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3 Years Ago Today…

Three years ago today I started writing this blog.  Thinking back over the last few years, it’s almost impossible to remember how different life was in 2007.  We had just arrived in Dominica, wide eyed and overwhelmed, ready to embark upon this med school saga.  So much has changed since that fateful August day.  We have lived in a bungalow in the Caribbean, a high rise condo in Miami, in Andy’s childhood bedroom, in an apartment in Maryland, and in a townhouse in Atlanta.  Free time went from consisting of a day of sailing to Secret Beach to family day at the aquarium.  We have taken vacations to Antigua, Barbados, Puerto Rico, Lake Michigan, San Francisco, Disney World, and Shenandoah National Park.  We have bought (and then wrecked) a new car.  Most importantly of all, two have become three.  It’s funny to take a look at those initial blog posts and reminisce over how different life was then.  Andy summarized the first blog post below.

Andy’s Thoughts on the First Day on the Island:

A look back… Today marks 3 years to the day since this blog was started. It has been re-purposed several times over already, renamed at least 3 or 4 times, and yet still remains a significant means for updates. It has seen us through 16 very trying months of our lives isolated from the rest of the world on what most would consider to be a poor island nation. To bring things around full circle, Courtney is currently covered in mosquito bites from recent battles with the Georgia version of these pests. We have endured changes in location, changes in friendships, and the biggest kind of family change: an addition. I am only months away from completing my medical education which began concomitantly with this blog. Courtney was blessed with a stable and successful career on this journey as well. In three years, our lives have changed drastically, and the experiences that engineered this change have also changed who we are intrinsically. So therefore it seems fitting at this time to look back and comment on this post from today’s perspective, a culmination of all the knowledge and experiences gain over the past three years.

“Welcome to the Caribbean, where days linger on – teaching you to enjoy every minute of your time here. Hours ebb and flow with the tides as days wash into evenings and evenings wash into nights.”

This rings especially true since my memories of our time on the island seem to all blend together.

“so proper manners take precedence over a need to rush, rush, rush or a need for personal gain.”

Yet as I recall now, a great number of the locals were out for personal gain, and they were not above cheating or lying to your face to make an extra buck. Though there were the occasional few who were very generous, hard-working, and good-hearted.

“In our front and back yards, there are fruit trees, with everything from coconuts to oranges to bananas to starfruit. We picked a few things to start us off, but let’s just say I’m thrilled to have a huge banana tree weighed down by green bananas behind my house. Sadly, they really aren’t ripe yet – even by my standards.”

I don’t think we hardly ever got to enjoy the myriad of fruit growing about the cottage. The oranges, which never turned orange, were difficult to gage when they were ripe. The bananas would be plucked from the trees just before they ripened, either by the landlord (which of course was to be expected) or by some trespassing asshole local (see above).

“For example, we do not have one of those toilet paper rolls on the wall – it just has to sit either next to or on top of the toilet and you have to unwind it yourself.”

After 16 months of this you really miss something as simple as a toilet paper holder. I honestly can’t say I ever got used to the absence of small household “conveniences” like that.

“Also, central air. We only have A/C units in our bedrooms, plus ceiling fans in them and in the living room. Meaning that our closet and our bathroom can get pretty steamy. We’re still trying to figure out the optimal way to cool our place while keeping electricity costs low. The other big weird thing is power. We have to really conserve electricity because you pay based on usage and apparently it can be quite costly, especially with transformers to transform the voltage.”

If there were one thing I could have changed about our life on the island, it would have been this. Electricity costs comparable to US rates to allow us to run A/C 24/7. That would mean needing those damned vents in the ceiling sealed up, but that would have been just fine with me. The sounds of the jungle pouring through them were at times charming, but usually just a means to violate our privacy and a constant reminder that we didn’t live in a “normal” house.

“We’re a little on the far side from campus (10-15 minutes) but since Andy will probably get a bike, it shouldn’t be a problem.”

Never got a freaking bike. Would have been useful, though that hill leading up to our place might have been a beast.

“My goals for the next 16 months are to write as much as possible, take as many pictures as possible, rest, workout, and experience things I never would not normally have had the opportunity to under other circumstances.”

At least you met all your goals, babe.

“It really is a different world down here and it will completely change the way we view our world!”

