I Haven't Watched TV In Over A Month

Well I ought to preface this post by saying...yes, I am alive (clearly). I'm sure some of you were worried I got bitten by a killer centipede (they actually have those here) or something to that effect, but I am actually alive and doing quite well. I'm sorry I let down my avid readers last Sunday, but sometimes my responsibilities as a medical student take precedence over writing this blog. As I have said before, my plan is to write a new excerpt every Sunday night, but if you wake up on Monday morning (bright and early) just to read my blog and it isn't there, just know it's probably because I was really busy.

Since the last time I wrote on here, I took Mini I Part II, a Gross Anatomy Practical, and a Histology Practical...and passed all of them with flying colors. After spending the afternoon at the beach on the day of our Mini and celebrating a little that night, it was back to lectures the very next day. From then till now, we have had a week and a half of lectures/labs/small group learning...nothing out of the ordinary.

This picture is not of me. It's a random picture from
the SimMan3G manufacturer. We aren't allowed to
take pictures in Simulation, so this is the best I could do.

One aspect of school that was new since the last time I posted and probably one of my favorite activities that I have participated in since I came to Ross was Simulation. So, Simulation is probably exactly what you picture it to be. At Ross, we have a building that is set up like a hospital...with individual rooms for patients. You enter the a patient's room and the patient is laying on the table. Once we are given a background update on the patient's status, the fun begins. Now, the unique thing about Simulation is that we don't use real patients. Instead, we use Harvey (SimMan3G). Harvey is a computerized, human-like, human-sized doll that can pretty much do everything an actual human patient can do; he can talk, cry, scream, bleed, vomit, urinate, defecate...you name it, he can do it. He can dilate his eyes, you can take his blood pressure (in multiple places), you can give him medicine/injections, you can give him CPR, you can administer shocks to him through a defibrillator, and, of course, he can die.

I took a lot away from my first Simulation experience. Unfortunately (and I am extremely excited to use this for the very first time), I can't tell you what happened during Simulation because of Doctor-Patient confidentiality!!! But I think you can assume what happened. Do you think my first Simulation experience was about a patient with the flu? Or do you think it was some medical emergency that required immediate intervention because it was a life or death situation? Come on people, I hope you're picking up on these not-so-subtle hints. Anyway, I felt like this first Simulation concentrated more on the range of emotions and ethical issues associated with being a physician rather than our bleak medical knowledge thus far.

Besides Simulation, there isn't too much to report from Dominica. I know it's random, but I do want to share a conversation I had with a Ross Dominican maintenance man the other day; this conversation is both funny and sad, and I hope it demonstrates the importance of being aware of the world beyond where we live.

Him: Are you a new first semester student? (Picture him being very hard to understand because he is from Dominica)
Me: Yea, I am.
Him: Oh, how are you liking Dominica so far?
Me: I like it. The weather isn't too much different from where I came from, so I am used to the heat.
Him: Where did you come here from?
Me: Florida.
Him: How close is that to the United States?
Me: Hmm, well Florida actually is in the United States.
Him: Yea, but how close is that?
Me: Well, Florida is one of the states that makes up the United States. So when you are in Florida, you are in the United States.
Him: Oh, how long does it take to get there?
Me: To Florida? Or to the United States?
Him: No, from Florida to the United States?
Me: Hmm, not long because when you are in Florida, you are actually in the United States.
Him: Can you drive there?
Me: From Florida to the United States?
Him: Yea.
Me: Yea. It takes three hours by car. Sorry, but I got to run.

I've never been more convinced that I didn't know my US geography than at that moment. His circular line of questioning and obvious lack of geographical knowledge beyond Dominica almost had me believe that I was wrong. So strange.

In three days, it will mark two months that I have been in Dominica. While I'm in lecture or studying, time passes so slowly, but when I actually reflect on how long I have been here...time is absolutely flying. I try my best to remind myself of where I am, in Dominica for medical school, everyday...man it would be tough going to med school in a state like Iowa or Nebraska (so boring!). Anyway, these thoughts sort of made me think of some wise words that a great philosopher once said:

http://www.youtube.com/watch?v=91lJhEzMaH4


Have a great week everyone!

