Sunday, August 14, 2022

Hospitals in Hanoi, Vietnam

Visiting a foreign hospital is never ideal, and you never know what you're going to get or which hospital you should go to. This is my experience taking my two-year-old and my 5-month-old baby to a Vietnamese hospital.

With so many people touching the boys, it's hard to know where this infection started. However, we are definitely going to be more careful in the future.

A started running a low fever last week, and it only lasted about 24 hours. Then he had some drainage that we didn't know about because it wasn't coming out of his nose, but he started coughing stuff up. His cough progressed so much that he was vomiting up mucus. I was thinking about taking him to the hospital, but then his cough got much better, and I thought he was doing okay.

At the same time, O's nose was running, and we couldn't keep it clean. His runny nose was his first symptom, and two days later he started running a fever of 101. He ran that temperature for four days.

The night before we went to the hospital, A was screaming on and off for four hours straight at bedtime, until about 2:30 in the morning. That same morning was O's fourth day of running a high fever, so I finally decided to take them to the hospital.

The question was: which one?

Nick went to work, and I prepared a bag. As I was getting ready to go, I came down with a lot of anxiety over the whole situation and realized that I couldn't do this by myself, so I asked Nick to come home and come with us.

We decided to visit the Vietnamese international hospital because the cost was significantly lower, and a friend had visited there with their son and had a good experience.

The moment we walked through the door, we were greeted by an English interpreter. We told her what was wrong, and she started the process of getting us checked in. Both boys took a COVID test, which was negative, and then we headed upstairs to see the doctor.

We didn't wait very long to see the doctor. It was very interesting because the doctor and nurse stayed in the rooms while the patients came in and out, which was much different from what we're used to in America.

The doctor examined both boys and told us that A was much worse off than O. She wanted him to see an ophthalmologist and dermatologist and have an X-ray. Both boys also needed to visit the ENT, have blood drawn, and take a flu test.

Luckily, all of those doctors were on the same floor and right next to each other. There were no long lines to wait in, and everything was pretty easy, especially with our amazing interpreter.

First up was the blood draw and flu test. Both boys did that, and their flu tests came back negative.

Then we visited the ophthalmologist. She examined A's eyes and told us that he had conjunctivitis. She massaged his eyes, taught me how to do it, and gave me instructions to do it once every day.

After that, we went to the dermatologist and had a long conversation about A's skin. She believed that he had eczema and gave me creams and ointments to treat it. We were supposed to go back in two weeks.

Next up was the X-ray, and that took about two seconds. I held A down while they quickly took an X-ray of his chest. Not even five minutes later, they handed us his X-ray, and we went to lunch.

After lunch, we went to the ENT, and both boys had their ears, nose, and throat scoped.

A was up first. He had a lot of wax, so they had to clean out his ears. They quickly discovered that he had two severe middle ear infections with pus, and they were very worried about them rupturing.

O was up next, and it was a huge struggle to hold him down. It took me and a male nurse to hold him still. He had an ear infection on one side, but it was not severe. They prescribed antibiotics for both boys.

After the ENT, we went back to the doctor, who reviewed all of the results with us. The boys had very high white blood cell counts, which meant they had an infection, so they were both going to be put on antibiotics.

A also had bronchitis, and the doctor told me that he needed to stay in the hospital for five to seven days because he was so young and had a lot of things going on at once.

However, they didn't have any room to accommodate him there and asked me to go to a different hospital and have him admitted.

Our interpreter helped us call three other hospitals, and none of them had room.

We finally called the French hospital that had been recommended to us by another friend, and they happened to have space.

Nick and I decided to divide and conquer. He would take the scooter home and pack a bag for A and me, then come back to the hospital and take O home.

When I got to the emergency room at the French hospital, I gave them all of my paperwork. They told me that I had to go through the process of seeing the doctor again so she could verify the information and make the decision about whether we needed to be admitted.

They quickly took us back, checked A, and we met with the doctor all within about 15 minutes.

She examined him and noticed how happy he was. Although he had two severe ear infections, overall he was doing okay.

She asked me if I would prefer to stay in the hospital or go home.