Understatement of the decade.

Well that concludes my homage to our first days on Dominica, three years after the fact. Happy Birthday, blog!

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So Far, So Good

We’re in San Juan right now and had a very… unique day.  We were up at 4am to prepare to leave for our flight.  We were ready to go at 4:30 and by 4:35 our ride still had not shown up.  We called him and when he answered he told us he had tried to call us earlier in the week and that he needed to call us back.  Ummm, we had a very important flight to catch; we couldn’t just sit around waiting for him to call us back!  We called Josh and Krista, who were on the same flight as we were and were with another driver, and told them we might need them to pick us up.  Then we called our original driver back and he said he’d be at our house in one minute.  10 minutes later, there was still no sign of him and by now almost 30 minutes had passed.  Frustrated, we called Josh and Krista and they, along with Ren, saved the day.  We didn’t leave until after 5, but it all worked out okay in the end.  It was a rather typical end to 16 months of frustration on the island though!  Our flight only left about 20 minutes late from Dominica and our luggage arrived in San Juan.  We had lunch at Wendy’s with Josh and Krista while they waited for their next flight and before we headed off to our hotel.  We said our goodbyes (we miss them already) and grabbed a taxi for the Hilton.  In typical Hilton fashion, the hotel is quite nice, though a bit crowded, especially at the holidays.  We spent the afternoon getting a little sun, swimming in the ocean and the pool, and relaxing in a very nice, very modern room.  We had dinner at Morton’s of Chicago, eating one of the most gluttonous, hedonistic meals in recent memory.  All our favorites – caesar salad, filet mignon, crab cakes, fresh asparagus, chocolate cake, ice cream – it all was there in decadent and delicious fashion.  We’ve just finished repacking and we leave early in the morning for the airport once more, hopefully to arrive in Nashville around lunch time.  After a very long day, we’re ready for bed, but we can say that in our travels on this trip, so far, so good.

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It’s the Last Day!

It’s not even real to me yet but here we are, the last day on the island.  We’ve pretty much taken care of all our affairs and our bags are nearly packed.  Not much else left to do but wait.  Well, that and go to the bank and try to coax them into transferring the last of our Eastern Caribbean Dollars into US Dollars.  If we can’t get that done our home bank apparently will be able to, but we just don’t want to take any risks.  We’ve been here long enough to know that anything Dominica will be ten times more complicated and impossible than it has to be.  Any regular reader of this blog knows that too.

So where do we go from here?  I’m glad you asked because I made a map of our winter break plans!

Our travel plans

Our travel plans

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Would We Do It Again?

Here’s a question Andy and I have received countless times – would we come back to the island and do it again and would we recommend Ross as a medical school?  The answer is yes.  If we had to stay here an additional 16 months right now, I can say that we would not, but if we had to make the initial decision again we’d probably make the same one.  Living here is difficult, especially for a couple of spoiled brats like Andy and me, but anyone can live here, especially for just 16 months.  There are good days and bad, there are a lot of hardships, and being here can be a very trying experience.  Nevertheless, becoming a doctor is never easy and if you really want to become a doctor, nothing should stand in your way – not even 16 months in the middle of nowhere.  The school itself is excellent.  The information you learn is the same, if not more detailed, than any US school (a Tulane medical grad said the information in lectures here is infinitely more intensive than what he received).  The professors provide the same mix of great teachers, mediocre teachers, and awful teachers that you’d get in any university experience.  There are quite a few very noteworthy professors here including the “Father of Modern Pharmacology,” one of Lance Armstrong’s doctors, the writer of the Board Review Series book on Microbiology, and one of the authors of the most used Biochemistry book in medical education, among others.  There are professors from every continent with unique and varied experiences.   Plus, you get access to clinical medicine earlier and more often than most (more opportunities to practice interviews, HPIs, and physical exams).  Being a private school, the campus provides access to a number of simulators and technology that public medical schools cannot provide due to its expense, despite its location in a developing nation.  While there still is the unfortunate stigma of being a “foreign medical grad,” that stigma does go away (especially if you work hard and prove yourself). There are also no distractions from studying; distractions like movies, shopping, restaurants, bars and clubs, or other activities don’t really exist. Bear in mind, Ross is not without flaws (tuition is exorbitant, their bureaucracy is inefficient, once you leave the island you are pretty much on your own), but the university system at large is a flawed place.

