Thursday, October 06, 2005 6:35 AM
by
will
Imagethief Tries Medical Tourism
Imagethief's feeble and poorly filtered mind is easily preyed upon by
media hypesters. That's why I have been obsessed with bird flu,
recently, as the volume of coverage in the major media has risen to
near-hysterical proportions. A media aphorism suggests one should
almost never worry about what is in the news. It's what's not in the
news that you should be concerned with.
Unfortunately, like most human beings, my mind is not wired that way.
That's why, after a near six-month winding up by media-stoked visions
of a global, apocalyptic plague, I have been reduced to a constant
state of gibbering, deranged terror. I am incapable of walking past a
Kentucky Fried Chicken outlet. I get chills when I see a JEEP Eagle.
While in Singapore, I've been running around the lawn of my in-laws'
apartment building with a broom, shooing away the mynah birds while
cackling, "Begone you murdering bastards!" Fortunately, since I am from
San Francisco, no one thinks this behavior is particularly weird.
Facing the prospect of a long and potentially mortal Beijing winter, I
have been doing everything possible to stack the medical deck in my
favor. I am not a fan of the medical facilities in Beijing, which tend
to be either uncomfortably local or uncomfortably expensive. So, while
I was in Singapore, I thought I might avail myself of the excellent
local medical facilities, where, the availability of English-speaking
staff at a moderate price is a big plus.
Among the services that I availed myself of were a fully health
screening that involved a blood draw and the home collection of various
excreta (use your imagination), five vaccinations and a fertility
examination. This was the most concentrated set of medical services
that I've had since a nasty cancer scare a few years ago, which
fortunately turned up nothing more sinister than a mild blood-sugar
problem solved by the shedding of some excess poundage.
The vaccinations included a tetanus booster (nine years since the last one), typhoid (also
expired), pneumococcus (normally just for old people, but not a bad
idea in potentially pandemic-flu-ridden winter Beijing), meningococcus
(they ran out in Beijing during a recent outbreak, the nurse said, but perhaps it was just a good upsell), and the
bread-and-butter 2005/2006 common-or-garden flu shot (so you'll know to
panic when flu symptoms set in because it will actually be bird flu).
The shots themselves were near painless thanks, I presume, to the
fine Becton Dickinson "Precision Glide" needles (disclosure: not a
client). Nevertheless, I'd have to say that the sensation of the
needles sinking into
my shoulder muscles didn't evoke gliding, so much as stabbing. I
guess "Precision Stab" wouldn't have gone down well
with the marketing department. Or it's reserved for cardiac needles. I
suppose I should be thankful for the fine gauge of the needles. The day
before, a former Singapore Army medic had
explained to me how he used to use eighteen-gauge needles to administer
fluids to people who were bleeding severely. Having seen an
eighteen-gauge needle in the pharmacy, I can tell you that it would be
not unlike having a sharpened, stainless steel Dixie Straw rammed into
your veins.
That evening a creeping
soreness settled into both shoulders. By the following morning I was
mildly feverish and my shoulders were on fire as my overtaxed immune
system struggled to come up with the goods for all these new pathogens.
My right shoulder, in particular, ceased to function as the
entire middle deltoid became tender to the touch, and little inflamed
lines of sensitivity radiated out in all directions. I had terrible
visions of flesh eating bacteria and wondered if I could learn to live
happily with
just a left arm. The worst thing was that for two days I couldn't sleep
on my right side. This was a bear, because although I have manly,
robust and
well-immunized shoulders, I have the sinuses of a giraffe with hay
fever. I often switch sides during the night to breathe clearly. So my
experiment in improved health began with two miserable, feverish,
sleepless nights. I might as well have got the flu.
But the weirdest part of the week's medical adventures came when we
went to the fertility clinic. My wife and I are attempting to get
pregnant. Or, rather, she is attempting to get pregnant and I am doing
my best to facilitate this. After nearly a year of no results, we
decided that, as one of our medical errands, it might be good to get a
quick fertility examination. You probably don't need to guess too hard
what that entailed for me.
In my entire medical history, there have been two cases when I have
been attended to by hot looking medical professionals (dental
assistants don't count), and both of them
were at bad times. One was the gorgeous medical student who did my
hernia repair a few years ago. "Hi," she said. "I'm Natalie and I'm
going to be doing your hernia today. We'll begin by shaving your pubic
hair..." I really didn't need any anesthetic after that because I was
numb from embarrassment. The nurse at the fertility clinic was
similarly
poorly placed. It's not that I reject the idea of a pretty nurse, or
that I --a happily married man with my wife sitting in the waiting
room-- was going to hit on her. It's simply male pride. There is no way
on earth to be suave as the nurse hands you the specimen jar, directs
you to the bathroom and asks, sweetly, "Do you need some magazines?" I
declined the magazines because I just couldn't keep my composure while
this pretty, dimpled, exotic looking girl handed me a big pile of "Jizz
Monthly" or whatever. (The fertility clinic may be the only place in
Singapore where you can legally get your hands on smut.) All
things considered I'd have been happier with some battleaxe. It would
have a been somehow more gratifying to be able to perform on demand for
such a
person. "Hah! Gimme that jar, face ache. I don't need your stinking
magazines!"
But the most difficult thing about the entire process was the basic
mechanics. I rapidly realized that trying to get Little Imagethief and
a small plastic flask lined up in a spill proof arrangement conducive
to successful completion of, um, "the process" was far more difficult
than I had imagined. I would hardly describe the result as comfortable
or arousing by any standard definition of those words. Catheterization
would have been a better bet. Frankly, it's a good thing that no
magazines were involved because that would have required one more hand
than was available for this exercise.
By the way, in case you are wondering, the fertility examination was
before the vaccinations. Otherwise there is a very good chance that
would have simply come out of the private room with an empty flask and
a throbbing shoulder and said, "I'll come back tomorrow. Please don't
tell the doctor about this."