Tuesday, November 5, 2013

A little fear, a bit mistake, and a fantastic (mis)adventure


One of the many self-discoveries I’ve made during the time in the Peace Corps is that I have small, irrational fears that are deeply buried in my psyche. For instance, I have an irrational fear of skydiving. I have always sworn to kingdom come that I would never, ever skydive because a) I’m mildly petrified of heights and b) I don’t like the idea of trusting my life to another person or object. Since heights make me extremely uncomfortable, I tell myself that there is no way I could enjoy skydiving, even though I’ve never tried it. Because I don’t want to trust myself to others, I speculate on insanely improbable things-that-could-go-wrong: the faulty parachute that doesn’t open, the string that breaks and prevents you from launching said faulty parachute, the drunk guide who condemns me to plunge to my death due to his inebriated judgment, and so on and so forth. As anyone can tell you, though, skydiving is a perfectly safe, exhilarating experience 99.99999% of the time that usually results in an unforgettable adventure. And yet, I rationalize my illogical and ridiculous trepidations and convert them into seemingly viable excuses, thus barring me from ever giving my small fears, such as skydiving, a chance to be resolved. I have many such tiny fears, all of which would be so very easy to ignore. In all honesty, I know I could live a perfectly happy and fulfilled life if I just simply let them be. However, by doing so I would be inviting missed opportunities and experiences, both the good and the bad, to enter my life. Perhaps I’d enjoy 99.9% of what life has to offer me, but there would always be that 0.1% that I’d miss. And, maybe that 0.1% would make all the difference. Do I really want to risk that possibility? As a result, I’ve vowed that whenever I discover one of my irrational fears, no matter how small and insignificant it may seem, I have to root it out. When I hear myself thinking, “Oh no, there’s no way I could do that because…” I have to immediately stop and say, “Why yes, I’d love to.” However, as I learned this past month, sometimes saying that “yes” can have rather unfortunate and, in this case, hilarious consequences.

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“Well, you’re most definitely going to need surgery.”

Cursing my bad luck, I slunk down into the doctor’s chair and sulked. How could I have been such a stupid klutz and caused this to happen? Now I needed surgery? These are not words you want to hear when you’re living in a foreign country.

*********

It’s always sad when PCVs return back to the States. In this particular case, all those who arrived in the Peru 18 group were getting ready to close their service, finish their two-year long projects, and return back to the US. Saying goodbye is always difficult, but for those like me from the Peru 20 group, losing the 18-ers was especially hard. The 18-ers were like our mentors when we first arrived. They helped us get past our starry-eyed wonder and set realistic expectations for ourselves and our Peace Corps experience; they gave us the encouragement and pep talks necessary to make it through our first rainy season, our first holidays away from our families, our first disappointments and failures; they kept us excited when we wanted to be apathetic, positive when we wanted to blast everyone with frustrated negativity, and optimistic when it would be so much easier to lower our hopes and dreams. And now they were leaving. As much as we wanted them to stay, how could we not be happy and proud of those who did so much not just for us, but for Peru as well? So, we were determined to throw them an amazing goodbye party and send them off in style.

Fortunately for us, we were able to have an incredible event for our beloved 18-ers. In a Peru 19-er’s site, a family was converting a rural hacienda-like mansion into a hotel. Since it was still under renovation and had yet to get a lot of business, they agreed to let us rent out the entire facility for free. The hotel was in the middle of nowhere, so we didn’t have to worry about disturbing the local town with too much music and noise. It also came with a swimming pool, a huge tree full of hammocks, a dancing pavilion with lights and speakers, and a place nearby to horseback ride. Who could ask for more? The party ended up being very bittersweet. We all had an amazing time dancing in improv Halloween costumes, rocking out to pop music, launching fireworks, and enjoying a photo slideshow and a roast and toast. Still, it was hard to forget that, despite all the festivities, we were still saying goodbye.

In the midst of all of this, I did something incredibly stupid.

My family is notorious for being klutzes. Seriously, I don’t know how we do it. Somehow we always manage to injure ourselves in the most awkward and idiotic manners. So, I guess it’s only fair that it was finally my turn to join the list of ridiculous injuries.

So there I was at 1:00 AM Saturday, October 19th taking a break from dancing when all the sudden my site mate runs past me yelling, “Lyndsey! We’re going skinny dipping! Come and join us!”

