Saturday, January 19, 2013

What a way to start a year!


Julie left for India on January 5 to do a 3-month volunteer stint with IVHQ. She was really looking forward to her placement. The first week was orientation so the group did some sightseeing in Delhi. On Saturday they even got the Taj Mahal. Julie decided to start a blog with her adventures called Julie’s Gypsy Soul. The group got their placements on Sunday and Julie was excited – it was a perfect place for her. We Skyped her on Monday morning (her time) and learned that Monday was a national holiday so she wouldn’t actually start her placement until Tuesday.

I had scheduled vacation time from January 14 to 27th. Andy had a number of medical appointments so being off was going to make it easier to get him out and about.

Monday January 14th:  I received two phone calls on while Andy & I were at the ophthalmologist for his Iritis. The good thing is that his infection has cleared up. He is scheduled to go to the hospital on Friday morning for a fluorescein eye stain to see what damage he has at the back of his eye from his diabetes. Apparently they might be able to do surgery but only if his diabetes is stable.

I didn’t recognize the phone number (it seemed to be area code 919) so I didn’t answer it.

We got home about 1 pm and I shoveled some snow so the driveway was passable then I came in. I decided to check my e-mails and found these two. My first thought was this was a hoax but unfortunately, it was not.


From: Ananta
Sent: Monday, January 14, 2013 11:11:10 AM
Subject: Urgent notice

Dear Sir/Madam

I just came to know (11:30pm Indian time) that Julie, Annouska, Suvarna and the organization's head, Renu got in accident. One vehicle hit their vehicle from the back and Julie is in ICU and rest of them have minor injuries. I tried to call Julie's guardian but the phone did not work. This is to inform you that our local staffs are going to hospital now. Please call him at 0091-8130550800.

It is urgent for Julie.

Best regards, 

Ananta

=========
From: Sarah
Cc: Ananta
Sent: Monday, January 14, 2013 12:45:53 PM
Subject: IVHQ - Emergency

Hi Cindy,

I am sorry to email however, I could not get through on any of the emergency contact numbers Julie has listed on her file for you. I have just been informed by Ananta, our local program director in India, that Julie has been involved in a car accident and is now in ICU. Apparently she has broken ribs and the doctors are concerned about how this may affect her lungs. Julie was in the car with two other volunteers and the host mother who have only received minor injuries. The car they were driving in was hit from behind.

I recommend you call Arjun who is the program coordinator assisting with the accident. He is waiting at the hospital and will be able to pass you onto a doctor to gain more information. Arjun's number is 0091….

Ananta has given the hospital 30 000 Rupees until insurance can be sorted. I can assure you that the local staff will do their best to ensure Julie receives the necessary treatment and they will keep me updated as soon as they have any news. 

Please let me know if you have any questions or if you have any issues contacting Arjun. I have also copied Ananta into this email. 

Kind regards,
Sarah


Needless to say, this was not a good thing. I contacted Arjun immediately and he confirmed what Sarah had written and said he was on his way to the blood bank – at least he knew what her blood type is. The difficulty is that she is O- which, in Canada, is only 7% of the population but in India, only 2% are that blood type, according to Wikipedia.

I then tried to contact Ryan but I didn’t have his work or cell number. I called his mother but she wasn’t home so I called where he works and they were able to connect me. I told him what had happened and what I knew at that point.

Ryan had contacted the insurance company so that is underway.

I had several phone calls from Ananta, the program director, almost begging someone to come from Canada.

I knew I would need to apply for a Visa to get into India but fortunately one of our friends is from India so he has gave me the contact information for the Visa people as well as the name of a travel agent who books flights for India. Apparently I would be flying either through Amsterdam, Frankfurt or London, depending on which airline I used.

Tuesday, January 15th:  Ananta requested that I contact the Canadian Embassy in India so late last night (I think he called about 11:30 pm which is about 12:00 noon their time) so I did. The Consulate in Delhi provided the phone number for the Consulate in Ottawa so I don’t have to call long distance to India all the time.

