Sunday, November 28, 2021

Trip to Tainan with Taiwanese Friends


You think you understand Taiwanese culture pretty well and then you meet some Taiwanese people in a phone store and they take you to Tainan and you realize you understand nothing.



A short while after I first arrived in Taipei, I became friends with an employee at the phone store when she helped me over-deliberate service plans and then gave me presents and bought me bubble tea while I waited for my paperwork to go through (...classic Taiwan hospitality).  She was going on a trip with another employee and another friend to Tainan, in the south of Taiwan, and they invited me to join.  The three of them were Taiwan born and raised, had extremely thick Taiwanese accents, and spoke zero English, so it was an opportunity I couldn't pass up on.


高雄旗津島, Cijin Island in Kaohsiung

We took the train together to Taichung, where it is always ten times sunnier than in Taipei.  I, of course, read my Kindle on the train; it blew my friend's mind because she'd never seen an e-reader before, even though other technological gadgets abound here.  Seeing someone read English words quickly also blew her mind, because the language is so foreign to her.  Many Taiwanese people cannot even read pinyin, which is the system for writing out the pronunciation of Chinese characters using the Roman alphabet, eg xièxie for 謝謝, meaning thank you.  Instead, they use zhuyin, which uses some very basic characters to represent the various phonemes of Mandarin.  Not only is pinyin used to teach Westerners Chinese, but it is also how I type Chinese characters on my computer, so it was weird to see a Taiwanese person unable to type characters on my phone where I had a pinyin keyboard.


台中動畫胡同
Animation Alleyway, Taichung

After we reached Taichung, in a glorious example of Taiwanese conveniency plus obsession with phone apps, my friend rented a car IN FIVE MINUTES through an app on her iPhone.  Later in the night when we were ready to return it, she just left the keys in the car, took a photo of the bumpers, and left it parked on a random street where we had driven to meet another friend.




We went to an enormous night market, and they kept buying me snack after snack.  My favorite was the chocolate crepe style cake (巧克力煎餅), but they were most excited about me trying coagulated duck blood (毛血旺).  We also played carnival games, like archery and BB shooting; like all Taiwanese people I've encountered, they were fascinated and terrified by the fact that Americans can own guns, as they are strictly controlled here, such that only rare police officers have them.  I thought the night was over when we left the night market at midnight, but then we drove to a nearby city to pick up another friend and celebrate her birthday.  She was turning 29, but because 9 is considered an inauspicious number (I thought 4 was the death number, but apparently when it comes to birthdays, especially for someone who has recently had a bad year, 9 is the unlucky number), we bought her a cake that said 30 on it.  We passed around the knife to cut the cake in order of whose birthday was next.


We eventually made it to a motel that was nothing like any motel which I'd ever patroned in the US.  We parked the car in a private garage and then walked upstairs to a floor that was all ours.  It was one continuous area with gauzy curtains, disco lights, two TVs, two big beds, a jacuzzi in the middle of the room, and two glass-walled showers.  I was desperately ready for bed, since I had been up that morning for daily Chinese class at 8 am, but my friends were absolutely floored that I was considering going to bed without showering.  They were truly so concerned that some Americans showered in the mornings and INSISTED I shower that night.  They also thought it was strange that I wanted to sleep in the dark, as they slept that night with the TV and lights on.  I also noticed they slept with something stuck to the soles of their feet.  I learned it is traditional Chinese medicine and meant to pull fluids out of the body to reduce edema.


台南大東夜市, Ta-Tung Night Market in Tainan

My friends were still going strong talking and celebrating at 3 am when I finally gave up and fell asleep in a bed surrounded by a diaphanous canopy.  They work from noon to 9 pm everyday, so their sleep schedules are shifted significantly from mine.  This is pretty typical for Taiwan.  I imagine the stifling hot daytimes of the tropical island in the summer might contribute to the strong culture of nightlife, from businesses staying open late to night markets to the volleyball courts under the stadium lights being packed at 9 pm when I'm walking home through the NTU campus.


The next day, after stopping at a fast food restaurant my friends were very excited about, we biked along the beach in Qijin District in Kaohsiung.  It was gorgeous weather, although instead of biking or swimming in the ocean, they made us stop and take photos for hours.  I found it interesting that even at the end of the trip saying goodbye to each other, they never hugged.  None of my Taiwanese friends have ever hugged me, but they do hold my hand sometimes...I just go along with it.








Being sleep-deprived in a foreign city with people I'd only recently met made me feel a little homesick for the first time since arriving in Taiwan.  However, it was a worthwhile trip that opened my eyes to all the cultural differences I still don't understand but no longer surprise me.  


