Getting Meds in Taiwan

One of the things a western foreigner must adjust to when living in Taiwan is how the medical system works, specifically when it comes to doctor visits and getting prescription medication.

Walk-in clinics abound in Taiwan, as do both traditional Chinese and Western medicine pharmacies. In any major city one doesn't need to go too far to find either. The doctors (i.e. General/Family Practitioners) that work in these clinics usually speak a fairly good level of English (being highly educated folk), however, some doctors are not as reliable as others. Several years ago some American missionary friends of ours took their daughter to a doctor to see about getting a prescription for her allergies. The doctor prescribed a certain medication for her. Before giving it to her however, they decided to do some research on it on the internet. Turns out the medication in question was some kind of psychotropic drug. Needless to say they didn't have her take the drug.

That brings me to my first point - you can never be too sure what you are getting when a doctor prescribes medication for you in Taiwan! I know the doctors intentions are not in question, but they do not offer a whole lot of information as to what they are actually prescribing. The foreigner should always research the drug on the internet. Typically when a clinic dispenses medication, they put the pills in little packages (one package for each dose - see picture for reference). It is often difficult for the foreigner to know exactly what he/she is taking, as the package does not contain any drug information. You do get a receipt, which probably has the names of the drugs on it, but I have a hard enough time reading drug information in English, let alone Chinese.

Another interesting thing that doctors do here is that when prescribing antibiotics they only prescribe 3 days' worth. Now, everything I have learned in Canada about antibiotics is that you must take at least 7 to 10 days worth in order to be effective. This also prevents the bacteria from developing a resistance to the drug before it is completely eradicated. What the doctors here will tell you is to take 3 days' worth and then come back to see them to see if the drug is working. If it is, they will give you the remaining 5-7 days' worth. If not, they prescribe a different antibiotic for another 3 days. I guess there is some wisdom in that, but it does make for multiple trips to the clinic whereas in Canada they give you the whole 7-10 days' worth from the start.

The final thing I'll mention here is that in Taiwan you do not necessarily need (is that redundant?) a prescription to buy antibiotics in Taiwan. One can walk into a local pharmacy and ask for 250 mg. of erythromycin, for example, and walk out with it, no questions asked. You couldn't do that in Canada. This leads to the (perhaps ethical) question of whether an individual should "self medicate", but it can be convenient if you know for certain the antibiotic in question is the one that you need. Saves you one step in the process.

So, sick person beware, the medication game in Taiwan is different from what the westerner may be used to. Once you learn the system, though, you shouldn't run into too many problems.

Ah-Hong

A week ago I was still in the hospital recovering from knee surgery, but while I was there, I saw God do a greater work than just the fixing of my knee.

On the first morning after I had admitted myself into the hospital, I stood by the window enjoying the view from the 9th floor. From behind me to my left, I heard a somewhat weakened voice say "good morning" in Taiwanese. I looked over to see one of my hospital roommates. Ah-Hong, as I would soon learn his name, was laying in his bed glancing over at me. His father was sitting by his bedside, providing care for him.

Ah-Hong, 38, had already been in the hospital for 5 weeks. An injury left him with a brain hemorrhage that they were having difficulty controlling. Two surgeries had left him bed-ridden and weak, his body suffering the slow atrophy that comes with such a condition. The left side of his body was imobile, and though he was coherent, the constant pain he was experiencing him was obvious. I asked him if his head hurt at times. He said, "It always hurts".

Just before I was taken for surgery I had a chance to pray with Ah-Hong. I shared briefly with him about God, and Jesus, and that he could have peace through faith in Him. Later that afternoon a fellow missionary came by to visit me. He and a Taiwanese co-worker from a local church were able to talk with Ah-Hong and share with him more fully about Christ, and they then prayed with him as Ah-Hong said he wanted to trust in Jesus as his savior.

We rejoice in Ah-Hong's new spiritual birth, but it is difficult to see his physical suffering. Though never married, he has a 13 year old son. Ah-Hong's parents are raising him. He comes to see his dad in the hospital only on the weekends, as he is normally too busy with school during the week.

Physically, Ah-Hong does not have much hope. Before I left the hospital I talked and prayed with him again. I told him I wanted to come back and visit him soon, and asked how much longer he thought he might be here. "I'll probably be here till I die" was his answer.

