By Greg:
When I started this blog, I determined that I would post what it is
really like here in Africa. That
sometimes means posting some stuff the young Elders are told not to tell their
mothers about. I would not tell about
this if my mother was still with us, it would worry her to death. But as she has died, I am not worried about
telling it, though I am worried about seeing her sooner than I had planned.
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Several post back I put a picture of my face and the staph infection that
I had. That really freaked a few people
out. It probably did not do a lot for
the “Oh you will love Africa message” but it is real. With the help of my Dermatologist son-in-law,
Greg Jacobsen, in St. George, we have gotten a hold of this and I hope it is
history. Sorry if I don’t look that
great, but this is the “after” photo of my face. He could not make me look
better than I did before, that is the role of another type of skin doctor.
Each morning, except Sunday, we wake up at about 5:30 and are walking around
the Temple Square by 6:00. During one of
the power outages I was walking down the stairs in the dark. My phone has a flashlight “app” and as I was
turning it on I saw I had an email. So,
yes, you can call me stupid at this point, I read the email while walking down
the stairs in the dark. Why would they
put one more stair on that flight? Down
I went, twisting my ankle a bit and banging my knee on the stairs. I was up like a gazelle (actually I have
nothing in common with a gazelle) but after doing a quick inventory of all my
parts, I turned on the flashlight app and made it out of the building. But my knee was a little sore.
Monday was a national holiday. I
think it was an Africa-wide holiday. It
was African-union day. The goal of many
is to unite Africa into the “United States of Africa”. Friday night I gave a group of nursing
students from BYU a ride to their hostel.
Their other option was to take cabs.
There were 13 of them so I loaded them in our 7 passenger Ford Everest
(like an Explorer) and drove them home safely.
On my return I encountered this really cool torch-light parade going
down Independence Avenue. It was dark, but the lights from over a thousand
torches were really something. Of
course, it stopped all the traffic and Debi was worried that I was lost or
stolen. I did not take the camera, and
in my rush to save the “damsels in distress” I forgot to take my phone.
As I said, Monday was a holiday and the office was closed. After walking for an hour we then go swimming
for an hour. It is already pretty hot by
7:00. I noticed that I was feeling
strange. A little weak and a bit faint. I thought it was just that I had overdone it. My knee also hurt.
After breakfast (we showered at the outdoor shower at the pool as our
power was off) we dressed and prepared for the day, which was to include a
couple’s get-together in the afternoon for a movie and some pizza, I asked Debi
if she was cold. The A/C was off, so why
would she be cold? I was, and then I
took a heavy chill. I wrapped up in
blankets and tried to get warm. It is
amazing that we actually have some blankets in our apartment.
Debi took my temperature and it was 101+. We were thinking Malaria. But I did not have the other symptoms,
headache, vomiting, aches and pains. One
of the first things is to start drinking lots of water, which I did.
We called in sick for the party and pizza. The Area Medical Doctor, Elder Elmer and
Elder Cooper, a Temple missionary, came to check on me and gave me a
blessing. Elder Elmer did not want to
start the Malaria treatment without more symptoms. I took some IB and made a bed on the couch. When I am sick, and it is daytime, I feel
better on the couch, for some odd reason. But at night, or when it is close to
night, I am heading straight for the bed. My mother always did this as well.
I noticed some pain and difficulty urinating. We immediately started thinking bladder
infection. The treatment: drink lots of
fluid. We have cranberry juice and so I
downed a carton of it as well. Then the
tap shut off completely, not the usual water failure in the apartment, this was
the tap inside of me! If you have seen The Green Mile Tom Hanks and I were in
the same predicament. I wished John Coffey
would come and heal me!
I took more IB to fight the fever, but by 1:30 am I was dying, or
hoping to do so. We called Elder Dr.
Elmer again. He is a wonderful man and
an Internal Medicine Specialist with extra training in trauma and heart
problems. We told him all the medicine we brought that our good Doctor
Mansfield sent us with. We were all
starting to think Prostatitis, an infection of the Prostate. But what I needed was relief from all the
fluid buildup. I was in real trouble and like King Henry V who would have given
his crown for a sword; I would have given my kingdom for a Catheter.
