My knowledge of medical treatment in China is getting richer, but I’d prefer staying oblivious given my path to enlightenment.
Kidney stones are foul things. My first happened in December, 1986 and I thought I was going to die. Had I the choice of death and the hours of discomfort I ended up with, I’d have chosen the former. My last is with me now, and I think I’d make the same deal. I’ve already had one of the more interesting and colorful lives one can have, so checking out and skipping the world of hurt and paralysis that comes with these things seems like a bargain.
Kidney stones result from diet (all the things I like), not drinking enough water (I really only do drink when I’m thirsty and then prefer black tea), or from heredity. The only thing I know about heredity is that my youngest son gets them too.
For some reason the blood cleansing process that occurs in kidneys sometimes produces a by product other than urine which coagulates into a mineral mass that takes up residence until it works its way through various ducts and passages and gets flushed. They can be small or big, they can hurt or pass without notice. I flushed one once the only sign of which was the clanging noise it made as it bounced off the porcelain of a urinal.
Folks say kidney stone pain is only surpassed by the pain of a difficult childbirth without drugs and that may be true. I have no interest in finding out and can’t anyway except by hearsay.
My first was on the eve of getting married in England. My second marriage and first kidney stone. The stone episode was sudden, but didn’t last more than one night. The marriage lasted eleven years and was almost all of it pleasant and worthwhile. This particular kidney episode has lurked for weeks now and peaked a few days ago cancelling classes and anything else I had to walk to or stand up for which is pretty inclusive. In the UK, the horse pill the doctor gave me had no effect and only after he doubled the dose and we were arrived at the door of a hospital in Winchester, did it disappear as quickly as it’s onset.
I’ve had two really bad episodes in China – once about two years ago and the one now. Both times I’ve been fortunate to have a young and attractive Chinese com padre who got me to the hospital. They weren’t the same girl and their being young and attractive is irrelevant, but made me feel better.
Chinese medical help is accessible and cheap. I went to two different places – the first a neighborhood clinic and the second to a hospital nearby my apartment. I could barely walk to the clinic the first time and yesterday I needed a taxi to go two blocks. The annoying thing with kidney stones is that the symptoms (excruciating, paralyzing, attention-getting pain), isn’t limited to the back or a kidney. It radiates to the groin and in my case right down my leg on the side with the stone that makes standing or walking damned near impossible without high doses of narcotics.
The first time at the local clinic, an ultrasound, urinalysis, a shot of something and some painkiller cost me thirty-five dollars (dollar equivalent) with almost no waiting. Yesterday, the same, plus the services two physicians in the urology department, two shots this time and three different medications including codeine laced pain pills cost about the same thirty-five dollars. The only thing I had to wait for was the urinalysis – most of which involved my waiting for nature’s call.
I’ve got two photos of two stones resting in the same kidney now and it (they) still hurt like hell. That’s about the same outcome as the last time. One is 6.2 mm, the other 4 mm. The girl who helped out this time doesn’t have quite as good English as the girl I was with the first time, but we figured it out. One of the urologists knew a little French so between smatterings of three languages we got along fine.
I wanted the damn things gone, but the docs said just to wait it out as there was no blockage and the tests were ok. They said the stones weren’t big enough to use high frequency sound waves to zap them and said the after effects of that procedure was worse than what I was already dealing with.
I have no idea.
It’s winter, so like the rest of Shanghai, the hospital was cold and most doors and windows were wide open. There were a few exceptions, one where a gang of people sat with IVs dangling over their heads being one. (Chinese use IVs a lot. It’s not unusual to see people on the street walking along with an IV bag held aloft.) And, as usual, a lot of heaters were fired up, but losing their effects to the outside. I could barely walk - I mean really – but not once saw or had access to any wheel chair or other conveyance. The only people I saw who did were poor souls being wheeled in from ambulances. In a U.S. hospital, they always run a self-serving scam that nobody walks until they dump you on the curb outside their legal liability. So I shuffled along – five or ten steps and then sit a bit. Pathetic.
Upon arrival, you check in at a desk, give your name and get a plastic credit card which becomes your ticket around the place. I probably got a little slack because I’m a foreigner represented by my Chinese friends, but there wasn’t any paperwork – and I didn’t see anyone else sitting with clipboards full of things to fill out either. I paid the equivalent of $1.85 at that point. I then made my way – what a sight that was – to the urology department in a nearby building that seemed really far away under the circumstances. Two docs there looked me over, got the story and suggested an ultrasound and urinalysis. I wasn’t in a position to argue.
People pay in advance for hospital services, so my friend arranged to pay another $14.50 for that and finally, after seeing the docs to talk about the results paid another $14 or so for two shots in the butt, two boxes of pain killer and a box of stuff to mix with hot water and drink. That’s it. Getting the shots was the same as the first experience (Chinese tend to do things in a uniform way), where you stand on a small platform, turn around and rest your butt on a small shelf behind which sits a nurse in preparation. Drop your drawers a smidgen and she pops you. There’s a pull-across curtain that everybody seems to ignore and the whole process opens into a busy hallway. It’s refreshingly practical and not at all private – typically Chinese.
The Chinese have figured out medical record keeping so there is no concern with finding or passing medical records around. You take your records with you, all of them, including the photos of the ultrasound, urinalysis and doctor’s notes. The ultrasound includes two photos of the stones-in-place and the urinalysis is a computer generated sheet in English and Chinese. I have no idea what the doctor’s notes say.
Now I wait. They’ll will go away eventually. If they don’t kill me first.















































