We pray that Ah-Hong's faith would grow, for it is by faith that any of us receive the good things God has for us. We pray for healing as well. God may choose not to heal Ah-Hong's body, but God has given him the promise of something better. The hope of being whole again someday. And that gift is certainly worth rejoicing about.

Knee Surgery

My first post when I started this blog back in the spring was about a minor motorcycle accident I had had. That minor accident resulted in a minor knee injury, which was loath to heal, and so this past week, that minor injury required minor surgery.

I was admitted to the China Medical University Hospital last Thursday (Sept. 4). Although my expat insurance plan would cover me for a stay in a semi-private room, I decided to go with the standard ward room (4 patients). I figured it would give me a chance to get to know some people, and maybe encourage them during my stay.

Surgery was the next morning. Originally they were just going to insert a drainage tube to allow the bursa sac to heal properly, but my doctor suggested that they take out the bursa altogether. That would eliminate any recurrence of the problem. So, now I have a nice 5 inch incision running down the middle of my left knee. I go back next week to get the stitches out. I'm sure the scar will be a good one to pull out at parties in the future.

This was my first time to have surgery of any kind, although not my first hospital stay. I never realized before how recovering from surgery in a hospital room is a lot like an overseas flight. A lot of sitting in one position, having meals brought, reading books and magazines, and the occasional trip to the bathroom.

For most of my stay one of the beds in the room was empty, so I only had 2 other roommates. The fellow beside me (which I didn't see a lot of since the curtain was always drawn) was an 86 year old man that had some kind of surgery the same morning I had mine. He was quite hard of hearing so whenever his family or the nurses talked to them they had to practically yell. I learned a lot of new medical terms in Taiwanese however as a result.

The other fellow was a 38 year old man that was suffering from a persistent brain hemorrhage. He had already been in the hospital for 5 weeks, and there doesn't seem to be an end in sight (I'll post more about him in a few days). His 72 year old father was there with him around the clock to help provide care. The hospital system in Taiwan is different than in the West. Nurses only do the most basic of required care (dispensing medicine, inserting IV's, etc.). Family members of the patient are expected to do the rest, such as managing bed pans, giving sponge baths, providing meals. A small cot is provided beside each hospital bed for the caretaker's use. I had good friends in the mission that helped out with visits, bringing me food, etc., but I think my roommates were a little perplexed that I didn't have someone stay with me round the clock, as is their custom.

So now I am back home. The incision is healing well. I need to change the dressing on it every day. The doc says I should wait 4 weeks before I start to exercise on it. I'm glad the procedure is done and look forward to getting back to a regular exercise routine soon.

Something In The Air

Last week saw the start of "Ghost Month" (鬼月) here in Taiwan. It reminded me of late Fall harvest time back home in the farming community where I grew up. Why? I'll get to that in a moment.

Ghost month starts on the 15th day of the 7th month on the lunar calendar. The belief is that the ghosts/spirits from the "lower realm" are released and free to wander the earth for a month. Offerings of food and incense are therefore made on the first day of the month so as to appease the ghosts and keep them from doing mischief in one's house, family, or business. Of particular concern are the "hungry ghosts", or those spirits of the deceased that have left behind no relatives to make regular offerings and care for them in the next life. The Taiwanese also tend to avoid certain activities during this month, such as weddings, travel (other than necessary), or other significant ventures.

So why does this time remind me of harvest back home? Well, part of the offerings made to the ghosts include the burning of paper "money". The money is burned in wire cages or small burners/incinerators on the side of the street The amount each family burns is not that significant, but when you get the majority of Taiwan's population of 23 million people doing this all on the same day, it can wreak havoc with the air quality.

Back home, following the harvest, many farmers would burn off the straw swaths in the field. This would leave the air thick with the burning smell for a couple days. In Taiwan, due to heavy industry and traffic, the air quality isn't that great to begin with. So adding the smoke from hundreds of thousands of families burning ghost money on the same day puts and extra pall in the air; a similar smell to the post-harvest atmosphere back home.

I read in the news last week that the government of Taiwan was encouraging people, for the benefit of the environment, to offer flowers instead of burning incense and money. Whether that idea will catch on or not remains to be seen.

