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| Flowers everywhere in Ushuaia especially lupines |
OK, time to catch you all up on my medical adventures.
Ever since Cuzco and its high altitude, my heart has not been cooperating. Lots of beats per minute and irregular. I didn't feel particularly bad, but it did sap my energy, going up hill or stairs was apt to leave me short of breath, a particular problem at high altitude. But I felt fine. As you know I got treated for high blood pressure in the Galapagos Islands. the treatment was effective against the high blood pressure and puffy feet and it was hoped the heart beat would also cure itself. Sadly, it did not. Next we had to find a slow spot in our itinerary where we could see a doctor again and figure out what was going on. Turns out that didn't happen until we got to Ushuaia.
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| Temps are sometimes in the 30's and 40's but the flowers don't mind |
On our second day here we traipsed down to the local hospital to see what they would say. After about an hour of waiting I got to see a doctor, who fortunately was a pretty good English speaker. After hearing my story he ordered an EKG, which showed I was experiencing either atrial fibrillation or atrial flutter, both of which I had already looked up. Unfortunately, much to my surprise he didn't give me some pills and send me on my way. Instead, they admitted me immediately. He said I might have to remain about four or five days. That would cause us to miss our Antarctic departure and incidentally the most expensive part of our trip with no possibility of any refund. I was not happy. Turns out that was a worse case scenario. The concern is that when you convert the fibrillation to a normal rhythm there may have been blood clots formed that would then be flushed into the brain resulting in a stroke. Not a result I would welcome.
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| Captain Fitzroy of the Beagle, the ship Darwin sailed on (and me) |
So the first step was to do an echocardiogram to look for clots, which I would have the following morning. To get the best resolution this has to be done through the trachea. Like I had to swallow the transducer. Diane probably knows all about this. The echo guy was an MD who had trained at Mount Sinai in New York. Nice guy his minimal English matched well with my minimal Spanish. Together we spoke about half a common language. Getting that thing down my throat was no fun at all but the good news was, no clots were found. So about an hour later they rolled in a defibrillator, put me out and shocked my heart back into behaving itself. By that afternoon they were ready to let me leave.
While all this was a pain for me, Linda was the one who really suffered. Throughout our explorations of the Spanish speaking world we got by with my gradually increasing Spanish skills. Linda was pretty much limited to gracias, por favor, and bano (can't get this thing to make a tilde). When they wheeled me in to the intensive care unit she was left standing in the hall with my clothes and wondering what to do next. An hour or so later someone did talk to her and she was allowed to talk to me, but then she was on her own to negotiate a taxi back to our B&B as well as to find dinner for herself and then find her way back to the hospital, find the proper entrance, and let them know what she wanted. Almost no one spoke English. Fortunately the innkeeper and his wife at our B&B drove her back to the hospital that evening and helped her find where they were keeping me (very restrictive visiting hours). AS for me I worried more about her than about my upcoming procedures.
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| Beautiful downtown Ushuaia |
A word about the hospital and Argentine medical care. The hospital is incredibly shabby, floors and walls are dinged up, blankets and bedding are shabby. Waiting areas are non existent (Linda sat on the floor). When we checked in no one spoke English, but I think I had made myself understood, but after an hour of waiting I was having my doubts. Argentines present their ID cards to get service. I presented my passport and since I was a foreigner, paid a fee of 250 Pesos (about $30 US). Once I spoke to the doctor he was very competent. The nursing staff was cordial and as helpful as could be considering the language barrier. So even though the place looked like hell, they were getting the job done. By the time I left the place, I had had an EKG, two echo cardiograms, IV drip for my whole time there, general anesthesia and defibrillation and a bag full of medicine to take to Antarctica. Also instructions to check back with them after our return. All this for $30.
Tomorrow we will take a boat excursion in the Beagle Channel. Shouldn't be too stressful and will give a chance to relax some more. I've had enough excitement.