Sunday, April 4, 2010

An observation of Easter Sunday in Ecuador

So I just thought I would take a quick moment to share what I have seen thus far for Easter Sunday here in Ecuador...well more like one observation that I would like to make.

I don't think that most of them take part in a sunrise service...however, I do believe that most of them take part in a sunrise drink as the men in my town were already at the bar when I went out for my morning run at 8:30am. Leave it to the Ecuadoreans....

Ecuador wanted to give me a birthday present as well…it was called Dengue Fever

4-3-10

So as my title rather gives the punch line away…these past few weeks, basically the month of March, I have spent with Dengue Fever from a mosquito bite in bed as well as some other health problems. However, before I jump ahead of myself to my Dengue Fever, I should speak a little about my second degree burns that I gave myself from the sun here in Ecuador.

As I mention in my last blog, I went to the beach and got sunburned really badly on my thighs which normally does not see any sunlight. So for that week I struggled around in skirts, watered down my thighs about three times a day with cold water, and tried my best to not irritate my thighs in any way…which can be really hard when you are trying to haul groceries on a bus and people are looking at you funny for not putting them on your lap. Not to mention trying to explain to kids that you cannot play ball with them because you can barely move as it is! All in all, it made for a really long week. Nonetheless, I still decided to trek it up to Quito for the 103 picnic and hang out with some other PCVs that following weekend.

Good old PC though at the time had restricted night travel as in no traveling after 7pm. This makes going up to Quito a two day trip for me because my bus from Machala to Quito is at least twelve hours and almost all of the buses don’t leave until the night time. Not to mention being on a bus all day really is not the most appealing…if it is a twelve hour or more bus trip, it is much better to do at night. So with all of this, I went up northward about five hours to one of my friend PCVs site in Bucay on Wednesday so that we could finish the traveling to Quito on Thursday of about eight more hours. Then we traveled an hour more to the training site of Cayambe for the picnic on Friday morning/afternoon.

However, on the Wednesday before I started traveling I realized that the area around my burned thighs was starting to turn purple like it was a bruise (I think we decided later that this was really one of the early signs of Dengue as I also thing that I got bite on my thigh). At the time, I figured it was just because the swelling from the burn was starting to go down as I only burnt the front part of my thighs really badly, but just to be safe I called the doctor and he said for me to stop in the office on Friday since I was going to be in town.

So I went in Friday morning and that is when he told me I had bad second degree burns on both my thighs and that it was worse than what he thought when I had talked to him. At this point, my thighs had started to blister and in all honesty they were at their worst point with pain and discomfort. You can ask anyone who saw them…they were really bad burns. The worst sunburn I have actually ever had in my life…which says a lot for this really white girl…and hopefully ever will have. So he gave me a load of Tylenol so that I could take that to the max for pain and he gave me a transparent lotion called Caladryl Clear. He also told me that if the pain got worse and the Tylenol did not cover it, to give him a call and he would help me out.

Thankfully, that Caladryl Clear worked miracles for the burns. At first putting it on stung really badly for about a half hour after I put it on. But once I realized how much the lotion was helping the burn heal, it was worth every second of that stinging process and I continued putting it on three times a day.

All in all with the burn story…I sure hope that I have learned my lesson. And if not, I still have some discoloring on my thighs to help remind me. Secondary burns from the sun in Ecuador should have taught me something…or at least the pain and discomfort from it should have! It probably took my legs about three weeks in total to heal from the burns. I also believe that I ended up peeling at least three layers of skin off. I am now left with some discoloring on my thighs but I think that will go away with time.

So you thought that this blog was going to be about Dengue…not second degree sunburns, right? Well that is the fun part for me in the month of March. I was just full of health issues! The picnic went over really well though and it was really nice to get to hang out with other PCVs and the new PCTs. The traveling with the sunburns was definitely…well…an experience…that is one way to put it at least. But I was really glad that I struggled through it and made it up for the picnic and the party bus that Friday night in Quito (they hired a Chiva which is basically a big pick-up type truck with a DJ, lights, and alcohol that drives around for a couple of hours while you dance and drink in the back…about 40 PCVs went). As night travel had then been lifted, I took the night bus home on Saturday and got home Sunday morning.

Onto the birthday gift from Ecuador which I later realized I probably already had even before my trip up to Quito. My birthday was that following Wednesday, March 17th, and I started to get chills and bathroom issues, to put it nicely, that Monday night when I got back from my Quito adventure. I was hoping that it was just something that I ate as I had my English camp to do and I was going to help out with an INFA camp that week from Tuesday until that Friday. So I figured I would hopefully sleep it off and get to work my camps…I was wrong.

