July 01, 2002
Today I drove down to Silver Spring for my first round of vaccinations. The nurse gave me a very thorough briefing on what I should and should not do to stay healthy, and presented me with a huge book with information on each country I plan to visit. Basically, I will be fine as long as I do not eat any raw meat, cooked meat, fruits, or vegetables, and do not drink any water. This is of course impossible, so I can look forward to being sick at some point. The nurse gave me a prescription for Cipra for when this happens. I also have to decide which malaria meds to get.
Then it was time to talk shots, the big question being whether I wanted Japanese Encephalitis and rabies or not. These were both very expensive, each requiring 3 shots, $92 each for JE, $128 for rabies. I decide to get JE, and pass on rabies due to the extreme price, and the fact that even if you get vaccinated, if you get bit, you still need more shots anyways. So that left me with Hepatitis A ($70), Hepatitis B ($68), polio ($38), tetanus/diphtheria ($46), and typhoid capsules ($58). With the menu decided, it was time to get jabbed. After the two Hep shots in my left arm, the nurse asked me if I felt OK. I thought this was a strange question, after all, there just shots, why wouldn't I feel OK? So I got a third shot in my left arm, then a fourth in my right arm. Suddenly I wasn't feeling OK any more. The nurse asked me how I felt, and I mumbled that I didn't feel well, then promptly fainted. I have come to learn that when I get blood drawn, I have to be laying down to avoid this. Unfortunately, I was sitting in a chair, and the nurse couldn't get me onto the floor, so I was out, into a strange world of half-sleep and vivid dreams. The smelling salts woke me up five seconds later, but it seemed like I had been asleep for an hour. Very strange. Then it was on to the familiar drill of laying down, putting a cold wet towel on my forhead, drinking water, and eating candy. I got the final shot laying on the floor, and all was well. All told, the bill for today came to $410. Ouch!
I got home at noon and ate lunch. I couldn't sleep at all last night, so I was very tired. I figured I would take a quick nap. I woke up at 5:30. Oops, missed work. Oh well, only 21 more days to go!

