Tuesday, October 20, 2009

Better than I could have imagined in my wildest dreams...

Back home in Washington, there is some exciting news. The University of Washington has some medical students, as part of the WAMMI program, that do part of their training in Pullman. I guess it was just announced that they are expanding the total class size at UW's medical school and moving the Pullman campus to Spokane. It also sounds like students at the Spokane campus maybe able to do all four years of their training in Spokane. Also, the long awaited Doctor of Osteopathic Medicine school opened in Yakima, WA and welcomed their second class this August. There are definitely are more medical school seats in Washington than when I left for Dominica. This got me thinking about how my life would have been different if I would have gone to medical school closer to home. Obviously, it would be awesome to be closer to home, friends and family. I wasn't able to come home to say goodbye to grandma or attend her funeral and at least two weddings--and I'm only in my third year of medical school. However, there are a lot of great things I've been able to experience because of attending a Caribbean medical school. I have a lot of amazing stories to tell my children and grandchildren. Sometimes things in life don't work out as we imagine, but they turn out better than we could ever imagine. Here are some of the interesting, exciting and humerous things that have happened to me.



  • Meeting Farley. I don't know how I would have met him without going to a Caribbean Medical school and I can't imagine going to medical school without him. Besides being my partner, he is my travel buddy. Here is a picture from the day we first landed in at the Dominican Airport. Note how close the plane is to the Atlantic Ocean. Not much room for error. They have since remodeled the airport; however, they still have limited flights (like no flying at night and they can only have small plans land).

  • Speaking of traveling, I've done a ton of it in the last three years. Obviously, I've been to Texas twice to visit Farley's family and we hopped over the border to Mexico once. Of the Caribbean countries, I've been to Puerto Rico, Dominica, St. Lucia and Barbados. I have had lay overs in Martinique, Antigua, and technically Barbados on an overnight layover. We had to stay somewhere, so we stayed at the closest and most reasonably priced hotel we could find--it wasn't our fault it was a wind surfer's paradise and we were right on the Atlantic Ocean! Seriously, who gets to have overnight layovers in Barbados and stay at a beach resort? I may in fact be the most brilliant person ever--I'm still going to be a physician when I'm finished and I've spent my first two years of medical school living 50 feet from the Caribbean sea and having layovers in the tropics. Not too shabby, except for the insects, brown water and other hazards of living in a third world country, but third world living just builds character! After our first year of medical school, it was so expensive to come home that it was actually cheaper to go to Argentina for a week than to go home. Looking back, I can't believe that Farley and I did this, but opportunities to travel don't always arise and one has to take every opportunity she gets. When we traveled to Argentina, we had a lay over in Panama. I couldn't believe the Panamanian airport--there were NO Panama hats to be found. In fact, there was one restaurant and two hot dog stands in very large Panamanian airport terminal. On a bright note, this terminal was basically a mall of European designer stores and chocolate stores! I ate a lot of chocolate with my hot dog in the airport. But unlike in the USA, the airline gave us two meals, two snacks, and free wine (but since I don't speak Spanish and Farley was asleep, I didn't know the wine was free) on the six hour flight from Panama to Argentina. Guess, I didn't need a hot dog and chocolate after all. Below is a picture from April 2008 of Farley and me waiting for the ferry to go to St. Lucia. The ferry ride could have been lovely if I hadn't have been so seasick!

  • Strange Critters on the island. Before classes started we went to the Cabrits (the national park that we could see from our apartments) to hike. It was a lovely day, but everywhere we went, there was a ruffling of the leaves and ground covering. I thought it was just the geckos at first: I was wrong. We were surrounded by galliwasps. Click on the link to see a picture of them on Farley's blog. They look like geckos, but they have really small legs and they move more like a snake. Another exciting creature was this insect found near the study space right before the first exam of medical school. Just trying to go to the bathroom was an adventure, you never knew what you'd see on the way:

  • Getting caught between a crab and a four cows. Yeah, that really happened. We were having a date night first semester after an exam (it may have been our first exam that semester) and then we were trapped between a feisty crab and four cows. See here is the blurry picture of the scary crab to prove it! I didn't dare take a picture of the cows since they were lining up in an aggressive, military-like formation.
  • Lizards. Giant Lizards that fall from the sky...or my third story apartment. Or that just decide to hang out in my apartment looking out the window. How about the one that decided to drop his tail as Farley was escorting him out and a gust of wind made the tail fly through the air toward me before it started flopping on the floor. If that wasn't enough, how about the lizard that died hanging upside down from my balcony ceiling. To top it off, that was just in Dominica. One of them, which I named Leo the Lizard, moved into my apartment the last time I lived in Miami. Lizards can't get enough of me.