These are the e-mails I received when I woke up:


From: Ananta
Sent: Tuesday, January 15, 2013 3:02:47 AM
Subject: RE: IVHQ - Emergency

Dear Sir/Madam,

Someone from the family should come as soon as possible. Please call Arjun to know update: Arjun's number is 0091... She is at the Asian Hospital. 

I think she should be taken home for better treatment. 


Best regards, 
Ananta


From: Ananta
Sent: Tuesday, January 15, 2013 3:14:39 AM
Subject: RE: My response to the e-mails

Dear Ryan,

Her city scan was done. She has problem in breathing and blood lose. She is talking. I was there for the whole day and please come here as soon as possible and we have no idea of her insurance condition and we have been paying US$700 a day so far and she needs more money as soon as possible and she has to go through surgery as well.

Please come to India as soon as possible. 

Ananta


I asked Aaron to find out what I needed to do about my cell phone plan. This was his response:

Your phone will not work in India.

You’ll have to change phones.  Call Maria and ask her to find my old Blackberry and charger.  That will work overseas.  You’ll need to go to the mall to buy a new SIM card ($10) and ask them to change it and add International capabilities.  You can choose to add data at that time.

Aaron


About 9:30 am I talked to Christella in Ottawa whose title is Consular Case Management Officer, Eastern Europe, Central and South Asia
Department of Foreign Affairs & International Trade Canada.

She confirmed that Julie was conscious, alert and stable and they were planning to do a CT Scan at sometime during the day.

I provided her insurance information to their office are so everyone was in the same loop.

I believed I would be heading to India by the weekend. I was going to try to talk to Julie later that afternoon and find out how she really is.

Ryan thought she might want to stay after her hospital stay and finish out her volunteer term but until we know what she wants, that will remain on the table.

This is what I received from Ryan:

From: Ryan
Sent: Tuesday, January 15, 2013 12:34:44 PM
Subject: RE: Julie

I talked to the resident, and between his broken English, and my mom filling in the blanks it doesn’t sound like she’ll need any surgery, so I’m hopeful she’ll be out sooner rather than later.

Regardless, even once she’s out of the hospital the airlines won’t let her fly for 7-10 days given the nature of her injury (difficulty breathing).  So she’ll still have to be there a while yet.

Also, the person I spoke to at world nomads said they have to wait for their doctors’ report before they can get approval to book the flight (tomorrow), but he also said it doesn’t matter, they can reimburse after the fact too…..of course all this assumes her condition qualifies her for this coverage, I think it does.

I’m cleared from a work perspective, but I’m beginning to think there’s a good chance she’ll stay in India to finish her term, so not certain there is much value to going….unless she wants/needs someone there, or she has to/wants to come home.

You might have this, but this is where she’s at, looks like she’s in good hands.


From: Sarah
Sent: Tuesday, January 15, 2013 1:00:06 PM
Subject: Re: My response to the e-mails

Hi Ryan,

Thanks for your email. Julie's condition is very serious and it is likely that she will have an extended recovery period once she receives surgery. Ananta feels that it is best Julie travels home by air ambulance so she can receive surgery at home. Julie's insurance should cover an emergency evacuation should she choose to go ahead with this. 

At this time it is most imperative that a family member travels to Delhi to be with Julie and assist her with travel home. It would be great if you can please let us know once a flight has been booked for yourself or Cindy to arrive in Delhi.

Ananta currently has a staff member waiting at the hospital 24/7 on stand by and whilst he wants to ensure that Julie has support and receives the necessary treatment he cannot afford to have a staff member be on standby for an extended period of time. 

I am not sure if you have already been in contact with Ananta regarding the hospital fees but he will need to know when insurance is going to take over otherwise he will need a wire transfer to be made so Julie can stay in hospital. 

I look forward to hearing from you soon. 

Kind regards,
Sarah


I finally said to Ryan that if he wasn’t prepared to go to India, I was!  Just after supper, I headed out to Costco to get the photos I needed for an Indian visa. After I got home, Andy said that Ryan had called. I called him back and he said he was heading out first thing in the morning to Vancouver to be at the Consulate Office when they opened to apply for an Emergency Visa. He said that once he had that, he would be flying out to Delhi on the next available flight.

