2.27.2008
nearing the end
On the downside, my computer has decided to go caput... at least from the internet standpoint. For some reason the wireless connection has never worked here and I have no idea why. I tried downloading a new driver software and the like and nothing worked. Now the ethernet card has also stopped working. It cannot sense the connection and yes it is connected on both ends. I think I am going to have to let Dan take a look at it when I get home. Blah.
Nothing much else of news or importance. I am getting excited for Match Day which is less than a month away. I want to know where Jimmy, Skidaway, and I are going to end up next year. I don't know if I am going to write another blog entry before I leave, but we shall see. If I don't, I will see most of you soon.
2.25.2008
titles escape me
My other pondering of late concerned my reaction to people who walk by me while I bike and how that has changed since a year ago. Last summer, a pedestrian try to knock me off my bike while I was biking at 4 am to get to the hospital to round with my surgery team. Ever since then my heart seem to skip a beat when a pedestrian walks toward me while I am on a bike. Its weird, especially as I have had that reaction here in Belize. A change in perspective that is hard to shake, maybe for the good.
That's it for tonight.
2.24.2008
another weekend passes
2.22.2008
just another Friday
Matt left today as he had arrived a week before us, so now we are down to four students. Tim, Kara, and Emily went to Placencia, which I opted out of as I had spent my first weekend on the island. Instead I am haning out in P.G. this weekend, alone in our treehouse. I am going to borrow Jeff's, one of the administrators here, kayak tomorrow and explore the ocean for at least a little while. I am excited. Today I got a ride into town and then biked back about a 30 minute trip on an one-speed bike with deflated tires. I saw a really cool crab - yes, I get excited about crabs I did teach Marine Biology for a year. He (or she) was striped like a Zebra and shaped like a swimming crab. He was definitely aware of me and I had to be sneaky to get a picture. The crabs antics brought me much amusment. Not much else planned that is all too exciting. I am feeling poor at the moment with all of the upcoming expenses that Jimmy and I are going to have and I feel like just taking it easy.
2.21.2008
pharmacist for the day
Anything interesting phenomenon is the market produce here. A lot of it is not from Belize at all. In fact yesterday morning we saw bags of produce from Guatemala being dropped off. Its a little strange as one expects markets to have local produce and the grocery stores to carry the imports. Although the Minneapolis Farmer's Market also has the same phenomenon. I think the issue is more on my radar right now as I just finished Animal, Vegetable, Miracle by Barbabra Kingsolver and The Ominvore's Delimna before coming here, both of which talked about the environmental impact of shipping food across long distances. Granted shipping food to Belize from Mexico and Guatemala is not the same as shipping produce to the US from New Zealand and Argentina, but it is the same concept. I find myself wondering if it would be possible to be a local-vore in Belize. I think it would be quite hard. As for the above books, I highly recommend them as reads. They are fascinating and make you re-think your particular eating habits whatever they may be.
I also want to put a plug in for A Long Way Gone: Memoirs of a Boy Soldier by Ishmael Beah and They poured Fire on Us From the Sky by Deng, Deng, and Ajak. Both are true stories out of Africa. Beah talks about the war in Sierra Leone, and how he was sucked into becoming a boy soldier. It makes you realize you never know what you may become under difficult circumstance. It also shows how vulnerable children are to war and violence. The second book is about the lost boys of Sudan and again another touching story about children torn apart by war.
Anyway, enough typing for now. I have a little over a week left before returning to the cold of Minnesota. That is definitely going to be a shock to my system.
2.20.2008
sick.
Yesterday Kara and I went on home visit with Pat. It was interesting to see how many of these patients lived. Most of the patients were elderly and homebound. They suffered from diabetes and hypertension. The homes were often in a state of quasi-disarray and not as nice as most American homes. I realize though that many of the patients I have taken care of in Minnesota especially at HCMC lived in similar conditions or even worse. The plight of the family-less elderly person in America is often a sad one, and I wonder if they even have it worse as it seemed that at least the people here had not been abandoned. They still had family and friends who cared for them, even if they were poor themselves.
The biggest thing in my life however right now is the gastrointestinal bug that had hit me with a vengeance. It is not nearly as bad (yet... fingers crossed) as what I got on my peds rotation last year nor the food poisoning I suffered after eating Shawn's chicken last winter, but bad nonetheless. I skipped evening clinic today and may not make it out to mobiles tomorrow, especially as the bathroom situation in the villages is not always amiable to bouts of gastro. I am also missing out on birthday celebrations for Matt, one of the Brits, who is turning the ripe old age of 21. I know, its not a big deal for him.
I should probably go back to resting, and drinking water. Hope none of you are afflicted with what I have,
2.18.2008
presentation for the local college students
We discovered the local movie rental store, which rents movies for about $2 US dollars but you have to be careful as the entire movie is not always on the disc and others are obviously taped in the theater. No quality control here.