Tuesday morning I woke up with a fever of 101 after a night of not really sleeping too much. I also discovered a rash on my butt and on my arm. However, I wanted to really try myself out first and see what I could do before I called the doctors. So I went to my INFA camp and I lasted about two hours before I had to tell them I couldn’t do it and needed to go home. At that point, I had a really bad head ache and body aches. I knew that it could be, and probably was, Dengue as two of my kids have had it this past month. Not to mention the providence where I live, El Oro, has the highest rate of Dengue in Ecuador and it is the rainy season at the moment which equals more mosquitoes. So I finally gave in and called the doctors to tell them that I thought I had Dengue.

The doctor wasn’t very impressed with my 101 degree fever (as dengue fever can get very high), so I took my temperature again and it had gone up to 103 by Tuesday midday. Giving in to the fact that it was Dengue…I then began a long process of many blood tests, fevers, chills, purple colored thighs, body aches and headaches like whoa, eye sensitivity, and rashes. Not to mention, the Dengue diet of not eating because of the loss of appetite.

I went into the Machala Clinic, which is about an hour long trip in total with two buses and a little walk, to get tested for Dengue that Tuesday afternoon. Sure enough, the test came back positive for Dengue just in time for my birthday on Wednesday. Needless to say, I spent my birthday in bed with a fever that varied from 101 to 103, severe body aches and headaches, purple colored thighs, no appetite, and only wanting to sleep in quiet. I have to say though, once you have a 103 degree fever, you can definitely tell when it drops down to 101 and be very thankful! It is like night and day and so much better. That is for sure.

I also had to go back in for blood tests Wednesday, Thursday, and that Friday as the doctor wanted to keep track of my platelet count as that is the part that is dangerous with Dengue (if they drop too low you can have internal bleeding and lots of problems). By that Friday I was exhausted from the fever, body aches, headaches, eye sensitivity, not eating, and all of the traveling each day. At that point, it was an effort everyday just to get myself to walk to the bathroom or brush my teeth without passing out. So needless to say, I was very happy when the doctors told me I could take Saturday off and just go in for tests on Sunday as my platelet count was low but staying pretty much the same. I spent the weekend sleeping and just being alive really.

My first week of Dengue…I really didn’t do much of anything but lay in my bed, be alive, and try to have silence as much as I could. Honestly, I didn’t even watch or want to watch a movie or anything. Needless to say, I missed all of my camps too sadly. And I even got Reeses Pieces, Peppermint Patties, and Lafty Taffy for my birthday that I couldn’t even eat or enjoy (those don’t exist down here)! I just wanted sleep and silence which is hard to get most of the time here in Ecuador.

By Sunday I was pretty much done and out. The extra day of rest with Saturday didn’t quite do it for me. After about a week of Dengue and not eating I was spent and could barley do anything without feeling like I was going to pass out. However, by the grace of God I made it into the Clinic to get my blood test; then I passed out. My blood test came back and my platelet count had dropped…I was not happy to say the least as I knew this just meant I was going to have more blood tests and probably pass out some more. I had some issues getting a hold of our PC doctor so I went into town to SKYPE my parents as I knew they were worried and I wanted to talk to them too as we had planned for that Sunday (I had told them that passed Tuesday I thought I had Dengue…so they were in the loop the whole time).

So I dragged my passing out butt to the Internet Café like an idiot to SKYPE my parents. I think I maybe talked to them for about a minute before I realized I was so weak that I couldn’t even keep my head up. Not to mention that I could only hold the test results up to the camera for about five seconds as well (mom understands that stuff…I don’t) before I had to put my arms down. So I sat at the computer for about twenty minutes with my head on the desk trying to decide what to do…I don’t think this was a lot of fun for my parents. As my mom said…all she could think of was that I was going to pass out on her in Ecuador and that she was going to be able to watch me and not be able to do anything about it. And as my father said…you can’t even keep your head up, you can’t make decisions right now, call for help.

Me being me though, it took about twenty minutes of this conversation for me to give in and call the PCV that lives in Machala for help…love you parents! She came to the Internet Café with one of our Ecuadorean friend who has a car and they took my back to the Clinic. My PCV friend also called our doctor for me and helped to better explain my condition and get everything set up at the Clinic (being PCVs our heath is our government’s responsibility, so we have our own Ecuadorean doctors here in country in Quito that we have to call for any health issues).