I'll Take A Tattoo And A Haircut

Woohoo! I'm on day three of a four day weekend, plus its Carnivale down hear in the islands! Party! Sounds too good to be true, doesn't it?....and that's because it is. Looming in the near future are three big exams for us First Semesters; this upcoming Tuesday we have a histology practical and an anatomy practical followed by Mini I Part II the very next day. So as tempting as a four day weekend sounds in the Caribbean, this one couldn't be more of a buzzkill. But despite these upcoming events, I do have some exciting news.

I got my first......haircut. Sorry to disappoint, but to get your first haircut down here is kind of a big deal. They don't really have hair salons or barbers. Nope, there are no Supercuts, Great Clips, Master Cuts, Fantastic Sams, what have you...they don't exist down here. Instead, there are individuals that cut hair, amongst other things. They don't need to get a license from a cosmetology school or anything; all they need is a reputation. And I had heard from a few other guys that Benji's was the place to go for a good haircut. So that's where I went. I walked all the way to Benji's in the sweltering heat only to find out that he was out to lunch and nobody knew when he would be back. Okay, now what? Well, I had heard from a few other people about this place near a restaurant named Tulips. So I went there and found myself staring at some painted words on the outside of an apartment that read, "Chen's Tattoos and Haircuts." Hmmm, maybe I could let my hair grow out a little bit. It crossed my mind, but my heart was set on getting a haircut. So I opened the front screen door and stepped into....a living room? Yep, I walked into a living room that was connected to a kitchen where, lo and behold, was Chen and his wife eating lunch watching Chinese soap operas streaming on their computer. After (I'm assuming his name was Chen; I guess I never really even asked) Chen reassured me that this was indeed a place that I could get a haircut, he directed me toward a swivel chair in the living room that was next to a table that had a mirror resting against the wall on it. Even though their apartment was absolutely stifling because they didn't have any air conditioning, Chen insisted that I put on the impenetrable-yet-I-always-get-hair-in-my-shirt-anyway smock, which made me sweat even more. Then he began to cut. He used one razor to shave the sides of my head and to fade the length all the way to the top. But in order to get that perfect blend from the one inch long hair on top to the short sides, he swung the razor through the air, just barely grazing the tips of my hair. If I would have leaned to the side that he was blending by just a quarter of an inch, I would have been rewarded with a bald spot. And then to trim up the neckline and sideburns, he used a straight edge razor (I'm not used to that back in the good ole US of A). After all was said and done, it didn't look too shabby, and now I'm feeling fresh and clean. Plus it was only $15 EC (~$6 US). Meanwhile, his wife was still eating in the kitchen watching her husband cut my hair (awkward). 

Well, that's all I really have for you today, since most of my time in the recent past has been spent studying, but I hope it was entertaining nonetheless. 

P.S. Pictures of my new tattoo are pending. Stay tuned. 

You know you go to med school in Dominica when.....

1) A pack of stray dogs follows you all the way from campus to your apartment door at midnight.

2) You have tried every combination of breads, cold-cuts, vegetables, and sauces at Subway because you eat there every night of the week, and the employees automatically know that you buy two chocolate chip cookies with your sub every time (sorry, but that one was obviously pretty personal).

3) You go to that very same Subway (because there is only one) and they run out of bread. Yea, it's like going to a grocery store that says they ran out of groceries. How is that possible? I'll never know.

4) You can't look to the left on your walk to class every morning because if you did, you would see the alluring beauty of the Caribbean Sea just tempting you to skip class (I haven't done that yet!)

5) A lot of your conversations go something like this, "Hey man, what have you been up to this morning?" "Oh, I've been studying." "Nice, what about this afternoon?" "Yea, I think I'm going to study some more." "Cool, any plans for tonight?" "Well, I actually thought that I might switch things up a little and study." "Sweet, catch ya later."

6) You sit in an un-air-conditioned room for 2 hours for your small group learning (SGL) session, only to find out afterwards that nobody in your group thought to try to flip on the switch that controls the outlet for the air-conditioning. It felt like a sauna in there!

7) You no longer have your natural scent because it has been taken over by the stench of formaldehyde!

8) You tell your blog readers to oppose their pinkie and thumb together, while flexing their wrist to see if they have a tendon that flexes at the base of their wrist called the pulmaris longus (14% of people don't have the pulmaris longus muscle/tendon!) and then realize that it is very sad that you enjoyed telling them this.

9) You start to run out of things to say on your blog because all you can think about are the 19 muscles that exist in the human forearm that you dissected earlier in the week and still need to memorize their origins, insertions, actions, and innervations. Fun stuff!