I told her that because I had an older son who also needed medicine and attention, it would be much better for me to be at home with both of my boys.

She agreed and told me she would give me three days. If anything happened or changed, I needed to come back before then.

I was so happy with this news because I was having some serious PTSD. I really did not want to experience hospital time with A in a different country.

Both boys were champs during this whole crazy and hectic day.

O was held down several times while they put things up his nose, in his ears, down his throat, and drew blood from his arm. After the first time, he learned very quickly that he did not want to enter any new room and would fight us every time we tried to go in.

Luckily, most of the appointments were for A.

Now one of O's new sentences is:

“A's turn!”

It's pretty cute.

Giving them medicine before meals, after meals, in between hours—blah, blah, blah—is so hard, and it wears on you. I'm exhausted just from being a mom nurse.

So far, the meds are not going well. I have to hold O down and use a syringe to get the medicine into his mouth. A throws up his medicine less than a minute after taking it.

Overall, we have been changing clothes and diapers about five times a day because of throw-up or diarrhea, so it is just NO FUN!






Monday, August 1, 2022

Tips for Long Plane Trips with 2 littles



July 18, 2022

Flight to Montreal: 2.5 hours
Montreal to Tokyo: 13 hours
Tokyo to Hanoi, Vietnam: 5 hours

A daunting travel itinerary, even without children. Yet, we were about to do it with two under the age of three.

3 totes
3 large bags
2 carry-on bags (well, they were intended to be carry-ons)
a stroller
a car seat
a wagon
3 backpacks
and other loose things like blankets, stuffed animals, and snacks.

They say you pack way more when you travel with children, but we may have gone a little overboard.

This is what we faced on the last leg of our summer of transitions. One last push to fly to the literal other side of the world, and then we would finally be in our home for the next two years.

We were comfortable with the idea. Having lived abroad before, the unknown of a new country wasn't that scary, but having two children in tow posed challenges I'm not sure we were entirely prepared for.

With our experience, I collected a series of tips I'd like to share.



Traveling with kiddos TIP #1

Pack diapers everywhere! You can live without wipes, but not diapers.

Pack more diapers EVERYWHERE.

I had diapers in the diaper bag and in both carry-on bags, but when I was forced to check those bags, my brain didn't think, “Grab diapers.”

It thought, “You a-hole… who are you to make me do this?”

During our first flight, I realized I only had one diaper for each child left—and I still had 19 hours of FLYING time left.

I ran through the entire Montreal airport looking and asking for diapers and couldn't find any. Finally, on my way to the gate, I spotted another mother with an infant and toddler.

I approached her with tears in my eyes and a sense of urgency because my flight was currently boarding. She was happy to give me some, and then another mother chimed in and gave me more.

I thanked them sincerely and ran off.

It was a beautiful moment of solidarity in motherhood.

Traveling with kiddos TIP #2

For all the moms who are breastfeeding and pumping: prepare for your baby to completely change the plan.

I thought I was prepared. I thought my 5-month-old would breastfeed more and bottle-feed less.

The opposite happened.

A would NOT even consider breastfeeding, so I had to pump around the clock to provide milk for him.

I was prepared for this. I packed a cooler and a ton of batteries for my Medela pump. But when my battery pack started to crap out on me, I got worried because guess where my hand pump was?

Yup.

In the carry-on that got checked.

Here is what I packed:


A good pump bag- it flies for free as a medical bag

All my pump parts and only two Medela bottles

Medela wipes to clean those parts

Medela milk bags

Cooler

Ice pack- make sure it is 100% frozen when you go through security

2 battery pack for my pump, they held 8 batteries each

Lanolin

Gallon zip lock to hold clean parts

2 feeding bottles of choice



Traveling with kiddos TIP #3
Get yourself a blow up foot rest. 

Get yourself a blow-up footrest.

This thing is a game changer, especially for long flights or flying during nap time.

It was easy to blow up and place at our toddler's feet. He was able to sleep soundly for several hours because we laid the baby's nest on top of the footrest and seat.

We were also able to lay O down, buckle him in, and add his favorite blanket and stuffed animals so he could sleep comfortably.



