Well folks, given my history of injuries and the active lifestyle I pursue, one would assume I would have gotten injured much earlier during living abroad. Thankfully, I haven't … until now.
The good news is that it was nothing too major, and I should be fine (I don't want to jinx anything, cuz there is still potential for infection). The bad news is that I'm probabky gonna have a really nasty scar on my left knee and I won't be surfing for the next week or so until the stiches are sufficiently healed.
It was only 2 days ago when I decided to stay here in the Philippines for a full month. I made that decision based partly on the quality of Mahi-Mahi here, and also figuring that although I've not yet felt the right 'vibe' here, I should at least give the place a chance. As part of my preperations for staying the month, I rented a room with a kitchen so I can cook my own meals rather than having to constantly dine out. I also rented a motorbike so I can go to the markets in town to buy food and other supplies, as well as to ride over to the various surf breaks not within walking distance.
Yeah, some of you can already see where this is heading.
Anyway, the surf on this side of the island has been pretty dismal for the past several days — the northen winds blowing out any significant waves left from the 2 typhoons in the area. I had heard, however, there is a decent surf spot up towards the northern tip of the island. Yesterday morning, I decided spur of the moment to check it out.
I never got there.
I took a wrong turn somewhere along the way. Don't ask me where I made the wrong turn or where I wound up, because longtime resdents here on Shiargao that I've asked can't even tell me where the fuck I was (ironically, one person who did know told me I was up near a place called 'Salvation'). All I know is that almost immediately after I turned off from the main road, the 'road' — usiing the term euphamistically — changed from flat pavement to an unpaved path consisting mainly of huge puddles of mud and rocky hills.
Every so often I stopped to ask directions — each time being reassured in broken English that yes, this REALLY was the proper way to the north end of the island. Based on these directions, I continued on until I literally ran out of road (the road turned into a walking path that turned into a drainage draw, that finally ended on the beach next to a comicaly small fishing villiage). There, I was told (read: wildly gestured to) that I had indeed gone the wrong way and I needed to go bAcK almost to my starting point and take a completely DIFFERENT (and paved) road north, since where I was wasn't actually a road.
I had just turned around to make the trip back towards the main road when the heavens opened up - WIDE open. If you've never been to the tropics, you really should make the effort to do so. It is a remarkable thing, You can't imagine just how much water can fall from the sky at one time until you see it in person. It really is amazing.
Anyway, the 'road' almost immedaitely began to flood, resembling a small creek more than a road. I hadn't gone more than 50-100 meters after turning around before I hit a steep rocky incline. My my back tire hit a slicked up rock and slid out from beneath me. Thankfully, I was only going a few km/hour at the time, so I avoided any serious injury.
After falling, I picked up the bike and took it to the top of the incline where I better could take a survey of any damage — both to me and the bike. Luckily, I was able to keep the bike from getting too damaged by cushioning its fall with my body. My left leg, to be precise. I was pleased to first see that my left foot had only some minor scrapes that would heal in a couple days. But then I caught sight of my left knee, although it didn't really hurt.
I'm not sure how it happened, but when I looked, I saw a huge gaping wound right below my left kneecap. Specifically, in a rough circle about 2 inches in diameter, the skin was simply gone, exposing the tendons and other tissue below.
It really didn't hurt, but it looked knarly as hell.
I was (and still am) more concerned with infection, considering I had to ride the bike back through the 10-12 kilometers of this flooded and rocky 'road' before even making it back to solid pavement. Every time I came to another muddy expanse of water in the road, I had to pick up my left leg in the air so as to avoid spraying any 'goo' up inside my exposed kneecap.
I remember thinking to myself that this was turning into one hell of a long bike ride, however, as soon as the rain stopped and I got back on solid pavement, I'd be able to get the wound quickly attended to.
Err, not so much.
My trip back to the main road was long, but reletively uneventful. However, once there, I fell victim to my own expediency. See, the exit point back onto the main road was about halfway between the main towns of General Luna ('GL') and Dapa. As I am staying out past GL (where most of the ex-pats are), I decided to hit the medical clinic there, so as to avoid a long drive home after gettting treated.
When I got to the GL clinic at around 11:30 a.m., I found that the doctor doesn't come in until 13:30 (1:30 p.m.), and I would have to wait another 2.5 hours before I could get stiched up there. Instead, I got back on the road and headed back again where I came from — towards Dapa — specifically, the Dapa hospital. Well, I guess you could call it a 'hospital.'
