Friday June 30, 2006“I need to go to hospital,” I whispered to Dillip, as I wobbled out of my bedroom after throwing up another five times. I could not stop. Nothing was staying down. Not water. Not tea. Not toast. Nothing.
“Are you sure?” He reached over to his TV tray with his crosswords and pulled out a cigarette and lit it up. He puffed it quickly.
“I’m sorry, but I need Diya to be here, now.” I sniffed the smoke and felt like I was going to throw up again. I quickly ran back to my room and over the toilet. How could there be anything left to throw up? And yet there was. My stomach was sore, my eyes felt heavy, and I felt like I was going to pass out.
I heard Dillip call Diya and say something quickly in Bengali. Now you have to know that Bengalis are known for being over-emotional and very sensitive to anything that goes wrong in the family. I could just picture what Diya was thinking as she got the call while watching the Germany v. Argentina game in a bar with Stephan, the German student staying in the flat above me.
Within less than five minutes, I heard the front door open and slam shut. Footsteps. She opened my bedroom door and saw me laying on the bed in my Addidas shorts and nothing else. I definitely had a fever in addition to a stomach that was just vicious. She put down her purse and came over.
“What’s wrong, Andrew? What’s the matter?” She asked it in a pretty frantic manner, but one that felt like a Mom or a Gramma rather than a stranger.
I told her that since four o’clock, my stomach had been acting up again. And ever since she left for the bar, I have been in the bathroom heaving over the seat of the toilet.
She immediately took her Nokia phone and dialed up the doctor. Hanging up the phone she said, “Ok, let me call Muni (her daughter). We’re going to bring you to the hospital.”
Diya rushed out of the room. She yelled for Bulti, Baboo and Dulshi, the maid and her kids to help me in the room. They rushed in with glasses of water and stripped the bed of the old sheets. They took a facecloth and put it on my neck. They switched on the fans and air conditioning. Nothing, though, helped. I felt like I was going to pass out.
“Andrew?!” Diya snapped.
“What?” I barely remember asking.
“We’re going now,” and she motioned towards the door. I grabbed my red EMS shirt and slipped on my Nike blue slippers. I hobbled down the stairs, feeling like I was going to throw up again in the stairwell, but Diya had given me this spice that was supposed to stop the nausea. It tasted like shit.
I crawled in the back seat and just sprawled out. The digital clock in the front seat read 10:40 pm. Muni was supposed to be packing to go to Bangkok the next morning. Diya had asked me earlier what it meant to wear “Formal-Casual” wear to a conference. Now, Muni was driving me to Bellvue Hospital.
The car pulled up and I was lifted up by Diya and escorted to the Maidon’s office where I remember sitting down for a few minutes before being lifted up again and led towards the elevator. I sat on the little red stool that was in the lift and when the doors opened, all I could see was one big sign in bronze letters against white marble.
Intensive Care Unit.
The doors opened and three nurses came forward. They talked to Diya for a brief moment and all I heard was, “Yes, I am his legal guardian.”
“Where would I be without Diya?” I thought. They wheeled me into a private room that looked like any American hospital bed. Three nurses scurried around my bed as I curled up and began shivering on the white sheets. It must have been quite a scene – a tall red-head crawling into their hospital in the late hours of the evening with brilliant red shorts and a red short. I did not exactly blend it at all.
I felt like I was going to throw up my entire stomach. I sat up, feeling my abs convulse and again out came green and yellow bile. I was no longer throwing up food. It was bile, straight from my stomach. I was exhausted and all could think was how yesterday I was playing God, telling the curious boy to trust blindly in me instead of venturing into the forest.
I slammed my body back on the bed, still shivering from the fever that had grabbed my entire body. I didn’t know what was happening. Never had I felt this sick. Never. What was it?
A doctor dressed in a yellow-checkered shirt and with a cleanly shaved bald head walked in and took my pulse and looked at my face and eyes. He then asked me to open my mouth and show him my tongue.
“Completely dehydrated, we’re putting you on drips, now.”
He then firmly said a few directions to some nurses and they quickly scurried to get the IV and drip together. I felt the puncture of the needle and it slide into my vein. I don’t think they put any pain killer before it. Then I began to feel the drip going into my arm. I still shook. I still felt like I was going to throw up. But at least I knew I was not going to die of dehydration.
