Sunday, May 13, 2012

Hospital!

So now that I’m better I figure it’s OK to tell everyone what’s been going on recently. Starting Monday April 30th I had a headache, body ache, and extreme fatigue. It lasted all week, the headache being the worst, and I missed a lot of work. If I wasn’t better by the following Monday I was going to the hospital.

Then, Saturday morning I woke up and thought I had a bruise on my right shin, but it was just a small red patch that felt like a bruise. It got a bit bigger throughout the day.
Sunday morning I woke up and it was huge, read and swollen, it looked like I had a second kneecap halfway down my shin. There were more red spots on my legs but at this point I couldn’t tell if they were just bug bites or not. They got worse very quickly and it soon became clear that there was something very wrong.

Everyone was going out for lunch but it hurt to walk so I took a bodaboda and met them there. By the end of lunch it was much worse. The spots were all over my legs and extremely painful. I could barely walk, when I stood up it was unbearably painful, but if I could get by that first step it was OK. I decided I’d see a doctor first thing in the morning. I couldn’t sleep that night because of the pain, so I got up to get a glass of water so I could take melatonin to help me sleep. Trying to stand up was horrendous. Next to the pain I felt when I woke up in the middle of surgery, this was the worst pain I’ve felt in my life. I tried to walk through it but I couldn’t balance on my right foot long enough to get my sandals on. Eventually I did, got my water, and got back to bed. Through the night I could feel that they were a little better, I could move around a bit more.

When I woke up on Monday my legs looked a lot better, and I wasn’t even sure if I needed a doctor. That is until I moved; the pain was still there, not nearly as bad though. The swelling seemed to go up the instant I started walking. I could walk much easier than the previous night, but I could not stand still without a lot of pain. The manager of the hostel took me to a local clinic, complete with a couple drops of blood on the floor in the waiting room. I’m not sure how long we were there, maybe 9am to at least 1pm. First I had to check in. sit and wait. get  weighed. sit and wait. see the doctor, place the order for blood work. sit and wait. have blood taken. sit and wait. see the doctor again. sit and wait. Then finally got my medicine and an injection.
First off they confused the two white people there and almost labled my blood as hers. You know, we all look the same. Then when they went to take blood they dropped the needle on the muddy floor. And still used it. Then they couldn’t find a good vein so they tied a rubber glove around my wrist and drew blood from the back of my hand. The first time I saw the doctor she was dumbfounded, didn’t seem to have a clue what was wrong with me.  I didn’t really get many details after she got the blood work, but pretty much everything in my blood was way too high, white blood cell count etc. The doctor said it’s cellulitis and the infection has spread to my blood. My guess is bacteria got under my skin from one of my very many mosquito bites, or I got it from a bug bite of some sort. The pain and swelling is localized to my legs so that’s a good sign, mostly my shins but it seems to be spreading. She gave me tablets to take for 10 days, cream to apply, and an injection.  I would have to come back the next two days for a check-up and more injections.

Tuesday I went back for a check-up and second injection. My legs felt a lot better in the morning so I just met with the doctor briefly, she said she’d do blood work tomorrow to see if there was any improvement. Then had the second injection. Then of course throughout the day they got worse and went right back to how they felt the day before, no improvement whatsoever.

So Wednesday I went back, the doctor saw me for all of two seconds, I didn’t even sit down and her office was filled with other people. I told her how they’d gotten worse the day before, and that it seemed to be spreading up one of my legs, and possibly on an arm (they look like mosquito bites in the beginning so you can’t tell). She told me to get my injection then come back later to see the dermatologist. She said in Swahili speaking to someone else that the dermatologist would be here “saa tisa” which would mean 3pm, but then she told me in English 2pm…so I waited around 5 hours and when I went back the doctor wasn’t there, turns out he/she comes every other week. They told me to see if the medicine works and come back next Wednesday. Awesome, so what do I do in the meantime? It looks like I’ve been hit in the legs over and over again by someone with a hockey stick.

By Thursday/Friday things were much better. I had been given some Azithromisen to take for three days, but a doctor friend of mine told me to take it longer. Here in Tanzania you just go to the “pharmacy” and say hey I need some antibiotics, OK, here you go. No prescription, no questions asked, so I got three more.
All that's left now, about a week later, is some reddish purple spots. I'm still taking antibiotics and using a cream, but pretty much back to normal!

This is Wednesday, but the picture doesn't do it justice at all.

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