The process of getting vaccinated has been the most frustrating and stressful check on my to do list so far. It first started off with figuring out which vaccines I needed for the trip. For Thailand, the CDC recommends the Typhoid, Hepatitis A and B, and the Japanese Encephalitis vaccines. Travelers should also be up to date with all the routine vaccines like measles, mumps, and Tetanus.
The problem was that I didn’t know which vaccines I had gotten in the past. Aimlessly getting all the shots would be silly since these vaccines can get pretty expensive when added up. I was also on a bit of a time crunch since a few of these vaccines were a series of shots that required at least a month in between. And I only have 2 months left.
I called my former pediatrician to try to get my vaccination records. But they couldn’t find my results because apparently they discard medical records that are over 10 years old. I called another one of my pediatricians who told me that my vaccination records were never turned in to them.
Next, I called my university’s health center. I was confident that they would have my records since all colleges require vaccinations before attending college—since college kids are pretty nasty these days, right? A nurse told me that my vaccination records (and all other medical records) were not available since they accidentally slipped through the cracks of their system. I guess I came in at the perfect time—a time in which the health center was switching from a paper system to an electronic system. My paper record was never transferred over to the new system and was discarded as a result.
Let me point out, I cry a lot. I am uber sensitive and get frustrated very easily. This process of trying to find out which vaccinations I needed was stressful. So consequently, I cried.
I called both of my high schools to obtain my records but they explained that after two years of graduating, they dispose of any student medical records. Then, I was able to reach my elementary school and they were able to scan my results. So Polio, Measles, Meningitis, Hepatitis B, Rubella, check! The only problem is that the most recent date of my vaccinations on this document was 1995. So any records of vaccinations received after the year 1995 has been lost. I was somewhat pleased with the situation but I most likely cried as well.
By using the process of elimination, I assumed I needed the Hepatitis A and Typhoid vaccines. I decided not to get the Japanese Encephalitis vaccine. When talking to an alumnus who went through the program last year, she told me that she decided to risk it and not get the vaccine because of the cost and the time required for the shot. I figured I’ve never heard of the virus before so I was confident I wouldn’t get it.
I made an appointment with a local doctor to get these two vaccinations and a standard physical. During the appointment, I waited an hour before the doctor came in and told me that I needed to get the Hepatitis A and Typhoid vaccines. She even wrote it down on a piece of computer paper and gave it to me—like I didn’t know already! Then she told me to have a good day, without any of the vaccines or the physical. I asked her if I can get my physical and she explained that since our appointment lasted too long, there wasn’t enough time for it. I walked out of the office so confused and then angry. I was going to be charged the co-pay and a lot of money for information I already found out myself. I called the office back and asked what I was going to be charged for. They told me that I was going to be charged for the co-pay (because I took up the doctor’s time), a facility fee (because I stepped on their scale and they used a pencil to write down my weight and since I sat on the cheap paper bed covering), and for counseling (because she told me about the vaccines I already knew I needed to get). I shared my concerns about the fees (especially the counseling fee...pshh, that wasn't counseling!) to my insurance company and they took care of it—I think. I was glad they didn’t charge me for the physical since those exams can be expensive! But even so because of the exhaustion, I cried again. Then I had to go to work. What a mess!
I found out from another doctor (and my own acclaimed research) more about the Japanese Encephalitis virus. The Japanese Encephalitis virus is spread through mosquitoes (who absolutely love me). It is an incurable virus that swells the brain and if contracted you have a 30% chance of surviving. If you do survive, all you’ll have is moderate to severe brain damage—that’s all! And they recommend it to travelers planning on staying for more than 30 days (check ✓) and living in a rural town (check ✓). The simple decision would be to just get the vaccine, right? But it’s 600 dollars! It was definitely way over my budget and I didn’t know what to do.
