Five weeks ago today, I returned to Prague after spending a wonderful two weeks accompanying Sybille on her pilgrimage from Prague to Santiago de Compostela, walking with her across Switzerland. Since returning, I have successfully written and posted seven blog posts about our journey together. A big ‘Thank you’ to the faithful few who have left kind and appreciative comments on these recent posts.
The evidence of how far we walked can be seen by state of the soles and heels of my much loved walking boots. In the last couple of days of walking, I did slip slightly in a few muddy places, because of the increasing lack of tread. I also discovered that the waterproof cover, integral to my rucksack, was unfortunately no longer waterproof 🙁 . I have now invested in a new pair of walking boots, though I’ve yet to test them out over any serious distance. And I will buy a new, separate waterproof cover for my rucksack as, despite being twelve years old, it is otherwise still in good order.
Two other major things have happened since returning to Prague. On Tuesday 2nd September, I paid another visit to my dermatologist at Vojenské nemocnice, the Military Hospital. Unfortunately, one Basel Cell Carcinoma (BCC) on the right side of my forehead had, despite numerous treatments with liquid nitrogen, refused to disappear. So we mutually agreed that the only way forward was to have it cut out under local anaesthetic.
What then followed speaks volumes for the efficiency of the Czech Health Service. Armed with a brief report from my dermatologist, I went straight-away to the plastic surgery department in another nearby building. There, without an appointment, the surgeon quickly examined the BCC and promptly gave me an operation date of Wednesday 10th September – just eight days later.
The operation on Wednesday 10th September, despite being under local anaesthetic, was a bit more major than I was expecting. I was grateful that I’d accepted the kind offer of my friend Rev’d Dr Karen Moritz, to accompany me to the hospital. This is how I looked following the operation – Karen being responsible for taking the photograph! Fortunately, when I returned to the hospital the next day for a follow-up visit, the head bandage was replaced by a large sticky plaster which I was able to remove the next day.
The wound was pulled together by six stitches, the last two of which, were only removed on Monday of this week. But the good news is that the histology report, whilst confirming that what was removed was a BCC, also said that it was completely removed – it was clear around the edges. I now have a return visit to the dermatologist booked for the middle of October.
Then on Monday 22nd September, the day I had the last of my stitches removed, came the news that my daughter Christa, had gone into labour with her first child. Later in the evening came word from my son-in-law Ian, that I had become a grandfather for the first time, following the birth of my grandson Finley.
Because of breathing and other difficulties, Finley was immediately taken to the Special Care Baby Unit of the hospital in Northampton. But as this picture below, taken yesterday, shows, Christa and Ian were finally able to hold their newborn son for a short while. The latest news is that they hope to be able to take Finley home this weekend. I’m hoping to meet my grandson for the first time at the end of October when I’m visiting the UK for a few days.
On Wednesday 30th April, I paid my fifth visit in the last nine months, to see a Czech dermatologist at Vojenská Nemocnice, the Military Hospital here in Prague. It prompted me to think that I really ought to write a blog post all about my experience, along with a brief explanation as to how the Czech Healthcare System works. But first a bit of background about me.
Between July 1970 and February 1975, I lived and worked in Australia. During my time there, I got badly sunburnt on several occasions and have since suffered from the consequences of being a pale, white, north-European, who exposed himself to far too much Australian sun.
It took nearly twenty years before I first experienced the unwanted consequences of my unwise actions. It was in 1988, whilst I was training for ordained ministry at Wycliffe Hall, Oxford, that I eventually went to see my GP about a scab, located on the hairline of my forehead, that refused to heal up. The GP sent me to see a dermatologist, who promptly diagnosed it as a Basel Cell Carcinoma (BCC), the commonest, but fortunately least dangerous, form of skin cancer.
Unfortunately, by that stage, it had become too big to be cut out under local anaesthetic, with a couple of stitches to pull the resultant wound together. Instead, the BCC had to be removed under general anaesthetic, with a skin graft taken from my chest, put across the gaping hole on my forehead. The evidence of that operation is still visible today, all the more so because my hairline has receded much further in the subsequent twenty-six years.
Ever since that operation in September 1988, I have kept a very watchful eye on any scab or spot on my face that refuses to heal up and promptly sought medical advice. As a consequence, over the years I’ve had several more small BCCs cut out under local anaesthetic. During the latter years of my time living in the UK, my BCCs were usually ‘frozen off’, by being treated with liquid nitrogen which destroys the cancerous cells.
