my experience with socialized medicine

One thing from last week that I forgot to mention: I brought Catie’s nebulizer with us to the UK because she’s supposed to take Pulmicort twice a day during the winter months for her asthma. The asthma specialist she saw at the hospital last year recommended it, and we’ve found that it helps, so this is what we do. I have a spacer and an albuterol inhaler in case she has an asthma attack while we’re out & about (or, say, on an airplane with no electrical outlets), but she hates the spacer and freaks out every time we use it, so I try to avoid it. Since we only do the Pulmicort first thing in the morning and before bedtime, it didn’t seem like a big deal that I only had it in nebulizer form. (cue foreshadowing)

The hotel we stayed in near Heathrow had one U.S.-style outlet, so the nebulizer worked fine while we were there. Once we got to my mother-in-law’s house, though, not so much. I don’t know what’s up with the nebulizer’s voltage, but it shorted out no less than THREE different power adapters. I was starting to panic because Catie had gone a few days with no Pulmicort, and December is never a good month for her asthma, so I really didn’t want to let it go for too long. I figured that the next best option would be to get a Pulmicort inhaler; I already have the spacer, so it would just bypass the need for electricity altogether. She’d hate it, but you know, desperate times, desperate measures.

So last Tuesday, before we left for Scotland, I called a pharmacist and explained what was going on. I asked her what would be the fastest way to get an inhaler for my daughter. She said that if my mother-in-law had her own doctor, getting Catie an appointment as a temporary patient would probably be a lot quicker than going to the ER. Mags called her doctor, and got us an appointment time less than 2 hours later.

We checked in, and they didn’t take my U.S. insurance card or ask for any money. We overheard someone say that there was only one doctor working that day, so there might be a long wait. I suppressed my internal groan, thinking that we were about to experience one of these nightmarishly long waits that I had heard about the UK healthcare system.

About 20 minutes later, the doctor himself came out and called us back. I thought it was odd that it wasn’t a nurse who came to retrieve us, but it was nice. We went straight into his office, even though I had to carry Catie because she was already starting to cry (my poor girl sees way too many doctors, she’s now scared to death of them). The doctor had a fish tank in his office with a couple of clownfish in them, so that immediately diffused Catie’s fear as she started getting excited about “Nemo! Mommy, it’s TWO NEMOS!!”

I explained to the doctor about Catie’s asthma, the blown-out nebulizer, and the medication I needed in inhaler form. He wrote me a prescription on the spot. The end.

The whole appointment took less than 5 minutes, and cost NOTHING.

We wanted to hit the road for Scotland after Catie’s appointment, so we ended up getting her prescription filled in Inverness. That took another 5 minutes. And here’s the kicker: in the US, Catie’s inhaler would cost us $40 *after* our health insurance coverage kicked in. In the UK? Because Catie is under 16, all prescriptions for her are FREE. The pharmacist actually looked confused when I tried to give her my credit card. It’s funny, I expect a fair amount of culture shock when visiting a new country for the first time, but that was the first thing here that honestly made my jaw drop.

I learned that prescriptions are also free for pregnant women and senior citizens. Huh. I can think of more than a few people who might find that helpful, if not life-saving.

So, based on my experience, I have to say that if that is what one should expect from this evil “socialized medicine”? Then, hell, go ahead and sign me up as a socialist. Because that was freaking awesome.

Note: I wrote this post a few days ago, thinking that’d be the end of it. Now it looks like I’ll actually have a two-parter on socialized medicine, because Dave and I have both come down with some sort of Evil Sinus Infection of Doom That Won’t Die, and we’re both going to see my father-in-law’s doctor this afternoon. I guess we’ll see if I’m still as impressed with the UK medical system after this.

Snow My God

Our plan for Saturday was supposed to go like this:

  • Leave the cottages in Scotland on Saturday morning.
  • Follow Mags and Roger (my mother-in-law and her partner) from the cottages down to a city called Perth, which is right smack in the middle of Scotland.
  • From there, we’d split up – they’d head back to Carlisle, and we’d drive on to Dave’s dad’s house in Yorkshire.
  • Sounds easy, right?

    Here’s how it went down: Saturday morning rolled around and we got ready to leave. Dave came in from loading the car and he was covered with snow. I started to freak because I had no idea it was snowing outside. (It had only been raining the last time I checked.)

    We all agreed that we’d better set off immediately before the snow piled up. We set off, and made it less than 10 miles before the roads got too bad. Winding mountain roads + unplowed snow + a car with no four-wheel drive and no snow tires = BADNESS.