It was a very long night! In the
morning we did what we had hoped we would never have to do, go to an African
Hospital. It was actually a clinic, and
it exceeded our expectations as a medical facility. We first took a number,
which was not the normal African way. We
had number 23 and they were on 12. We
arrived at about 8:00. When our number
came up they said, “Have you been here before?” “No.” “We are sorry, we thought
you had, take this paper and fill it out and return it to us.” We did and then we
waited while they made up my chart. When
they finally called us for the chart, they were on number 47. We then had to pay the fee for registration
and pre-pay the fee to see a doctor. We
gladly paid. We were then taken to the “Temperature
Room” where we waited our turn based on the order my chart was on the
pile. When they called me, they weighed
me (I must have had 10 pounds of fluids) and took my blood pressure and my temperature,
then they gave another number card. I
was now 13. I was told to go down the
sidewalk to waiting room number 1. The
Clinic was a campus with open courtyards between all the many buildings. They were on number 6 and it was now
10:30. When they called number 13 it was
12:30 and I was in real trouble, having not urinated since the night before.
I was very happy to meet the doctor who sat at a desk with a nurse
there to aid her. She was the first
person to ask me what was wrong. I could
have died by now. There was no triage
program. She was all over the problem,
and I am so grateful for her. After lots
of questions, she took me behind her to her exam room and examined my abdomen. She
then filled out lab orders that looked similar to those in use in the US. They sent Debi back to the cashier and pharmacy
to purchase the supplies needed and pay the fees. They took me across the courtyard to another
building and room. There was no phone communication between offices. Everything was done by a courier person. Also there were not computers at all.
We had to buy our own catheter before they could “install” it. They did begin an IV and gave me some
medication in the IV. There were four
women in my room (workers) and they had me take all my clothes off and lie down
on the table. They then covered me with
a blanket. When Debi arrived with the
catheter, a male attendant came and inserted the catheter while the women nurse
held part of me still. The relief was
quick and worth the pain I felt while it was inserted.
The interesting thing (as if all of this is not interesting) was that
Debi then had to take the blood and urine samples to the Lab herself and pay
for the Lab fees. Good thing we brought
a fist full of money. They do not take
credit cards.
I got a pain pill and started to relax.
At 3:30 the Professor arrived. I
called him Doctor, and he corrected me and said he was a Professor, which I realized
is a step or two up from a Doctor. He is
an Urologist. He took over my case with
a fury. When he found that I had had
this before, and that I also had a history of Kidney Stones, he ordered more
tests. He wanted a CT scan of my abdomen
and an ultrasound of my prostate. He did
his own exam and was even more concerned.
When a specialist is concerned, that is the good and the bad part: Bad, because if he is concerned, it is
serious; Good, because if he is concerned enough, he will see it resolved. I got home at about 6:00, very tired, with
the catheter still in, and thanks to Debi, we had a couple of fresh bags.
We had some dinner. I had not eaten all day, or really drank
anything. After dinner I was gone. Debi sat down and mapped out the treatment
plan and all the medication. She also e-mailed
Doctor Mansfield what was happening and also called and reported to Elder
Elmer.
At about 1:30 I woke in a chill.
I started shaking so hard. I
could not even call Debi’s name to wake her.
I thought, “If I were on the Willie handcart trek, I would be dead by
morning!” She woke and put all the blankets on me and gave me some IB and held
onto me so tight. I was burning up but I
felt so cold. Actually I was so hot (not
the kind of HOT I wished I was). Finally
I calmed down and eventually went to sleep.
The next time I woke I was all wet.
My clothes, the sheets and pillow were wet with sweat. I had to change and put towels under me so we
would not have to change the bedding.
In the morning we went back for the CT scan. We did not have to do the registration again,
and Debi had paid the day before, but we had to wait our turn. They took us back, but then they delayed us
because they had a sedated baby that they needed to do first. We were happy to wait. The look on the young mother’s face was one
of total fear. When the baby came out it
was alert and everyone seemed more relaxed. It is so frightening to see a
really sick infant, anywhere, but it must be so much more of a concern here
where the result is usually not good.
I went in for the CT. They have
a 2 year old General Electric machine that “is very expensive” but extremely up
to date. They did not buy it used. It was in a very clean room, but the actual
buildings are about 25 years old.
Tomorrow we will go back in the afternoon and pick up the results and
pre-pay the Professor’s fee and see him again.
We are hoping for some good news.
In-between pain pills I feel pretty good.
I am so grateful for everyone’s concerns and prayers. I am especially thankful for Debi’s watchful
care and concern. All of our family
knows she is a diligent assistant medical advisor/follower-of-the-treatment-plan
person.
My African friends are also very concerned. I missed the Open House last night and we had
a crowd. Our Brother Paul can think of
nothing else but to pray for me. The
other missionaries are so kind and concerned. My name has been added to the “sick
and the afflicted” list in the Temple and it is humbling to feel the love and
concern of my fellow laborers.
Sorry, this is not my normal post.
But the good news is that I am saving money on my car insurance! My cars are parked and in the garage, so the
insurance is very low.