While this experience has not been the most pleasant or comfortable for us, it has been worthwhile because it brought us that much closer to Andy’s goal of being a doctor.  We won’t miss the brown water, the ice sheets in my refrigerator and freezer, bugs in the house, mosquito bites, sweating all the time, expensive and difficult to obtain groceries, inferior quality food, impossibilities in travel, power outages, running out of propane at the most inopportune times, dodging cows, the smell of rotting starfruit, and a lot of other things.  However, the sunsets are nice, the pace of the island lets you focus on studying, the cultural experiences can be quite unique, the sites (if you find time to see them) are really beautiful, and it’s moderately easy to island hop.  We’ve also made some great friends on the island – being here really bonds you to people because you’ve shared very difficult and strange experiences together.  We’re already trying to arrange a ski trip with Josh and Krista for January and I’m sure we’ll plan something over the summer before rotations start.  Dominica isn’t paradise, but it isn’t med school purgatory either.  We would recommend the school to anyone who is a realist and a pragmatist about the island with a real dream of being a doctor.  If you don’t want it, you won’t make it.

We are so excited to be going home, to see our friends and family and our cats, to really enjoy the holidays.  We are looking forward to cooler weather, good food, comfortable clothes (and wearing real shoes), domestic flights, central heating and air, having a car, using our Blackberry phones again, Starbucks, wandering aimlessly around the mall, and moving on to the next chapter of our lives.  3 days!

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The Final Days

We have less than a week to go now and there is so much to do still.  I have a very sick husband who is trying really hard to stay focused on studying, despite feeling (and sounding) really awful.  When you hear him cough, you can’t help but feel badly for him.  Studying is occupying all his time for his last two exams and he’ll be free at last on Thursday morning, which is good since I have to work all week and will undoubtedly need some help right before we leave.

My weekend has been anything but relaxing as the clock keeps on ticking and the to-do list keeps growing.  We’ve sold everything we need to sell and have a huge pile of items that we’ll be donating on Friday.  I spent four hours selling stuff with the rest of the students and spouses leaving the island at the 4th Semester Sale on Saturday.  I was up at 6am to prepare for a glorified flea market and Krista and I had our wares all set up by 7 am (we were some of the first to arrive); at 11 the last few people were finishing up, so everything we had left we put in donation bins for local schools.   We were completely exhausted afterward and I took a nap – something I haven’t done in a really long time.  We’ve scheduled our walk through with our landlord, organized transportation to the airport, closed our bank account, and I’ve been cleaning non-stop.  Last week I completely overhauled the kitchen, today I did the closet, my office and the bathroom.  Andy asked me if I remembered that we had a maid who did most of this cleaning, but the fact is, I need it clean to my standards, which are higher than most people’s.  Moving is always stressful, but the frustrations of Caribbean travel make this move a little more stressful than most – so much to remember, so much to do, so much everything!  Five days left!

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A Survey of Our Dominican Experience

I love surveys so I figured what better way to examine some of our time on the island than with a survey. These are my opinions – Andy may comment later with his own ideas that are probably somewhat different from mine.  What is the:

