Instead of all that I pictured, I spent my 21st birthday in bed 15, floor 3 of Ospedale Santo Spirito near the Vatican.
Here's the story that I'm almost tired of telling:
Wednesday, April 9th started out like any other day. I was prepared for my Italian oral presentation, I was ready to go to my mythology class and get ready for my finals. At lunch, my friend Liz went out and bought pizza rossa for us. And that was the last thing I ate for three days.
I came home right after lunch time feeling violently ill, but not thinking much of it. After spending much of the afternoon between the bathroom and the couch moaning and unable to even keep down Gatorade, Adrienne insisted that I go to the hospital. I was against it, but too weak at this point to argue much. I didn't want to go to find out I had a stomach bug, something stupid like that.
We get to the Pronto Socorso around 10:30pm (I have no really great concept of time from here on out). We walk right into the nurses station and Adrienne starts throwing around the word 'appendicitis' like it's her job. They take me immediately, ask me some questions in broken English mostly Italian, colored with charades about pain and peeing. They take me to a bed, and draw some blood, then ask me to wait in the waiting room again.
I wait for a short while, and a doctor/nurse comes into the waiting room asking for "Elly? Elizabeth?" Which is me, since my passport is Borst, Wendy Elizabeth, and Italians don't like middle names so much as us crazy Americans.
I'm back on the table, a doctor/nurse who speaks no English begins poking my stomach searching for pain. Yikes. We started speaking in French which was better for me than Italian anyway. After some more poking about, he sits down and takes my hand. The universal sign that something awful is going on.
In French he tells me "You have appendicitis. You need surgery tonight or tomorrow." My mind went blank. Surgery. Rome. Home. These were the words that kept going through my head.
They took me to x-ray and checked out my chest. Then to ultrasound to double check the inflammation and to see if it burst. I'm pretty sure they would have known if it had burst without the ultrasound. But that's how it went.
Around 1:30 in the morning I was dropped off at bed 15. Anna and Adrienne were allowed to stay for about 15 minutes, and then were made to leave. I found myself alone in a dark room in a hospital next to the Vatican. My heart sank. Never have I felt so alone, helpless, unsure, unaware, scared and desperate. So I eventually fell asleep.
Thursday, April 10th a team of doctors entered my room. I felt like I was on the Italian version of Grey's Anatomy without all the really cute doctors. They poked me, prodded me, asked me in Italian how I was. "Va male" I moaned. Teri Morelli, the Student Affairs director came to be with me after that. To reassure me, to make me aware that things were going to be okay. Which was nice, because nothing really felt like it was going to be okay. I was supposed to have surgery at 11:00. But 11 turned to 3, and 3 turned to 9:30pm. Carolyn was with my while the wheeled me away. At that point I think I normally would have felt more afraid than I was. But I just wanted it to be done by then. I was moved to a thin green operating table, and my IV arm was held out at a right angle to me. The anesthesiologist administered the drugs through the IV. I felt heavy and awkward and then was out. I remember waking up at 10:30 almost exactly. The clock on the wall said 22:36:50something. My limbs were still heavy, my body was shaking, and tears were streaming down my face. I couldn't lift my hands properly to wipe them away, and my hands kept falling clumsily against my face. I kept trying to say thank you, grazie, as my body convulsed on my bed. When I got back to my room, they took out a heavy blanket and laid it over me, and I slept fairly peacefully.
On April 11th I discovered why it was so peaceful. I had an accessory on Friday! My own little tube of morfina! If I couldn't be getting hammered at a bar like any other self respecting 21 year old on their birthday, then at least I had my morfina.

I think it was Friday when I realized that all the doctors loved me. The poor American girl. Everyone was exceptionally nice to me. They all tried to talk to me, I became cuter when I could only get out phrases like "Va bene" or "Meglio" They came in and poked some more, took my temperature. I think Friday that might have taken my blood pressure, but that might have been Saturday... Either way, most interesting 21st birthday ever.
The rest of the time there is a mixture of eating liquids, getting my IV changed, Anna, Adrienne, Carolyn, and our friend Andrea visiting me, me feeling horribly lonely a lot of the time. I watched a lot of movies because Carolyn brought my laptop and DVDs from a friend of hers. My roommates are truly the greatest people I could have had the pleasure to live with. I mean, it kind of sucked being in the hospital, but they tried to make it better. And I appreciate that so much.
I was finally discharged Monday, April 14th. I had already missed my Italian final exam and oral presentation. I had two exams to take on Wednesday (which went okay). I was tired, I couldn't walk farther than the bathroom. I ate bread with jam for a while because I didn't want to push it.
I'm excited for my scar. Very excited. My Italian battlewound, as it were. Or is. It's not about the scar. The scar is just a souvenir from one of the biggest adventures I've had in Rome. It was the weekend that built way more character than any of the others. If I can survive surgery in Italy at a hospital were very little English is spoken, alone, without my family, on my birthday, my last weekend in Europe, missing Belfast. If I can come out of that, well, I already feel like a stronger person than I was. Gitti has been the only person to fully empathize this thought with me. I'm trying to spin it in positive ways. She said it builds character. It does. I can't say that I'm glad that this happened, because I'm not. I had plans, and my appendix had different ones. But at least I got something from it.
My stitches come out today. In a couple hours. It's small, but I hope it has character. I can't wait to show it off. And then get some gelato. And try to see some sights despite the rain. And then pack, because tomorrow I leave the apartment at 7:30 in the morning to get to the airport to finally fly home. The only place I've wanted to be since I went to the hospital.