    We turned around and headed back in the direction of the cottages. I was on the verge of crying, because while I honestly liked the cottages, I was really looking forward to being somewhere with Internet access, and where we wouldn’t all have ash stains on the soles of our socks from the stove fireplace (which is the only source of heat in the cottages). It sounds stupid, I know, but I am just not a “roughing it” kind of girl. I was really excited about getting back to civilization. I did not want to spend the weekend snowed in at a cottage in a remote location. Too many horror movies have plotlines that start off exactly like that.

    Roger suggested we try driving the other way out, which is a road that added a good 30 miles onto our trip, but it followed the coastline, which we figured would be less snowy than further inland. We tried it, and it was pretty scary in a few places, but we made it. Since Dave was driving the whole way, I just sat there and gripped the “oh god” handlebar until my knuckles turned white. And I prayed. A lot.

    At one point, when we were skidding along a mountain road at 20 miles an hour, Dave looked over at me.

    Dave: It’s kind of exciting, though, don’t you think?
    Me: *glare*
    Dave: No? You don’t think this is all kind of a fun little adventure?
    Me: The idea that we could die in the snow? No, I don’t think that’s fun at all. Sorry.

    I think it’s safe to say that I’m not an ideal traveling companion when it comes to extreme weather circumstances. I tend to get a little panicky, and it’s no fun for anyone.

    Catie did pretty well for the first part of the morning, but then she decided she’d had quite enough of the car and had a major meltdown. I tried to soothe her as best I could, but it didn’t help very much. We stopped for lunch, and I decided to ride in the backseat with her from that point on, to try to keep her calmed down. It worked, for the most part. I think she just gets bored and fidgety back there, but if she has someone to keep her company, it makes the trip a lot easier.

    Eight hours into this little road trip “adventure” (to use Dave’s term), we had made it to Inverness, Scotland. For those of you keeping track, that’s 120 miles in 8 hours – an average of 15 miles an hour. Fabulous.

    We found a hotel in Inverness and crashed for the night. Sunday, we woke up only to find that it had snowed even more overnight, so we were still screwed. We set off anyway. It was slightly better than the previous day – we managed to drive 150 miles to Edinburgh, and it only took us 6 hours. So we averaged a whopping 25 mph. Woot! Speed demons, watch out!

    We spent Sunday night in Edinburgh (which, btw, is a really beautiful city), and then spent Monday driving the rest of the way to Yorkshire. We were lucky because by Monday, all the roads had been plowed and salted, so it was totally clear and we were able to drive the speed limit.

    It’s insane to me that back in the States, driving 500 miles is something you could do in a day. A long day, sure, but still. Meanwhile, here, it took us THREE WHOLE DAYS to drive the same distance.

    Anyway, we’re now here with Dave’s dad and stepmom, which is cool because this is the first time that Catie and I have gotten to meet them. It’s so weird to me that Dave and I have been married almost 5 years and this is the first time I’ve met my father-in-law. But they’ve never been to the States, and this is our first trip here, so that’s just how it goes, I guess.

    It’s funny, though, watching Keith (Dave’s dad) and seeing how much he looks like Dave, but his mannerisms are exactly like Steve, Dave’s brother (even though Steve looks more like their mom). I can’t really explain it, it’s just cool to get to see all of these family dynamics in person for the first time.

    A Day at the Beach

    Here’s the thing about 2 year-olds: if you make a promise, you’d damn well better stick to it if you ever want to hear the end of it. We’d been promising Catie ever since we got to Scotland that we were going to take her to the beach. Friday rolled around, and it was our last day at the cottages, so… well, off to the beach we went, even though it was ridiculously cold outside.

    at the beach!

    We managed to get to the beach during a brief dry interval, in between rain storms. Of course, dry does not necessarily equal warm. Because believe me, it was effing FREEZING out there.

    Dave & me on the beach
    Tip: If you see me standing like this, it means I’m really, really cold. Or I need to pee. One of those two things.

    Catie on the beach
    Quite possibly the best picture I’ve ever taken in my life.

    See those black clouds on the horizon? They moved in a lot faster than we expected. We were only there for maybe 15 minutes before we got caught in the freezing, pouring rain and had to run as fast as we could back to the car.

    Still, that might be one of the most fun experiences we’ve had yet here. Catie had so much fun running around on the beach, picking up seashells and throwing them back into the surf. She cried when we left, even though it was pouring rain on us. I promised her that we’ll try to take her to the beach next week when we’re in Yorkshire, visiting Dave’s dad & stepmom.

