Friday, December 20, 2013

Thursday Dec. 12

           Sitting in the same hostel where I started out my trip, in Antigua.  It was a pretty uneventful ride from Pana but it always surprises me how sick I get in the back of the buses riding through the mountain roads. Last night we had our farewell dinner as a family and I really enjoyed having everyone at the table one last time. We opened up the Christmas gifts that my parents and the Sunday school class had provided the money for. The previous day I went into Pana and raided the 3 Q store for presents, mainly for the three boys and Lidia (Alicia's younger sister age 7).  Yes, the 3 Q store. Everything in there was less than fifty cents U.S.  Everything. I also found another story that had more of the expensive things and in all with around 100 dollars I was able to buy gifts for 8 people.

            After we had finished supper, I went and got the gifts. I had told the kids about the "regallos" during dinner, so they ate super fast in order to hasten the gift giving. I started with Hardeth the youngest, and worked my way around the kids. Probably the happiest was Lidia. I don't think she was expecting any gifts, and we were able to buy her 5 or 6 things, one of which included a play cook set. She was always playing "casa" so I figured she needed some proper kitchen attire. We were also able to get gifts for Carlos, Alicia and Maria (Abuella/ Grandma). I wasn't sure what exactly they would like but Alicia's brother Mario said they each would like a pair of Church shoes. We spent about 60 dollars total on the shoes, which isn't much by U.S. standards but for Guatemala that is the upper echelon of pricing. After they each opened their gifts I could tell they really enjoyed them. At first I thought shoes were a weird gift to give someone who you don't know really well but after thinking a little more they seemed like great gifts.  The shoes were something that the parents weren't going to spend money on but they really did need/want them. By the look on their faces, it seemed they appreciated the gifts.  I gave Mario my small Osprey bag that I brought from the states. He had said he wanted me to send him one when I got back home but I don't think you can buy anything like it any more.  He really appreciated it and he had it going to work when I saw him this morning. I wasn't sure what to get Vanessa, I've never shopped for a 14 year old girl. I found a nice wallet/ ID carrier in one of the stores. I put in 200 Q in the main pocket and wrapped it. When she opened it she didn't look inside immediately so I told her to check it. When she did, she looked up at me and thanked me without pulling out the money or showing anyone.....

            All the gifts were given out after about 30 minutes and while the adults attended the church service in the living room all the kids, including the ones who came for church, were confined to the kitchen playing with the cars, balls, action figures, helicopters, watches, fake tattoos and coloring books.  I would like to make it clear that I spoke with Carlos earlier that week about wanting to buy gifts for the kids. He said that was fine other him and he appreciated it. I also asked him if he would rather give the presents to the children on Christmas and not let them know they were from other people. He insisted we give them while I was there and he wanted his family to know that people are kind and generous to them and so they should make sure to be kind and share with the people who have even less than they do. The children stayed up way past there normal bedtime playing with all the jugetas and it made me happy to see how much fun they were having.

            I woke up early this morning to clean my room and say my goodbyes. I went to the clinic to thank all of the workers and Dr. Craig and I promised of a return someday with the letters M.D. behind my name. I sat and had a last little meal with Alicia and the kids before I went to catch the boat to Pana. I was a little disappointed that Abuella and Lidia weren't there to say good bye as they had given me a few little gifts and I wanted to thank them again for everything (including the great cooking). I waited for a few minutes on a tuk tuk because I didn't want to carry all of my stuff down to the dock, but after a while I decided I better walk. Juan followed me for the first fifty yards calling my name every few seconds and waving when I looked back. He will probably look a lot different next time I see him.

            I made it to the dock without too much of a struggle carrying all of my things. I stopped in the hostel and chatted with the workers and friends I had made there, realizing that send offs and goodbyes must not be a rare occasion at a place where people are always coming and going. Just as I was about to leave to head for the dock I see an older woman with a blue head dressing looking into the hostel. It was Abuella! Her and Lidia had come down looking for me to tell me goodbye. I walked outside to meet her and she gave me a big hug. She wasn't letting go and in looked down to see her wiping her face from tears. It was a moment I'm not going to forget. I couldn't help but stand there and bear hug Abuella, thank her for everything, and wish her a Merry Christmas. Lidia followed it up and it made me happy to see her before I left and to say a proper goodbye.

            Carlos happened to be going to Pana too so we caught the same boat. We talked for the first half of the 20 min ride and he thanked me (as I did him) for the friendship and living with this family. He also told me how much the gifts meant to Abuella, Lidia, and Vanessa on this Christmas. Her husband left sometime earlier this year and that's why they were living with Carlos and Alicia, literally sleeping under the kitchen table at night. He told me the kindness to her really helped to make her happy. The last few minutes of the ride we both sat there not saying much.  I looked out at the volcanoes and the lake, not knowing exactly the next time I would be back but thinking what a special place Lake Atitlan is and how lucky I was to be able to enjoy it for a whole 4 weeks. Carlos and I walked to the bus...I got on and  headed to Antigua

Friday, November 22, 2013

Primera semana

I've capped off my first week here in Santa Cruz. It's been a week full of adjusting to to how the clinic works, speaking Spanish with patients and living with my family. I was a little surprised at how quick I got thrown into things on Monday. I got there in the morning and met Dr Craig for the first time and he gave me a quick introduction to the clinic, which sat on the the second floor of the ministry of health building in the town center. Within a few minutes of arriving I was seeing my first patient. He sent me in with a translator and I realized quickly Spanish was the only language that I was going to be speaking, especially since my translator was translating the locale language into Spanish for me. I honestly don't remember what complaints the patient had because of was pretty flustered the whole time. I finished seeing the patient a went to report what I found out to the attending.  Luckily, Dr Craig was cool about me not really knowing what the hell I was doing for my first patient, but it is always interesting the first time you present a patient to a brand new physician. There will always be a question you didn't ask and the diagnosis will always be wrong...

