Arm Surgery Part 2

My surgery was scheduled for March 23rd. It could have been a bit sooner, but since I wanted to do an outpatient surgery I needed to have an early time slot. Early is, of course, relative. In the States I have had early surgery times that required a 7am arrival time. Here early meant a 9am arrival time. This was a bit trying because I had to fast from midnight the night before, and we usually get up around 5:30am. I was SO hungry and thirsty! And, unfortunately, the surgeon was a bit delayed. So I didn't end up going up to the operating room until almost 11:30. In the meantime, I was prepped by the nurse in the outpatient ward. In Korea hospital-wear is pants and a shirt! Definitely an improvement over the standard hospital gown in the U.S. 

I was hooked up to an IV and tested for an antibiotic allergy. Since I was fine, I was given a prophylactic antibiotic in my IV along with the usual bag of fluids. My sister-in-law's parents, Jackie and Steve, kindly agreed to meet me at the hospital and drive me home afterwards. Jackie was a nurse in the U.S., so she was super helpful to have around to help with communication. However, we were having such a good time chatting while we waited for the surgery that the nurse kicked her out. We were, apparently, being too loud. Fortunately, my turn came soon afterwards. I wasn't given any other medications before going to the operating room and I actually had to walk up there myself with the orderly. The only thing he did was show me the way. I was responsible for my own IV pole which was super surprising!

In the OR I was put on a gurney and given a warm sheet. Two nurses spent some time trying to figure out if I was allergic to any medications, and I finally had to write them down myself once I figured out what they were saying. Then they moved me into the lobby of the operating room, and left me near the entryway of the recovery room. I waited by myself for about 20 minutes and watched patients being wheeled into and out of that room. At one point I tried to sit up because I was super uncomfortable laying on the hard bed. Then someone came over to tell me that was dangerous, and that person stayed with me for the rest of the time. I was then wheeled into the operating room. On the way we passed several other operating rooms with large windows in the doors. I didn't really want to see what was going on inside, but I didn't have much choice!

I got a really good look at my operating room, because unlike in the States I was left wide awake while they did a bunch of preparations. When they finally did try to put me to sleep I had trouble inhaling the gas through the mask. I was pretty anxious at that point and couldn't breathe deeply enough to make it work. So they put something into my IV and that was that. 

Unfortunately, the philosophy behind pain management in Korea post-surgery is to give the least possible pain medication. (I've asked around, Koreans don't understand this policy either!) Since I don't get as much relief as expected from those kinds of medications anyway (a genetic thing) I was in pretty bad shape. After a double dose of what they had (I found out later all it was was liquid Tramadol- not very effective for me  in the best of times) I was sent down to the outpatient ward. I still wan't doing very well and the nurse who was transferring me from one bed to the next actually hit me on the back several times when I was having trouble moving myself. I didn't understand that at all! Jackie was allowed to come sit with me at that point and I begged her to get them to give me something else for the pain. She managed to talk them into it even though they objected, and I was given yet another dose of Tramadol. Ridiculous.

After a couple of hours I was allowed to drink some water. Shortly after that the surgeon came to see me. He was really happy with the results and so excited about it that he whipped out his phone and showed me pictures he had taken mid-surgery! I normally don't mind seeing things like that, but something about it being the insides of your own body and also the leftover nausea from the medications made it a bit hard to look at. He said he had given me some prescriptions and he would see me in two days. Jackie went to pay the bill and pick up my prescriptions from the hospital pharmacy. She also got me a yummy mango yogurt smoothie from the hospital coffee shop. Then she helped get me dressed, put a face mask on me, and we were on our way home.

Imagine my surprise when I got home and found out I was given, no exaggeration, TEN prescription medications to take at home! Most of them were pain-related medications, although two were for "digestion". I couldn't believe it. Why in the world did they withhold so much in the hospital and then give me such an excessive amount when I left? I was, however, much more comfortable once I got some of those medicines in me. My husband made me some scrambled eggs for dinner and I was off to bed. 

Although it was not a pleasant experience in the least, I am grateful that I was able to have the surgery. I wasn't functioning well at all beforehand, and the surgeon fixed several issues that I had dealt with for a long time. On top of that, if I had been in the States at this time I wouldn't have been able to have the procedure done because of the Corona virus. Korea didn't need to put off non-urgent procedures because they had done so well keeping on top of things before people got to the hospital. There was no worry that hospitals would be over-crowded. 

So much of this experience was different than I was used to, but I am not sure whether it is because of the social medicine or because of cultural differences. It's probably a bit of each. I am very interested moving forward to see how they deal with rehabilitation after surgery. So far I am just supposed to keep taking my medicine and not do too much!