  • First Thing that Shocked You After Arriving The First Time: Seeing cows and chickens wandering aimlessly through the streets (it brought new meaning to the idea of “cage free”)
  • Most Beautiful Place in Dominica: Emerald Pool  – even though it’s often crowded and touristy, I thought it was such a beautiful, green, Fern Gully-esque place
  • Most Memorable “Only in Dominica” Moment: I think it would be when they turned the water off island-wide on Thanksgiving last year and I had to make a turkey and side dishes without the ability to use water (and then when they did turn it back on it was brown)
  • Food I Missed the Most While in Dominica: Real milk
  • Favorite Item I Brought from the US: Nintendo Wii
  • Most Useful Skill Learned: Making pizza dough (we eat pizza every Sunday)
  • Favorite Tropical Food: breadfruit (breadfruit chips with hummus is awesome)
  • Worst Part of Living in Dominica: Travel to and from the island, transportation on the island, and mosquitoes
  • If I Had to Do it Over Again, What Would I Change: We’d probably rent a car more often
  • Favorite Hike: Ti Tou Gorge (more of a swim than a hike, but it’s my favorite)
  • Article of Clothing I Lived in: Crocs flip flops, my Juicy Couture sweatsuit (which is totally ruined now)
  • Describe a Typical Evening in Dominica: After work ends at 5, I make dinner, wash the dishes, and then watch TV until bed.  Sometimes we’ll play with the Wii instead of TV, but that routine rarely changes.
  • Scariest Moment in Dominica: When the centipede was crawling on our bed
  • Strangest Thing I Saw: Too many to count, but probably it was seeing a billboard encouraging people to vote for Barack Obama (last time I checked, Dominicans weren’t allowed to vote in US elections)
  • Most Valuable Kitchen Tool: A very sharp knife and a good spoon that doesn’t melt
  • First Thing I’ll Do When Back in the US: We’re having lunch with Tyler
  • What Will You Miss Most About Dominica:  Getting to spend as much time with Andy as I do now.  We see each other all the time and it’s only brought us closer together.  It’s going to be weird to actually spend time apart when we get back to the US.  Also, I’ll miss having Krista around since she and Josh are going to Michigan and we’re going to Miami.

Okay, I tag anyone who writes an island-related blog and is leaving the island (namely Krista and Ashley).

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The Light at the End of the Tunnel
Sunset at PBH

Sunset at PBH

15 and a half months down, two weeks to go.  It’s been a very long journey for us and thankfully, it is finally coming to a close.  Andy wants me to do a series of posts looking back on our experiences in Dominica, so here’s a quick glance at some of the things running through my mind.

In just starting to look back, a lot has changed for us while we’ve been here.  We’ve learned that we can survive anything together, we’ve learned what we’re capable of individually, and as a unit.  Our family has grown and will, hopefully, continue to grow. We’ve found new, lasting friendships and ended old, toxic ones.  We’ve experienced living with another culture, a culture vastly different from our own.  We’ve traveled, we’ve worked, we’ve studied, we’ve explored.  We’ve hiked waterfalls, swum through gorges, bathed in sulfur springs, and sailed to the horizon.  We’ve crawled through a cave and poked an octopus with a stick.  We’ve hiked through the rain forest with a man wearing no shoes.  We’ve tried new foods, some good, some not so good.  We’ve learned the meaning of patience and the importance of gratitude.  We’ve paid $15 US for trash bags that shouldn’t cost more than $5.  Many people have said, “you’ll miss Dominica when you’re gone.”  For now, I have to say that I doubt that.  I think once we’re back home, we’ll look back on some things quite fondly (the hikes, the sailing, the ease of island hopping), but I don’t think we’ll “miss” living here, nor do we regret it either.  We won’t miss the power outages, the internet fluctuations, running out of propane, always being sweaty, grocery shopping challenges, ruined laundry, slow service, and Liat Airlines, I know that for sure.  Only time will tell if we really miss the island; if we do, I know we can always come back.

The next two weeks will be very simple: study/work, eat, sleep, pack/clean, sell.  We’ve sold a lot of the stuff we’ve accumulated over the semesters, but there’s still more to go.  Tasks like closing out our bank accounts, converting excess EC to US cash, cleaning the house so well it shines, and selling as much as we can and donating the rest, still linger.  Everyone hates moving, so imagine moving from a foreign country back to the United States and getting everything into just two suitcases. Not so easy, right?!

Andy has 5 exams remaining and I have a very, very busy week at work next week, so keep us in your thoughts/prayers as Andy takes his exams and as I try to take care of him, this house, and my job.

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My Last Newsletter

December’s newsletter is out and online.  This issue marks the last of the campus newsletters that I will have worked on.  Having this job was a great extra source of income, an outlet for writing and editing, and a good opportunity to get involved with campus life.  Nevertheless, I must say that I am glad to only have one job now – especially with all the work involved in the moving process. Enjoy!

December issue of The Physical Examiner

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December!

