Stomach viruses are a GREAT way to lose those pesky five pounds. Seriously, they just melt the excess poundage right off.
Stomach viruses are NOT great for doing other important things like your job, walking around, maintaining social relations and otherwise existing. It's a tough call but as much as we'd all like to be five pounds lighter, corpse status just doesn't quite cut it.
Yes, that's been me for the last few days. I've had my fill of Chinese hospitals to last me for at least three years and hopefully now I've learned enough to keep myself out of them for awhile. It all started last week when I contracted some sort of a cold. I'd been getting stomach pains in the evenings for the last few days but nothing serious and my appetite wasn't affected at all so I didn't think much of it. The cold wasn't like normal colds, mainly centered in my chest. Now I'm not normally one to get sick but I get a little nervous when you start talking infection and pneumonia and so upon Weige's urging, I had a friend accompany me to the doctor. We went to the fourth hospital (hospitals are numbered, not sure if it's based on level of service/cleanliness or when they were built, my guess is cleanliness) and met with the afterhours ER doc. Fourth hospital is a traditional Chinese hospital meaning that payment for services rendered is a little different than hospitals in the states. Basically, if you have money and either you or someone you're with can walk, you're fine. If not, well, then you're in for a really uncomfortable ordeal. Chinese hospitals require you to pay upfront for all services rendered. Here's how a typical visit might look: (mind you, offices and windows are not necessarily right next to each other, nor are they always clearly marked)
Arrive at hospital, report to registration to get a record card
Go to cashier window, pay examination fee (usually around 5 kuai)
Go to examination area, receive doctor's request for tests
Go to cashier window and pay for tests
Go to lab, get tests done (may require another trip to cashier window to pay for test tubes, needles, supplies, etc.)
Wait wait wait
Pick up test results, take them to exam area to show the doctor
Receive doctor's recommendation for treatment, dispense of medicine, etc.
Go to pharmacy window to get charge ticket for the medication
Go to cashier window to pay for charge ticket
Return to pharmacy window with receipt and get medicine
So my trip to fourth hospital went something like this. In the Chinese defense, they were pretty efficient, so long as you're willing to do the walking. Turns out I just had a bad cold and they gave me some meds and sent me on my way. No biggie. That was Monday.
Depending on your affliction and how organized the hospital is, your trips to the cashier window could be even more numerous. Of course if you don't have money, you're SOL. A friend of mine recounted a story of a man who had broken his back and was sitting on a gurney in the middle of the waiting room screaming in pain and no one would help him...he had no money and his brother had gone home to get money from his relatives so they could pay the doctors. Until you can pay, there is no medical treatment. Very sad and potentially terrifying if you should happen to be on the lower end of the income bracket. I'm told insurance does exist here in various forms but it's still a very new concept and most people still rely on the cash system. I've heard stories of doctors studying medicine and wanting to open a practice but become so disillusioned and disgusted with the backwards dependence/expectation of money for service. Doctors are trained to heal, regardless of their patients financial status and for some, it's enough of an ethical dilemma for them to find other work. For the rest it is merely a fact of life here in China.
An observation in all of this: sickness is serious in the minds of many Chinese, particularly the older generation. Therefore when a family member or friend becomes ill, it becomes a family affair to accompany said patient to hospital. I thought it was just a student being silly when she asked me whether being accompanied by just one person was enough (of course it's enough, right?) Apparently it wasn't silly at all, in fact, many people seemed to have at least 3 or 4 people in attendance. Granted, these were much more serious cases than mine, but you can see the point.
Another observation: sanitation is not nearly as hypersensitive as in the US. To what end, I'm not sure, but I'll relay my experiences and let the doctors in the audience cringe. At fourth hospital, despite signs doscouraging the practice, I still observed several people spit on the floor (typical in China, although becoming less common, particularly after SARS) Unsure of the use of bleach to sanitize spaces (i.e. if at all) I try not to think too much about that one. Tongue depressor, made from a dark type of wood, pulled from ventilated metal box, used, then put in mug in (what I assumed to be) some sort of sterilizing solution. Urine tests: flimsy molded plastic cups, no cover. Nurse (gloveless) uses communal (read: unwashed between uses) baster (i can't remember the technical term, I call it a baster cause we use a big one on the turkey on thanksgiving) to transfer from cup to test tubes. Patient restrooms had no soap or towels (typical throughout China). Did notice sharps bins in various key locations. Of all my blood tests, no nurse has worn gloves. Not sure how the doctor handwashing thing works. It's a little scary, yes. But part of my coping strategy here is to realize that when it's different (i.e. less clean or to the standard that it might be expected in the US) I recall that it works for 1.6 billion Chinese people, they can't ALL be wrong and therefore, I can stand to be brave. Or something like that.
Tuesday, I taught in the morning, but was feeling really run down by the afternoon so I cancelled my grad class and went home. I ate at my favorite noodle place that evening for dinner and then went to bed. I was awoken by stomach pain, diarrohea and even a bout of what the Chinese call "sick up" (which I never do, so you know I was feeling icky) I could stand for very long that morning without feeling nauseated and exhausted and so I cancelled my classes for the day. And then I slept.
I had absolutely no appetite whatsoever and could hardly sit up without feeling puny. Weige, knowing I was sick and without any way of helping me was quite beside himself and threatened to call his friends up to come take me to the doctor if I didn't go myself. Thursday morning I woke up and was feeling a little better but still not great with no appetite so decided it was time to go to the hospital again. This time I called my contact from the office and within a half an hour, literally everyone from the dean on down to the cleaning staff in the office knew I was sick. They were all quite concerned.
Ariel and the Dean decided I should be taken to First Hospital (see note above about cleanliness) Events proceeded similar to previous hospital visit, but with more people and made slightly more tricky by my lightheadedness. Oh, and bigger needles. I hate needles. They ended up giving me an IV with some sort of medicine that supposedly would clear up the problem quickly. My first experience with an IV, which was apparently shocking to my Chinese counterpart as IVs are about as common in China as a doctor putting a tongue depressor in your mouth and making you say 'ah'. Whatever the case, I was wiped out afterwards so i came home and slept.
Woke up this morning, famished (yay!) and feeling quite a lot better. Taking it easy today as i'm not at 100% just yet, avoiding doing anything too straining (i really like just sleeping when I'm tired, resting, very peaceful) and hopefully going to knock this thing by the end of this weekend. All in all, an interesting experience, but one that I'm happy to not have to repeat again soon.
If anyone can tell me what they think I had or what they gave me, I'd be interested:
For about a week prior, experienced stomach pain in the evenings and after eating, most severe before bed. Diarrohea, upset stomach and threw up once. Following day was completely wiped out, couldn't sit up or stand without feeling nauseated. Absolutely NO appetite. Slept basically all day. Next day feeling less nauseated but still puny with no appetite. They gave me an IV of some sort of yellowish fluid which made me slightly nauseated, came home and slept. This morning have regained appetite and diarrohea and upset stomach seems to have ceased.
Blood work:
MID 17.9 (Normal 2-15%)
MCH 31.1 (2-31pg)
PDW 10.5 (15.5-18.1 10(GSD))
MPV 8.5 (9.4-12.5 fL)
Any diagnoses?