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1.22.2008 Doctors or pill pushers??? What's up Taiwan?


I love Taiwan. I really don't like to write to dump on Taiwan. After a couple days of knowing me most Taiwanese people will say to me "You really love Taiwan don't you?! More than most Taiwanese people I think". And I do, I love Taiwan... but there are some things I find too crazy, to the point of not being funny anymore.



I wrote before about my tearful ear doctor appointment that resulted in a fist full of pills for an ear infection. Well this time around I had a sore throat. I was given 7 pills. Count the shadows: 1, 2, 3, 4, 5, 6, 7 pills for A SORE THROAT. Even WITH a Taiwanese boyfriend, who can translate, my medical experiences in Taiwan have been extremely frustrating... one life threatening. I feel like the doctor makes the diagnosis that they want as soon as they see your file (which includes your name and ID number) and then they stick to it. Even before you even sit down to talk to them they've decided how they will treat you.

Last month Han and I were goofing around on the stairs and I started to run away from him with one of my arms full with a coat, my purse, etc. I didn't manage to run for long before I was lunging hand first into a stair that my foot should have been landing on. I landed with all my weight on my hand against the stair in a policeman "STOP" hand motion. After killer pain for about a week we decided to go to the hospital. Even with Han translating the doctor still didn't seem to get until after he diagnosed me that the accident had happened over a week ago, not THAT night. I kept telling him it had happened a week or two ago and he kept telling me the first few days of a accident were called the "acute" phase and I was still in the acute phase. I KNEW my bones weren't broken but I was concerned about ligament damage from what I'd read online and if the doctor had spent more time to find out what happened the x-ray would've probably been completely unnecessary.

Having medicine allergies does not help things. I have a note clearly written in Chinese that I'm allergic to penicillin. I have a boyfriend who can clearly translate that I am allergic to penicillin and even the Chinese word for penicillin sounds like a phonetic translation for penicillin. About a year and a half ago I had a long argument with a doctor who had only known me about 15 minutes that I had such an allergy. His argument was that it is rare. So even after at least 6 times of me repeating no, I really am allergic to penicillin he gave me some form of it and the next morning I woke up like this: (disclaimer: not at all pretty I can't even believe I'm posting it). This is with my eye fully "open".

If being given medicine you are allergic to isn't scary enough (LIFE THREATENING!!!) the absolute abuse of antibiotics in Taiwan frightens me. Co-workers and I have had the same experience of being given only 3 days worth of antibiotics, every time. This goes against everything I know about antibiotics. Some should only be taken for 3 days (bladder infections) but the majority need to be taken for a week+ without interrupting even if you feel better. Three days is usually the point where you start to feel better. Not the time to jump off the antibiotics so that you can create super germs!!

A couple of years ago I had a student who had been on antibiotics for 4 months. FOUR MONTHS!!!! And he was sick *ALL* the time. I look at Taiwan as being advanced, how is it possible for medicine to be so backwards? I don't even like to get the flu shot because I want my body to develop it's own antibodies but unfortunately in Taiwan when I get sick, I GET SICK. For weeks. So I've caved. I take medicine now.

Like my handful of 7 pills for a sore throat. I had a conversation with a Taiwanese co-worker today and asked her isn't this a little nuts??? My blunt and honest boss said in passing "it's so doctors can make money from the pharmaceutical companies". Scary. Medicine is cheap in Taiwan, not that I really have a good gage being Canadian, but I know Americans glow about how cheap medical care and medicine is here.... but doctor's will still dope us out for more money? My ex-roommate told me no matter what was ailing him his doctors always added Valium to his prescription. Valium, which you can also just walk into a pharmacy and buy without a prescription in Taiwan. Wasn't that considered a date rape drug at one point?

I asked my co-worker "why???? why so many pills???". She explained that usually the doctors will give extra medicine to counteract what the medicine for your problem is doing to your stomach. Ok well that explains two pills. The one for my throat and my stomach... how about the other 5?!?!? She said if I didn't like it I just shouldn't take them all, but I have no idea what any of them are for and which is which.

So I'm going to finish off my day and a half worth of drugs tonight. I was staggering and swaying around with eyes about 50% too wide today, I'm surprised to police who are always on the corner didn't stop me. I have this bad dream now that by posting this I'm going to get blacklisted from all the doctors like that Seinfeld episode. So Taiwan what are your medical stories?




posted by cat @ 1/22/2008 11:46:00 PM 8 comments  | 
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8 comments:

I don't know whether your story or this one about how prescription drugs are possibly the leading cause of death in the USA is more disturbing.

Cath, if you're going to go to a doctor, I urge you whole-heartedly run far, far away from the corrupt "modern medicine" industry - in Taiwan or elsewhere - and get a recommendation from a friend for a trusted traditional Chinese medicine practitioner for these kind of issues. I don't know what kind of insurance you have (if any), but if you go to a *licensed* practitioner, I understand that treatment such as herbs and acupuncture is even covered by the Bureau of National Health Insurance in Taiwan.

Also, please flush those pills you haven't taken yet. As I'm sure you're discovering, it's simply just not worth it.