“Oh no, thanks guys but I don’t really…”

Damn it all. There it was. I had just found an irrational fear. Looking behind me I, I realized that all of the Peace Corps Volunteers in my region were dancing less than 15 meters away from the pool. It was dark out, but not nearly dark enough to give me the modesty I would have preferred. So what was my fear? That someone would judge me for jumping naked into the pool? That I was ashamed of my body? That I would be childish by skinny dipping? Probably a little bit of all the above. But here’s the thing – for whatever reason, I realized that I was afraid of shame, whether it be from myself or from peers, and I was going to let the possibility of shame prohibit me from having fun and from enriching my life experience with a potentially funny memory. I had just unearthed an irrational fear and, regardless if I really wanted to or not, I now had to take my clothes off and get in the pool.
So trying to be as quick as possible, I stripped and jumped in. Now note: I did not swan dive. I did not even do an epic cannonball. I just jumped like a normal person into the shallow end of the pool. Yes, the shallow end. Now, it was a wee bit shallower than expected, but not by a lot. This was not like jumping into a kiddy pool. It was just, perhaps, 1-1½ ft. shallower than you would expect an American swimming pool to be. Well, that 1-1½ ft. made all the difference. Before I knew what was happening, my left foot struck the bottom of the pool. Four of my toes bent naturally in one direction, but unfortunately my pinkie toe didn’t get the memo and bent somewhere between 45-90º in the opposite direction.
I immediately knew I had just done something very, very stupid.
Fortunately, my site mate is also an EMT. After hobbling my way out of the cursed pool and pulling on some clothes, I called her over to see if I had just broken my toe.
“Well, can you feel me poking it?”
“Yes.”
“Can you bend it?”
“Yes.”
“If I pull it gently like this, does it really hurt?”
“It’s uncomfortable, but not really.”
“Well, you still have circulation, too, so it doesn’t seem broken to me. At worst, it’s fractured, which you can’t do anything about. Most likely you’ve just jammed the hell out of it. All we can do is dry it off and tape it.”
Unfortunately, my toe was a lot worse off than either one of us expected. To complicate matters even more, there was no cell phone service where we were. As a result, I couldn’t have called the Peace Corps emergency medical hotline even if I wanted to. So what could I do? I taped it, stayed off my foot as much as possible, and waited.
            Time: 24 hrs. after the accident
The next day I left the hotel in the afternoon and went to Ica. As soon as I was back in a cell phone service area, I called the Peace Corps Medical Officer (PCMO) on duty and explained what happened. Not surprisingly, they immediately wanted and x-ray and scheduled an appointment in a clinic for the following day.
            Time: 48 hrs. after the accident
I arrived at the clinic relatively pain free. My toe was swollen and a little crooked, but I attributed its bruising and eggplant-like shape to uneven swelling. Plus, there wasn’t any searing pain, so I saw no cause for alarm. When the technician threw my x-ray up on the board, we observed four normal toes, but the culprit, my disobedient pinkie toe, was...well, different. The technician, hiding a smirk, turned around to me and said, “Well, that toe’s not even close to being where it’s supposed to be, is it?” I stared in horror at the x-ray. My toe was completely shifted over and askew. It was like having a mini version of the Leaning Tower of Pisa in my foot. Knowing things were only going to go downhill from here, I reluctantly called the PCMO again and, after explaining everything, was told that I had to go to Lima. I limped my way out of the clinic, grabbed my stuff from the hotel, and got on a bus.
            Time: 72 hrs. after the accident
It was Tuesday morning and I was sitting in a different clinic waiting for my appointment with Dr. Rojas, a trauma specialist. When I finally got into his office, I explained the entire unfortunate story to Dr. Rojas, whose face gradually darkened and looked more and more concerned as I talked. Frowning, the doctor asked me to lie down on the table and said he was going to try to relocate my toe. Cringing my teeth and trying not to yelp in pain, I waited as the doctor pulled, pushed, and jiggled my toe, trying to put it back in it’s normal spot. In his defense, he did it as gently as he could. Finally, I heard him sigh and say, “Well, this isn’t good.”
You never, ever want to hear those words leave a doctor’s mouth.

“Why? What’s wrong?” I asked.

“Well, you’re most definitely going to need surgery.”

I listened in dismay as Dr. Rojas explained that since the bone wasn’t immediately put back into place and it took me so long to see a doctor, a tendon had now shifted over and squeezed into the space between the dislocated joints. Now, no amount of pulling and pushing could put the toe back in because the stupid tendon was in the way. Instead, they would have to cut my toe open, put the tendon back in its normal spot, shift the bone back over, and stick in a metal pin to secure everything in place while I healed.

Fantastic.

            Time: 6 days after the accident

Friday morning I arrived at the clinic again with Dr. Carmen, one of the PCMOs. Together we checked in, settled into my hospital room, and answered various questions as nurses and doctors came in and out. I had my blood drawn, blood pressure taken, heart listened to, etc. Finally, in came the anesthesiologist, just the man I wanted to see.

Immediately I said I didn’t want to have full anesthesia. You can call me a wimp, but I don’t like going fully under unless it’s completely necessary. When I went under to get my wisdom teeth taken out several years ago, I was bedridden by vomiting and nausea for a full day afterwards. Thankfully, the anesthesiologist agreed with me, saying that full anesthesia was definitely overkill for a simple toe operation. Satisfied, I said I’d like local anesthesia instead.

“…I don’t recommend that.”

Stunned, I asked why not. Didn’t he just say this was going to be a simple operation?

