- Day 4 A & E
What should have been a lovely Thursday and our fourth hiking day quickly devolved into the start of a five day stay at the hospital.
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| Last view of the beautiful Western Way |
Hubs was so miserable and now complaining of abdominal pain. He finally caved and let us take him to the hospital. The tour company had private drivers take us to the trail head each day and then our luggage to the next bed and breakfast. That was a sweet little place called Moher House. (My family said the dinner the owner cooked for them was delicious.) Hubs and I rode ahead with the luggage around 9:30 AM, the BnB owner said that was ok, but Hubs was in such bad shape we asked the driver to take us to the nearest clinic. He called his own personal doctor first. She was busy so we went to the family clinic. The sweet man waited for us. The clinic doctor referred us to the county hospital’s A & E. A & E stands for accidents and emergencies; it’s their version of the ER.
We arrived in the A & E waiting room at 11:15 AM. We then waited there for nearly three and a half hours. Once we got a room in the A & E, Hubs was at first seen by the A & E doctor who took some initial blood work. An hour later a nurse hooked Hubs up to some fluids and paracetamol (Tylenol) to get his fever down. The room was maybe an 8’x10’ space with basically a dentist’s chair and a sink. The doctor returned and discussed the results of his test. Hubs’s kidneys were not functioning properly and his white blood cell count was extremely low indicating an infection. I sat on the floor for the next six or so hours. Then he was seen by a surgeon intern. Then he was seen by the surgery team who decided he was not a candidate for surgery. They referred Hubs to the medical team. The medical team came in another half out later and asked him the same questions as the A & E nurse, doctor, surgery intern, and surgery team. All this time Hubs never received more fluids or medicine for his fever.
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| Hubs on his way for an X-Ray |
It wasn’t until just before midnight they moved Hubs to a room in the main hospital. Thankfully he got a private room and not a gurney in the hallway. Hubs was given more fluids and paracetamol. I stayed the night with him in the hospital. He was starting to turn yellow from his liver not functioning correctly. He remained dehydrated despite drinking fluids all day and the IV. Seeing him like that was heart wrenching.
- Day 5 Hospital
Friday morning we are up and enjoying the view of the hospital roof littered with random debris and covered with squawking seagulls. The doctor, yet another one, came in. This would be Hubs’s case doctor. After tests, x-rays, scans, they decided Hubs’s “bloods were deranged” and even slightly worse from his initial tests. His white blood cell count was so low we had to wear masks in the room with him to keep him from contracting something new.
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| named for County Mayo (not the same Mayo Clinic as in the U.S.) |
DD didn’t do the day 5 hike with the rest of the gang so she could be with us. Dr. Dad had been texting and calling the infectious disease doctor from the hospital where he worked. He was able to share the results with her and she concluded it was (what Dr. Dad had presumed days ago): ehrlichiosis. I’m sorry, what?! Dr. Dad had repeatedly asked Hubs if he had had any tick bites recently. About two weeks prior to the trip, Hubs had been in the woods and had multiple tick bites. When Dr. Dad first suggested it was a tick borne disease to the Irish doctors, they were unsure because Hubs had no rash. Apparently Ireland only knows about Lyme disease. (Lyme disease is not prevalent where we live.) Ehrlichiosis is very similar to Rocky Mountain Spotted Fever, but minus the spots. All Hubs needed was an antibiotic called doxycycline. Praise the Lord we were in a developed, English-speaking nation with modern medicine. Hubs was put on a very low dose of antibiotics and was starting to make a slow recovery.
After hiking, my sweet family was going in shifts to visit Hubs so I could get a break from the hospital and check out the town of Westport. DD was Dr. Dad stayed the night with Hubs so I could leave and actually sleep in a bed and get a shower. He also wanted to talk to the doctor when he came in early the next morning. DD and I had rooms in a BnB called the Lurgan House down the road from the rest of the family. They had an apartment atop a little bar called McCarthy's Lodge and Bar.
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| sneaking away to enjoy Westport |
- Day 6 Hospital
Saturday. Praise the Lord! Hubs is FINALLY feeling like a human again. Now here’s the real kicker. The hospital we were admitted to? It was a university hospital. They don’t discharge people on the weekend because the doctors aren’t there on the weekend. We begged the on call doctor to let us be discharged, but no. Sunday maybe? We’ll see.
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| my poor, sweet Hubs |
All of the BnB owners were so kind, so accommodating, driving us around themselves or arranging things for us. It made the experience bearable knowing that these strangers were genuinely concerned. In fact, after we returned home the owner of the Moher Lodge called DD to check in about Hubs.
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| view from the Rose Garden that's the hospital in the background |
- Day 7 Hospital
Sunday. Well, everyone except DD, Hubs, and I were headed back to the States. When booking the trip DD had purchased travel insurance so we were able to reschedule our flights. We decided to have our own little mini-vacation for Hubs and extended our stay an extra two days.
By this point we had given up hope about being discharged before Monday. We played a lot of rummy and had a seemingly endless supply of tea and toast.
- Day 8 FREEDOM
The doctor from Friday, the last one we saw in the morning, was back. He wanted to keep Hubs under his care as a case study. DD said no. I’m so glad she was there. I don’t know that I would have had the gall to take a stand. Hubs was feeling immensely better, had his coloring back, his appetite back, and was fever free since Friday. His test results had improved leaps and bounds.
After DD convinced the doctor to discharge us, to catch our flights we already rescheduled (she wasn't very clear on the new departure date...hehe), Hubs and I went down to billing to settle up. They said the discharge order hadn’t come through yet and they’d mail us a bill. They never asked to see our licenses, our insurance cards, our passports… I suggested they at least double check our address. It was wrong; we had to correct it. (Flash forward to weeks later: our insurance covered every penny. The total bill for the 5 day, 4 night stay? $5000. That’s it. All inclusive.)
Why did we wait to be discharged? Why did we not simply leave? We were afraid our travel insurance and health insurance would not cover anything if the discharge papers read "AMA" (against medical advice).
At 1 PM Hubs walked out of the hospital for the first time since going in at 11:15 AM the Thursday before.
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| love this man |
Since we changed our flight home from Sunday to Wednesday, Hubs was actually able to get a vacation day or two in. I believe I’ll continue that story in the next post.
Thank you for reading and STAY HEALTHY!
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