Hi everyone, Brian here.
I´m sure some of you are wondering why we´ve been able to post so frequently in the last day or two. Well it´s a bit of a story that starts in the last town we made it to, Hontanas. When we arrived to our 4 euro albergue at 2pm I showered and immediately fell asleep for the rest of the afternoon. After a 5 hour nap, I woke up and had fevers and chills. I had no appetite and went back to bed only 2 hours later for the rest of the night. We had decided during dinner that I couldn´t walk the next day and that we would find a bus back to Burgos, the last big city, to see a doctor.
The next morning came and I was still burning up. The chills became intermittent, but I couldn´t walk very far and I couldn´t carry very much. My sweet wife took almost anything of weight and put it into her backpack for the 5 block walk to the bus stop. I use bus stop loosely. Hontanas has about 500 people living there, so we were instructed to go and sit in front of a small pinkish colored house sometime between 8:30 and 9:00am. We thought we´d found it and I dropped my stuff and sat on a bench. Just then a woman asked us if we were waiting for a bus, because if so, this was not
the pink house. Apparently, the one we needed was a few blocks further, "we couldn´t miss it".
We boarded the bus around 9:00am and the bus driver was very animated. He took one look at us and exclaimed that we were going the wrong way to get to Santiago. We explained that I needed to see a doctor before walking any further. He was unbelievably kind. He even went so far as to drive us to the
urgencia once we were in Burgos, in the commercial bus!
What we thought was an urgent care ended up being the emergency room. The doctors there drew labs and examined me and I was admitted. This was no short process. They would wheel me in my chair or gurney off for this or that, leaving Jess in a busy room with both of our packs not knowing when I´d be back. For long periods of time, we didn´t know exactly what was happening. We got up to the room and another doctor was in to see me within 30 minutes. He was very kind, but he wasn´t sure quite what to make of my symptoms: abdominal cramps, weakness and fatigue, fevers and chills, and no appetite.
Later that evening I was examined by 2 residents (who would see me again 2 more times that night with their attending). I was given an IV and started on fluids and medicines to reduce my fever. Later that night they decided to add an antibiotic. I was very fortunate to have my own room. The man that was in the other bed was discharged a few hours after I arrived. Jess sat by my bed all afternoon and all night, tending to me with a cool rag.
Hospital day number 2 - Saturday, October 1st.
Things were a bit better when I woke up on Saturday. My fever had broken and my strength was coming back. Unfortunately, my stomach felt a bit worse and they put me on the dreaded "clear liquid diet". I don´t know how many of my own patients I´ve subjected to this awful excuse for feeding some one, but I´ll never do it again. Also, I will never order an arterial blood gas. Why they needed this test on me (twice!), I do not know. A third doctor saw me that day and explained that I was doing well and would likely go home on Monday, if I could advance my diet slowly to normal food. It was then that I learned that in Spain, no one works in the hospital on Sunday, not even the residents!! If there was an emergency, there was a doctor in the building on-call, but absolutely no adnimistrative work or patient care was done. We decided it would be best for Jess to stay at a nearby hotel now that I was on the mend and the old hospital was not the most hospitable place for a guest. We made a comment about the small size of the room and were informed that they´re closing this hospital soon to open a new one.
Hospital day 3 - Sunday, October 2nd
I was up early with nothing to do and not expecting any medical visitors for the day. I had advanced to a full diet by the previous evening and was continuing to get better. Jess, knowing that I had another 24-36 hours in the hospital, lovingly ran around the whole city taking pictures of what turned out to be the Feast Day of El Cid, the city´s legendary war hero. I began to wander the halls with my hospital issue pj´s and IV pole when who do I run into, but Dr #3. We chatted for a bit and he asked if I wanted to go home. Awesome! It was 10:15am, if I left now I could get to the hotel before Jess left to see me, or so I thought. They disconnected my IV, I got changed, and they gave me my walking papers.
I arrived back at the hotel to find Jess gone. We´d just missed each other and I decided to wait. 30 minutes later, I checked in and showered. She didn´t get back until after noon. Apparently, she had spent the morning buying magazines and taking pictures of people in mideval costume so that I had something to do all day. She arrived to the hospital to find my bed empty and, as she puts it, "had a moment" before the nurses told her I´d been discharged early.
Overall, it was a very anxiety filled and vulnerable experience that I will not soon forget in my own care of hospitalized patients. Jess and I walked through the festival a bit and made the decision to come home 2 weeks early. It´s been a great experience, and certainly one we intend to finish some day. The people we have met and the realizations we´ve made have been well worth the journey. We´re looking forward to coming back.
-Brian