Hello Blog Friends,
All 12 of you who still look at this blog every month.....I wish I knew who you were so I could just tell you all this in person. But I feel like I owe the world an explanation for why I quite blogging--in case there's anyone left out there who doesn't know, or in case someday someone stumbles upon this blog and are just dying to know what happened next, or perhaps for that someday when I print this off into a book for posterity.
What happened?
Well, the short version is this: I got malaria and came home.
The long version is as follows, but I warn you.....it is a LOOOOng version: I felt a little sick exactly a week after I published that last post. Charity came over to my house on Sunday to do a rapid test for malaria, just because it's a good idea to do that anytime you get a fever in Uganda. I was pretty sure I just had a bacterial infection - I felt pretty much the same as I did the few other times I'd been sick. Charity and I did a total hack job on the test, so even though I tested positive for malaria that night, I believed the clinic the next day when they told me I just had a bacterial infection and to go ahead and take some antibiotics and multivitamins and I'd be fine. I didn't panic when I started peeing brown--I googled it--that's what happens sometimes when you take multivitamins. The clinic did say to come back if I didn't feel better in three days. So two days later, when walking to the bathroom in the morning was a near impossibility, when opening my eyes and talking were extremely painful, I thought maybe I should go to the hospital, not just back to that clinic. At least that way my roommate could quit making me feel guilty for being in the house two days past my six-month contract mark. I texted my friend Paul who came and picked me up, no questions asked and took me to the hospital. I was honestly terrified to be admitted into that hospital. I've just heard so many horror stories of people entering a Ugandan hospital for some rather routine reason and contracting some deadly disease FROM the hospital and dying. That was the first time in my two years in Uganda that I stepped foot in a hospital. I literally thought (now mind you, I was sort of delirious and not thinking very straight,) "So this is how I'm going to die. Getting poked with an infected needle in Uganda. At thirty." And a few tears fell down my face. But my fever hurt so bad I had no will to fight when they turned me on my side and shot something into my rear and hooked me up to an IV. Turns out I did in fact have malaria.
They admitted me into the hospital and got me situated. I remember that Paul helped me onto the bed and then I promptly fell asleep. When I woke up, he said he was going out for just a minute, but would be back. I fell asleep again, and when I woke up, he was sleeping in a chair next to my bed, with a newspaper and a copy of The Economist tucked under his arm. That's when I realized he wasn't going back to work like I assumed. He was sticking around for the long haul. And he did. He stayed the entire rest of the day. Elizabeth came that night and convinced Paul he could go home - she would stay with me. And then he was back the next day at 8:00 am to start taking care of me again. I was in a bad way, and the hospitals over there can be kind of a joke. I needed friends who would help fight to get me care. That next day my fever kept spiking despite any drugs they'd give me. That was scary moment number two. I'd never felt pain in my head like I felt for about thirty minutes that day. I kept squeezing my eyes shut and squeezing Paul's hand. I kept asking him, "What if it doesn't get better? What if my fever won't break?" But Paul was so calm and reassuring, "It will, Morgan, of course it will." And he made me believe it. Of course it will. And it did. But of course, that wasn't all - I had stuff coming out of every orifice on my body. I couldn't keep down the malaria pills. Violent vomiting would take place every time I took one. And my pee was still brown.....but I didn't pay it much mind even though I'd stopped the multivitamins. And I had terrible diarrhea. And I was on my period. TMI? Well, now you get the picture at least.
On day three they discharged me. I still had a fever, but no more of the crazy head-exploding variety. I was still super weak, but I felt better. I did. I emailed some family and friends to tell them what had been going on, why they hadn't heard from me, but that I was better. And I was. My strength was returning, Paul and Elizabeth were nursing me back to health. I had a urine and stool culture test run, and it turned out I did have some sort of intestinal bacteria infection, and a fungal urinary infection. On top of the malaria. Needless to say, I was taking a LOT of drugs.
Despite what we think here in America, malaria is most often a very treatable disease. We have lots of drugs for it. Most people get some flu-like symptoms, take some pills, and it goes away. There are four strains of malaria, three of which people generally survive. One of which is fatal 75% of the time. Lucky for me, I got the latter.
