I spent a week in a hospital in Ecuador when my lung collapsed. It confirmed that moving here was the right decision.

22.11.2024 - 00:31 / insider.com

I was lying wide awake on a hospital bed in Ecuador, hoping for sleep yet fearful that if I dozed off, I'd miss something crucial.

Everything had come as a big surprise. The day before, I was standing by lime-green valleys, planning mountain adventures. As bachata beats blared from market stalls and birds of prey soared above, I thought about camping nearby and watching the sun sink below a sea of clouds. Or, I could return to the Monopoly board-like Andean town nearby and explore its river valleys.

But as I was daydreaming about adventures, I noticed something was wrong. I'd been having trouble breathing for a few days. As an avid runner and hiker, it felt strange that I could barely climb the steps to my apartment.

At the hospital in Cuenca — the city where I have been living for the past six years and about 200 miles south of Quito, Ecuador — I had a tube running between my ribs into the space between my lungs, an oxygen mask, and some answers. While I'd been in the countryside, my right lung had been collapsing. A severe — and rare — complication of pneumonia.

I returned to the doctor's clinic for a second visit after it was clear that an asthma inhaler and the medication hadn't helped. I had assumed I was in for a course of antibiotics and an early night.

Instead, I was sent for X-rays, and based on the technician's questions, I sensed this was more serious than I thought: "Were you in an accident?" "Are you a heavy smoker?" "Did you fall?" "Could something have caused blunt-force trauma?" I raised a brow. No to all of the above.

"We have to go to the hospital right now," my doctor told me after confirming that my right lung had collapsed. "I'm surprised you're even standing up talking to me right now."

It was a whirlwind evening. I messaged my friend Sanja, asking her to meet me at the hospital and bring a few essentials. I had been told that a surgeon was on her way and that they would perform a bronchoscopy, a procedure that involves inserting a tube between the lungs to examine the airways. Following this, a catheter would be inserted in between my lungs to drain the air buildup that had caused the collapse.

I was asked if I had family who could help me buy my medical supplies. I told them that would be Sanja.

I met Sanja in 2018, and she has become like a sister. We've supported each other through the ups and downs of expat life. She arrived shortly after the surgeon had explained in detail what she was about to do.

I felt scared and focused on my friend as the surgeon told me to hold my right arm above my head and stay still. Sanja asked the questions I was too in shock to ask for myself. I'd have been lost without her.

I grew up with access to Canadian healthcare. How would my hospital