Wednesday, October 16, 2013

Doctor's Visit and Interesting Prices

Going to the doctor in NZ is very similar to going to the doctor in most other places I've lived, but, naturally, there are some differences.

J did the research to find us a doctor, and found out that there is only one clinic in Whanganui that is accepting new patients. Health Care is paid for by the government of NZ, and it is run effectively and is one of the better health care systems around. However, there seem to be more people who want to register at a clinic than there are spots, so all the other clinics have reached capacity, and are not registering new patients. This one is, however, so J and I registered.

After my first appointment, I was told that I should make a "new patient appointment" to go over my medical history with a nurse, and so I did. I went back yesterday for it, and had the new experience of filling out my medical history on an iPad! How cool? It was neat and efficient, and went straight to the nurse's computer, so that she could see it all. Unfortunately, like every other doctor/nurse in every other country, she still felt the need to ask me most of the questions again. What is it about the medical field? Do they think I've changed my smoking habits on the way into the exam room? Anyway, ranting aside, she was very nice, and now she has my medical history (twice).

Without any insurance at all, I only paid $12 for my appointment. If I had seen a doctor, instead of a nurse, I would have paid $17, which is still less than my doctor's visit deductible with Kansas insurance ($25).

What is more impressive, is that when I went to the pharmacy, guess how much I paid for this bag, which contains a week's dose of antibiotics? $5! I don't know how much that would cost in the States, being lucky enough to always have had insurance, but I'm pretty sure that even with insurance, my portion was usually more than $5. Amazing!

On the flip side, I just have to share this, because J and I are endlessly amused by the comparison. Guess how much we paid for this 50ml (1.7oz) bottle of rubbing (isopropyl) alcohol? $6.50! Just to put that into perspective, we would usually buy a 32oz bottle (20 times as much), which costs about $4 in the States. To buy that much here would cost about $122! 

In conclusion: 
Doctors and prescriptions? Cheap. 
Rubbing alcohol? Expensive. 
Definitely a different market than I'm used to. :)

Flood!

I was awakened from my sticky, congested sleep this morning by a text from J, saying, "Wanganui East is flooded, not many streets are open, try to stay home if you can." Given that I am still feeling rather nasty, and the antibiotics don't seem to have been informed that they are meant to be decongesting my sinuses, I was planning to stay home all day anyway. But flooding?

Not only flooding, a state of emergency, evacuations, and no power in some areas due to flooding and strong wind. Yikes!

Here is a link to the latest new story about it:
http://tvnz.co.nz/national-news/contamination-concerns-flooded-whanganui-river-5649766

The river has been very high for a while now, because we've gotten so much rain, and then the heavy rain last night was the last straw. When I came home from the doctor yesterday (more about that later), I wanted to stop and take pictures of how high it was, but was feeling too sick. Anyway, it was already right up to the top of the banks, and they were starting to sand bag around the edges. Apparently, it was not quite enough, although it did make a huge difference in keeping the damage to a minimum.

An earlier article went into a bit more detail about the contamination, saying, "manhole covers lifted along Anzac Parade and the floodwater was contaminated with raw sewage." As if flooding is not bad enough.

Here is a link to that article:
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11140679

Looking out my windows, there aren't even noticeable puddles anymore, so we are clearly high enough that the water is not threatening our neighbourhood. However, I read a list of roads that are closed this morning, and a lot of them are on my way into town. (I only knew a few street names here, so if I recognize them, it's because they're on my way to somewhere).

I feel very lucky to have electricity and dry floors, but I am very concerned about all the families that are still waiting to be allowed back into their houses, and about the damage they will find when they arrive. The thought of my house being contaminated by raw sewage, or water damage beyond repair is very scary, and I hope that families will be getting the support they need. Please send thoughts and prayers their way! Thanks!


I went ahead and pointed out two of the places that the article mentions as places to stay clear of. Anzac Parade (Hwy 4), as you can see, runs right along the river, next to Kowhai Park. The worst of the flooding seems to be around that area, and it is people who live on Anzac Parade who have been evacuated, for the most part. Apparently, Putiki is relatively low ground, so it has historically had problems with flooding, and the trend continues.

Tuesday, October 15, 2013

Early Learning Centres

My brain is still a bit fuzzy from the sinus congestion, but I am going to go ahead and tackle a post about some of my first impressions into Early Childhood Education in NZ. I have been reticent to write about it, and I still am, because I feel like my limited experience cannot begin to do justice to an entire field, especially one about which I care so much. So please take my descriptions as what they are: the first reflections of an American-trained teacher who has spent no more than two days in each of five different early learning centres in NZ.

I moved here with a valid work permit, but without credentials that are recognized in NZ. In order for them to be recognized, they must be evaluated by the NZ Qualifications Authority, and then passed on to the NZ Teacher's Council, who will register me. Registration seems to be the equivalent of teacher licensure, just as Membership was the equivalent in Canada. In any case, it will take at least another month before the process will be complete and I will be registered.

