Getting Sick Abroad

Getting sick sucks, especially if you are away from home, homeland.  There is nothing worse than having a medical emergency while traveling abroad.  But don’t let that scare you off the plane.  Take a few travel tips from a seasoned traveler…aka your fav ex-patriot.

My parents have made dozens of cross Atlantic trips to visit our Norwegian relatives and me without a hitch.  After a recovering from 4 different surgeries, my 79-year-old dad attained his goal to fly to Switzerland and almost didn’t make it back when he became gravely ill. Fortunately our daughter, a pediatrician, insisted we call an emergency doctor who demanded we take him to the hospital immediately where they put him on intravenous antibiotics and saved his life.  A simple urinary tract infection had developed into a life threatening sepsis. Luckily, we had a Frenchman aboard, who spoke both English and French and could interpret in the ER.  But in the course of ensuing chaos, it made me realize how frightening illness can be for someone traveling abroad especially if you don’t speak the local language.  When packing your bags be sure to include these items.

  • Medication for the duration of your stay in your carry on bag
  • Carry insurance and medical cards and a photocopy of prescriptions
  • Type up a short resume of your recent medical history
  • List emergency numbers of contacts in your homeland
  • If possible, obtain the number of a friend living in the area you are visiting (this is especially reassuring to parents when their sons/daughters go abroad)
  • In the event of serious illness call SOS Médecins
  • When in doubt, go directly to the emergency room

In Switzerland and France, public hospitals will admit you, but you may have to pay a fee, like the $500 up front that my dad paid at the Hospitale de Nyon before services could be rendered.

Jim & Lenore McKinzie in Switzerland

Jim & Lenore McKinzie in Switzerland

The medical system varies in each European country. In some places, doctors still make house calls.  Many medical people have independent practices in apartment buildings or a room of their homes.  Unlike our clinics or convenient urgent care centers in the states, often times in Europe you will have to go to separate laboratories to have blood drawn and/or X rays taken. Pharmacies display the universal sign, a green cross. In Europe pharmacists will answer simple medical questions and can advise you on minor problems. Major hotels have a doctor on staff or will call a local doctor for you.

Accept that medical practices in other countries, though different from those at home, are not necessarily bad.  For example in France and Switzerland, prescriptions are not counted out by the dose, but boxed in plastic in 7 day to one month doses.

During my overseas stint, I have been hospitalized after accidents and illnesses, for surgery and childbirth.  I‘ve seen my fair share of doctors, but I can assure you that like people, there are good and bad ones everywhere regardless of nationality.

Alors santé! (Here’s to your health) Bon voyage!

Sisters Only A Heartbeat Apart

“What’s wrong? I whispered as my middle sister coaxed my little sister out from under the bed.“Grandpa yelled at her cause she didn’t finish her milk at dinner,” Sue, explained.

“Oh, Kar, he yelled at me too,” I said as I stuck my head under the bed. “C’mon, I got a great idea. We’ll dance in the living room.”

Together in our matching pink nighties we pranced in front the our reflection in the picture window to the beat of the Pink Panther until Karen’s tears turned to giggles.

From the time we were little children, our heartiest laughs and greatest tears were shared as sisters; three girls just four years apart.

I, being eldest set the example.  I taught them how to slide veggies off the dinner plate and onto the floor for the family dog and to sneak out of at bed night to watch The Honeymooners from behind the divider in the dining room.  I kept them in line by pretending to hit their face, then socking their stomach.

3 sisters

3 sisters

We shared childhood memories of vacations when we sat facing backwards in our nine seater wagon and smoked candy cigarettes, waved at truck drivers from behind plastic sun glasses and pretended to be ladies. When we tired of comic books and games, we argued, until Dad threatened.  “Quit squabbling or I’ll stop the car and you can walk home!”

In instant solidarity against the enemy, the almighty grown up, we held hands in silence for the remainder of the ride.

Together we survived the early adolescence “uglies”.  Our finest feature striking blue eyes, hidden behind thick brown cat eye framed glasses.  Sue developed too much up front, I, too little, and Karen, The Babe, Miss-Perfect-In-Between was just right. Our personalities were as different as our body types.  I, an aggressive brunette tomboy, thought kitchen was a four-letter word. Sue, an easy-going blonde homebody loved to bake and clean. Karen, a chestnut haired social butterfly, enjoyed the outdoors and domestics.