So on Sunday night I got admitted to the Machala Clinic. As far as Clinics go in a third world country, I would definitely say this was top of the line in that sense. Even by American standards, I would say it was pretty decent. However, the people that put my IV in could use some work. Their first attempt really messed up my wrist to the point where it is still black and blue today. In all honesty…that was the most intense pain I felt in the shortest period with the whole experience! They manage to get it in the second time though in a different spot thank God.

They were then going to send me home Monday afternoon…however my blood tests came back and my platelet count was even lower. So I spent Monday night at the Clinic as well. I had my own room though with some cable TV and air-conditioning…so you couldn’t complain too much. Not to mention, I started to eat some again on Sunday night when I forced some soup down and I managed to eat a little at each meal thereafter. I also had a couple of visitors as my friends slowly started to all learn that I was sick. This was when the fever, chills, body aches, eye sensitivity, purple thighs, and headaches all started to go away and the rashes started to come.

Now the main thing that was a pain in the butt with the rashes is that you can’t sleep much because just when you are about to go to sleep, you start to itch. Or if you are asleep, you will wake up because of the itchiness. Basically…itchy rashes stink to put it nicely and mine lasted for the following full week.

I went home Tuesday as my blood counts were going up and I got to spend Wednesday and Thursday resting in my bed, starting to eat again, and just build back up my strength. This would be the time period when I started to watch many films and TV series that you can buy very cheap down here in this kind of not so legal market. Friday I went in for my final blood test and my counts were way up and I was in the clear.

So that would bring me to this past week. Unfortunately and kind of fortunately this last week was supposed to be my week of rest before school starts next week as I ended up missing my two weeks of camps because of the Dengue. So it has been good to bring myself back up to full charge but on the same point I am ready for some work again as I think I have watched WAY too many films and TV series…one being the whole first season of Lost and probably at least ten movies and reruns of One Tree Hill and Grey’s Anatomy from my parents. I also started running again yesterday which will be really good for me and I still have yet to get myself a table and some chairs; maybe next week!

So in a nutshell…Dengue equals not fun. Chills, fever, severe body aches, severe headaches, purple thighs, eye sensitivity, loss of appetite, becoming extremely weak, passing out, eight blood tests on different days, a very bad IV attempt, a successful IV, and body rashes does not equal a fun two weeks. On the bright side though, they kind of all blur together now in my memory! I guess all of those symptoms together would do that to your memory though.

I also want to thank everyone for all of the birthday wishes and thoughts as well as all of the positive remarks and emails about my experience. They were all very much appreciated even if I was pretty sick at the time. Not to mention those Reeses Pieces, Peppermint Patties, and Lafty Taffy have all come in handy this past week and been fully enjoyed with some still left to enjoy.

I also managed to get an ingrown toenail this past month as well as an ingrown fingernail which I didn’t even know was possible! After my second degree burns and my Dengue experience I also had A LOT of laundry to do by hand which took me two separate days to complete all of for a couple of reasons…one being that there wasn’t enough room on the line for all of my clothes. Another reason is that the soap that I use to wash my clothes I realized doesn’t work too well with my skin when used a lot. So I got soap burns if you will on two of my fingers which took four days to heal up; then I got gloves. I also don’t think that I wore pants for the month of March…partially because of the heat and partially because I couldn’t with my burns. What can I say; this past month I have just had some issues!

School starts back up this Monday and I plan to start running everyday again to try and get myself into better shape and keep off the ten pounds that I lost with my Dengue diet. Dengue is really quite common here though, so I guess it was bound to happen to me at one point or another. The good news is that I now have immunity against the strain that I had…I think there are four strains in total. Most of the people in my community have had Dengue though; normally between the ages of ten and twelve or so. As the locals say, the first time you get it, well that stinks, the second time is even worse, and the third time you die (this is not always true...it is just what the locals say). But don’t worry; I strongly doubt I will get it again! And if I was to get Dengue again, I am pretty sure that the PC would move me to a site where there isn’t Dengue.

So that was the month of March for me…lots of time in my bed and many more once in a life time (hopefully I won’t experience Dengue or second degree burns again) experiences. I also had another first when I bought a new towel and a new sheet because all of mine smelled so bad and I was too weak to do the laundry…got through college without doing that, but not the PC experience! With April here it is a pretty relaxed month as we are just going to start up school again, the after-school help classes, and hopefully a community bank with the INFA mothers. My parents are also coming to visit me from May 8th to the 21st with some time in Quito and some time around my site which is something to definitely look forward to. Let’s just hope that I don’t get sick again!