During my first few years in Prague, I was pleased that I could not see any visible signs of further BCCs on my head and face. However, in the Spring of 2013, a tell-tale non-healing scab appeared on my current hairline, on the right side of my face. I also observed several smaller spots, all of which looked ominous. So in early June last year, I finally took myself off to see my GP, Dr Adriana Youngová.
Dr Youngová is a fluent English-speaking Czech, helped no doubt by being married to an Englishman called Mr Young, hence her unusual surname. Interestingly, although she has taken the Czech genitive form of Youngová, she calls the medical practice she heads, ‘Young & Co‘, without the ‘ová’ 🙂 But I digress.
Dr Youngová immediately agreed that I almost certainly had a BCC and promptly wrote a letter of referral for me. She recommended that I see a dermatologist at the Military Hospital as she knew that many of the medical staff there, spoke English. However, unlike in the UK, where your GP sends your letter of referral to a hospital and the hospital then writes back, giving you an appointment, in the Czech Republic, the patient has to contact the hospital themselves and make their own appointment.
I therefore went in person to the Military Hospital in order to make my first appointment. I could just have telephoned, but realised that if language was going to be a difficulty, which it was, you cannot make hand signals over the phone 🙂 Surprisingly, the young female receptionist on the main hospital entrance, spoke better German than English, and successfully directed me ‘auf Deutsch‘, to the building where the dermatology department is situated. However, the receptionist in the dermatology department itself, only spoke Czech, so I was most glad that I had not tried to phone. Eventually, my limited Czech, combined with appropriate hand signals, got me my first appointment for 15th July 2013.
As is required under Czech law, as an employed person, I and the Church as my employer, make contributions each month, to VZP CR, who in turn provide me with full medical cover under the Czech public health insurance scheme. VZP CR in turn, issue me with a European Health Insurance Card (EHIC) which I show in order to receive, almost free medical care.
I say ‘almost free’ as, on each occasion you visit your GP or have a hospital appointment, you are required to pay CZK 30 (just under £1.00 or US$1.50). On entering the dermatology department, there is this machine in the entrance hall, into which you put your CZK 30 and obtain a printed ticket, showing you have paid up. This is then retrieved from you, when you see the dermatologist.
My appointment yesterday, like a couple of previous ones, was for 08.00. This is very Czech as there is quite a tendency here to begin work early in the day. I first went to the machine to obtain my CZK 30 ticket. There was a delay whilst an elderly Czech lady in front of me, slowly managed to recover her coins, having first pushed them into the slot where the ticket comes out! I felt a certain sense of satisfaction that I understood the instructions on the machine, better than did a native Czech!
Then it was on to reception, to confirm my arrival. This receptionist is a classic example of what I have previously described as how to dress Czech. She regularly wears tops that reveal a large amount of cleavage. As I’ve previously written, it is look that would be appropriate for a romantic dinner with her husband or boyfriend, but not what I really want to see at 08.00 in the morning, in advance of being attacked with liquid nitrogen. Fortunately, the top on Wednesday, was somewhat less revealing than a couple of the previous ones 🙂
Once my arrival had been confirmed & the receptionist had found my file, I had to wait in the adjacent waiting room, until summoned. For the first time yesterday, I was summoned by a nurse who could actually pronounce my surname. My surname of ‘Yates’, causes great problems most of the time, as no Czech surname begins with the letter ‘Y’!
I saw the same young female Czech dermatologist that I’ve seen on four of my five visits. She speaks fluent English and has a helpful and friendly manner. She agreed with me that the original large BCC on my hairline, has still not completely disappeared, despite four previous treatments with liquid nitrogen. However, she was convinced that it was now much smaller and that one further treatment might finally do the trick.
So it was out with what I would describe as a cotton bud on the end of a large stick, first placed into the flask of liquid nitrogen, and then dabbed firmly on the offending area, several times over. She also treated a new spot I had identified, alongside my ear on the other side of my face. After treatment, she dusted both with a white antibiotic powder which does leave me looking slightly ghostly.
Having received treatment, I was duly given my next appointment for two months time at the end of June, along with a written report about my treatment, all in Czech! Then it was back to the tram for my journey home.
In conclusion, I have to say that I have been most impressed by my experience of the Czech Healthcare System. It is effective and efficient and gives an excellent level of care. Even as a foreigner, once you get to know the basics as to how the system works, then you should not have any real problems or concerns. And because most well-educated Czechs, especially the younger ones, speak reasonable English, language is usually not a problem with many doctors or with some nurses.
