Jungle Extraction

Once we have made the decision to go to hospital it all becomes a race. We bundle everything into our bags, wolf down a coffee and say a hurried goodbye to a worried Josh, Meg and Marlowe who we are now abandoning alone in the middle of nowhere.

Felipe our hotel manager is full of exciting options: a helicopter airlift out of La Leona perhaps or a private jet charter from that little disused jungle airstrip over in Carate? We are carried along by this for a while – (Menna thinks I’m about to haemorrhage and wants a speedy extraction) but we lose enthusiasm when we understand that this will run to several thousands of dollars which we cannot claim back. There is always the internal flight from Puerto Jiminez to San Jose this afternoon, offers Felipe, a little deflated, I could fly ahead while the rest of the family follows by car. We work out timings and see that although the drive to San Jose will take nearly twelve hours, if we set off now we can arrive about the same time the flight does anyway. It will cost considerably less and we will all be together.

Felipe is disappointed but like a trooper he guns up the quad bike, hitches on the baggage trailer, and drives us back along the beach to Carate at full throttle. It is a hot and exhilarating ride and I forget for a while that I am supposed to be ill, taking selfies and spotting hawks along the way. We then clamber into our car, finding it hot and humid with a strange smell after five days parked in the jungle rain.

We drive three hours back to civilisation, jolting our way through the Osa peninsula over mud-drifts and trenches, fallen branches, rocks and rivers. We make it to Puerto Jiminez by midday and pick up a paved, though heavily potholed road. We then settle into an eight hour drive up to the capital, made much longer by the weekend traffic clogging up the roads into the city.

As long as I am upright I am able to breathe fine. I do much of the driving in a tripped-out half-awake state, while Menna taps up a network of medical contacts, gets recommendations for doctors, digs out insurance details (for several horrific hours we can’t find any record of my policy at all. Did the transaction not go through?). She evaluates hospitals, chats with specialists, books accommodation, checks my stats.

Menna is amazing in a crisis, I think to myself as I sing along to eighties hits on the radio, occasionally spitting blood out the window. The kids are unusually quiet and well-behaved throughout the long journey.

When we walk into Emergencias there is a nurse waiting for me and I am able to sink into the torpor and passivity that hospitals are designed to create. The check-in is like arriving at a hotel chain, they copy passport details, fill out forms, give me a smiling welcome and then take a large dollar deposit on my credit card. Then I get a blood pressure cuff on my arm, thermometer in my mouth, COVID swabs up my nose, cannula into my wrist. Blood goes out, pills go in, radiation goes through. X-Rays and CT Scans show a cloudy view of my inner landscape. Doctors mutter and confer and tell me half the story. Menna asks probing medical questions and they open up fully to her.

This is a well-rehearsed drill that I am familiar with, and as I am poked and punctured, I am able to lazily rate this hospital against various other ones I have stayed in over the years. NHS hospital have a certain flavour: they are bustling, full, usually slightly tattered but with an underlying sense of heart that I always find touching. They have cream walls with scuff marks, overworked stern nurses, those ancient iron wheelchairs, eclectic art, hidden interior gardens, children’s wards with peeling underwater murals.

I once stayed some weeks in an Italian hospital after a road accident, and it had a unique sense of Latin verve – constant bubbling volume, flamboyant and inefficient doctors, crowds of relatives chatting and eating pasta round the bed where grandpa lay dying, barely suppressed chaos everywhere.

The CIMA hospital in San Jose, on the other hand, is silent, clean, new, empty. Its spotless white and grey palette doesn’t seem to reflect the diverse and colourful country of Costa Rica. Everyone here speaks quietly and deferentially and you can’t see any of their features behind the layers of PPE. It feels like a hospital in a sci-fi film.

Eventually I am moved into a room on the top floor, overlooking the mountains. I am given a fetching set of yellow pyjamas. The doctors agree that my lung is full of blood, but they don’t know why, so I stay overnight and go into theatre the next morning for a bronchoscopy: a probe with a fibre optic camera is sent down my throat, deep into my lungs to investigate further.

It turns out that I have ruptured a blood vessel deep in my left lung and it is leaking like a burst pipe. The diagnosis is haemoptysis caused by extreme coughing. The surgeon removes the clots and hoses it all down to stop the bleeding, he squirts in some antibiotics to prevent infection, all while I slumber peacefully on the operating table.

I wake up a few hours later in my room, feeling surprisingly good. I have not eaten for 24 hours and when a nurse brings me a steak and ice cream I nearly burst into tears. It must be the cocktail of anaesthetics and sedatives still washing around my system I tell myself. My room is peaceful, the view is good, I am well rested, I can breathe again. Menna and the kids pop up for a visit, we do some homeschooling but then they disappear again on a mission to the skatepark. I settle back into bed and find a superhero movie on TV.

I ask the doctors if they will let me stay a couple more nights.