P.S. The only thing that still shocks me is public burping.  Even a professor who's hooked up to a microphone giving a lecture will still let one loose between slides.


Fish, Polly, Agness


Monday, November 8, 2021

The Asian Dorm: A Photo Essay

 

No guests allowed after 10 pm

Entering my hallway after taking the elevator to the 9th floor

Hot water dispenser, otherwise no kitchen

Bathroom shared with the floor


Squat toilets

Toilet paper runs out by Wednesday





No mattress provided; beds are wooden platform on top of dresser

No wifi in the dorms

Prepaid card for air conditioning


I'm very happy in my dorm with a big window.  I have started decorating with plants and a tank full of living fish that a Taiwanese friend spontaneously gifted me.  My roommate, another masters student in global health, has just arrived from America, making the space feel much smaller, but she is very nice.

Thursday, October 7, 2021

A Quarantine Diary


For two weeks, I didn't leave my hotel room.  I didn't wear shoes or put in my contacts.  I had three (vegetarian) meals a day delivered to my door, all chosen by the hotel staff.  For two weeks, I didn't eat any processed sugar.  My phone was tracked by the Taiwanese CDC, and they texted me everyday.  I reported by body temperature everyday at 9 am and 9 pm.  My device usage time, as tracked by my computer and phone, went from ~2 hours per day (during the weeks of summer vacation before leaving the US) to ~11.25 hours per day. Here are the highlights of my days:

Day 1: arrived late via quarantine taxi
Day 2: finished my book
Day 3: started virtual classes

Day 4: wrote the most quickly produced grant proposal of my life

Day 5: took a 4 hour nap upside down on my bed in the afternoon with the shades fully open

Day 6: got a NYT crossword subscription and did an entire week of crosswords, managed not to nap for the first day yet

Day 7: received a care package, experienced my first earthquake!

Day 8: finished the final season of Sex Education on Netflix, exploded my two very carefully packed suitcases of 50.5 pounds each to find my nail clippers

Day 9: figured out a method to use my water heater to reheat food

Day 10: fully overcame jet lag because I had to start leaving the curtains open so the morning light would help me get out of bed and stop snoozing my alarm before 8 am class

Day 11: developed blisters on the bottom of my feet from a YouTube dance workout, figured out through trial and error what every single button did on the fancy Toto Washlet (toilet+bidet) remote

Day 12: got to interact with a nurse to have my PCR test done

Day 13: flossed twice

Day 14: completed my IRB human subjects research recertification

Day 15: released into the world!



View from my new shower


By released into the world, I mean I began another period of slightly less strict quarantine, a week called the Self-Health Management Period.  I am in a different hotel, in a very nice corner suite on the 11th floor. The CDC still tracks me and messages me, but I am allowed to leave my new hotel room so long as I don't take off my mask, go within 6 feet of another person, get on public transport, or go to campus or any large gatherings.  After this period, I will finally move into my dorm on NTU's campus.






Care package from my high school Chinese
teacher's sister, whom I've never even met
Where I got my first meal out of quarantine,
sweet and sour noodle soup with bok choy
(酸辣面汤、青菜)

























I have become extremely social in recent years so I thought quarantine would be much harder mentally than it turned out to be.  My favorite pre-quarantine activities included being outside, going to the gym, and interacting with others, but through this process I’ve been reminded that I have quite strong introverted habits as well.  It was a little bittersweet when I finally left my cave of productivity to begin building a new life in a new city.


I am not a person who gets overstimulated easily, but total isolation to downtown Taipei was a lot.  Suddenly I was outside in an extremely dense foreign city surrounded by bright signs Chinese characters and 500 mopeds trying to cross the stoplight.


A Self-Health Management Period Diary

Day 1: overwhelmed

Day 2: ecstatic

Day 3: sunburnt with sore feet









Tuesday, September 21, 2021

COVID in Taiwan

A year ago, I decided to begin the arduous process of applying for a Fulbright to Taiwan, because it has been a dream of mine to live in Taipei.  I received the award to complete a two-year Master's of Science in Global Health from the National Taiwan University, while on temporary leave from medical school.  Taiwan, with one of the most effective national health systems in the world, provides an excellent backdrop for me to study global health immersed in a non-Western perspective.  Additionally, I am eager to improve my Chinese so that I can speak fluently with my future patients and research collaborators.  My Fulbright experience will lay the foundation for my career's work as a doctor and researcher practicing on an international level.


