Saturday, February 1, 2020

A Visit to a Sri Lanka Hospital


I am at the ENT in a hospital in Sri Lanka. I am trying so hard not to be the rude American but I am in so much pain. Even so, I look around and I want to photograph everything. The nurse’s shoes, all white with the pretty little design on the toe, looking like they were made in the 50s. The antique hospital beds against a backdrop of walls with peeling paint.

 

 The orderly pulls my backpack to the ENT for me


I guess I am writing to try to take my mind off of the pain from an earache. My ears are a chronic issue so this is no surprise. I pretty much know what to expect, however, I am in a foreign country.
The Ayurvedic doctor I saw this morning could not help me. I was excited to go to him because I always use herbal medicine and had heard before that Ayurveda might help with my ear trouble. He alleviated some pain with herbal oil and massage and I thought I was ok. Then I got on my bus to get to my next stop in Kandy for the night. And on the way here the pain got even worse. I might even say excruciating. When I thought I would burst into tears from the pain I jumped off the bus with my big bags outside of the city and got a tuk-tuk to the hospital. I knew I’d get there quicker that way than waiting on the bus to get through traffic. 
Emergency entry was not too bad, just the payment took so long with the orderly talking me from the right billing station to the wrong one and back again with a stop at the ATM. 

I took out way too much money because in my delirious state I heard them say 40,000 rupees, not 14,000. Which is $200 versus $75. A bargain for emergency room care to someone from the US at either amount. This morning the Ayurvedic doc asked for 800 rupees. I gave him 2,000, a little more than $10 US. 


His office was in his home. Dusty curtains that kept it dark with a dirt floor and wooden furniture. His desk has a stack of antiquated traditional Sri Lanka style books. I only assume they are ayurvedic. I wouldn't even have known they are books had I not seen something similar. It was a book about the story of Buddha, hand made by an artist. Thin rectangular slices of bamboo for pages with drawings of Buddha's journey and Sigirian writing, stacked to open like a fan and twine that wrapped around it when closed. 



 

After a question and answer session through my Sigirian translator, the host of the guest house I had been staying in who referred me to him, he took me to another room simple room.
Inside was a large open wooden chest with a rack that had several ounces of leaves drying on top. He had me lie down on a massage table. He picked up a wooden bowl of oil that he used a metal spoon to scoop some out of and then heated it with a lighter under it. Then he poured some of the warm oil into my ear and vigorously massaged around it and along my cheekbone, throat, and scalp. He blew into my ear to get the oil to go deeper inside. My unbearable pain was relieved within a few minutes. I thanked him profusely thinking the worst was over but somehow knowing that what was in my ear still had to come out. Then he sent me off with some of the ear oil in an old bottle that he rinsed with water first and blew in it to help it to dry. 

I guess the writing is helping. Or the pills they gave me for pain are working. The language barrier is so bad I did not ask what the pills are. Not my usual MO with western medicine but I just barely had the where with all to make it here despite asking many questions. I’m hoping the pills actually work. 
So, I lay here on a hospital bed with a clean but stained sheet and a pillow with only 15 feathers left in it under my head. The nurse came in to spray lidocaine in my ear but I suggested we wait to see if the pills work first. I have been to numerous doctors with Issues with my ears but that method has never been suggested. Although usually my ears are just clogged and rarely infected.


Over the past several years I have taken special care not to put my head under the water when I swim because my ears tend to get water inside. Since I have an extra flap of skin inside my ears and it makes it hard to get anything out that goes in, including wax build-up. Perhaps a mutation from a previous life as a mermaid that did not evolve when I became human. I went swimming in a lake a few days ago at my volunteer project and this time, for some reason I dunked my head under the water once. I guess hoping that perhaps I miraculously have the freedom again to do something so bold. Clearly, that is not the case.
The nurse just brought me a cup of hot chicken broth and a large slice of papaya. Healthier food than I would be offered In a US hospital. 
 

Yes, the pain is definitely subsiding. And now all I can think of is that I am going to miss one of the events I came here for. The traditional Sri Lanka dancers that you can only see perform in Kandy or for special holidays. Darn!
I have finished my snack and now a plate of rice and curry arrives. The first brown rice I have seen in this country. Another healthy delicious meal I would never expect to get in an American hospital. Spicy enough to kill any infection to no doubt. I am embarrassed to ask for a fork. But I have been traveling all day and I’m in a hospital now, so my American sensibility suggests I should eat with a utensil instead of my hands like they do here.


Soon the doctor will come. I hope. And in the meantime, I am remembering to be grateful. That I can afford to come to a doctor. That I am not so bad off as the many other people in pain on stretchers in the emergency room. That the universe has blessed me with yet another interesting story to tell, despite the hassle and pain that comes with it.


And even though I am missing the dancers tonight, I will not miss the Buddhist ceremony at sunrise tomorrow morning. It will be at the Temple of the Tooth, one of the world's most famous Buddhist temples with a tooth relic from the Buddha. Perhaps that is where I will receive the healing I need... or perhaps the enlightenment that I, like so many other spiritualists seek our whole lives. Anything can happen, any time.
The nurse takes me to a larger room in the ward with several other patients lying in hospital beds with family members beside them. They look at me inquisitively. The nurses are all amused by me, with my two big backpacks and photographing everything. One of them sits me down at a small table and the doctor comes in and puts on an antiquated headlamp that has an electrical cord and makes a loud hum when turned on. 
There is another old fashioned looking machine beside me that will solve the problem. Although I have never seen a machine like this I know what it does because the doctor told me they would suck out any wax causing the blockage with it. I am excited because I know this is the best method and I never get this treatment at my regular clinic, always just the ear irrigation. The last time I had an infection like this I had to pay an ENT specialist $400 to use a much fancier version of this machine. I have been through this many times (but usually without an infection) so I know that once the wax is cleared I will feel better. 
 





Again I remember to be grateful. I just wish I had one of my own, travel-sized.