jeudi 22 janvier 2009

Sanguis non Grato

Now that Maki has commented on the national chauvinism of health care providers as well as my (supposedly) unfortunate genetics, I’ll add a little story of my own. About the genetics, I’ll say that the downside of being a mutt is that there’s a greater chance of being related to races with ghastly genetic disorders, but the upside is that you can always find some distant kin to vouch for the quality of your stock (or at least the small part of it they share with you).

Anyway, back in 2007, before we made our big move, I was approached by some bloodmobile touts outside the Coral Gables DMV. Feeling especially civic minded that day, I decided to heed their pleas for a blood donation. I walked into the bloodmobile expecting to blush at awkward questions about my sexual habits, but that part was pretty straightforward. Instead, the interrogators began to focus on my travel history: had I recently visited any tropical third-world places, had I ever been to Africa and, most importantly, had I lived in Europe for a total of more than five years? See, if you’ve been in the Olde Worlde for more than 5 years they’re afraid you’ll have CJD (aka Mad Cow Disease). Not a problem if you’ve only got 4 ½ years of Euro-ness, apparently. Alas, the Florida blood bank is too good to take deposits of my tainted blood.

Fast forward to a few weeks ago, when I received a letter from my local blood bank here in London asking for donations. They’re not very proactive here. Instead of sending the bloodmobile close to where I am, they set up times at their local offices in my neighborhood: all during working hours, of course. Never mind. I’m not so civic minded that I’m going to take a day off work to donate blood. More amusing, however, was a small disclaimer at the bottom of the letter saying that they cannot accept blood donations from people who have visited North America within the last three months due to, get this, the high risk of West Nile virus. There’s a way to get your own back. “So you don’t want our CJD? Well, we don’t want YOUR West Nile virus, so THERE!! Nyah, nyah!”

Meanwhile, my poor, nomadic, bastardized blood is like the ugly girl at the dance. Nobody wants it. Not that I’m bitter or anything.

I’ve decided I’m going to have fun with it. Next time anyone in the US solicits my blood, I’m going to give them my crazy look and start mooing. If anybody does it in Europe, I'll start...I dunno...walking like an Egyptian (a West Egyptian, of course). By the way, is da West Nile not just a river in west Egypt? Just wondering. Do people in the East Nile have a virus? Enquiring minds want to know...

vendredi 16 janvier 2009

Adventures in Prenatal Care

Because I got pregnant a few months before we left Paris, I was able to experience both French and British prenatal care. My experiences have left me to conclude that the centuries-old rivalry between these two great countries is alive and well.

In France, I was privileged enough to go to the American Hospital, a very swish hospital located in Neuilly, which perhaps colored my experience to a degree. Neuilly is Sarkozy’s old ‘hood, where he was mayor, and is so posh that rather than follow the housing rules requiring it to have a certain percentage of lower-income housing, the city chooses to pay fines for its failure to comply. In my doctor’s office, pregnant women with bellies the size of a Smart Car (the two-seater kind, obviously) still wore their Gucci heels and Prada purses to their visits.

French prenatal care is obsessed with the woman’s possibility of contracting toxoplasmosis. Toxoplasmosis is caused by a parasite found in animal feces, and in the US, women get tested for it if they have a cat (hence the recommendation that pregnant women do not change kitty litter). According to the brochures my doctor gave me in France, to avoid toxoplasmosis, a woman should not eat salad at a restaurant (out of concern that the parasite may not have been washed off properly) and should refrain from eating raw meat and eggs, i.e., French bistro classics. Apparently, French food is in much closer contact with the earth out in the farmland, and the risk of toxoplasmosis is higher.

Pregnant women are therefore typically tested to see if they are immune to toxoplasmosis. A French woman is usually immune to it, probably because she has been consuming steak tartare and undercooked eggs (which taste better than overcooked ones, I must say) since she was old enough to sit at a proper table in a bistro. Like most non-French women, my test showed that I did not have immunity to toxoplasmosis, causing the women at the laboratory where I picked up my results to o-la-la vociferously and declare that I would need to have monthly blood exams to make sure I had not contracted this dreaded parasite.

Mind you, at this point, I did not realize that the concern with toxoplasmosis is a peculiarly French obsession. As a newly pregnant woman, I took everything said to me quite seriously, especially considering the reputable sources of my information.

