A Race Against Time
On the morning of my medical college entrance exam, I woke up late to find that all my alarms were mysteriously turned off. As I hurried to get ready, my 8-year-old brother stepped in with a plan that would save the day.
Since I was young, I dreamed of becoming a doctor. After my mom died of cancer, that dream became even stronger. I wanted to help people like her, learn more about the disease that took her away, and support others in their battles against it.
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I worked for this moment for years, going through late nights, countless books, and more exams than I could count. Today, all that hard work was about to pay off: it was finally the day of my medical entrance exam.
Last night, I did everything to make sure I wouldn’t oversleep. I set three alarms on my phone—6:00 a.m., 6:15 a.m., and 6:30 a.m. I even left my curtains open so that the sunlight would wake me up. As I lay in bed, I thought of my mom and promised myself that I’d make her proud.
When I opened my eyes the next morning, something felt wrong. It was dark, too dark. I reached for my phone, and my heart sank—9:55 a.m. My exam started at 10:00.
“No, no, no! This can’t be happening!” I threw off my blankets and grabbed my phone. All three alarms were turned off.
“I know I set these!” I muttered, my hands shaking as I got dressed quickly. My mind raced with questions. How did this happen?
I bolted down the stairs, half-dressed, with my hair everywhere. “Linda!” I called out, desperately looking for my stepmom. “Linda, please! I need a ride to the college. My exam is in five minutes!”
She was in the kitchen, sipping her coffee calmly, watching me with a look I couldn’t quite understand. She raised an eyebrow, giving me a look that was as cold as her coffee cup was hot.
“You’re late already,” she said flatly. “Maybe next time, you should learn to set an alarm properly.”
“I did set them!” I almost shouted, feeling frustrated and panicked. “I triple-checked. They were on, all three of them.”
She shrugged, a slight smirk on her lips. “Clearly, you didn’t. Maybe this is a sign that you’re not cut out for med school. If you can’t even wake up on time, how will you handle something serious, like a patient?”
I stood there, feeling my face grow hot, my mind swirling with disbelief and desperation. This couldn’t be real. My stepmom wouldn’t do this to me, would she?
I turned toward the door, knowing I’d never make it on foot but feeling I had to try. Just as I reached for the handle, I heard a small voice behind me.
“I know who did it,” my little brother Jason said, his voice shaky but his eyes steady.
I turned, confused. “Jason, what are you talking about?”
He took a small step forward, looking at Linda cautiously. “I saw her. Last night. She turned off your alarms, Emily.”
Linda shot him a sharp look. “Jason, stop making up stories,” she hissed.
Jason gulped but didn’t back down. “I’m not lying! I saw you go into her room, pick up her phone, and turn off the alarms. You said she didn’t need to be at that stupid exam anyway.”
My mind was spinning. I looked at Linda, searching her face for denial, for any sign she’d say it was a misunderstanding. But she just sighed, crossing her arms.
“You know what, Emily?” she said coolly, her voice hardening. “Fine. Yes, I did it. You’re not fit to be a doctor. It’s a waste of time and money that your dad could spend on something worthwhile.”
“Like… your beauty salon?” The words slipped out before I could stop them.
Just as I was about to push past her and leave, I heard sirens in the distance, getting louder as they approached our house.
Jason, now holding my hand, gave me a small, hopeful smile. “Don’t worry, Em. I called for help.”
Linda’s face hardened as she looked at Jason, who stood by my side. “You seriously did this?” she asked, barely able to speak.
Jason’s small voice cut through the tension. “You are the bad guy, Linda,” he said, his eyes fierce despite his small size. “Emily is going to be a doctor one day. Mom would be proud of her.”
Linda’s face twisted, and before she could say anything, the wailing sirens outside grew louder. I watched her look toward the window, her eyes widening with surprise.
The front door opened, and two police officers stepped inside. One of them, a tall man, spoke with calm authority. “Is everything alright here?”
Jason didn’t hesitate. “I called you,” he said, standing tall despite his age. “My sister needs to get to her entrance exam. Linda turned off her alarms so she’d miss it.”
The officer’s eyes moved to Linda, who immediately pretended to be innocent. “This is absurd!” she scoffed, folding her arms. “They’re just children, making things up because they’re late.”
But the other officer, a woman with kind eyes, knelt down to Jason’s level. “You called us to help your sister?” she asked gently.
Jason nodded vigorously. “Yes. Emily studied so hard, and she was ready. Linda turned off her alarms so she’d miss her test.”
The officers exchanged glances, then turned to me. “Is that true?” the male officer asked.
“Yes,” I whispered, feeling the weight of everything settle over me. “I have to get to my college right now, or I’ll lose my chance to take the exam.”
The officers nodded and exchanged another glance. “Alright, young lady,” the female officer said, standing up, “We’re going to get you there.”
Linda’s face twisted with disbelief. “Wait, you’re actually going to escort her?” she stammered, frustration evident in her voice. “This is ridiculous!”