For better or worse, I am part of social media. I write this blog and I am on Facebook. Yesterday via Facebook, I received a barrage of posts from my American ‘friends’ regarding the outcome of their Presidential and Congressional elections held on Tuesday 6th November 2012. One person, (you know who you are 🙂 ), posted over fifty times between my going to bed late in the evening of Tuesday 6th November and logging on again mid-morning the next day!
The vast majority of these ‘friends’ were expressing a mixture of joy, relief or satisfaction at the election result – often a mixture of all three. But a small minority, mostly ‘friends’ of American ‘friends’ of mine now living here in Prague, were in utter despair at the result and were threatening to leave the USA and come and live here in Europe, in particular here in the Czech Republic. This unplanned blog post is specifically for them.
As I understand it, these right-wing Republicans are concerned about a number of issues. One these is what they believe to be ‘uncontrolled immigration’ into the USA by non-American citizens who they think have no right to live within their country. Yet these self-same people are now proposing to emigrate from the USA, to another country. Have they ever given any thought as to why another country might actually want to receive them as immigrants?
Whilst via this blog, I have been very supportive of American citizens who have come to the Czech Republic at the invitation of Czech companies and businesses and have then experienced visa and work permit problems, it does not mean that, just because you are an American, you have the right to live and work in this or someone else’s country.
In recent times, I have heard various complaints from Americans and other non-EU citizens, who have come to the Czech Republic on a three month Schengen tourist visa, started working here, and only then have begun to apply for a long-term visa and work permit. Their concern is that, by the time they have completed the paperwork for a long-term visa and work permit, travelled to Bratislava, Vienna or Berlin to lodge their application, their three-month tourist visas will have expired before Czech bureaucracy has successfully issued them with necessary paperwork.
Can any American citizen tell me what the attitude would be to a foreign national who arrived in the USA on a tourist visa, started working, and then applied for a ‘green card’? I think I know the answer to my question! Therefore, why should rules, similar to those that apply to immigrants to the USA, not also apply to American citizens seeking to live and work in another country?
Another major dislike of these self-same individuals is what his supporters would see as one of President Obama’s major achievements during the first four years of his presidency – the provision of health care for all, denounced by his opponents as ‘Obamacare’ or ‘socialised medicine’. I am well aware that the package eventually passed by Congress and upheld by the Supreme Court, is far from perfect. But it remains beyond the comprehension of most Europeans as to why the supposedly richest nation in the world has not until now, provided universal healthcare for all of its citizens and that a large vocal group actually object to such provision.
Therefore may I inform all those Americans thinking of leaving the USA and moving to Europe in order to escape ‘Obamacare’, that all twenty seven members of the European Union provide universal healthcare for all of their citizens. Yes it costs money – my Church Treasurer often points out that of all the money that leaves our Church bank account at the end of each month to pay me, only about half of it ends up in my bank account. Because from that sum is deducted employer and employee contributions to social security and health insurance as well as my income tax. But if I need to consult my GP or need a major operation in a hospital, all I have to do is pay 30 Kc (£1.00 or US$1.50) – all the rest is covered. As an online friend recently pointed out, if you are looking for a country that doesn’t have universal health care, why not try living in Eritrea!
One topic that didn’t arise in the campaigns of either of the Republican or Democratic candidates for the American Presidency is that of gun control. Neither candidate wanted to challenge the power and influence of the National Rifle Association (NRA). But if you want to come and live in Europe, don’t try and bring your weapons with you unless you think you can show very good reasons for having them. Just citing the second amendment to the US constitution will fall on deaf ears 🙂 By the way – the murder rate in Europe is about one quarter to one seventh of that in the USA. I wonder why?
I could go on by pointing out many other things that conservative Americans might find objectionable should they try to escape their own country and seek to move here. For example, in the Czech Republic, you will regularly see women openly breastfeeding in public. You cannot ask for them to be arrested as there is no law requiring women to go and hide in a public toilet in order to feed their babies in the manner that God intended. In case you hadn’t ever realised, unlike guns and violence, a woman’s nipple has never killed anyone.
This post is not meant to be anti-American but rather an attempt to challenge some of the frankly absurd comments I’ve seen and read this past 48 hours. To use two well known American expressions – ‘get real’ and ‘go figure’.
