Jean

- the following is a little heavy on the medical (in so far as I was able), since a good number of you all would want to know (forewarned is forearmed)
...
- got to the clinic this morning and Jean was looking a lot better, she could actually walk to the toilet and pass urine (the ultimate test in this case) on her own - she said the doctor told her, with her symptoms, she
should have died - well, that's my girl, never do anything by halves

- so here's the story - a couple of weeks ago, we had several vet students come for a 2 week training - about the same time, Jean had an unusual infection (which as far as I know, she didn't tell me about - ha) - it
seemed to pass but Monday, a week ago, she realized she had a temperature (showing a local woman how to use the thermometer; used on herself; whoa!)

- as per her usual, she plowed on through the week with the training - she later confessed she was a little woozy toward the end of Thursday afternoon - the students returned home Friday morning and Jean basically cratered                                                                              

- she stayed pretty low to the ground for several days - Friday, while I was returning from dropping the students on their various conveyances, Miriam (team member from Germany) took her to the local clinic to test for malaria, brucellosis and typhoid (all negative) - the main problem was she ate and drank very little and was having cyclic episodes of increasing pain, fever, and less-than-Jean types of "personal interactions" (extending up to our drive to Kampala)

- the clinic suggested ciprofloxin, flagel and doxycyclene (big guns firing in every direction; oh, and also, please repress any urge you may have to correct my spelling on these; I'm working on pronunciation at the moment) and lots of ibuprophen and paracetemol - these we did but without any sort of general trend 'upward' - Miriam got her on a saline drip and we brought her down to Jinja on Monday to see a doctor there

- the doctor saw her informally and listened to the story, Jean was weak but lucid and quite "herself" - the doc thought "tick bite fever" was a strong possibility (so, continue the doxy) and we took Jean to Calvary where she had another bad night - that evening, a local missionary nurse (20+ year veteran of East Africa, has a Masters, don't know the proper designation) tested her for malaria again and it was positive - given Jean's heart condition, she can only take certain malaria meds (pure artemecin products vs. the various combination drugs, or malarone; not quinine or heavy doses of larium, etc) - so, continuing the other antibiotics, we added malarone - our nurse noticed that Jean would blank out every so often for 10-20-30
seconds, then blink back in and connect with us again

- Tuesday morning, she wasn't really better so, Miriam put her on a dextrose drip, we talked to the nurse and doc again and decided to take her to "The Surgery" in Kampala (of the locally famous Dr. Stockley) - we put her on a mattress in the back of the truck and Miriam rode with her, managing the drip (and adding a saline bag on the way) - the nursing staff put her on a drip (continuing to today) - again, Jean was (very) weak but lucid - they did a blood test of a much more exhaustive kind (whose name escapes me): not anemic, practically no parasite count, low platelets - in the afternoon, Jean had another of her 'episodes' (thankfully; they are painful, and not only for her, but had not yet happened in front of an actual medical professional; so we appreciated her 'showing off' on this occasion); they catheterized her and continued pushing fluids through the night and doxy; opting for artemecin instead of malarone

- Wednesday (today), we were told she had vomiting and headaches in the night, the drip was continuous (catheter remains so far) and she's still not taking food or fluids in any real amounts - they ran more blood tests which all came back "normal" or "expected" - so they removed the catheter and cut
her loose

- she's back in Jinja now, resting, she's able to take some things orally and we can always put her on another drip if we have to - problem is, with all the heavy duty antibiotics (sans actual testing) early in the story, any
real diagnosis became pretty much impossible - we know that some form of malaria is/was part of the problem at least, even though not the initial issue - so she's on doxy for a month and artemethra (artemecin) for a week - badda bing-badda boom - we'll put this one in the "ambushes involving gunfire-Ebola (or was that Marburg)-legionnaires-cerebral malaria (and other CDC Biohazard Level IV occasions)" file - you know, hadn't had any of those for seven years of marriage, was beginning to think I was having a positive
effect on her ... oh, well - God is good/All the time/God is good

- thanks for all your prayers - several of you were instrumental in getting the word out (without naming any names, like, Michelle) - Many Thanks - please feel free to forward this to interested parties (and family
members) - I confess I don't have all the email addresses I should or would like to have -

Tom