“Get off the phone blabber mouth,” I yelled at Karen.  “It’s my turn to have the car,” Sue yelled at me.  In high school we were selfish about the use of the phone and car, but generous with our clothes and friends.

We went to the same college, Illinois State, and majored in helping professions.  One summer, we even fought for the same beau.  Sue caught in the middle, shouted, “Never thought I’d see the day a guy tore you apart!”  When he dropped me for my baby sister, I thought the hurt would never heal.  Later when he tired of her, I helped her put back the pieces.  Now, we laugh about the jerk, who tried to come between us.

In high school and college, Karen and I played on the same basketball team.  Sue never missed a game.  When a car accident ended my career in France, the sound of their voices over the phone helped me heal faster than the ministrations of a hospital full of foreign doctors.

We were always together for the important moments.  When I got married in Normandy, Karen flew over and Sue helped pay for her ticket. When Kar married a year later, Sue was her maid of honor.  When Sue wed, I was the best gal.

Now every summer, we set aside a week to return to our family cabin in Wisconsin where we roast hot dogs over a crackling fire, float on inner tubes on a silver-blue lake, and take long walks in the woods. We still dance in the living room, now we call it aerobics.

For in between times, we write long letters and make short calls, “ I can’t afford this, but I wanted to hear your voice.”

We developed a sixth sense sisters’ share.  After my miscarriages, my sisters mourned, too.  The night my daughter was born in Paris, Sue dreamed,” it’s a girl!” in Chicago.

As children we shared a room, held hands before falling asleep and vowed we’d live in a triplex, so we could always be together.  As adults, we ended up living thousands of miles apart in different states and countries.  Yet, as sisters, we remain only a heartbeat away.

Sisterhood, motherhood and marathons

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Hannah & Karen

Hannah & Karen

When my professional basketball career ended, my goal was to start running marathons.  Accidents and illness thwarted that dream; I never ran again, so my little sister is competing in a sprint triathlon for me.

Karen was always a good athlete with a body built for competition. She had perfect teeth and toes, providing a good bite and great balance.

During thousands of dollars of treatment for a misaligned dental occlusion, my dentist explained, “The massetter is the strongest muscle in the body. You ever notice all the best athletes have beautiful teeth?”

Ditto for the toes. Whereas my sister polishes her beautiful toes, my crooked ones remain hidden in clunky orthopedic shoes. My podiatrist has told me I should retire from teaching because my feet are so bad. My ankles are pronated, my arches too high, my big toe too short, so my balance is bad. My second toe is too long and the other three are curled like claws to grip the ground to keep me upright. Leg aches plagued me since childhood, but never slowed me down.

So while Karen and her friends train for the Chaska River City Days Sprint Triathlon – a third-mile swim, 16-mile bike and 5K run, I cheer them on. After raising children and caretaking in helping professions, they decided to do something just for themselves and began training together for the event.

Jean Pupkes, Ann Jackson, & Karen Carlson at the finish line

Jean Pupkes, Ann Jackson, & Karen Carlson at the finish line

Ever the competitor, I secretly train for my own triathlon – a walk, bike, swimathlon. Everyday I bike around the neighboring lake, walk to town, and swim to the island, each day pushing to go a little farther and a bit faster. It takes some ingenuity because I have to avoid the sunlight.

While my baby sister paints her nails and runs in preparation for the big event, I don full scuba gear, like the Loch Ness monster, to swim in a cold, purple lake.

When Karen finished the triathlon reaching her personal goal wearing the number 60, her birth year, she called me first.

“After the swim – my best event – I felt great,” Karen said, “But after the 16 mile bike, my legs turned to Jello on the run, then a guy ran by and offered me good advice – just put one foot in front of the other.”

My sister admires me for never giving up in spite of all my physical limitations, but she remains my hero, a younger, more refined, fitter version of myself.

Our competitive spirit spurs us on. If my baby sister, can finish her first sprint triathlon at the age of 51, I can darn well make it around the block again on my own two faulty feet.

