Thursday, January 26, 2017

Mrs. China

Pasay City.  The Millennium.

I have seen death many times in different forms, but they almost never make a dent in my heart.  Medicine shapes hearts of steel out of its practitioners.  I recall being affected deeply by only a few patients though they didn’t die.  The last one to do so is a Chinese woman.

It was one of those emergency room moments when patients poured in like rain.  I noticed Mrs. China, in her tattered hand-me-down duster, having her blood pressure taken.  The paramedic referred her to me because she did not want to consult despite her elevated blood pressure.  It was 3:40 p.m. and her BP was 190/100 mmHg.  I talked to her in Tagalog, and she responded in kind with that unmistakable Chinese accent often trivialized in movies.

She brought her own sublingual medicine.  I asked her to place one under her tongue after checking her heart rate.  It’s a routine she’s familiar with.

I went to see other patients and periodically asked the paramedic to check her BP.  Mrs. China was beside Mrs. Philippines who had a flair for fashion and talked to Mrs. China to try to calm her, apparently out of sympathy.  They were both old.  It’s just that Mrs. China went to the ER alone.  Mrs. Philippines was accompanied by her daughter.

3:55 p.m.  Mrs. China’s BP went down to 180/90.

4:10 p.m.  BP=150/90

4:20 p.m.  BP=160/90

4:45 p.m.  Mrs. China’s BP went up again, 180/90.  She asked in a pleading voice, “Anong mangyayari sa akin? (What will happen to me?)”  It’s been an hour and her condition had not improved.  I asked her to take her second (and last stock of) sublingual medicine.

Mrs. Philippines told me about Mrs. China’s predicament: living alone with no children.  It was then that I began to speak in Fookien.  Mrs. China’s face suddenly lighted up.  I would alternately speak in Tagalog and Fookien, in deference to Mrs. Philippines whose kind-heartedness touched me (and because I am not ever fluent in Chinese).

I learned that she had 2 children.  One disappeared for reasons unknown to her.  The other, a 50-year old man, shunned her from his life.  She wouldn’t tell me what caused their conflict.

She was given a minor tranquilizer.

Mrs. Philippines, before leaving, told me to look after Mrs. China and asked for my name.

Mrs. China told me she knew I am Chinese but didn’t risk “irritating” me, so she just tried her best to speak in Tagalog.  Later, her BP went down and remained at 130/80.

The paramedic just asked for her money, so she wouldn’t have to go to the billing office to pay on her own.  She couldn’t walk straight due to her arthritis, particularly of the left knee.  To our surprise, she pulled out a roll of 100-peso bills wrapped in plastic.  She gave me another surprise when she told me she had to get going because she’s tutoring some kids.  She’s a teacher.

I wonder what else is in her story.  She had hematoma on her neck, above her left clavicle, which looked trauma-induced.  I just contented myself with the truth that she’s alone at her age of 73, and a practitioner of the most noble profession that I know of: teaching.

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I wrote this piece 17 years ago.