By the way, although offerings to ghosts are an ancient tradition among the Taiwanese and Chinese people, this hasn't stopped the progress of technology from having an impact on the practice. My Taiwanese teacher told me the other day that there is a website where people who are too busy or otherwise unable to prepare their own literal/physical offering tables can pay to have someone to it "virtually" for them online. Leave it to the Taiwanese to capitalize on a business opportunity when they see one!

Time To Switch Gears

Last week we participated in the annual TMF (Taiwan Missionary Fellowship) conference. It was a wonderful time of fellowship with other missionaries and being fed spiritually through the ministry of the Word by a couple of great Bible teachers from the USA. Last week was about receiving and being refreshed. This coming week will be a little different....

Once again I am teaching English to grade 5 and 6 Taiwanese kids at a school in Chingsui, a town just a half hour from Taichung (see my "Light In The Darkness" blog entry for more info on the town of Chingsui). God has really opened doors in several of the schools in and around Chingsui, and this year we again have the privilege of spending time with about 75 kids at each school. I will have about 25 kids in my class, a good size, but not unmanageable with some good help. Some believers from a local Taiwanese church will be helping with the English time, as well as with the Bible lesson and craft times.

I typically enjoy this kind of ministry, but it can take it out of you. The classrooms are not air-conditioned, and this is the hottest time of the year in Taiwan. I have two 40 minute class periods, and making learning English fun is always a challenge. But the rewards are considerable. It is fun to just spend time with these kids. A significant number come from broken homes and are yearning for love and affection. Most importantly, we have the chance to share the love of Jesus Christ with them in both word and deed. Our prayer is that the words of God's truth will take root in their hearts, and that He will draw many to Himself in the coming weeks.

Grief That Comes... and Goes

Anyone who has lost anything important (which is probably 99.9% of the human race) knows the grief that comes with that loss. Even long after the initial loss and grieving process, certain events and reminders can trigger the pain all over again.

At the end of December, 1993, our first child, Erin, was born. We knew beforehand that she would be born with Down Syndrome, and so even before she arrived in our arms, we had already started to work through some of the grief that came along with that. For every parent who has a "special child", that grief comes from the loss of much of what you had hoped the child would be and could become. Erin's arrival changed our lives in many other ways, other things that we had to give up (willingly or unwillingly), that in turn compounded grief upon grief. At the same time, we wanted to remember that this life was a gift from God, and in the midst of processing the grief, we chose to celebrate, and invited others to celebrate with us the joy of being new parents. Indeed, over the past 14 years, it is the celebration of Erin's life and what she is that has eased the pain of what she is not. However, like a bad weed that can never be fully eradicated, that pain surfaces from time to time, threatening to further excoriate the wound.

This past week was just such a time for me. The international school that our younger two children attend closed off the academic year this past week. On the second last day of school, the middle school held a special event for all those who are "graduating" from Grade 8 and will be going into high school this fall. As I was leading Erin out of the grade 2 art class that she participates in, I saw all the grade 8 gals dressed in their best, make-up on, and prepared for the event. Proud parents were there taking pictures. It suddenly hit me - this would be the class Erin would be in! If she didn't have Down Syndrome, she would be dressed up and having her picture taken with the rest of her classmates. If she didn't have Down Syndrome, my wife and I would be there with the other parents of all the grade 8 students, laughing and celebrating with them in our children's accomplishments. If Erin didn't have Down Syndrome, she could be building the memories of partying with her friends at this special time. If Erin didn't have Down Syndrome......!

The grief lasted for a few days, and then subsided. Till today. I was looking at an album of a facebook friend from the school, and saw the pictures of the grade 8 class. The boys, the girls, and then the whole class together. The pictures were beautiful, but all I could see was that Erin wasn't in them. And so I go through one more cycle of grief.....

I am sincerely happy for all our friends who have children in the Morrison middle school graduating class this year. We celebrate with them in the accomplishments of their kids, and we hope and pray for the best for each of them. At the same time, I choose to once again, celebrate in Erin's life. It is a very different life, but it is also a life of joy, sometimes mixed with pain. As is every life. In the meantime, I ride out the alternating waves of grief and gratitude, knowing that in a special way, because of Erin, this will forever be a part of my life.

Remembering A Great Canadian Legend

Tomorrow (June 2) marks the 25th anniversary of the death of Stan Rogers. It is still hard to believe he was only 33 when he died.

