If You Have A Stroke, Better It Should Be In Paris
PARIS–I had a stroke last month, oh boy.
It鈥檚 just that I didn’t know it. Here鈥檚 what happened:

Only after three days of flashing, floating visual squiggles — commonly known as ocular migraines that usually last 20 minutes — do I email my old friend Dr. John Krakauer, who helps run stroke recovery at Johns Hopkins Hospital in Baltimore.
After a few questions he told me to get an MRI scan as soon as possible. In the U.S. that could involve the emergency room (with its hours-long wait) or a complicated process of getting the referral — and then finding a radiologist who would take my coverage. Here in France, it is so much simpler.
But even here, such a lot of bother, I think. My doctor鈥檚 away on vacation. Whom do I call? But since I鈥檓 now into my fourth day of rainbow hieroglyphics, I bike down to the renowned emergency eye service at Hospital Hotel Dieu, across from Notre Dame cathedral. It has historically served Paris鈥 poorest residents.
I offer my national health card, and the receptionist brushes it off. All they want is something with a picture ID. Three hours later I鈥檝e been examined by four separate specialists. 鈥淵ou have no serious eye problem,鈥 the retina specialist advises me, 鈥渂ut I agree with your friend at Hopkins. You should get a brain scan,鈥 which they can鈥檛 do there. She scrawls out a note to one of France鈥檚 top neurology centers.
Back to the bike. I peddle to the Hopital Ste-Anne, a multi-specialty neurology center close to where France鈥檚 last guillotine stood.
Sweating, I climb the stairs directly to the glass reception door on the second floor. The head of the clinic smiles, reads the note I鈥檝e brought from the eye doctor and immediately begins some simple tests to be sure I鈥檓 not an emergency case.
She taps my elbow, then asks me extend my hands and slowly draw each index finger to my nose. I pass. She asks me when the rainbow squiggles began as she scrolls down her computer screen. It鈥檚 1:15, but I have a lunch appointment at 1:30.
鈥淕o have lunch and come back at 2:30 for your MRI,鈥 she tells me. 鈥淥h yes,鈥 she adds, 鈥測ou really ought to check in downstairs first.鈥
At 3:15, I climb onto a gurney and they stuff me into the MRI tube.
At 3:45, I go back upstairs to the nurse鈥檚 station. The neurologist is gone. A nurse points to a room across the hall. 鈥淵ou鈥檒l need to spend the night,鈥 she says.
鈥淏ut I can鈥檛,鈥 I say.
A new neurologist arrives. He鈥檚 busy with other patients, but he stops to talk with me for 10 minutes. 鈥淚 have a flight to Naples tomorrow,鈥 I explain.
鈥淵ou鈥檒l have to cancel it. You鈥檝e had a cerebral infarctus.鈥 I look at him like a puzzled puppy. 鈥淎 stroke. You鈥檒l have to stay at least 24 hours. Maybe until next week.鈥
鈥淐an I go home and get my glasses? I don鈥檛 have my phone charger.鈥
He shakes his head. 鈥淲e need to run tests to find out why this happened.鈥
I obey. An hour later I鈥檓 attached to a drip, and a half dozen cardiac monitors. Aside from the day of my birth, I鈥檝e never spent a night in a hospital.
At 6:30 a yellow soup and a piece of fish arrive. My roommate, an old man on the other side of the curtain who鈥檚 had a bad stroke, gurgles. At 9:00 Christophe, my other, brings my daily pills, my glasses, a toothbrush, and Marguerite Duras鈥檚 wartime diaries, but not my phone charger. I鈥檓 a journalist, a news junkie — the Malaysian airplane has just been shot down in Ukraine. I fight off panic about being cut off from who and what matters. And it鈥檚 hot. Hospitals here don鈥檛 have air conditioning.
At 3 a.m. the moon is up; out the window I try to count the number of balconies on the far building.
Biking Home
The next day another neurologist comes in. 鈥淲e鈥檒l do another kind of MRI this morning,鈥 the neurologist tells me. 鈥淚f that one is OK, you can go home this afternoon.鈥 Morning turns to afternoon, then to dusk. New emergency cases delay everything. And it鈥檚 vacation season.
At 6:30 p.m., I pull on my jeans, decline the evening鈥檚 yellow soup and piece of turkey, and ask again about my new MRI scan.
Within a half hour, I鈥檓 being told: 鈥淚t will take an hour to get the readout.鈥 I must return to a new room and wait.
At 9, the night shift nurse comes in: good news. The second scan is clear. I can go home, but wouldn鈥檛 I rather stay the night? Merci, mais non. I鈥檓 biking home.
No one has asked for a single centime. I won鈥檛 have to file paperwork or worry about what I鈥檒l have to pay: the deductibles and the coinsurance and the separate doctor and hospital and radiology fees and how to fill in all the forms.
A week later, neurologists sent me a full write-up along with the brain scan pictures to send to my friend Krakauer at Hopkins. There will be no extra charges for anything. All covered by my health card.
The verdict: Nobody knows why it happened, and it likely won鈥檛 happen again. Medicine? One baby aspirin every day at noon. The visual squiggles are probably forever.