And why the hell isn't Han telling you all this!?
 

At 1/23/2008 08:00:00 AM, Blogger cat said...
You would think that that would be the LOGICAL answer to the problem but when I've told my Taiwanese co-workers, including managers that I wanted to seek out Chinese medicine doctors so I wouldn't be pumped full of so many chemicals they laughed. It seems that Traditional Chinese medicine is as infused with chemicals now and the doctors are just as guilty with filling your pockets with pills or liquid medicine. Maybe someone who has been in Taiwan and has more insight into Chinese medicine can clarify but this is what all the Taiwanese have told me so far.

I've also been told a lot of time the hospitals and the Chinese medicine doctors will work hand in hand. If you have an accident or injury you go to the hospital to go get patched up and afterward they will direct you to a Chinese medicine doctor for rehabilitative services.

It is all covered under my medical insurance via my work visa and is CHEAP but it seems there is no escaping the chemicals.

So pretty much my rule of thumb is if it's an infection try not to mess around, get to a doctor. Otherwise fight it off.

Although I somehow made up a home remedy that gets rid of ear infections (which I was having chronically) and they haven't come back. Iodine in the ear + advil. Works in a few days. Amazing.
 

At one point, my eye was as swelled shut as yours. One morning, I woke up, to my horror, to be unable to open my eye and was intrigued by its puffiness.

I went to the optometrist and, after he poked my eye a few times and used a pen light on it, he gave me a cream and eye drops.

The second time I had an eye problem I had something resembling pink eye (so I was told). I was given two different eye drops, one to use every eight hours (and it felt great each time) and one to use when I needed to.

These were really my only two experiences with doctors, well, those and getting my left ear unclogged of ear wax (has formed beyond the point from which you can extract using a cotton swab). Anyway, I think I can recall them giving me some kind of ear drops, but beyond drops I had no experience with medicine personally.

My girlfriend, on the other hand, had a medical problem that she couldn't get rid of using western medicine, but which went away after using Chinese medicine (If you'd like to know her doctor, I can ask for you).

I went to two different optometrists during my stay in Taiwan: the first was in Danshui at Danshui Old Street (淡水老街), the second was in Zhonghe (中和市中山路3段196號...電話: (02)2225-1002)). The optometrist in the second one speaks English to an extent and another guy their also speaks English (as do, apparently, the nurses, or at least one of them).
 

@Corey -
Thanks for posting. Maybe your girlfriend's Chinese medicine doctor hasn't actually been corrupted! :)

@Cat -
Well, you know I'm not surprised. However, there's bound to be some good left in the world (and in Taipei), so to speak - it just appears you had to go outside your normal network to find it. And look! It already appears to be working. ^_^

Make sure to update us when you do find a good traditional Chinese medicine doctor in Taipei.
 

At 1/24/2008 11:26:00 AM, Blogger cat said...
Thanks Raf but I don't see anything in Corey's message that stated that his girlfriend WASN'T given chemical medicine.

His ear & eye situation were also distinctly different from mine. My ear was infected and my eye was directly related to a medicine allergy and as a result I was hooked up to an IV for a day and a half once I went to the hospital looking like that. An optometrist poked me too and said he could do nothing for me. It was a medicine allergy. My eyeball itself was swollen not just the lid.

Even Han's parents who've lived in Taipei their whole lives, and Han's dad who is a chemistry professor, say all the medicine now is full of chemicals.
 

Right, what I was saying about my own experiences, the places I listed, was that the doctors actually listened when we said something. Actually, it was like they were very intent on getting to the bottom of the problem with my help in "guiding" them (by symptom).

You're right, I don't know if they had chemicals in them or not, but the situation was rather serious...the Chinese medicine, regardless of how traditional it remained, did the job. :D

If I find anything more out about it, I'll let you know.

Oh, and I just spoke with a student from Zhanghua (Changhua) and she said that is probably depends on the area. Around Zhanghua, especially in the countryside, the people are really not into chemicals at all, so apparently a lot of it is pretty devoid of that stuff. Maybe try the outskirts of Taipei if "chemicals" aren't your deal.

Blue skies!
 

At 2/04/2008 12:43:00 PM, Blogger dj said...
I've seen kids getting so many pills while I teach. It's crazy. I rarely go to the doctor. I don't go when I have a fever. I know how to treat a fever. I'll go if things are getting bad.

The Taiwanese I know go to the doctor as soon as something is the matter. They have a slight fever and they visit their doctor.

The only time I have gone to see a doctor in Taiwan was for my health checks required by my ARC.
 

At 2/27/2008 09:14:00 AM, Anonymous Fili said...
Damn. I had that exact same thing with penicillin. Life threatening indeed.

You're right, in general, and it surprises me as most of the doctors I met so far (who speak good English) were trained in the west and know that those 7 pills a visit strategy makes absolutely no sense.

Which is why it's important to Internet search every pill that you get, and get a second opinion on the more serious diagnosis, either here or in your home country. Doctors are under alot of pressure to take the easy way out, and so it comes down to us to at least try to generally know what's going in our body.

:(
 

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