Monday, April 4, 2011

Away and Under the Weather: Part 3

This is it. My final and, in my opinion, WORST illness-related experience abroad. It actually involves a few different illnesses and was spread out over at least a month. It was painful, exhausting, and just bizarre. Enjoy!

#1 It started with the flu...

It started with the flu. Nothing special, just the flu. When you live in another country AND work with children, you're going to get sick now and then. It was around this time of year (April) in 2007. I don't even remember how bad a flu it was. I probably had a fever, some body aches and a runny nose. That's usually what I get. I taught lessons through it (as usual) and it was over. I didn't need to go to the doctor until later.

The flu ended but the crap in my lungs never really went away. After a week or two of wheezing and coughing, I went to get checked out. At the hospital, I was shown around by my own English-speaking nurse to see two specialists and got an x-ray of my lungs. It cost less than US$50. (I miss Korea.) I had acute bronchitis. The flu had slightly inflamed my bronchial tubes and there was a little infection. They gave me antibiotics, pain pills, something for the mucus, and anti-inflammatory medicine.

Getting treated in Korea by western medicine is different than at home. Korean hospitals also treated people using eastern medicine and I took advantage of that more after this experience. Eastern medicine is about treating the delicate balance that exists in your body and allowing your body to function at its peak potential. Western medicine works more like a band aid. You're hurt here; fix here. Western medicine in Korea takes this metaphor even further. Sick? In pain? Appendages double in size? Okay! What can we do to patch you up and get you back to work?

On top of that, we really do blindly trust doctors a lot. Which is fine for the complicated stuff. But in Korea, you barely even know what medicine you're taking. They give me the list but there's a lot on there and it's hard to tell the pills apart. They prepare all the pills for you and separate them by dose in these long strips of vacuum sealed plastic baggies. Swallow the cocktail and get back to work. No need to wait for the effects to kick in.

I can tell you that I took my first baggie on a Wednesday night or Thursday morning. I remember that because by Friday I was calling the nurse and taking the only sick leave I ever took in 3 years in Korea.

I felt a little off on Thursday. Not sick, just off. So it took me (and my head teacher/neighbor who was walking home with me) completely by surprise when I randomly puked on the street Thursday night. I barely made it to the storm drain let alone even thinking about trying to find a toilet. Living abroad, I've had my share of food poisonings so the idea that my body was rejecting something was not foreign to me. But there was no food. It was like a hangover without the bliss of being an idiot the night before.

Since it wasn't food, I assumed pills and called the nurse. I stopped taking all of them since I didn't know which was which in my poison cocktail. I didn't feel any better the next day as I started to have stomach problems come out the other end. Great. And remember how I couldn't have sick days? That was especially true my first year when our numbers were already small and there were teachers fleeing the country in the middle of the night every other week. Fortunately, though, through some luck--and a lot of pity from my head teacher and principal who watched me try to teach my 4pm-7pm elementary class from a chair when I wasn't running to the bathroom--my head teacher had her second three-hour slot free and taught my 7pm-10pm middle school class.

So I went home and proceeded to have my worst weekend ever. I was supposed to be at a wedding. Instead, every three hours (like clockwork!) I crawled the three feet from my bed to the bathroom and then tried crawl back, dragging what was left of my tattered stomach on the floor. Eventually that was too much and I brought a pillow and blanket into the bathroom to sleep on the floor in between sessions. I didn't leave the house until Sunday afternoon. I limped across the street to get some saltines and electrolytes with some hope that I would be better before Monday.

And, surprisingly, I was. My stomach was convinced everything was out that it didn't like and it stopped trying to kill me. On Monday, I was exhausted, soar, and really cranky but I was mobile enough to go down the hill to my work. I settled in my chair to be a white-faced, native speaker in front of 15 Korean kids for 6 hours. The kids were extra nice and the next few days went fine. Although, it still amazes me that the kids never viewed this behavior as strange. I could not stand most of the time and could barely speak but I was still there. Even now in Hong Kong, I often teach while wearing a doctor's mask when I have a cough or runny nose, and I have some kids come to EVERY class in a mask. Sick? Wrap it, cover it up, take a pill. But do it at work.

In this case though, the pills were the problem. I talked to my mom on Skype later and she told me that it was probably the anti-inflammatory medicine. She used to work for a doctor and patients often called and complained of stomach problems when the doctor prescribed anti-inflammatory medicine. So that was it. The weekend was more than enough to learn my lesson. The body is connected, beware of pills, listen to your mother, work somewhere with sick days, bla, bla, bla... Teacher, finishee?? Anio.

