Blog Full Left Sidebar

Here is a quick recap of my last week.
Monday I worked at Port Maria for my last day. I saw 27 patients. I delivered the last batch of donated medical supplies that I brought (I had collected supplies for 4 months and filled my 2 checked luggage bags with them).
Tuesday I went shopping in the local market and then packed everything up. It didn’t feel like a whole month had passed already. One of the nurse’s house had caught on fire over the weekend. I left some of my clothes and travel sized toiletries for her. I ran into the general manager at Couples and told him about her. He took her name and number to send her some stuff too. I also had to say my goodbyes 🙁 I had made some good friends at the resort (some employees and some guests).
Wednesday was travel day. My flight took off at 7:55am but since it is an international flight and the airport is in a different city my taxi left the resort at 3:15, yes that is 3:15AM. When I got to the airport it was completely empty! Nobody inside, not even an employee yet. It opened about 15 minutes later. I flew from Montego Bay to Miami then home to Memphis. I was greeted by my hubby who then took me out to lunch but then had to go back to work. I didn’t mind though because I needed a nap.
Thursday I got to make my return to my residency as a speaker at our noon conference (not about Jamaica but that one will come). This weekend our hospital is making a huge move into a brand new building.

Overall my impressions: This rotation is great because it teaches you to feel confident in your physical exam (xrays and labs are not readily available), it gives you an opportunity to spread up to date information, it helps you appreciate what you have. The accommodations are awesome. The resort is so fun and the people there are happy and full of energy.
With all of the great things you should also know that not everyone would enjoy this rotation. You have to be comfortable treating without someone constantly over you. There is someone available if you run into a situation you are not comfortable with but most of the time you are on your own. You are the one making decisions. Also you have to be somewhat laid back. I’m a planner and organizer (of my time not my stuff) therefore I had a few frustrating moments mostly revolving around transportation.
If anyone has any questions about my experience feel free to email me at arouster@uthsc.edu

Happy Thanksgiving everyone! There’s a ton of things that I am thankful for, one of which is this experience. Since medical school I have wanted to participate in a medical mission trip. I came close last year. I had a trip to Guatemala planned but then fellowship interviews got in the way. The main roadblock has been the cost. I am grateful for the Issa Trust and Couple’s Resort for organizing such a wonderful program.
Yesterday I rounded on the Pediatric ward with the team. I had it wrong before when I thought the 3 young docs there were residents. They do not have residency programs. Medical school is longer (6 yrs instead of our 4yrs) but they are not required to do a 3 yr residency.
Rounds are similar to ours. A younger (and I use this word as experience not necessarily age) doctor presents their patients to the Attending doctor (aka the Boss). A plan is pretty much set ahead of time but fine tuned after some discussion.
After rounds blood is drawn for the labs ordered. Then LUNCH.
I rode home with Candi again. The hospital system is down a car (its in the shop) so any time she offers I accept. On the ride home we stopped at this jerk shop. I had heard from all of the drivers that it has the best jerk (chicken and pork). It was good but Doug cooks pork so well that I’m pretty spoiled (dry pork just doesn’t cut it anymore).
Today I watched the Macys parade and I’m going to watch Charlie Brown’s Thanksgiving at 8pm. I got to talk to my family after they had dinner. Hopefully next year I can sit down with them at the table (last year Doug’s grandma died so we were at his family’s, 2 yrs ago I was on call, 3 yrs ago I think we were also at Doug’s, so it must have been 4 yrs ago at my family).

FUN Jamaican stuff:
some schools have 2 shifts: 7-12 and 12-5. So if it seems like there are always kids walking around town, you’re right.
The biggest shopping day of the year here is Christmas Eve.
Some of the rural houses just have the living area and bedrooms inside. The bathroom and kitchen are outside.
Speaking of bathrooms there is something called a pit latrine. During rounds we talked about this and I thought they said piG latrine and asked if I knew what it was. I thought pig trough and said ‘where they eat.’ Oh no. It is an 8 ft hole in the ground with a seat at the top of it to do your business.
Coconuts are not brown while they are on the tree. They have an outer shell that is yellow/green. The sweeter the jelly (juice) inside means the older it is. Milk is NOT the liquid inside but made by grinding up the white meat.

Pandora, Hulu, and Netflix do not work outside of the US.