What We Don’t Talk About / Regina Coyula

My husband has dengue fever. Or chikunguya, what the difference is can only be known after a long-awaited test. We needed to find our family doctor because he kept going from house to house inquiring of people with fever or other suspicious symptoms. The doctor, after a physical examination and posing a series of questions, filled out a paper and referred him to Fajardo Hospital.

“Don’t worry, you don’t have to wait in line for this.”

At 11:30  Alcides went to the hospital with one of our daughters who arrived at just the right time. I stayed at home cooking, so they could eat lunch after returning from the hospital.

At four in the afternoon, my brother arrived and took me to Fajardo. At that hour the shift doctor still had not seen the urgent test results. Alcides had to wait for a long time because the line that he “didn’t have to wait in” was much bigger than the line for people who arrived for other reasons. Finally, it was his turn. A young Guinean doctor with enviable patience attended each case, filled out a stack of papers and still had the Hippocratic spirit to be friendly.

I signed a paper to take responsibility for Alcides. What worries the doctors (at the hospital as well as at the neighborhood clinic) is that his platelets are very low and his leucocytes very high, but I’d rather go to the clinic every day to have the follow-up analysis than to leave him in the hospital. I don’t like anything about the Emergency Room, disorganized and lacking in hygiene, and I have no reason to suppose that the rest of the hospital would be any different.

In the waiting room the patients never stop complaining. Why if you come with a referral directly from your clinic do you have to repeat the same procedures with the doctor on duty instead of going directly to the lab? No one knows what the “guidelines” say. Later, there were only two doctors and they were overwhelmed. Those missing must be on overseas missions like Barrio Adentro or Mas Medicos; to the claim of our being a “Medical Powerhouse” should be added: … “for export.”

Having a case of dengue fever in the house isn’t news. The list of patients in the four surrounding blocks fills two pages in a school notebook. “We haven’t found the source,” my family doctor tells me with concern. I comment, “They shouldn’t focus so much on individual homes, rather they should clean up the neglected lot on the corner, and if they haven’t found the source, there they’re going to find all those who haven’t appeared yet.

As the situation is worsening (I would speak of an epidemic, but the health authorities seem not to have received “the orientation”) the priority is the source. Yesterday they came and fumigated and asked about home sources (if you have vases, plants in water, drinking bowls for pets, water deposits in the house, and I already know the list by heart and can recite it). Later the supervisor showed up to ask about the program to check for sources in homes; later the supervisor’s boss came by to ask about the program to check for sources in homes.

And at the lush wilderness on the corner? No one asks about the sources there.

28 July 2014

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