“It’s our job to help people,” the officer replied, coolly dismissing Linda. “Now, if you’ll excuse us.”
I turned to Jason, who was smiling proudly, a little hero in his own right. “Thank you, Jason,” I whispered, hugging him tight. “You saved me.”
As I left with the officers, Linda’s face showed a mix of fury and disbelief. The officers helped me into their squad car, and we sped down the road with the sirens blaring, weaving through traffic as we approached the college. My heart pounded in my chest, but this time, it was with determination.
At the exam center, we arrived just minutes before the doors were set to close. The officers stepped out with me, guiding me toward the entrance.
One of the proctors noticed us and approached, looking confused. “Ma’am, the exam is about to begin,” he said, glancing at the officers.
The policewoman explained quickly. “This young lady had her alarms sabotaged at home, but she’s here now. I understand if you can’t make exceptions, but if there’s any way she can sit for the exam…”
The proctor’s stern face softened as he listened. He looked me in the eyes, as if weighing my sincerity, then gave a brief nod. “Alright. Go on in.”
“Thank you,” I managed, barely believing I’d made it.
I found my seat, still shaken but refusing to let the morning’s events get the best of me. I took a deep breath, closed my eyes for a moment, and thought of my mom. This was my moment, and I wasn’t going to let anyone take it from me. I picked up my pencil and began the test.
Hours later, I walked out of the exam room, exhausted but relieved. The officers who had helped me were gone, but I felt their kindness with every step as I headed home. Jason was waiting on the front steps, and he jumped up as soon as he saw me.
“Did you do it?” he asked eagerly, his eyes bright with hope.
I nodded, a smile breaking out despite my exhaustion. “I did, thanks to you.”
He threw his arms around me. “I knew you could.”
Inside, my dad was waiting. His face was pale, and his mouth was set in a grim line. He had been waiting for me to come home to hear everything. Jason took the lead, explaining every detail of what had happened while I was gone.
My dad’s face grew red with anger, his eyes narrowing as he looked over at Linda, who was trying to look calm and unaffected. “Is this true?” he demanded, his voice trembling with restrained fury.
Linda’s eyes darted between us. “I… I was just trying to keep her from a mistake. I didn’t mean for it to go so far,” she mumbled, finally looking cornered.
“You sabotaged her dreams because of your own selfishness,” my dad said coldly. “You’re not staying here another night.”
Linda’s face turned pale as she realized he was serious. She tried to protest, but he shook his head firmly. “Pack your things, Linda. This family deserves better than this.”
Jason and I stood by the door, watching as she finally left. There was no satisfaction in it, just a sense of justice and relief.
These bugs come out at nighttime, and attacking victims, they silently kill or leave them with a lifelong infection
When Emiliana Rodriguez was a little girl, she recalls watching friends play a nighttime soccer match when one of the players abruptly died on the pitch.
Unaware of what had transpired, Rodriguez, a native of Bolivia, developed a phobia of the dark and the “monster”—the silent killer known as Chagas—that she had been told only appears at night.
Chagas disease is a unique sort of illness that is spread by nocturnal insects. It is also known as the “silent and silenced disease” that infects up to 8 million people annually, killing 12,000 people on average.
Emiliana Rodriguez, 42, discovered she had to live with Chagas, a “monster,” after relocating to Barcelona from Bolivia 27 years ago.
“Night is when the fear generally struck. I didn’t always sleep well,” she admitted. “I was worried that I wouldn’t wake up from my sleep.”
Rodriguez had specific tests when she was eight years old and expecting her first child, and the results indicated that she carried the Chagas gene. She recalled the passing of her buddy and remarked, “I was paralyzed with shock and remembered all those stories my relatives told me about people suddenly dying.” “I wondered, ‘What will happen to my baby?’”
Rodriguez was prescribed medicine, though, to prevent the parasite from vertically transmitting to her unborn child. After her daughter was born, she tested negative. Elvira Idalia Hernández Cuevas, 18, was unaware of the Mexican silent killer until her 18-year-old son was diagnosed with Chagas.
Idalia, an eighteen-year-old blood donor from her birthplace near Veracruz, Mexico, had a positive diagnosis for Chagas, a disease caused by triatomine bugs, often known as vampire or kissing bugs and bloodsucking parasites, when her sample was tested.
In an interview with the Guardian, Hernandez stated, “I started to research Chagas on the internet because I had never heard of it.” When I read that it was a silent murderer, I became really afraid. I had no idea where to go or what to do.
She is not alone in this; a lot of people are ignorant of the diseases that these unpleasant bugs can spread. The term Chagas originates from Carlos Ribeiro Justiniano Chagas, a Brazilian physician and researcher who made the discovery of the human case in 1909.
Over the past few decades, reports of the incidence of Chagas disease have been made in Europe, Japan, Australia, Latin America, and North America.
