Category Archives: medevac
2-21 Post Surgery
I finally had surgery. They came to get me around 3 today. I was down in the surgical unit until 7. I missed dinner which was really too bad since I was damn hungry.
I more or less have a functional brain again. Despite repeatedly trying to get a local anesthetic with a nerve block, I ended up under general anesthesia. I was out for about 3 hours. When I woke up, I confused the nurse. I wasn’t speaking English.
I was speaking Bislama.
I think I’ve learned the language pretty well.
This is short because my hand hurts and typing is both difficult and a little painful. As far as I know, they cut open my hand, looked at the nerve, decided it wasn’t damaged, cleaned it out and sewed it back up. I still have no sensation on my thumb. I’m a bit concerned.
I’m still on IV antibiotics. I’m really thirsty and my throat hurts. Stupid anesthesia.
2-20 Lost in Purgatory
Sorry it is sideways. But this is my fashion statement. |
Around 10:30 pm Saturday night, I woke up completely when they told my neighbor they’d be closing the ward and we were all moving. I put my things back in my bag and fell back asleep until they came to move me. That ward was a six-bed room with three men, two women and me. My cubicle didn’t have a curtain, my neighbor was using it to double block his cubicle. My neighbor was also a bouncer, used to bouncer’s hours with bouncer friends who also keep bouncer’s hours. They were talking while I was trying to sleep. (It was probably like 8:30 at night, really.)
I have no good hand |
My Purgatory |
The terrace. This is what they call “outdoors.” |
2-20 From the ER to the Short Stay Ward
Dinner. Not appetizing. |
2-20 The Continuing Saga
That’s the arrow pointing the way… |
I landed in Brisbane around 6:30, Brisbane time. Then I started going through immigration. That went pretty quickly, though honestly I read my book through most of the line. I stopped in Duty Free shopping and bought a cheap digital camera. I didn’t bring one and some things just require documentation.
There were lots of signs, that one is above the bus station |
2-18 Epi to Vila to Brisbane
It is ten o’clock at night. I’ve been up since 4 am.
We got up and left Epi at daybreak this morning. Between the plane check and the weather, we didn’t get in until 7:45. The Peace Corps Medical Officer met me at the Vila Airport and gave me a ride to the office. Once we got to the office, Nelsine looked at my hand and it confirmed her initial impression. There is likely nerve damage.
I still have no sensation in part of my thumb, though my range of motion remains intact. If I tip my hand sideways, I get a tingly feeling next to the numb part. If you look at a diagram of the nervous system of the hand, where my thumb is numb almost perfectly maps onto the branch of the radial nerve the feeds the top and outside of my thumb.
There is no microsurgery in Vanuatu. There is no guarantee of a sterile environment. Given the position of the incision, an infection could have serious effects on the movement and sensation of my entire wrist and hand. They sent me to Brisbane, Australia.
After I met with the PC doctor, she got an appointment at the hospital to talk to a surgeon. He looked at my hand and agreed with her assessment. From there, a lot of paperwork happened. A lot of running around happened. I was in and out of the medical office enough that one of the PCMOs started joking that I should just get my own key.
I signed a lot of forms. I got a visa to go to Australia. I got given my per diem in US dollars for the visit to Australia. I signed a few more forms. I got an insurance card. Eventually, I went to lunch with a few friends. It was nice to see people and pretend like nothing was wrong. Then I went back to signing forms.
My flight was leaving at 4 pm. By 1 pm, the Brisbane hospital hadn’t gotten back to my PCMOs about a hand surgeon. I couldn’t leave Vila without the Brisbane coordinator giving the ok for me to go, which she couldn’t give until she’d found a place that could give appropriate care. The next flight was on Sunday, which would have been fine, except that there is a tropical depression over Vanuatu which is likely to turn into another cyclone over the weekend. That would mean I couldn’t get out until sometime next week, which is not ideal for getting my hand put back together.
