When a Fever Is Not Just a Fever
14 Oct 2007
Towards the end of September, on one particularly nice Friday afternoon, I suddenly came with a fever. I went home to get some more sleep.
My wife got home and proceeded to freak out. To the Chinese, a fever is serious, much more so than a cold. Somewhere in the Chinese psyche there’s a line about “fevers kill people” and modern medicine has yet to edit that line. My wife wanted to take me to the hospital that night.
I didn’t see what the big deal was. Our honeymoon to Turkey was coming up the following week, but I felt confident I would quickly get over whatever little bug I had caught. I didn’t remember ever going to the hospital for a fever growing up, and I had a few fevers back in the day. My mom also never seemed overly concerned when it happened. To me, fevers just meant temporary discomfort. I even thought they were kind of cool, the human body’s rather “creative” way of trying to burn its invaders.
> Theoretically, fever has been conserved during evolution because of its advantage for host defense. There are certainly some important immunological reactions that are sped up by temperature, and some pathogens with strict temperature preferences could be hindered. The overall conclusion seems to be that both aggressive treatment of fever and too little fever control can be detrimental. This depends on the clinical situation, so careful assessment is needed.
> Fevers may be useful to some extent since they allow the body to reach high temperatures. This causes an unbearable environment for some pathogens. White blood cells also rapidly proliferate due to the suitable environment and can also help fight off the harmful pathogens and microbes that invaded the body.
But when my fever didn’t go down, my wife called her mom and they started group worrying. I was afraid my mother-in-law might even come over. So to spare the womenfolk their worrying, I agreed to go to the hospital that night. Unsurprisingly, I was given an antibiotic IV, and also a shot in the butt (just below the waist, really) to make the fever go down. Over the weekend I started feeling better. I went back to work on Monday feeling like I had a normal cold.
Then Tuesday I woke up with another fever. I called in sick. My fever went back down by that evening. I felt OK Wednesday.
Thursday was the day we left for Turkey. Over the night I came down with a fever again, and had horrible fever nightmares all night. They were horrible not because they were scary, but because they were maddening, like a kind of unsolvable logic puzzle that nevertheless had to be solved. It was something about building an ever-changing machine out of steel and fur that contained all the functions necessary to allow me to get to Turkey. Every time I thought I had my furry device complete, it would change, thwarting my departure to Turkey over and over and over again.
When my wife found out I had a fever of 39.2°C/103°F (again), she flipped out. She was upset not because she was afraid we couldn’t go to Turkey that night, but because I had a fever for the third time, and it was so “high.” She thought I was dying of some mysterious disease.
I explained to her that I actually felt OK, that I had had higher fevers before and never even went to the hospital, but she wasn’t having it. Secretly, I was wondering if those heat detectors at the airport set up during the SARS scare would detect my fever. Reason told me I had better not try to get on an international flight with a fever. Curiosity wanted to just try it (yeah, curiosity can be kind of dumb sometimes).
So that afternoon I was back at the hospital, luggage in tow and plane tickets in hand, for another IV and another shot in the butt. My wife had the hilarious idea of getting my IV “to go” and doing the drip in a taxi on the way to the airport, then ditching the bag at the terminal. Unsurprisingly, the doctor didn’t go for that scheme.
My first five days in Turkey involved dutifully taking my medicine three times a day and my wife frequently feeling my skin for signs of a fever (that got interesting after I got a sunburn in Cappadocia). Still, it was an amazing trip to Turkey.
More on Turkey next post.