  • Animal herds: In Dominica they let the animals run free. I talked a lot about the cows, since they were everywhere. Heck, one even chased me as I was trying to go study. Now, that doesn't happen every day! But it wasn't just the cows running free in Dominica. There was a pack of dogs that went all over. I a little afraid of dogs since I was chased by two baby pit bulls when I was a toddler and I was bit by a dog in my pre-school years; however, these Dominica dogs were so harmless they didn't even scare me. They were, nonetheless, annoying. They'd brush up next to you as you carried your lunch and they'd try to get you to pet them (there are a lot of insects, bacteria and parasites on that island and I'm sure there were some creepy crawlers on those dogs--I sure as heck didn't pet them!). There was a cat that lived near my apartment and would try get people to feed her (I usually set something outside my door). I was most surprised by the goats running free in Dominica. Who would have thought that there would be goats in the Caribbean.
  • Natural Disaster. Now so far, we have been extremely lucky and there have not been any horrible disasters anywhere I've been. However, there was one tropical depression in Dominica while we were studying there. The sea come up high and flooded the lawn near our apartment. The only good thing was that I got to take a nap (it happened near a test and I was extremely tired, so it gave me a few hours to rest). I can joke about the tropical depression because no one was hurt and the only damage reported was the dock near our apartment. Overall, if the only thing damaged was a dock, we were all lucky.

  • Who could forget the time that I fell down the hill in Dominica and was covered in mud. I think I should have learned that going to my apartment if I forgot something while studying on campus, was almost always a bad idea. I would end up being chased by cows, attacked by insects or slipping on mud. That is how I earned the nickname "mudslide".

  • Living in a Third World Country. It is amazing how much we take for granted in America. Living in Dominica reminded me that in many places of the world, water isn't safe to drink out of the tap, there are insects, parasites and bacteria with your meals, and the power will come and go. All of these things were very difficult for me to adjust to; however, I think not being able to get a hot shower with clear water had to be the most difficult. If it rained a lot in Dominica, the water would turn a brownish color (like really watered down coffee). The filtration system couldn't keep up with the demand when there was a lot a rain, which happened frequently as Dominica is a rain forest. First semester, the water heater worked but something changed along the way. I soon learned that if I wanted a hot shower, I needed to hop in between 4-7 pm because otherwise, it was extremely cold. I'm not even sure how the water got so cold as Dominica is almost always between 84-92 degrees. Don't even get me started on the insects in Dominica, I still have scars from the mosquito bites! However, Dominica has it's redeeming qualities too--some of the best sunsets in the world.

  • Bats. I don't know if I've every blogged about the bats in Dominica. Usually, Farley and I saw them when we were walking on the trail at night either coming or going to campus. It was the most strange thing in the world because out of nowhere there would be this slight gust of wind and a black thing in front of you. Then it was gone. They really make little or no noise at all. Obviously, I was frightened as they'd fly by because I'd be so shocked and I hate all creepy and icky things. But they have sonar so they never hit us. One night in early 2007, however, I did come face to face with one of these flying, ugly creature. I had my wooden panels covering my windows open. I stepped out onto my balcony to enjoy the cool night air. The light from my room bled though the wooden panels and I heard an odd noise. I looked up and there was a bat lost and unable to navigate out of my balcony. Besides the wall of windows, two walls the ceiling and the floor were cement. The other side was open except for the railing and about a one foot hangover of cement. I think all of the cement towards the ceiling, where he flying around, had his sonar all messed up. In case you have not had the honor of meeting up with a bat face to face, let me tell you bats are really ugly. Clearly, I made a mad dash for my door, shut the wooden panels on my windows and hid--as if the bat was going to penetrate though the walls and attack me. I believe that there are only fruit bats in Dominica, but you know even fruit bats can have histoplasmosis or rabies!

  • Living in Miami. There are few places in the world as unique as Miami. In fact, I think it is more essential to speak Spanish in Miami than it was in Argentina! This city is a mix of money, cars, beaches, model-like people on the beach, heat, humidity, Spanish culture, retirees, colleges and universities, insects, lizards, crazy drivers, and to my shock farmlands less than an hour away. But obviously, the thing I love to complain about the most is the drivers. I think I've mentioned before that Miami lost it's title of the country's rudest drivers, which it has held for the last four years. Yes, the rudeness of Miami drivers even impresses those from L.A.


  • Rainbows: Living in Dominica really makes one have to be an optimist to survive. Medical school is so tough, let alone living in another country--a third world country--and being so far away from not only family and friends but also convenience, such as grocery stores. To survive, you really have to keep a positive outlook even when things don't go your way, both with the living situation and with school. I've never lived somewhere before that there was always a rainbow at the end of a storm other than Dominica. You could practically see a rainbow every day and usually there were two or three together in the sky. I think this is a cheesy metaphor for medicine. When times get tough, and they will, you've got to look for the light at the end of the tunnel, for the rainbow at the end of the storm.

I guess the bottom line is that things sometimes don't end up as I predict or think I want. But I'd never dreamt that all of these amazing things would happen to me. Being willing to take a risk and run off to the Caribbean to fulfill my dream of becoming a physician, is the best risk I've taken so far. Who knows what risks and opportunities will present themselves in the future!

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