During this strange time of re-gaining strength, I was still feeling feverish every day. Not bad, but just enough that I needed to sit and do nothing for a few hours. Paul left for his Christmas vacation, Elizabeth left for a work assignment, and I thought I was fine. Until I woke up one morning with several things I needed to do, but absolutely no energy to do them. I called Lenox to see if he could come help me. About 4:00 in the afternoon, I decided I needed to go back to the hospital for a check up. I thought I probably just had a urinary tract infection. It now hurt to pee, in addition to the brown color. My dear friend Pascah met me at the hospital - she had just gone on holiday from lab technician school and wanted to see me. I explained my situation and she immediately came across town to be with me in the hospital. What I thought would be a 30 minute check-up turned into about five hours of re-running tests. First, they told me I was anemic. "No I'm not."
"Yes you are, you are jaundiced."
"No, I would know if I were anemic. I'm not anemic."
"Your HB is at a six."
As if I had any idea what an HB was. Thankfully, Pascah explained that HB is hemoglobin - red blood cell count. Twelve is normal, I was at a six - my blood was really low. Sometimes you can become anemic, temporarily, even if you aren't normally. Thank heavens for Pascah - that particular doctor was worthless. I finally realized why my pee was still colored--and getting redder every day. I was hemorrhaging blood like crazy. He sold me some drugs to help build my blood level back up. But then another test came back......I still had malaria. "No I don't, that's not possible."
"Yes you do, so you need to take these malaria pills - but they will counteract with the blood pills, so you can't take both. Take the pills and come back in three days, we'll see how you are. .....No, three days is Christmas. Come back in five days." And they sent me home. That whole time I was in the hospital I was growing weaker, but I kept telling myself I was fine. I didn't understand what it meant to have malaria in my system for that long, nor what having an HB of six really meant. I remember getting off the boda from my ride home, and kneeling on the ground to get money from my purse because I couldn't stand up. My boda driver looked at me like I was crazy and asked if I needed help. I assured I was fine. I finally made it in my gate and literally had to crawl the rest of the way to my door. The doctor had told me to take the pills with fatty foods and dairy, so I ordered fries from Sankofa, and Lenox got me some yogurt. I took one bite of the food and threw up - this time before I took any pills. THAT's when I finally understood. I was still really sick. I had to go back to the hospital. But I was not about to go back to that crazy doctor that had just sent me home after malaria had been in my body for two weeks and I had a hemoglobin level of six!!!! So I called Charity who was now back in town after a trip to Nairobi (a trip I was supposed to have taken with her....) This is just a few days before Christmas, so no one was around in Gulu.....luckily though, she had a Ugandan friend with a car that was wonderful enough to come pick me up and take me to Lacor Hospital - about a twenty minute's drive.
I was admitted there, and had even worse care than when I was in the first hospital. It was Christmastime, see? There was very little staff. I only had malaria. It didn't really matter. There was finally a physician I talked to after have been there two days with no improvement and very little care. I told him I had to go home. I was so stressed out there, I couldn't get better in a place where they wouldn't come clean my vomit up off the floor, neglected to check on me for hours, and weren't treating me like there was anything wrong. He finally consented to letting me go home to sleep at night, but not to discharging me from the hospital--I still had to come back for treatment. They were now giving me the most aggressive malaria drug they had - one they shot directly into my veins. So this wonderful senior missionary couple - the Woods - came and picked me up in their truck and took me home. It was Christmas Eve, and Charity and Elizabeth came and sat on my bed and made me laugh. It felt so good to be in that home. Sister Woods made me a wonderful stew dinner and the best fluffy, white, home-made rolls I'd had in two years. Malaria was an appetite killer, but I ate that evening. That night, all eight of the Mormon missionaries came over to the Woods' house for a Christmas program. They each shared a Christmas message - only small clips of which I could hear from my room - and then sang their favorite carol. I listened hard and tried to sing along even though I could barely make any noise. It was my first Christmas away from home, and I felt so awful. But there was a great sense of peace in that home. I'll never forget it.
