Tag Archives: sickness

Food Poisoning as a Broke Foreigner

Before I left on my two-week dream excursion to Western Europe, my boss had one piece of advice for my first trip to Europe: “Watch out for that French food. They love their rich sauces and butter.”  She was right—the French coat everything imaginable with creamy, delicious sauces.  My boyfriend teases me that I am overly sensitive to food, and he is right, too: my stomach can’t quite handle the greasy, fried foods that most young people in their twenties enjoy.  I have made a point of eating healthier since graduating college; however, this new healthy lifestyle was going to be left back at home. In Europe, I was determined to eat what I wanted, when I wanted, sensitive stomach be damned!

After consuming everything from the four basic Western-European food groups—cheese, meat, bread, and beer—David and I halted our binge in the Louvre. There, we hoped to find a quick, simple lunch.  I ordered what I assumed to be a cheap alternative to the rich and extravagant French dishes: a chicken sandwich.  Baguette, cold white meat chicken, hint of mayo, and lettuce.  By “cheap,” I mean 8 euros, which trust me, is cheap for Paris.  Especially compared to the fondue-and-champagne birthday dinner to which my boyfriend treated me the evening prior.

After filling up on our easy lunch, we commenced our 9-hour Louvre visit.  But, among the Egyptian ruins, mummified cats, and pages from the Book of the Dead, I was already starting to feel tired. It had only been a few hours so I dismissed it as travel fatigue (this was the last day of our whirlwind trip) and carried on. I was not about to miss any of the artifacts from one of my favorite historical eras! So, despite the occasional audible complaint from my stomach, we saw the mysterious Mona Lisa, the gorgeous Venus de Milo, and more paintings of Jesus than could fill the Notre Dame.

As our full-day Louvre excursion continued, David remained enthusiastic but I was drained and found it impossible to find the energy that had kept me going through Versailles, sightseeing in Berlin, an 8-hour drive through the German countryside, and Oktoberfest in Munich.  I kept having to sit down to take breaks on every bench we passed and build my energy to move through a museum that is rumored to take weeks to explore.

After a solid nine hours in the museum, David and I set off to find the Metro station, and stopped by a corner brasserie for dinner.  We were scheduled to fly back to the States the next day, so I wanted my last fill of traditional French food.  I ordered a rare steak, pommes frites, crème brûlée, and a glass of Bordeaux.  I was going to eat what I damn-well pleased and work off the inevitable weight gain later.

We were back in our hotel room by 8 pm and, within an hour, I was complaining of nausea and had a pretty nasty stomach ache.  After taking some Pepto Bismol (a necessity if you plan to eat and drink your way through Germany and France), I was not getting better.  Another hour later, I was vomiting.

David was our pillar of strength—and I say “our” because dealing with your significant other’s food poisoning is no cake walk for either of you—through the next 24 hours, which would prove to be my worst case of food poisoning to date.  (Which is really saying something: when one is born with a delicate stomach like mine, one is prone to overdramatic food poisoning episodes, like the time I got food poisoning from eating a veggie burger in middle school. Yes, that’s right—a burger patty comprised of vegetable matter gave me food poisoning.)  Anyway, once we realized I could not keep one sip of water down, I started worrying about the effects of dehydration. My mom, a registered nurse who has been to the emergency room with a bad bout of food poisoning, was our first call.  We spent 46 euros (about $62) to call her back in California on our hotel room telephone at 2:30 am (no, we didn’t have a calling card, and no, we weren’t about to go hunt one down at 2:30 am).  She confirmed that my symptoms were, in fact, the result of food poisoning and warned David not to let me get any more dehydrated.  Dehydration is the primary concern for anyone with this kind of food poisoning (the vomiting kind), because the effects of dehydration usually warrant a visit to the emergency room.  From then on, our chief concern was to keep me hydrated enough to avoid going to the E.R., where they would give me an I.V. for the fluids that were refusing to stay in my system.  At one point during the course of that night, I simultaneously begged David to make sure I didn’t get dehydrated and not to force me to take another sip of water.  Yes, I was a mess, but at least not a hot one—thankfully, I wasn’t running a fever. Dehydration plus fever equals a certain and expensive trip to the hospital.

