Tuesday 8 September 2015

E.R....er,

"I need a respirator 'cause I'm running out of breath
For you're an all night generator wrapped in stockings and a dress
When you find your medicine you take what you can get
'Cause if there's something better baby well they haven't found it yet

Your love is like bad medicine
Bad medicine is what I need
Shake it up, just like bad medicine
There ain't no doctor that can cure my disease" 
- Bad Medicine, Bon Jovi

Tonight a kiwi volunteer is catching an Air NZ flight home after scoring a personal best, 9.5 for a face first forward dive from a seated position...she deserved a medal, but didn't get one.

Unfortunately the poor lady wasn't competing in the Commonwealth Youth Games currently taking place in Apia- she was just riding her bike home from a coffee...She woke up hours later in hospital with no recollection of the accident, a serious number of teeth deeply relocated, and lips like that sexy female saxophone player from the muppets...

Naturally, I sympathise deeply.

After we visited her at the hospital- we started to do a quick 'medivac' count of the accidents, injuries and evacuations among the 8 or 10 VSA volunteers usually in country...In just the last 10 months- there have been some interesting medical issues requiring evacuation.

Like the horticultural volunteer who developed a leg infection from a pinprick in her foot- that resulted in the leg blowing up to twice it's size, and the skin beginning to die off. Over a week, her lower leg went from weird, swollen purple rash, to areas turning pitch black suspiciously like frostbite, while a postule the size of a tea light candle on her ankle threatened to disgorge a small alien. Since being evacuated, unfortunately, insurers have refused to let her return to Samoa to complete her assignment.

Then there was the all round good bloke, who fell in love online - not an injury in itself- but it cut short his assignment by several months under what can only be called conditions of severe emotional blackmail. To add injury to insult, he was only a week from returning home when a second disaster struck. Empty beer bottles are routinely kept, for cash-back recycling- but this bloke had a stash that was worth a months salary, stacked neatly about his fridge. Unfortunately, on going to grab a coldie toward the end of a night of drinking, he lost his balance and sat down, hard, in the middle of his trophy collection, tearing himself a new orifice just north of the pre-existing one. He went home with some detailed souvenir needle work which you can't pick up in the craft markets.

Or the woman admitted to the hospital suffering pneumonia, who was later found by visitors wrapped shivering in a curtain, against the polar hospital air con. She discovered that in-patients here are expected to provide their own bedding and food.

Another young volunteer picked up a uterine parasite- about which little could be done, other than to return home and wait roughly 9 months for it to appear and gurgle at her. She's expected to recover fully in about 20 years.

One lady, who referred to herself as a bit “high maintenance”- required insurance to organise return flights to NZ and a few weeks off to have a small but “sus looking” mole removed from her leg. She departed permanently, less than 6 months into a 2 year assignment.

Even small injuries can present a considerable threat. Another volunteer has a small, angry cut on his leg that's going on 3 months old, and which resists healing despite a range of antibacterial ointments and several courses of oral antibiotics. Some medicines just seem to annoy it. I wonder if maybe his adversarial approach is the problem... he may be better off just playing it some classical music and talking to it softly.

On top of all of that- every body suffers occasionally from dog bites, rashes, stomach bugs and an innumerable range of fevers caused by influenza, chikungunya, or dengue- few of which are officially diagnosed, just because there's lot of point in talking to a doctor to get more of the ubiquitously prescribed paracetamol. So far, from my extensive and awesome medical kit, I've used all of the antibiotics, betadine, a bottle of neurafen, a pack or two of panadol, antihistamines, cold and flu tabs and other assorted bits.
What's left in the kit appears to be for near death experiences...


It's little wonder that we recently received an email notifying that the personal insurance cost for volunteers has been increased.