I got better and started to regale my friends with gross stories of the worst weekend ever. Around midweek, I decided that I was better enough to not cancel my rafting trip for the coming weekend. It was rafting in Korea, after all, which is only slightly more intense than floating down a lazy-river. It was mostly an excuse to drink somewhere else and also to watch a traditional Korean mask performance.

Rafting was scheduled for Sunday so we watched the mask dance on Saturday. It was in a very cool theatre-in-the-round, and--despite not understanding a word they were saying--it was really funny! There was an ajumma character which is always a riot and at one point a guy pretended to cut off the fake bull's penis. It was an outdoor theater, and it was really hot, so most people sat in the shaded section. About 30 of us came on the trip and showed up late so a few of us sat in the sun so we could watch from the front row.

It was really bright when I first stared down at my feet so I just thought I was seeing things. They felt a little strange and warm, but so did the rest of me. And I was wearing larger flip-flops so I wasn't uncomfortable. I felt a little stupid but I turned to my friend and said it anyway, "Do my feet look bigger to you?"

I'm not sure if she could see or if she was just a little worried about the question I just asked but we needed a closer look. We walked around the edge of the seating and went outside to where it was shaded and we could see better. And there they were: cankles. I grew cankles in an afternoon! There was a weird fluster next as three of my friends and I tried to figure out what to do for a case of instant-fat-feet. I lay down on the ground and elevated them, someone put a cold water bottle on them, but mostly we just poked them a lot as if we were suddenly going to able to diagnose the problem.

I freaked out for a while as they seemed to get bigger in the heat. Fortunately, they grew to certain size and stopped. They didn't hurt and I could walk. I didn't go to a doctor because I was where I usually was when stuff like this happens: in a village in a foreign country.

The play ended and after some shopping we all got on the buses to go back to the place we were staying. A few more people got to see my exciting new development. Most of the theories tossed around that day had to do with the bus going up and down the hills and something with altitude. I kept them elevated and took some allergy pills or something. I even went rafting the next day. (Seriously, easy rafting.) I just kept showing people my fat feet hoping someone could tell me what was happening to me.

Monday I went to work, fat feet and all. I got a kick out of freaking out the kids with my cankles. (It actually freaked out the other teachers and staff more.) They were still there a week later when my parents arrived in Korea. I'm sure it was a great sight for my mother, who hadn't seen me in nine months. Because that's what you want to see when your oldest child is all alone for the first time and on the other side of the world. That she's becoming deformed.

My dad made me sleep in his special airplane socks that are supposed to give you even circulation and they started to really go down. Mom cleaned my apartment which was not in an acceptable state (is it ever?). I took my first real vacation since I arrived in Korea and relaxed in Jeju-do. It took some time but they went back to normal and I was all better.

Finally, we sat down together with the Internet and tried to figure out why my feet blew up. (Mom is an experienced hiker and didn't buy the 'altitude' theory.) And there, at the bottom of the list, on some medical website under possible causes for swollen feet it said, "...may be caused by anti-inflammatory medicine."

So that was it. I got the flu which gave me bronchitis that led to the worst weekend of my life followed by one of the weirdest. The lesson for all this is very simple and not at all original: Stuff happens. I did what I was supposed to. I was sick so I went to the doctor. Usually that's the end. Take the pills, drink some liquids, all better. Only this time the pills poisoned me, my stomach tried to kill me, and my feet doubled in size. The good experience that came out of this was that the next time I was sick, I was really willing to try acupuncture and Korean traditional medicine. Also, I try not to suck down pills like candy. My feet are big enough already.


Unfortunately, I know this is not the end. Despite Hong Kong being more western than Korea and having more resources than Buenos Aires, I know it will happen again. You get sick, you fall down; drink your fluids, pick yourself up.

It's just different when you don't speak the language.

Friday, January 14, 2011

Away and Under the Weather: Part 2

My roommate completely lost her voice the other day and I got to take her to the doctor's office. That and some stern emails from family and friends have reminded me that I really need to write again. (Plus, who doesn't need free therapy now and again?!)

