By Alex Zielinski, Staff Writer
Chills. Hot flashes. Achy muscles. Migraines. A rattling
cough on top of a dry, sore throat. This time of year under the gray cloud of
the Pacific Northwest, these symptoms are tossed between coworkers, family
members and friends daily. Sick days are devoured, appointments are forgotten,
and most confine themselves to a warm bed and a tower of Kleenex boxes until
the fog of the flu has passed.
But what about the folks without the luxury of a roof over
their head?
“It’s cold. Real cold,” said Jen Atkins, who just got over a
weeklong battle with the flu on the streets. “You got to find yourself a good
spot for the day to rest, maybe get some sleep if you’re lucky, and hope the
police don’t find you.”
According to the Multnomah County Health Department, the
county’s been hit harder this year by influenza than in the last couple.
Doctors can’t say if we’ve reached the peak month yet, but the week’s averages
of positive flu tests continue to rise. Dr. Justin Denny, the tri-county health
officer, says that while they don’t have a tally on how many patients they see
who are homeless, he’s sure it’s larger than usual. And that’s just the people
who come in.
“I didn’t have insurance when I was sick, most other people
out there don’t,” Atkins said. “It’s hard enough to get in to see a doctor,
then to pay for it. We just ride it out on our own.”
With the foul blend of steep bills and flu-triggered
weakness, it seems that many of Portland’s houseless end up without sufficient
medical care, if any. So what options do exist for those struggling to survive
the looming threat of flu season without shelter?
According to NancyAnne Mackaben, Transition Project’s’ Day
Center Manager, not enough.
“I’m definitely struggling with where I refer people to who
are sick,” Mackaben said. “The day center isn’t a living room, so we can’t let
them sleep here, it’s against our policy. But it’s difficult to kick them out
when there aren’t other options.”
Mackaben said that at least 65 percent of the center’s male
visitors — who, unlike the women, have no warming center open for them this
season — have hacking coughs and look “just not well.” And she’s running out of
cough drop and ibuprofen rations. The
only place Mackaben can send them for aid is Central City Concern’s Old Town
Clinic, but check-ups require appointments and are only offered to previous
patients.
“I have nowhere to turn,” Mackaben said.
CCC’s Kathy Pape said that even though they can’t accept new
patients, Old Town Clinic has extended its usual hours for appointments and
urgent care to handle the influx of sick visitors.
“The biggest thing during this season is to try get a mask
on them and get them to an exam room so they don’t spread the flu,” Pape said.
If Old Town Clinic visitors aren’t patients already, Pape
added, staff usually turn them to the hospital or county health. But local
hospitals are also faced with a heavy load of flu-ridden visitors and are
dealing with a similar space-based predicament.
“It’s hard. We can take care of everyone who comes in, but
we don’t know where to tell them to go next,” said Dr. Jenny Aponte, director
of the emergency department at Legacy Good Samaritan Hospital. “We can’t just
tell them to lie in bed and recover. It’s not an option for most. We try to be
as lenient as possible in letting them rest here.”
Aponte said that most of the doctors and on-call staff she’s
spoken with have seen considerably worse flu conditions in homeless patients
than others, since they lack a comfortable and healthy environment to take care
of themselves. A few weeks ago, Aponte had to send a homeless 21-year-old man
to the intensive care unit for his life-threatening flu symptoms, ones rarely
seen in adults his age.
Ultimately, reliable recovery on the streets seems to come
in one simple form: Companionship. Atkins said that while she was sick, her
only dependable resource was her fiancé, Darren Alexander, who’s lived with her
outside since September. He would bring her over-the-counter medication and
make sure she kept warm during the brisk nights. Sure, he ended up catching her
cold a week later, but it was worth knowing someone would take care of him.
“That’s really what it’s like out there,” Alexander said.
“You got to have someone you trust to take care of you or you won’t get
better.”
Atkins said that this time of year, most everyone’s looking
out for each other on the streets with the flu in the air.
“But some people have no one,” she said. “I know that I’m
blessed.”
This article appears in 2013-02-15.