For you non-Canucks and otherwise nescient beings of the greats of folk music, Stan Rogers was (and continues to be) one of the greatest music artists Canada has produced in the last Century. His deep, rich voice and notable talent in song-writing left a indelible mark on the music and folk culture of the country. Music in general has been called the language of the soul. If that's true, then Stan's music spoke with a fluency and artistry uncommon among those who practice the craft.

The first song I ever heard by Stan was "Northwest Passage". I heard it on CBC radio as I was painting my parents' house one summer. Before the song was even half done I knew I was hooked. That voice was so captivating, so rich, so compelling. Anyone who's acquainted with his music can insert whatever adjective they want here: ___________ .

Since then I have purchased all of Stan's albums, including the most recent "From Coffee House to Concert Hall", a collection of previously unreleased recordings. Thinking about the anniversary of his passing motivated me to put together a list of what I consider to be the 10 best Stan Rogers songs (no small task). If you're a Stan Rogers fan, I'm sure you may take exception to some of my choices. Remember, this is my list. From all of the many Stan Rogers songs I enjoy, these are the ones that move me in a particularly special way. These are the songs that have either transported me to the place and time Stan was singing about, have made me cry at one time or another, or have otherwise touched my heart in a way that most other songs don't. So, in no particular order (to order the 10 would be impossible), here are my favorite Stan Rogers songs (you can click on each song title to link to a copy of its lyrics):

1. Northwest Passage - why not start with the one I've already mentioned? This a cappella song describes the history of explorers that sought passage through the Arctic Ocean to the Pacific. Stan weaves his own calling and urge to probe new territory with that of those early adventurers.

2. Lock Keeper - A song that contrasts the viewpoints between a man who manages the locks, preferring the security of  love and relationship at home to that of the sailor who is bound to the life of wandering at sea. The locks mentioned in the song are those of the St. Lawrence Seaway, including the Welland Canal in St. Catharines, Ontario, where my wife grew up. I have seen the ships moving through those locks. An impressive sight!!

3.  The Mary Ellen Carter - In the song, the Mary Ellen Carter was a ship that ran aground in a storm and sank, then was resurrected by those who refused to give her up for lost. The song is an allegory for those who are tempted to give up in the midst of life's struggles and setbacks.

4. Tiny Fish For Japan - a song about the Canadian east coast fishing industry falling on hard times, when the local fisherman could only catch smelt for canning and shipping to markets in Japan. One really feels the sense of loss and frustration in this song.

5. Witch of the Westmorland - The only song in this list that wasn't written by Stan Rogers (that credit goes to Archie Fisher), Stan nevertheless does a great interpretation of the majesty and mystery in the lyrics of this song.

6. Harris And The Mare - for some reason this song moves me deeply each time I listen to it. One of my all-time favorite SR songs. There is tragedy in this ballad of how a young man defends the honor of his wife, and one deeply senses the emotion in this song.

7. The Field Behind The Plow - though Stan was raised on Canada's east coast, the story is told of how he spent some time with farmers on the prairies, and within only a few days was able to write a song that captured the essence of what a farmer's life was like. I've worked on farms enough in Canada's "mid-west" to attest to the fact that Stan "nailed it" on this one.

8. The House of Orange - This was the last song ever written by Stan before his death in 1983. It is his only "political" song, decrying the violence of war, in this case, as it related to the tensions between the nationalist and unionist segments in Ireland.

9. Forty Five Years - A song that celebrates faithfulness and longevity in a monogamous marriage relationship (well, Stan puts it much more poetically than I).

10. Macdonnell On The Heights - Stan recounts the Battle of Queenston Heights (War of 1812) led by Major-General Isaac Brock. Residents of (and tourists to) Queenston, Ontario, are very familiar with "Brock's Monument", but are less acquainted with the name of John Macdonnell, Brock's aide-de-camp (camp assistant), who, after seeing the General fall in battle, led a charge up the hill to break through the American lines and gain victory for the British. Macdonnell also lost his life in the skirmish and his remains are interned at the monument with the General. Stan's song attempts (and succeeds) to give Macdonnell the memory he deserves.

Well, that's my list of my 10 favorite, though I would have to give special mention to songs like White Squall, Giant, Fogarty's Cove, Barrett's Privateers, and Song of the Candle. If you are a fan of Stan's music, what are some of your favorite songs? If you have never heard of Stan Rogers before, I hope this will help to introduce you to a talented "statesman" of Canadian folk music.