Travel Journal: Ho Chi Minh City

As my final city in Vietnam – and of my entire trip – I am in Ho Chi Minh City, formerly known as Saigon. When the communist North overtook the South at the end of the Vietnam War, they changed the city’s name to reflect their president and founder of Vietnam’s Communist Party. Many people still refer to it as Saigon, though. (Relatedly, why does every city in Vietnam begin with H?)

HCMC (as we like to call it) is a major city, full of traffic, massive pollution, high-end department stores and brands, and motorbikes like I’ve never seen in this country.

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Ho Chi Minh City has a very nice skyline. Way off in the distance you can see the Bitexco Financial Tower, the tallest building in the city whose design was apparently inspired by the lotus flower; I only see it as a tall CD rack.

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Cu Chi Tunnels

A few hours outside of Ho Chi Minh City is an area known as Cu Chi, which played a significant role in the Vietnam War. Nothing you see here reveals any of the vicious fighting, bloodshed, and destruction that occurred…

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…but that’s because you need to go underground:

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The Cu Chi tunnels were a vast underground network of tunnels created by the Viet Cong (communist North) that spanned 250 km, went several stories deep, and included living areas, kitchens, weapon factories, and hospitals. To camouflage these tunnels and make them difficult to detect, they were often booby-trapped with crude yet brutal devices. This legendary area was where some of the most significant bombing, gassing, and destruction occurred, as the United States tried to eradicate these difficult-to-reach tunnels.

There was a 100m section that’s been left in place for tourists to crawl through and experience what life was like. Here I am in front of that entrance:

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If you squat, like the person behind me, you can get through this dark, cramped, and hot tunnel. I was too claustrophobic to go through, as were all the guys in our group!  Also, the original tunnels were much smaller – approximately 50cm (20 inches) in diameter – and so to accommodate more normal sized people, they’ve had to be expanded twice over the years.

Pretty impressive, the creativity and resourcefulness of people in times of war.

Firing Range

Oh and I may have fired a gun for the first time. Actually, a machine gun. As staunchly anti-gun as I am, I couldn’t resist the opportunity here at Cu Chi to visit their firing range. For a small fortune, visitors are allowed to fire one of several different weapons. Initially I’d hoped for a AK-47 but because they only had Chinese (and not Russian) bullets, there was a chance that sometimes – but not always! – it would malfunction and send back debris into the shooter’s eyes. I don’t like “sometimes” and I do like my vision, so I ended up choosing what they called the M30 (it had the biggest ammunition), even though researching it later I realized it is technically a Browning M1919. In any case, wow. Not only did it obliterate the targets in front of it, but it threw me back as well — all 250 pounds of me. Police and military always say they shouldn’t point their weapon at anything they’re not willing to destroy…I believe it now.

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I must say, I look pretty bad ass.

War Remnants Museum

Formerly known as the Museum of Chinese and American War Crimes, the War Remnants Museum pays tribute to the victims of the Vietnam War. Rarely do we as Americans get to hear the victims tell their side of the story, and so it was a fascinating if not disturbing experience.

As expected perhaps, this museum provided an extremely one-sided account. The anti-American language and propaganda were not subtle:

propaganda

Or other captions, such as:

“With their merciless bombs they wanted to destroy the peaceful cities of Vietnam.” 

“For her actions, she was awarded an American-killer hero award.”

“Like a batch of crazy devils they fired at women and children, schools, Buddha statues, and pots and pans.”

Room after room showed many graphic depictions of the atrocities of the war. Without a doubt the most disturbing collection was dedicated to the aftermath of Agent Orange, the chemical used for deforestation that unfortunately had terrible effects on people exposed to it as well as their children. Trust me when I say this photo (of a girl born to parents exposed to Agent Orange) was the mildest of the birth defect photos I saw. A quick search online will reveal more horrifying ones.

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One room portrayed the international protests held against US involvement in Vietnam around the 1960s. I found this protest in Cuba somewhat interesting given my recent visit there.

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The only thing that should be taken away from a visit to this museum is that war is a horrendous thing for all sides involved.

Final Foods

Ho Chi Minh City is actually a great food city, so on my final day — as I always do — I hit all my favorite food and drink stands (AKA, the day of 5 meals). A few highlights: banh mi (a French-influenced baguette sandwich stuffed with pork, cucumbers, daikon-and-carrot pickles, cilantro, and spicy sauce), big bowl of pho, vermicelli bowl with everything, and the uniquely tasty Vietnamese iced coffee that has condensed milk in it.

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Vietnam’s food scene did not let me down.

Not All Fun and Games…

This trip hasn’t been all leisurely activities. Believe it or not, between many of these activities I’ve been busy editing manuscripts, writing grants, or preparing lectures.

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…But Still a Great Trip

Overall it was a phenomenal experience visiting these three very different cultures, and I look forward to visiting all three again – Cuba, once our diplomatic ties are soon fully re-established; Italy, to visit its many other unique cities; and Vietnam, to explore more cities and fill in many of the knowledge gaps I now have about this country.

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Adios, arrivederci, and…um…bye.

Introducing Nigeria

Time for another adventure, peoples. This year brings me to Nigeria and for the first time I will mix business with pleasure. I will be participating in the Nigerian Cardiovascular Symposium, a conference brought to my attention by a colleague, where the plan is to implant devices – both pacemakers and defibrillators – and also give several lectures.

Nigeria isn’t exactly the safest country at this time, and so the list of things that threaten me on this trip is a little longer than the usual my international escapades. Here’s a brief rundown:

Travellers diarrhea

Nothing new for international travel, but a recent discussion with one of our Infectious Diseases doctors frightened me into loading up on multiple antibiotics, just in case. Ain’t nobody got time for loose movements.

