This past weekend, J was sick. On Thursday night at our compound barbecue, he complained of a sore throat and said his ear hurt a little, too. I was immediately suspicious of an ear infection and dreading the inevitable midnight fever because the husband was leaving for a business trip late Thursday night AND Friday is the Sabbath here, so very little is open, including most emergency services.
True to form, late Thursday night he appeared in my room burning up with fever and pitiful, so I kept him in bed with me and kept alternating Tylenol and Ibuprofen and waking him up from his frequent and loud fever-induced nightmares. The next day, he continued to have a fever and sore throat but seemed otherwise okay, but we skipped church because we were all very, very tired and spent much of the day in bed, playing iDevices and relaxing. Eventually, we did go for a short walk with our neighbors and their dog, just to the end of the block and back, and it was a nice break...until J fainted and face planted in the middle of the road. I had been looking away at the moment he fell, but I heard my neighbor gasp "Oh, S***!" and turned around to see him face down on the pavement. By the time I got to him, he had started crying but there was a 30 second to a minute delay, so we are pretty sure he lost consciousness at that point. He had scrapes and cuts and bruises everywhere, was white as a sheet, and acted immensely apologetic about falling, so I took him inside, cleaned him up, and gave him some water. He was ashen for over an hour while I plied him with liquids, but eventually he perked up enough to eat some dinner and seemed more like his usual self. I decided to see what the night brought before potentially taking him to the pediatric emergency center in the morning.
That night, he was more and more feverish and looked weaker and weaker, so in the morning I drove to the one store I remembered had Gatorade and then headed for the emergency center. And there my experience took a turn for the surreal: this place is supposed to be the equivalent of a pediatric emergency room in the States. Instead, it was practically a MASH unit but with permanent walls. They gave me a number like you would get a deli counter in a supermarket, took his passport and my phone number, gave us some paperwork we were never asked to fill out that they took away anyway, and then sent me to three different places for vitals. Eventually, I was sent to a room filled with examination beds, almost all of which were filled with parents holding tiny, tiny infants, whom I could see because no curtains were drawn, if they existed at all. There were also babies in the hallways and all sorts of people just milling around. No one had masks or gloves and there were very few places available to wash hands even if you had wanted to, which I saw no one do. In short, it was kind of awful and reminded me of something from the 19th century. A doctor showed up, looked at J, asked me some questions about his symptoms, tried to deal with J's nervous inability to lie still or cooperate during all this, and then asked "does he have a rash?" I answered, "no, not that I know of," while the doctor pointed to his neck...and a strange red rash. He lifted up J's shirt, and the rash was all over his back, and then he pointed to the crooks of J's elbows and knees where the rash was even more apparent. And then the doctor said matter of factly, "Well, your son has scarlet fever."
Umm, excuse me, WHAT??! What did you just say?? All I could think was didn't we eradicate this disease in the US because people died from it? Didn't Helen Keller go blind, deaf, and dumb because of scarlet fever?? Have I really, actually, literally stepped into the 19th century and no one has told me? And, more importantly, is this treatable?? The doctor seemed unperturbed while I was practically apoplectic and said I needed to give him a 10-day course of antibiotics, keep him away from other children (oops, too late for that, particularly for E and all the kids at the party and our neighbors who had come over to play yesterday....and on and on and on!), and keep him home from school for two days, at which point his symptoms should be gone. Apparently, the past cases of scarlet fever were life-threatening because we didn't have antibiotics then. Now we can treat it quickly and easily, so he sent me to the pharmacy, where they gave me augmentin, paracetamol, and ibuprofen, 5 bottles in all, for which I paid 11QR total, which is less than $3USD. So drugs are cheap in the third world...but they told me I had to mix up the powdered augmentin myself, following some pretty useless instructions, so I guess you get what you pay for! The husband was beside himself when I told him I had to mix the liquid myself and how I went about it, but I think he consoled himself with the fact that he would be home in time to mix the second bottle of antibiotic so at least half the course would be made properly.
In short, my first experience with pediatric medical services in this country was not faith-promoting to say the least. Big, big sigh. Huge! But only the beginning: I sent a message to his teacher to tell him he would be out for two days. I was then contacted by a bumbling, vague school nurse who told me I had to have him medically cleared, that even after two days had passed, I had to get a medical clearance regardless, which basically meant yet another day off from school. Then, when E got home, he was carrying an official letter from the nurse addressed to the whole school about a case of scarlet fever and the severity of the disease, the precautions to take, and a new school policy regarding medical clearances (I KNEW she didn't have a policy already in effect!). Then Jacob's teacher sent an email locating the case in question in her class and giving a few more precautions to take. Basically, the school had all but taken J's picture and published it in the newsletter. Nice! Now everyone was in a tizzy and J was getting more and more upset about missing school and it was getting harder and harder to keep the boys separated and not give our family another case of this feared disease. So far, we have been successful both in keeping E clear and convincing J that staying home is not the end of the world...but when he does return and finds out how much he has missed, the fever will be the least of our concerns! DRAMA all around!
In the meantime, did you know that scarlet fever can be caused by direct or indirect contact with the skin rash? So there has been a LOT of laundry going on around here, as we try to stay ahead of the fever and keep the contamination down to a minimum. I need a vacation! And this sad face needs a break: