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An encounter with the Chinese health system

You can tell when a blogger is getting old by the percentage of their posts relating to health issues- and especially their own. This is one of that genre.

About three months ago a painful bump appeared on my heel, and after a couple of weeks of denying its existence, Susan talked me into going to see my family Doc.  He didn’t give me a name but said it was fairly common, suggested some stretching exercises  and booked me with a specialist. Rather miraculously (in Canada) I was able to see the specialist a week later.  The specialist told me it was a case of Achilles Bursitis, and booked for x-rays and an ultrasound. Of course I rushed off for an appointment with Dr. Google and found that indeed I (and you) have a number of cushion pads called bursae that shield the moving tendons from the bones of our joints. When they get inflamed you call it bursitis.  The specialist prescribed some anti-inflammatory cream and I got used to (almost) a dull pain as we trotted around Italy last month.

So landing in China for a month, I thought, why not see what Chinese medicine can do for me.  My first stop was at the hospital conveniently located on the University Campus. A 5 minute wait and a short examination and I had another tube of anti-inflationary cream. (Total cost about $7.00 for the cream and I some small payment via my new Jiangnan University staff card).  I learned from Chinese colleagues that the University hospital used western medicine, so they helped me get an appointment at the major Chinese medicine hospital in the centre of Wuzi.

So this morning we headed downtown for an 8:oo AM appointment. Unfortunately, my colleague had mistakenly made the appointment for the following day, so we decided to just see if we could ‘walk in”. This entailed showing my passport and lining up for 5 minutes to pay a cashier $12 to see the doctor.  2o minutes later we were standing at the open door as the doctor finished a session with an earlier patient (the Chinese don’t bother about patent/Dr privacy the way we do in Canada).  He quickly examined my heel and (through Zhijun’s interpretation) asked about my “western diagnosis” and the Internet gave us a Chinese translation of the afore mentioned malady.

He wanted to see an x-ray, so back we went to the line up at the cashier (waited about 15 minutes) paid $22 and we were on our way to radiology department. Another 10 minute wait and I was on the x-ray table. The equipment and safety of operator looked pretty much the same as my recent experience in Canada – with a much shorter wait time. Then it was back to the doctor (another 10 minute wait) and he was examining the x-ray on his computer. As expected the bones were fine, just the inflamed bursai.

He then punched in 3 prescriptions on his computer, printed them out and we were back in the cashier line (another 10 minute wait). I paid another $12 and went to the dispensary, waited 5 minutes and was given a bag with my prescriptions – a tube of herbal anti-inflammatory cream (made at the hospital), 8 packets of herbs (also made up at the hospital) with which I was to make a tea and soak my foot 3 times a day and a 24 tablets of an internal anti-inflammatory.  I may not take the internal pills as I was able to get a second opinion from Dr Google – who noted the drug  is associated with stomach problems.  The final stop was back to the radiology department to pick up the 11″ by 14″ x-ray.  I think it will be a nice souvenir and I’ve never known anyone else who has their own foot xray!

So, I still have bursitis, but as I write my foot is having a bath and the room smells like a wet autumn woods. The hospital experience cost me about $46 and two hours of my time – without an appointment.  It was, all in all, an interesting experience and I was impressed with the service and brusk but efficient operations of the staff.  However, I am certain that  this would have been an entirely different experience, without the translation services from my good friend and ex-PhD student Zhijung.

Only time (and perhaps a later blog post) will tell if the treatments work.

Classical Chinese Dance and Music Concert

Did I ever tell you about the time I starred in a Classical Chinese Dance and Music presentation?

Last night my host here at Jiangnan University invited to go with her to the annual performance of the students in the classical fine arts program here at the University. We got great seats in the campus performance center, which is a fairly large concert hall seating perhaps 1500 people and it was about ¾ full. The set was of the stone arch bridge and simulated streams that characterize this campus.

The program consisted of a mixture of dance and classical songs each based upon well known Chinese poems. Of course I didn’t understand the language but  Zhijun was able to find English translations of some of the poems. So I got to appreciate the often melancholy but also occasionally joyful emotions, movement and sounds created by the dancers and musicians.

Traditional Chinese Guzheng

I was especially interested in two of the traditional instruments. One, the guzheng was not unlike the hammer dulcimer that I’ve been building and playing the last few years. It had about 20 strings but rather than  being struck with hammers, it was plucked. supposedly “Guzheng’s sound touches the Heavens above and the Gods and spirits below.”

Guqin, China’s oldest instrument.

The second instrument is called a Guqin, not unlike a zither. It too was played horizontally, and plucked or stroked by the musician. It however had a fret board so each of the seven strings could be shortened by the musician to create higher notes and eerie slides. According to TopChinaTravel  “Chinese ancient scholars have to acknowledge four art, including play the Guqin, play Chinese chess, write good calligraphy and draw painting”

A bit surprisingly at the end the audience very briefly clapped and then proceeded to exit the auditorium. Meanwhile the cast was still all on stage, the director accepting a bouquet of flowers and everyone doing a final bow – to the quickly emptying auditorium. My colleague Zhijun asked if I wanted to go up and take a picture of the musical instruments. I thought that was a good idea, so we proceeded up near the front waiting for the photos to be completed and cast to disburse. However, soon the director noticed me standing there and came down and insisted that I come up and get my picture taken with the cast. And not only that, but I was dragged up beside her, right in the center of the cast. Then the official photographer arrived and seemed to take forever  snapping pictures and me looking and feeling pretty goofy as if I was really desperate to get my picture taken.

Crashing the photos take at Jiangnan concert

Likely you won’t have to guess “Where’s Elmo” to see me in the picture. After the photos were finally done, I was able to take my picture of the instruments  and get off that huge stage.

As I look at this photo I realize I don’t exactly blend in with the crowd. Last Sunday I was visiting one of the ‘ancient villages” near Wuzi, and a little 4 year old boy came up and asked my colleague if I was a “real foreigner”. This prompted me to think well maybe I am starting to look just a little bit Chinese, but tonight’s photo proves that I’ve a long way to go.

Teaching at Jiangnan University, Wuxi China

My 4 week trip to China is a week done, and I thought I would document the trip to date (you know us old guys have trouble remembering the details!).

Four years I received a request to host and sponsor a PhD student from Bejing Normal School. Zhijun Wang soon worked her way into our hearts and proved to be a very helpful and capable student.  After her thesis on connectivism and her graduation, and a new baby, she accepted a faculty job at Jiangnan University. A year later she invited me to teach her Masters degree students for a month in the Department of Educational Technology, where she has just recently been appointed a very young department chair. The course I am teaching is called Advanced Research Methods – but it isn’t that advanced (which is fine, as neither am I!). We are focussing on the hot methodology of ‘design-based research’.

Satellite shot of Lake Tau with Yangtze river at top, Shanghai at mouth of the river

Wuzi is located about 70 km west of Shanghai and is one of those Chinese cities of 6.2 million people that almost nobody I know had ever heard off.  This is (I think) my 6th trip to China and I have to say that Wuzi is by far the prettiest large city that I have visited. The City is located on the ancient Grand Canal on the edge of Tai Lake one of the largest lakes in China. The relatively new University campus is on the lakeshore on the Western outskirts of the City.  The campus (like the old City Centre is bisected by a number of  canals and small rivers – complete with lily pads, fish and the the odd scenic bridge. The day I arrived the air was pretty thick (not nearly as bad as the Beijing soup, but a bit disconcerting).  However a rain fall the second day cleared away the smog and has been clear skies the rest of this week.

Student residences on the jiangnan campus

I’ve been accommodated in “foreign teacher” apartments that are quite spacious, one bedroom suites. The other teachers here are from all over the place, with maybe the largest component from Australia. Today I enjoyed a United Nations type talk over beers in our courtyard – and yes the Trumper was talked about.

I’ve been met for breakfast and most lunches by grad students who want to practice their English and it is really a treat to get to talk and ask questions about the ‘real China’.  On Thursday four students took me to Three Kingdoms theme park.

You’ve probably noticed how much Chinese people enjoy watching ancient warriors (with or without supernatural powers) battle each other and win princesses. Well, many of those movies were shot on the 86 acre or site built for that purpose and when not actively making films – the tourists descend. However Wuzi is quite far off the international tourist circuit and I think I was the only ‘big nose’ foreign tourist at the park that day. We toured the palaces (all built of stone) on the model of the Forbidden City in Bejing, the parks, castles and docks. We also watched a pitched battle between sword and various other weapon-carrying soldiers galloping around on horses. The speed and acrobats of the horseman was impressive, but the rides for visitors after the performance were pathetic by Calgary cowboy standards – the saddles all had big steel handles to hold onto while an employee took the reins and led the riders (walking) around the arena.

Last night Zhijung and a colleague took for dinner in the “ancient canal zone” which was very impressive. Lots of restaurants and bars and people out for a Friday evening stroll.

Ancient canals of Wuxi

We also saw a group of 20 or so amateur musicians playing  traditional Chinese  instruments and singing opera ballads.  We ended the evening with a 45 minute boat ride through the central part of town and saw the usual spectacular high rise buildings (most lit up) and a new Mosque and a very old Buddhist temple – which still has monks.

My course is going well and they ended class on Friday by bringing in a birthday cake for me and singing (with not quite right tune, nor words)

 

I finally got it together to buy a Virtual Private Network (VPN) that allows me to use the Internet and makes the sites visited think I am located in a selection of cities around the world- one of which I choose. This allowed me

First day of Class

to watch a couple of NHL games streamed on CBC (which CBC restricts to Canadian sites). Fortunately the Oilers lost on Thursday, so I do not need to be too compulsive about watching the remainder of the playoffs. More importantly, the VPN allows me to access the numerous sites that are blocked in China – including Google, Google Scholar, Facebook, Twitter YouTube, Netflicks and many more. It is interesting to see the extensive use of WeChat and I am told many other equivalent net applications that are Chinese – no Google and Facebook domination here!

I  have been delivering my classes in English(of course), but I cut and paste Google translation of the text into Chinese characters beside, the English text. And having Zhijung as a ready translator really helps as well.

This morning one of the Faculty took me to visit historic town of Dankou. Near the entrance a little boy asked my Chinese Colleague if I was a ‘real foreigner’ – I guess I must be looking more Chinese now, if he couldn’t tell.  The town was nice to walk through – no cars and lots of boats on the canal. I also saw a man returning from fishing with 4 cormorants in the boat. Each of the birds went fishing with string on their leg and a ring around their neck so as not to swallow the catch.

Next weekend, we are off to China’s old capital of Nanjing for a couple of nights as a tourist and then visiting and giving a talk at Jiangsu Open University. All for now

Our trip to Italy – April 2017

Our trip to Italy – April 2017

Note: What follows is a 6 page account of the 24 days that Susan and I spent as tourists in Italy in April 2017. Hopefully it can be used by ourselves to recall those names and dates we too easily forget and for others to help plan similar vacations.

Introduction: Despite the numerous personal and business trips that we have made to Europe in the last 25 years, the only major country we have never visited was Italy. Thus, I sort of saved it for a retirement holiday and it did not disappoint!.

We decided to travel in April for two reasons – it is often a terrible month in Edmonton mostly because the expectations (for spring) and the reality (of winter) often do not align. This was borne out this year when we heard of (not sadly) two separate snowfalls of over 20 cm while we were away. We had also heard of the very hot weather and HUGE crowds in Italy during the summer. We were still quite shocked at the number of tourists and we were glad we brought sweaters and jackets, but we concluded that April is a very good month to visit Italy.

We planned the trip to visit the major tourist sights in North and Central Italy – mostly for the art, culture, and scenery. We also wanted to visit Genoa, where I had been invited to do a presentation at the National Institute for Educational Technology. Finally we wanted to try to use AirB&Bs and from previous travels, we knew that one had to book very early to insure good selection and prices. Thus, our itinerary was more or less set, when we booked four AirB&B sites in September 2016.

Venice: We decided to visit Venice first and booked our flight booked with Air Canada and they only fly nonstop from Canada to Rome, when we arrived in Rome. We took a pre-booked (cheaper than getting last-minute) a high-speed train ticket which departed 2 hours after our landing. Although we were a bit concerned with timing, we made the train from the airport directly to Venice. The scenery was great but after an all night flight, Sue mostly slept – my new policy of popping half a sleeping pill on the plane worked wonderfully and so had no problem enjoying the view as we sped along – up to 300 KPH.

Walking out from the main train station onto the Grand Canal is a wonderful experience for all first time visitors.

We bought SIM cards for our IPhones (25Euros which gave us telephone and 4 gigs data (but no text) Sue’s worked fine but mine would not activate – problem with Apple Canada?? This data phones proved extremely valuable for Google maps and for phoning our hosts in the AirB&B – and of course for answering disputes and queries with a brief consult with Mr Google.