A second doctor came into the room accompanied by Diya and Muni. They all gathered around my bed. Since I had arrived, I had been hooked up to a heart monitor with three patches on my chest and stomach and the drip. I was, after all, in the ICU. The doctor took my wrist and told me they were going to take some blood tests.
“What is it?” I asked between shivers.
“Well, I don’t know yet, but we’ll get you back, we’ll get you back.”
“Quickly, please.” I asked.
Diya took my right hand since my left one was on the drip. She squeezed it and said, “Ok, Andrew, we’re here, we’re fine.” And then walked out with the doctor.
He came back after a few minutes and said he was putting in medicine to calm my stomach.
“Not yet,” I asked, “I think I have to throw up just one more time.” The feeling right below your rib cage and above your top ab felt like it was rumbling to release one more round.
“No, we’re going to send it through the IV, now, you cannot lose anymore fluids.”
“But,” I argued, “I need to throw up one more time. Just wait for a few minutes.”
“We’re putting it in.”
Damn-it! I thought. I was in pure pain and the doctor was not listening. I knew my body. But nonetheless, the medicine was put into a syringe and then transferred through the IV.
I felt it travel through my arm into my system. After fifteen minutes, it still felt like I needed to throw up and I would push myself up from laying down and hover over a bed pan, but I could not physically even burp. The medicine was working, but it was dulling the feeling that I needed to throw up.
Over and over, it felt like I needed to throw up but could not. It was about 1:00 am and Diya and Muni had gone home, telling me “to be a good boy” and that they would be back in the morning. The doctor said to try to rest and he would see me in the morning. He said the medicine should start working soon.
It was 3:00 am when finally I felt that familiar tingle in the back of your jaws and beneath your ears indicating you are about to throw up. The medicine must have worn off and sure enough, the last batch of bile came up. The nurses rushed in to see what was going on when they heard me choking up green and yellow crap. I finished and literally collapsed. I don’t remember anything afterwards except the nurse opening the curtains and seeing a pink sunrise.
I grabbed my stomach and the pain had subsided. It was sore and definitely tired. But the sensation of soft-balls passing through my intestinal tubes had stopped. I also didn’t feel like I was going to pass out. By no means did I feel completely better, but if I had to put it in a percentage, I had gone from feeling like 4% to 50%.
The doctor walked in and sat next to me on my bed. He looked down and took my wrist again. He told me that the blood tests came back fine except an elevated level of an enzyme in my liver and that he wanted to monitor that, but no big worries about that. He said that I had a case of heat stroke combined with food poisoning.
The food poisoning had caused me to start throwing up and the heat stroke and caused me to continue and added the fever symptoms as well. He said I was lucky to have come in when I did because dehydration and heat stroke can take a severe turn for the worse very quickly.
I could not believe what I was hearing. What if I wasn’t at the Sens’ house? What if Diya didn’t know of a private hospital which had a room in the ICU? What would I have done if I was staying in a hotel alone?
The doctor said he was ordering an ultra sound just to make sure my liver looked alright and he was putting me on an antibiotic plus some lactobasil which should continue to calm down the stomach.
“Is this going to calm down quickly?” I asked.
“Hopefully,” he said and let go of my wrist and stood up to leave.
I watched him move through the curtains out into the marble floored and fluourescent lit hallways. Then I noticed there was a frame on the wall with something written on it.
I squinted my eyes because it was fairly far away from where I was seated and with the IV and my exhaustion, getting up wasn’t really an option.
“Make….me….an…instrument….of …. Your….peace.”
“St. Francis of Assisi.”
No. That couldn’t be. I looked at it again. Sure enough, “Make me an instrument of Your peace. – St. Francis of Assisi.” There was only one mantra that I used throughout my life when things got tough – when friends or family passed away, when tasks got too stressful to handle or if I felt just lost or overwhelmed, and it was just that, “Make me an instrument of Your peace.”
I stared at the frame for almost a full half hour when the nurse came in to check my blood pressure and heart rate. Every hour, to the minute, they came and updated their charts. “Normal,” they would say with a sweet grin and a nod of the head.
It turns out that Bellvue is a private hospital that is only open to exclusive members that are recommended by only a select few of doctors. All the nurses are actually Catholic Sisters of a special order where they are trained as nurses in addition to committing themselves fully to the religious life. I was literally in the best hands, possible.
Strange, though, how it felt that the tables had been turned. Instead of bringing urine bottles or commodes to men at PRem Dan, now I was asking for such items and waiting for a nurse to pass by to ask for a glass of water or to rearrange the curtains to keep the sun out. I had been put in the shoes of those that I have been working with for the past two months at Prem Dan.
