Monday, November 21, 2011

Our Prenatal Adventure in China: Part II


This is part II of a series.  Click here to read from the beginning.

My second attempt at a Ningbo prenatal visit was much more successful.  I took the train so I wouldn’t have to stress about catching the bus home – and scheduled my return train ticket for well into the evening.  When I arrived at the hospital, I called the VIP clinic to alert them to my arrival and was asked which entrance I was at.  I had no idea.  The only Chinese character I could recognize was mén, which just means door!  It seemed to be the most non-emergency main entrance though, so I was quickly found.  To be honest, it would have been a lot simpler had they just told me to go to the 5th floor and follow the signs that say “special requirement clinic” – their Chinglish for VIP Clinic, which was literally 15 feet from where I was last time.

Instead of having to do the registration process myself this time, a nurse from the VIP clinic does it for me – for $10.  That $10 then gives me the VIP status that bumps me to the front of every line.  From my last failed visit, I already had my Ningbo Universal Outpatient Case History book and card.  Medical records in this city are electronic, carried by you on your card.  Any hospital in China can access my records were I to drop in.  For all China lacks on, this is quite advanced compared to the U.S. system!  Anyway, the nurse who took my card to register me came back a bit confused – “Is your name Hui Li?”  Why yes, it is.  At least at your hospital! 

The one nurse, who spoke exceptional English and is also from Sanmen, then took me over to the maternal clinic to the next room.  Since I was a VIP, I didn’t need to wait for my number to be called this time.  We walked right in and sat in a room with three other patients.  The woman at the desk took my card, had the nurse translate some questions (e.g. When was your last period? Have you ever had a baby before?  Was it a vaginal delivery?  How old is that baby?) and she entered stuff into the system.  The woman at the computer than scratched some notes into my medical book, swiped my card to record the information she had entered into the computer, and we were on our way.  It was only after we left that the nurse told me I had just met with the doctor.  “What?  The woman at the computer was the doctor?”  Yeah, not quite the U.S. for sure!  Apparently during that brief meeting with the doctor though, she had ordered several blood tests, a urine test, and an ultrasound for me. 

Next, we went down to the second floor and wound our way through a mass of pregnant women standing in a narrow hallway.  When we reached the door, the nurse peaked in and asked if we could come in.  We were ushered right in and I was now the next patient in line for my ultrasound.  Having always been a person who follows the rules and never cuts lines, I must say I felt really guilty for jumping in front of all of those other women waiting in a hot, narrow hallway.  However, without my VIP status I would have to go to Shanghai since there was no way for me to navigate this system without special treatment.

The ultrasound room had three stations separated by curtains that weren’t pulled.  I was told to get on the table, had the jelly put on my belly, the ultrasound tech confirmed I was pregnant and 11 weeks along (spot on with what I told them), and then had to hurry and wipe off my belly – “next patient!”  I was seriously on the table less than 30 seconds.  The way they have the ultrasound equipment set up it is pretty impossible for the woman to even see the screen, and since they aren’t private rooms, the fathers aren’t allowed in.  What a medicalized process.  They do print off an ultrasound picture for you though, which was amongst the worst I’ve ever seen (considering I was 11 weeks).

Next, my nurse guide told me was the urine sample.  She brought me to a public restroom, handed me the cup, and offered to hold my backpack for me.  I’m pretty proficient at using squat toilets, but forgot to grab my toilet paper from my backpack before I went into the bathroom.  It is rare for a public toilet to provide any toilet paper – apparently even at a hospital.  The cleanliness of the bathroom was comparable to a dirty bathroom at a gas station – you know, the ones you try to avoid.  When I walked in, the stalls were all full.  And in one, there was a woman trying to help another person get a stool sample.  That person missed the toilet stall altogether on their way in – there was a diarrhea trail into that one.  And then the woman helping that poor soul had several cups lined up on the floor where she was gathering additional stool samples.  Crazy.  If you’re female and have ever given a urine sample in the States, you know how the nurses have to explain to you in detail every time how to get a “clean catch” when they hand you the cup and three sterile wet wipes.  It was such an ironic contrast to be standing in a bathroom holding an urine sample cup and have no wipes (or toilet paper in general) or even instructions on a “clean catch” and be trying to not look at the diarrhea trail as I waited for a cleaner stall.

After that, all that was left was the blood draw.  This was quick and good.  Interestingly, the phlebotomists here don’t change their gloves between patients.  Apparently they wear them to protect themselves – not you.

With that, I was on my way home, told on the way out to just call again a few days before I wanted to come for my 16 week checkup.  Although I only had a crappy ultrasound picture of our “little mite” in my backpack, I still had a sense of satisfaction that I had successfully navigated a Chinese hospital and was told I had a normal baby.  Yes, I had to pay out of pocket and then be reimbursed by our insurance company, but the total cost for that visit was less than $40.  And that included the fee for an ultrasound.  Despite all of the oddities, since I don’t think a medicalized birth is necessary, I figured this place would be sufficient for at least my prenatal care – we’re still deciding on where to have the actual birth.

Read Part III

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