We bought a 2 day pass on Vaporetta boat buses (a bit expensive at 30 Euros each) but a great way to explore Venice. After the 2 days we found we could (and did) walk everywhere. Venice is like no other city we have visited because of the lack of cars and roads. Everything from garbage, to ambulances, delivery vehicles to fire engines is a boat! Thus creating a unique and very quiet environment. The Grand Canal is packed with water taxis and tourist gondolas but also with all types of commercial boats. In addition a huge cruise ship briefly blocked the view one night from St Mark’s square.

We did the usual top tourist sights, museums and churches including visits to LIDO and one of the other small islands. We also booked one walking tour with only 6 of us and a charming young Art student as guide. Our AirB&B Campo St Marco was great, full kitchen, a large eating area, bedroom and living room (which we hardly used). The large windows opening onto St Thomas Square afforded us a bird’s eye view of a bit of Venetian life. We also experienced for the first (but certainly not last time) great Italian pasta, fish and pizza. After 4 nights we took the train for a one day visit to Milan.

Milan: We left early for the 2 hour trip to Milan. We found our hotel near the train station and headed to the old town. We tried for a few minutes to buy tickets to visit the famous Douma (Cathedral) but the line up was atrocious, so we opted for a far too expensive hamburger and beer on a terrace overlooking the Doumo Square, and had a great view of a very excited champion soccer team getting photographed for over an hour. We paid the big bucks for an excellent guided walking tour which ended with 15 minutes in front of Da Vinci’s Last Supper in the Rectory of a Dominican Monastory the Basilica di Santa Maria delle Grazie. This was as our first walking tour with ear phones and it make a tremendous difference as the guide can chat away without halting to gather in the 18 tourists on this tour. He was excellent with lots of stories and time for questions. I hadn’t realized how badly the City had been damaged by British bombers during the 2nd world war. We visited the usual tourist haunts – Cathedral, opera house, Gallery, castle etc .and two hours later arrived for our 15 minutes with the last supper. Having the guide interpret the painting and its restoration (it was NOT done as Fresco on wet plaster so immediately began to fad and was re-painted by various authors and finally the Monks cut in a door which cut off Jesus feet!_. Twenty years of restoration in the late 1980-90 revealed some of the original Di Vinci paint and outlines. He also informed us that this very Monastery was the headquarters of the Italian Inquisition and that the fires burned nightly in Milan for many years – YUK!. But the expressions on the faces of the apostles, the effect of lighting in the refractory, the ‘miracle” that 2 sides of the room had been destroyed by bombs in WWII but left the painting intact, were each impressive.

Genoa: The next morning we headed for Genoa – normally a 2 hour (slower) train, which was over an hour late leaving the station in Milan. Thus, we missed a lunch for us put on by the National Ed Tech Centre folks. I did an updated presentation on Interaction modes in 3 generations of distance education pedagogy. There were about 30 people in attendance and one off-site location. They celebrated my visit and the tomorrow’s Easter break with a delicious and complex traditional Italian home made Easter cake and lemoncello – lemon liquor. The day ended with likely our best meal – with our host Francesca Pozzi and her husband Massi at a great sea-side restaurant owned by one of their friends. There was only one other couple at the restaurant and the owner had to show us pictures of the very fish we were eating and how he had caught it earlier that day. The next day they took us for our first-ever sail on a 38 Ft Bavaria sail boat in the Mediterranean. Not much wind but nice to see this largest harbor in Italy.

Our Genoa AirBnB was right downtown and turned out to be the most luxurious accommodation that we enjoyed on the trip. It was a large apartment with marble and hardwood everywhere , very modern kitchen and a great king sized bed!

We spent the following day exploring Genoa. I went to the Maritime museum while Susan got lost trying to go shopping and wound up in an interesting museum! The old town was great and quite amusing to see the faithful gathered around and praying at a full sized body of the dead Jesus on Easter Saturday – waiting for resurrection tomorrow I guess. Also heard a great guitar player outside the Cathedral, who told us he had played the Bach Cello suite just for us, as he saw us watching!

