Posts filed under meningitis

We’re all equal. NOT.

Filed in Hong KongTags: , , ,

When our previous helper left us to go back home and re-marry, she introduced her friend to us, one who was very eager to work for us. In fact, all of her friends wanted to work for us because we're fair to our helpers. Apparently, many Hong Kong people aren't.

The new helper has proven to be great to have around. She has no problems with our dogs, loves to take them on their walks; even though it requires three trips per walk, two walks per day; works consistently all day without any prompting and keeps our flat cleaner than our previous helper. All in all, we are lucky to have her.

She became sick a couple of days ago; vomiting, headache, dizziness. I took her to a doctor in a near-by clinic. The doctor; a youngish thin man with unbrushed long 60's type hair; said it was gastro-enteritis and prescribed vomit-suppression tablets and pain killers. He said that gastro-enteritis was virus related so taking antibiotics would not help. (antibiotics only kill bacteria. you knew that right?)

The next day after one day of rest, our helper was still just as sick with the same vomiting, nausea and headache symptoms, and one extra symptom; pain in the back of her neck. I took her back to the clinic and we saw a different doctor because the first doctor wasn't in. This doctor; a more doctor-like late twenties early thirties lady; told us that the virus had entered our helper's intestinal region and she would need stronger medicine; including antibiotics (antibiotics? but… now I'm getting confused).

Today, our helper still hadn't recovered. We don't expect instant recovery. My wife had severe gastro-enteritis a few months ago and it took her four days in hospital with a drip and injected high-strength antibiotics to get her up and around again. We do however expect a little improvement each day. What was weird to my untrained eye was that lying down, our helper looked fine. She even felt fine. It was only when she sat up or stood up that the nausea and vomiting began.

I decided we needed better expertise on the matter and called my favourite doctor; someone who studied one year ahead of me at the University of New South Wales in Sydney Australia and excels at everything he does. He constantly amazes me. When he heard about the neck pain in combination with the other symptoms, a light turned on and he immediately suspected meningitis. Only a blood test would be able to confirm it.

Now the first thing that comes to mind is why didn't the second doctor at the clinic think of the same thing. Apparently, neck pain combined with headaches, nausea and fever (and no diarrhoea) are classic symptoms of meningitis. I always viewed cheap clinic doctors as being sub-class doctors with their multitudes of tablets and their cheap rates (admittedly one of my own perhaps unjustified prejudices). Where my favourite doctor charges a minimum of HK$500 per consultation and includes one or two high quality medicines, these other doctors charge HK$170 per visit and include five or six medicines. Who needs five or six medicines? It's pretty obvious that first, many of the patients expect more medicines (more is better, right?), and second, the medicine is low quality so more is needed to cover the various aspects of the sicknesses. Yesterday, a friend of mine; a local Hong Kong girl with a baby boy who occasionally needs to visit the doctor; said she never expects to get better quickly when she visits these doctors. The medicine seems to only be sufficient to prevent the illness from getting worse but that's it. I'm apparently not the only one who has this view of the cheap doctors.

(To be fair, the doctors may have been right. Our helper's symptoms could be related to lots of different ailments and illness. We won't know if they were right until later.)

So one call to my favourite doctor and we discover that our helper might have meningitis. Now while I try to care for everyone in our family equally, I admittedly don't want to spend money that I don't have to. To confirm meningitis, a blood test is needed and I know that getting that blood test at our favourite doctor's clinic would be expensive. The alternative was to book our helper into the local hospital. She's down there now waiting in Emergency with my sister-in-law.

One strange thing occurred during the conversation with my doctor. After explaining our helper's case to him and talking about the meningitis, he said with some degree of emotional charge "so what do you want? I can't tell you that there's nothing wrong with her.". Weird! To my mind, this could only mean that he occasionally gets requests from employers who want him to say that their helpers are faking their symptoms, don't need treatment and are in fact ok to work. That's a sad reflection of the state of helper racism and prejudice in Hong Kong.

When I called my wife to tell her about the possibility of meningitis and the need for our helper to stay in hospital, her first reaction was dismay and concern for our helper. Her second and almost immediate reaction was disappointment because there would be no-one to perform normal household duties and because we'd need to care for our helper. My wife is a great person; she really is; but she grew up in an environment where helpers are treated as work objects. Her family never had helpers because they could never afford them, but many of the people working with her have helpers including one of her best friends and that's where the problem is.