10) It's Super Bowl Sunday and all you wish is to be back home, not to watch the Super Bowl, but to be with family and friends. Miss you guys! Until next week....

Air Balls and Banana Bread

So when I wrote on here last time, I left you all in suspense with the upcoming terror that was Mini 1 Part 1 that I took last Monday. I will admit that the idea of learning all of the information from the first two weeks of school scared me, but that fear was multiplied (probably just inside of my own and other student's heads) considering the pre-test processes we had to go through. First of all, you couldn't bring anything to the test. A number 2 pencil (old-fashioned), not mechanical, and your ID. That's it. Nothing else was allowed in the building. Now, you must consider that I typically carry my backpack with two water bottles, an umbrella, laptop/charger, cellphone, wallet, headphones, and notes/study guides with me pretty much all of the time. So to tell me that I can only bring a pencil and my ID is like stripping me of everything that I know and (this may sound weird) but made me feel...naked. And it's not like I have an overabundant supply of wood pencils laying around either...I have one. One flimsy splinter of a stick that could break at any moment. One impossible question that may lead me to snap that twig in half. In reality, I was actually worried that I might break the lead during the test and who knows what would happen from there (I was not the only one in this situation and that felt this way, so don't judge!). Secondly, we were basically patted down before we could enter the building to take the test in order to make sure none of us had any type of electronic devices on us. If you snuck something in and got caught, you wound up with a 0 on your first test. And let me tell you, when the exam prompter tells you to check your pockets for cellphones for the final time before we start the test, you do it anyways even though you know it's tucked away back at your apartment. You can't be too careful!

So despite all of my neurotic behaviors, I was very impressed by the exam. Each test booklet had our individual names on them with our school ID numbers (I would have never expected that). It was pretty legit and wasn't to be taken lightly. After all, Mini 1 Part 1 was the most important test that each of us students have ever taken in our lives up to this point. And I am glad to say, that after receiving my grade two days later, I started off my medical school education on the right foot. As a reward, I took the rest of the day off and got burnt at the beach!!! It's funny, I live ten feet from the beach/ocean, yet I never have time to ever go there or even see it during the daytime.

After all of the hype settled down from taking our test and receiving our first grades as medical students, it again was back to reality. Four straight days of lectures (4 hours each day), one 4 hour lab (breast and pectoral region), and a small group learning session on Friday. Now, I'll be the first to admit that it was a little hard to concentrate and dedicate myself 100% after my test on Monday, but if you don't learn to readjust quickly...you will fall far behind.

During my short time here at Ross, I have become involved in two things here on campus: intramural basketball and the Ross Student Catholic Association (RSCA). I'll start with basketball first. I played point guard in high school. I played shooting guard in college. I now play center in medical school. Now, you can read this several different ways. "Wow, he must have grown!" No, no I haven't. "Wow, he must not be able to shoot anymore." You're getting warmer (considering I haven't played basketball in over a year, I AM a little rusty). "Wow, there must not be that many tall, athletic guys at Ross that play basketball." Bingo! I also have to share that playing intramural basketball in Dominica is not the same thing as playing intramural basketball at Gustavus. At Ross, we play outdoors, we play at night under dim lights, we play in the rain (it rains about every hour here), and we also play in the wind. All factors that can both equalize the greatest and worst players, and make fools of us all no matter the skill level. All it takes is the first air ball (and you always blame it on the wind, of course) or the first pass to hit you square in the face (because of the lights, I think) to realize, "Yea...I probably won't be as good as I used to be in college."

The first actual organization that I joined here at Ross was RSCA. It is a close-knit group of Ross Catholic students who get together every Sunday for mass and participate in other activities together as well. On Sunday, we provided our first health clinic of the semester for a town about twenty minutes south of Portsmouth called Dublanc. First, we attended mass (wearing our scrubs and RSCA shirts) with the local townspeople. Sidenote: Masses down here are so much more engaging than masses that I am used to back home in the U.S. It is amazing to witness a group of people living in such poverty be so soulful and joyful about their religion and belief in God. You know how sometimes your eyelids may get a little heavy during mass, well that doesn't happen here when you have parishioners yelling out "Alleluiah!" and "Amen" all of the time. It's not typically what I am used to, but it was refreshing. Right after mass, we started our clinic where we provided stations for: HPI (Health of Present Illness), blood glucose, blood pressure/pulse, vision test, height, weight (body mass index), and a few others along with providing the folks with juice and banana bread. I was able to share a piece of bread with a young girl who had never even had a piece of banana bread before. She was adorable and I really enjoyed that moment. Overall, we had anywhere between 250-300 people that we tended to and left feeling pretty pleased with ourselves. We provided a service to a group of people who won't receive any other medical attention besides what we did today. Even though there is a medical school right nearby, there isn't an abundance of doctors here to provide care for these people living in the rural towns of Dominica. I guess it's nice to feel fulfilled by participating in an event like that, but it always leaves you with a thirst for wanting to do more. Today was a good day. Exhausting, but good.

