Anastomosing

a stream consisting of a series of channels that wander, branch, and reconnect, creates a braided pattern, known as anastamosis

May 12, 2012
by Erin
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Unexpected Deviations and Hospital Bills

As some of you may know, I have recently been in and out of the hospital in Hanoi, tending a relatively deep wound on my left elbow.  My experience at the hospital reminded me of times I have been in the hospital in other countries, namely the US and France.  I figured, this could be an interesting way to explore my different experiences with different health care systems.

So begins my 3-part series on Hospitals:

Part 1: Stitches at Bryn Mawr Hosptial, Pennsylvania, USA

Part 2: Kidney Infection at the hospital in Grenoble, France

Part 3: Infected Elbow Wound in Vu Linh and Ha Noi, Vietnam

I encourage readers to share hospital stories, and scar stories, be they from home or abroad. Enjoy.

Part 1: Stitches at Bryn Mawr Hospital

I am a scar story junkie.  I can’t help it.  There’s something about having a physical remnant of such a vivid memory that makes me enjoy the cringe-inducing details even more.  I love swapping scar stories over a drink, because you never know which of your friends have been stabbed, or broken their pelvis skydiving, had major surgery, or cut themselves while trying to cut cheese using their leg as a cutting surface.  You can always learn a little bit about someone from their scars.

I’ve got quite a few scars on myself.  Most of my scars have come from me doing stupid stuff, like trying to flip off of tables on to beds, or to jump from one piece of furniture to the next while playing ‘the floor is lava.’  I’ve got a few boring scars as well.  This is the story of a parabolic-shaped scar on my right pinky.  The story itself is not too exciting because I hope that you will focus on my hospital experience instead.

 

It was August 3rd–the morning after a particularly long birthday celebration along the Lancaster Ave strip in Bryn Mawr, PA.  You know the drill: The Grog, then Erin Pub, then Maloney’s.  Having been the DD (aka. the responsible party) of the night before, I was up relatively early.  It was before noon, and all my friends were still asleep.  What to do?  I cleaned my room, tidied the living room, and began to tackle the pile of dishes on the kitchen counter.  I believe I was listening to the Talking Heads and scrubbing glasses.  I picked up the french press, grabbed the grubby sponge and stuck my hand inside.  As I wiped the sponge around the interior of the glass, I heard a pop and felt a little sting.  The glass had broken cleanly in two and effectively sliced off half of the skin on my pinky.  As my blood mixed with the dishsoap, I reached for the paper towels and clamped down on my finger, holding my hand above my head.  I was contemplating the drive to the hospital as my roommate Julie walked into the house.  Before she even had a chance to drop her things, we were back in her car driving the 3 minutes to the emergency room.

I walked into an empty emergency room, filled out some papers, talked to an admitting nurse and was directed to a room to wait for a doctor.  It was actually a very nice PA (physicians assistant) who tended to my wound.  She took a look at it, injected me with some topical anesthetic, cleaned the wound and stitched it right up with 5 sutures.  Much easier than the 99 stitches she once had to do for a chainsaw accident, ouch!, she said.

In and out in about 45 minutes,  I stopped by the outpatient services to give them my name and insurance information.  Later, I (my mom) was sent a bill for $1000.  They told me to come back in a week or so to cut out the stitches.  Hell no!  I thought.  I’ll do it myself when they’re ready to come out.  I don’t need to pay you a hundred dollars to operate a pair of scissors.

This is about the time in the story when anyone not from the US will open their eyes wide and drop their jaw, usually repeating the words ‘one thousand dollars?’  Yes, that’s no typo… $1000 dollars.  For 30 minutes of care and 5 stitches.  That is how much health care costs in the states.  Imagine what it would cost for a broken pelvis, or a stab wound… Maybe you’ve seen ‘Sicko,’ that Michael Moore documentary and thought, ‘there’s that crazy dude again, probably exaggerating and trying to stick it to the man.’  Not this time, though (well, not too too much).  We Americans are used to getting screwed by the health industry.  Ask around to your friends.  Behind many a scar story, there’s a hefty medical bill–or sometimes not, if they didn’t have health insurance and therefore couldn’t afford to go to the hospital.