Before leaving France, I had my 13-week ultrasound, and the doctor who explained the results to me (after also o-la-laing about my lack of immunity to toxoplasmosis), tried to resassure me by telling me that I did not need to worry about this infection in the UK or the US. She explained that “the English boil all their food,” and hence the parasite was not something I should worry about. Now, I know that the English don’t have the gastronomic reputation that the French do, but surely it is a bit overbroard to say that they boil all their food!

In addition to reassuring me about toxoplasmosis, the doctor asked about our ethnic heritage. When she saw that Diego had English grandparents, she became most concerned and stated that as soon as I moved to London, I would need to have the fetus tested for spina bifida, as Diego’s English genes were subjecting our unborn child to a higher risk for this birth defect.

As a newly-pregnant woman, you can imagine how concerned this made me. Indeed, within a week of having arrived from France, I promptly booked an appointment with a GP (although I did not yet an actual address in the UK, which is required to register for health care, my GP’s office quite kindly registered me as a “temporary patient” so that I would be able to receive prenatal care in a timely manner).

At the appointment, I explained to the doctor that I was most concerned about spina bifida as a result of my husband’s unfortunate genetics, and that I would like to be referred for the early spina bifida test. The kind doctor’s indignant response to my new-mother overreaction? “There is always a risk of spina bifida, but it is not because your husband is English!”

Somewhat reassured (though, in typical new-mother fashion, still a bit doubtful), I asked the doctor about other new-mother concerns. Although the doctor in France had said that I did not need to worry about it here in the UK, I also decided to ask about toxoplasmosis, as the monthly blood tests and the o-la-laing at the laboratory and doctor’s office had left me worried. Perhaps seizing on the chance to get back at the French doctors after the spina bifida comments, my English doctor said I did not need to worry about toxoplasmosis here because of the way food is prepared and exclaimed “Dirty French!”

On the whole, the only conclusions I can draw from these experiences is that, to this day, the English and French don’t like each other very much and that each culture (and probably every culture in the world) makes up its own concerns and rules about pregnancy. My only advice for mums-to-be the world over is to take all advice with a grain of salt and to keep in mind that your doctor’s culture will impact his advice.

Take the issues of an epidural and breast-feeding. In the UK, the theory seems to be that if grandma did it one way, we should do it that way today. Never mind that in grandma’s time, women and babies routintely died because of childbirth.

Indeed, most UK mums and midwives seemed horrified when I announce that I want an epidural, going on and on about some supposed list of horribles (I don’t really believe them, though, especially as my own mother had an epidural and is probably one of the few women I know who thought the birth was a breeze). To make matters worse, I have heard of women in the UK not being able to get an epidural because an anesthesiologist is not always necessarily available to administer one, a downfall, I suppose, of a system of truly socialized medicine.

The French, in contast, are very much in favor of epidurals. When I told her of my fear of not getting an anesthetic during the birth in the UK, my doctor in France even offered to schedule an induction at some point after 36 weeks in Paris so as to ensure that I could get an epidural. The French may believe in eating natural food that has been in close contact with the earth, but they certainly do not believe in natural medicine!

Likewise, the French do not seem as concerned with breastfeeding as the English do (in part because breastfeeding ruins a woman’s breasts). The UK system, on the other hand, is positively obsessed with the breastfeeding issue. While I think it is fantastic to be breastfeed if at all possible, I absolutely detest that the UK medical establishment seems obsessed with preaching breast-is-best to mums-to-be. The way I see it, if they are so resistant to letting me choose the type of birth I want, they have no right to dictate my post-birth life (not to mention the overly big-brother aspect of it all).

Alas, if I could, I would choose to have the baby in France (epidural and 5-day hospital stay included). I just hope our little kiddo someday appreciates the fact that I am quite determinedly staying in the UK for the birth, risking having to do things grandma’s way and getting kicked out of the maternity ward a mere few hours after he is born, just so that he may have double nationality and become a little globe-trotting adventurer.

mercredi 3 décembre 2008

For Richer and for Poorer

Unlike Paris or Manhattan, London is a very mixed city. I can just hear some of you protest that Manhattan is indeed quite diverse, and that it is home to millions of people from all over the world. But the truth is that the poor can no longer really afford to live in Manhattan, as even areas like Spanish Harlem and Hell’s Kitchen are turned into yuppie condo enclaves. And let’s not forget that in Paris, it is the poor minorities that are relegated to an existence in the suburbs, while the affluent get to live in the central parts of town.

London, however, is different. Here you can have a street in a historical preservation neighborhood (like ours!) lined with charming Georgian homes interspersed with council estates (low-income housing). Sure, some neighborhoods are very, very posh and only the richest can afford to live in them. But as far as the majority of London areas are concerned, the poor and the not-so-poor tend to live in mixed company.