That's all for now. I now go back to trying not to scratch my mosquito bites.
2.17.2008
Cockscomb Wildlife Sanctuary
Cockscomb Wildlife Sanctuary, the world's only jaguar reserve, is about a three hour bus ride ride from
Matt and I did a couple hikes after they left, including a night one in hopes of seeing a jaguar. Of course we didn't but we could hope. We did witness the evening howling of the howler monkeys but only glimpsed the braches moving as the monkey jumped from tree to tree. Today we hiked to
2.15.2008
canoeing down the rio grande
We went to the lodge to meet a Belizean who Emily met in town and promised us a canoe/kayak trip. We canoed down the Rio Grande looking for monkeys, crocs, birds of all shapes and sizes. The river was very calm and an easy paddle. It made want to get a kayak once again... oh wait I have never gotten over wanting a kayak.
Conversations with my fellow students here have made me realized how strange and sheltered my childhood was. I knew this before but I haven't been confronted with the fact for awhile. I need to remember that my childhood was different as I talk to patients, especially teenagers. I know I don't really understand the world of "normal" teenagers. But maybe that is good thing as I won't make any assumptions about life as a teenager. At least I hope I don't.
Jimmy is packing up our stuff, getting ready to move out at the beginning of April. It is going to be strange to come back to nothing. Hope all is well at home.
2.14.2008
valentines and my half birthday
Back to life in Belize. Yesterday started out with a trip to the market where I stocked up on fruits and tried a Belizean fruit called Caimito or Star Apple. It was super sweet and maybe a bit overripe as it is suppose to taste like grapes according to the internet. :) Clinic was slow. Although I had an interesting run-in with a patient who was probably an untreated schizophrenic. He grabbed my face and then tried to grab mg again while leaving. It made me very uncomfortable. At least nothing worse than that happened. Last evening we went to watch traditional Garifuna dancing and drumming in PG. We also tried it ourselves... well I was forced to but it was fun in the end.
Today mobile clinic was canceled, no not because of Valentine's day, but because our medical director's back still is not better. Thus we headed to Blanco Grande National Park to hike and swim. The others all jumped off the cliff, but I couldn't do it. You would like that I would be okay with heights and falls after rock climbing, but I am not. A little strange. Tonight holds perhaps dinner in town. Pat, a nurse practitioner from the States, has offered us a free lift into town. Free rides are always nice. That's all for now. I think we are heading to Cockscomb Wildlife Sanctuary this weekend. I'll tell you about on Monday.
2.12.2008
a day with a cuban doctor
Clinic turned out to be quite frustrating. Some of it was probably due to a language barrier, The Cuban doctor's English was not perfect, but it also had to do with philosophy. We are so use to asking complete histories, doing full exams and then presenting them to our preceptor (the doctor overseeing us). We set about to do this but quickly found that the doctor only wanted cheif complaints and then s brief physical finding. He had no time it seemed for more. A patient would complain of headache/backache and they would get Tylenol. They would complain of cough and have some coarse upper respiratory sounds and they would get amoxicillin. I felt that we were giving drugs out like candy. He seemed to want to give everyone Tylenol and/or Benadryl. It was crazy. It reminded me of my experience of being a patient in India back in college when complaints were given and then drugs were doled out. It was crazy to be a part of and definitely made me appreciate the American, British, and Australian doctors that come here and provide an alternative to this type of care. It was also shocking because it was not what I had expected coming into the experience. Maybe Michael Moore wasn't completely right about medical care in Cuba in "Sicko."
Finally made some real coffee, but the beans were a little bitter. I will have to see if Jeff's one of the administrators here at Hillside who also happened to be roommates will Will Shortz of crossword fame, home roasted coffee is better. Hope all is well at home and that the cold weather soon ends for you.
2.11.2008
snake scare
Tomorrow we head to a large village of 1000 to 2000 people. It suppose to be busy. I am interested to see what life in a larger village. I hoped you all enjoyed the pictures I posted yesterday. I will try to post some more later.
2.10.2008
tobacco caye
Anyway, the reef is very accessible from the beach at Tobacco Caye and we spent the weekend snorkeling, spotting all sorts of sea life. The reef was awesome, although you could definitely see evidence of coral die-off and I couldn't help but wonder what it had been 10-15 years ago. Thanks to Jimmy for telling me to bring my mask and snorkel - it definitely got good use although I think I actually ended up taking his... oops. When we weren't snorkeling we were relaxing in hammocks and on the docks. We met the locals which turned out to be interesting characters as well. We were going to stay longer today, but it stormed all night long last night and it looked like it was continue to storm today. We didn't want to get stuck on a tropical paradise - work duties to do - so we caught the morning taxi back to Dangriga and the caught another school bus back to Hillside. A great weekend and I am glad I had the chance to see Tobacco Caye. Although, the first day I was a little sad and I sat and pondered how much Jimmy would have loved the place and how we were not getting to share in the moment.