Hats off to Hannah And High School Graduates of 2011

I never graduated from high school.  Not officially.  Sure I got my diploma, but I  never tossed my cap to the wind. I was sick the day of graduation. Back then  it was simple.  We had one senior picture,  a ceremony on the field and a little cake and punch party with a few family and friends.

The class of ‘75 signed year books, promised to keep in touch and moved on. With the exception of a handful of close friends – living within a block – I lost touch with everyone  until 35 years later, when I reconnected with classmates via Facebook (which, incidentally, today’s youth complain the old people are ruining!)

happy Hannah graduates from high school

happy Hannah graduates from high school

In June 1975, to humor my parents, I donned the blue gown with the gold tassels and stood in the yard while my grandma snapped a half a dozen blurry photos from an Instamatic. And that was that. Then I headed back to the gym to shoot hoops.

Big difference from the grad walk of today. For my niece, Hannah, a senior at Armstrong High School, it was a whole new ball game.

In the fields behind the Minneapolis suburban school, graduates spilled over an emerald hilltop in a sea of red, while parents sat in soccer chairs capturing the event on camcorders. Then to keep the kids off the street, parents chaperoned students at an all night party filled with games, magic, music and movies.

Weeks later, Hannah hosted a grad party. She invited her rugby team, half the church, the entire neighborhood and all of the relatives from Chicago to Omaha and in-between. Hannah has lots of friends. From the time she was born, the ready-with-a-smile, happy-go-lucky, laid-back kid always drew a crowd.

These days, the grad party is a must. The invitation, which features the student in a favorite pose from the hundred-some senior pictures, is more elaborate than wedding cards were in my day. (Hannah’s sister, Marie, graduated three years ago, but her invitation remains  on my frig, too beautiful to throw away.)

The party can be extravagant, complete with bouncy castles and gourmet meals, but Hannah, settled on a simpler fare, featuring her favorites – croissant sandwiches and ice cream treats.

Food ordered, tents set up, card tables unfolded, coolers packed. And a room filled with of memorabilia of student life : a bulletin board of childhood photos, dance recital, play bills, band equipment, musical instruments, certificates, medals, trophies, team jerseys, diplomas, stuffed animals, postcards, bits and bobs of a child’s’ magic moments. « I thought shrines were at wakes,» I said to my sister.

« Just shows how long you’ve been out of the country, Sis. »

And forget gram’s fuzzy black and white photos. Nowadays the event will be commemorated on video and DVD. While in progress, graduates cover Facebook pages with hundreds of photos for the entire world to admire.

hats off

hats off

My only dream back in the seventies was to play ball; Hannah set a more noble goal. She is going to be a neonatal nurse; she has already cuddled premies as a volunteer at the local hospital. She started applying for scholarships her junior year. With her dad’s Nebraskan Big Red blood, Hannah knew (before anyone else)  that she was headed  to Creighton in Omaha, where the rest of the Carlson clan lives.

Yep, babysitter, soccer player, a State rugby champ, honor student, loyal sister, fun loving friend, kidding cousin, nifty niece, cherished granddaughter, a dream child and all around good kid. No matter what hat she wears, Hannah fits the bill.

Dads Play Big Role in Parenting

Back in the ‘60s when girls’ sport were taboo, my dad taught me how to throw a perfect spiral, pitch a baseball and shoot a basket.  Each time he tossed the ball to  my brother, he also threw once to me. He made sure to hit each of us an equal number of pop ups to field. He showed me how to hold a baseball glove, pump up a basketball and take a fish off the hook.

Papa Mac passes on tradition

Papa Mac passes on tradition

Like the Pied Piper, as soon as kids saw my dad arrive home from his teaching job, they lined up for a turn at bat. Soon he was pitching whiffle balls to the entire neighborhood. Instead of grass in our backyard, we had permanent dirt-patch bases, a diamond in the rough, the Field of Dreams for an entire generation.

Even though I never saw any other fathers in the yard shooting hoops with their daughters, I never thought it odd. Chasing grounders, running passing patterns and learning the baseline drive with my dad seemed as natural as  breathing. After all, he was a coach and I was an athlete. So what if it took the rest of the society a few decades to catch up.

