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Thursday, September 4, 2008

my life with dengue, or, BLEEDING PRECAUTION

Sooooo, I have dengue. Some of you may already know this, but for those of you who don't, I just want to update you now that I'm getting better so that you can be less worried...and so you can learn about the oh-so-many wonders of this delightful disease!

Day 1--> 28 Aug. 2008-Thursday

So, I came down with dengue at about 5:30 pm, when I thought I had a migraine and was just really tired. This was right after I had been over at Sutjeeah's house visiting with people, and I thought I had just gotten worn out. I took an excedrin migraine and texted Linda, the Peace Corps Medical Officer (PCMO) to let her know. Then I ate a little dinner, after which I started feeling worse and worse. At that point I just went to bed. Linda called back at about 9 or so, and I took my temp then. It was 103.something, so she told me to take tylenol every four hours and that she would call in the morning.

Day 2--> 29 Aug. 2008-Friday

I woke up still feeling crappy--now with joint pain and muscle aches, talked to Linda, and then proceeded to chill out in the upstairs hammock for a couple of hours, at which point a PC staff member showed up to help me get a taxi from the taxi stand in town to get to the Hub Site. Once I made it through the hour-long bumpy, loudly-musicked trip to the Hub Site, I got in a rental car with two more PC staff members who were headed to Phnom Penh and took me along for the ride. At this point I still have a headache and body ache. Once I arrived, the Medical Assistant took my vital signs and some blood and let me lie down in the medical office. He also tried to get me to eat a little, after which I threw up in a trash can. Eventually, he dropped me off at a hotel, and I went to sleep for hours. At night, Michael and Emily went out to eat and brought me back some soup, which was really nice of them since I was in no shape to move around.

Day 3--> 30 Aug. 2008-Saturday
I basically slept all day and continued to be in pain. It made it hard for me to sleep sometimes because my legs hurt so much. This was apparently the bonebreak fever portion of my dengue fever. Linda informed me that my test had come back negative for dengue, which made it a super secret super painful mystery tropical fever. Luckily, it turned out that was just because the blood sample was just taken really early on in the course of the disease. I also still had like zero desire to eat anything.

Day 4--> 31 Aug. 2008-Sunday
I felt a lot better Sunday afternoon, enough to walk around a little bit, watch a weird movie with Emily and Michael in Michael's room, and actually venture out with them to go out to eat dinner. However, after eating my huge banana pancake, I felt super nauseous at night.

Day 5--> 1 Sept. 2008-Monday
In the morning, more blood was taken from me, and then it turned out that it wasn't enough blood to do the new dengue test, so I had to go to the Medical Office to get more blood taken. I felt really, really bad and nauseous again. My platelets came back really low, so I went with Linda and Katie (who was also sick) to the hospital in PP to be checked in there. It was a pretty sweet facility. They gave us shampoo that smelled really good.

Day 6--> 2 Sept. 2008-Tuesday
In the morning, my platelets were down even more, so they decided to send me to the hospital in Thailand. John, the Cambodia PC Country Director, went with me there, which was really nice, because I didn't have to negotiate things like taxi fare, etc. We had to wait a really long time in the waiting area in the hospital in Bangkok, but I made it in the hotel, and he peaced out and went back to Cambodia. They put a sign up behind my bed in all caps on 8.5 x 11 computer paper that just says: BLEEDING PRECAUTION. Awesome. They also put a catheter in my arm.

Day 7--> 1 Sept. 2008-Wednesday
My platelets continued to go down to an all-time low of 43,000 (normal is 150,000-450,000), but I did get wireless internet in the hospital, which is why I am able to write you right now! Also, a nice current PCV in China (who was also medically evacuated) came by and chatted with me for a while, which was really nice.

Day 8--> 1 Sept. 2008-Thursday
My platelets started to go back up (54,000), but I got all rashy and was super tired with a headache all day. At least they gave me an antihistamine to help the itchiness! I finally convinced them to let me take the catheter out, since they weren't using it for anything, and my platelets were on the up and up.