Below is a map of my trip so far. Enjoy.
View Larger Map
2.07.2008
election day
It was cool to see the voters today with their fingers covered with ink, proud to show off their participation in democracy. Tomorrow a morning of clinic and then we are heading to Tobacco Caye for a weekend of snorkeling and relaxation on the beach.
2.06.2008
market day
I cut up my papaya this evening. YUMMY! I love fresh fruit. The pineapple is ripening on the counter. I should have picked a riper one. We are cooking fresh fish for dinner. Awaiting the results. Tomorrow we have the day off as it is the elections here. The elections are a little crazy, with rallies all the time where the parties pay people to be bussed into town. They also pay people to wear their shirts with party slogans. Crazy but not as crazy as election time in India. This is supposedly a big election. The current PM is supposedly corrupt and has been giving away land, right, whatever to his friends and supporters. It will be interesting to see what happens.
Hope all is well at home.
2.05.2008
super tuesday
Clinic was slow as they had just been their a few weeks ago and usually the villages only get a doctor every 4-6 weeks. There was a lot of scabies which I have been told will be a common issues amongst the villagers. I only saw one patient, a women who had a non-reducible hernia and who needs to have surgery sometime soon. The only issue is that there the closest surgeon is in Dangria which is several hours away. (I am not sure of mileage as I not sure exactly how far the village was from Punta Gorda and I don't believe will recognize the name of some small village in Belize). I hope she is able to get to the surgery and hopefully nothing happens before she can get to Dangria. The village was beautiful set in the jungle mountains of Belize. It was interesting to drive and see crops scattered among the rain forest vegetation. Corn interspersed with grass, trees, and vines. No bare soil to be found.
We road into town this afternoon on one-speed beach cruisers. I always wonder if the locals find it odd to see "rich" foreigners huffing and puffing it around town. I am sure they must thing that we must have enough money to buy a car or at least pay for a taxi. It was a pleasant ride, but definitely more work than riding my bike at home. Oh, I love the coke down here - so much better than coke back home made with sugar, not corn syrup. I think I am going to have to frequent the Latin American markets when I get back to the states to get some of the imported Mexican coca-cola.
I was excited to see my first toucans this morning - a pair in the trees behind our treehouse. Tomorrow we get to go to the market and get fresh fruit, vegetables, and supposedly fish. Should be great. I love wandering through the markets of the world and I am excited to finally get fresh tropical fruit. The "supermarkets" don't sell fresh fruit really and it has been disappointing not to sample the produce of this country.
Enough for now. I hope all is well back home.
2.04.2008
day one of work
I played with Ian, one of the staff members sons this afternoon. I brought out the trusty frisbee and we tossed around. He got pretty good after awhile. Perhaps I will convince him that ultimate is a better sport than soccer or I should say football is. :) Jimmy keeps emailing me about our trip to Peru which is making me excited to go. It is going to be fabulous.
There are tons of the birds around our "treehouse" at Hillside. I am making it my goal to learn what they are or at least the common ones. I realized that knowing the common birds back home help connect me to a sense of place.
One of the biggest things I have thought about recently is how trying to be environmentally friendly in the developing world, especially as a traveler is extremely hard. Plastic is everywhere and they definitely do not have recycling capabilities. Appliances are old and tend to use lots of energy. I find myself wondering how I would deal with it long-term basis if I moved here. And yet there are some things that they do better than us. A lot of the medical equipment that we throw away are re-used here. But I don't think that would be the case if money was not an issue. This reminds me of a story I read on how plastic jugs has replaced clay pots in India, creating a huge amount of waste as plastic does not degrade but clay pots do... I know I am off on an environmental rant. But such has been my thoughts as of late.
Tomorrow we head off to one of the villages.
2.03.2008
vacation done. work begins.
We had orientation and pizza this evening and then the whole crew headed off to a bar to watch the super bowl as I am sure most of you did this evening. I opted out hoping to unpack and try to figure out the internet, It took me an hour. I couldn't find the password and then I couldn't connect no matter how I tried. Turns out they disconnect everything each night as thunderstorms have a tendency to knock everything out. I finally found out where the connection was and then went on the search for the key. Obviously found that too. Still don't know the password though so I have been unable to upload pictures from my computer. I promise pictures will come.
Tomorrow I head to the local mental health clinic to see how that is delivered in Belize, which I am sure is worlds away from the US.
I think the coolest thing I have experienced this trip is the kindness of fellow travellers. The Portland couple who told me about the free hotel from Continental also bought my dinner that evening unbeknownest to me. The Canadians I met also bought a meal for me. Didn't expect any of that. People can suprise you every day.