It happens more than you think…

May 8, 2012
by Erin
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Living La Vie Vu Linh

About 200 kilometers outside the city of Hanoi lies Thac Ba Lake and the village of Vu Linh in the Yen Binh district.  This artificial lake is one of the largest lakes in Vietnam, and is also the site of the first hydroelectric plant in Vietnam.  The lake is dotted with islands and surrounded with small villages that are home to many of Vietnam’s ethnic minorities including Dao, Tay and Nung people, among others.  It is also home to an ecolodge called LaVieVuLinh (see website: http://www.lavievulinh.com).  LaVieVuLinh charges itself with maintaining a social and ecological balance with the villages and habitats around it, while acting as both a guesthouse and school.

The lodge overlooks a small, muddy beach in which local boys and visitors swim.  The girls seem to prefer to watch from underneath hats and umbrellas, which is good because they kept me company while I watched my friends splash about.  I was not able to swim due to an unfortunate injury (more on this later… unless you want to follow me on twitter to find out now).  The sun was unforgivingly, unrelentingly, unbearably hot–the lake felt like wading through bathwater.  The afternoons were slow and full of relaxation, the nights were starry and full of good company, and the sunsets in between were incredible.

My first full day at LaVieVuLinh coincided with a festival celebrating the 4th anniversary of their founding.  People from all over the  surrounding area came to participate in games and performances.  There was an ox-cart show, a foot-paddled-boat race, a tug-of-war, a traditional dance, and a game I’d never seen before in which players (all men) tried to throw projectiles (that were surprisingly similar to a toy I had as a kid: http://www.klutz.com/toys/Foxtail-Sport) trough three small hoops at the top of a tall (~8m?) bamboo pole.

After dinner, which was decent, but small, the day began to wind down.  Some guests carried on with a dance party late into the night.  I chose to crawl into my mosquito net, onto my floor-mattress-bed to fall asleep early to the sounds of the salsa music on the scratchy sound system downstairs.  I decided, if I come back to LaVieVuLinh again, I’ll avoid the festival weekend if I’m looking for a good night’s sleep.  And I’ll probably bring some snacks with me to tide me over between lunch and dinner.

Here are some sunset pics to round out the post:

April 24, 2012
by Erin
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it’s only April

and its already so hot!  I don’t know exactly what I was thinking when I moved to Vietnam.  I’ve never really been a fan of the heat.  And when I came to Hanoi, I was trying to escape the heat down south in Ho Chi Minh City.  And now they tell me that in the summer, Hanoi is actually hotter than HCMC.

What???  That is not fair.  Why???

Well, apparently there’s this thing called humidity.  Now, I thought that I was familiar with humidity.  But I was wrong.  The humidity in Hanoi is far beyond what I have ever experienced.  Often, the humidity tops 80 or even 90%.  It can be so humid that when you start to drive on your motorbike, it feels like it’s raining, which, in the winter was unpleasant, but now, it’s a bit refreshing.  It keeps you from getting too hot–until you get off the bike and the sweating begins.

I sweat as I get dressed in the morning.  I sweat while I teach.  I sweat while I sit and eat lunch.  I sweat at yoga.  I sweat while I shop for groceries.  I sweat while I wait for my bike to get fixed.  I sweat while I sit, reading in the park.  And that sweat does not evaporate.  Ever.  It collects and it pools in unpleasant places.  It makes me wish that I lived in a desert.

Needless to say, I’ve taken to showering 3 times a day: once when I wake up and roll (already sweaty) out of bed, once around lunchtime before I head to my second shift of teaching, and once when I get home.  Despite the cold water, I usually begin to sweat again as I towel off.  And it’s only APRIL!!

My Vietnamese co-workers keep laughing at me when I say that it’s hot.  ”It’s mild!” they say.  Oi Gioi Oi. What’s a girl to do?

When my contracts are up in June, I’m thinking Mongolia.  Or maybe Siberia.