Another first …
… okay, maybe more than one. Rachel and I spent four hours early this morning in the emergency room at Hospital Vozandes, right next door to AAI. Here’s the story:
About four weeks ago, you’ll remember that I mentioned that our trip to Cuenca was affected somewhat by what I thought might be a diverticulitis flare-up. When we got back to Quito, I found a pharmacy and self-medicated. I bought a ten-day regimen of the antibiotics I’d been given in the States (thank the Lord for medical records), and thought I’d licked it.
About a week and a half ago or so, I noticed the return of some pain. I sorta ignored it, until a couple days ago. At about 3:30 in the morning I woke up with significant lower back pain that felt more internal and localized on my right side. It was either the following day or the preceding one that I also noticed for a while that my urine looked pretty dark, as though it might have blood in it. (Sorry … I know you didn’t really ask.)
I’m sure some of you have already figured out how this story is gonna end. I’m not sure how I missed the signs. I think I was too obsessed with the possibility of lower bowl necrosis due to severe diverticulitis. Anyway, last night I started to have really bad abdominal pains, bad enough that I had trouble standing or lying straight. We went to bed, but it rapidly became apparent that I was in too much discomfort to sleep. I decided, after several promptings from my much wiser half, that this wasn’t normal, and that we should probably go to the doctor. I think we headed out about 11:15 or so.
The cab ride down the hill was brutal. Every bump rattled very tender innards. I think the cabbie was afraid I was going to die in the cab, so he put a rush on things, even running red lights.
Well, long story a little bit shorter, we got there, got me onto a bed in an E.R. bay, and got assigned a young doc who’s English was pretty good. After poking, prodding, taking blood and tinkle samples, and the like he came back with the verdict. Kidney stones. (Yes, yes, I know. You’re all very smart for having figured that out before me. Now shut up.) They gave me a shot for the pain, which did virtually nothing. I was literally writhing around on the gurney. They started an IV for me, gave me another shot for nausea (after I threw up because it hurt so bad, which I thought was kind of backward), then after a while gave me another (evidently stronger) painkiller intravenously. Oh, that one worked. About five minutes later, Rachel said I started snoring. I remember being very annoyed when they came and got me to take me to the ultrasound room. I think I offered to sing as they were wheeling me down the hall, and told Rachel to ask the ultrasound tech whether he could tell if it was a boy or a girl. (She declined. She woulda been a lot more fun if they’d given her a shot, too!)
They sent me home about 4:00. I’ve thrown up once since, probably because I tried to take one of the painkillers they prescribed on an empty stomach. The stuff I’m on is takin’ the edge off to the point that it’s manageable and I can sleep. Guess there’s not much to do but wait, eh? This is by far and away the worst pain I’ve ever suffered, and the doc said that it’s a small one. I guess “basketball” is smaller than some things, but that’s about what if feels like. The added indignity of having to pee into a strainer doesn’t really make the whole experience any more palatable.
By the way, you wouldn’t believe how cheap the meds were. The initial round (2 types x 10 days) of antibiotics cost us $19, and the two kinds of painkillers they prescribed last night only cost $8. A four hour E.R. stay, bloodwork, U.A., I.V., two shots for pain, one for nausea, and an ultrasound only cost us an additional $130. It’s money we really don’t have, but can you imagine what that woulda cost state-side? All in all, this is a great place to be sick, and our experience at Vozandes was one that left me with a very favorable impression of the state of medical affairs in Quito.
Friday, February 29th, 2008

