When the vomiting wasn’t easing up at all, we realized I still needed medical attention and since we were trying to avoid the E.R., David and the hotel clerk contacted an on-call doctor who was available to make the last-minute house call to our hotel room at 3 am, for the low, low price of 110 euros (about $147).  This angelic, Parisian woman with lovely dark features came into our hotel room with a real-life version of the doctor kit that I played with as a kid: stethoscope, thermometer, blood pressure cuff, and briefcase adorned with vials of prescription drugs.  After asking for my age, known allergies, and what I had eaten the day before and when, she opened her briefcase, pulled out a needle, and prepped an injection.  Now, I’m usually perfectly okay with needles; I am devoted to my yearly flu shot. But, given my incapacitated state, I became uncharacteristically worried about the chance of a rouge air bubble left in the vial and of my doctor’s ability to practice medicine at 3 am.  In my haze, I remember asking what the mystery vial contained, and she responded with the prescription name of an antiemetic, to help with my vomiting and nausea.  I have no idea whether her response was in English or French: I don’t speak a word of French, and her English was coupled with a heavy French accent—so, to this day, I have no idea what she injected into my body. I felt another wave of nausea come over me, so I shrugged my shoulders, looked at my adoring boyfriend for support, ignored the fact that she never snapped on a pair of latex gloves, and willingly handed her my arm.

That doctor’s visit cost 110 euros, cash only, payment on the spot—a fact that I somehow managed to ignore until she was done treating my symptoms.  The “cash only” caveat being an issue since, between the two of us, David and I had roughly 65 euros on hand that was supposed to get us through our final day in Paris.  But the wonderful doctor with the miracle injection that promised to make me stop vomiting needed to be fairly compensated for her time!  David walked down to the hotel front desk, for the third time that night, and asked to borrow the remaining 45 euros with a promise to pay him back once the banks opened and David could withdraw the cash. Thankfully, the grumpy front desk attendant begrudgingly agreed.

I vomited a few more times but, finally, whatever the doctor administered kicked in and I had stopped by the time the sun came up.  I was in no shape to eat solid foods, but I needed to ingest something that would increase my blood sugar and energy.  David left the hotel room on a mission to find Coca-Cola, pick up medicine prescribed by the doctor, and—most importantly—get cash.  What David didn’t prepare for was the fact that, during our dream vacation out of the country, his debit card had expired. This meant he was unable to retrieve cash from any source.  My poor boyfriend walked back to the hotel room to get my debit card and face a not-so-forgiving version of his helpless girlfriend. By the time he returned with the soda, pills, and cash, I was worn down to the point of tears, and David was exhausted.

While the original plan was to hop on the Metro to Paris Orly Airport, there was no way that we could coordinate that effort with my sick ass and our four bags of luggage.  With the remaining cash from David’s morning ATM trip, we spent 80 euros (about $106) for a cab ride that far exceeded our original plan of a 3 euro each Metro ride.  But, we made it to the airport: broke, weak, and grateful for each other.

And when I got back to work a few days later, after arriving safely in the States, I was able to tell my boss all about our unforgettable trip.

Photo by Rob Admans

Photo by Rob Adams

The ER: It’s nothing like on TV

Just under 130 million people visit ERs every year, complaining about everything from earaches to broken bones to severe pain. I, myself, have visited the ER more times that I would like to admit, due to some chronic illnesses that love to become acute at the worst of times, combined with a tendency to twist joints in directions they are not meant to go.

Photo by Meaghan Morrison

Photo by Meaghan Morrison

If you’ve never been to the ER, it’s good to know what to expect in advance, because the stress of the situation can easily overwhelm you.

Bring your ID and insurance card: While paperwork is often the last thing you want to think about when dealing with a health crisis, it’s important that you have the necessary documents so that the hospital can easily get you into its system. Without them, it can be a nightmare in the following weeks to  play middle man between the hospital and your insurance company—trust me, I’ve been there. That’s why it’s one of the first things you’ll be asked for: while you’ll never be denied care, insurance or not, having all of your information up-front will save enormous headaches down the road. Usually, registration is quick, and in big emergencies where you can’t really chat with the hospital staff, they’ll get it from a family member or friend as soon as possible. I keep my ID and insurance card with me at all times in my wallet, and I make sure at least one other person can access it: in college, my roommate and I had copies  of everything organized and accessible—it saved the day at least once.

Know your medical history: The first thing you will do after registering in the ER is go through triage, whether you arrive by ambulance or walk through the front door. This is a short process in which a nurse or nurse practitioner will measure your vitals (blood pressure, pulse, oxygen levels, and temperature), find out what symptoms you are experiencing (always be as descriptive and honest as possible—unlike hospitals on TV, they aren’t likely to spend hours and thousands of dollars worth of tests figuring out what you are hiding: drugs, drinking, sex, all of it is important), ask for your pain levels (scale of 1-10), and get your medical history. This will include information like what medication you take, including any vitamins, your drug and alcohol use (again, be honest!), medical conditions, and any past surgeries. If you are female, you will also be asked if there is any chance you could be pregnant and when your last menstrual cycle was (it’s as awkward as it sounds at first, and often I forget—I hate this part). All of this information is key to helping with diagnosis, so it’s important to keep it handy. If you have a few things you need help remembering, keep a list on your phone or somewhere else handy so that the stress of being sick doesn’t cause you to forget the dose of your daily medication or the name of that surgery you had years ago.

