Thursday, March 14, 2013

My Africa Doctor Experience


If you think being sick in America is bad, I can promise you being sick in South Africa is a million times worse. Over the last few weeks I have been suffering from pretty bad allergies. Of course I wasn’t too worried about it, I had suffered from allergies before and this was nothing new, or so I thought. Turns out after three weeks of coughing and sneezing, your body starts to get mad at you. In my case, my body got super pissed off, and I ended up with a really bad sinus infection. This is far from my first sinus infection, so I was able to self-diagnose my problems pretty quickly. Feeling like my head was a giant balloon and that I had just been punched in the jaw a couple times made it pretty easy to tell what was going on, but unfortunately being able to self-diagnose gets you nowhere in getting prescription antibiotics. As much as I really didn’t want  to go to the doctor in rural South Africa, I also didn’t want to feel like crap for another week or two, so I gave in and called Peace Corps medical staff. Of course they are located 10 hours away in Pretoria, so my only option was to have them set up an appointment for me at the doctor’s office two towns over for the following day.

This is where the fun part really began. The doctor’s office is located in the town of Ixopo. If I had a car it is maybe 30 minutes from my village, which isn’t bad at all. However, I don’t have a car, so I had to brave public transportation to get there. It takes two different taxis to get from my village to the doctors. I walked up to get the taxi from my village to my shopping town of Umzimkulu at 11am. Even though my appointment in Ixopo wasn’t until 2pm, I had to take the 11am taxi out because the next taxi usually doesn’t leave until school gets out, at 2:45pm. We waited 45 minutes to get the other 13 people needed to cram that pickup truck full before we could head into town. Those 45 minutes taught me an important lesson; when you are sick, nothing makes you feel worse than being stuffed in a taxi with 13 other people who are all yelling at the top of their lungs in a language you don’t understand. I spent the majority of that drive praying I wouldn’t throw up all over the person across from me because my head hurt so badly. I kind of wanted to kiss the ground when we finally got out in Umzimkulu, but then I remembered I was in a 3rd world country and I probably shouldn’t be putting my face anywhere near the ground in town.

The next leg of my journey was to catch the taxi from Umzimkulu to Ixopo. The positive side of this part is that the taxis are actually vans rather than pickups, so you aren’t quite as smashed in. The negative side is that the taxis I needed are located in the sketchiest part of Umzimkulu. On a normal day I am extremely rude to people in that area for safety reasons. South African culture is that if a woman tells you no nicely she doesn’t really mean no, she means try harder. Obvious that is not the message I am ever trying to convey, so I am normally downright rude to men hanging around the taxi rank. Unfortunately for the men who tried to yell at me yesterday, I was already in a bad mood, so rude might be an understatement. In America I’m sure I would have been classified as a bitch, but here I’m betting they would say I was just being feisty. Once I made it through the obnoxious drunks, I only had to wait for about 20 minutes for the taxi to fill and head off to Ixopo. Now, since I had to take the 11am taxi out of my village, I ended up getting to Ixopo around 1pm for my 2pm appointment. At home I would normally go sit in the closest Starbucks to burn some time, but coffee shops don’t really exist in the rural areas, so I went to my next best option, KFC. South Africans love their KFC, in fact most towns have signs telling you to turn around and go back the 2km to the closest KFC, just in case you didn’t see it when you drove by. It wasn’t exactly where I wanted to sit for an hour, but there are far worse places in these towns to hang out than KFC.

Eventually I felt it was an appropriate time to head to my appointment across the street. Surprisingly the doctor and the receptionist spoke flawless English, and I was checking in without a problem. Unsurprisingly they were a little behind schedule, and I had to wait for a little over an hour to be seen. Once I was finally taken back it took less than five minutes for the doctor to confirm that yes I do have a sinus infection and that I needed antibiotics. As glad as I was to hear that I had been right all along, I was not that happy that I spent four hours suffering while waiting for a doctor to tell me something I already knew. My frustrations, however, were substantially lowered when the doctor just started handing out medications. Turns out in South Africa some doctors write you prescriptions and send you to the pharmacy, while others act as a pharmacist and just hand out drugs like candy. The last time I had a sinus infection in the US I was just given your standard antibiotics and told to rest for a few days. In South Africa I was given everything I could possibly need to make my life more comfortable during my recovery, and probably some things I really didn’t need. I got the usual antibiotics, and on top of that I got a probiotic supplement so the antibiotics don’t upset my stomach, and over the counter decongestant, cough syrup with codeine which worked wonders helping me sleep last night, pain meds just in case (of what I’m not really sure), and a nasal spray to try and help my allergies. It was kind of like getting a gift bag for coming to the doctor. The excitement did wear off a little when I realized I had at least another hour of travel time in order to get home, and then wore off completely when my last taxi back to my village was filled with 13 other people and 6 live chickens. I was having problems breathing enough as it was, but adding a bunch of chickens in the back of a packed truck just made it so much worse.

So, the next time it takes you twenty minutes to get to the doctor, where you have to wait for another twenty minutes in a spacious waiting room that’s full of magazines and the smell of cleaning products, don’t complain. The experience could be so much worse. My new goal is to not have to go back to the doctor for the next 18 months that I am here. Unfortunately that might be a little hard with my allergies because I am too much of a baby to take the stupid nasal spray. I don’t know what it is, maybe it’s the 12 years I spent getting water up my nose when I was swimming, but nasal sprays freak me out. I have spent all day trying to get up the courage to just do it, but every time I get that little bottle even close to my face I panic and can’t do it. I’m going to call this one of my 1st world problems in a 3rd world country.