The next morning - Christmas day - the Woods packed me into the backseat of their truck and drove me back out to the hospital for my next malaria treatment. I passed out in the process of moving from my wheelchair to the hospital bed. They ran a few more tests. My HB was now down to five, my blood pressure was sky rocketing above 100, things were bad. The physician insisted that I absolutely must get a blood transfusion - there was no other choice. This was something he had tried to suggest the day before, but I was adamant that I would not - not in Uganda, not where the HIV/AIDS rate is at 9%. But Elizabeth had told me the night before that she is A+, same as me. And there were several squeaky-clean American missionaries there - surely one of them would be compatible, right? And there was - Elder Winters. And he was so happy to help me. So Christmas morning, two wonderful people gave me the most beautiful gift. I realize I can never repay them for what they did. I can't even respond in-kind for someone else. But I am so very, very grateful to them.
Two days later my malaria treatments were done and my HB level was back up to 6.4. A positive sign. So I was discharged from hospital number two. I felt so much better. I'd been passing out left and right, but didn't feel that way anymore. I did, however, wake up with a severe panicky feeling in my chest the next morning. That may have had something to with the fact that on Christmas day I had been able to talk to a friend of mine who is a doctor. He was appalled that they let me go home at night. He was appalled that they only gave me two blood transfusions. He nearly choked when I told him about that doctor who sent me home with an HB of six. He said if I had walked into his hospital with a six, I would have been admitted into intensive care. They start giving transfusions at an eight. So, yeah, I guess I panicked. I had Elder Woods drive me to a nearby clinic - just to check my HB - just to be sure. It was back down to 5.4. That's when I got scared for the third time. And that's when I decided to stop messing around with Gulu hospitals and go somewhere they could figure out what was really wrong and get me better. I called my insurance about getting a life-flight out of there. To somewhere with a real medical system - Nairobi or Johannesburg. My insurance required me to be checked over by a physician that day before they could approve anything. So I went back to Gulu Independent - hospital number one. The better of the two doctors was there that day, he was very concerned with how pale I was. He said he would only sign off on my transfer if I would get more blood transfusions. There was also a Serbian doctor there who had taken care of me the first time. He came up to me in the emergency room and got really close to my ear and said, "You get this blood, then you get out of here and get help. And then you go home to America. Don't mess around with Africa anymore." And then he donated blood to help me on my way. Wow, what a doctor. I also got a pint from another close friend named Harry. How could I ever possibly thank these people enough?
Thirteen hours after my initial contact with my insurance about getting a life-flight, they finally consented. Really insurance? Thanks a lot. It's just good I wasn't in a worse state. By this time it was midnight though, so they said I had two options: 1. I stayed in the hospital until morning and got a helicopter from Kampala in the morning, or 2. I take an ambulance and leave right then for Kampala. I was delirious, but I still knew where I was. I knew if I agreed to wait until morning for the helicopter it would turn into evening before one ever came. So I went with the ambulance. They wheeled me out to a taxi-van-turned-ambulance and made me crawl in and up onto the stretcher. Paul climbed in the back and asked where my straps were?
"Straps?"
"Yes, where are the belts to keep her in place in case of an accident?"
"Hahahaha, we won't be in an accident. Don't worry." And with that they shut the doors and we were on our way. I started off being very frightened. What if things weren't better in Kampala? What if I worsened fast during the drive? But about an hour in, something happened and I felt intense peace that I was going to be fine. I was extremely out of it for the whole drive, but I do remember the ambulance stopping and starting an awful lot. And I remember about halfway through the drive realizing Paul's hand was no longer there for me to squeeze. I woke up in the morning surprised that it was daylight and we were still driving. I asked the useless nurse (I know that sounds harsh, but she didn't even know what was wrong with me and had absolutely zero equipment to even take my vitals,) where Paul was. She pointed to the front seat. Huh, he must be keeping the driver awake.
"Can you get my phone from him?" I looked at the clock. It was 8:30am. We should have arrived three hours ago. What in the world was happening? I focused a bit harder, and remembered what country I was in, and that Paul wasn't sitting in the passenger seat, he was driving. "Is everything OK Paul?"
