I spent our free time Friday morning preparing gifts for Slava, Galena, the director at the baby home, Luda, and Elena. Fortunately this didn't take as much time as the gifts for the children had, because Slava picked us up early to go across town to the medical clinic. Our time at the medical clinic definitely ranked in the top ten strangest cross-cultural experiences I've ever had. During my travel overseas, I've seen a lot of things. And, with my degrees in Sociology and Communications, if I haven't experienced it, I've probably read about it. This one was a new one to me. In order to prove our fitness to adopt, we had to obtain a battery of tests and evaluations. We could have gotten these in the United States, but the list of specialists we had to see and the information we had to obtain did not exactly translate to the American medical system. They study roughly the same thing, but the specialties don't have the same names. Also, any records from the American doctors would have to have been notarized and apostilled. I tried to get these tests the first time we were trying to adopt, before John was born, and American doctors have some degree of resistance to the forms used and questions asked by the Russians. I don't recall any details, but I remember my doctor expressing bewilderment because the form asked her to confirm that she used a particular test to screen for… I think tuberculosis. It was a test that hadn't been used in the United States for forty years.
So, anyway, all of that to say that going to the medical clinic in St. Petersburg was a lot faster and easier. First we met with the clinic director in her office, which was actually an examination room, since her office was being remodeled. She reassured us that the hospital was first rate, very American (it had been designed by an architect from California) and very modern (the x-ray equipment was from Holland). Then we went to have our blood drawn. The phlebotomist used cotton and gauze bandages instead of a band-aide. We returned to the medical director's office for coffee and sweets. I found it deeply ironic that I was having the equivalent of donuts for breakfast – the unhealthiest breakfast I've had for a while – in a hospital. The infectious disease doctor followed by the pulmonologist interviewed us while we ate. Then we went down to get our chest x-rayed. We had to strip down to the waist and stand on a platform which moved us around to where they wanted to x-ray. We sat in the hallway while the film developed and then the pulmonologist read them to us. She found the mild pneumonia I forgot I'd had in high school, but no tuberculosis.
Let's see… We also talked with a psychologist, who worked off a copy of our home study. It was very strange to have such a personal conversation through an interpreter. He quizzed Scott at length about his shyness, the values and moral guidelines his parents raised him to follow. Most of his questions for me concerned my sister's adoption and her current metal state and adjustment, which felt like a psychological examination by proxy. He also wanted to know why we wanted to adopt. He said we had already "fulfilled our parental obligations." I appreciated his response when we told him that some children in the world are in need of parents: "So it is a mission, then." It was pretty clear from Scott's responses about his "moral upbringing" that we are a Christian family. From the psychologist's reaction to our reasons for adopting we thought he was friendly to our faith, but then he began his line of questioning about our church attendance and involvement with "So you follow this mythological religion…" Galena reassured us later that our interview was pretty tame. She said she'd once had to translate an argument or discussion about the role of Judaism in early Christianity, and whether Jews can be held responsible for the death of Christ. I do not envy Galena her job.
The rest of the examinations were pretty straightforward. We also had a cardiology exam, which involved electrodes attached with suction cups. Scott's reaction was that there is no "sticky stuff" in Russian medicine: no Band-Aids, no tape for the leads. We also saw a neurologist, who mainly tested our reflexes. Another fun one was the physical examination. There were three doctors all taking notes so I think they must have represented three specialties. Perhaps general, dermatology, and mammography? The fun part of that one was, to save time, they asked if they could examine Scott and I together. Of course we were comfortable with that, but I can't say I've ever undergone a medical examination with another patient before.
After paying the medical director for the examinations and the receptionist for the bloodwork and x-ray, we were on our way. I decided to use the bathroom before we left and, in another ironic twist not nearly as fun as the sweets for breakfast, I encountered the dirtiest bathroom I'd yet found in Russia. In a hospital. Both stalls were out of toilet paper and one toilet seat was completely covered in… something. There was no soap at the sink. I would have used the toilet paper I kept in my bag, but Galena had discovered at some point how heavy my bag was and was no longer allowing me to carry it anywhere. Fortunately, Kim had some with her.
Next, the notary. We drove downtown, to the Nevsky Prospect, the main street through St. Petersburg. Galena explained the content of the documents we would be signing. There were three documents, and I have already forgotten the details. I think one was for the baby home, declaring that we wanted to adopt Yuri; another was for the Adoption Center making the same commitment; and the third was for the police department, committing to follow through on U.S. naturalization and the post-placement visits. We hadn't realized Yuri will continue to hold Russian citizenship (as well as U.S. citizenship) until he is 18, which is why we have to fulfill the requirements of the Russian state. The whole experience was a little too much like closing on a house to me: lots of officials sitting around a big conference table, lots of documents to sign.
The whole process took less than a half hour. We had lots of time before our last visit at the baby home, at 4:30. Galena took us to Artists Square. I guess it's sort of like Times Square in New York or something – lots of theaters, opera houses, and the like. The center has a great big statue of Pushkin, so we got out, walked around, and took a few pictures. Then on to the Hermitage. This is what Scott wanted to see. We did not have time to go in, just to walk around. The scale of the Winter Palace – the Hermitage – is immense. The square in front of the Winter Palace was the scene of both the 1905 and 1917 revolutions. Scott asked detailed, perceptive questions (not for the first time), which required further clarification for me. Galena had commented earlier in the week how much more Scott knows about Russia than any of the other adoptive parents coming through. We are both looking forward to going back to St. Petersburg sometime when we can spend time seeing the sights and experiencing the city.
Now, lunch. We found another Stolle within a few blocks of the Hermitage. By this point, it was 3:00. We hadn't had anything to eat all day except the sweets at the doctor's office. All of us were tired, probably from the blood that they had drawn, and maybe also from the lack of food.
Our last visit with Yuri was probably my favorite. We were outside again. Galena took our picture, all three of us together, and Yuri posed for the camera. We played with the toys we'd brought for him, which mainly consisted of him throwing the toys out of the hut, us picking them up, dusting them off, and handing them back to him, only to repeat the process. He played peek-a-boo with his dog, and I saw him use the classic palms up, hands outstretched "where did it go?" expression. We beat the daisies into submission, we walked around the walking path, we tried to tell Yuri not to eat the gravel, we discovered the sand box. I tickled his neck and I got him to laugh, just a little bit, the first time I'd heard him laugh. Too soon, our time was up. We brought him back to the entrance of the home. I snuggled him, kissing him and telling him we'd be back for him. He hugged my neck and gave me a wet, sloppy baby kiss. The caretaker took him away and that was the closest I saw him come all week to crying. Scott leaned against the wall, looking pretty grim.
We had an early morning ahead of us, so we didn't have much time in the evening. We packed up most of our stuff and went down for dinner. We didn't feel like we had time to go out, but the dining room had been invaded by a German tour group, so the service was very slow. We probably could have gone out, and probably should have. It was hard to think we were leaving already. We were so disappointed to have had so little time exploring the city, but also so grateful for so much time with Yuri. Scott kept reminding me that the week had been about the adoption, and meeting him. Other journeys on other days will be for exploring the city. We already look forward to bringing him back, when he is old enough to enjoy it, when he is old enough to remember it. We want him to play in the trick fountains at Peterhof, to walk the streets, to play on some of the many playgrounds dotting the city, to eat the meat pies and breakfast porridge. Who knows, maybe we can even get him to eat the borscht.


