I’m lying flat back on my bed with ice under my lower back. This isn’t one of those soft and pliable ice packs that could double as a pillow. It is a ziplock bag filled with actual ice, small chunky blocks of ice with jagged edges that relentlessly jab me for about an hour before melting away into a small puddle of water, making it looks as if I wet my bed. It’s not a perfect system, but it’s all I’ve got, and the ice is much colder and works better than the bag of broccoli I pulled from the freezer on Monday when all of this began.
Monday started like any other day of the week. The alarm went off at 5:15. I pushed snooze once and then was in the kitchen making coffee by 5:30. I drank 2, maybe 3, cups and started to get ready for work. I washed my face, brushed my teeth, dusted my chin and cheeks with powder, swiped each eyelash with a wand of mascara, and made my way into the guest bedroom that doubles as my closet. Still half asleep, I contemplated what I would wear to work. I decided on a navy blue shift dress since it would be a long day of classes. I began to get dressed for the day by placing one leg inside said dress, an innocuous movement that I routinely repeat day after day. Suddenly, something just sort of shifted ever so slightly in my spine, and that was the end of normal range in human movement for me, at least for the rest of the week.
I’m not sure what the hell happened exactly. All I knew at that moment was that I could not move, and I also quickly realized that it was going to really hurt whenever I finally had to move. I needed to be as still as possible to avoid agony. Slowly, I sloped downward towards the bed and tried calming myself by focusing on my breathing, yoga style. A million thoughts raced through my mind. What do I do now? Can I move? What will happen when I try to stand up? I need to call work. Kids will be in my room by 7:30. I need to cover my classes. How do I get help? I’m in another country. Do I go to the hospital? That seems so extreme and dramatic. How much will that cost? Didn’t this country assign me a doctor? How do I find this doctor? Why am I living in this house all alone? I think the last question is the toughest one to grapple with, not just when you are suddenly unable to walk or stand as an alien resident in a foreign country, but just living out your life in general.
I pay for minutes and data on my iphone by buying these stupid Setar scratch off cards at the gas station. I inevitably run out of minutes when I need them most. This was the case for me on Monday. I had no minutes left, leaving me with no way to call anyone for help. Thankfully, I had WiFi at home, so I sent many messages via WhatsApp to anyone I thought should know that I was flat on my back and unable to stand. The whole morning is a blur, but I was also somehow able to send an email to work that I wouldn’t be going. Next, I called my dad on my laptop to ask for advice. He does that well, and he knows a good deal about back problems, after undergoing several back surgeries over the years. I guess mysteries that ail the back run in the family. “Just lie on ice for two hours and take ibuprofen,” he calmly suggested. So that is what I did. I walked into the kitchen, hobbling and hunched over like a large ape, grabbing doorknobs and furniture along the way for support. I opened up the freezer to find a bag of broccoli and somehow made it into my bedroom. Who knew frozen broccoli would ever provide that kind of pain relief?
Everyone I know at home has some form of prescription pain medication; it’s just part of everyday life in the United States. Life at home moves at a frenetic pace and is perpetually demanding. There is never time to slow down for an injury, so everyone has a magic little bottle of something for aches and pains that flair up, or just to take the edge off after a stressful day. It seems to be how everyone keeps going in the States. Pharmaceutical drugs are a part of life for professional people. If I were home, someone would bring me something to get me out of this raw, hard pain I am in right now. That was my first realization. Who knows how long I will be in this state without pain killers? That was my second.
These are the times overseas when you think there is a reason many people do not move to other parts of the planet. There are plenty of people who live to avoid moments like this. They are rational, reasoning humans who are successfully able to avoid making their lives even more complicated. I so envied these people that morning. Being immobilized was far worse than the giant centipede that crawled past my feet while doing laundry a few months earlier. I thought I could handle all the creepy crawlies on the island: snakes, lizards, spiders, and even scorpions. I am a 5th generation Texan; these things do not scare me. That was until I met the Amazonian giant centipede. That hideous creature did something to me psychologically. It was vile enough to make me doubt my status as an independent, adventurous woman. Being flat out on my back was similar, it plagued me with fear and doubt. What am I doing? How did I get here? How do I get out of here?