Cinque Terre: We had, from most visitors we knew, heard to Italy of the wonders of the 5 villages along the Italian Riviera that make up the CinqTerre. We had an Air B&B for 3 nights (2 days) at Manorola. It was Easter weekend and even without the cruise ships it was PACKED with mostly Italian tourists. Anyways we arrived at Manorla by train about 8:30 PM and had a bit of a time finding the AirBnB – thank goodness Manorola only has one road!!

We spent the first morning relaxing and enjoying the balcony view of the town and listening to the bells tolling for Easter morning in the Church next door. They even enticed Susan to attend Mass.  In the afternoon we headed down to wade through huge crowds at the Manorola Beach. We knew the sea trail to Riomaggiore was closed but our map showed the village was only about 3km away. What we didn’t know was that those 3 km were horizontal and didn’t count nearly an equal distance of vertical steps.  We really were not prepared for the roughness of the trail, the zillion steps and many loose rocks. But we made it!! We certainly were glad to end with Bruschetta and craft beer in Riomaggiore.  We took the 3 minute train ride back- the ticket machine was broken and the train packed so it didn’t matter much, and then hiked another km back up to our peaceful airB n B to relax and enjoy the view. We got a taste of why so many Italians are in such good physical condition

Our second and last full day in Manorola we decided to be smarter and took the local bus up 300 meters to a little town (nice church) on the ridge overlooking the sea. Then it was a still-challenging but easier walk down to the next village. The weather was nearly perfect – high of 19 degrees. There were quite a few people we passed in both directions, but it was interesting seeing the gradual rebuilding and planting of vines in the once abandoned terraces. We also looked carefully at the only mechanism used in these vineyards – the monorails that took the farmers up and grapes and olives down. We had a great lunch overlooking the sea at Corniglia and then headed along the trail to Vernazza. We enjoyed a beer overlooking the harbour and castle and then took the train home.

Florence and Tuscany: Next morning we were off to Florence and rented car so we could see some of Tuscony where we had our only one un-booked night of this trip. Two days earlier I went on Expedia and found a “members sale” for a “country hotel” for $66 Canadian near Sienna. We’ve had some less than positive experience at really cheap hotels before, so we crossed our fingers for this one. We had booked a rental car and fortunately bought our GPS with European maps. We had a wonderful drive through Tuscanny – absolutely the most stunning scenery we have seen thus far. We stopped at the mountain top town of San Gimignano. We enjoyed listening to a busker (and bought a CD) of a musician playing an new Swiss steel drum-like instrument called a Hang. The “country hotel” turned out to be a fabulous 200 year old 4 star hotel (see view from our bedroom window at Borgo San Luigi 

– a lot like Jasper Park lodge. They upgraded us (I guess they didn’t see how little we had paid) to a Junior Suite, that had a list price on the door of 350 Euros. We spent way too much on the hotel restaurant dinner but it turned out to be a wonderful night, and the breakfast the next morning turned out to be no charge.  We wish we had booked the place for another night or two. The following day we drove through Tuscany stopping at a couple of hill top towns including San Miniato and then visited the Leonardo de Vinci museum, in you guessed it – in Vinci!

Back to Florence and dropped off the car sans incident – thank goodness for GPS and found our Monastery – which seemed pretty Spartan after 4 stars last night!!

As others have noted Florence is an amazing City with a very rich Renaissance history. It is amazing that this landlocked town became the world centre for both Art and Banking – perhaps mostly due to the leadership of the Medici family leadership? Our stay at the Monastery was the worst accommodation of our trip. Susan had insisted on it based on one previous Monastery Stay and some latent fantasies of religious life. The room was (as expected very plain) but it was annoying to listen to the Italians arguing, or were they as Sue suggested just talking vivaciously next door late into the night and then again at 6:00 AM! We ‘ve noticed that besides extensive arm movements Italians tend to talk to each other very loudly. We also had trouble getting Internet, but Sue did do a couple of very early morning counseling sessions from the common room downstairs. Our two visiting days were spent at most of the big art galleries. We paid for “Skip the line” tickets for the Academia Gallery and were awed by the size and grace of Michelangelo’s David. The next day we visited the largest Art Gallery in Italy the Uffizi Palace and saw the sculptures and paintings accrued by generations of Medici rulers. We ended the day by enjoying the Sunset after a half hour climb up to Michelangelo Square overlooking the City.