"We're nearly there Morgan, just another 30 minutes." Our ridiculous driver had kept pulling over to sleep, buying himself Cokes and asked the nurse for a gluten packet to wake himself up. Paul finally yelled at him, said, "My friend is very sick! She has to get to Kampala! Move over, I'm driving!" You should know, Paul is Irish, and is the most mild-mannered, polite and quiet person I've met. But he's got Character with a capital C. He gets the job done when it needs doing.
We finally arrived at IHK (International Hospital Kampala) They wheeled me into the emergency room and once again began running all sorts of tests to see what was wrong with me and if I should be admitted into the hospital. The ER physician came back a few hours later and told me there was definitely something wrong with me. But she had no idea what it was. My test results were really odd and possibly skewed by all the drugs I'd been taking. So they were admitting me, and taking me off all the drugs until further notice. She did say, "My prevailing thought in going over all your paper work is 'This is one very strong woman.'" For some reason that made me feel better. I wasn't crazy, all those crappy nurses who laughed at me for being scared and treated me like there was nothing wrong - they were wrong. Late that night I had this thought: What if I was fine? What if I was getting better now? What if the malaria was gone and my blood just needed a little extra help to give it a fighting chance?
And in the end, that was pretty much it. They took ex-rays and ultra sounds and all my organs seemed to be OK. My blood levels stopped dropping and a few days later it even began to slooooowly creep back up. I had a private room with a guest bed and Paul stayed the whole time. He completely gave up his holiday break to take care of me. He made sure I ate plenty both before and after my appetite came back. He wheeled me around the hospital grounds to get me out in the sunshine. He called the nurses in at my every whim. Paul saved my life. Several times. Charity, Lenox, Elizabeth, the Woods, my other blood donors, and even the mediocre medical staff saved my life. I spent Christmas and New Years in hospitals. But I'm alive to tell the story. And I feel like the luckiest person in the world to have had such amazing friends who would help me and fight for me with such intensity for so long. I was discharged from the hospital on January 3rd - a few days shy of a month from when I first felt the malaria in my system. I stayed in Kampala for a little over a week to regain some strength, have some additional follow-up tests run, and make sure I was really OK this time.
I remember those days I was home between the first two hospital stays, Charity came home from Nairobi and came over to cook me dinner. We sat in the kitchen and I told her all my big plans for Recycling for Hope's future. I was so excited, so hopeful. I knew things were going to be different than I'd originally planned, but I knew that was OK. I liked where it was headed. I believed it would make a positive difference. When I just wasn't getting better, everyone told me to go home to America as soon as I could. I heard what they said, but it made no impact. Of course I wouldn't go home. My project was nowhere close to being ready for me to leave. I still needed another four to six months. But sitting on a balcony in IHK with Paul, we discussed it for real for the first time. He told me I had to go home. That I had to make sure I was better. Coming back could always be an option, but that if I didn't take care of myself, staying for Recycling for Hope's sake would do no good. I didn't say much, but I did cry a lot. I didn't make any definite decisions for a few days. But I eventually I realized that while I was better, I had no energy. Walking for five minutes was more than I could handle. There was no way I could run after all the things that needed to be done for the project. I would just be a drain and I would probably wind up severely depressed. So I decided to go home and leave Recycling for Hope as it was. Which was no where, really. It was one of the hardest decisions I've ever had to make.
I wish I could say after having been home for five months that I was at peace with all of this. But I'm really not. Mostly I just haven't dealt with it. I finally, for the first time, about a month ago, just sat down and sobbed hardcore for a good five minutes out of gratitude for being alive. Typing all this out is one of the only times I've let myself feel the heartache at loosing my project that meant so much to me. Largely I've just focused on the future and haven't looked at the past. I know I need to, and I know one day (hopefully soon) I will.
I can say say that I am amazingly grateful to be alive. I am so grateful to feel better. June was the first month where I didn't feel the deep bone-exhaustion that malaria brought on. I'm happy to be able to be active and capable. Because of Recycling for Hope I've landed a great job with a recycling non-profit in Boulder, CO that I love. I feel a lot of gratitude for where I've been and where it has led me. I feel in many ways, all this has helped me to do just what I set out to, what I named my blog; Fill the Measure of My Creation.
