Monday, January 28, 2013

FAMILY, PLAZA, ILLNESS & OLD AGE IN THE PI

Just a comment; the below article was written just after the kids had arrived here in April of 2012.  Although I have other articles from that time period, I thought this one still relevant as the health conditions or disparities continue to exist in the Philippines.
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It is hot and sultry as I sit here and jot down a few lines for this segment.  We have been going to the Plaza each morning to play Frisbee and partake of the playground equipment.  In the beginning, the kids were up at 6:00 a.m. which gave us plenty of time to get breakfast and walk our way to the morning’s activity.  Regrettably, starting yesterday, the wakeup time was moved back a touch; in fact by quite a touch.  I rolled out of bed at 6:30 to find everyone still sprawled out on the living room floor.   Oh yes, I guess that is another subject I should address.  It appears the bunk bed had turned into a something more ornamental than useful as of late.  The children spent so many years sleeping together on mats on a floor in Owak, Cebu that segregating them to a double decker was a bit more than they were accustomed to.  Thus, in less than a week, the queen sized pad for the bottom bunk was being carried out to the living area along with an extra twin size pad each evening for the kids to sleep upon.  Stephen, who was sent here to assist in watching the kids, decided to sleep on the couch and in essence, above the fray of youthful bodies upon the floor. 

On this particular morning, even with my loud voice, not one body moved…even Stephen literally turned his back toward my morning presence.  Adult priorities definitely didn’t mirror the children’s and I knew to get them going it would involve something drastic. I went to YouTube and found the song “Gasolina” and turned up the volume on the laptop.  Even with the bass beating and Spanish words streaming, there was little movement, but there was life and some annoyance as I heard a mournful moan here and there.  So, I moved up to “Jumbo HotDog”, “The Spaghetti Song” and “Butsekik” (It has no intelligible words in it).  Finally, one by one the tykes arose from their sleeping positions and filtered their way toward the breakfast table…..all except one.  Clarisse had been complaining about pain with her eyes the previous couple of days along with muscle pains, but yesterday morning, she just didn’t want to get up.  She didn’t feel overly warm, but just seemed lethargic.  We decided to go to the plaza for Frisbee and the playground and left her under the care of Stephen.

Scraped nose along with bruised ego
When I played Frisbee with Stephen, I was pretty much guaranteed good throws (he is 17 years old); however, Toy Toy was still struggling at perfecting his skills. Regrettably, it was either a matter of dodging rocketing discs from Stephen or chasing after errant tosses by Toy.  On that particular morning, I didn’t react fast enough to one of Toy’s good tosses resulting in the Frisbee glancing off my outstretched hand and slapping me on the nose.  It was only when I wiped my face on the towel at the end of our twenty minute session did I see the blood and then felt the scrape on the bridge of my nose.  

I decided to sit on a bench under a flowering Kalachuchi tree for awhile.  A swing set was entwined in the lower branches and Santiago decided he would climb among the blossoms until he belatedly discovered that there were bees harvesting the nectar and they definitely did not appreciate a two legged intruder.  It took only one sting to get him dropping out of the tree and back on solid earth once again.  When compared to bee stings in the United States, it looked more like a mosquito bite than a red welt. Still, in the case of Santiago, it was a valuable lesson learned in coexisting with nature. 

By the time we had returned home, Clarisse’s temperature had risen dramatically.  I gave her one Acetaminophen (Tylenol) and started her drinking copious amounts of liquids, mainly water and juice.  Just before lunch, I lay with her and wiped her head with a rag.  Even though she got up to sit at the table to drink liquid and sample her rice (during lunch), she was still lethargic. After the dishes were cleaned from the table, she asked me to lay with her again and so I did, but we were not alone.  Toy Toy decided he should take a nap and snuggled within the wide gap between Clarisse and me.  Within minutes, they were both asleep with Toy snuggled tight against me and Clarisse on the other side of Toy, firmly holding my hand.   

Throughout the evening, I monitored her condition.  You could not buy a decent thermometer in this country, so the one I had was pretty much worthless. Still, I knew that she was quite feverish and continued to push the liquids.  

The next morning, the fever had not gotten worse, but not gotten better either.  So, I loaded her onto the motorbike and took her over to the private hospital at Kabankalan.  In the states, all of the medical facilities I had ever visited were air conditioned, but in the Philippines, it was an entirely different situation.  Although the offices and specific rooms had a/c, the hallways and waiting areas did not.  

Clarisse and I sat upon a cuShioned but low slung couch in a small waiting area outside the emergency room doors along with a couple of other suffering patients.  I spoke with the female nurse on duty and told her that my daughter had a high fever.  She indignantly replied we had to wait our turn. So, we waited…and waited…and waited some more. I finally stopped the nurse (as she walked by (of which she did a lot of that) empathizing the fact that I had a daughter with a 104º fever and thought it demanded a little more attention than what we were receiving.  The nurse looked at her and then at me and commented that she thought I was the patient and didn’t look that sick….I was becoming rather agitated with the aloofness of that supposedly medical professional, but in short order she brought out a thermometer and took some BASIC vitals.  

In a few minutes we were taken into the emergency room where a more thorough examination was performed. Although Clarisse’s blood pressure was fine, her temperature was 103º and she was still lethargic.  They sent us for blood tests and then looked down her throat.  A gynecologist was the MD on duty where she made a diagnosis of enflamed tonsils, prescribed antibiotic medication and we headed for home.   

Even though the cost for hospitals, services, and physicians were ridiculously inexpensive here, the price of medication was totally outrageous. The antibiotics prescribed cost $2.50 per pill and she had to take two per day for seven days.  Still, even at that price, I was not going to complain too much as it had its desired effect. By the next day, Clarisse had made a miraculous recovery and was eating, laughing, and just being a twelve year old once again. 

In Cebu, the treatment for her fever would have been herbs and faith…as it is for many Filipinos unable to afford professional services.  In the end, her fate would have been dictated by her immune system and whatever medicinal effect the herbs could’ve provided.  However, I was happier that Clarisse was here.  In 2011, her brother Toy also had a high fever and the resultant treatment (drugs) cost over $50.  Had I not been there, the illness would have been allowed to take its course (with perhaps catastrophic consequences).  In the end, I may be the one to make a difference in the quality of life and certainly in regard to health and treatment of my four siblings.  It is just unfortunate that so many children do not have that opportunity and are forced to weather an illness without the medical resources which are so readily available but financially unattainable.  And as far as I am concerned, that is a crime.




While doing some demographic research the other day, I came upon some interesting statistics.  Looking at “factbook”, published by the CIA, I discovered that those who were 65 years and older in the Philippines was only 4.3% of its entire population (or 4.5 million seniors). In comparison, the United States population of those 65 years and older was 13.5% (42.5 million)!  Again, I am confident the affordability or unaffordability of those available health services is a contributing factor to the large disparity in comparative age groups of those two countries.

Daryl A. Cleveland
April 12, 2012

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