Day 9--> 1 Sept. 2008-Friday
My platelets were up enough this morning (108,000) that I get to go back to Cambodia! I'm leaving the hospital at 2:00 and leaving Thailand at 5:30! I still have pain behind my eyes, fatigue, headache, a rash, etc., but it's apparently part of the recovery process. I should be as good as new in a few weeks!

basic everyday life in cambodia




My house!My bike--random Merida brand and all
My backyard--these are all fruit or vegetable plants...mmm
The outside cooking area where all the magic happens

The table/bed where we sit to eat, as well as the inside-cooking area where things are stored when we're not home or asleep
The under-the-house hammock area for afternoon naps
My washing machine!
My dryer!

Some of our basins that catch rainwater for all our water needsThe stairs to the upstairs part of the house


Right when you get up to the upstairs, we have another hammock on the porch
The little side-porch area


My mom's room (left) and the curtain into my room (right). We can talk to each other from our beds!
Peeping into my room

A closer view of my roomThe view from my window


My sarongs, all laid out on my bed




The basin from which we get water to rinse off after using the bathroom
Squatty-potty!
The basin from which we get water for showering (it comes from rain through a pipe from the roof)
Little mirror area!


A Practicum, a Picnic, and a Package

In my town, things are going well. I like my host mom more and more every day, I've been making more friends in the community, and the 'Practicum' we did went quite well. What is a 'Practicum,' you ask? Well, it is one of the many words, like 'competency' [used to mean lesson], that Peace Corps likes to throw around, like Columbia (aka 'Hispanic Studies' instead of 'Spanish'), to make things, in my opinion, sound fancy.

Anyway, our Practicum was a series of practice-teaching days. For the first week, we taught alone for 45 minutes, in addition to watching two of our peers teach in the same room to the same students. We exchanged feedback, and we also got feedback from either one of the staff members who observed or from one of the Volunteers from the first group of PC people in Cambodia (They are K1; we are K2. Peace Corps super loves acronyms.) Total we taught alone for 5 days, Monday through Friday. Then we had a week off from teaching. Then we taught for two days, this time jointly with a Cambodian teacher from the town. The teacher with whom the people in my classroom taught was really awesome and flexible, so it was really nice to work with him.

Tuesday, after the kids had completed all 7 days of their learning-with-Americans, we presented them with snazzy Peace Corps certificates. Here is a photo from that ceremony:

Richard, Janice, the Cambodian teacher, and I passing out certificates to the kids and shaking their hands!


Other than that, we've been working on techniques to train other teachers at the schools where we will be working, etc.

In terms of personally, everything is still going well. On my last free day, Robert, Bri, Greg, and I went to 'Sand Mountain' to attend a picnic party held by Robert's mom. We biked there---all the locals rode motos or random motorized cart things packed to the brim. Here are some photos of the road there/our trip there:Yup. This is just typical side-of-the-road fare.
When we go on bike rides, the views are gooooorgeous.
Robert and Greg (from L to R) posing for the camera with their chroma bat-wing sun protection outfits.
Bri, camera-shy, getting some stuff (probably sunscreen) out of her bag.
The road back to town behind us!

The road in front of us to the swimming hole!

It's about an hour-long ride, but the water there is cool and nice, even with the tons and tons of kids there splashing you and hanging out. As I was leaving to go back to town with Greg (I wanted to go to the Wat with my mom to meditate, and he had promised some kids he would teach them English for a little bit.), some of Robert's older aunts started dancing with him, so that was pretty interesting, too...And the food was, of course, tasty.
Bri and I during the picnic portion of the afternoon.

Greg picnicking with his Khmer 'older brother' and 'older sister.' He told us he didn't smile in anticipation of their not smiling. They have the CUTEST little girl. But she's too afraid of me to talk to me.

Robert with Socheata, one of the language instructors.



Oh! And I got a really sweet package from Mimi last week, and all my friends in the community thought the drawing of her dreaming about seeing me on the side was just utterly hilarious. I wish I had a picture of it to show you, but that same night I came down with dengue and was shipped off, so I never got a chance to take a picture of it. (For more on dengue, see my next post.) I also let a bunch of my friends try a little of the peanut butter; they were all pretty intrigued.

One last thing! I know to which province I'm going to be going now for the next two years, although I don't know the town or anything yet because I'm still in Thailand. I'm not going to post it on this blog, but if you want to know which province, just ask me via email!

Thanks for reading! I'll try to be better about taking more pictures!!!