Jan 29, 2010, 07:31 PM
Arrived in Santiago Nov 23 to find a huge heap of dirt and rubbish at our porch. There's one of those new "revolutions" going on. Now it's the water. Every home will have a water meter, and all tubing in the streets is replaced with new plastic tubing. They have built two new factories for all the plastic tubes that are needed, and most of the island's prisoners are working on the water system. First a large tractor with a huge saw makes a huge slit along the street, then a somewhat smaller tractor with a not so huge saw cuts slits across, for connecting tubes to every house. Ours was already connected when we got there.
All houses now shall have a water meter. The philosophy behind is that it will make people save water, thus saving the state huge costs for pumping. After three weeks without water, I check the meter, and it shows that more than 200 cubic metres of water has passed. It is still running, but not a drop of water reaches our tank. Somewhere under the pavement, thousands of gallons is seeping into the soil under our house, and we get no water. The neighbour's meter shows about 15 cubic metres, ours 204.
But there's still water in the old system, and we arrange a hose from the neighbour to fill our two tanks. One for the washing machine. We need to wash a lot, because the father of the guy that watches our house while we're away is very ill, and he needs special attention and wets his clothes. He's been ill for several months, prostate cancer, and he is in terrible pain, moaning and screaming any time around the clock. We decide to make room for him in the house after he has been to the hospital for a cat scan, so we host him in our back room. He needs attention 24h, and we hire hands for some of the time.
There's no way of getting morphine; the family doctor never shows up. We have a few friends that are doctors, helping us with medication, but the painkilling drugs we use are not sufficient. The poor man is suffering, and I'm frustrated that I cannot alleviate his pain. He has methastases in the column and cannot lie down. He's in his rocker chair, and he's been sitting in it for three months now, well into the fourth. One day the son takes all the clinical history to the oncological hospital and asks whether they might take him in there. He is told to bring in the old man, and we go there with an ambulance. The ambulance people are careless, so they scrape his arms against the walls while carrying, so he arrives to the hospital with a couple of wounds.
At the hospital, they don't receive him, the doctors don't even care to look at him. He's a 91 year old gentleman that has served the "Revolution" most of his life, and now he's looked at as some animal we scraped up from the gutter. We're told that they cannot take him in, as we don't have the diagnosis from the family doctor or the policlinic. So we take the agonizing old man in a taxi to the policlinic where we are first taken to the urologist, where two doctors palpate his lower abdomen and conclude that it's not a case for them; he has no urine retention. Then we are taken down to "la guardia", where he's laid on a bed, still in agony. I adjust the bed so that his edema in the lower legs is relieved, in a kind of half-sitting position, and he's given a saline solution of dextrosis with vitamin B that takes a few hours. All the time in agony. By the end of that dripping intravenous infusion, he's finally given a dose of morphine.
In Cuba morphine has serious restrictions, and the vial must be returned to the pharmacy and there's a lot of paperwork. They don't readily want to do that, so they are very reluctant to give morphine. Anyway, it works, he calms down, we can even talk to him, and he wants to go home. Before leaving, he's given a catheter, and when he pees, we find that it is too small, he pees at the side and wets the bed and makes a little lagoon on the floor. We stay there another hour before anyone cares about cleaning up. That's when we are ready to leave. One of the clinic hands comes to make the bed for the next patient, and by now the sheets have dried, so he makes it with those old sheets... I tell him "esas sábanas tienen meao", and he removes them and gets some clean bedsheets.
We take him home, and keep him there till early, a few minutes into December 23, he gives up his breath. Me and his son lay him down on the bed and dress him neatly. I put his teeth in and we shave him. He really looks fine when we put him in the coffin. Now there's a struggle to get a doctor to make the papers we need for the funeral. It's raining all the time, and the son has to take a taxi to the clinic and back with the doctor and then back to the clinic again. When he gets to the funeraria, they discover that the papers aren't correctly filled, so the son must once again go to the clinic. The taxi bill was over 20 CUC. An hour before noon the old man is buried. There is one institution that is prompt, la funeraria. It is even cleaner than the hospital.
And that day I was crying. We were alleviated that we didn't have to wake over him any more, but I was so frustrated that I hadn't been able to alleviate his pain, and that the old man was treated in such an undignified way while still alive. Is it too much to ask, that an old man's pain is relieved the brief time that he'll still be alive? All we could do was give him TLC, but we could not relieve his pain. I'm so sorry.