Traveling with kiddos TIP #4

If you are traveling with an infant in arms, ask about a bassinet seat.

I was confused about when and how to request it, so I called Air Canada and sat on hold for 2.5 hours, only to be told they would take care of it at the gate.

That information did not sit well with me, so I did some reading.

I found out that the bassinets only hook up in the bulkhead rows. These seats are highly sought after because they have extra legroom. I also found out that they are first come, first served, although I read that younger infants may be given priority over older infants.

The night before our flight, Nick checked us in and made sure we were in the bulkhead for all three flights.

Our first plane was too small to have a bassinet.

Our second flight was more complicated.

Nick couldn't book all of us together because someone had claimed the middle seat in the row of three. When we arrived in Montreal, Nick went to the desk and asked if we could all sit together and get the bassinet.

They happily changed our tickets.

When we boarded the plane, we found another mom sitting in the middle seat and requesting a bassinet. Her husband was sitting on the other side, where Nick and O were also supposed to be.

I showed her our tickets and explained that we were all seated together.

She moved over with her husband, and the next flight attendant got an earful from the situation.

We were super sweet as we explained everything.

He asked how old our babies were. Her baby was 7 months old, and A was 5 months old.

We were told to stay where we were while they moved people around so the other couple could have another bulkhead area.

I was very happy with Air Canada because they shifted people around to accommodate both families with babies.

What we learned about using the bassinet:

  • It holds up to 14 kilograms.
  • You can only use it when the baby is sleeping.
  • You can't use it during takeoff and landing.
  • You can't use it during turbulence.
  • It's basically baby jail. Once the baby is inside, you have to Velcro and snap it shut so the baby can't fly out if there is unexpected turbulence.
  • Even if you are sitting in the bassinet seat, you still have to request that they bring the bassinet to you.


Traveling with kiddos TIP #5

Pack toys and things to keep your kiddos busy—but be flexible.

For O, we wrapped different cars and construction vehicles. The plan was to give him one every hour.

That did NOT work.

He wanted to unwrap all of them one after another. He threw a huge tantrum, and it caused more trouble than it was worth.

So we let him unwrap them all and put them into a bag.

Then he was able to choose which one he wanted to play with.

This actually kept him busy for most of the trip, even though I had also packed books, water-painting books, stickers, and his tablet.

Which brings us to Traveling with Kiddos Tip #5a:

Be flexible with your plans and procedures.

A mostly chewed on his hands and played with his Eric Carle ladybug!



Traveling with kiddos TIP #6

Pack a LOT of snacks.

This one might seem like a duh-red-truck kind of tip, but pack a lot of snacks.

O did not like the airplane food, so he mostly ate peanut butter crackers and cheese.

I had all of his favorite foods in little snack bags, and we did not regret giving up the luggage space.

In fact, when we arrived at our destination, those snacks got us through until we could go grocery shopping.

I had even packed extras in the carry-on bags that ended up getting checked.



Traveling with kiddos TIP #7

When everyone is overwhelmed, move.

What do you do when you're overwhelmed, the kids are crying, or someone is throwing a tantrum?

This happened several times, especially around nap time and bedtime.

A would be asleep and then get woken up by O screaming—or vice versa.

These were some of the hardest moments.

We learned quickly to pick up the child who was upset and go for a walk.

That helped keep the other one asleep and gave the screamer something new to look at.

People will stare.

People may be annoyed.

But you have to do what works best for your child and your family.



Traveling with kiddos TIP #8

Totes!

Our military friends told us that when they move, they use black totes with yellow lids because they are heavy-duty and can be zip-tied shut.

They worked amazingly well.

If you decide to use them while traveling abroad, make sure you put extra zip ties inside in case security or customs opens them.



Traveling with kiddos TIP #9
The WAGON!!! 

The wagon was a last-minute addition to our giant pile of stuff, and it made all the difference when traveling to the gate and moving between flights.

We checked our stroller and car seat and used the wagon instead.

It held O and some of our stuff while Nick carried A in a baby carrier.

It was AWESOME!