The commode, of course was freezing as was the urine bottle. But overall, I could not complain. I had gone through five bottles of drip so far and according to the doctor I had another four, at least, to go. “By the look of your tongue and your urine, you had almost nothing left.” The room was clean and cool and I felt like I was being treated royally. I wondered what all of this was going to cost. But before I could think of that, Diya stepped into the room with her bare feet. They make you take off your shoes before entering the ICU.
She came around to my bedside and asked how I was doing. I said that I felt a ton better, but still exhausted. “You will not go to Kenya,” she said in her motherly tone.
“Diya,” I told her, “I think I will be able to go to Kenya, I’ll just rest there, we’ll see, it’s only Saturday. I’m leaving on Monday. Let’s just focus on now and we’ll see.”
“Ok, ok,” she said. You could tell that she had not slept well the past night by the look of the bags underneath her eyes. Visiting hours was from 9:30-11 am and 4:30-6:00pm. I looked at her watch since I didn’t have one. It was 9:31. She came right away to see how I was.
“Here, I brought you something else.” She took out my cell phone from the purse. I had given it to her when I left the house along with credit cards and wallet. It turns out that she needed the passport as well when I got to the hospital, but she made a white lie through her teeth saying that the doctor already had it just to get me admitted as soon as she could. She smiled when she told me how sly she had been.
I smiled back. Who was this woman? How did I end up in her house? She asked the nurses if I could use the cell phone to call home and after shutting off my heart monitor they said, “Go ahead.”
I called home and it was great talking with my Mom, but as strange as it sounds, it felt as if she was already in the room with me with Diya around. She also did not sound as alarmed or upset as I had expected. It seemed that almost every fourth of July when she was up at our cabin in Vermont, something like this happened. But at least she had the support of my other cousins, uncles and aunts. I hated calling her when something was wrong because seriously, what could she do but worry some more? And I hated worrying her anytime. But, as I said before, I think she felt much more at ease knowing Diya was there and that she had put me in a hospital not only with clean floors and facilities but a framed quote from St. Francis of Assisi.
After saying goodbye, two nurses came into the room and said I was being taken down for my ultra sound. Diya said she would go with me. As I was being rolled out of the room on a stretcher that was two sizes too small as my shins and feet dangled off the end, Diya said that Stephan had also come to visit me and was waiting downstairs.
“What?” I asked.
“Stephan came,” she said, “he wanted to make sure you alright.”
I had taken Stephan with me to the Lady of the Queen of the Missions and Nabo Jibon, but besides that, we had not really even hung out. He worked all week at the German-Indian Chamber of Commerce and was 28. I constantly teased him about getting married after being with this girl for 6 years. But to hear that he had come to visit and see if I was alright was not just a kind thing to do, it was moving to know that someone who I barely even met would take the time from his job to see how I was.
I was backed into a crowded life with Indian men and women on all sides of me. The door opened after lowering four floors. It was the lobby. I should have known this. Just like the last doctor’s office I went to, all the special instruments and x-ray machines were on the first floor. I was rolled out the door and into the crowded lobby of Indians.
It was surely being wheeled through the sea of people, trying to get appointments, medicines, or even a room in the hospital. I looked up and saw the two nurses and then just dozens of Indians pushing here and there to get around the 6’5 obstacle. Then Stephan’s face poked out and as silly as it sounds, it was reassuring to see a foreigner’s face.
“What the hell did you do to yourself?”
“Congratulations,” I said in return, “Germany beat Argentina. What a game.”
“Yes, yes,” he said, “But are you alright? Why are you in the ICU?”
“Actually, Stephan, I’m pregnant,” I told him coolly, “I need to go and get an ultrasound.”
“What?” he asked.
I knew I was confusing him and not answering his questions but that’s the way I get when I feel that I am the sick one or hurt one – avoid serious conversations because it wasn’t worth it when you had someone to joke around with.
Stephan and Diya had to back away from the bed as they wheeled me into the room with the ultra sound. What a surreal experience being able to see your liver, pancreas, gall blatter and other organs in the black and white screen. No kids, though.
They wheeled me out after cleaning off the gook they put all over my stomach.
“How was it?” Stephan asked like a big brother.
“Twins. Fraternal,” I said.
