Medical Exam and Immigration: The First Steps

Last week the other new teacher and I went to the local hospital for our medical exam. In order to get an ARC (alien registration card), you must pass a medical exam.

the outside of a hospital, with a blue tent situated in front that you must enter before going into the hospital itself

Before we were allowed into the hospital, a nurse standing outside in a face mask, gloves, and a gown asked us if we had a cold and what the purpose of our visit was. They provided hand sanitizer for us to use and gave us a little sticker to wear.

First, we were taken into a room to have our height and weight measured. In that same room, we were told to cover one eye and read a few lines on an eye chart. We also were seen into a small soundproof booth and given a set of headphones, and told to raise our hands when we heard a beep. (I am hard-of-hearing in one ear so I was very familiar with this aspect of the exam.)

Then we were taken into a room with a doctor who asked us if we had any mental health problems, skin problems, and any other internal problems. While I waited for the other teacher to finish her consultation, the director of my school who had accompanied us to the hospital told me, with a clicking of his tongue, that the doctor doing the consulation was actually an OB-GYN who had found himself out of work in his field due to the low birth rate in Korea.

view inside the hospital; two open restrooms can be seen

We were then seen by a nurse who took a blood sample. I watched as this nurse drew one vial of blood and then proceeded to pour bits of it into other vials, all with her hands, and all without gloves. You could tell that she took hundreds of these samples a day, but I was still very worried for her safety.

Then she gave us an open paper cup and instructed us to pee in the cup. I noticed, for the first time since arriving in Korea, a squat toilet in addition to a Western-style toilet. There was no lid for our sample, and we opened up a little cupboard where a mirror would normally be in the restroom and sat the cup there. It was open on the other side so a nurse could reach in and retrieve the samples, but I was very surprised that they would just leave the cups open like that.

the inside of the changing room with blue tops and pink bottoms next to a set of numbered, lime green lockers with keys hanging from each

Next up was the chest x-ray. We were shown into a room and told to take off our shirts and bras and put on the open shirt provided. The other teacher and I were unsure of what to do so we also put on the provided pants, which proved unnecessary. The x-ray was super quick and we were back in our clothes.

Lastly was the dentist check-up. I swear, this dentist spent maybe thirty seconds looking at my teeth and pointing out that I have cavities and need to have a scaling procedure done. (Once my insurance kicks in, I plan on visiting a dentist that will take longer than thirty seconds looking at my teeth.)

Unfortunately, the other teacher has a shy bladder so even after we were finished with all the steps of the medical exam, we still had to wait on her to give a urine sample. Fortunately, I had purchased a 2 litre bottle of water before leaving our apartment, so she was able to down the vast majority of that to assist her. I also helped by playing her a video of a waterfall on my phone, and the director distracted her by telling her the story of another teacher who was so afraid of needles that he passed out while they were drawing blood.

A week later, we went to pick up our medical exam results which we were embossed and sealed in an envelope. The next day, we went to the immigration office, which provided hand sanitizer and a quick thermometer check before we were allowed to enter. We had to give fingerprints there and then went to Burger King afterwards, as one does.

the inside of a Burger King with no customers probably because it was 10:30 am

Even the director pointed out that he doesn’t understand why we must perform all aspects of the medical exam. I know they are testing for hard drugs, HIV, and tuberculosis, but is a dental exam really necessary? Is it possible to have one cavity too many and be turned away for improper brushing? I also have a lot of opinions about the full breadth of what they are testing for and how some of it is discriminatory but I’ll save that for another time.

My blood type is A, in case anyone is wondering.

From Baltimore to Seoul…

On the day I left for Korea, I faced every traveller’s worst nightmare.

image description: a plane window, seen from behind; the back of the seat is blue and there’s a brown fuzzy bit from a stuffed animal in the seat in front poking out towards the window

No, not a long delay or a cancelled flight.

I forgot my passport at home.

*insert Pac-Man dying noise here*

In my defense, I hadn’t slept well and woke up at 4:30. I remember my friend Carin pointing out to me not to leave my bag and I thought I had slung it across my shoulder, but I had actually slung across my Hydroflask in its carrier. Normally I don’t use my large 32 oz Hydroflask but wanted it for the long flight, and my muscle memory must’ve thought that I had grabbed my bag.

I didn’t realize I didn’t have my passport until I got to the check-in desk. Cue the frantic messages and phone calls, and somehow I managed to get a hold of my roommate before she left for work. The problem was then having my friend Carin drive from BWI airport all the way into DC and back with enough time for me to catch my flight. I wasn’t worried about catching the actual flight, but about the bag check-in, which cuts off 45 minutes prior to the flight.

I cut it close, but in the end, Carin and LaTroy came through for me and I made my flight.

I didn’t run into too many hiccups during my flight. When I first checked in to BWI, it took a bit of time for them to check me in because of my cat, but after a quick looksie at my paperwork, they verified that I was good to travel. My newest piece of luggage came in exactly at 50 pounds, which was great, but I knew that my second, older piece of luggage was going to be overweight, which was another fee.