My plan in the meantime is to learn as much as I can about Early Childhood Education in NZ. I did a thorough search of early learning centres, and have begun to visit them. I have explained to the teachers at each centre who I am and what my goals are. The teachers have been kind and welcoming, and allowed me to spend time in their classrooms/centres, get to know the children a bit, and discuss teaching policies. I have spent time in five centres, and I have five more on my list to visit. (I was going to get to several of them this week, but I am too busy being sick).

Here are some differences I have noticed, when comparing the centres to American and Canadian ones:

1) The doors to the playground are always open, and the children can choose to be inside or outside. There is a teacher outside, a teacher inside, and several teachers who moved back and forth as they are needed. It seems to me that this helps incorporate the outdoor environment into children's learning, as well as giving children more options of activities and more space. It also seems like it could pose safety problems, the biggest one being that no one teacher can know where each child is at any given time. In many of my previous classrooms, I was required to do a head count every 10-15 minutes while outside with the children. That is obviously not possible with this set-up, but there is an understanding that the children are safe, and at least one teacher would see if they needed anything.
2) Another reason that head counts are out of the question is that the children can move back and forth between the classrooms as they choose (or sometimes with a teacher's permission). The preschoolers and toddlers can play in the infant room, and vice versa. The teacher have explained that the system is a great way to encourage children to mentor and support each other, which is a concept I love, and am so glad that they are supporting. It is also a great way to continue relationships between teachers and child, even as the children grow up. I do wonder a bit about whether the children feel like they have a place that is their own - a "home" feeling at school, which is also important. I will have to spend more time getting to know the children and programs in order to understand this.
3) The class sizes tend to be much bigger here. In the state of Kansas, the most children you can have in an infant classroom is nine (or ten if they are walking). In NZ, there are classrooms with 30 infants! Interestingly, the teacher:child ratios are about the same (1:3 for below 12 months, 1:5 for 12-24 months). That means that in a 30 child classroom, there are 9 or 10 teachers. Class sizes for toddlers and preschoolers are up to about 30 as well (with less teachers, as the ratio goes up as children age). I would have thought that that would be overwhelming and much too busy, but when I'm in there, it doesn't feel that way. The classrooms and outdoor spaces are large and well designed, and the use of both at the same time spreads the children, teachers, and noise out. I don't know how I will feel about having that many children in my classroom when I start working, but for the moment, I have just been impressed by how well it seems to work. The children have good friends, the teachers know each child well, and the days seem to go smoothly.
4) Maori is used in the centres. I have heard a couple teachers talking to children in Maori, but what is more common is just to say common words or phrases in Maori. For example, the teachers never say 'food,' they say 'kai.' E.g. "Please finish your kai before you go and play." They also say 'tauawhi' ('hug') and 'kapai' ('good job'). Almost all the writing in the classrooms are in both languages, and they sing lots of Maori songs. I love the bilingualism, and can't wait to get started learning Maori.
5) I have come to the conclusion that parents must be more understanding here that children get hurt sometimes, because the teachers allow children to take many more risks than I am used to, and don't seem worried about parents' reactions. I love this, because I think that we are not doing children any favours by eliminating everything that could possibly be dangerous from their environment. The world is a dangerous place, and children need to learn to manage risk and understand their own limits, which is hard to learn without some risk. Anyway, that seems to be the outlook here, as teachers watch children climb high in trees, build unstable structures and climb on them, and even experiment with real rip saws, hammers, and nails. What has been so cool has been seeing the children confidently taking on these challenges, but independently choosing to stop and ask for help when they come across something that might be dangerous to do by themselves. I am impressed (and relieved) to see that they seem to be learning to keep themselves safe.

These observations, as I mentioned, are from the early learning centres that I have visited. However, there is another ECE option here, which is kindergarten. Kindergarten in NZ is publicly run (unlike the early learning centres, which are private), and is for children ages 3 to 5 years, or sometimes younger if the child is potty trained. I have been told by several teachers that it is very similar to the preschool classrooms in early learning centres. I have not visited any kindergartens yet, but I have applied to be a reliever (substitute) teacher for the Kindergarten Association of Wanganui. All 12 kindergartens in the city (and surrounding area) are in the Association, and when any of them need a reliever, they call the central office, who calls one. This is ideal for me, because I will be able to be sent to 12 different schools, but only have to worry about coordinating schedules with one person. (This is important to me, because my experience substituting in Canada taught me that I do not deal well with the stress of three centres calling me to substitute on the same day, and I was nervous about repeating that scenario). Relieving gives me a neat, professional way to be introduced to each school, which is nice. It will also allow me the flexibility to continue visiting early learning centres, so I think it will work out great. They cannot schedule my interview until my NZ background check comes back, but I hope it will be soon, so I can get going.

I want to reiterate that my observations cannot even be generalized to every centre in Whanganui, let alone to all of ECE in NZ. Besides, they are just the very beginning of my endeavours to learn about and work in the field. I am eager to continue to learn from the teachers and children here, and to see what I can bring to the classroom.