Eventually, I made it out of the house into my friends jerky stick shift with no air conditioning. I was still in excruciating pain, but this is a good friend, and I felt comfortable enough around him to scream out curse words if need be or just contort my face in aguish. The hardest part was standing up. Standing up clearly delivered a jolt of pain unlike anything I had ever felt before. I could manage walking as long as I pressed both my thumbs into my lower back. These physical sensations were the things I assessed on the way out the door as we drove to find my doctor. Of course, the only indication of a doctor we ever found was a house with a sign outside the door, Keito Medical Center. The door was open wide, but the place was empty inside, except for 12 patio chairs configured in a U shape. “Hello, is anyone here?” Our voices echoed all around. We gave up and left the building after no one answered.
We stopped at the Valero Gas Station on the way back to my house so that I could buy the pay as you go phone card. Once I was back home, I called my doctor several times but never did get an answer, just a voice mail in Dutch. Finally, I decided to call AZV, the Aruban healthcare organization that runs the socialized system of medicine here. They transferred each of my calls over and over to a never ending ring. By the third or fourth transfer, someone finally answered on the other end to tell me that my doctor wasn’t in Aruba; therefore, I would need to call my stand-in doctor, Dr. Van Ool. Dr. Van Ool never answered either. All I ever got was another harsh voice mail in Dutch. I listened to the entire recording even though I didn’t understand a word of it, and, at the end, I finally heard a few words of English – message box is full. I called AZV again, but they had all already left work for the day, 45 minutes before closing.
I’d had enough of the missing Dutch doctors and Aruban healthcare system altogether and decided to just pay money out of my own pocket with a trip to Urgent Care Aruba, the only private healthcare service on the island. When we arrived at the 24/7 emergency care center, the parking lot was empty and all the lights were out. The place was closed and no one was there. This was urgent care Aruba style. The sun hadn’t even completely set yet. There was still a little bit of daylight left in the sky. Besides that, the place clearly advertised 24/7. I pressed a button next to the front door and cringed as I heard yet another phone ring again and again. Only this time someone miraculously answered over a loud speaker outside the building. An angel with an amplified voice told me she could be there to help me in 20 minutes for the starting price of $150 Florin.
The young doctor eventually sped up in her white Volkswagen. She was personable and funny. She asked for a recap of the events that morning, along with a few more diagnostic type questions. “I don’t even need to examine you. I already know what’s wrong with you. But jump up on the table anyway, so I can say we did this.” She rambled off a long string of medical terms as my diagnosis. Back spasm was the plain English version for whatever she described. I’d hiked along the coast from Alto Vista to the Lighthouse the day before, so most likely that is what triggered it according to this expert. I have never felt such a sense of relief as I did when I watched her scrawl out a signature for two much needed prescriptions for pain killers and muscle relaxers. “Don’t forget to stretch and hydrate when you hike,” she reminded me on my way out the door.
Today is King’s Day, or Koningsdag, and I am feeling better. King’s Day is this national Dutch holiday where they celebrate the King’s birthday. The Dutch have an interesting way of throwing a birthday party. They wear and drink/ eat a lot of orange things. Some wear orange wigs and others may wear orange sneakers. They eat orange sprinkles on baked goods and drink orange alcoholic beverages. They also drag out junk they don’t want from inside their home and sell it on the street. Kids play musical instruments and everyone plays odd traditional games like Spijkerpoepen. This is a game where they tie a nail to a string on the back of their pants and then squat while the nail dangles over a empty beer or wine bottle. First one to get the nail in the bottle wins. I’m assuming you probably need to drink the bottle of booze first before you begin playing this game. I’ve also seen video of children hurling eggs at faces perched atop caricatures painted on wooden slabs. My friend tells me the potato sack race was a Dutch invention. I believe her and will never ever even Google to fact check. Only the Dutch could invent potato sack racing; they are truly original and my new favorite culture. I secretly wish I could be at least part Dutch.
For as long as I can remember, my grandmother always had a quote taped to her refrigerator door. “Inside every older person is a younger person wondering: What the hell happened?” I have no idea who the genius is behind these words. All I know is that it sums up exactly how I am feeling this week. I also have no idea how King’s Day plays out on the island of Aruba. I’m just thankful it is a holiday and I have one more day to recover before going back to work tomorrow. My curiosity about King’s Day may propel me into an upright walking position and outside my door to see what this holiday is all about. It’s too bad my back spasm will put me on the sidelines when it is time for a game of Spijkerpoepen.