It actually bore more semblance to an auto-body shop than what we in the West would call a 'hospital.' My first clue in this regard were the chickens wandering around just out front of the building. My second clue was the dog that wandered into the 'operating room' at the smell of my blood — looking for scraps, one would assume (No, I'm NOT kidding. I couldn't make up this shit).
I wasn't able to get treated when I first got there, since the only doctor in the hospital was busy delivering a baby. So, after having already left my kneecap exposed to the elements for a couple hours, I would have to wait a bit longer until after the little brat was ushered into the world (just kidding … but not really).
Now, I truly believe that how one deals with adversity is a sign of their true character, especially in an unfamiliar environment. So yesterday, I was particulally self-concious about not appearing as just another self-absorbed American looking for special treatment while screaming 'don't you know who I am?!?!" (although I was, admittedly, feeling a little like that inside).
For that reason, I didn't make a big deal about getting hurt in the first place. Nor did I bitch about having to drive back from GL to the Dapa hospital. I was not about to start losing my shit now, especially considering there was a local Filippino fisherman also there, stolidly waiting for treatment after getting his calf ripped apart by a moray eel.
An intake nurse looked at my injury and told me how much it would cost — 50 pesos for consultation, and another 75 pesos for the stitching. Le me repeat that, the entire treatment cost the equivilent to about US$3.00.
She also told me what I'd need to get for my treatment — sutchers, a needle, bandages, and a local anesthetic. I was given a prescription of sorts, and then told to go to the pharmacy in town to buy the equiptment. I paid 10 pesos (about $.25) to a guy on a tricycle to take me there and back. And after I got my suppies, I sat there silently waiting for delivery (quite literally). The total cost for all those supplies was only about another US$5.00 (admuittedly, the antibiotics I bought afterwards were sorta expensive, about US$50.00). So, it was a total cost of about US$8.00 to get treated (man, Micheal Moore's movie 'Sicko' was good, but you can't really grasp just HOW fucked up the US medical system is until you get treated outside the country).
Anyway, the baby refused to accomodate our schedules, and after a time, the doctor and trauma nurse from GL came to Dapa (ironically, they didn't even open the clinic in GL, but instead came straight to Dapa to help out in their E.R.). The fisherman rightly got his mangled leg treated first (apparently, the moray eels out here can be downright vicious). The 'OR' was open to the public, and various members of his family and the general public who happened to be there (myself included), wandered in and out surveying the proceedure.
Once again, this guy was so quietly stoic about the whole thing that I was concerned about looking like a weak-willed American when next it came my turn to be stiched up. Fortunately, I have a uniquely high pain tolerance. Unfortunately, I also have a really bad habit of giggling like a madman in response to severe pain.
As they got started on my knee, we all realized just how fucked up it was (is). Not only did I tear out a huge chunk of flesh, but the adjacent skin that remained was ripped from the tissue underneath, leaving a 'hole' under the skin. I know from prior experience that is the real danger (when I was in college, I had torn my right calf muscle resulting in an abscese that got infected and almost killed me due to my lack of treatment). It was also tricky due to the placement of the injury. I've heard this before, but I was reminded again yesterday that the knee is one of the hardest places to treat an injury.
The doctor and nurse were, however, absolute professionals when it came to cleaning and debriding the injury and stiching me up. Indeed, but for the dog looking for scraps and the locals looking to see if the American would start screaming in pain, their treatment was better than some I've received back in the States. They even gave me a mask and let me sit up to watch the proceedure (except when the local started wearing off and I started giggling like a nutjob). The hospital staff was also extrememly kind to me, and I thank them all immensely for their help.
I'll probably have a nasty scar on my left knee, but if the drugs do what they're supposed to do, I think (hope) I'll be fine. I'm taking some pretty powerful antibiotics for the next 7 days, just in case. During that time, however, I won't be unable to go in the ocean. So, no surfing for the next week. No worries, I'd rather get healed up (plus, the winds have picked up, making the waves unridable for the next 5-6 days anyway).
I go back in a couple of days for a check up (I hope I can make the US$3.00 consultation fee), and hopefully any chances I'll be healed up in a week. I just hope no more dogs wander into room.
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