Tag Archives: living in Italy

You Want Me to Put that Where?!?

Cultural Differences in Medication Methods, US and Italy

There are cultural differences between Italy and the US even in seemingly small things, such as how medicines are administered. I got through a childhood of many, many medicines without ever using a suppository – except once. That once is still imprinted on my mind as one of the more humiliating, not to mention uncomfortable, experiences of my life. So I was unpleasantly surprised to find that suppositories were routinely prescribed for Rossella‘s childhood fevers. I guess the logic is that it’s easier to ensure that a small child gets the correct dosage that way, but it wasn’t fun for anybody.There are even adult-sized suppositories, though I’ve never heard of anyone actually using them. But then I don’t suppose that’s something you’d discuss in casual conversation…

The favored medicine format for adults is the bustina (little envelope), of a powder which is mixed with water, forming a fizzy and more or less palatable decoction. Beyond that, it’s plain old pills – none of these wimpy American capsules or gel caps, just swallow it down and quit complaining.

Then there’s my once new, now old, friend – the aerosol. This is a machine with a noisy little motor that compresses air. You attach a rubber tube to it, then a glass “nebulizer” into which you put liquid medicine. The final glass piece, connected by a rubber joining ring, can be a nasal “fork” (in two sizes), a mouthpiece, or a soft plastic mask that covers nose and mouth. The compressed air is forced through the nebulizer, where it mixes with the medicine to create an aerosol which you then breathe in – excellent for getting the medicine to where it’s actually needed for respiratory problems. A beneficial side effect, for people like me who often won’t sit still long enough to rest even when we need it, is that you are tethered to the machine for the half-hour that it takes to inhale all the medicine. But that’s a drawback when you have to treat a small child.

Because I am often clumsy and drop things, I was initially nervous of handling all that delicate-looking glass, but it turns out to be not as delicate as it looks, and in any case you can buy replacement parts at the pharmacy.

Another area of cultural difference in medicine is how you obtain it. It pays to make friends with your local pharmacist, because, once she learns to know and trust you, she will often let you have things that technically are supposed to be available only by prescription – very handy when you know exactly what you’ve got and how to treat it, but can’t get hold of your doctor to write the prescription.

You do eventually want to get the prescription so that you can get some money back. Most pharmacies will sell you something on an emergency basis, then refund your money when you come back with the official prescription form which allows them to charge it (in whole or in part) to the national health service.

Apr 27, 2004

Mike Looijmans says re. suppositories: “The Dutch words for those are many, and translate into things like “ass grenade”, “plug-in” and “stick-up”. I cannot even recall the official word for them…”

He and others rightly pointed out that they’re often used for children (and sometimes adults) when they might be expected to throw up any medicine taken orally.

Italian Winter Weather

The first time we visited Milan, in January of 1991, there were about four inches of snow on the ground. It melted the next day, and in the 12 years we lived in Milan after that I only saw snow falling once or twice a year, some years not at all, and rarely enough to stick. For the last few years, February has been mild, April cold and rainy, and everyone complained about how the seasons weren’t what they used to be (a lament that has probably been heard since the australopithecines).

Today it’s snowing in Lecco. A lot. Just like it did the week before last, and the week before that, and I lose count before that. A few weeks ago we took in “refugees,” six of Ross’ classmates who had commuted up to an hour to get to school, only to find it cancelled because snow was falling and the heating system wasn’t working.

The kids weren’t a problem, but I’ve had enough of winter. I never liked cold weather in the first place. I was born in New Orleans, subsequently lived in Texas, Hawaii, and Thailand. I never saw snow actually falling out of the sky until we got to Pittsburgh, when I was 11. I hate having to dress up in layers and layers of clothing to go outside, then when you go into a shop or come home again you’re too hot and have to undress. I have no circulation in my hands and feet, so they’re always icy cold (cold hands, warm heart – I’d settle for the reverse). I even have chilblains on my toes this year, probably from wearing wimpy shoes in a misguided attempt to be fashionable, before I found a pair of decent-looking fur-lined boots in England.

One problem specific to Italian winters is that most of us have no control over home heating – condominium buildings are usually centrally-heated, and the thermostat is set according to government regulations. Heating goes on October 15th and off April 15th, regardless of actual outside temperatures. And it’s turned way down during hours that most people are out of the house, e.g. 10 am to noon, which happen to be my peak working hours in my home office. So I’m sitting at my desk wearing ski socks and fleece slippers (still going strong – thanks, Laura and Larry!), a turtleneck, corduroy trousers, and a Kashimiri shawl.

Heating also gets turned off at night when we’re all supposed to be in bed. There are few things more miserable than being wide awake at 4 am with jetlag, and you can’t even read in bed because it’s too cold to put your arms outside the covers (yes, there is another activity which could warm you up in bed, but that only works at 4 am when both of you have jetlag).

