I work with a Russian kid that came over when he was 11.
One time we were talking about those blister pack cards of antibiotics you get from your Doctor - those 7 day horse pill packs you get when you get bit by a dog, or you get an ingrown toenail - whatever. Of course I'm bitching about how the antibiotics screw up my stomach, make my piss smell, are expensive, and so on.
He pipes in that he gets chronic sinus infections and has almost every year for as long as he can remember, and that the first time he went to go see a Dr. in the US for it, he was so happy that he got a script for antibiotics, he almost started to cry.
Turns out, in suburban Moscow, when he'd go see a Dr. for his sinus infection their preffered treatment was to shove a needle up his nose, penetrate the sinus cavity, and let it drain out.