He hit me over the head. I thanked him for coming and said that I’ll be better hopefully soon. Though I felt exhausted and that my stomach felt like a bomb had exploded inside of it, I knew that somehow things were going to get better. Heck, they couldn’t get much worse!
Visiting hours finished and I was left alone back in my room. The nurses offered me the newspapers and I did a soduko for the first time in my life. I nibbled on a few biscuits, but mainly tried to begin sipping water. It’s incredible the things we take for granted when we are healthy.
I remember promising myself, when I am healthy again, I will always be thankful to drink water, eat bread and simply swallow and not feel my stomach hurl it back it up.
A gastric specialist and his two assistants visited me and spoke about my results from the ultra sound. My liver size was normal but that I should really check it out once I get back to the states. Nothing to worry about now, though. I asked him if I would be able to fly on Monday.
“Yes, yes, of course.”
I thanked him for the help. He said that all I needed to do now was eat a bland diet and stay on the medicine as your stomach tries to reassemble itself. Right now it’s pretty torn up, he put it. Torn up? Well it sure felt like it.
I stayed over the night and the next evening Diya came with the car. I felt well enough to get off the drip and out of bed. Boy, does your hand feel like it’s reborn when they take that two inch needle out of your vein! Amazing!
I slipped on my “Big-Red” outfit that I had picked out a couple of nights before. I still felt sort of weak, but now I was at least 85-90% better. The 10% would come with another night’s worth of sleep, more fluids and a few more foods except just biscuits. My jaws began to hurt again from all the throwing up, but compared to the stomach and feeling of passing out, I could deal with sore jaws.
I stepped in Diya’s car and she gave me the receipt for the hospital visit. I was just going to pay with the credit card and cash to able to get my records instead of going through insurance and not getting my records until two months from now. But I would still be able to claim the visit with my insurance once I got home. The total came out to $473 including all the antibiotics, various doctors’ visits, ultra sound, blood tests and two nights over in Intensive Care. Amazing, wasn’t it? How expensive American health care has become in comparison.
We arrived home and I looked into my room to see if I could find some new clothes. I found that all my stuff had been moved. Moreover, it had been packed! Turns out that Stephan had actually gone through my room and packed all my stuff in my suitcases and bags. Diya had washed any remaining clothes in the closets and anything they were confused about, they put into a box for me to sort out the day before I left. Was I in heaven? Because it sure felt like it.
I walked out to the living room and thanked Diya for everything. She asked me how I was feeling. I told her that my body felt a lot better besides my jaws and ears, but other than that, I had taken to the medicines well and was feeling like an entirely new person than a few days ago.
“Not exactly the best way to leave India, is it?” I asked Diya.
“Hey, think about it if this happened in the beginning of the trip – you didn’t know us then.”
“So true,” I said.
“Tomorrow, before you leave in the evening, why don’t you just stay in the house and rest?”
I hesitated. I felt horrible because I had not said goodbye to any of the men or students at Prem Dan or my girls at Lady of the Queen of the Missions. I hadn’t even said goodbye to Sister Corina or Liliana or any of the Sister who had helped me so much over the past two months. “Yeah, I guess that’s what I’ll do,” I said to Diya.
“Why? What’s wrong?”
I told her that I really wanted to say goodbye before I left but now because I had been so sick, I was not going to be able to tell. I didn’t even have any pictures with any of the Sisters because I thought I would leave that until the last weekend. That last weekend turned into a two-night stay in the hospital.
“Andrew, how about this – I’ll hire an AC car for you and you can go around and hop out at the different places to say goodbye and the car will just wait until you’re finished. Then you can take the same car to the airport at night. It’ll be about forty bucks, but nothing more.”
It felt as if someone had just splashed water on my face. I lit up. “Are you serious?”
“Yeah, definitely.”
And she dialed the number on her cell phone to hire a car for me in which I could say my goodbyes. The last few days have definitely been the best of times and the worst of times, if I may. I have felt like dying and afraid that I had caught some serious illness that would require me to stop my journeys this summer or even worse prevent me from flying for some time. But I have also felt the most supported and loved by friends I have made half-way around the world. I have learned what it was like to be in a hospital in India and you know what? It’s not that bad. It’s actually pretty incredible.
Most of all, I have been comforted by those I have come to call family over the past two months. Maybe it is not the best way to say goodbye, but going to the hospital is definitely the best way to see how close and real your relationships have become.
I sat in my bed thinking about the past few days. And all I could whisper was, “Lord, thank you for making me an instrument of your peace.”