Hospital in Laos
Sunday, August 15th, 2010On the plus side, I my visit was not due to an anaphylactic reaction, it was my finger, from the jungle trek.
Keo had originally told us that the hospital was closed, but upon arriving in Luang Nam Tha we discovered that it was open until 10pm. Turns out that there are no doctors on a Sunday night though, perhaps not at all on a Sunday from what I could gather.
When we got to Many Chans I spoke with the ex-guide (I wish that I knew his name, he is Many Chans son & appears to be managing things for her, I will call him Joe, coz its easier) & showed him my finger. It looked pretty insignificant, as it was under a band-aid, but once Joe had helped me pull it off & had a look, even he couldn’t hide his surprise & revulsion at the sight of it. I must say that it looked a little better in some ways, when I first cut it, the insides of my finger were poking out badly, but when it was taken off by Joe, there was still a bit of flesh protruding, but not so badly. It was pretty obvious that it was a serious cut, there was a pharmacy next door, which we went to briefly & then confirmed what we all pretty much knew, I would need to go to the hospital to get it checked out.
I hadn’t had a shower, as we had just arrived & checked in, so Joe suggested that I go & have a shower, get cleaned up & then he would take me to the hospital. It took ages to clean off all the dirt, grime & blood from the past 3 days & waited for Geoff to finish his shower as well, before we headed downstairs.
We had organised to catchup with Manish for drinks & dinner at 8pm, but with Joe already offering to take me to hospital we were a little stuck about what to do, that was until we realised that I was going to be going to hospital on the back of Joe’s scooter, damn wearing a skirt didn’t seem like such a good idea after all, at least the ride wasn’t too far. Geoff stayed behind to tell Manish what was happening, with the idea that he/ they would meet me there.
I wasn’t sure what to expect there, I knew that it probably wouldn’t be to western standards, but probably still not what I saw. When we pulled up, there were 5 locals sitting on seats outside the emergency entrance, not sure if they were waiting to be seen or not, but they were still there when I left.
I pretty much followed Joe & his instructions, I would have hated not to have had someone who could speak both Lao & some English, as none of the nurses spoke much English. They looked at my finger, and like everyone else were impressed by the cut, however they seemed a little concerned that by the time I had come, it was now 28hrs after the fact.
I was asked my name, which I spelt out in English E-V-A & soon realised how much I wish I knew the Lao alphabet, we got there in the end though. After filling out a form, which only had my name & age on it, Joe took it up the hall & disappeared into a couple of rooms & eventually emerged with a small package (containing some squares of gauze & betadine). It was funny waiting near the desk with the nurses, one of them had their little boy with them & he was climbing all over the place, whilst the nurses (4) sat & gossiped.
Joe brought the bag back to the nurses & I was then ushered into a room, which looked a little like some of the hospital rooms that you see in war movies. It hadn’t been cleaned for a while. There was a bed in the middle of the room, which looked rather nasty, it didn’t have sheets on it, & the brown colouring of the mattress cover wasn’t doing a good job of covering up the filth. I couldn’t think of anything else but “please not the bed, please not the bed”. Luckily I was ushered towards a chair, which looked moderately better.
The nurse went to a glass & wood cabinet which was fairly dirty & pulled out a “sterile pack”, a metal dish that contained ’sterile’ scissors & other instruments to use. She seemed to be having some issues with trying to use the tweezers to remove individual pieces of gauze from the pack that Joe had gotten & resorted to using her hands (not sure when she washed them, but it wasn’t when I was there).
A big rubbish bin was moved near me, which had a fair amount of rubbish in it already & I was told to hold my hand over it, whilst my finger was cleaned. There was a bottle of saline (in a glass bottle), with a piece of plastic hose on it, which she used to clean my finger, although she dragged the plastic hose through the wound on my finger. I wonder how many other wounds it had been dragged through before mine? It was then cleaned with some betadine & wrapped up in some of the gauze (that Joe had gotten earlier) & that was it, I was allowed to leave.
I asked Joe how much I needed to pay & he told me not to worry that he had already paid. I asked how much & he told me 6,000 kip. I had brought all of our cash that we had with us in 50,000 kip notes which amounted to about $70, so when I found out that it all only cost about 80 cents (AUD) that was a bit of a shock, as I suspected that as a foreigner I would be nailed with an expensive bill, like they do in the west. I even got to keep the betadine & extra gauze.
Now I just have to make sure that I keep it clean. I was told to leave the dressing on for 3 days, but I am not so sure. It’s pretty nasty looking, not often that you get to see the insides poking out like I did, Geoff reckons it is pretty gross, worse than my 2nd degree burns where the skin melted away & parts of it rotted away as it healed. Just have to be careful not to get it infected, would hate for it to go gangrenous - wouldn’t that spoil the trip. Hoping that the nerves aren’t too badly damaged either.
In other news, we setup our x-mas tree - FINALLY tonight - holy crap, I thought that it would never happen - it was pretty quick to setup - it kinds felt like the express x-mas tree setup, taking us about 10 min to do everything but, at least it’s setup. Hard to believe that there’s only 10 days left til x-mas.