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News and Updates for June 2009

Much has happened since our Europe trip, but there has been little time to stop and think about it all, let alone blog about it.  I’ll try to sort it all out now.

First, Andy was finally able to schedule his core rotations, so we can now plan for the next year of our lives.  Thank goodness!  Even more, we are actually happy about where we’re going (way to go, Ross)!  From mid-August until the end of October, we will be in suburban Maryland, just outside Washington, DC.  While we’re a little uncertain about the housing situation (and finding someplace safe, inexpensive, and relatively close to the hospital), we’re going to DC in a few weeks to check out some housing options.  DC is a fun city though and we have a lot of close friends who live there, so we’re looking forward to this experience.  I haven’t been to DC since I was really little, so it’ll be nice to go back.  Then, from mid-November until at least mid-June of next year, we’ll be living in Atlanta.  We are very excited about being able to do the majority of Andy’s core rotations so close to home!  Atlanta is also a really fun city and we already have a pretty good knowledge of the area, so for once, things seem to be going our way in the living situation.

Then, Andy got a new truck… sort of.  His grandaddy just sold his trailer, so he didn’t need his big truck to pull it anymore, so he asked if Andy wanted it.  Of course, Andy said yes, so he is now the proud (a little too proud, if you ask me) owner of a 2003 Dodge Ram 1500 Hemi affectionately called “Thundertruck.”  It’s enormous (I have to jump in order to get in it), loud, but surprisingly, doesn’t get too bad gas mileage, all things considered.  He absolutely loves it, so we can now both say that we own “grown up cars” that we are really happy with.

Gross!

More recently was Andy’s bicycle accident.  The tires on his bike were completely bald and he skidded on a wet patch of pavement on the Brentwood bike trail early this morning.  I’ll tell you, the last phone call I want to get when I’m working involves the words “find the hydrogen peroxide” and “we’re going to need some gauze… lots of gauze.”  He’s okay, no broken bones and it could have been so much worse (thank goodness for riding gloves and helmets), but there are some deep abrasions that keep oozing (it’s really gross – pictures to come).  The bike is in the shop now getting some new tires, so hopefully this won’t be a problem again.

So for now, we’re just trying to enjoy our last six weeks in Nashville before moving again, planning for the next big move, and spending some time together.  The countdown has begun…

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Miami Updates

I wish I had exciting stories of traveling around Miami, stories about sightseeing, unique experiences, or fun things, but we really haven’t done anything while we’ve been here.  Andy’s spent most days shuttling between classes downtown, classes in South Miami, clinicals in Pembroke Pines (which is like 40 miles away, so with Miami traffic it takes about an hour and 45 minutes to get there), Spanish class, and certification for ACLS.  In his “free time” he was also expected to study for his giant comprehensive exam (which 60% of the class usually fails) and do a bunch of assignments.  Fun, right?  Well, the good news is he passed the comp without any problems and has managed to stay on top of all these assignments, despite how much work this has been (as a side note, he was told that only 40% failed this semester so I guess things with the comp are improving).  This schedule should slow down a little bit soon, once the certifications are out of the way and some of the stress of the first few weeks has passed.  We’re looking forward to a weekend off, but we haven’t had one of those yet and won’t have one this weekend either.  Oh well, maybe the week after. We’ve been here for two weeks and we haven’t seen much beyond the boundaries of our building.

I’m back at work on a set schedule and really enjoying working from our building.  My office just gave me a Blackberry so I now have two Blackberries to keep up with and keep track of.  I have been going to the gym during my lunch break every day; unfortunately, my metabolism seems to have slowed to a crawl and it hasn’t made much of a difference.  After work, I always make dinner and it seems like cooking is so much easier now than it ever was on the island – I never seem to have a hard time incorporating vegetables and healthy food into our diets in a way that never seemed possible on the island (which was an awful lot like Lost at times, Marianna!).   Old island habits seem to die hard though; I was making Krista’s enchiladas the other night (which were awesome, Krista) and I actually caught myself worrying about leaving the oven on for a long period of time in case I would run out of propane.  Now, we don’t have a propane stove, but I don’t think I’m completely adjusted to the US yet.  I find myself worrying about generating too much laundry, too, but then I remember that I have a washer and dryer in the apartment.

So there isn’t much to update about; it’s all working and studying for the most part.  We will have visitors over the next few weeks, so as people come and go we should have a few decent stories and pictures.  I do have one story, but it’s one of great frustration; it was one of those moments where I realize that just because we’re in America, it doesn’t mean that EVERYTHING is easy.  I was trying to track down a varicella vaccine for Andy (that’s a chicken pox vaccine for all you non-medical folk reading this).  The school recommends one clinic that they have an agreement with, so I called them up.  The woman I talked to said she had no idea if they had the vaccine in stock and that if they did have it, I would have to call the doctor on his cell phone to schedule something outside of office hours because he’d be out of the office most of the week.  She said she’d call me back.  A few hours later another woman from that center called saying she still didn’t know about whether they had the varicella vaccine or if I could make an appointment for this week; being completely useless, I gave up on this clinic.  I moved on to the next name on the list of locations recommended by the school, except they didn’t have phone numbers.  So I Googled them and came up with a number for one – they didn’t seem to speak any English, which made it pretty difficult to get an answer.  I then dug out my insurance card and started looking for primary care physicians in the area.  I called the first one and got no answer.  I called the next one and left a message (they still haven’t called me back).  Then I went to the next one and the woman who answered didn’t know what “varicella” was; I took this as a negative sign and hung up (what kind of person in a doctor’s office doesn’t know what varicella is?!).   I finally got a decent response at the next number.  A man answered and put me on hold to see if they had the vaccine.  They did, then he put me on hold again to find out how much it would cost.  3 full songs played while I was on hold (one of them was Jefferson Airplane – it was a radio station for the 60′s and 70′s).  He comes back on the line to tell me that they can only give the vaccine if Andy gets a full physical, too.  I told them I didn’t need that, that I could send a letter from our primary physician that he was in perfect health and just needed the vaccine.  He said that the doctor refused and would only do it if he “became a patient” and they billed our insurance.  I told them that I was not willing to have them charge me for more than I needed or wanted and that this kind of greed was absolutely unacceptable.  I hung up angrier than ever.  I called the next number and they had the varicella, but only in the children’s dosage.  Next number: they were out of the vaccine and had ordered more, but it would be a while.  However, the woman at the desk gave me the number of a clinic that would definitely have it, or so she said; I took this with a grain of salt.  I called them and sure enough they had the vaccine, in the adult dosage, and they didn’t need to examine Andy’s insides to give him a stupid shot for chicken pox (and just charge me more than they already would).  Thankfully, after an hour of making phone calls, I finally had an appointment made.  This frustrated me so much because I don’t feel like getting an appointment to get a shot should ever, ever, ever be this difficult; things are supposed to be difficult in Dominica, not in America.  If Andy had just gotten the chicken pox as a kid (like I did in the first grade from Robby), none of this would have been a problem.  Oh well… c’est la vie!

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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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