From: Cindy
To: Ryan
Sent: Tuesday, January 15, 2013 6:59:44 PM
Subject: Phone numbers

I managed to talk to Julie herself a few minutes ago.

If you want to call the unit on their cell/portable phone so they can bring it to her, the phone number is (011) 91…

The doctor I talked to (I think it was Dr. Roy), says she had a Glasgow Coma Score of 9/15 but she was pretty dopey when I talked to her. I do have to take into account that 1. they probably woke her up to take the call, 2. she is probably well medicated and 3. but I hope not, she might have hit her head.

Anyway, that is the latest news. I just tried to call but there was no answer so I thought I would send you the phone number in case you want to try to talk to her.

Cindy


Wednesday, January 16: I learned today that there is another group of volunteers starting in the next few days so they won’t be able to spare someone to stay with her.
I have been in touch with one of Julie's fellow volunteers who was also in the accident and this is what she has said to me:

Hi Cindy (Jan 16 1:40 am)
I jut got back from visiting Julie at the hospital. 
She is doing much better than when we got there straight after the crash. 
The hospital is huge and looks very clean and well equipped. While I was there lots of doctor and nurses were looking after her including the head of surgery. 
I have signed consent forms for her to have blood and an MRI.
She has 4 cracked ribs on her right side and the blood is draining well. They were originally worried that she might have a cracked in the spine but have happily ruled that out.
She will be staying in the ICU for a few more days just to be safe and they moved to a median care ward. After that they have told me she will have a few more days in hospital and the ribs need to be rested.
She was in some discomfort but they gave her more painkillers. She is on a drip and is being monitored very well. 
She was taking to me quietly and wants you all to know she loves you and is coping. 
My parents live in Delhi so I am staying with them as I hurt my beck, neck and Chest from being thrown around. 
The IVHQ people are doing a great job at looking after Julie and the hospital has a special section for international patients and the women there are very helpful. 
Could you please pass this email on the Ryan.
I hope this message could be some help to you. She is doing much better that expected. 
I you need any help or have any questions please let me know.
Julie is being very well looked after. 

Hi Cindy, (Jan 16 8:28 am)
I am happy to here that Ryan is on his way. When I asked Julie if she needed anything her answer was "my husband". 
All I can remember is everything suddenly went black and I couldn't hear anything but my body was being thrown like crazy.. It felt like slow motion as I realised what was happening. Suddenly I woke up and only me and one other volunteer were still in the taxi (out of 7). Most of the windows were broken and there were people everywhere. Once I managed to get out of the car I saw Julie being put in a local car to be taken to the hospital. She and two others had been thrown from the car. She had been in the back row (out of 3). We were on our way back home after an amazing dinner. It was about 9pm.
What I have since been told is that we were stopped at lights to turn right when a speeding car turned into the back of us. Our car span around and almost flipped over but luckily hit a parked car. The driver in that car had airbags and is fine. The man driving the car that hit us ran and has not been found yet. Our taxi driver was originally missing but has since shown up at the hospital to check on us. 
This is what I have been told but really don't remember what happened in the crash, just after.
Initially I wasn’t seen by a doctor because I wasn't bleeding and just wanted to be there for Julie and try to keep her positive. It wasn't till the following morning when my parents picked me up that I went to a doctor.
Everyone here is thinking of Julie and wishing her a smooth recovery.
Once again if you need anything please let me know.           


Ryan managed to get his Visa very quickly and he booked his flights. He was scheduled to arrive in Delhi on Friday morning at 10:25 am. The agency that Julie was volunteering with arranged for a driver to pick Ryan up at the airport.


Thursday, January 17th:

From: Andre
To: cdbogya@yahoo.ca
Sent: Thursday, January 17, 2013 9:01:49 AM
Subject: B (12-DELHI-3171791)

Dear Mrs B,

Today I am filling-in for Christella, the Case Management Officer, with whom you have been in touch.