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Zika virus

I have no plans on getting pregnant there, so I’m probably safe with this one. Some microcephaly may actually improve the size of my head.

Terrorists

Boko Haram is no joke. Every time I forget about them, they surface again in the news in frightening ways. Luckily the part of Nigeria I will be in is quite far away from where they operate.

Nigerian email scammers

Prior to preparing for this trip, my only connection to Nigeria was that a few years ago I found out I was the recipient of a very large fortune due to the untimely death of one of their royalty. I kept in touch via email with a very polite Nigerian prince telling me how to cash in on this event. However, the next thing I knew I had lost $50,000 and had no fortune to show for it. Turns out it was all a scam … who knew.

In all seriousness, as I was applying for my visa, the list of required documents – as instructed by the Nigerian embassy, mind you – included the following:

  • Letter of invitation from the host
  • Hotel reservation confirmation
  • Evidence of funds to cover stay in Nigeria (letter from bank etc.)

Invitation letter: check. Hotel confirmation: check. Evidence of funds…wait, what? This sounded suspiciously similar to the hundred scamming emails I’d received in the past. I reluctantly sent them a screenshot of my bank account with appropriate parts blacked out, but I still had a very uneasy feeling. Luckily I have yet to receive a response along the lines of “I know this message will come to you as a surprise but I am a well known wealthy business man…”

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See you all on the other side.

Travel Journal: Nigeria

Hello from Lagos!

Lagos is not only the largest city in Nigeria but all of Africa. I am here to participate in the Nigerian Cardiovascular Symposium, which involves implanting pacemakers for the first two days, followed by participating in the conference for the next two.

Vaccination and Corruption

Upon setting foot onto the airport in Lagos, I was greeted by a large sign announcing the country’s efforts to eliminate corruption. It stated “If you see it, text it!” meaning to text the government with details of the incident. Little did I know that soon I’d have a good one for them.

The first line I stood in didn’t make sense. There were no signs for passport control, customs, or security. As I approached the front I noticed all the Nigerian citizens were quickly passed through but foreign visitors like me had to stay behind at a podium. Apparently it was a line to confirm yellow fever vaccination. Since multiple sources informed me beforehand that this was not required for entry into the country, I did not get the vaccine.

I told this to the woman, who then gave me a sarcastic response and had me stand there as she kept waving others through. Only once everyone from our flight had passed, she closed all the doors to this hallway, shutting us in, and then told me “What can you do for me?” Excuse me? So she repeated, “How much can you spare?”

Ah hell no. I told her “I’m not paying anything” and there we stood, silent, in a deadlock for 15 minutes. She kept pretending to read her book while I kept staring into space. During this time I started looking through my yellow vaccination card and noticed an amusing surprise – I actually had been vaccinated for yellow fever back in 2013! I eagerly showed this to her and she turned it down, the excuse now that its stamp wasn’t in the right section of the card. These people are ridiculous.

At this point I lost it and demanded to see my friend I was traveling with. We were reunited and he laid into her in their native tongue, saying how we were there to teach the locals and perform medical procedures.  She finally conceded and let us pass, noticeably ashamed for what she did. What an introduction to the country.

Had I remembered that phone number for the government, I would have sent them a very strongly worded text.

Pacemakers for All

Perhaps not all, but for four.

The healthcare system in Nigeria is in near shambles. A few select hospitals have acceptable facilities, but the vast majority has close to no resources. There are limited medications in their pharmacies, and anything more hi-tech like ECGs or echocardiograms are a luxury; cath labs are a rarity, and electrophysiology procedures are essentially non-existent. The only time a pacemaker is implanted is when a cardiac surgeon makes himself available once a month or so.

Thanks to generous donations from Biotronik, as well as Medtronic, we had the pleasure of implanting several pacemakers and defibrillators in patients here. We loaded many huge duffel bags full of devices and equipment in the van and headed to the hospital an hour away.

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The local cardiologists had a surprisingly difficult time finding patients who needed such devices – if patients felt well they didn’t think they required treatment for anything. Even if a patient had complete heart block but didn’t die from it, they’d be convinced they must be healthy.

With four patients and four EP’s, we each performed one case. The lab was surprisingly modern, although many supplies such as scrub soap, sutures, and even surgical drapes were still limited.

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My patient was a middle-aged man who was overjoyed to be getting his device and very grateful that I would be implanting it … I was quite honored especially considering we had never met and I clearly looked like a foreigner.

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The implant went smoothly and safely, and he remained very happy. Here I am with some of the team.

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This Nigerian Life

While I have seen some unusual sights (random men with machine guns walking along the highways) and eaten some unusual foods (snail stew, surprisingly tasty), it has been enjoyable here.

However, since kidnappings, car jacking, muggings, and burglaries are common in Lagos, security is extremely tight. Entry into the hotel grounds requires passing through a heavy gate where they inspect under the hood, look under the car, and check for any radioactive material around us. Inside the hotel there is a security guard on each floor 24 hours a day.

Almost Famous

While walking to dinner, one of the hotel staff approached me for and we had a short but interesting conversation:

 

Him: “Do you play ball?”

Me: “Depends. Which ball?”

Him: “Football”

Me: “American or soccer?”

Him: “Soccer”

Me: “No”

Him: “So American football?”

Me: “Um, definitely not.”

 

He then proceeded to tell me that I look like a well-known European soccer player, which was pretty flattering.

This topic actually became a recurring theme with multiple hotel staff. For example, the security guard on my floor told me on my first day here that I look like a famous soccer player (different from previous guy). And now every day when he wishes me good morning, he calls me that guy’s name. We both share a good laugh together, with me feigning that I know exactly who he’s talking about, and then I get on my way, still confused who he thinks I am. Every day … same thing.