Tuesday, October 2, 2012

Hospital news

Today I am broadcasting from the hospital: the last five days I have been interned due to a twisted fracture in my tibia and my fibula. The story is the following: during one capoeira play, my opponent and I became very close from each other. We were playing capoeira d'angola, which is a variant of Capoeira where opponents try to play close to the ground, and perform movements to "bribe" each other and make him perform something we want. Well played, Capoeira d'angola is not a violent variant: you perform movements on a question-answer basis (you kick, I defend, and vice-versa). Not all the times you play it well. It might be that the tension of the moment makes you cross the line of a simulation and make it real, and you kick your opponent, or it might be that you are new at it and still don't know your body: you might kick in the wrong direction, open too little the legs, or block the wrong side of your head. In this case I didn't calculate the measures properly. I performed a "tesoura do pe", a movement that blocks and tackles the opponent, making him fall:



I had my opponent on top of me and I felt I could go out of his block by making him fall down, and when kicking him I did not calculate that the space where he was supposed to fall was occupied by my leg. The result: His whole body weight was placed over my lower leg, generating a twisted fracture on the tibia and the fibula. I've been receiving rye-bread diet during the last five days.

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Some days past and now I am comfortably seated home, where I can finish this post. I'd like to describe the attention in the whole medical process, which I found pretty interesting in some ways, comparing to other places I've been before:

1. The first thing to do in case of an accident, is to call the emergency center. They will not send any ambulance unless you have fainted (in my case, with a broken and swollen leg, they recommended me to drive to the closest hospital), nor provide any useful information. However, doing this step seems to be necessary to be admitted in your ER room, as they have told me afterwards.

2. Once arrived to the hospital, there is a "do-it-yourself" mentality in the ER rooms more proper from IKEA than from an emergency room. There are no porters, no nurses nor anyone that can provide you some information associated to the hospital. The emergency room is located in the middle of nowhere (pretty convenient when driving for the first time with driving a patient with cardiac arrest, I imagine). In my case, I got a wheelchair because the friend driving me found one an empty one after roaming around asking for information unfruitfully. If I was alone, I think they would have expected me to hop to the counter.

3. Despite being so different, the healthcare systems in Colombia and Denmark seem to recruit people for their ER with a requirement of having no humanity in their treatment. After arriving to the hospital, I was taken care 3 hours after, and in the meantime I only got some ice and paracetamol to relieve the pain.

4. The big difference comes later, when passing from the ER rooms to a real treatment. The nurses and doctors seem to be, not only highly qualified, but they do care a lot about your stay and your comfort while hospitalized. I have never been received a menu with different options for a dinner in a (public) hospital. When it comes to information, they were through in explaining all possible consequences, and give me the liberty of influencing the decision on which treatment suit me the best. I have received this kind of treatment only in private hospitals in my country, and only because in most of the cases, I know the doctors attending me.

4.B. A funny aspect that I got to know while in the hospital, was the effects of cycling in unprotected gear all year round. I was hospitalized in the orthopedic surgery wing, and when talking to the doctors, they mentioned that most of their patients arrive in the winter season, and they are mostly girls cycling in high heels. I just remembered all those wonderful images from Copenhagen cycle chic:

The fact is, that despite how good your legs look on heels and a bike, there are increasing risks on falling of a bike with heels. On the icy season, pavement gets slippery and when falling, a high heel does not provide enough support for your heel, which normally ends in a surgery and long months of recovery.

5. Technology goes fast, and that is ever more evident in the healthcare industry. In a country like Denmark, you feel that there are a good investment in new technologies. For instance, I got an X-lite cast, which is an ultra light cast made out of biodegradable plastic. It allows your skin to breathe (almost nullifying that horrible itchiness from chalk casts), is slim but still strong and feels comfortable (you are still with a cast, but still).

Now, I will have 8 weeks of doing everything from home. It's a new process and I hoping not to go crazy in this period.

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