#3 They're coming to take you away...
I remember when I was younger and heard ambulance sirens, my dad always did the exact same thing. He would break out in a chorus of "They're coming to take you away! Ha ha, ho ho, hee, hee,..." Fortunately, that has never happened to me through the years. I have never been taken away to the hospital (or "funny farm") by ambulance and have never NEEDED such urgent care that I've had to be attended to by paramedics. But that may have happened in Buenos Aires...I'm not sure.

Back in 2005, the spring semester (fall for Argentina) of my Junior Year at Purdue, I studied abroad in Buenos Aires, Argentina! This is where I first got the itch to travel (despite the following two stories). I lived with a middle-aged couple, Norberto and Luisa, whom I loved. Luisa spoke three languages (none of them English) and Norberto only spoke Spanish (and a few English words that he would yell out on occasion when he thought of them like "jacket!" or "fifteen!"). So I was able to practice my Spanish a lot which, as it turned out, was worse than I thought. I had more than a few language barriers. This was also the first time I was learning how to be a foreigner! (I really hope I've gotten better at it.) And the thing you learn as a foreigner (and I've said this before) it's called culture SHOCK for a reason: you never know where and when cultural differences will strike.

My semester didn't end until July but Purdue's ended in May, so I was blessed to have my sister and one of my best friends come down to visit me! Unfortunately, I got sick during a few days of their two weeks there so I didn't go with them to visit Iguazu Falls up north. I had a sore throat with white dots and a sinus infection. This is not a life or death ailment. I broke out my "common sense" treatment that I learned from home and was going to get better so I could hang out with my sister and friend when they got back. I took some over-the-counter meds, drank lots of warm liquids and went home as soon as classes were done to take a nap at 4 or 5 in the afternoon. Pills, fluids, rest...right?

The problem with "common sense" is that when you leave your own country, YOUR "common sense" is not so common anymore. It becomes "foreign sense" and the locals will need to use THEIR "common sense" to help you. I got home and Luisa noticed I was not well. (Of course she noticed right away, I loved her, such a mom!) I had been there for a few months so I was able to stumble through an explanation of my symptoms and told her I was going to rest. She mentioned something about the doctor's but I told her I was too tired to go and that I would rest first and maybe go later if I was still sick. If this were happening to me NOW, I would know to go into a little more details about my American-style plans to get better. But I was tired and went to my room to pass out. And all Luisa heard me say was that I was too tired and sick to go to the doctor's office.

I woke up two hours later to Luisa knocking on my door followed by what looked like two EMTs rushing into my room with their emergency kit. I sat up a little too dumbstruck to speak in English, let alone Spanish, and they started to examine me. Out came scopes and flashlights, they lifted my shirt to check my lungs, asked me questions about my symptoms (most of this was answered by Luisa faster than I could comprehend the question), wrote something down on a prescription pad and then left.

Luisa was about halfway through describing how much it cost and what medicine I had to take when I burst into tears. Luisa stared at me absolutely confused as I tried to explain in sobbing Spanish that I wasn't dying and didn't understand why she called for an ambulance! (Of course, I hadn't actually seen an ambulance but I just assumed that one had shown up, sirens blaring, while I was sleeping.) It was common sense! You don't call for an emergency unless there is an ACTUAL emergency. When I was a kid, I was taught that you weren't supposed to call 911 unless you were dying, unconscious (or on your way), or at least had some your insides on the outside.

But no, my "foreign sense" was getting in the way. After lots of tears and slow Spanish (on both ends, thank you Luisa), I finally understood that paramedics had NOT been called for my sinus infection and sore throat. In Buenos Aires, there are private medically trained people (I still have no idea if they were doctors or nurses or something else) who make house calls. It took me a while to get this since my idea of a doctor who makes house calls only comes from the movies, as well as my idea of paramedics rushing in to give medical attention. Since there were two young people in jumpsuits and not an old man with a leather satchel, in my eyes I was about to get into trouble for dialing 911 with no actual emergency. So then I explained to Luisa why I was acting like a blubbering five-year-old and things started to get better.

There's no real moral to this story or lesson learned that I "won't do again". It's just one of those events that help make all future culture shocks a little less shocking.

#2 Left with a Temperature, Came Back with a Sling

It's always funny in cartoons when someone gets hurt because usually multiple things will happen at once. Homer hits himself in the eye with a hammer and then falls through the roof, probably landing on the only cactus in the house. It's less funny when it happens in real life and to you.