One of my wife's friends and one of my wife's sisters living in another part of Hong Kong both treat helpers like slaves. They expect the helpers to work full speed all day long, listen to their every demand, never make mistakes, never take holidays, and never expect any niceties. My wife's friend already thinks my wife is wrong because we pay our helper full wages and give her all of her legally required holidays. When she overhears that we might be placing our helper in hospital my wife is planning to cook congee for our helper, she looks at my wife with confusion and objection. Why would we do that? Why would we place our helper in hospital cook for our helper? Why should we care so much? The normal behaviour would be to get the cheapest medication available, keep her at home and preferably keep her working while she recovers.

Words are rarely spoken between my wife and her friend about these matters but the looks and feelings are clearly there and it affects my wife. The people around her make her feel inferior, weak and taken advantage of because she treats her helper as a human being, almost as an equal. For my wife, it's even more difficult because on the one hand, she faces these people; people who matter to her; who treat their helpers as inferiors, and on the other hand faces a husband who dislikes any sound, word or action from his family that portends to prejudice or unfair treatment of others. My wife is in a very difficult place.

My sister-in-law just called from the hospital. The doctor doesn't think it's meningitis. He's not even going to test for meningitis. I asked him over the phone if he would take responsibility if it turned out to be meningitis. He didn't like the comment because it questions his judgement. In turn, he indignantly expressed to me questioning curiosity that a doctor would diagnose meningitis from the symptoms. In his mind, headache, neck pain, nausea, fever and vomiting did not mean meningitis. We'll see. In the meantime, they're going to xray her neck to see if anything has been damaged physically. They won't be testing for meningitis. I hope he's right. If he's wrong, it may have dire consequences for our helper.

This whole situation shines light on two persistent problems in Hong Kong; the treatment of helpers by their employers, and the existence of low-quality private doctors when the government is trying to implement a new system to force more of the general population to seek private doctors rather than use the Out-patient and Emergency sections of the public hospitals. Both problems will be impossible to solve and difficult to improve.

I must clarify that I am not a perfect person. Like my wife and many others, I too would not like to see one of our helpers get pregnant requiring three months of paid pregnancy leave. It would be very inconvenient, both from a financial point of view and from a housework point of view. For this reason, many Hong Kong people including my wife and I are very wary of potential helpers who have never married or are developing relationships with a man either here or in their home country. Some Hong Kong people even worry when their helpers go home for holidays each year. It's impossible to know if they'll come back pregnant. I fully believe and understand that it's their right to have a family and raise children. Nevertheless, it would be very inconvenient if this were to happen during their time with us.

Sickness is entirely different. No-one wants to be sick and everyone should be entitled to treatment and rest while sick so as to recover as quickly as possible. There's nothing you can do when a helper gets sick, nothing except to accept the situation, realise that it's hopefully temporary and plan as best you can how to handle the housework that needs to be done while your helper is sick. The way some people view their helpers, I wonder how far they are from saying "put her down and get another one". Harsh? Exagerated? Unrealistic? Definitely, but look up the term 'genocide' and then tell me what you think.

I'm fortunate. My wife and her two sisters living with us have very similar attitudes to my own and that's something I treasure. Within this family, we'll look after each other. If our helper lives here, then she's part of the family; even if she is the hired help.

Update(Tues, November 8, 2005)

Our helper is back home. While the doctor and nurses were examining her, she was vomiting and crying from the headaches. My sister-in-law showed them the medicine she has been taking over the last two days which at least proves to them that we didn't take her to the Emergency ward without trying other venues of treatment first (something I'd like to talk about; perhaps later). While taking her pulse, her heart rate for a moment was only in the mid 30's which was quite a shock to the nursing staff, motivating the doctor to ask for several indepth tests including an ECG (electro-cardiograph) and blood tests. They also gave her injections to ease the pain and nausea.

All tests were negative. She doesn't have meningitis, but she doesn't have gastro-enteritis either. In fact, they don't know what's wrong with her. She has new pain killer and vomit-suppression medicine and is back here with us at home, resting. If she doesn't get any extreme headaches or nausea, she doesn't have to go back to the hospital until next Monday for a checkup.

And she has a doctor's slip giving her three days sick leave ;-)   We thought that was funny because we would never require her to work before she's recovered, and because I usually forget that we truly are her employers and not just her 'family'.