Rome: For the final week of our visit we took the train from Florence to Rome. We had some trouble finding the AirB&B as we got mixed up between municipal trains and the Metro. I also had a very close brush with a pickpocket as during the rush and push to get into a very crowded Metro train I reached and noticed my wallet was missing. I swept my hand down and it was dangling, waiting to fall or be plucked at the waist line of my jacket – yikes – that would have put a damper on our holiday.

We did find the AirBnB and it lived up to its reputation and the reason we booked it, by a very large terrace (5th floor with elevator!) full of plants that overlooked St Paul’s Cathedral and the Vatican. It was a stunning view during the day and lit at night. We had 8 nights here and spent many a slow morning enjoying breakfast on this terrace.

We planned a more or less unplanned visit and spent the first day exploring our neighborhood and finding a delightful neighborhood restaurant with the owners with a huge smile, great food and not a word of English! The next afternoon we braced ourselves for the crowds and visited at Peter’s Square and Basilica. We were told it is the largest Church in Christendom – and it was impressive. We also wondered through the crypt to see all the dead popes and one lonely female – a deposed Princess who had sought refuge in the Vatican in 17th century.

The rest of the week we leisurely did the main tourists sites of Rome. All were crowded with tourists, but still retained the grandeur of past ages and great art. We did our one and only hop-on hop-off bus tour – never sure is they are worth the 30 Euros each, but did get a good overview. In turn we visited the Vatican Museum, numerous churches, Spanish steps, Trevi Fountain, the Forum and Coliseum – with lots of time for relaxing in our apartment. We also really liked the winding streets, ambience, buskers and restaurants of the Travestere area (on the right bank of the Tiber.) Also took in a Saturday morning combination baroque concert/tour in the Art museum Palazzo Doria Pamphilj (30 Euros) which was really excellent. To our surprise we saw the original painting from Dutch painter Brugel of skaters on a canal – we have had a larger print of that picture hanging in our house for nearly 20 years, and didn’t really know where the original was. As compulsory, we also toured the ruins of the Roman Forum and coliseum. Both worth the visit but hordes of other tourists and a bit of a tragedy that so much of these temples and the Coliseum was recycled by later popes and the wealthy into Churches and palaces. Ironically the only temples that did survive renaissance-age savaging were the ones that had already been converted to Churches. Visiting the 2,000 year old Pantheon temple was a definite highlight, and one of the most impressive spherical works of architecture we have ever seen.

Conclusion: I’ll end with a few lessons and hints:

  1. April is likely a good month to visit Italy as we had only one day of rain, but I did wear my sweater at least part of every day. Susan admitted that she brought too many warm weather items. I can’t image the hordes of tourists when it gets busy in the summer, as there were more than I liked in the Spring.
  2. Getting a sim card with data for google maps, downloading tickets, contacting AirB&B hosts and other conveniences – is a must. We likely could have gotten by without our GPS by using Google Maps, but it was nice to have a backup.
  3. AirB&B is a great way to travel. The price of accommodations are similar to hotels (see below). The size of accommodations, kitchens, appliances and balconies are MUCH better and 3 of our 4 AirBnB’s could have slept 4 people. But you are charged a cleaning fee and making contact with host is more challenging than walking into a hotel- so they are best for stays of 3 or more nights. With AirBnBs book VERY early to get best selection and prices. Our experience booking that 4 star country hotel in Tuscony through Expedia at $66 Cdn was a real bonus but hard to repeat!.
  4. Total Costs. We ate out at least once every day at medium priced restaurants average maybe 40 Euros/meal with wine, paid around $120/night for accommodations, usually used public transportation, but did grab a taxi when really needed or desired, and didn’t skimp on museums – but also didn’t do things like 80 Euros for a half hour Gondola ride in Venice. A nice way to enjoy these once of a lifetime experiences is to delude yourself that a Euro is equivalent to $1 Canadian even though in 2017 it costs $1.50 Can for a Euro!
Airfare $2373 (Can.) Average/day
Accommodation
     AirBnB $2373 $131
   Hotel $212 $106
   Monastery $315 $105
Concerts, restaurants, tours, museum, transportation, etc. $3074 $128
Total (2 persons) $8357 $348 – $249 minus airfare

These totals compare quite favourably with costs of 3 week cruise, but one shouldn’t underestimate the time and worry of booking everything oneself – and then resolving the challenges when you get lost or show up for a train at the wrong time or the wrong station!