a test-yourself-at-home kit in the pharmacy. I elected to run down to the corner clinic and get a quick pinprick. A follow up telephone call a few hours later  informed me that I tested negative for malaria. But my body was screaming out all kinds of fever and pain and nausea. I wasn't really convinced.

Africa has some very intense shots. I have had the "fever shot" twice now and it is a wonderfully powerful thing, even with my aversion to doctors and medicines. A friend of mine called his doctor friend who actually made a house call to me in what felt like the middle of the night. Come to think of it, the last time I had this fever shot, it was also by house call. I was in Kankan, Guinea at the time and something about the red dust there seems to render all visitors ill as part of the welcome package.

The nurse- who arrived with the doctor and a little silver tray filled with new syringes, medicines and a blood pressure cuff- took my vitals and shot my backside with the marvelous elixir. While my fever dissipated and I spent a night of good, deep sleep I wasn't really better at all the next day. My stomach was in a terrible state of dry heaving and nausea.  It no longer felt like malaria but a dreaded stomach virus.

I slept the entire day, being washed over with wave upon wave of dizziness every time I opened my eyes. I made a trip to the see the doctor at his clinic this time, and was promptly given an IV. Every sickness in Congo seems to require an IV and of course, its always malaria. Even when it's not. I tried to insist that I'd had the test and it was negative. I tried to insist that it just didn't feel like malaria, but I made little progress. Its always malaria. The tests themselves are often considered unreliable or uninformative- or so I've heard. I've always had good faith in the lab I go to.

However, I was given some quinine (by IV drip of course) which only increased my dry heaving. My friend who accompanied me fell into further shock and panic at watching my efforts to heave the empty contents of my stomach, and perhaps parts of my stomach itself, steadily increase. Eventually he convinced the nurse to take out the drip- the bag had nearly but not quite finished- and we made a hasty retreat back home.

The next morning I was feeling better- slowly better. I had resorted to eating small snacks like potato chips and crackers every hour to calm my stomach. As long as I did that, I was able to walk around and even go to work again. It went on that way for days- each day slowly improving while I munched my way through the entire junk snack section of the corner store.

But then the itching started. Perhaps a side effect of the quinine. There are always side effects. And the itching was so intense it woke me up one night at 1 am. I spent a delightful hour scratching my legs, my abdomen, my back, my arms. Just clawing like a cat and swept up in the pleasure, pain and surrealism of it all. I woke in the morning wondering if it hadn't been part of some bizarre dream. I could almost feel my tail twitching and the taste of fur in my mouth.

The itchiness went on for a few days, becoming more and more inconvenient. I'd begun to self medicate (another must for sickness in Congo) and had taken Zentel (in case of worms or bacteria) and a few antibiotics (in case of other stomach parasites or the dreaded amoeba). I stopped the antibiotics after only a few days because of other unpleasant side effects. (There's always side effects.) I'm not actually sure if the itchiness was related to the quinine, the amoxicillin, or something else altogether. My friend noticed the scratching and suggested a local medicine. (There's always a hidden local medicine that's bound to do the trick.)

It looked like this, but it's not this.....yeah. 

It came in the form of a yellow rock (I've searched everywhere for the name of this magic chalk, but I simply cannot find it.) The rock is crushed into a powder (it's only 300FC so you have to do your own crushing) and is safe enough to eat. "You can even eat this, super safe, super strong but wouldn't harm a baby," I'm told as he takes a nibble off the rock. I am immediately in love with all the paradoxes of this material, which is said to come directly from the Congo River itself.

The powder is mixed with oil- my friend insisted on the oil "that you cook with" but I eventually talked him into using some almond oil I have for mixing essential oils with. Seemed better for my skin. This chalky oil mixture is then rubbed all over the body, leaving, well, a chalky oily glaze on the skin. "Don't wash that off," he implored. The smell of this substance, not altogether pleasant, only slightly unpleasant was- of course- one side effect. The other was the satisfying sensation of rubbing oneself with a rough, course substance (which in itself might be related to any relief of the itchiness one is already feeling.)

I was then instructed to take a teaspoonful of the powder, swallowed with water and repeat the next day. I've been assured all itchy sensations will disappear. I have noticed a distinct reduction in my discomfort and feeling a lot more human like and less cat like for certain. Right now, I'm just waiting for some other side effect to show itself....or maybe the amoeba to wake up back up....