The Post Office: An Italian Tradition of Bureaucracy

I hope that my friends and relatives have forgiven me for the fact that I have never mailed presents to them from Italy. I either have something shipped directly from a company in the US, or I wait til I’m in the US myself, preferably actually visiting the person in question, to give gifts.

This is because I hate the Italian post office, which symbolizes all the worst of Italian bureaucracy: poorly organized, sluggish, and completely uninterested in self-improvement.

Part of the problem is that it tries to do too many things. As in other European countries, in Italy the post office functions as a kind of government bank, where pensions are withdrawn and some types of payments to the government are made, e.g. the annual television tax, and fees for school lunches. It is also possible to make payments to third parties, such as utilities, via the post office.

As you can imagine, this banking function leads to long lines, especially during the early part of the month when all the retirees show up to collect their pensions. And, in the early years, it somehow never occurred to anybody in authority to separate postal functions from banking functions: same line, same window, whether you were paying a bill, collecting a pension, or just trying to mail a letter.

If you only needed to mail a letter, you could always buy stamps at a tabacconist. But registered letters could only be registered at the post office, and, given the unreliability of the delivery service, it was necessary to register anything whose delivery you actually cared about. Once, after standing in line for half an hour behind little old ladies carefully counting their coins, I asked the man why they didn’t have a separate window for just plain post. He gave a bored shrug. “This is the way it’s done.”

Yet, six months later, they started doing it differently: suddenly we had one window for any kind of mailing, one for stamps only, and three for banking. At first I heaved a big sigh of relief, but I soon realized that they had assigned the dimmest bulb in the office to the post window. It would take him ten minutes to figure out postage (they were still doing it by hand then) and fill in (again by hand) his part of the registration form. Sometimes he gave me the wrong form, so I would have to fill things out twice. Once, on a very urgent item, he called me when I had returned home and told me I’d have to come back and pay more, because HE had made a mistake on the postage. And he wouldn’t send this urgent letter until I’d come back and paid.

The banking function didn’t work so well, either. Each payment slip had three portions: one that vanished into the system (although the transaction was also recorded on a computer somewhere), one that you gave to the payee to prove you had paid, and one that you were supposed to keep. Unfortunately, I did not realize how critical it was to keep these receipts for the rest of your natural life. We were dunned for payment, three years after the fact, for three months of Rossella‘s 5th grade school lunches. I had entered into our home accounting system the date that these had been paid, in a single transaction, but had not kept the receipt to prove it. Enrico spent days in postal administrative offices all over Milan – the system was centralized enough to accept payment from anywhere, but not enough to allow the local branch to trace a payment that they had taken. The amount of money was not huge, but Enrico got stubborn about it, and eventually prevailed.

Another fun thing about banking in the post office is that it means that, during the early part of the month, a relatively insecure office is holding enormous amounts of cash, and doling it out to tottery old ladies. This leads to regularly-scheduled muggings and fleecings of old people just outside the post office, and to the national sport of post office robbery. I once arrived at our local PO in Milan to find a robbery underway, with a huge crowd milling outside to see what was going on. I hightailed it in the other direction.

The good news is that global competition has affected even the Italian postal system. Mail now arrives more quickly and reliably than it ever has in the past, and many post offices have become sleek, computerized, and almost a pleasure to be in. It’s no longer necessary to register everything; priority mail seems to be fast and trustworthy.

Now I’m making a real test of the system: I mailed my first-ever package from Italy, to my mother, a few weeks ago. It was a heavy book, so I didn’t send it priority, and I’m therefore not surprised that it hasn’t arrived yet. If it eventually gets there, I’ll be pleased, and maybe not even too surprised.

Feb 22, 2004 – I am happy to report that my mother received her book a day or two after the above went out.

Feb 23, 2006

I must say, the Poste Italiane are really modernizing. You can do a lot of stuff online now (such as track a registered letter), and their site even has an English version.

Dressing for Italy: Tips for Tourists

^ top: Ross & Enrico – dressed for a wedding, I admit

Foreign travelers to Italy sometimes ask how to to dress so as not to look out of place among the fashionable Italians. This question is hard to answer; much depends on your sex, age, and personal style.

It’s easiest to start with some fashion don’ts:

  • No track suits, sweat suits, or the like, and no baggy sweatshirts. Well, really, no baggy anything.
  • No fanny packs.
  • No daypacks or backpacks, unless you’re in your 20s or younger.
  • No clunky white sports shoes. Younger Italians do wear sports shoes, even when not doing sports, but these are usually sleek and stylish models (including some brands very familiar to Americans), and are never dirty or scuffed or worn down.
  • No t-shirts, especially not with big pictures or slogans on them, again, unless you’re under 30.
  • No shorts, especially not for men.