All 12 of you who still look at this blog every month.....I wish I knew who you were so I could just tell you all this in person. But I feel like I owe the world an explanation for why I quite blogging--in case there's anyone left out there who doesn't know, or in case someday someone stumbles upon this blog and are just dying to know what happened next, or perhaps for that someday when I print this off into a book for posterity.
What happened?
Well, the short version is this: I got malaria and came home.
The long version is as follows, but I warn you.....it is a LOOOOng version: I felt a little sick exactly a week after I published that last post. Charity came over to my house on Sunday to do a rapid test for malaria, just because it's a good idea to do that anytime you get a fever in Uganda. I was pretty sure I just had a bacterial infection - I felt pretty much the same as I did the few other times I'd been sick. Charity and I did a total hack job on the test, so even though I tested positive for malaria that night, I believed the clinic the next day when they told me I just had a bacterial infection and to go ahead and take some antibiotics and multivitamins and I'd be fine. I didn't panic when I started peeing brown--I googled it--that's what happens sometimes when you take multivitamins. The clinic did say to come back if I didn't feel better in three days. So two days later, when walking to the bathroom in the morning was a near impossibility, when opening my eyes and talking were extremely painful, I thought maybe I should go to the hospital, not just back to that clinic. At least that way my roommate could quit making me feel guilty for being in the house two days past my six-month contract mark. I texted my friend Paul who came and picked me up, no questions asked and took me to the hospital. I was honestly terrified to be admitted into that hospital. I've just heard so many horror stories of people entering a Ugandan hospital for some rather routine reason and contracting some deadly disease FROM the hospital and dying. That was the first time in my two years in Uganda that I stepped foot in a hospital. I literally thought (now mind you, I was sort of delirious and not thinking very straight,) "So this is how I'm going to die. Getting poked with an infected needle in Uganda. At thirty." And a few tears fell down my face. But my fever hurt so bad I had no will to fight when they turned me on my side and shot something into my rear and hooked me up to an IV. Turns out I did in fact have malaria.
They admitted me into the hospital and got me situated. I remember that Paul helped me onto the bed and then I promptly fell asleep. When I woke up, he said he was going out for just a minute, but would be back. I fell asleep again, and when I woke up, he was sleeping in a chair next to my bed, with a newspaper and a copy of The Economist tucked under his arm. That's when I realized he wasn't going back to work like I assumed. He was sticking around for the long haul. And he did. He stayed the entire rest of the day. Elizabeth came that night and convinced Paul he could go home - she would stay with me. And then he was back the next day at 8:00 am to start taking care of me again. I was in a bad way, and the hospitals over there can be kind of a joke. I needed friends who would help fight to get me care. That next day my fever kept spiking despite any drugs they'd give me. That was scary moment number two. I'd never felt pain in my head like I felt for about thirty minutes that day. I kept squeezing my eyes shut and squeezing Paul's hand. I kept asking him, "What if it doesn't get better? What if my fever won't break?" But Paul was so calm and reassuring, "It will, Morgan, of course it will." And he made me believe it. Of course it will. And it did. But of course, that wasn't all - I had stuff coming out of every orifice on my body. I couldn't keep down the malaria pills. Violent vomiting would take place every time I took one. And my pee was still brown.....but I didn't pay it much mind even though I'd stopped the multivitamins. And I had terrible diarrhea. And I was on my period. TMI? Well, now you get the picture at least.
On day three they discharged me. I still had a fever, but no more of the crazy head-exploding variety. I was still super weak, but I felt better. I did. I emailed some family and friends to tell them what had been going on, why they hadn't heard from me, but that I was better. And I was. My strength was returning, Paul and Elizabeth were nursing me back to health. I had a urine and stool culture test run, and it turned out I did have some sort of intestinal bacteria infection, and a fungal urinary infection. On top of the malaria. Needless to say, I was taking a LOT of drugs.
Despite what we think here in America, malaria is most often a very treatable disease. We have lots of drugs for it. Most people get some flu-like symptoms, take some pills, and it goes away. There are four strains of malaria, three of which people generally survive. One of which is fatal 75% of the time. Lucky for me, I got the latter.