This phenomenon is due, in part, to the fact that London did not use to be a city with its own central government. Rather, it was made up of different boroughs, and each borough had to find a way to provide for its own poor. Now that London is more centralized, this means that low-income housing can be found throughout the city, rather than being concentrated in one area of the city.

This perhaps explains the public service announcements that appear in many streets and buses, like this one, warning against “benefits fraud.”



In our neighborhood, one resident, concerned with the government’s efforts to crack down on benefits fraud while letting other types of fraud go unchallenged, decided to add his own message to the public service announcement.



In case you can’t see it clearly in the picture, the message reads, “List Below Your Favourite Fraudsters.” The handwritten list, started by the original concerned resident and continued by other concerned residents, states:

1. British Aerospace £ 200m
2. Chairmen of Banks £ 900m
3. Ministry of Defence (£ xm) (perhaps the number is too difficult to calculate?)
4. People who you think love you (I think you can tell where the original poster left off!)
5. My phoney parents
6. Tony Blair £ 12m
7. The queen with more than £ 2 tax per hour for my job
8.
9.
10. Ordinary people – nothing

Alas, no one was able to fill in slots 8 and 9 as the friendly council folk took down the list. But stay tuned in case we see further public service announcements by Camberwell’s concerned residents.

mardi 2 décembre 2008

Living in Victorian Times

We’ve now been in London for about two months and are still disconnected from the outside world. I thought that our inability to get phone and internet installed sooner was related to the fact that we decided to use a cable-based service from Virgin Media. Last week, however, we went out for drinks with a couple of friends and learned that it also took them about two months to get the phone connected, despite choosing British Telecom as their provider. Even in France, where such things take much longer than in the US, we were connected to the outside world sooner than this.

I suppose it should not surprise me. The UK is oddly behind the times in some ways. For example, our plumbing is quite Victorian. We have a water tank in the kitchen, which is basically a big, plastic box with water stored in it. According to Diego, every building has some contraption to catch the water on the roof, and then somehow the water gets sent to each of the individual apartments.

While I don’t particularly care what type of plumbing system we use, I do care that we have rather weak water pressure. I learned this is because water pressure is based on gravity here. I think this means that once the water is collected on the roof, the water pressure is dictated by how fast it comes down the pipes to our first-floor shower. Bizarre!

I also remember that when Diego used to live here, he seemed to have constant issues with the boiler in his apartment breaking. I’m not too sure what a boiler is, but I do know that it heats up the water. I always assumed that it was just Diego’s apartment that had this problem, but when we first moved in, we learned that our neighbor’s boiler had broken. We’ve also heard of a couple of friends who have had to deal with broken boilers in the last few weeks. Seems to me that the hot water gods over here should rethink the whole boiler system.

Getting added onto Diego’s bank account has also been an ordeal. Even though I did manage to get added onto his existing bank account in early October, it took about another month to get the debit card. And while I’ve had a debit card for a couple of weeks now, I did not get the pin code for it until this past weekend. It’s pretty embarrassing to have to ask your husband for money every week, so you can imagine that I am relishing my newfound debit card freedom.

Mind you, I don’t think that everything should always be done in the most advanced, modern way. I think some things, like bread and certain wine-making methods, should not be modernized. But when it comes to plumbing and banking, I am a modern woman.

samedi 15 novembre 2008

Settling In

Diego and I are finally moved into our new apartment here in London. By a strange twist of fate, we are now living on the same street that Diego used to live in when he was in London. In the process of narrowing down neighborhoods, we visited Diego’s old stomping grounds, including the local pub he used to frequent back in the day. And, much to his surprise, one of his old friends from the neighborhood was also at the pub, seated on the same stool he always used to sit on when Diego first lived here about five years ago. It was then that we decided to stay in this area, and part of the nostalgia we both have about this neighborhood made us chose the apartment that happened to be located on his old street. I like to think that no matter how far our travels take us, we can find home just about anywhere.

So, last Friday, after spending a month in a hotel, the movers came and unloaded all our things at the new place. We still don’t have telephone or internet (not until December 12 anyway), but at least we have an address.

Those of you that know us personally have likely figured out that Diego and I seem to like making big life changes all in one go. Life would be so boring otherwise, don’t you think? Last year, for example, we got married and moved to Paris all within the span of two months. Every time I hear a bride-to-be complain about the logistics of wedding planning, I feel a smug sense of superiority, imagining that this not the sort of woman who could plan a cross-Atlantic move at the same time as she picked out what font to use on an invitation.

