So I guess it is about time I make my inaugural post on this joint blog Charlotte and I have …
Picking up where Charlotte left off, Saturday we woke up to thunderstorms and pouring rain. That gave us very little incentive to roll out of bed until about noon or so. By then the rain had let up a little bit, but it was still gray and gloomy outside so our plans to visit the zoo and other outdoor Singapore sightseeing weren’t really options anymore. With nothing else viable to do really, we took our talents to the malls of Singapore. After discovering our new best friend the previous night, Bus #7, we took it again on Saturday afternoon to the Somerset mall on Orchard Road. On the bus was a little girl who seemed to have lost her parents. The bus driver tried directing her where to go, and we hoped she figured things out. However, when we saw her wandering around by herself amidst the crowded mall we contacted a mall security guard who promised to help the girl find her parents, which made us feel much better.
The Singapore mall experience is quite interesting. Upon walking in, we stumbled onto a random concert being performed in the middle of the mall. They band(s) were local and actually pretty good. There were a bunch of other people lingering around taking photos, and being photographed too, which gave the mall a very surreal feel. These people were apparently contestants on a reality show and they had to live in the mall. We found their glass rooms around the corner, complete with beds, clothes, and TV. Currently the Great Singapore Sale is going on. It is advertised literally EVERYWHERE in Singapore with ads that shout 75% off for just about every store. However, we didn’t exactly find those discounts in any of the stores we ventured into. In fact, the clothes were generally more expensive then they would have been anyway. Getting hungry, we took the maze of elevators up to the top floor to the Food Republic, basically what food courts are called in Singapore. Seeing a stand for Prata, we ordered some to tide us over before dinner.
From there we took the bus (the 7 again) to The Botanic Gardens. By then, the rain was pretty much over but there was still a mist lingering around. This gave the botanic gardens a very Jurassic Park/Lost-type feel. It really was like we had entered into a completely different world - we couldn’t see any of Singapore’s skyscrapers from beyond the tall trees that filled the garden. Following the pathways around the garden, we eventually came to our goal for the afternoon: Opera in the Park. Opera in the Park is a performance of popular tunes by the Singapore Lyric Opera, very similar to the many “Pops in the Park” that take place in the US. Overcoming our hesitation to sit on the wet grass, we eventually found a spot amidst the families and sat down. The music was all superb, but our favorite was probably Nessun Dorma from Puccini’s Turnadot. I played that piece with the Sound of America Band around Europe during the Summer of 2007 so it was fulfilling to hear it performed with a complete orchestra and soloist. The concert also provided great people watching too. There was such an eclectic mix of people, mostly young families, and we enjoyed being around them. It was yet another side of Singapore that we hadn’t seen yet.
After a return to the same mall’s food republic for our first Chicken and Rice, we went out to Haji Lane (near Zam Zam that we went to last week) to meet up with friends. We tried coordinating meeting up with two different groups of friends and they both actually ended up making it and sitting across the street from each other! Two of them were guys from Duke we had never met before who are in Singapore for the summer too. From there, we went back to Emerald Hill for a second night in a row for drinks.
Sunday turned out to be a beautiful day, thankfully, so we did what anyone would do living in SE Asia … we went to the beach. Sentosa is Singapore’s manmade playground essentially. It was a bay that they closed off to make an island, and on that island are beaches of course, but there are also upscale restaurants, a casino, indoor skydiving, and even a Universal Studios Theme Park … not kidding. In order to get to Sentosa you have to survive the right of passage of navigating the busy crowds of the Vivo City Mall. Interesting that you have to go through a mall to get to the beach. We took the tram expressway out to the island and took another tram to make our way to the farthest beach (fun fact: its also the most southern point of continental Asia!), Tanjong Beach. It was beautiful and not too crowded either. However, the beauty of the sand, water, and palm trees were marred by the barges and factories in the background, but we tried to ignore those. There was also a swanky club on Tanjong Beach that was hopping with ex-pats lounging on beach beds with house music pumping. On the way back we decided to walk instead of take the expressway and we passed by all of the novelties Singapore installed. Once again, it felt very surreal going from the beach to an imitation of the mosaic bench in Barcelona, to a Thinker Statue, to a Giant Merlion statue, to Universal Studios, and more.
This week we have been working at EPIP, the Early Psychosis Intervention Program. Like the previous two weeks we got our schedules; however, we quickly found out that things were subject to change very last minute because so many of our activities depended on the patients. We also found that we would be participating in many of EPIP’s events separately as well, which could potentially complicate things with the single key situation for the apartment. We spent most of Monday familiarizing ourselves with EPIP’s literature and meeting the staff. I was able to sit in with one of the case managers as she talked to an in-patient in the ward, but the patient wasn’t very cooperative so the case manager didn’t accomplish the check-up. For lunch that day went back out to eat with our friends from Research and they took us for Chicken and Rice, but they also introduced us to Curry Puffs (our new favorite food) and Bubble Tea!
Tuesday I returned to the ward again with another case manager as she interviewed a patient to discuss the terms of her release. The case manager spent time with me afterward explaining her procedure and describing to me many of the different drugs they prescribe and why. Like I saw in Argentina, there was definitely a discrepancy in the quality of medicine in Asia. There are two forms of drugs, the typical and atypical. Typical drugs are the older forms of drugs that are much cheaper, but have more severe side-effects such as rigidity and loss of hair. Atypical are newer, more expensive, and contain less intense side-effects that cause fluctuations in glucose levels and weight. According to the case manager, the typical drugs are the most common in Asia, and atypical are only used when the typical ones fail generally, or there is an allergy. She cited that many studies find very few differences between the side-effects so they do not think it as “barbaric” as one Australian doctor called the practice. During lunch I sat in on the Clinical Review in which a team of case managers discussed followups of patients from 3 mo. and 6 mo. Charlotte spent the day working at the Clinic Wellness Center (CWC) in Queenstown and the CHAT (Community Health Assessment Team) office on Orchard Road.
After recouping from our long day, we mustered the energy to go indoor rock climbing with some of our friends we had met here, who are avid climbers. We took the MRT all the way West (close to Malaysia!) to a sketchy warehouse, but managed to find the indoor climbing gym. After suiting up, we spent 2-3 hours scaling the walls with the signature Singapore club music blasting. It was definitely rewarding making it to the top, since we had really only climbed on pWILD before!
Today, on Wednesday, we attended two EPIP-wide meetings, the General Ward Review, and the MDT (no clue what that means). The GWR consisted of a mock exam that one of the case managers was taking in order to get her masters. We learned exactly how to present cases, summarizing the information most effectively. The MDT was a review of all the current in-patients and what future actions should be taken. We went out to lunch with the EPIP crew who actually took us to the same center we went to on Monday. Everybody ordered Bubble Tea - we easily had 12 on one order! In the afternoon I participated in Club EPIP that provides activities every afternoon for patients. Wednesdays are Sports Days so I joined in playing Captain’s Ball with a frisbee (essentially a variation on Ultimate Frisbee). It was a ton of fun hanging out with everybody, and it was nice to see how everybody warmed up to each other over the two hours. I got to know my team really well, and we definitely bonded. I’m excited to return to Club EPIP tomorrow for “Art Frenzy” … I guess I’ll have to see what that entails!