So; I'm back in Sweden. I have seen more than I ever wanted to see of Cuban health care. If I ever get into such a situation as the old man, I hope it will not be there. Here in Sweden, not even a dog is treated like that.
And I keep thinking that, there, but for fortune, go you or I.
All houses now shall have a water meter. The philosophy behind is that it will make people save water, thus saving the state huge costs for pumping. After three weeks without water, I check the meter, and it shows that more than 200 cubic metres of water has passed. It is still running, but not a drop of water reaches our tank. Somewhere under the pavement, thousands of gallons is seeping into the soil under our house, and we get no water. The neighbour's meter shows about 15 cubic metres, ours 204.
But there's still water in the old system, and we arrange a hose from the neighbour to fill our two tanks. One for the washing machine. We need to wash a lot, because the father of the guy that watches our house while we're away is very ill, and he needs special attention and wets his clothes. He's been ill for several months, prostate cancer, and he is in terrible pain, moaning and screaming any time around the clock. We decide to make room for him in the house after he has been to the hospital for a cat scan, so we host him in our back room. He needs attention 24h, and we hire hands for some of the time.
There's no way of getting morphine; the family doctor never shows up. We have a few friends that are doctors, helping us with medication, but the painkilling drugs we use are not sufficient. The poor man is suffering, and I'm frustrated that I cannot alleviate his pain. He has methastases in the column and cannot lie down. He's in his rocker chair, and he's been sitting in it for three months now, well into the fourth. One day the son takes all the clinical history to the oncological hospital and asks whether they might take him in there. He is told to bring in the old man, and we go there with an ambulance. The ambulance people are careless, so they scrape his arms against the walls while carrying, so he arrives to the hospital with a couple of wounds.
At the hospital, they don't receive him, the doctors don't even care to look at him. He's a 91 year old gentleman that has served the "Revolution" most of his life, and now he's looked at as some animal we scraped up from the gutter. We're told that they cannot take him in, as we don't have the diagnosis from the family doctor or the policlinic. So we take the agonizing old man in a taxi to the policlinic where we are first taken to the urologist, where two doctors palpate his lower abdomen and conclude that it's not a case for them; he has no urine retention. Then we are taken down to "la guardia", where he's laid on a bed, still in agony. I adjust the bed so that his edema in the lower legs is relieved, in a kind of half-sitting position, and he's given a saline solution of dextrosis with vitamin B that takes a few hours. All the time in agony. By the end of that dripping intravenous infusion, he's finally given a dose of morphine.
In Cuba morphine has serious restrictions, and the vial must be returned to the pharmacy and there's a lot of paperwork. They don't readily want to do that, so they are very reluctant to give morphine. Anyway, it works, he calms down, we can even talk to him, and he wants to go home. Before leaving, he's given a catheter, and when he pees, we find that it is too small, he pees at the side and wets the bed and makes a little lagoon on the floor. We stay there another hour before anyone cares about cleaning up. That's when we are ready to leave. One of the clinic hands comes to make the bed for the next patient, and by now the sheets have dried, so he makes it with those old sheets... I tell him "esas sábanas tienen meao", and he removes them and gets some clean bedsheets.
We take him home, and keep him there till early, a few minutes into December 23, he gives up his breath. Me and his son lay him down on the bed and dress him neatly. I put his teeth in and we shave him. He really looks fine when we put him in the coffin. Now there's a struggle to get a doctor to make the papers we need for the funeral. It's raining all the time, and the son has to take a taxi to the clinic and back with the doctor and then back to the clinic again. When he gets to the funeraria, they discover that the papers aren't correctly filled, so the son must once again go to the clinic. The taxi bill was over 20 CUC. An hour before noon the old man is buried. There is one institution that is prompt, la funeraria. It is even cleaner than the hospital.
And that day I was crying. We were alleviated that we didn't have to wake over him any more, but I was so frustrated that I hadn't been able to alleviate his pain, and that the old man was treated in such an undignified way while still alive. Is it too much to ask, that an old man's pain is relieved the brief time that he'll still be alive? All we could do was give him TLC, but we could not relieve his pain. I'm so sorry.
So; I'm back in Sweden. I have seen more than I ever wanted to see of Cuban health care. If I ever get into such a situation as the old man, I hope it will not be there. Here in Sweden, not even a dog is treated like that.
And I keep thinking that, there, but for fortune, go you or I.