During this strange time of re-gaining strength, I was still feeling feverish every day. Not bad, but just enough that I needed to sit and do nothing for a few hours. Paul left for his Christmas vacation, Elizabeth left for a work assignment, and I thought I was fine. Until I woke up one morning with several things I needed to do, but absolutely no energy to do them. I called Lenox to see if he could come help me. About 4:00 in the afternoon, I decided I needed to go back to the hospital for a check up. I thought I probably just had a urinary tract infection. It now hurt to pee, in addition to the brown color. My dear friend Pascah met me at the hospital - she had just gone on holiday from lab technician school and wanted to see me. I explained my situation and she immediately came across town to be with me in the hospital. What I thought would be a 30 minute check-up turned into about five hours of re-running tests. First, they told me I was anemic. "No I'm not."
"Yes you are, you are jaundiced."
"No, I would know if I were anemic. I'm not anemic."
"Your HB is at a six."
As if I had any idea what an HB was. Thankfully, Pascah explained that HB is hemoglobin - red blood cell count. Twelve is normal, I was at a six - my blood was really low. Sometimes you can become anemic, temporarily, even if you aren't normally. Thank heavens for Pascah - that particular doctor was worthless. I finally realized why my pee was still colored--and getting redder every day. I was hemorrhaging blood like crazy. He sold me some drugs to help build my blood level back up. But then another test came back......I still had malaria. "No I don't, that's not possible."
"Yes you do, so you need to take these malaria pills - but they will counteract with the blood pills, so you can't take both. Take the pills and come back in three days, we'll see how you are. .....No, three days is Christmas. Come back in five days." And they sent me home. That whole time I was in the hospital I was growing weaker, but I kept telling myself I was fine. I didn't understand what it meant to have malaria in my system for that long, nor what having an HB of six really meant. I remember getting off the boda from my ride home, and kneeling on the ground to get money from my purse because I couldn't stand up. My boda driver looked at me like I was crazy and asked if I needed help. I assured I was fine. I finally made it in my gate and literally had to crawl the rest of the way to my door. The doctor had told me to take the pills with fatty foods and dairy, so I ordered fries from Sankofa, and Lenox got me some yogurt. I took one bite of the food and threw up - this time before I took any pills. THAT's when I finally understood. I was still really sick. I had to go back to the hospital. But I was not about to go back to that crazy doctor that had just sent me home after malaria had been in my body for two weeks and I had a hemoglobin level of six!!!! So I called Charity who was now back in town after a trip to Nairobi (a trip I was supposed to have taken with her....) This is just a few days before Christmas, so no one was around in Gulu.....luckily though, she had a Ugandan friend with a car that was wonderful enough to come pick me up and take me to Lacor Hospital - about a twenty minute's drive.
I was admitted there, and had even worse care than when I was in the first hospital. It was Christmastime, see? There was very little staff. I only had malaria. It didn't really matter. There was finally a physician I talked to after have been there two days with no improvement and very little care. I told him I had to go home. I was so stressed out there, I couldn't get better in a place where they wouldn't come clean my vomit up off the floor, neglected to check on me for hours, and weren't treating me like there was anything wrong. He finally consented to letting me go home to sleep at night, but not to discharging me from the hospital--I still had to come back for treatment. They were now giving me the most aggressive malaria drug they had - one they shot directly into my veins. So this wonderful senior missionary couple - the Woods - came and picked me up in their truck and took me home. It was Christmas Eve, and Charity and Elizabeth came and sat on my bed and made me laugh. It felt so good to be in that home. Sister Woods made me a wonderful stew dinner and the best fluffy, white, home-made rolls I'd had in two years. Malaria was an appetite killer, but I ate that evening. That night, all eight of the Mormon missionaries came over to the Woods' house for a Christmas program. They each shared a Christmas message - only small clips of which I could hear from my room - and then sang their favorite carol. I listened hard and tried to sing along even though I could barely make any noise. It was my first Christmas away from home, and I felt so awful. But there was a great sense of peace in that home. I'll never forget it.