    Catie on the beach

    I have to say, Catie has been amazing on this trip. We’ve asked an awful lot of her with all of this traveling and driving. We’re never in the same place for more than 3 days, and we’ve driven hundreds of miles since we got here. The poor kid’s entire routine has been shot to hell. And overall, she’s doing fantastically well. She’s had a couple of meltdowns here & there, sure, but mostly she’s been completely sweet and delightful and fun.

    Catie & me at the cottages

    And sure, it helps that she’s got the undivided attention of four adults. I think I’m just amazed because I always talk about how she doesn’t adapt to new situations quickly. And clearly, this little girl of mine is just full of surprises.

    In Scotland

    On Tuesday, we left Carlisle (Dave’s hometown) for Scotland. I knew that we were in Northern England – whenever anyone asks Dave where he’s from, he always says that Carlisle is “up near the Scotland border.” However, I didn’t realize that we were literally 7 miles from the Scotland border. So we were in the car for 10 minutes and oh hey, welcome to Scotland! Which, wha? We just entered a new country like that? It’s odd because it’s all part of the UK, but Scotland is definitely its own country. Even the light is different here.

    rainbow!

    I’ve never seen so many rainbows during the course of a single road trip in my entire life.

    We drove up through Glasgow to Inverness, and then on to a tiny seaside town called Nairn. It was dark by the time we got there, so we stopped for the night at a hotel.

    The next morning, since we were in the area and I have yet to do a single touristy thing since arriving here, we stopped at the Culloden Battlefield.

    memorials at Culloden Battlefield

    It’s odd that even though the battle happened in 1746, if you walk around the place, it’s sort of creepy, and you get the vibe that something really awful happened there. Maybe it’s just the nature of Scottish moors, but the whole area just feels very sad.

    From there, we drove the rest of the way up to the cottages. I’m not sure how to describe where we are. Dave described it as the middle of nowhere, but I pointed out that the middle of nowhere is a thriving metropolis compared to where we are.

    cottages_my_map

    The last 40-50 miles of road up to the cottages is literally a single lane road. There are places along the way where one side of the road will have a wide shoulder, so if you encounter a car trying to come the other way, you have to pull over and let them pass (or vice versa). That was… well, it sucked, quite honestly. It made the trip twice as long, and made us all twice as carsick, with all the stopping and going. We’ve been here less than 24 hours and I’m already dreading the trip back to Carlisle on Saturday.

    The cottages themselves are fantastic. Dave’s family owns two cottages that are next door to each other. So we’re staying in one, while Mags and Roger (Dave’s mom and her partner) are staying in the other. We opted for the newer cottage, based solely on the fact that it’s on one floor, and it has a bathtub. The other cottage is probably the nicer one in its old-timey cottage-style charm, but the loft bedroom is accessed via a metal spiral staircase and there’s only a shower stall. Neither of those features seemed particularly toddler-friendly, so we chose this place instead.

    It’s beautiful here. From the front door, there’s a view of huge, craggy mountains, and from the back door, there’s a view of pastures leading down to the cliffs and the Atlantic Ocean.

    (Note: this is where I’d insert pretty pictures of the scenery for y’all to see, if only Flickr wasn’t being a pain in the you-know-what.)

    I’ve promised to take Catie for a walk on the beach to look for seashells later – we even packed her galoshes for the occasion. If this cottage had Internet access, I could probably be happy staying here for a while. But I don’t do well with feeling cut off from the rest of the world. I cannot imagine what it’s like for the people who live here.

    I have never been this far north in my entire life. It’s worse than Seattle in winter, sunset is a little before 3:30 in the afternoon. My mother-in-law says that around the time of the summer solstice in June, there’s sunlight for 24 hours straight. It’s insane. I told Dave I can’t look at the ocean behind our back door, and wrap my head around the notion that it’s the same Atlantic that we swam in a few months ago, on our trip to Wilmington, NC. It’s completely surreal. It feels like we’re on another planet here.

    But, you know, at least it’s a really beautiful planet.

