What a week so far! Getting diagnosed and treated is often a frustrating labyrinth of going from here to there and then back again for something no one told you that you needed. That gets multiplied when you add in a bit of a language barrier and then the cultural differences. But hey! I survived. Praise God for that!!
Entering the Maze
This is pretty long, but I think it might give you some insight into what it’s like to live here, so follow me into the marvelous maze of medicine, Roatán style. Monday at about supper time I started experiencing pain in my lower right abdomen. Moving certain ways or pressing on the area brought a sharp, but not unbearable pain. It was still there Tuesday morning, so I drove over to Clinica Esperanza. With God’s amazing help, our friend, Peggy Stranges (aka Nurse Peggy), has built from scratch what I think is the finest medical facility in the islands — it costs about $2.50 to see the doctor and get your medications, but it’s free to those who cannot pay. It started ten years ago with her just treating a few people two or three days a week in the storage room under her little beachfront house in Sandy Bay. Now it’s huge!
Clinic Shopping
I got to the clinic at 7:30, just as they were opening. There were already what looked like 50 people waiting plus eight or ten in line at the reception desk. So I went across the road to the clinic at Anthony’s Key Resort. It’s not free, but is still very affordable and great quality. When I got there, there were already about ten people ahead of me and the doctor hadn’t even arrived yet. But I had an ace up my sleeve, or maybe I should say in my wallet. At Clinica Esperanza, if you give a donation of roughly $25, you become next in line. They call it “Express Care.” Thinking that if this was appendicitis it might not be wise to loiter, I went back to Esperanza.
By then the line at the reception desk had dissipated and I was soon in an examining room. First, a nurse practitioner examined me and then my friend Dr. Raymond Cherington came in. They both checked me over pretty thoroughly, asking lots and lots of questions. They suspected appendicitis, but the symptoms were not clear enough to send me to surgery over in San Pedro Sula on the mainland. Instead, they sent me out for blood work. Dr. Raymond asked me to go see him at his private clinic when I got the results after four o’clock.
I went back to the AKR clinic and got right into the lab there. I gave them some blood and I was even able to give them the other little sample the doctors wanted. I went back for the results a little after four and then drove to Coxen Hole and found Dr. Raymond at his clinic. He put me on a clear liquid diet, prescribed Cipro, and said he knew a good surgeon that he wanted to have check me out. He couldn’t get her to answer her phone, so he said he’d call me when he talked to her. I thought it would be the next day. Nope!
Falling Down the Rabbit Hole
Dr. Raymond didn’t want to take chances. He called a little after 8:00 last night and asked me to meet him at the municipal hospital emergency room. The surgeon wasn’t there, of course, so we talked to the ER staff for quite a while. They ran some more blood tests. Dr. Raymond saw that we were communicating pretty well, so he went home about 9:30. I’m sure he’d had a long day. Me too! I had gotten up at 4:30 and needed to do so again today.
Well, they poked and prodded and inquired for another hour or so. Then they wanted to admit me for observation. I couldn’t see any reason for that. The pain wasn’t all that bad and wasn’t getting any worse. My white blood cell count was back down to normal. Besides all that, a hospital is a great place to get an infection. So, around 11:00, they pumped about 60 cc of an anti-spasmodic drug into the back of my hand and sent me packing with instructions to come back at 7:30 in the morning to get x-rays and see the surgeon. I asked about how to pay and they said I could pay when I came back in the morning.
Hospital Encore
I dragged myself out of bed at 4:30 this morning to check the early satellite downloads and make sure our programs were set for the first few hours of broadcasting and then went back to bed till six. I noticed that my pain was greatly reduced.
When I got back to the hospital I gave them some more blood and then got my x-ray. This time I had to pay up front. The blood test was about $2.00 and the x-ray was about $2.50. Those are not typos; there is only one digit in front of the decimal points. How do they keep the cost so low? Take a good look at the picture gallery below and you’ll probably figure out one way they save money. Neither process took very long, so I was soon back in the ER with the results. I even got to visit with one of our listeners while we waited in lines together. I think that is when I told them that I was feeling considerably better. The surgeon still wasn’t there, but the ER staff looked things over and declared that I do not have appendicitis. They just don’t know what it is. I asked how and where I should pay for the charges from last night. They said, “You don’t.” “Really?!” “Really.”
While it appears that the staff has excellent medical knowledge, their system is pretty alien to a linear person like me. The way it seems to work is that several patients stand at the counter while the staff asks questions of one or the other patient, then they discuss things among themselves and then move on to another patient. They sort of grazed among us, and would occasionally go back behind one of the curtains to check on someone in one of the beds. It was all a little mystifying because I was often unsure of whether they were working on my case or someone else’s — and they were talking right in front of me. They got the job done, but I was bewildered most of the time.
Keeping an Eye on Things
Because of the terrible traffic and parking at the hospital, I had parked at Dr. Raymond’s clinic and walked the few blocks to the hospital. Just as I got back to the truck, Dr. Raymond pulled in. He was a little dubious of the hospital’s verdict, but told me to go into the pharmacy and get a few days more Cipro and we’ll just keep an eye on it. So, I think I’m in the clear, but no one is sure yet. One thing I do know, the King of the Universe knows all about what’s going on and He’s keeping a really close eye on the situation.
I can’t say I was worried about the prospect of having an operation over in San Pedro Sula. I hear they give good care and my friend, Jeremy Dyck, said he’d be happy to come along to help with Spanish and be my hospital advocate. But, with Peter and Sandi in the States for the next two and a half weeks, the timing could not have been worse. It’s always interesting how God works these things out for His chosen ones. It makes it almost fun to be between Pharaoh’s army and the Red Sea.