Now some do’s:

  • In general, Italians dress more formally than Americans. Blue jeans are fine, as long as they are well-fitting, clean, and in good condition (or any damage is intentional and fashionable) – Levis are very trendy and even expensive in Italy.
  • Men, always wear collared shirts (polos are okay).
  • Wear dark or subdued colors, except in summer. Even then, Italians wear white or pastels, not the bright purples and blues that many Americans like.
  • As a tourist you’ll be walking a lot, so I do recommend very comfortable shoes, even though this seems never to be a consideration for Italians, at least not for women, who routinely walk all over town with things on their feet that I couldn’t even stand up in.
  • Designer labels are always a plus.

Of course, how you dress is always entirely up to you, and no one is going to jeer at you even if you commit every single one of the fashion “sins” listed above. The question I’m responding to came from people who wanted to know how to fit in, and that’s what I’ve done my best to answer, with some expert advice from my Milan-raised, extremely stylish, teenage daughter. (I admit I cheated – in the photo above, my daughter and husband are dressed for a wedding!)

That Italian Shoe Thing

My daughter has a shoe fetish, sympathizing whole-heartedly with Carrie Bradshaw‘s need for Manolo Blahniks. Ross herself owns about six pairs of sports shoes – not to run in, but because they’re fashionable (who would actually jog in Pradas?). She also owns various stylish flats, and of course riding boots. She still fondly remembers shoes she owned when she was small, such as the pink and white sneakers with cat faces and, more recently, the pink Converse All-Stars with Spongebob Squarepants laces. At least the pearly violet Fornarinas with the clunky heels didn’t last too long; she outgrew them and gave them away to a friend’s daughter, who stands in awe of Ross’ fashion sense.

I undoubtedly owned some shoes as a child, but I couldn’t tell you anything about them. Whenever possible, I went barefoot, even on the blistering-hot sidewalks in Bangkok. Yes, they were literally blistering hot, at least for novices. When Julianne moved into the big house up the soi (lane) from us, I offered to show her the neighborhood, including the pool next door that we were entitled to use. “Should I put my shoes on?” she asked (in Thailand, no one wears shoes in the house). “Oh, no, it’s only around the corner.” By the time we got there, the soles of her feet were covered in blisters. I guess mine were too callused to feel the heat.

I also went barefoot at my aunt’s place out in the country in Texas, where the hazards were bull nettles and cowflops. If you had to step in something, cowflops were preferable to bull nettles.

Anyway, growing up in the tropics, I didn’t need much shoeing, and to this day am most comfortable in sandals, or no shoes at all. But, having moved to colder climates, I had to come to terms with closed shoes much of the year.

This wasn’t a huge problem in high school and college, where I could usually get away with sneakers (as we used to call sports shoes). Sneakers were even cool. I remember how impressed we all were with the first running shoes we ever saw (Adidas) in Delhi, around 1979.

But now I live in Italy, where an adult wearing sports shoes outside of an actual sporting event (aside from the odd – very odd – jogger) is immediately marked as an American tourist.

I ignored this for years in Milan, didn’t much care what people thought. My sole concession was to buy a pair of leather shoes for the winter – Timberland hiking boots, but at least they’re black, and a bit more elegant than the classic clumpy boot. I love those boots, and was looking forward to getting back into them this winter.

However, I’ve found that, while hiking boots still have their place around the stables, they aren’t good enough for downtown Lecco. This is a small town where everyone knows, or at least notes, everyone else, and I don’t want to disgrace my family. Well, unless it’s raining.

Which brings me, kicking and screaming, into the world of fashion. It’s hard in Italy to buy the simple “classic” shoe styles that I like and find comfortable; all you’ll see in the shops are this season’s trends. For the last few years, the trend has been extremely pointy. In fashion, what goes around comes around – again and again and again. At school, rooting around backstage in the costume trunks, we once found a pair of very old, very pointy shoes. We took turns clomping around in them and had a good laugh. “Cockroach stompers!” – so pointy that you could easily reach into a corner to stomp a cockroach. That’s what’s in the shop windows in Italy (and on my daughter’s feet) these days.

Fortunately, I had bought a couple of pairs of semi-respectable shoes a few years ago, when square toes were in fashion. I don’t like square toes much more than pointy ones, but at least they don’t pinch my toes together and make my feet look even longer than they already are.

I don’t wear high heels, either. I love the look, but lack the balance. My favorite shoes, and the most comfortable heels I own, are cowboy boots, which Sue and I bought after an epic six-hour search all over Dallas (Sue is the only person with whom I could have survived and actually enjoyed this). They’re dancing boots, mid-calf height, black, with fringe. They’re some comfortable that I used to travel in them, though they’re very noisy on hard flooring – people would turn around in airports to stare.

I will say for Italian shoes that they’re very well-made and comfortable. Other shoes you have to “break in,” which really means that they’re breaking you in – you first develop blisters, and then calluses, where they rub. With Italian shoes, I simply put them on and start walking, and have never gotten a blister.