Bless her, I had the sweetest host-mom you could get. I was often sick in Buenos Aires and not always adjusting well being abroad for the first time. She always made sure I was ok and helped me with what I needed. So she was a little worried when I woke up to go on a weekend trip organized by my program with a fever. It was at 38 which didn't seem bad to me (I was told normal was 37). I was still getting used to Celsius and didn't realize that one degree put me up over 100 degrees Fahrenheit. Anyway, I really wanted to go on this trip, six hours out of the city, on a bus, to the country... We were going to stay in cabins in the woods, go horseback riding, biking, and see some rock that turns around on its own. I got on the bus kind of proud that I was going to just push through my little bug and not let it spoil my weekend.

On the bus, I started to realize that I wasn't really feeling better. We got to the campsite and settled into cabins with our friends. I probably looked about as good as I felt so it was recommended to me that I rest a bit once we got there. The rock doesn't even turn by itself anymore so I wasn't missing much. For the next activity, we had a choice of which day to participate. The group was big so half would ride bikes that day and horseback ride the next, and vice versa. I loved both but hadn't been horseback riding for about 10 years and was really excited about going again! I didn't want to let my illness spoil that one so I put it off until the next day and went biking. Spoiler alert: I didn't go horseback riding.

Thanks to an energetic and adventurous grandfather, I've been cycling long distance since I was 12. But I was always on roads, on a road bike, with tires so skinny that you had to be careful not to hit a pebble, let alone a pothole. The bikes we went on this time were mountain bikes. Big tires. I was a little wobbly at first, not used to it, but then I really got into it! It was fun to hit the bumps and climb over rocks. I had a lot of friends back in the Purdue cycling club that I watched for years do cool things on mountain bikes and I wanted to try a few! So when I got to the top of a hill, I wanted to fly down. And I did. Really.

I don't completely remember the sequence of events because it was a while ago and happened kind of fast. Basically, I told everyone to go ahead of me so I could go fast down without hitting anyone. (Safety first.) I hit a rock or a log, a hole, or any combination thereof; the handlebars made a sharp turn, the bike stopped, and I didn't. I remember sitting up and actually smiling (thank you adrenaline) while someone picked rocks out of my elbow and washed it off with their water bottle. Someone got a towel and then I was riding back to town in a truck with a make-shift sling.

Let me emphasize that I was going back to town, not city, town. It was six hours away from the big city; there was no hospital, just a local clinic. Fortunately, the director of the program, Andrea, was with me by now and had taken so much pity on me that I was allowed to speak to her in English. It wasn't until he was examining me that I even remembered that I had temperature. So he cleaned me up but really making me better took a little more work. Apparently, I had a temperature because I had an infection! (I can't remember if it was in my nose or my throat. Like I said, I was sick a LOT in Buenos Aires.) I needed antibiotics. First of all, the clinic didn't carry antibiotics so he had to write me a prescription. Second, when I got the prescription filled across town (just a few stores down), it was not a bottle of pills but something taped in Styrofoam. Andrea explained that we had to take it back to the clinic so the doctor could give me the antibiotics. Yep, penicillin shot in the ass, after which Andrea had to help me pull my pants back up since I only had one working arm. It wasn't one of my high moments as a study abroad student or representative of my country. He told me to rest when I got back to the cabins. So that took care of the illness, on to the injury!

Fortunately, I didn't break anything in my arm, but I injured a tendon and it needed to be help up for a week or so. The other thing the clinic didn't have was slings! The doctor cleaned me up then pointed down the road to a clothes shop that sold "paƱuelos" (a giant handkerchief that acted as a scarf, very popular in Argentinean fashion) and told me to buy one so I could make a sling.

When I saw my friends again, the adrenaline had worn off, the fever had kicked in, and I was wearing a hot pink sling. I barely sampled some amazing campfire wine that night then went to bed. The next day when I should have been horseback riding, I was sleeping off my fever alone in the cabin. It was cold but I kept having to open the windows due to hot flashes and from being so sick that I actually smelled.

After a 6 hour bus ride home (I felt bad for anyone sitting near me), I went home to see Luisa's, "My poor daughter, what will we do with you?" expression and then went to bed. I wore the sling for a week and nursed a bruise that covered half my left thigh. I still have a scar on my elbow and my right arm doesn't extend completely anymore.

And yet, knowing what I know now, I still would have gotten on the bus.


The final one is coming! I promise not to put it off for as long as I did this one. Then maybe I'll actually write something current!