This is London

With a few minor delays we all finally arrived in London. Catherine came by air ambulance, her sister and older daughter by American Airlines from Dallas and me and the younger daughter by British Air from Tirana. Transport from the Gatwick to Kensington was made more interesting by a Monty Pythonesque experience of each information desk person giving conflicting instructions. For example, we were sent back and forth twice between tracks going in opposite directions at Victoria Station and then the tube station where we were told to get off turned out to be wrong. We finally got in a cab and were safely delivered to the hotel the Peace Corps had reserved. The cab driver questioned me if I meant to give him so large a tip. I assured him I did. Since the PC is supposed to be an austere organization and relies so heavily on the internet for communication, it would have been considerate had they booked a hotel that was no quite so expensive or had internet service for less than $15 an hour extra, but at least it was walking distance from the hospital. We all settled into our rooms and then headed over to the ICU at Cromwell Hospital.

England is much more liberal than Albania for visiting hours and they were also much more aggressive in getting Catherine awake and off the ventilator. They changed her to short acting medications and, after repeating the CT Scan the next morning, began to taper sedation. Catherine showed some worrisome signs of increased tone and posturing which I later found out were likely due to the medications, but then opened her eyes and began breathing. Soon the endotracheal tube was removed and she was talking. Much to my relief, she remembered who I was. By afternoon she was taking a few bites of food and sips of coffee and sitting up briefly in a bedside chair.

On Saturday morning the rest of her tubes were removed and she was transferred out of the ICU to a private room on a locked ward. She was mostly talking appropriately, but a bit confused, confabulating and impulsive. Still, her underlying charming self was evident, as she was smiling, joking and enthusiastic. She had some mild difficulties with balance and coordination. Physical and respiratory therapies were continuing, but occupational and speech therapy did not work weekends at this hospital and she would not be seen for evaluation until Monday. This is where going to a hospital more specialized in brain injury would have been beneficial, but at this point, it is not causing any significant problem. I would like her to get a thorough evaluation rather than gloss over any deficits, since these are better attended to early on rather than trying to be remediated after they create untoward complications. The nurse from the PC office in DC does not seem to agree with that, but I don’t think it is an unreasonable request. She has made it clear that because I am not family, I really don’t have any say in the matter. Maybe it is too much to ask that since I am also a Peace Corps volunteer who has been affected by this accident, she might have some duty to be a bit more considerate of my feelings, but I can’t fault her for being focused on Catherine. We all should be. Whatever, we’ll see what Catherine’s attending neurosurgeon thinks, although I haven’t seen him around since yesterday morning. I think he has been busy with surgery at another hospital.

Catherine was pretty upset at waking up outside of Albania, but seems to be accepting the fact that her Peace Corps service is completed. I expect that when she is well enough to travel on commercial airlines, with her daughter and sister as escort, she will be transported stateside for whatever rehabilitative care she requires. If I am able to weigh in on the decision, it will be in a program of the highest competence and reputation. When that is accomplished, I plan to head back to Korca to finish up my projects. If Catherine does well enough, maybe she can fly back to Albania to say a proper “mirupafshim” to her many Albanian friends and her fellow volunteers and PC Albania staff. Maybe that is a lot to hope for, but the fact that I can consider it at all seems nothing short of a miracle.