Thanksgiving was wonderful, filled with good food, good friends, and good times.  The turkey was great and all the side dishes were fantastic.  We had a four pies for six people, an illustration of just how gluttonous this holiday really is.  Growing up, setting the table was always a really big deal for me.  I grew up on Martha Stewart books and could fold a napkin into a bishop’s miter by the time I was six; I set tables with unnecessary silverware like shrimp forks and iced tea spoons.  Well, with the lack of resources here, I was trying to think outside the box for centerpiece ideas.  I saw on HGTV (which just happens to be owned by our sister company) this centerpiece that used pounds and pounds of beans, split peas, and lentils.  So Andy and I got together and made a wave pattern on the table with lentils and black eyed peas, punctuated with stones and orange candles.  It came out looking really interesting and was a very lovely centerpiece; we were very proud!  I didn’t take any pictures, but hopefully I can snag a few from our friends.

And now it’s finally December!  The holiday season is officially upon us and just 19 days stand between us and the our return to the U.S.  We’ve had to do all our Christmas shopping online and are actually almost done.  Things are busier than ever around here as my thoughts are consumed with selling our stuff, packing, and the long journey home.  There are so many things to take care of – closing bank accounts, selling everything in our apartment, cleaning every room, donating all our clothes to charity, and then the normal day-to-day tasks like cooking, working, and studying.

Every semester we divide it up into mini-milestones, a series of goals we can count down which make the semester move faster (or at least feel like it does).  This semester, we had the first mini, then the second mini, then Barbados, then Thanksgiving.  Now that Thanksgiving has come and gone and exams are in full swing, only one countdown remains: the countdown to the end of our time in Dominica… just 19 days away.  Pray for Andy as he takes his exams and for me as I try to maintain this house, my job, and Andy’s sanity.

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Happy Thanksgiving

Today marks our second Thanksgiving on the island, the second time we’ll be giving our thanks far from home, far from family, and far from much of what we would usually express our thanks for.  Nevertheless, we still have much to be thankful for, despite the fact that Dominica will never feel like home for us.

In high school, one of my religion teachers had us keep a gratitude journal.  Once a week, we had to write down five things we were thankful for in that week. Most of the time it would end up being silly things like “I’m grateful for Whitney,” or, “I’m grateful that tech rehearsal ended at 8pm last night instead of 10pm.”  This exercise was quite formative because it caused us all to examine our lives and what we were thankful for in that moment, in that span of space and time, in that present.  While I think some of that message was lost on us, as we were just a bunch of 15 year olds, some of it sank in.   Every year at Thanksgiving, we’re reminded to be evaluate what we’re thankful for, in this present, at this time, in this year.  Many of the things I’m thankful for this year are quite different from years past.  Some of the things I’m thankful for this year are:

  • Technology.  I know it sounds weird, but without the wonders of technology, we wouldn’t be able to communicate with family and friends on the phone and via email, we wouldn’t be able to feel like we still have a connection to the life we used to have in Nashville, not to mention that without technology, I would not be employed, which is a huge blessing for us.
  • Naturally, we are very grateful for our family and friends.  Having great friends to share the day (and cooking responsibilities) with, having two loving and supportive families, having an incredibly handsome nephew that we’ll be able to see in just four and a half weeks, having great friends back home, though they are spread across the country, and having two very cute cats that we can take care of again in just three and a half weeks makes us an incredibly lucky and happy couple.
  • 23 days.  We’ve been far from home for more than 15 months now and we’re so so very thankful that the separation time is coming to a close.  It’s been a very long 15 months, and the next 23 days will not be easy ones, but we’re really glad that we’ve survived with most of our sanity intact and an incredibly strong marriage.
  • The little things we have that make it feel more like home is something we are oh-so-thankful for this year.  We brought our Christmas stockings and bought candles and incense that smell like Christmas trees that make the house feel more in the holiday spirit, despite the fact that we’re sweating in shorts and t-shirts.  We put up some Christmas lights on our front door which make us smile every time we see it.  We’re having a real, traditional, American thanksgiving feast today, complete with Butterball turkeys (no funky Brazilian turkeys for us this year).  We have music, the parade, the food, and the decorations that make it feel like the holidays, even if we won’t get to see any snow or see our families.
  • Finally, I’m thankful for all those things that I take for granted on a day-to-day basis, things that I know many people don’t have.  A loving husband, a fantastic marriage that makes me happy every day, health, financial stability, defined goals and plans for the future, and so much more.

So, what are you thankful for this year?

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