The big question: how best to get Merlin through security. While I had asked for a private screening, I was told that I’d still have to send all of my luggage through the xray machine and take Merlin out of his carrier anyways which kind of… defeats the purpose of a private screening? So I waited until the last possible minute, reached in, wrestled him from his harness (which would have set off the metal detectors), and held onto him for dear life.

He squirmed a bit but he was mostly calm. I waited for what felt like ten minutes until the TSA agent gave me the go-ahead to walk through the metal detector, and then she told me she’d have to swab my hands. I asked her if I could put my cat back in the carrier and she asked if I was traveling with anyone, implying that if I was, I could hand the cat over to them. Luckily, she allowed me to put him back in the carrier and immediately swabbed my hands which, by that time, were covered in black fur.

My carry-on bag got pulled aside for extra screening and this time, it wasn’t because I was flying with coffee. (Pro-tip: if you fly with coffee, be sure that it’s easily accessible because they will have to screen it as coffee is apparently often used to smuggle drugs and/or money.) Turns out I had another “organic material” in my bag: cat litter. The TSA agent opened it up, put a little litter on two pieces of paper, administered two separate chemicals, and then let me go. She told me to take out the litter the next time I flew and there wouldn’t be a need for the extra screening.

I was initially planning on sneaking away to a family restroom to let Merlin have the chance to use the toilet before my second flight, but by the time I got from my previous gate to the next, they had already started the boarding process. I had only given Merlin a small amount of food in the morning, so I hoped he was going to be okay. I took someone’s advice from the internet and bought a bunch of cardboard shirt boxes that I could fill with litter and then dispose of.

The first flight from BWI to Detroit went by smoothly and quickly. The second flight from Detroit to Incheon wasn’t too bad either–I mostly slept or stared into space, although I did watch “Parasite” for the third time.

When I finally got into Korea, my overwhelming emotion was… I’m sweaty. Really, really sweaty. It wasn’t a matter of whether or not they’d let me into the country (they did, and that was painless), or even whether or not they’d let Merlin into the country (I had all the right paperwork)… I was just sweaty and pretty miserable, waiting in line after line.

Going through customs was an interesting experience. When I got to the first agent, she peered into my bag and her eyes lit up. “Ohhhh he’s so big and cute!” She then told me that I had to move to a different line and she shouted at her colleague (in Korean) that she had a cat.

The new agent checked Merlin for his microchip and went over the signed paper from the USDA and asked to see the original rabies titer test results. Then I had to hand over the signed paper from the USDA and, seeing that I wasn’t so willing to give it up, let me know that it was only good for thirty days from the signing.

image description: a purple cat carrier with a mesh top seen sitting on the floor underneath a plane seat at my feet; Merlin is a black cat and only his bright orange eyes can be seen through the mesh top

I was particularly stressed out about that piece of paper and for a few days, there was a question of whether I would even be able to make my flight, as I wasn’t going to fly out without my cat. In order to travel to South Korea with a cat, the cat must first get a rabies titer test, the results of which can take up to a month. Then, within ten days of travel, the cat must have a full health check-up and the results must be sent to the USDA to be apostilled.

I took Merlin in for his check up on Saturday and the vet told me to call the USDA on Monday to make sure they got the digital paperwork. Problem was… Monday was President’s Day. I got a call on Tuesday from the vet, saying that they needed a more specific address to list on the form (not just “South Korea”) and I could only give them the school’s address, which I hoped would be enough. Oh, and they weren’t going to be able to send the paperwork digitally so I would have to pay for them to FedEx the forms.

I received the paperwork on Thursday morning, before my Friday morning flight. As you can imagine, I wanted to hold onto that paperwork for as long as I could because I had stressed out so much about it.

When I finally got through customs, I noticed that there was no one waiting for me as there should have been. I gave a call to the director of my school and he answered, apologizing for not being there when I landed. He had mistaken the terminal I was flying in to, so I waited a few minutes outside my terminal for him to pull up. Then it was an hour drive to my apartment.

image description: view of the interior of a plane being boarded; there are three sets of three seats each along the left of the plane and people can be seen sitting and standing

Merlin bounced back pretty fast from the trip. He threw up the little food I gave him before the first flight, but didn’t defecate or urinate in his carrier. He immediately ran out of the carrier and under my bed but came out a few minutes later to poke around the apartment. I will note that it was a few days until he used the makeshift litter box, probably because he was scared of my temporary roommate (another new teacher) and the new environment.

So, Lessons Learned:

1) It is totally possible to fly internationally with a cat. I am blessed that my cat is super chill and quiet and has been through a lot in his little life so he bounced back pretty quickly from the trauma of a 14-hour flight.

2) If traveling with a cat… realize that your cat will take up most of the space at your feet. You also won’t likely be getting into your carry-on in the overhead bin, so don’t pack it like you’ll be able to easily reach in and grab things.