“You’re going to have a pin inserted through your bone. While your toe might be numb, that pain is going to reverberate up you leg. I don’t think local anesthesia is going to be enough. I think we should choose something in the middle, something stronger than local anesthesia but not as strong as full anesthesia.”

“Well, what do you recommend, then?”

“An epidural.”

“…as in what they use for childbirth?”

“Yes, exactly. We’ll numb everything from the waist down. You won’t feel a thing.”

Good grief.

As the anesthesiologist left the room, I turned to Carmen and asked, with all seriousness, “Can’t we just amputate the damn thing?”

“…you want to amputate your toe?”

“Why not? Besides gymnasts and ballerinas, who really needs a pinkie toe? Honestly, this is waaaaaay too much trouble for what the damn thing is worth. Let’s just chop it.”

“Lyndsey, we are not amputating your toe.”

“Hear me out-”

“NO!!!!”

So there I was an hour later, staring at the ceiling of an operating room, hearing the beeping of my own heart on a heart rate monitor, trying to ignore the IV being put in my arm while watching my leg being swabbed in iodine. As a warning to any readers who might be undergoing a similar experience in the future, it is not wise to binge on seasons of House before undergoing surgery. It just freaks you out unnecessarily. As I tried my best to not dwell on the various, horrific surgical procedures House had to salvage on seasons 1-3, I felt myself being pulled forward by the nurses and having my spine and sides poked at.

“Ok, now DON’T MOVE.”

Don’t move? That has got to be one of the cruelest jokes on the planet. You’re sticking a needle directly into my central nervous system and you expect me to not move? So of course, I twitch like crazy. I wish I could say the process was more or less painless, but that would be a lie. As the needle was being inserted, it felt like every nerve between my skin and my spine was being poked along the way. Despite my best intentions, I spasmed uncontrollably as various nerves fired all along my back and sides. Then, just when I thought it was over with, I was informed we were halfway done. I forgot the catheter. So, next an even bigger needle was inserted and, I kid you not, I could feel the lidocaine being fed into my body and trailing towards my hips. Ladies, childbirth must truly suck to be worth an epidural.

As I laid back and felt the ceiling spin, I noticed something odd. My right leg and hip were completely numb; I couldn’t so much as bend my toes. However, my left side still retained a bit of feeling. Guess what side my operation was on? The left side, of course.

Even when your leg is 80-90% numb, having your toe splayed open is highly painful. Likewise, having a pin drilled through your bone is mildly excruciating. Now granted, I’m sure it would have hurt a lot worse if I had no anesthesia whatsoever. But still, it hurt. Thankfully, the procedure was short and simple. My suffering ended after about 30 minutes. However, I still had to spend the night in the hospital with an aching back and a throbbing foot.

            Time: 14 days after the accident

So here I am, still in Lima. My stitches have come out, but I still have the pin and the left side of my foot is covered in bandages. Since I can’t put a closed-toed shoe on, everyone in the clinic and the Peace Corps office agreed that I should stay in Lima until the pin is removed. If I were to return to my site in Huancavelica, the risk of further injury and infection would be extremely high. Since I am required to walk all the time in site, healing would be jeopardized. I could accidentally pull the pin out or jam it further into my foot, for example. In that scenario, I’d have to trek all the way back to Lima, which would be 10-11 hours away. I also imagine that I’d be in excruciating pain all the while, making that perhaps the longest and worst journey in my life. In addition, all the roads are dirt roads and there are farm animals everywhere. Since I can only wear flip-flops, keeping my bandaging clean would be a nearly impossible task. I really do not wish for my toe to become infected, especially since that pin goes through my bone. On the other hand, if I were to stay in Lima, I could reduce the risk of infection and only be a 15-20 minute cab ride away from the clinic if anything bad were to happen. Although I really, really didn’t want to spend my recovery in the city, it was obvious which option was the best solution for my health. As a result, I will be in Lima until November 18th, a full month after when my accident occurred.

Despite the high degrees of unpleasantness, I want to make it clear that the Peace Corps was wonderful throughout the whole ordeal. The only time Dr. Carmen left my side was when I was in the operating room; she was right there waiting for me as soon as I was wheeled out. My Country Director also called me when he heard the news and even invited me to his house to make my time in Lima more eventful. I also received a lot of warm wishes from volunteers as well as staff, plus lots of condolences and hugs. I haven’t been lonely since volunteers are coming up all the time for various trainings, meetings, and appointments. Although this will most certainly affect the schedule I had planned for myself in terms of my in-site projects, I still have work to do, too. So, all in all it’s not the worst thing that’s ever happened to me.

In addition, in spite of all the complications, hassle, and frustration that have resulted from my skinny dipping misadventure, if I could travel back in time I would still jump in the pool. A misadventure is still a kind of adventure, after all, and now we all have something to look back on, shake our heads at, and laugh about. So perhaps I look the fool, but it makes me and those around me smile and remember a time of fondness. Call me crazy, but I see worth in that.

So, here’s a little lesson from me to you: whenever you hear that little voice that says, “Oh no, I can’t” never, ever hesitate to jump. 

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