Tuesday, September 23, 2014

Day 41: Strange Medicine


"One learns a great deal sometimes from being sick."     - Alan Watts

The past two weeks have been undeniably difficult.  I’ve been hit fairly hard by the homesickness bug, as well as a fevery/sore throaty virus and some gastrointestinal maladies, which, despite your interest in reading my blog, I don’t think you really want to hear about.  Add to this the fact that it’s currently the rainy season (meaning gray drizzles every day), and you can understand why I felt pretty depressed.  Not even a (rainy) trip to the volcano Pacaya could improve my mood.  I subsequently had to make multiple visits to the Peace Corps Medical Office, and one harrowing taxi trip into the heart of Guatemala City, to visit the hospital lab for a blood draw.

(Long story short, for the medically inclined among my readers: at my first checkup with the Peace Corps doctor, he noted that my heart rate was 46 bpm, which caused great alarm.  Although this is normal for me (and my family members), he grew concerned about my thyroid, and proceeded to ask me lots of questions: How much do you exercise?  Do you handle cold well?  How about heat?  Can I touch your skin?  My hand is warmer than your hand; can you feel that?  How many pillows do you use?  I’m not kidding; he asked me how many pillows I use.  He then told me I would need to I report to Guate for a blood draw.)

While I was waiting for my test results, my sweet host mother was beside herself with worry.  She made me special teas, asked her friends for advice regarding her “americana enferma,” and fussed over me to no end.  In the end, all my tests were negative, and Peace Corps nurse discovered the cause of my illness: consommé.  I knew that my host mother had been flavoring soups with chicken stock; I didn’t know that she had been using it for every meal, to flavor rice, noodles, vegetables, eggs, everything.  Because consommé contains animal protein, and because I haven’t eaten meat in 8-9 years, my poor vegetarian intestinal tract just kind of gave up.  I therefore stopped eating consommé-flavored meals, and haven’t had any problems since.

Serendipitously, the past two weeks of training included both a study of traditional Guatemalan medicinal remedies and a fair bit of time in the local health center.  I now know that many Guatemalans rely on chamomile tea, safety-pin crosses, and red clothing to fight illness.  But my favorite local remedy has to be swinging a dead black duck over a crying baby, to cure said baby of the evil eye.  To be fair, most Guatemalans don’t buy these “old wives’ tales.”  They’re much more likely to report to the local health center, or Puesto de Salud, with their maladies.

The Puesto is most easily described as an ill-equipped Urgent Care.  It’s staffed by two nurses and their non-licensed helper; the doctor only comes in on Mondays and Wednesdays.  Local Guatemalans can come in for lab testing (including Pap smears!), diagnoses, free medications, and birth control, which means that a lot of locals consider the Puesto their primary care center.  This is unfortunate for several reasons: 1) the Puesto staff, while delightful, aren’t doctors; 2) the Puesto isn’t equipped to perform complex diagnostic workups; and 3) the Puesto is exceedingly overtaxed.  They are funded and stocked by the government, and have currently run out of most of their medications, including prenatal vitamins.  They also have only one blood glucose meter, in a town (and country) riddled with diabetes.

That being said, I’ve been quite impressed by the good work that the Puesto workers do.  They keep tabs on all the local health trends, including illnesses, vaccinations, number of people taking supplementary vitamins, etc.  They also go door-to-door to locate pregnant mothers who haven’t come in for their recommended four check-ups, or to give vaccinations to children and pets.  Their dedication to and enthusiasm for their work is really amazing.  Especially when you consider that they haven’t been paid for several months.  And on that bittersweet note, I take my leave!

Pacaya, one of Guatemala's active volcanoes