3) Be nice to flight attendants. If they find out your favorite cookie is Biscoff (Delta’s cookie of choice), they may just give you extra cookies.

4) Sometimes plane food is great. Other times it’s worse than Mickey D’s.

5) For the love of all that is holy… Make sure you’ve got your passport!

image description: a picture of snowy mountain peaks outside of a plane window where a plane wing can be seen at the top left of the picture

You May Notice Something Different about My Homepage…

Yes, everyone, it’s official: I’m moving to South Korea at the end of this month! I just bought my plane ticket and am actually currently on hold with Delta regarding taking Merlin with me.

This is a dream ten years running, and I’m about to make it a reality.

Edited to add: the one-question questionnaire that I was given after the phone call was to rate the customer service representative based on whether or not I would hire them for a customer service rep job, one being “definitely not” and five being “definitely yes.” Never got that one before.

The Bedbug Club: My Experience with The Little Buggers

Congrats to Washington, DC, which just usurped Baltimore as bedbug capital of the US!

(Warning: there will be pictures of bugs in this entry.)

Bedbugs are a big worry when traveling. They can hide in the seams of mattresses and attach themselves to your luggage.

They can also be lurking in the corners of your new apartment, as I found out last year. The apartment had been empty for about two years, which proves how hardy the little buggers can be. I noticed a bug the very first night after we moved in, and fearing the worst, googled “bedbugs” only to be assured that we definitely had an infestation.

Image: flat brown bedbug on a white wall

The next morning, I gathered up some of the little critters (including a live one I found) in a plastic ziploc bag and we headed to the leasing office. It was all very dramatic, I assure you. The leasing office gave us a couple of options: we could immediately move into another unit or stay in our current one, and they would waive the lease breaking fee if we found a new place to move into by Friday.

Image: blurry photo of two bedbugs in a plastic bag. One has obviously had a blood meal, as its torso is elongated.

We decided to search for a new place and just leave our belongings in the apartment. In the meantime, the leasing office assured us that they would start the extermination process immediately the next day.

My roommate managed to find a new place and moved out by that Friday. I was not so lucky.

I am eternally grateful to my friends Karin and Jim, who so kindly allowed me to stay in their home the first few days and then periodically while my cat and I had to be out of the apartment while the extermination process was happening. They knowingly took a risk by housing us.

During my experience dealing with the bedbugs, I often wondered if I would rather have scabies again or bedbugs. I still don’t know the answer. A couple months after returning home from India, I discovered I had a bad case of scabies, presumably something I picked up on the train I took to New Delhi. While bedbugs live in small dark places like mattresses and come out at night to bite, scabies live in your skin and make you itch at night. The recommended treatment for scabies is a pesticide, applied from the neck down, and left on for 48 hours. You also must wash all of your bedding at very high temperatures, like with bedbugs. Bedbugs are notoriously hard to exterminate and when I say it was a process, I mean it was a process. The exterminators came into my apartment no fewer than five times over the course of the next five weeks, applying pesticide and diatomaceous earth.

Image: my right arm, with four small groups of three bite marks

Those five weeks were pure hell. I would wake up covered in tell-tale bedbug bites: three small bites in a small area, known as “breakfast, lunch, and dinner.” I was now alone in the apartment, unsure if I should even bother unpacking anything. I had to wash everything I own, which was costly and time-consuming, and I had to throw out hundreds of dollars of yarn that I had accumulated over the years because I didn’t want to take the risk of reinfecting my apartment.

I reached out to a few friends and discovered that some of them had also dealt with bedbugs. One friend told me that when she got them while she was living in NYC, she was embarrassed to wear shorts that summer because of the bites. The more common that bedbugs become, the more important it is for us sufferers to come forward and share our stories so that no one feels as hopeless as we once did.

Bedbugs don’t happen just while traveling. They don’t happen because we’re poor or dirty. They can happen to anyone, and I realize that I was very lucky to have an understanding leasing office that did everything they could to exterminate them. I was also very lucky to have found an amazing new roommate who didn’t seem to mind that the apartment had been infested with bedbugs, as she had just had a friend who also dealt with the little buggers.

My infestation was not nearly as bad as it could have been. The carbon dioxide from my roommate and I had awakened the bedbugs, and my first roommate was lucky in that none of the bugs hitched a ride on her furniture. The infestation was contained mostly to my bedroom, and in one particular corner–that I dubbed “The Bedbug Club.” When I noticed I was sweeping up a majority of bugs in that corner, I put out a little note for the exterminators, which they thought was funny.

Image: corner of my room with a tent note set up that reads “The Bedbug Club/(no seriously, I swept up a bunch hanging out here–be brutal!)” with two crudely drawn images of bedbugs waiting outside a door. One of them has a top hat.

As much as I’ve traveled, it was only time until I got bedbugs. And hopefully, that will be the last time.