I unfortunately had to do the inevitable. I called my parents. This was the last thing I wanted to do especially since my mom was still upset with me leaving and still believed I was going to ask her to fund my trip. I tried to find a clever way of bringing up this financial drawback. This is how the conversation with my mom went:
Me (stating at very rapid pace): So there is this virus, which is transmitted by mosquitoes, who, by the way, love biting me, and it’s a virus that swells the brain. A lot of people die from this virus and if they don’t they usually have pretty severe brain damage or slip into a coma. Oh yea, it’s also incurable. But I probably won’t get the vaccine.
Mom: Umm...why not?!?
Me: It’s too expensive.
Mom: How much is it?
Me: 600 dollars.
Mom: …dial tone...
Big mistake! Despite my disrespectful and thoughtless idea to manipulate my mom, I was very nervous about the virus and did desperately needed help to pay for the vaccine. I told some of my co-workers and they suggested a mini-fundraiser at our restaurant (I’m assuming as a joke). If the makeshift fundraiser to help bring a former employee back across borders didn’t work as well, I doubt my pathetic plea for vaccination money would sustain as anything.
Eventually, my parents ended up helping me out with the Japanese vaccination money. I am very grateful for their support. Now I feel more comfortable about my personal and health safety in Thailand…I guess except for the Thai rapists, traffickers, muggers, lady-men (which I may be a target for since I look and dress like a 12 year old boy according to my friend Chris). So to avoid any other safety issues and hopefully build myself more of a backbone--next step self-defense classes!
Fast forward: Sept 16th, 2011
I finally got my vaccinations! First, I had to get Hepatitis A, Typhoid, and Tdap all in one day. After calling several travel clinics, the Orange County public health office definitely had the cheapest prices. They were also very nice. I received food to replenish my virus-afflicted system, an informative packet about the vaccines, and a free shot (Tdap) because I’m a teacher. The Tdap vaccine hurt especially. I couldn’t move my left arm for a couple of days.
The next day, I got the Japanese Encephalitis vaccine. Finding a clinic that had the vaccine but also provided it for an inexpensive price was rather difficult. I called over 20 clinics in both Orange County and LA County to find out their vaccine price. Most places charged a hefty office fee as well. After mulling it over for a while, I found a great place called Eddie’s Pharmacy in LA. They charged me a standard office fee and the cheapest vaccination price I found. My visit also included an extensive and intensive tutorial in traveling to Thailand by a very helpful and receptive pharmacist. Their office was just a bit out of my way. So I decided to spend a fun filled day in LA with one of my friends. On a less positive note, my day also included several hours of traffic and getting incredibly lost in the ghetto of LA. I tried to be optimistic during my extremely long and frustrating drive. I tried recognizing the more positive aspects of my drive like involuntarily exploring Filipino town and the exuberant proposition I received from a very muscular drag queen.
At the appointment, the pharmacist gave me a lot of enlightening information about all the viruses and bacteria I will be encountering. She also let me know about the day to day diarrhea and mosquito issues and remedies I am even more afraid of encountering. Then, she gave me the painful and most expensive shot I’ve ever gotten and will ever get.
Within 2 days, I was sore from an 8-mile hike, had 4 viruses injected into my arms, and had 6 warts burnt off my body (I swear, it's not what you think). My body has been taking a terrible beating. I felt awful and disease-ridden. I couldn’t move my arms and my face and hands looked slightly mangled (mostly my face). I looked especially silly at work as I hobbled over to my tables, unsteadily carrying their ice teas and Pepsi drinks. One of my tables was wondering why I was having such trouble distributing their drinks. I thoughtlessly replied, “Oh, I just got several vaccinations," as I looked feverish and in pain. They all looked at me with disgust (as I am the one serving them their food and drinks). After realizing my mistake, I reassured them by stating, “Oh don’t worry, I don’t have a disease or anything. I just had to get vaccinated for my trip to Thailand.” They showed signs of relief and nervously laughed off my somewhat comforting response. Unfortunately, I have had even more awkward serving situations than this one. I usually tell my customers good job as a response to them liking their meal or I try to reassure them that I’m not creepy when caught staring relentlessly at their food.
Nevertheless, I am now vaccinated! And I didn’t even cry.