As the week went on I realized quit a few things about my new clinic. Firstly, it isn't a clinic in the US so I don't need to compare them. There are simply things we do in the US that aren't done here for either lack of resources, money, or personnel.  Secondly, it runs very similar to other clinics I've been a part of internationally, in under served areas. It's hard to explain exactly but it seems we are always searching for supplies, trying to find charts or trying to get all the vital signs written down by the nurses. Lastly, these are different patients and I need to understand their culture in all aspects in order to help treat and diagnose them.

We had a great clinic on Thursday where we traveled by boat to a town called Tzununa. This was a town that mostly spoke the local language so again  my patience was tested.  Luckily, I had a new arsenal of medical Spanish I had been working on and although I still got caught up from time to time I was able to get most of the history and exam down comfortably.  Here I saw the extent of parasite infections, presumably Ascaris, which is a big problem in underdeveloped countries. At least half of my patients walked away with a 400 mg prescription for Albendazole to treat their parasitismo intestinales.

Tomorrow I think Ill head to another town on the lake and enjoy my time hanging with travelers passing through.  It will be nice to hang with some other people because my gringo contact has been pretty limited as I think I'm the only one living in town with the local people ( at least that I've seen). Most foreigners live in the big houses or hostels  by the water about a 15 minute walk down the hill.  All things considered it was a fruitful work week and I think after 4 weeks Ill feel comfortable with my Spanish and happy my experiences.

Monday, November 18, 2013

Santa Cruz Arrival

Arrived in Santa Cruz today after the morning travel from Antigua then to Panajachel.  I was met at the dock by Carlos, the father at my homestay. I  was put on a tuk tuk to head up the hill towards their house. I arrived at their home but not before getting pimped by my driver for an extra 5Q. I was met by the women of the house, Alicia and her mother Maria. Immediately after stepping through the ironclad doorway the three kids ages 3, 5 and 7 (Hardeth, Richard and Juan) slammed into me, it guess thinking they got an early Christmas present of a jungle gym in the form of a six foot gringo. I didn't mind one bit though and after messing around for a good half hour I put my stuff in the small bedroom they had prepared for me. I'm glad I didn't have any true expectations for this homestay, but if I did have the thought of living in a concrete floor, tin roof house that you see when you travel and wonder what I looks like inside, then this would have fit the description. Also, my ambitions of speaking only Spanish were holding true because there was no one living here that would be speaking English to me.

I toured the town of Santa Cruz a little bit but walking up or down very steep hills wasn't my MO this afternoon so I went back to the house for a nap. I was awoken around 4 to the sound of a guitar. What I thought was the living room was indeed their makeshift church and as I sat their about 10 to 12 men,women, children, and babies attached to the breast came into the living room for the church service. Apparently, Carlos and his family had converted to Christianity last year and they don't have a formal church, so they use their living room. Last to arrive were an older husband and wife missionary couple of the states. I guess at this point I had no choice but to be a member of the congregation. We sat for an hour or so listening to Carlos speak and play the guitar. I got pressured into the tamberine so I recalled my old middle school band skills.

This was probably my most enjoyable church service ever. First, it was great Spanish practice. Second, it was amazing to see happiness of people who are living in such poverty. I could only help but picture some of my church experiences with the people who drive nice ass cars and live in mansions coming to thank The Lord. Talking with Carlos later, he told me they hold church at their house 4 times a week, so it looks like I'm going to be getting my good graces in. Carlos and I walked around the town before dinner an he told me stories of growing up in the small town of Santa Cruz. Each person we passéd on the street he acknowledged them in the local language of, quetzekal ( terrible spelling error!)

We returned for dinner consisting of chicken, avocado, tortillas, and papas ( all my favorites). While at dinner I realized the true extent of people living in this tiny "house". Carlos, his wife Alicia and their three kids. Alicia's 2 sisters, ages 9 and 12, and their mother Maria. After this occurred to me I realized they were all living in the one bedroom beside me! We had a great dinner and finished it off with hot chocolate ( my second of the day). I'm off to bed now because I have clinic starting in the morning.


Headed out

     Once again I find myself about to board a plane to Guatemala. I never thought I would be so lucky as to return within 6 months of my last trip. Luckily I was able to get my passport brought to me last night aft leaving it in Athens (Thanks MF!) . The thought of my passport didn't cross my mind until 6:30 pm last night when my mom asked me if I had it. I guess I had a lot of stuff going on the past week with school but it still amazes me how I did not even put it on my long checklist of things to do/pack before in left. In my defense, it is only the third time I've left the country. I'm leaving that mishap behind me, however, and getting my mind in the right spot to truly embrace Guatemala. It feels great to be returning with the purpose of both language and medicine. I'm excited to be living with a local family having to speak Spanish on a daily basis whether I want to or not, and also working in a clinic that will give me the confidence I need with interviewing and examining patients in their chosen language. On a side note, I bought medical travel insurance this morning, which makes me feel a little safer when considering some of the cars/trucks/vans/buses/donkeys that I'll most likely be traveling on.

Friday, November 15, 2013

Back to Guatemala....

Headed to Lake Atitlan for 4 weeks, working with Mayan Medical Aid and trying to improve my spanish. Hoping to keep the blog going while I'm down there! 







Wednesday, November 6, 2013

The Peace Corps In Honduras In 1964

Just watched this little documentary. Super cool.

http://www.youtube.com/v/8MeYkpFQWKk?version=3&autohide=1&showinfo=1&autohide=1&autoplay=1&feature=share&attribution_tag=IKZwhRS7ZEKc9HJIFqxF9g