By request I’ve created a new topic about a recent experience I had with a small open sore and the challenges of getting treatment here especially during Covid.
So we have a bed that came with the house we are renting that is made from solid wood and has a poor design because the wood stanchions that support it stick out about 4 inches from the mattress and are hard to see at night. So occasionally when I stumble out of bed in the middle of the night to go to the CR I crack my lower shin on it, coincidentally it’s the exact same spot I would smack on the boxer engine valve cover of my BMW motorcycle back home. Just when it would start to heal I would smash it again, my stupidity for not putting a pad on the posts. Anyway, so it’s scabbed up and i’m not paying any attention to it really.
Three weeks ago on a Friday I went to a bar in barrio Baretto to shoot some pool during the day, I had a beer and felt a little dizzy so I hopped on the moto and headed home. When I got home I was burning up and I went straight to bed. I thought I might have food poisoning because I had it earlier in the year. Fever was very bad and so much pain on my body, especially my back and neck, by morning I started vomiting and I thought well this is it, I’ve purged whatever it was and I’m on the way back to recovery. No such luck, fever got worse, mind you I’m wearing shorts and there is no discoloring on my shin that I notice and no pain at all. Later that night I get up in the dark to go to the bathroom and I feel something on the inside of my thigh like something stretching my skin, I turn on the light in the bathroom and I see red streaks going up from just above my ankle to my crotch area and below the wound I have a bright red patch. I pull the scab off the wound and it’s puss underneath, not good. I found one 500 milligram antibiotic pill and took it just to buy some time until morning when the pharmacies open.
So it’s Sunday and I’m thinking there’s no way they will see me at the hospital because I had an experience with a nephew of mine that had a swollen neck, it was huge and they told him he had to come back on Monday, he died a week later. I hit about 4 pharmacies and none of them would give me any antibiotics without a prescription. I decided to stop by Baypointe hospital just in case and they said they would take a look at me, no Doctor was around but they did a lab test and all the indicators of infection were there, really it was kind of a waste of time but I did get a prescription for Stafloxin 500mg 4X a day. It took 4 pharmacies to fill 28 pills, each one only having a partial supply.
By Thursday I knew there was no way I was going to get rid of the infection with oral pills, the fever was gone but it was really getting quite painful especially when I stood up, I was on a cane at that point. I went back to Baypointe Friday morning and the Doctor immediately said it was a bad staph infection and in the blood and I needed to be admitted and on intravenous antibiotics, unfortunately there were no rooms or even bed space available. She recommended I come in at 6am and 6pm for IV antibiotics at the ER ward. I was given Vancomycin Mersa twice a day by IV for 7 days, I kept the heplock on my wrist when I went home which was a problem because they kept getting infected, I went through six different vein sights and it was uncomfortable to sleep. Oh and guess what, half way through treatment we show up at the ER in the evening and they are out of Vancomycin.
We had to drive around Olongapo looking for it, Gordon hospital had some but wouldn’t sell it to us, that place was packed and they had a ward set up outside for patients. Finally found some at a tiny pharmacy that you wouldn’t expect to have it. I’m not sure what the problem is with stock in this country, I don’t know if they have a policy that when you get below a certain amount of supply on an item you proactively order more or they just wait till it’s expended and then order. I’m now taking Clindamycin 300mg orally 4 x a day, it’s pretty strong and reserved for hard to treat MRSA infections. Looks pretty good but it itches an I’m peeling like a from a sunburn. Sorry for the long post but I agree it’s important especially here in the tropics, even though it can happen anywhere we need to clean and cover all wounds no matter how small. I’ve had infections before but I always saw them coming because the sight would start to turn red and get painful, this time I had no warning until it was a bad situation.