True to our pattern, we have now embarked on our second international move, this time with a little kiddie-to-be in tow. That’s right...I’m pregnant! We won’t know the gender until next month, but really, all we both care about now is that we have a healthy baby.

Luckily for us, we live in a country that, despite all the misconceptions Americans have about socialized health care, has great prenatal care, regardless of the mother-to-be’s economic or legal status. The first time I went to the doctor here, I could not provide the proof of address needed to register for the UK’s National Health Service. But, the doctor’s office found a way around that technicality by simply registering me as a temporary patient until I could provide proof of address (they did not even ask to see my visa). This meant that, even though we were still living in a hotel, I was still able to see a doctor and get referred to the prenatal clinic and midwives’ office at the local hospital. Throughout the entire process, no one asked to see any proof of NHS registration or of even my legal right to be in this country.

I love America, but health care is one area where it lags behind even third-world countries. Most people here simply cannot believe that there is no guaranteed health care coverage for Americans, and many ask me if the stories they hear about health care in the US are indeed true. Sad to say, they are true...and quite incomprehensible considering taxes for those earning a middle-class income in the UK are not that much higher than in the US. That said, I am hopeful that things will change in the near future, as we finally have a President that does not misunderestimate the concerns of the average American (and for those wondering, yes, we both voted, although Diego had to try about three times before he was able to do so...but I guess it’s not really all that surprising when you consider that we vote in Florida, where dead people’s votes count more than the votes of the living). Until that moment comes, I’ll just sit tight right where I am, drink my tea and have a crumpet. Cheers, mate.

lundi 13 octobre 2008

Welcome to the crunch

It's been a while since we've posted but that's because things have been very busy for us and our lives have been very unstable.

I started my new job in banking in the City of London on the 8th of September. Maki came and joined me a few weeks later. I went back to Paris the first few weekends (in spite of the fire in the channel tunnel: that's another story) to help with our move out. We finally moved out of our place in Paris at the end of September, after I had to disassemble and get rid of all the kitchen cabinets I bought when we moved in. All our stuff is now in storage until we move into our new place in London, which we won't be able to move into until the 28th of this month. In the meantime, we're staying in temporary accommodation.

2008 has been quite a roller-coaster of a year for us, as those of you who know us will be aware. Trust me to start a job in the banking sector the very week that global financial markets go into meltdown. It's been...interesting to say the least! Every day I'm hooked on the bloomberg watching everything crash and burn and wondering how much longer I'll still have a job.

On the upside, "the crunch" has brought with it all sorts of bargains. All the shops near my office are practically giving the nice men's suits away. Even the restaurants are now offering special "crunch lunches" as seen below.



I'm amazed that 6.50 is considered a bargain for lunch. Some crunch this is! I'm sticking to the 2.99 chickpea curry they sell at the place right inside Moorgate tube.

In tough times, however, not all consumption goes down. People will tend to spend more on the things that give them comfort. I'm happy to know that my street offers vice at a discount price. Now this really is crunch friendly:


mercredi 1 octobre 2008

A Nomadic Life

It’s been a couple of weeks since we’ve posted on le blog, but it’s because we’ve been busy with preparing for our move to London. Diego already started his job there, and I’ve stayed behind in Paris to tie up some loose ends (read: do all the things I never got to do when I was a law firm drone). As I type this, the movers are taking out the last piece of furniture out of the apartment and into storage until we find an apartment in London.

You might wonder how people manage to move large furniture in and out of itty bitty Parisian apartments and buildings that often do not have elevators (and even when they do have elevators, they are barely big enough to fit two adults, let alone furniture). They do it by using a contraption like this one:


The movers place the elevator where it will reach a big window or door (in our case, the French doors on our balcony), and then load all the furniture and boxes onto it. The elevator then takes everything down to street level, and from there it gets loaded onto the moving truck.

Moving out meant we (hereinafter in this paragraph defined as Diego) had to undo a lot of the work we did when moving in, such as taking down the kitchen cabinets, curtain rods, and overhead lighting. Here is an action shot:


It’s strange to think that five men managed to wrap up our lives into 102 boxes in about eight hours. Although I feel like we have too many things, all the movers that came to survey our apartment seemed to think we do not have that much. I suppose that a lack of clutter is one advantage of moving frequently. Despite the advantage of a less cluttered life, however, I do not want to have to go through this again for quite a few years. Whatever its drawbacks might be, we’re staying put in London for a while (mind you, that’s what we said about Paris too!)