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Tuesday, 8 October 2013

The Evil Air Will Get You


I grew up in a house where taking two panadols would fix everything. My sister often joked that she could walk through the door having been hit by car, and as she offered her broken limbs to my mother she was sure my mother would answer with "take two panadols, you'll be fine". My mother was never quick to rush us off to the doctors. And I'm just the same.

Four children and thirteen years of travel has left me weary of consulting the international medical profession. Don't get me wrong, we have a fabulous clinic in Australia that is loaded with men and women I trust, but when it comes to the pot luck approach that our international healthcare has provided thus far - I'm a little over it.

I've seen that a visit to the doctor in some countries can be lethal, and that healthcare is not universal in its opinions and offerings. I think every expat has a horror story of a friend with a misdiagnosis, a missed signal, or a just plain straight out weird anecdote to tell.

It began early for me. On our arrival in Indonesia I was beset with the usual tummy bugs. On a visit to the clinic I was instructed to do the usual things, drink bottled water, yes, stay hydrated, okay, and of course don't lay under the fan because the evil air will enter your body. Okaaaaaaay.

In Malaysia a doctor told us she could offer a "simple and pain free birth." I was immediately interested. She was possibly in her sixties and I was sure that she was about to reveal an age old ritual that the west had somehow missed. Perhaps something involving a group of women and deep meditation with a rhythmic drum and secret incense. My thoughts were interrupted when she grabbed the closest pen and showed me where my cesarean scar would be, beginning at my belly button (?) and working its way down. The pain free component was the general anesthetic she planned to use. I looked over to G with what is commonly known as the save me look which I think she must have taken as my concern for G's welfare "You won't even need to be there" she smiled at him. A c-section circa 1967 if you will. I nodded politely, put my pants back on and ran towards the nearest exit.

Just recently a doctor told me to avoid climbing ladders, which had me completely baffled for a couple of days until I realized she meant stairs. It was sound advice for a bad back. Sure, I'd initially questioned the fact that she given me arthritis tablets and a weeks worth of antibiotics (everything in Qatar requires antibiotics), but maybe I was being unfair. So much is lost in translation. It's hard to have a bedside manner when you're both speaking a different language.

So yesterday I went back to see my ladder climbing friend with a new sense of respect. I showed her my hands and feet and before I could say another word she diagnosed me with with something I didn't quite understand. She was obviously in a rush. She began writing out a script and was just about to push the button for the next patient to come in. Having spent the morning with Dr Google and the well known institute of all things medical The Institute of Social Media, I was pretty sure I had Hand, Foot and Mouth. I felt the need to double check before she pushed me out the door.

"How do you know I don't have Hand, Foot and Mouth?"

"Because your mouth is empty"

"No, my mouth is not empty, my mouth has little white bumps all over it"

She rolled her eyes. "Show me"

It was then that she instructed me to go back and sit down, she moved back to her desk and started tapping away at the computer. A nurse came to take my blood pressure and gave a result that would, if correct, surely have had me clinically dead. In the meantime the ladder climber kept tapping away.

We all sat in silence.

Tap tap tap tap.

"Yes, you have Hand, Foot and Mouth".

She glanced down at my blood pressure reading and looked surprised.

"You need to get back on the bed, I need to check that again".

As I wandered past her desk and back to the bed I glanced over to her computer, you know what I'm going to tell you don't you.



Yep.

I thought about the big massive books that doctors once had in their offices. Was it any different? Searching for symptoms via a medical journal or searching via the web?

Who knows. One thing is for sure as I apply my calamine lotion and take another ibuprofen. Some medical is better than no medical.

It could be so much worse.


Have you got a story to tell? Best piece of advice from a doctor?

17 comments:

  1. There was the doctor who prescribed a throat gargle and when I went to get the prescription filled was told that the medicine had been banned in Australia for many years as it could cause death.
    I don't know if it's the same in Qatar but you can't go to the doctor in the UAE without coming home with a basketful of medicine - antibiotics, paracetamol, ibuprofen, nasal sprays, antihistamines, cough syrups, herbal throat drops, vitamins and this just for a head cold. You name it, they give it to you. My cupboard is full of unused, untouched medicines.