    (Note: I wrote this post 2 days ago, on Thursday. I’m only just now getting around to publishing it because that’s how long it took me to find a reliable wifi signal.)

    one thousand

    This is my 1,000th blog post since I started this site back in August 2003. It’s strange, thinking about those first few entries, which started about nine months before I met Dave. If I could have imagined my life now, I’m sure that my imaginary future most certainly would not have included spending Christmas in England with my husband’s family, sitting at a cozy warm kitchen table with a cup of tea and my laptop, and looking up to watch sheep graze in the pasture behind my in-laws’ house. Meanwhile, my husband and our 2 year-old daughter take a nap together upstairs.

    It’s not what I would have expected, but I wouldn’t have it any other way.

    So, yes, obviously we made it to the UK in one piece. Catie did phenomenally well on the plane until the last half hour or so, but even with the one meltdown at the end, she did far better than we expected. We went through the border (where Dave got to through the fast & speedy UK/EU passport line, and Catie and I had to wait in line with all of the other “foreigners” – aka Americans, since I think most everyone else in line was on our same flight from Dulles). The very nice immigration lady told me that next time, Catie & I can go through the UK line with Dave, since we’re a family, even though Catie & I don’t have UK passports. Good to know!

    We got our bags, got a rental car, and spent the night at a hotel near Heathrow. The next day, we got up and drove to Carlisle, where my mother-in-law, her partner/boyfriend (Grandpa Roger, as he’s known around these parts), and my brother-in-law Steve all live. It’s about a 300-mile drive from London, and it was probably too much to ask of Catie with the previous day being all travel as well. She did great for the first half of the trip, but the poor kid was just exhausted and bored, and she decided she’d had enough. We ended up pulling over and rearranging suitcases so I could sit in the backseat with her to calm her down, which (surprisingly) worked.

    Also, from the backseat, I was able to effectively ignore Dave’s driving, which helped. I mean, he’s an ok driver, I just kept involuntarily reaching for a steering wheel that wasn’t in front of me, and almost screaming, “LOOK OUT!” because I kept panicking that we were on the wrong side of the road and the other cars were going to drive straight into us. It’s much easier to ignore the fear of your certain impending demise from the back seat.

    We’ve spent the past two days just recovering from jet lag and not doing much else. This morning, Catie & I watched the UK version of the Wonder Pets. As in, the voices of Linny, Tuck & Ming-Ming are done by entirely different child actors with British accents. It blew both of our minds. (And, before you ask, no, the British version of Ming-Ming can’t pronounce her R’s either.)

    Tomorrow, we’re driving up to Scotland – we’re spending one night in Inverness, then heading up to the Highlands to stay in our cottages. It feels weird to say they’re “our” cottages – like, oh so casual, “why yes, we own some land up on the northern coast of Scotland, doesn’t everyone?” But now that Dave, Steve, and their mom have made this a joint business venture, those two cottages really are ours, and someday they’ll be Catie’s.

    I understand the cottages are near the cliffs and the ocean, and it’s supposed to be really beautiful there, so I look forward to taking a LOT of pictures.

    In the meantime, here are a few of my favorites that I’ve taken so far. The rest of the set is here.

    ready for take-off

    Catie & I in the bathroom mirror

    sheep pasture

    timesharing the holidays

    When I was little, I thought that my grandparents lived really far away. In reality, of course, that wasn’t the case at all. I grew up in Jackson, Mississippi. My dad’s parents lived in Meridian, MS, about 80 miles away. My mom’s parents were in New Orleans, which is about 200 miles from Jackson. Both sets of grandparents were a road trip away.

    In hindsight, we saw them relatively frequently. Holidays were generally split. We spent Christmas with my dad’s parents – which I guess is fair, since my dad is an only child and we were his parents’ only grandchildren; my mom, on the other hand, is one of seven, so there were plenty of grandkids around during the holidays for her folks. A couple of days after Christmas, we’d go to New Orleans and usually stay there through New Year’s.

    Flash-forward, and now I’m an adult with a child of my own. And Catie’s grandparents genuinely are far away. My parents are still in Mississippi, which is a good 800 miles from here. And Dave’s parents are in England. Both sets of grandparents require airplanes to visit, not short little road trips.

    We’re lucky that Mags (Dave’s mom) has been able to come over for a few visits. But Catie has a granddad (Dave’s dad) who she’s never met. Heck, I haven’t even met my own father-in-law either, and Dave and I have been together for over five years. He & his wife haven’t ever come to the US, and Dave and I have never gone over there – which was first because of problems with Dave’s visa, and later because we had a new baby, and then we just couldn’t afford it with the move. There was always a reason that stopped us from going.