For your information, I phoned the insurance company today to advise them that the hospital in India requires a guarantee of payment as soon possible.  The insurance company claim number is: UA….  They have the contact details for the hospital in India. I provided them with an email address which they seemed not to have.  The insurance company seemed to have confused your name and that of Ryan.  I explained that Ryan was the spouse.

I tried reaching you by phone earlier today.

Our Consul visited Julie today and met with the doctor. Her condition continues to improve. We were told that she is in less pain as she is getting pain killers. She is having food orally. By Monday the doctors will be able to take a decision on a possible evacuation to Canada.  We will keep you informed.

If you have any questions do not hesitate to contact me.  Please copy Christella on any email.

Yours sincerely

André




From: Cindy
Sent: Thursday, January 17, 2013 9:57:09 PM
Subject: Julie is doing better!

We managed to actually talk to Julie a short while ago. She says she is hurt but she was coherent and pleased to know that Ryan would be with her in a few short hours. The doctor that I talked to said they would be making a decision next week about what will happen next. I will keep you posted as I hear more. It was such a relief to actually talk to her and know that she knew who we were. I think I will have a good night sleep tonight!

Cindy




From: Ryan 
To: Cindy 
Sent: Friday, January 18, 2013 3:20:45 AM
Subject: Re: B (12-DELHI-3171791)

Just got back from seeing her.  I think they took her off her pain killers today, so she's really sore right now, hurts to move, etc.  Sounds like they're moving her out of icu tomorrow, which will be good since the visiting hours for icu are max twice a day, half hour at a time.

Hopefully I'll pick up her phone tomorrow and get a sim for mine too, should make things easier.

She is slightly worse than I expected, more because I thought she would have been off her respirator earlier and could tell she was having difficulty with deep breathes.  Also, I forgot about all the bruising/scrapes that comes along with trauma like this.  I think she'll improve a lot in the next few days.  Monday the doctor will share his view on evacuation.


Noosh  Hi Cindy and Ryan.
Just to let you know that I visited Julie this morning and she was doing a lot better than the last time I saw her. This time she was laughing and had color in her checks but was still confused.
Everytime I have visited Julie they have told me about the set visiting times but I managed to push my way in anyway. So Ryan just insist that you want to see your wife.
Please let me know of any progress and if she is moved and I will try and visit again early next week.
Noosh

Friday, January 18th:
7:25 a.m.  Hi Cindy and Ryan.
Just to let you know that I visited Julie this morning and she was doing a lot better than the last time I saw her. This time she was laughing and had color in her checks but was still confused.
Everytime I have visited Julie they have told me about the set visiting times but I managed to push my way in anyway. So Ryan just insist that you want to see your wife.
Please let me know of any progress and if she is moved and I will try and visit again early next week.
Noosh

We received a phone call about 11:00 pm just as we were heading off to bed from Ryan’s Dad. He was in California on vacation when he was reading his e-mails he found out that Ryan was heading to India and wanting to know what was happening. We told him and he advised that he would be heading home next Tuesday but to keep him informed.

From: Julie
To: Cindy 
Sent: Saturday, January 19, 2013 7:09:35 AM
Subject: We've got the wi fi setup in the room

But I think she exhausted herself and now she's on a small respirator

I'll hold the iPad and if you want you can video chat her for a minute


We Skyped Julie’s iPad and talked to her for a few minutes. It was such a relief to see her and talk to her. She has been moved from the ICU to a private room so Ryan can visit more than twice a day for only ½ hour at a time. It also means she is getting better which is a blessing.

She also has a bandaid on her forehead as well as her other issues. She said that she has a hairline fracture of her spine and that her shoulders are very sore because that is where she has been receiving her injections. She also said that she did puncture her lung(s) – that would explain the pneumothorax.

Julie told us that 4 of the passengers are in hospital and one lady (I believe her house mother) has had to have reconstructive facial surgery – I had heard that she had a broken nose and lost a number of teeth.

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