Stories from my Filipino Housekeeper

Since sometime in October we have had a housekeeper come once every two weeks to do some of the heavier household chores. I met her at the grocery store on base because she liked the flowers I had picked out and started to chat. Her name is Rose and she is married to an American contractor. Her English is very good, although not quite fluent. Not for lack of trying, however. Rose is extremely talkative. Although she usually works only for about three hours, I'm always exhausted by the time she leaves! Since she's been coming here I have learned a lot about Filipino families and way of life, about being married to a black American man, and about her previous adventures before getting married. Here are some of the random things she has told me:

Just before Rose was born the current baby of the family (a boy) died of an illness. Rose's mother was very disappointed that she turned out to be a girl and decided to give her away to some friends. For her first seven years of life Rose was raised by two sisters and their brother. By the time Rose was old enough for school her mother decided to take her back and send her to school. It seems that Rose and her mother never did have a great relationship, which is understandable. However, Rose is grateful that her mother sent her to school. And family loyalty meant that when her mother got sick Rose paid for the treatments. That's why she took up housekeeping here even though she doesn't need to work. She wanted to pay for her mother's dialysis treatments back in the Philippines.

Her mother passed away a couple of months ago, so now Rose is continuing to work to help pay for her sister's son's upbringing, since his father won't claim him. The parents are not married and actually the father is married to someone else. Rose thinks that the father will eventually claim her nephew as his son because his other children are all girls. The father will need a son to pass his property on to since it doesn't seem that girls inherit.

Rose is careful never to criticize me openly, but she does leave strong hints that I am not nearly strict enough with my son. When she was growing up it seems that beatings were regularly given in her household. There was even an incident when one of her older sisters sneaked out of the house and all of the other seven siblings were beaten for not stopping her. Rose seems ambivalent about these beatings. She thinks her father had every right to give them, although of course she did not like it. She has stopped short of recommending that I do the same and seems to be unsure whether it really is the best way to treat children. She doesn't have any children of her own, so she hasn't had to make the choice for herself. But she likes to tell Simon that if he behaved the way he does in her father's house he would never do it twice! (Since her accent is rather strong I think Simon hasn't really understood her, thankfully)

When Rose was 21 she decided to leave the Philippines and work abroad. Although this is a very common thing for young Filipinos to do, at least one of her (American) uncles tried to discourage this plan, worrying about her safety. If you ever meet Rose you will understand why this would never actually be a concern. Rose is extremely strong, practical, and capable of defending herself!

One of the first places she worked was in Saudi Arabia. She was employed by a company that provided housekeepers to Saudi families and businesses. I am not totally clear about the timeline, but I think the first place she worked was in a private household. Everything went fine for a while until the husband of the house took a fancy to her. She did her best to avoid him, but one day she caught him in a compromising state while ogling her. She left the house, went directly to her employer and told them she needed to leave. Thankfully they agreed and she went back to pack her things. She informed the wife that she was leaving and the wife begged her to stay and even started unpacking her suitcase. Rose was having none of it. She told the wife exactly what her husband had done, grabbed her stuff, and walked straight out the door.

At another point Rose worked in a kind of orphanage in Saudi Arabia. She said most of the kids there were not actually orphans but were illegitimate children. When I expressed some concern for the children being left in an orphanage she did not understand. Where else would they go? Obviously the parents could not keep a child in such a situation (obviously...)

Another employer Rose had in Saudi Arabia wanted to marry her. She would have been either the second or third wife of this man. She did seriously consider marrying him and even converted from Catholicism to Islam in preparation. For some reason, however, this plan fell through, and Rose returned to the Philippines. When her father found out she had converted he put his foot down. He was NOT going to have a Muslim living in his house. So Rose prudently re-converted back to Catholicism.

Rose's education seems to have been somewhat less than adequate. Perhaps it emphasized English over other subjects. She also has no problem dealing with money and budgets, but seems to have never been taught anything about science. She was amazed one day when she saw white flowers in colored water on our counter. It had never occurred to her that this was how flowers sometimes had such unusual colors. Quite a revelation! She has little concept of medical issues and distrusts almost everything doctors do or say. She herself never takes any prescribed medication, although she does at least help her diabetic husband manage his blood sugar. And she made me some excellent ginger root tea when I had pneumonia.

Last week Rose spent a lot of time telling me that she doesn't think cancer exists. The doctors may say someone has cancer, but what's really happening is organ failure. Lung cancer? No such thing. It's just someone's lungs starting to fail. There's so much to be said against this idea I couldn't think where to begin so I just nodded and smiled. Needless to say, she does not seem to think much of my work in philosophy. I get the impression that she views it as a hobby of the rich and not worth anything in the long run.

Although I find her company exhausting, I am always very entertained by her. She is a loving and caring and loyal person, if a bit rough around the edges at times. She has done amazingly well with her life considering the many obstacles growing up in poverty has given her. And she is most definitely the strongest person I've ever met!