The next morning - Christmas day - the Woods packed me into the backseat of their truck and drove me back out to the hospital for my next malaria treatment. I passed out in the process of moving from my wheelchair to the hospital bed. They ran a few more tests. My HB was now down to five, my blood pressure was sky rocketing above 100, things were bad. The physician insisted that I absolutely must get a blood transfusion - there was no other choice. This was something he had tried to suggest the day before, but I was adamant that I would not - not in Uganda, not where the HIV/AIDS rate is at 9%. But Elizabeth had told me the night before that she is A+, same as me. And there were several squeaky-clean American missionaries there - surely one of them would be compatible, right? And there was - Elder Winters. And he was so happy to help me. So Christmas morning, two wonderful people gave me the most beautiful gift. I realize I can never repay them for what they did. I can't even respond in-kind for someone else. But I am so very, very grateful to them.
| Me on Christmas morning, getting my first blood transfusion. |
Two days later my malaria treatments were done and my HB level was back up to 6.4. A positive sign. So I was discharged from hospital number two. I felt so much better. I'd been passing out left and right, but didn't feel that way anymore. I did, however, wake up with a severe panicky feeling in my chest the next morning. That may have had something to with the fact that on Christmas day I had been able to talk to a friend of mine who is a doctor. He was appalled that they let me go home at night. He was appalled that they only gave me two blood transfusions. He nearly choked when I told him about that doctor who sent me home with an HB of six. He said if I had walked into his hospital with a six, I would have been admitted into intensive care. They start giving transfusions at an eight. So, yeah, I guess I panicked. I had Elder Woods drive me to a nearby clinic - just to check my HB - just to be sure. It was back down to 5.4. That's when I got scared for the third time. And that's when I decided to stop messing around with Gulu hospitals and go somewhere they could figure out what was really wrong and get me better. I called my insurance about getting a life-flight out of there. To somewhere with a real medical system - Nairobi or Johannesburg. My insurance required me to be checked over by a physician that day before they could approve anything. So I went back to Gulu Independent - hospital number one. The better of the two doctors was there that day, he was very concerned with how pale I was. He said he would only sign off on my transfer if I would get more blood transfusions. There was also a Serbian doctor there who had taken care of me the first time. He came up to me in the emergency room and got really close to my ear and said, "You get this blood, then you get out of here and get help. And then you go home to America. Don't mess around with Africa anymore." And then he donated blood to help me on my way. Wow, what a doctor. I also got a pint from another close friend named Harry. How could I ever possibly thank these people enough?
Thirteen hours after my initial contact with my insurance about getting a life-flight, they finally consented. Really insurance? Thanks a lot. It's just good I wasn't in a worse state. By this time it was midnight though, so they said I had two options: 1. I stayed in the hospital until morning and got a helicopter from Kampala in the morning, or 2. I take an ambulance and leave right then for Kampala. I was delirious, but I still knew where I was. I knew if I agreed to wait until morning for the helicopter it would turn into evening before one ever came. So I went with the ambulance. They wheeled me out to a taxi-van-turned-ambulance and made me crawl in and up onto the stretcher. Paul climbed in the back and asked where my straps were?
"Straps?"
"Yes, where are the belts to keep her in place in case of an accident?"
"Hahahaha, we won't be in an accident. Don't worry." And with that they shut the doors and we were on our way. I started off being very frightened. What if things weren't better in Kampala? What if I worsened fast during the drive? But about an hour in, something happened and I felt intense peace that I was going to be fine. I was extremely out of it for the whole drive, but I do remember the ambulance stopping and starting an awful lot. And I remember about halfway through the drive realizing Paul's hand was no longer there for me to squeeze. I woke up in the morning surprised that it was daylight and we were still driving. I asked the useless nurse (I know that sounds harsh, but she didn't even know what was wrong with me and had absolutely zero equipment to even take my vitals,) where Paul was. She pointed to the front seat. Huh, he must be keeping the driver awake.
"Can you get my phone from him?" I looked at the clock. It was 8:30am. We should have arrived three hours ago. What in the world was happening? I focused a bit harder, and remembered what country I was in, and that Paul wasn't sitting in the passenger seat, he was driving. "Is everything OK Paul?"