After some days down here where you can spend 3 hours memorizing the details of one lecture slide, not even realizing how it relates to you becoming a better doctor, you feel like giving undergraduate pre-med students this kind of advice about their desire to go to medical school:

http://www.youtube.com/watch?v=rKTN5NHfwlQ

But then, after days like today, where you really made a difference in somebody's health, life, and, quite possibly, future...it makes all of the hard work worthwhile.

I Wish It Was Christmas Eve

But instead, it's the eve of my first test here at Ross. So for that reason, I am going to keep things short and sweet. Mini 1 Part 1 is tomorrow and covers all the material that we learned throughout the first two weeks of school (25 lectures and 4 gross anatomy labs all wrapped into a 64 question delight of a test), plus anything else the administrators want to throw at us! You never know. But the preparation for this test hasn't been too bad and I am going into it pretty confidently.

If you are at all familiar with John Grisham novels, he always talks about how associates right out of law school join big law firms and that their primary focus is to bill clients for the hours they worked (down to every four minutes). That's sort of how I feel. You try to clock as many hours as you can with the lecture and lab material with the hope that as soon as the test comes up, you are ready for it. And after a couple double digit hour study days in a row, I am ready.

For everyone's information, if you ever want to get a hold of me, you can call me on Facetime or Skype (or email, but not snail mail...nobody uses that anymore). Since I don't want to post my personal information all over the internet, I'll trust that you can get a hold of sources that DO have that information. And with that, I'm out of here.

First Week Recap

Wow, what a week! It's hard to say whether the week flew by really fast at this point or went extremely slow considering all of the studying I had to do. One thing that I was introduced to this week, something that I have already found myself doing: complaining about how much studying I have done (I am actually doing this as I write right now!). Apparently, medical students are notorious for complaining about all of the the hours they spend with lecture material and anatomy labs, so this is something you readers will have to get used to. But there is one secret us medical students don't share...we actually like it! And this has definitely held true for the first week.

So a typical day as a Ross student (assuming I am typical?) starts at 6:45 AM in order to shower, get dressed, eat breakfast, get everything ready for class, and leave the apartment by 7:30 AM for an 8:00 AM class. We typically have anywhere from two to four lectures spanning the hours of 8:00 AM to 12:00 PM. After that, the day is yours! Whipppeeeee! Not! That means you basically spend the rest of the day in "your" study spot (yes, we compete for good ones) reviewing all of the material that you covered that day in class. And if you don't get through it, you will struggle because the material will just build up on you. We each have our own ways of taking breaks and mine have routinely been eating lunch at The Shacks, working out before dinner, and then heading to Subway right after for dinner.

One of the smaller classrooms at Ross where I study.

My busiest day, yet most interesting, day so far started out just like the rest with class till 12:00 PM. For the next hour I ate at The Shacks, but at 1:00 PM I started my first four hour anatomy lab. Now, this is my first time taking human anatomy, but even more specifically, this is my first anatomy lab dissecting a human cadaver. Despite all of the warnings of the overwhelming smell of formaldehyde and the graphic nature of the dissection, it went surprisingly well. We dissected the superficial and deep muscles of the back. I will tell you that it finally felt great to put those green scrubs on and get dirty (and not have to use the "fainting couch"). Also, learning anatomy is so much easier when you have the specimen right in front of you in comparison to studying from pictures. After lab, I was able to grab a quick bite to eat and then head straight to my study spot till 11:00 PM. Believe me when I say that I fell asleep pretty quickly that night.