At 3:10, the paperwork came through. Did I mention I was getting on a 4:00 flight? I grabbed all my stuff, stuffed it in my bag and ran out the door. We got checked in by 3:30 and through security. When I tried to call Jason to tell him I’d made it on the plane, I found out my phone had to credit. One of the security guards was nice enough to take my money and go top up my phone. I called and left a message for Jason saying I was leaving, on a jet plane.
2-17 To Start at the Beginning
Who’s the biggest klutz on Pentecost?
The answer to that used to be Sarah who managed to fall down on a knife and had to get medevaced into Vila for six stitches within the first month of getting to site. I think today I took the cake.
I was opening a coconut with my bush knife. I was making banana bread. I thought it would be improved with some coconut milk. I was about three-quarters done with skinning the coconut. The skin was wet, which makes it less brittle and harder to pierce with a bush knife. My bush knife bounced. The second bounce landed on my wrist.
I haven’t had sensation in the back of my thumb since then. That was about eight hours ago.
After I did it, I called the Peace Corps doc. She told me to clean it up and that she’d call me back in half an hour. I told her I thought it would be alright. She called me back to tell me to be at the airport at 4 for a chartered medevac to Vila. I told her I didn’t want to go. She said too bad. Conveniently for one of the volunteers on North Pentecost, we picked him up on the way. He is supposed to be flying out of Vila for a trip to New Zealand for a month but his flight was cancelled.
I am going to interject here, that I don’t want to go to Vila. Though Vila is a lovely, if over stimulating place, it is not my place. It is not my island, my house with my partner and sleeping in my bed. Not to mention I’m going in again in 2 weeks for my training. I tried to convince the doc that 2 weeks would be plenty of time. She didn’t buy it. I spent the next hour packing my bag and cursing at myself.
Jason called a truck to ask for a ride to the airport. The driver said sure, he’d pick me up shortly because he was going to Ranmawart which is about 20 minutes north of the airport. Jason and I walked down the hill to wait at the main road for the truck. After about 45 minutes, we called him again. He’d gone past the village and wouldn’t be back for a bit because he had to find diesel for his truck. I’m not quite sure what happened there. I think he forgot me.
Luckily, my uncle who owns a truck happened to drive by. I asked if he’d give me a ride to the airport. He agreed so, at 3:00 we left for a 4:00 flight. The airport is about 45 minutes away.
We made it. My uncle even had time to stop for cigarettes and to ask about diesel for his truck. Then we sat at the airport for 45 minutes.
The plane landed, much to my chagrin. I think the truck I rode in on the way down to the airport was bigger. It certainly had more leg room. We spent a bit of time discussing weights and weight issues. The guy from up north is not small and he’d brought his bags for hiking. I pulled out a couple of books and asked my uncle to take them back for me. I dumped out my water bottle. We figured we’d be alright. We got in the air.
About 15 minutes into what should have been an hour flight, the pilot says, “Do you want the good news or the bad news first?” The guy from the North says, “Bad news.”
“We won’t make it to Vila.”
Can I point out at this juncture that I didn’t want to go in the first place? Now, I’m not even going to get to Vila. My hand doesn’t hurt but I’m a little crabby about the turn my day has taken. And the part where I have to go to Vila for an unknown period of time. Now, I wasn’t even going to make it to Vila. I think it was a good thing I held my tongue. I was working on a nice string of profanity.
The problem was purely legal. There is a law in Vanuatu saying something about small planes landing at the airport after civil twilight and how that is not ok. We were going to miss civil twilight by ten minutes. If we’d left slightly earlier, if we had slightly less weight, if, if, if…but none of those ifs were true. The pilot tried calling ahead and giving the subtle hints about needing permission to land after twilight. It didn’t do any good.
We diverted to South Epi. We are staying at a lovely guest house. It has hot and cold running water and hydropower electricity. We were fed an amazing meal of curry and chocolate icecream. I’ve spent the evening BSing with interesting people. Really, this is a really nice guest house. I would happily recommend it as a place to come for a chance to see the area in comfort.
I don’t want to be here. I want to be in my own house, working on surveys and Aid Post Committee meetings. I don’t want to be on Epi, I don’t want to be heading to Vila. Hopefully, I’ll make it through to Vila in the morning.