"We're nearly there Morgan, just another 30 minutes." Our ridiculous driver had kept pulling over to sleep, buying himself Cokes and asked the nurse for a gluten packet to wake himself up. Paul finally yelled at him, said, "My friend is very sick! She has to get to Kampala! Move over, I'm driving!" You should know, Paul is Irish, and is the most mild-mannered, polite and quiet person I've met. But he's got Character with a capital C. He gets the job done when it needs doing.
We finally arrived at IHK (International Hospital Kampala) They wheeled me into the emergency room and once again began running all sorts of tests to see what was wrong with me and if I should be admitted into the hospital. The ER physician came back a few hours later and told me there was definitely something wrong with me. But she had no idea what it was. My test results were really odd and possibly skewed by all the drugs I'd been taking. So they were admitting me, and taking me off all the drugs until further notice. She did say, "My prevailing thought in going over all your paper work is 'This is one very strong woman.'" For some reason that made me feel better. I wasn't crazy, all those crappy nurses who laughed at me for being scared and treated me like there was nothing wrong - they were wrong. Late that night I had this thought: What if I was fine? What if I was getting better now? What if the malaria was gone and my blood just needed a little extra help to give it a fighting chance?
And in the end, that was pretty much it. They took ex-rays and ultra sounds and all my organs seemed to be OK. My blood levels stopped dropping and a few days later it even began to slooooowly creep back up. I had a private room with a guest bed and Paul stayed the whole time. He completely gave up his holiday break to take care of me. He made sure I ate plenty both before and after my appetite came back. He wheeled me around the hospital grounds to get me out in the sunshine. He called the nurses in at my every whim. Paul saved my life. Several times. Charity, Lenox, Elizabeth, the Woods, my other blood donors, and even the mediocre medical staff saved my life. I spent Christmas and New Years in hospitals. But I'm alive to tell the story. And I feel like the luckiest person in the world to have had such amazing friends who would help me and fight for me with such intensity for so long. I was discharged from the hospital on January 3rd - a few days shy of a month from when I first felt the malaria in my system. I stayed in Kampala for a little over a week to regain some strength, have some additional follow-up tests run, and make sure I was really OK this time.
I remember those days I was home between the first two hospital stays, Charity came home from Nairobi and came over to cook me dinner. We sat in the kitchen and I told her all my big plans for Recycling for Hope's future. I was so excited, so hopeful. I knew things were going to be different than I'd originally planned, but I knew that was OK. I liked where it was headed. I believed it would make a positive difference. When I just wasn't getting better, everyone told me to go home to America as soon as I could. I heard what they said, but it made no impact. Of course I wouldn't go home. My project was nowhere close to being ready for me to leave. I still needed another four to six months. But sitting on a balcony in IHK with Paul, we discussed it for real for the first time. He told me I had to go home. That I had to make sure I was better. Coming back could always be an option, but that if I didn't take care of myself, staying for Recycling for Hope's sake would do no good. I didn't say much, but I did cry a lot. I didn't make any definite decisions for a few days. But I eventually I realized that while I was better, I had no energy. Walking for five minutes was more than I could handle. There was no way I could run after all the things that needed to be done for the project. I would just be a drain and I would probably wind up severely depressed. So I decided to go home and leave Recycling for Hope as it was. Which was no where, really. It was one of the hardest decisions I've ever had to make.
I wish I could say after having been home for five months that I was at peace with all of this. But I'm really not. Mostly I just haven't dealt with it. I finally, for the first time, about a month ago, just sat down and sobbed hardcore for a good five minutes out of gratitude for being alive. Typing all this out is one of the only times I've let myself feel the heartache at loosing my project that meant so much to me. Largely I've just focused on the future and haven't looked at the past. I know I need to, and I know one day (hopefully soon) I will.
I can say say that I am amazingly grateful to be alive. I am so grateful to feel better. June was the first month where I didn't feel the deep bone-exhaustion that malaria brought on. I'm happy to be able to be active and capable. Because of Recycling for Hope I've landed a great job with a recycling non-profit in Boulder, CO that I love. I feel a lot of gratitude for where I've been and where it has led me. I feel in many ways, all this has helped me to do just what I set out to, what I named my blog; Fill the Measure of My Creation.


