My Emergency Room Journey: Insights and Reflections

July 6, 2025

I discovered I lost seven pounds. It was not a diet; I spent four days at the hospital, a day in the emergency observation unit, and then three days on a ward. What took me there was high fever alternating with chills in between and a general crappy feeling.

Kathy dropped me off at the Emergency entrance of the Civic Hospital, where I showed my health card and was told to sit down and join the fifty other patients in the waiting room. I observed with interest the people, some of whom did not seem to be sick at all, while others were in wheelchairs. There were people of all ages, and all ethnicities dressed informally.

The elderly gentleman, with a white beard and a black t-shirt featuring a giant fox on the front, impressed me because he wore a t-shirt befitting a teenager while having the demeanor of an academic. His partner gently guided him along while he also brandished a cane.

And then a huge African Canadian man squeezed himself into the narrow chair next to me, in a cloud of perfume, wearing multiple chains around his neck with his long hair neatly braided. Excuse me, I thought there were signs advising against using any perfume. Then he got up when the loudspeaker system called for Josephine.

Then the triage nurse took my vital health signs and gave me a bottle for a urine sample, assuming I could void at that time. I rejoined the waiting room after completing what I was instructed to do. An hour later, I was called to the registration station, where an agent placed a paper bracelet on my wrist with my DOB, name, and ID number.  

Then it was back to the waiting room again, where a sudden commotion broke out with three large policemen pushing a hollering woman into the room. Many people averted their eyes while I wanted to see why she was yelling, “I cannot take this anymore.” The policemen waited for the staff to take the hollering individual off their hands.

Complicating this atmosphere of general buzz, a young girl was throwing up, and people were getting up to register at different windows. Ambulance drivers were also pushing gurneys through the waiting room. You would think that waiting for treatment would be boring; I found the entire scene fascinating to observe. It appeared to be controlled chaos. 

I thought of getting a cup of coffee and some food to carry me through after a few hours of waiting, only to discover that the vending machines were not working. Kathy went outside and entered the main hospital door, where there were fast food places, and picked up some food for me. I wondered how people without a companion would obtain food without missing their turn when called. Finally, they called my name and instructed me to follow the yellow dots on the floor, which led to the “urgent care” door. Nine colored dots were running in parallel and then peeling off in different directions.

In one of the examining rooms in the urgent care unit, they took my blood from both arms and put me through tests. An hour later, a medical student interviewed me and said he would advise the emergency doctor, who would then advise me on the next steps. In the meantime, I socialized with my neighbor, a young woman with sepsis, who showed me a portion of her arm from where four skinny hoses hung out of a port. I did not think I wanted to further our medical conversation about her history of sepsis.

 I had been here for over five hours when the Emergency Department doctor showed up and explained that I seemed to be alright overall but had an infection and ordered a CT scan of my pelvic region. My mind did not connect the CT scan with my complaint that brought me in here; it was beyond my comprehension. I just waited to have the scan completed and then waited again until the nurse showed up with a couple of pages of text and a prescription for two medicines. One was an antibiotic, while the other had something to do with acid reflux and GERD; the latter was a complete mystery to me. But I was drained and happy to get out after seven hours in the ED without asking any further questions.

The antibiotic prescription did not work; after four days, I still had a fever and chills. I found antibiotics to work in a day or so in the past, so it was time to go back to the hospital, this time to another one, the Queensway Carleton. After seeing the triage nurse, I was pleasantly surprised when a young attendant quietly asked me if I was Andy. When I said that it was me, she asked me to follow her into the ED observation rooms, where they put me in a cubicle. I asked the attendant how she knew who I was and found out that I looked my age and was the only one of my age in the waiting room, one benefit of growing old.

They performed all the blood work and testing again, and then it was a matter of waiting again. However, I knew I could ask for some food that they provided for lunch, a nice feature. In this ED, a doctor came around to discuss my symptoms, and later the internal medicine doctor came and provided a diagnosis that was satisfying, knowing that he was pretty convinced I had a tickborne infection called anaplasmosis. The reason the previous antibiotic did not work, in his opinion, was that it did not address this infection; it targeted Lyme disease. By the way, I have recently read several articles about the proliferation of ticks in the Northeast, attributed to the warming climate.

So, the treatment started with an IV drip and doxycycline pills, a double attack to begin the healing, while waiting for the blood analysis proving that it was anaplasmosis. Start the treatment and save time while waiting for confirmation.

Now, if you have ever been in an ED space overnight, you know that it is not the place for a quiet sleep. The traffic was constant all night, in addition to the nurses taking your vital signs every couple of hours. So, little snippets of sleep, each two hours in duration, was my night. The next day, they found a room for me upstairs, advising me that my infection had to improve before they would let me go home.

I was miffed to find out that I was in a geriatric ward until my daughter informed me that I was one of them chronologically, if not by physical condition.

Sleeping in the ward was a bit better than sleeping in the ED space, although bells were ringing all night, patients were requesting attention, and the nurses still checked my vitals every three hours, day and night.

Furthermore, I found out I was in a ward with Alzheimer’s patients, and my next-door neighbor was either yelling, listening to a radio, or crying. I heard the nurse coming, informing her colleagues that she brought some “great” music for the gentleman next door: Nat King Cole and Dolly Parton. Fortunately, I enjoy a wide range of music. By the way, I couldn’t leave the ward without someone taking me, due to the type of ward I was in.

And then the nurse came in with the news that I would have to wear a pulsating sleeve on my leg, powered by an air pump, to prevent a blood clot from forming due to lying in bed all day (the name of the gadget was a sequential compression comfort sleeve). Wait a minute, I said, what do I do when I have to void at night? No problem, the nurse said, “You just take off the sleeve. I didn’t like the idea at all, since I get up a few times a night. Without saying another word, the nurse left and consulted with someone. When she returned, she explained that instead of the sleeve, I would get a shot in my belly to thin my blood. I had no choice at this time.

With the daily blood work showing improvement, they decided to let me go home in three days with a doxycycline prescription for another four days. And a follow-up visit with the infectious disease doctor.

Overall, I would have preferred not to have the experience. But going from feeling awful to good was worth it. The amount of attention I received from the nurses and doctors was genuinely excellent at the Queensway Carleton Hospital. Also impressive is the amount of paperwork I found on my account, which documents all the tests and the extensive reporting by doctors on X-rays, CT scans, ECGs, and the opinions of specialists in emergency medicine, internal medicine, and infectious diseases. And don’t forget, I’m still down seven pounds!

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