A most malicious cough!

Oliver Twist. Charles Dickens.

Away from it all

Our stay up in the São Mamede plateau was the closest yet to how we had imagined this year to be. Off the beaten track. Out in the wilderness. A simple life, miles away from the rush of the city – both physically and figuratively. It was an antidote to those moments of regret and mournful rhetoric about our altered plans (but we should be beside tropical waterfalls right now!) The self-pitying mindset is insidious and Portugal is an epic place.

The Terra Sangha project still felt in the early stages but was underpinned by a conscious attempt at slow living, traditional farming, sustainability, a rejection of digital life. It was a rugged and beautiful place, and it clearly took some work to maintain. There were olive groves, walnuts, figs and lemon trees to tend, terraces to clear, rutted paths to pave, irrigation channels to divert, log buildings that needed building. In one dusty terrace Ben had cleared a sparse vegetable patch where tomatoes, courgettes and pumpkins grew along with a few hardy flowers but full self-sufficiency still felt some way away. There were dogs, chickens and donkeys roaming around, and a fat pig called Madam Chestnut who captivated our children with her greedy charm. I couldn’t work out at first how she fitted in with the vegetarian eco vibe, but she was a long-term resident, not a food source, a survivor of the pig farm that once stood here. She reared up on her gate and grinned at us whenever we walked past and soon had the kids eating out the palm of her hand – only it was the other way around. Clever pig!

Aside from the domestic animals the place was teeming with hidden wildlife. There were the rooting marks of wild boars under the trees and we heard that pine marten and otters tracks could be found in the soft mud down by the river (though we didn’t see any). Porcupine quills and snake skins lay tangled in the scrub. We saw no traces of the Iberian Lynx but it was out there somewhere. We imagined a nighttime procession of creatures slipping and slithering down from dry hillsides to find their way to the river. Behind Ben’s farmhouse was a watching spot, a flat stone shelf by the water where he had an old mattress underneath dream-catchers, candles and other esoteric paraphenelia. He told me he had seen kingfishers there, hoopoes, egrets, a rare stork, golden orioles.

One day we drove out on a reconnaissance mission. Matilda called in an early sighting: red-green-orange swirls, gliding around and eventually solidifying into a flock of bee-eaters (or perhaps a cannonade of bee eaters). They perched for a while on a telephone wire overhead and we hung out there on the roadside beneath them, eating figs from a nearby tree and watching them through binoculars. Half a kilometre later we had to pull the car over again, as three Bonelli’s eagles (or golden eagles even?) emerged from behind a hillock right next to us, and wound their way up on the thermals, followed by maybe twenty huge griffon vultures, indistinguishable from eagles themselves but for their long necks. For a few minutes the sky was full of these huge tawny birds circling above our heads, and we were frozen there in awe, maybe a bit scared of talons and hooked beaks, like prey transfixed. We watched in silence as they drifted lazily upwards, until as tiny specks they were blown far away over the plains.

We drove on that day to Marvão, a mediaeval town perched high on the mountain top. It was a maze of glaring white houses, steep cobbled streets, a ring of churches and an old Moorish fort at the peak. There are layers on layers of historical masonry in this part of the world and this was another epicentre. Marvao was a breakaway rebel enclave in the ninth century, revolting against the moorish Emirate of Córdoba. It became a strategic stronghold through the Christian Reconquista, the war of the Spanish Succession and several exotic sounding wars I’ve never heard of (The Fantastic War! The War of the Oranges! The Peninsular Wars!). Away on a far off peak we can see another white mountaintop town, Castillo de Vide, flashing it’s battlements competitively at us. Perhaps there is a string of these fortifications all the way down the border, grimly holding back invaders.

High on the battlements of Marvao we found ourselves with views that stretched for hundreds of kilometres in every direction, and there again, against the hard blue sky, we picked out eagles patrolling the plateau below. We had been talking about how these stone ramparts were over a millennium old, but now it felt like this symbol of military power was undermined somehow by those overlords of the skies, circling, watching, enforcing their more ancient dominion over the land below.

Our week at Terra Sangha was over in no time. It was a proper adventure. Rough living. A fend-for-yourself kind of environment that suited us just fine. Crockery and cutlery were in short supply, there was no means of refrigeration, the water was suspect. The clean bedsheets waiting for us had disappeared from the washing line. The solar panels were out of action and we had no power. Although the website alluded to sunrise yoga classes, vegetarian dinners served by candlelight with homegrown ingredients, none of this seemed to be available and we found that we weren’t bothered. Instead of organised activities there were endless woods to explore, mountains to climb, a river that you could trek up for miles and stone ruins to poke around in. There was a a stone citadel where you could play guitar and watch the stars. The simplicity was part of the charm. Terra Sangha was a primeval place that and to have too many comforts would have diminished the edge.

There’s nothing like answering a call of nature as nature keeps on calling all around you.