Today with the acceptance of girls’ sports and working moms the norm, dads’ coaching daughters is no longer an anomaly. The Women’s Rights Movement also liberated men to assume a greater hands-on role in fatherhood.

Today’s dads are free to coach Little League AND girls’ soccer, to build camp fires, make tree forts, piece together Legos, to change diapers, give baths,  bandage cuts. They can also bake birthday cakes, read Good Night Moon, cook bœuf bourguignon and grill burgers.

French dad at 1st Final Four

French dad at 1st Final Four

Throughout our children’s youth, my husband worked the score table, drove the van for our daughter and son’s teams and prepared gourmet meals for all of us. Gérald never batted an eye about running a printing business during the day, and then wearing the apron at night.  Though it may have been a typical behavior for a Frenchman, he paid the bills, balanced the budget and brought home the bacon, proud to be a family man.

Just as I witnessed my dad in multiple roles – caring teacher, inspiring coach, loyal husband -my children saw their father as tough and tender, demanding and nuturing, competitive and compassionate.

Kids raised in families with ball-playing moms and story-reading dads make for a balanced, healthy, wholesome childhood.  Whether organizing car pools, building sand castles or playing catch,  adults investing time in youth yields the greatest dividends.  Worth all the gold in the world !

Expat Women: Confessions For Gals on the Go

In 1980, I became a globetrotting professional basketball player and my plane touched down in Paris.  When I saw little women with baseball bats (baguettes) slung on one shoulder, and vegetable-laden baskets over the other, stopping on cobblestone street corners to kiss, I thought I’d landed on another planet. I moved dozens of times between continents and countries and have three decades of experience teaching in international schools abroad. With the world as my classroom, everyday is a learning experience, but when I first moved abroad I was clueless.

Expat Women: Confessions, 50 Answers to Your Questions About Living Abroad hits home with me.  The authors, Andrea Martins and Victoria Hepworth, address issues any woman faces leaving home, yet the stakes are higher as an expat.  In a simple-to-read, down-to-earth, no nonsense style, the authors tackle the toughest questions with aplomb. They touch on complex topics women confront in their roles as partners, mothers or employees, which are more complicated when living overseas. The book includes sensitive issues from transitioning-in to, to child raising, to culture shock and repatriation, to divorce and death abroad.

Expat Women: Confessions (http://www.expatwomen.com/expat-women-confessions.php) is a must read for anyone leaving the homeland.  It offers insightful advice from women who have years of experience living cross culturally. As valuable as the Berlitz Language guide, I would highly recommend this for anyone contemplating the expat life.

Thirty years ago, I lifted weights, ran laps and shot hoops to train my well-honed body for the rigors of international ball, but my mind was ill prepared for life abroad.  I had no idea where to locate Paris on a map, how to ask for the restroom in the local language or how many times to kiss cheeks in greeting.

In retrospect, for anyone contemplating an overseas assignment, I strongly recommend 5 basics before signing the contract.

1.  Research – find out as much as you can about the country, culture, customs, and language including work place protocol

2.  Network before leaving your home – sign on to newsletters and blogs that entail expat life (http://pattymackz.com/wordpress/subscribe-to-my-blogs/)

3.  Make sure the salary allowance includes or covers health insurance and costs of trips to the homeland for holidays or family emergencies.

4. Be open minded, flexible and willing to make mistakes (a sense of humor helps)

5.  Read Expat Women: Confessions, the book I wish existed when I first moved abroad

My Norwegian great grandmother, Eugenie, immigrated to America in 1902.  Her four-year-old daughter died a fortnight after arriving at Ellis Island; then, Eugenie passed away 5 months later giving birth to my grandmother. Leaving the nest and striking out for a better life elsewhere is as old as time; yet with high tech connections shrinking our globe, no one needs to be blind-sided as to what awaits. Sacrifice has long been the female’s role, but no one no longer needs to lose the self in the transition.

From the pioneer women loading wagon trains Westward to the trailing spouse and adventuresome entrepreneurs paving new trails in Africa, Asia and Europe, women, round the globe, have always been bridges between generations and cultures. Bon voyage!