Another highlight from this week was the White Coat Ceremony that was held on Friday. Now, if you don't know what a White Coat Ceremony is, it's basically a symbolic event that welcomes medical students to the exclusive club of becoming physicians. Most medical schools around the world have one for first-year students. To be clear, just because we were given the white coats doesn't mean we are physicians, it means that from this point forward we are to have the mindset of physicians and to carry out our lives/medical education in a professional manner. We had an array of speakers from local Dominican politicians, the Dean of Students, other faculty, and from a successful alum. For me, the ceremony was representative of how far I have come. I like to think that everything in my past has led me to this point and after being given a white coat....it gave me a glimpse of what my future will hold. And a little motivation as well. 

Since my days here have become a little busier (not complaining!), I just want to let you all know that I will be trying my best to update my blog every Sunday. I thought I would tell you so you won't be checking for updates every single day (like I know you guys are). Below I added some random pictures from my stay in Dominica so far. Hope you enjoy them...

Fancy housing near campus

Some classrooms/lockers where we keep our anatomy lab gear with a horrendous view of the mountains behind

Scene from my Indian River trip where parts of the Pirates of the Caribbean II were filmed. 

You have to buy electricity?

Hi everyone! Orientation week is over with and it was filled with a lot of valuable information on what it will be like to live in Dominica, study at Ross, and prepare ourselves for our future as physicians. My favorite presentations throughout the week were those from alumni and current students. They seem to give things to you straight, which can either scare you to death or provide that extra motivation to help you achieve your dream of becoming a physician. One important thing that I learned: there will be at least one point where each of us will want to give up, quit, and move back home during our medical education here in Dominica. Every upper-level student has had it. It's just a matter of time till it happens. And I have been warned the sooner the better. But mostly everyone gets through it and that is a testament to the great student, faculty, and staff support system here at Ross. Everyone has been incredibly friendly and helpful. For example, you know when you are approaching someone walking on a sidewalk back in the U.S., and you both avert your eyes and don't say anything to each other...that never happens here. It's strange, but everyone really wants to talk to you and say hello, even the locals. Although it's a small thing, that's all it really takes for someone to feel more comfortable in their surroundings and ultimately enjoy this experience more.

 I thought I would share with you guys a little about how shopping is different here. First of all, Dominica uses the Eastern Caribbean dollar, which is approximately 2.7 U.S. dollars. It takes some time to get used to and keeps you on your toes with how much you are spending. It really freaks you out the first time you spend $30 on a meal, but then realize the $30 is in EC! Second, they don't have the stores we have back in the United States. Back home, we have Walmarts and Walgreens on every block. Here, we have one James Store. It really is the Walmart of the island. If you need something, they've most likely got it. But it's not set up like a U.S. store. James Store was made up out of a pre-existing house or apartment complex that has about ten different rooms stacked ceiling-high with merchandise. It's an experience just going in there and looking around. This is where I bought my fan for my apartment.

Next, they don't use the banks that we have at home. The two main banks here are: the National Bank of Dominica and ScotiaBank. ScotiaBank is the one in the picture to the right. This is where I opened up an account, so that I can use EC instead of U.S. dollars. One thing to keep in mind is that the city of Portsmouth keeps on evolving and developing as Ross University does. About a year ago, you had to travel an hour away to Roseau just to get deli meat. Now, we have an IGA grocery store in town that has a lot of American and local brands at reasonable prices. It's amazing how much Ross University and Portsmouth thrive off one another. It would be really interesting to come back in ten years to see the progress. By the way, shout out to Malt-O Meal in Minnesota. Your Honey Nut Scooters are getting me through the mornings! Delicious!

Another aspect of life that is different down here in comparison with the U.S. is that you need to be very mindful of your electricity use. Electricity is very expensive and, in fact, you need to shop for electricity before you use it. Each apartment/house comes with a meter that tracks your electricity use and warns you when you are running low. You can buy electricity at both the IGA grocery store and Ross University Housing. It's just another one of those things that always needs to be in the back of your mind. 

The shacks, in the picture to the right, are a place 

that I will be spending a lot of my time, especially since I am not planning on cooking too much. Ross University does not have a cafeteria, so local vendors sell food and meals out of these buildings right near campus. During orientation week the Shacks were not open, but when the semester begins on January 7th, they will be in full swing. On campus, there are a few other restaurants/vendors. My favorite already: SUBWAY! Yep, they have Subway here and it's located conveniently on the Subway Deck on campus. And yes, it's just like an American subway. I am going to eat there a lot! How else would I get my daily quota of cookies? Anyway, these were just a few places that I thought would be interesting to share and just to remind everyone back home that you CAN get by with very little.