Kissing bugs are mostly found in rural or suburban low-income housing walls, where they are most active at night when humans are asleep. The insect bites an animal or person, then excretes on the skin of the victim. The victim may inadvertently scratch the area and sever the skin, or they may spread the excrement into their mouth or eyes. This is how the T. cruzi infection is disseminated.
The World Health Organization (WHO) estimates that between 6 and 7 million people worldwide—roughly 8 million people in Mexico, Central America, and South America—have Chagas disease; the majority of these individuals remain oblivious to their illness. These estimates are provided by the Centers for Disease Control and Prevention (CDC). The persistent infection might be fatal if untreated. According to the Guardian, Chagas disease kills over 12,000 people year, “more people in Latin America than any other parasite disease, including malaria.”
Despite the fact that these bugs have been found in the United States—nearly 300,000 people are infected—they are not thought to be endemic.
While some people never experience any symptoms, the CDC notes that 20 to 30 percent experience gastrointestinal or heart problems that can cause excruciating pain decades later.
Furthermore, only 10% of cases are detected globally, which makes prevention and treatment exceedingly challenging.
Hernández and her daughter Idalia went to see a number of doctors in search of assistance, but all were also uninformed about Chagas disease and its management. “I was taken aback, terrified, and depressed because I believed my kid was going to pass away. Above all, Hernandez stated, “I was more anxious because I was unable to locate any trustworthy information.”
Idalia finally got the care she required after receiving assistance from a family member who was employed in the medical field.
“The Mexican government claims that the Chagas disease is under control and that not many people are affected, but that is untrue,” Hernández asserts. Medical practitioners misdiagnose Chagas disease for other heart conditions because they lack knowledge in this area. Most people are unaware that there is Chagas in Mexico.
The World Health Organization (WHO) has classified chagas as a neglected tropical disease, which means that the global health policy agenda does not include it.
Chagas is overlooked in part because, according to Colin Forsyth, a research manager at the Drugs for Neglected Diseases Initiative (DNDi), “it’s a silent disease that stays hidden for so long in your body… because of the asymptomatic nature of the initial part of the infection.”
Forsyth went on to say, “The people affected just don’t have the power to influence healthcare policy,” making reference to the impoverished communities. It’s kept hidden by a convergence of social and biological factors.
Chagas, however, is becoming more well recognized as it spreads to other continents and can also be transferred from mother to child during pregnancy or childbirth, as well as through organ and blood transfusions.
The main objective of the Chagas Hub, a UK-based facility founded by Professor David Moore, a doctor at the Hospital for Tropical Diseases in London, is to get “more people tested and treated, and to manage the risk of transmission, which in the UK is from mother to child,” according to Professor Moore.
Regarding the WHO’s 2030 aim for the eradication of the disease, Moore stated that progress toward it is “glacial” and added, “I can’t imagine that we’ll be remotely close by 2030.” That seems improbable.
Two medications that have been available for more than 50 years to treat chagas are benznidazole and nifurtimox, which according to Moore are “toxic, unpleasant, not particularly effective.”
Although the medications are effective in curing babies, there is no guarantee that they will prevent or halt the advancement of the condition in adults.
Regarding severe adverse effects, Rodriguez remembers getting dizziness and nausea as well as breaking out in hives. She completed her therapy, and she gets checked out annually.
Moore goes on to say that while creating stronger anti-Chaga drugs is crucial to stopping the disease’s spread, pharmaceutical companies are currently not financially motivated to do so.
As president of the International Federation of Associations of People Affected by Chagas condition (FINDECHAGAS), Hernández is on a mission to raise awareness of the condition until there is a greater need on the market for innovative treatments.
In Spain, Rodriguez is battling the “monster” as part of a campaign to increase public awareness of Chagas disease being conducted by the Barcelona Institute for Global Health.
“I’m tired of hearing nothing at all,” Rodriguez declares. “I want Chagas to be discussed and made public. I’m in favor of testing and therapy for individuals.
They are being heard, too.
World Chagas Disease Day was instituted by the WHO on April 14, 1909, the day Carlos discovered the disease’s first human case.The WHO states that “a diversified set of 20 diseases and disease categories are set out to be prevented, controlled, eliminated, and eradicated through global targets for 2030 and milestones.” And among them is Chagas.
To prevent a possible infestation, the CDC suggests taking the following steps:
Close up any gaps and fissures around doors, windows, walls, and roofs.
Clear out the rock, wood, and brush piles close to your home.
Put screens on windows and doors, and fix any tears or holes in them.
Close up gaps and crevices that lead to the exterior, crawl areas beneath the home, and the attic.
Keep pets inside, especially during the evening.
Maintain the cleanliness of your home and any outdoor pet resting places, and check for bugs on a regular basis.
If you believe you have discovered a kissing insect, the CDC recommends avoiding crushing it. Alternatively, carefully put the bug in a jar, fill it with rubbing alcohol, and then freeze it. It is then recommended that you bring the bug’s container to an academic lab or your local health authority so that it can be identified.
Please tell this tale to help spread the word about an illness that goes unnoticed!
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