There isn’t much that separates us

The public health clinic was teeming with people. Where was she?

“Over here!” My friend waved me over to a corner of the waiting room. She rushed to explain her health problem, pointing to various body parts while keeping an eye on the door where she was to go as soon as her number was called.

My breathless mind tried to keep up with her Arabic. I was still drumming up passable Spanish vocabulary when her number was called.

We squeezed around an old shopping cart piled high with unsupervised medical supplies and stepped into the consultation room.

“What is the problem?”

I took a deep breath and launched into an unrehearsed explanation. Interpreting between two foreign languages is always a workout for me, and not a flattering one.

The lady at the desk was silent until I paused. Then she said, “You both realize that I’m a nurse, not a doctor, right?” 

Actually, no. I had never been beyond the door in this particular public health clinic.

“Look, the only thing I can do is test and see if she still has the infection.” She handed my friend one of those flimsy plastic cups we use at children’s parties for juice or Jell-O. “Urinate in here and bring it back to me.”

Apparently dismissed, we squeezed around the shopping cart and wandered around the building in search of restrooms. Misplaced people were milling everywhere in a warm, concrete facility that smelled of metal and sweat. 

We eventually found the almost unmarked restroom, nestled between consultation rooms. Then back down the long hallway we went, my friend trying to hide her cup of pee in a plastic bag she’d dug out of her purse. “There wasn’t any paper in there to wrap the cup,” she said. “I don’t want everyone here to see it.”

We wiggled around the overflowing shopping cart again. The nurse stretched on a pair of gloves, stuck a testing strip into the urine, and told us to wait outside. My friend turned and left, still holding her cup.

“Uh… can she throw away the urine?” I asked. 

While I was still verifying this with the nurse-not-doctor, my friend lost her way and, unable to read, ended up in the men’s restroom. There was an unsettled man waiting outside when I arrived on the scene. “This is for men,” he said in Arabic when my friend emerged.

We found seats in the waiting room. As much as I love to people-watch, it was hard to look around without feeling absolutely hopeless. Did anyone in the healthcare system really care about these people?

As we waited, the lady next to us asked if her number was on the screen yet. She couldn’t read; she could only hear the tone and see the digits move without understanding what they meant. I looked at her tiny slip of paper, the kind of ticket you get while waiting in line for olives at the market. It was hard to see that wisp of green-blue and not see my own personalized number on a freshly printed ticket from the private health clinic across the street. My initials followed by 524. Always the same. Always announced over the speaker while I sat in the air-conditioned waiting room. 

Her number was 254. The number on the screen was 272. “It’s past,” I explained. By a good half hour, likely. She walked up to the desk and was sent to get another number and start the process again. 

Meanwhile, my friend and I were called back into the consultation room. The overflowing shopping cart had been removed and this time we could walk in without yoga posing our way through the doorway.

The nurse told me, “Tell her that she still has an infection, but she needs to finish the week of antibiotics she got yesterday.”

Oh.

That was a piece of information I had been missing. My friend had apparently just been to the emergency room the day before, but wasn’t satisfied with the lingering pain from the infection. As if one dose of antibiotics should have removed her aching like magic.

It was hard to look at the nurse sitting at her desk and not feel absolutely hopeless for her. Was this what she dealt with day after day? Confused immigrants expecting or even demanding immediate fixes without understanding her role as a nurse, not a doctor or a magician?

My friend and I walked toward home. She pulled me into a North African store and bought a bag of fresh figs: big, purple, and sweet. On the street again, she handed me the bag. “I got these for you because you helped me today.”

We sat on the front steps of my apartment building until the hopelessness of the morning faded with chatter and laughter. Deep down, there isn’t as much that separates us as we sometimes imagine.

Spanish healthcare chronicles: the dentist

Some people love visiting their healthcare providers. They set up appointments at every chance, willing their hypochondria to be confirmed… if not here, then there. 

I’m a hypochondriac too. If I get some belly flab, I write it up to a tumor. A sensitive tooth– an impending root canal. But my branch of hypochondria avoids doctors at all costs.

One of my nurse friends (yes, I have several, which is unfortunate for them when I seek advice for random ailments) laughs at me because I always preface an advice request with, “Don’t tell me to go to the doctor.”

In healthcare, the firsts are the scariest because I know the invasive scrutiny of my various and sundry body parts will only confirm my worst fears.

My first dentist experience was terrifying. My teeth are bad and I was already imagining myself in dentures.

“I don’t want any major work that isn’t necessary,” I squeaked as they herded me into the panoramic x-ray room. I tried to explain the history of my teeth as the dentist spun her little mirror around in my mouth. Then, the hygienist cleaned my teeth while I cringed and balked and kept imagining dentures.

“See you in a year!” 

What? Dentists never said that.

I have a hunch that in Spain they aren’t as picky about perfect smiles as they are in America. (I was the one who suggested I get a check-up and cleaning every six months instead of the recommended year.)

So that first is done. Two years later, I love my dentist and even though I discovered they don’t accept my new insurance, no way am I changing dentists. No way. Huh-uh. At least not until I get a little braver.


Photo by Jon Tyson on Unsplash