Tuesday, June 12, 2012

April Update--Interviews and Illness


During the second week of April, I was able to do some interviews with diabetic patients.  Since clinic consultations in the hospital are not by appointment—rather, it’s first come, first served each day—waiting in the hospital in hopes of diabetic patients to come for their monthly checkups was not an efficient way to meet patients for interviews.  I asked for a list of diabetic patients from the hospital’s electronic records (potentially illegal in the U.S., but completely fine here).  I started calling patients that live in Pedro…this resulted in a few “call me back later” responses and a couple “I’ll come to the hospital this Saturday” responses.  And a lot of no-answers.  I did make an appointment with one woman to conduct an interview with her father.  It turns out he had Parkinson’s and hypertension, but not diabetes.  Whoops, guess the hospital’s records were wrong…but the woman was very helpful and accompanied me to a diabetic neighbor’s home and also gave me names of other people in the town who have diabetes.

The next day I went to find “Doña Maria” who sells empanadas in the market.  She was easy to find and offered me an empanada and sweet-as-syrup coffee after I explained my project.  We did an interview right then and there, with the sounds of music and children in the background louder than Maria (my voice recorder didn’t help much here).  Maria also gave me names of more townspeople with diabetes.  Word-of-mouth was turning into a more effective and much more fun way of recruiting participants for my interviews!  Although I couldn’t find the next couple names I tried to track down...

Wednesday, April 11—reaching insanity, so with the support of some Facebook suggestions, I bought colored pencils, tempera paint, and a sketch pad.  Entertained myself for the evening with drawing and painting.
My painting workspace...


The light in my room was horrible, but I still wanted to share my lovely orange drawing...

Thursday, April 12—last day of cooking before my little counter-top double-burner stove broke for good.  I made a beet, tomato, and onion salad.  It’s been frustrating not having a working kitchen, but also easier and sometimes cheaper to eat in a restaurant.
I love beets!

I didn’t follow-through with the “I’ll come to the hospital this Saturday” responses to my phone calls; I woke up Saturday, April 14 with a horrible headache.  I laid in bed most the day, but wasn’t feeling any better by nightfall.  Sunday I went to Yoli’s again for another day at the river, which was refreshing, but then I started feeling faint as we were grilling chicken that afternoon.  I spent the rest of the day in bed…

Monday, April 16 the headache continued.  Tuesday, woke up with no improvements.  I had a meeting Tuesday afternoon with a doctor from the Ministry of Public Health clinic, regarding meetings with diabetic or hypertensive patients that he facilitates.  The meeting would have been incredibly interesting, had I not been on my fourth day with this headache.  Instead it was possibly embarrassing on my part, had I been aware enough of how I comported myself.  Pablo asked me a few times if I had any questions but I just couldn’t think!  We parted with plans for me to accompany the next gathering of community members that he was facilitating in Pedro. 

That night I reluctantly (but only because I had a headache) helped with English classes at the local high school.  The teacher is a hospital employee that took English in college, which qualifies him to teach it.  Classes begin at 6pm and go til 10pm; these evening classes are for students who work during the day, so have to go to school in the evening.  I didn’t do a whole lot in the classes, just helped with pronunciation, but I liked being in front of the students because they all were attentive and listening. 

FINALLY, I woke up Wednesday morning (April 18) and felt like a new person; the headache was gone!  That night there was a gathering of all the hospital staff in celebration of David Gaus’ 50th birthday.  David is the founder of the hospital and was in Pedro during the week of his birthday.  The party was in the outside barbeque area of the residence hall where I live.  We had fritada (fried pieces of pork), choclo (a type of corn), yuca, potatoes, and maybe rice and beans, too, I don’t remember anymore.  With plenty of beer to go around and then cake, too!  Towards the end of the evening, as people were dwindling and perhaps some were beginning to be tipsy, people (mostly the older men) started telling cachosCachos are basically jokes, but are longer, more like stories.  From what I could understand of the “jokes” I didn’t find them funny because they seemed to be making fun of women or minority groups, like blacks or gays.  Not my kind of “jokes.”


After the party I asked one of the doctors in my residence hall about a rash I’d noticed developing on my arms and legs a couple days prior.  She suggested I come into the hospital for an official consultation the next day.  I had a sneaking suspicion that my headache, tiredness, and this rash was all leading to one diagnosis…the next day, a blood test in the hospital proved that I had Dengue fever!  This was something I’d been concerned about when I first arrived, since there is no vaccine and it is a threat in this area.  However, besides the symptoms I had, it doesn’t get much worse (unless I had another type of Dengue) and there is nothing you can do to treat it but rest and drink lots of water.  So I took the diagnosis as a great excuse to take a nap…but then found enough energy to go dancing the next couple nights.  Dengue by day, dancing by night.  I can deal with that!

One last thing in the third week of April was that there was a huge landslide, due to the excessive rain we’d been having.  The landslide blocked the route from Pedro to Quito, about 2 hours from Pedro.  The road was closed for a few days, and when passage opened up, the “road” was actually a newly-formed gravel road on land that literally wasn’t there before the landslide.  This new road would have been technically off the side of the mountain—people were driving on a huge pile of gravel that had slid down the cliff.  I found that rather frightening, but it worked!

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