The first hurdle was traveling internationally in the time of COVID.


New COVID cases in Taiwan


Taiwan has managed its COVID situation remarkably well, instituting serious, universal public health measures with alacrity.  For a country of 23.5 million people, there have been only 16,000 reported positive cases (less than 0.07% of the population, compared to 12.88% in the United States) and 840 deaths.  The tragic spike that you can see on the graph May through June resulted in the borders being closed to all noncitizens, thus delaying my visa and entry for about a month.  Although the border restrictions have been loosened slightly, visas are only being issued on a special case-by-case basis, prioritizing students.


Vaccinations in Taiwan

The greatest barrier to controlling the epidemic in Taiwan has been access to the vaccine.  Due to political tensions, they were unable to get Pfizer or Moderna vaccines early on and were developing their own domestic vaccine.  Currently, about 7% of the population is fully vaccinated against COVID, but about 50% has received one dose, and many more are eagerly awaiting their turns.



My almost entirely empty international flight
Taipei airport


Passengers marked for quarantine after deplaning

COVID testing at the airport

Everyone sanitized before getting in the taxis

One of the most powerful tools employed by the government against the pandemic is the quarantine.  All travelers must quarantine for two weeks upon entry to Taiwan.  Unlike quarantines imposed by some states in the US, this one is very strict and more logical.  As soon as I dismounted the plane, my phone was registered with the government so they can track my location and monitor my health daily.  After taking another COVID test (the first being a day before I travelled) and having all my luggage and clothes spritzed with disinfectant, I was individually driven in a special "disease-prevention taxi" to my quarantine hotel.  In the quarantine hotel, I am not allowed to step outside my room for 15 days.  Three meals a day are delivered to my door.  Twice a day, I have to take my temperature and report any symptoms.  After I am released from isolation, I will have to take another "disease-prevention taxi" to a different hotel, where I will stay for a week for a Self-Health Management period.  During this period, I'll be allowed to go out so long as I wear a mask, although guests are encouraged to stay in.  My temperature, symptoms, and contacts will still be tracked.  After 22 days, I will finally be delivered from quarantine and allowed to move into my dorm at NTU.  I will still have to abide by the universal mask mandate.


Thursday, May 28, 2020

Hiatus in Hawaii


There will probably be few episodes in my lifetime that cause me to throw out my routines and my meticulous plans so entirely as I did this year because of COVID.  I was planning to study for my board exam then return to Hopkins to begin work in the hospital.  Instead, I ended up living in rural Hawaii for several months.  It is true what they say that being on an island makes everyone more relaxed, and for me it was an extremely surreal experience.



Richardson Bay
My days were filled with long hikes with a surfboard balanced on my head, biking from the top of a volcano to the ocean for an early morning swim with dolphins, scuba diving with my housemates (divemasters out of jobs), learning tropical horticulture, how to dig up a banana pup and transplant it, making herb beds out of lava rocks, baking from scratch, using “vegan roadkill” like fallen coconuts or sugar cane found on the side of the road, and catching giant brown spiders after sunset dinners on the lanai.


In classic Hawaiian style, the governor made it clear surfing and otherwise being in the ocean was still allowed under quarantine, just no sitting on the beach.  Parking lots and roads to beaches were closed off so sometimes we had to hike down a ways to get to enormous empty beaches abandoned by tourists.  The reefs were suddenly so clear; they likely had not seen a day without being trampled in decades.

Waikoloa

Giant monstera that are usually tiny houseplants in the mainland

Spotted on evening jog: Turkey Trot

Entering a lava tube where we hiked in the pitch black

Making a lei for a friend, from plumeria flowers gathered by the side of the road
A beautiful natural wave pool at the bottom of an amphitheater of green sand






One of the best days was driving with a couple friends to the southernmost tip of the island (also happens to be the southernmost tip of the entire United States) in search of a famed green sand beach.  Where the roads disintegrated into lava rocks, we ditched the Prius to hike the rest of the way.  Partway along our long walk, an old lifted truck with enormous wheels emerged from the ruts behind us and offered us a ride in the bed of the truck.  The driver was born and raised in the area, usually made a living bringing tourists to the green sand beach, but that day was going simply to enjoy the ocean himself.

Another favorite day was hiking into the Waipeo valley.  At the bottom of the valley, the beach was a misty forest on the edge of a wide expanse of very shallow water you could walk out onto.  We forded a river to climb up the other side of the valley for a beautiful view of the ocean.

Seaside run at sunset
I've never seen the departures board at LAX so empty