WARNING: THIS POST IS NOT FOR THE FAINT OF HEART OR WEAK OF STOMACH
Over the last year, I've had the opportunity to be in and out of Chinese hospitals multiple times, sometimes as the patient, and sometimes as the friend/PR specialist. My experience has taught me that NOTHING illuminates the differences between cultures like hospitalization, but that is a subject for a different post. The most pertinent differences are these:
- Americans don't go to the hospital unless they're absolutely falling apart. They try to solve the problem on their own via over-the counter drugs. A Chinese person will go to the hospital for an IV drip if they have a cold. Even if the illness is mild, they'll ask a doctor what to do. I've heard several Chinese doctors say that Americans are weak, fragile people, probably because they rarely see an American who is mildly sick.*
- American doctors explain procedures and medicines before doing or giving them to you. Chinese doctors expect you to trust their advice without many questions (like ingredients or side effects). Lower level doctors (there's a ranking system here) are easily offended if you ask too many questions.
- Because Americans only go to hospitals when they're really sick, doctors are gentle, testing pain tolerance by degrees. I have seen multiple Chinese doctors quickly and firmly jab or poke a sore/infected/aching friend right after the person said, 'It hurts here.'
Though my experience IN a Chinese hospital has often been unpleasant, the treatment is amazingly effective and incredibly fast. So when I started having trouble last week, I thought, "Well, try it the Chinese way and go to the hospital before it gets really bad."
[SPOILER ALERT - Involves pus]
I've alway had issues with my feet. It's one of my loveliest nuances. When I was about 10, I started having trouble with my toenails. My nurse mother and older sister went to task, and I learned how to soak my feet in scalding hot salt water, "As hot as you can stand it," my mom would say. There's this thing that comes over my mom and my sister when someone has something that needs to be poked, plucked, popped, scraped, or (heaven forbid) lanced. An impenetrable resolve settles in their face, and you know that no matter how much you avoid, plead, or flee, they will find you, the light of a single flame glinting in their eye as they sterilize The Needle of Astonishing Pain.
The problem with feet is that you stand on them every day. It took quite a while to heal and learn hygiene habit necessary for my picky feet. The pain was excruciating, even more so when it was time to clean and treat them. It was all I could do to refrain from kicking my mother in the face as she "released the pressure" in my infected toes and pus poured out.** I struggled to wrap my mind around how my mother could cause me so much pain, so she explained it to me.
"Emily, if you don't take care of it now, the nail will grow into the skin and I won't be able to fix it. We'll have to take you to the doctor, and do you know what he'll do? He'll cut the skin here, slice through the nail and pull it out. Do you want to have surgery and have the doctor cut through your sore toe?"
Typically, that speech was enough for me to plunge my foot in the scalding hot salt water or to let her finding lancing (shudder) and bandaging my foot.
Dearest mother, I took these lessons deep into my heart. Apparently.
My feet have been picky for the past few weeks. I pampered them for a while, then finally gave myself a saltwater pedicure, as hot as I could stand it. Then the pus made its debut, no lancing required. I wasn't sure if Neosporin was the answer to my toe-woes, and I have very little of it, so I decided to put on my Chinese hat and go to the doctor before it got bad.
The next day I called Nelly, a dearly beloved friend who was one of my students last year. She's a nursing student, so I knew I could count on her not to be squeamish. We trudged on down to the clinic on campus in search of a miracle Chinese toe-salve, while I reassured her that it was a small pain, and my feet weren't in danger of falling off. After a ten minute wait, I got to bare my stinky feet in front of about 15 people so I could should the doctor exactly where the pus was coming out.*** Instead of giving me medicine, the doctor decided to pull me aside to a private room so he could clean and bandage them himself.
He was a confident, unassuming man, and Nelly trusted him, so I had no problem as he glazed my big toes with long streams of iodine. I was chatting pleasantly with Nelly when the doctor turned around and pressed the blade of a short pair of scissors against the swollen skin of my infected toe. I jumped back immediately as all my childhood memories flooding back. 'Do you know what he'll do? He'll cut the skin here, slice through the nail and pull it out...'
The doctor looked surprised, pointed, said something and tried again. Knowing that Chinese doctors tend to work swiftly and painfully, I whirled around to Nelly pointed at the threatening blades and said "Why this??" in my very best, most direct Chinglish. She said, "The doctor says it's okay."
It's okay? WHAT is okay? There's no extra skin to trim! Do I get something for pain? Americans may be "weak" but pain killers are reasonable right now. I wasn't ready for this! I do not approve, nope nope, this is not okay, this is NOT okay, THIS IS NOT OKAY!!
Nelly: "He says he has to cut it."
Me: "The nail?"
Nelly: "Um, that part."
Me: "The skin, or the other part?"
Nelly: "He needs to cut it. It will be okay."
At that point, I had zero assurance that the man in front of me would not indeed clip the offending flesh off the end of my toe. Fear coursed through each vein as he buried the cold metal into the aching flesh and sliced off -- my toenail.
Every muscle in my body relaxed as I collapsed on top of my knee. Then I noticed the twinkle in the doctor's eye, but he was far too professional to laugh at the crazy foreigner who had a panic attack at the sight of toenail clippers. I, however, had no problem laughing at my own absurdity, as I explained to Nelly how my mother used to tell me that the doctor would cut out my toenail. When she translated what I said, the doctor smiled and spoke one sentence.
Me: "What did he say?"
Nelly: "He said, 'Your mother is a nurse.'"
Yes. Yes she is.
I have had a lot of adventure in Asia. I've been lost on the streets of Bangkok until midnight. I've slid down the side of a mountain, grabbing onto tree roots as my feet flip out over the side of a cliff. I've had to swim 45 minutes against a current to travel only 100 feet to a dock. I've been followed by strangers for several blocks. But hands down, no questions asked, beyond a shadow of a doubt I can say with 100% certainty that the MOST TERRIFYING experience I've ever had in Asia was getting my toenails clipped.
*Conversely, the Americans tend to think that Chinese people go to the hospital too easily. That makes Americans sound cold, but in real life, well, it's hard not to roll your eyes when a girl limps to the clinic propped up by two friends because she has cramps.
**Why my sister opted into this hot action, I will never know.
***Nothing teaches humility like Chinese hospitals.