The wait: ERs are notorious for their wait times. This is most common in big-city ERs where life-threatening traumas are more commonly experienced. I’ve experienced wait times as short as ten minutes and as long as five hours. It’s a toss-up as to when these times will be the worst, but I’ve found that nighttime is definitely the longest wait. There’s less staff on call, tests take longer, and there are more accidents coming in.. In the end, your wait depends not only on how many people are there but also how ill you are in relation to the other patients. If you are having a long wait and your symptoms change, make sure you let the triage nurse know immediately.

Getting care: Once you are seen, don’t expect there to be a private room: it’s often simply a curtained-off area. This can be extremely awkward at times, because you can hear everything around you. Sometimes it’s difficult to overhear, especially if someone is very sick around you. Other times, you’ll hear the wackiest conversations: I once heard someone find out that they were pregnant with their mother there, and her reaction was hilarious. In the ER, people watching is one of the few forms of entertainment available.

A different nurse will probably take your vitals again, will likely take some blood, and will ask you many of the same questions you were asked in triage. They are required to do this: it’s annoying, especially when you’re stressed and worried, but it ensures that they are getting the right information. Depending on your symptoms and complaints, they may also put you on an IV immediately. An IV is a tube  inserted into a vein, most often in the arm where blood is taken, which facilitates getting fluid into your body (often saline) and medications for pain or nausea. It only takes a minute to insert and, though it’s super uncomfortable, it no longer hurts once it’s in.

After the nurse has seen you, a doctor will follow. Sometimes this wait can also be a bit lengthy, depending on how many people that doctor is covering. He will again ask you about your symptoms and conditions, and may have more extensive questions than you have experienced previously. Depending on your situation, he will then likely order medications or tests to figure out what is going on. Those tests can vary from blood work or urine analysis to an ultrasound, X-ray, or CT scan. Every trip of mine has varied because it really depends on what the issue is. The worst by far for me was when I was in a severe amount of abdominal pain. Seven hours later, I had gone through three rounds of blood work, an ultrasound, a CT scan, and an EKG. Other times, I simply had one test and was out within an hour or two. No matter what, they try to get these done as quickly as possible, but there can be a long wait even when you are in a room.

Leaving the ER: Once the doctor has the results, he or she will either order more tests or, if they’ve found a diagnosis, will get you the right medication or care. Remember that the ERs are for acute care (for sudden and often moderate to severe issues). I’ve always left the ER with a prescription for pain medication or other temporary treatment, with the direction to follow-up with my doctor as soon as possible. Usually, once the major issue is solved, my regular doctors are able to get a better idea of what is wrong and find a long-term solution so that I can avoid acute issues down the road.

If the condition is serious enough, it may warrant admittance to the hospital. I’ve been admitted three times in my life: once right after an emergency surgery, and twice when I spent six days in the hospital before solutions were found and solved by surgeries. Those were expensive, scary, and extreme cases, and I am definitely an exception to the rule: in reality, only about 13% of ER visits result in hospital admissions. Likely, admittance would occur for something like heart trouble, breathing issues that can’t be resolved, severe pain that can’t be managed, dangerous blood pressure, or serious infections. Hospital admissions are expensive and the beds are in high demand, so it requires sound medical necessity. However, if a doctor wants you to be admitted, know that it is in your best interest and they will aim to have you better as soon as possible. It’s always been worth it for me!

Otherwise, it’s back home you go! You will be discharged by your nurse, which, like everything else, can take anywhere from ten minutes to an hour, in my experience. Discharging includes home care instructions, information on your diagnosis, and any prescriptions you might need. Be sure to also request records of any tests you received, so that you can show them to your primary doctor and have them added to your medical file.

ERs are overwhelming places. Sometimes fear of them will keep people from going at all. However, if it could be a medical emergency, you need to make sure you get it checked. It’s never silly to go if you are unsure of a severe pain or of a mystery symptom that concerns you, especially if your doctor is unreachable. And if it’s a critical emergency, never hesitate to call 911 and get an ambulance, as it is always the safest and fastest way to get to the nearest hospital. I’ve arrived at the hospital by ambulance and by my own transportation: sometimes, it was out of my control entirely as I wasn’t the one calling the shots, but other times when I could make my own decisions, I never hesitated to go by ambulance if it was my best bet. Don’t be afraid to call one, despite the possible expense, because it can make all the difference in your situation—some counties even cover the cost of an ambulance for this very reason (mine does!).

Hopefully, you will never need this advice. But if one day you do, you now know how to be prepared and make it just a little bit easier.