    Now, though, Dave has a green card so he can freely leave and re-enter the country (hooray for that!), and we aren’t quite as broke as we were a year ago. So, we’re going to England for Christmas. Actually, we’re going for more than that – we’re flying out on December 11th, and we won’t be coming back until December 28th. Seventeen days. Hopefully that will be enough time to see all of Dave’s family, make a touring visit of his friends who’ve spread out all over the country, and also do some sightseeing, since I’ve never been to England before. How sad is that? I’m 33 years old, and this will be the first stamp on my passport (because they don’t stamp it when you go to Canada).

    Obviously, we’re all really excited. It’s going to be weird for me because I’ve only spent one Christmas away from my family in my entire life, but I’m also really looking forward to this trip because I think it’s going to be a lot of fun.

    I emailed Dave’s parents yesterday to let them know we’re coming, send them copies of our flight itineraries, etc. Dave’s mom of course is thrilled; she and her partner, Roger, will be coming over for a visit in a couple of weeks, but she’s like any other grandma in wanting to get as much Grandbaby Time as possible, so she’s very happy. And Dave’s stepmom emailed me back to say that when she told Keith (Dave’s dad) that we’re coming, he got choked up and teary. He’s beyond happy that he’ll finally get to meet his only grandchild. Of course, hearing that he teared up made me all misty, because that’s just so damn sweet – and, well, also because I’m a big wuss.

    And honestly, I’m feeling a little bit guilty that we haven’t made more of a concentrated effort to go there sooner. There probably was a time when we could have gone to England, and we didn’t. I guess neither Dave nor I truly realized how important it is to them. I think that in the future we’ll have to work harder at that.

    Type-A Mom Conference Recap

    We got home from the Type-A Mom Conference yesterday afternoon. This was only my second blogging conference; BlogHer was my first. It feels odd, to go to two in one year, when I’ve been blogging since 2003. I’m not sure how it worked out like that, but there you go.

    I think that overall, the Type-A Mom Conference was a lot more enjoyable for me than BlogHer. At BlogHer, it was like Overstimulation Central. The schedule is packed, there are tons of people there, the marketers and their swag are all over the place, everything is rush-rush-rush, and while I certainly got to meet a lot of the bloggers I adore, I didn’t really get a chance to spend a lot of time with any of them. And that’s not really a criticism of BlogHer, honestly, I think it’s just the nature of the beast. By the time it was over, I was so glad to be home again.

    By comparison, Type-A Mom was totally different. For one, just the fact that you’re at a resort in a smallish mountain town instead of being in a hotel smack in the middle of downtown Chicago gives it a different vibe. And the fact that it’s a smaller conference means that instead of rushing around trying to meet everyone, I had the chance to actually spend time with people; to have a real conversation and form an actual connection with them, not just a “hi! OMG you’re here! So great to meet you! Ok bye!” Which is sort of what BlogHer felt like to me.

    Also, for me personally, Type-A Mom was different because Dave and Catie came along with me. In some ways that was harder (no “I’ll take a nap whenever I damn well please” policy like I had at BlogHer), but it was also great because then I didn’t have that urge to rush home to them – they were already there. Saturday morning, I totally skipped out on the morning sessions, which ok yes, maybe I would’ve learned something if I’d gone. But I spent the morning lying in bed with my family watching cartoons, and I can honestly say that there was nowhere else I wanted to be at that moment.

    Oh, for the record? Catie freaking loved Kid Con, which I wasn’t expecting at all. She cried the first time Dave dropped her off there, and we tried to stagger her time there to keep her from getting too overwhelmed. But seriously, after that first time? Every time we took her back to “daycare school” (her term), she’d run into the room with an “Ok, Mommy, bye! You go now!” She was glad to see us when we’d come back for her, of course, but she clearly had a fantastic time there. That was an amazing program that they set up for the kids, all blogging conferences should follow that example.

    So, yes. It was great. At BlogHer, I was so exhausted and couldn’t wait to get home by the end of the weekend. With Type-A Mom, I just felt sad and melancholy the whole drive home because I had so much fun, and I wish that all of those fabulous women lived in my neighborhood so I could see them all the time. Sigh.

    @kaisermommy, @mrsflinger, me & @al_pal

    VDog & me

    me & Heather

    @debontherocks & @anissamayhew

    me & Angie (@alotofnothing)

    Oh, and Catie’s take on the conference?
    During:
    oh hai, Daddy dressed me & he forgot to brush my hair!

    After:
    this is pretty much how I felt after it was all over, too.

    I know how she feels.