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  2. Can totally relate. I am sure you have mentioned the chaos that ensues when having a baby in a country where you do not speak the language well. My husband was most concerned that the anaesthatist did not speak English when we had our son in Germany but we got by with my rather rusty French... Complicated medical terms were not my forte though.
    One of the strange things we seem to encounter in Slovakia is an almost barrier for Doctors to understand is that I am the one that works full time and my husband is home with our 2 yo son. At his first proper check up the female Paed was very impressed that my husband stays home but then proceeded to direct every question regarding sleeping, eating, etc to me where upon I would just direct the question to my husband.... Oh well, at least we understood her and she was quite thorough.
    Luckily we have always had good care but we have to work to find the right carers :)

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  3. My favourite in Switzerland was "the Föhn"(literally translated - the hairdryer), a wind which blows from the south. Usually accompanied by tutting and head shaking "Es ist der Föhn" is delivered frequently as the cause of illness (it also makes people behave badly apparently).

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  4. I remember it taking 6 weeks for my boys to receive medical certificates to attend a British International School in Siberia. They each had to be cleared by a Surgeon, Dentist, Paediatrician, Dermatologist and my favourite was a Speech Therapist that spoke no English. Someone was definitely making a fortune of Expats. Hope you are better soon. S x

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  5. Ah, this didn't even happen in any foreign place: it was just in my 'own' place..: http://familiesmulders.blogspot.nl/2012/09/doctors.html

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  6. i so much emphatasize and relate to this, Kirsty.
    I just spent 5 weeks sick in a row, and went by 4 different doctors to finally be diagnosed with acute sinusitis and been given the correct antibiotics and therapy, so finally this week im resurrecting, i dont wish anymore to cut my head to stop the pain, im not anymore sneezing in barrels, coughing like a locomotive and feeling pains all over my gums and cheeks. I didnt know anything about the existence of the Trigeminal nerve and its typical pain before i sat on google for hours, nor did the dentist to which i went as first when i started to have this huge pain while keeping sneezing for an unusual long stretch of days, so he proposed that as my gums where fine and my teeth were fine the right solution to stop my pain was probably to take off the last molar tooth and put a fake one...i told him ill think about it and left.
    however im trying to learn polish and most of doctors speak a bit of english, i finally got the right diagnosis from a polish doctor born and raised in france, fluent in french and graduate in france, carrying on her profession as "general doctor" being able to evaluate the patient in its global condition, while the 3 med seen before (dentist, laryngologist, neurologist) were just locked in their narrow specialisation and not able to see the global of the symptoms, at least the way i was able to explain

    well in the end if i would have not been expat and i would have go to any doctor in a country where everybody is native of french or english or italian, i would be cured straight right: the remix of their poor English and my poor polish was the first main barrier to be cured like any other.

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  7. Oh you poor thing! My sister in law suffered from sinusitis and it was awful. You are amazing. Truly. Well done. xx

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  8. Exactly! I think therein lies the problem. Too many people making a quick buck. Contracts and proposals are written promising all sorts of services...

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  9. In Canada it's the "Chinooks" and in Perth it's the "Doctor" although in Perth the cool winds coming in are always a good thing (the chinook is a sinus altering migraine inducing nightmare).

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  10. It is EXACTLY the same here. Always Augmentin or Suprax and at least 2 weeks worth. I've been given things I've never heard of before. Special creams and scary bottles of antiseptic "wash". All of it goes straight to the back of the medicine cupboard. ha! too funny.

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  11. Best advice I ever had came from a health visitor. When my youngest was tiny she said, 'whenever you don't know what to do, make a cup of tea.' (I've drunk enough tea to fill the Atlantic over the years!)

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  12. When I was a teenager my periods were so weird a doctor offered to give me something to even them out. If I had know what he was offering was birth control pills...

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  13. I'm a medic and I often will do some research before I treat someone. The internet offers a more discreet means of doing that than a giant book. You hope that she was looking at a legitimate medical site and not wiki! Sounds like she was busy and needed a reminder to not rush around and push patients through.. which you gave her. Glad she sat down and re-evaluated.

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  14. the only amazing part is that i did not throw yet the polish exercise book into the fireplace in a moment of despair with their 7 cases of declinations multiplied by 3 genders and just to help you out changing again the plurals when its more than 5...

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  15. Oh, God yes. The real thing he would love to do though is be able to really swear well in the local language of where ever we are living. He really feels that if the other person does not understand you are swearing at them does it really count? Kind of like whether the tree falling in the woods without someone hearing really has fallen....
    He used to go slightly spare when the lovely Germans would croud him in the lift with a baby (in pram) only to be going in the opposite direction of the highly visible arrow showing which way the lift was going... and then not moving out of the way when it went in the dirction it clearly indicated it should be (to the floor) where my husband needed to get out... Sounds petty but it really did drive both of us slightly nuts :)
    Hope you are feeling better and wine alwyas helps!

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