Monday, October 14, 2013

Out of Time

I have discovered, over the last few years, that my ability to deal with illness with some degree of grace lasts about a day and a half before transforming, without warning, into the ability to construe any and every event as a catastrophe, and to turn into a helpless puddle of misery in two seconds flat. Maybe it's the sleepless nights catching up with me, or the heartbreaking realization that illness always lasts longer than I think it will, or that I have a limited supply of illness-related grace and I use it up too fast, but the transformation always happens, causing great misfortune for me and anyone who has to deal with me. This time, it happened yesterday evening, and thank goodness for J's presence of mind to make me yet another cup of tea and force me to stay on the couch and relax.

In a brilliant stroke of luck, I actually slept well last night, and felt slightly more able to handle making an appointment and going to the doctor. After an hour of waiting to see a nurse (and managing to maintain a facade of patience, of which I am proud), I was relieved that she went ahead and prescribed me antibiotics. My years and year of experience with sinus infections (which is what this has turned into) have taught me that no matter how diligent I am with home remedies, my body cannot fight off sinusitis. Most other things it can beat, but not this. I was worried, however, that they would be reticent to prescribe me any, because I learned that antibiotics are more strictly regulated here. I learned this when I went to the pharmacy to buy Neosporin/Polysporin/Triple Antibiotic Ointment, and was told that absolutely everything with antibiotics in it is by prescription only. But not to worry, I have drugs now, and all will be better soon.

As a reward for not having cried or yelled at anyone at the doctor's, I am back home, preparing to lapse back into couch potato mode and watch some more movies. Here I go.

Sunday, October 13, 2013

Virginia Lake Pictures

I was going to take advantage of a sick day by typing up a bunch of things that I've been meaning to write about, but pathetically enough, I could not get up the energy to tackle such a task. I have been laying around watching movies all day instead. My throat is actually slightly better this evening, but my head and sinuses are worse.

Anyway, I have decided to let my computer do the work and upload a bunch of pictures instead of typing.

The following pictures are from Virginia Lake, where I went for tea and a walk with my friend Kirsten a while ago. It is in St. John's Hill (a suburb of Whanganui), and it involves a lovely lake, a "winter garden" (greenhouse), and an aviary. Kirsten and I had a wonderful talk and walk, and as you will see by the pictures, we really enjoyed the area.

These pictures are from the lake itself...




This is a pukeko bird. They are native to NZ, and very neat looking. It was brighter blue in person.





These next pictures are from the winter garden (greenhouse)...



The last two pictures are from the aviary...

My favourite birds were tiny, fat ones whose whole bodies were that orange-tangerine colour of these birds' throats, but I couldn't get a good picture of them.

Sick but Happy

My plan of sleeping off my sore throat was completely foiled by the impossibility of sleeping when you can't swallow without great pain or breathe through your nose. I feel terrible today - headachy, feverish, and tired, with an unabating pain in my throat. Grrr. I will have to go to the doctor tomorrow. Yuck.

However, three very nice things happened today. The first one was that I got to Skype with Dad for the first time since we moved. It was so nice to see his face, and to catch up on his life.

The second thing was that my friend Karen stopped by to drop off a nice chair and desk for us. She and her husband are so kind, and they loved our house, which felt good.

The chair and the desk are in the spare bedroom, which will be my reading room when we don't have guests. I want to find a good place to put the desk near the door, so that I can keep my purse, mail, and other odds and ends in it, as a way to not cover the kitchen table with them, which is my tendency. Also, notice the spiderman curtains in the background - cool, hey? We have a little bed on the other side of the room, but it didn't all fit in one picture, and it's not very exciting anyway.

The third thing was that our friend Lionel surprised us by coming over with housewarming gifts!

He bought us this beautiful vanilla candle, with a thin cover that is hand painted by one of the owners at our motel. Since that is where we got to know Lionel, it will be a nice reminder of him whenever we see it. (It also came in that pretty little box, which I will find a use for somewhere). He also bought us these little flowers, which I will have to find a nice, sunny place for, after I feel better. 

It made me happy, even in the midst of my miserable sickness, to have nice people around me, near and far. :)

Saturday, October 12, 2013

Grump

After spending a nice late morning/early afternoon reading and playing games in our new house, the universe decided to be a grump. I have developed a headache and a really sore throat, and after starting our second large load of laundry in the washer, we discovered that our dryer does not work. At all. The kicker to this lovely situation was that our big pile of wet clothes could not be hung outside on the clothesline, because the wind has been blowing at approximately a billion kph (621,371,192 mph) since yesterday. I am confident that if we did manage to pin them thoroughly enough that they wouldn't blow away (which would be difficult with the grand total of zero clothespins we currently own), that they would either rip off or catch the wind enough to pull the clothesline over. So we have a back room full of wet clothes, and it is increasingly difficult for me to swallow. I am optimistic that my throat will be magically better in the morning, but I am dreading dealing with the dryer. The people from the second-hand store where we bought it have been extremely nice and helpful so far, so hopefully that trend will continue. I just hate having that kind of conversation, and handling all of the organization transporting/fixing it will entail will be a headache.

When it comes down to it, a broken dryer and a sore throat are nothing to worry about, and I am thankful for our nice house and for a relaxing Saturday, so it will all be okay, of course. Sometimes it just feels good to whine a bit in the meantime. :)