Sunday, June 14, 2009

Carta




Carta is the spanish word for letter, but it is also used as ´card´as in playing cards. We have ¨played¨ a few cartas on this trip so far. I´ll get back to the cartas in a second...




We left Lima yesterday morning to head south. Our next destination, Arequipa. The medical school here is smaller, everything in Arequipa is smaller, hasta los taxis, y la gente so we expect the work to be a little less stressful--we´ll see tomorrow.




Our trip out of Lima, the gray city, consisted in a 5hr bus ride south along the coast. The poverty we drove through was horrendous. I´m no stranger to it, but I don´t know if it was the endless gray I´ve lived under for the past ten days or what, but this poverty was hard to see. I couldn´t see the hope in any of the shanty towns we passed. Maybe the difference is that I didn´t see the people, no faces,only my imagination to draw a miserable pictureof life in these pueblos.


We finally reached Ica where we took a taxi out to this little oasis five miles fromtown where the most incredible sand dunes rose high, high above the gloom of the coast. There, we were greeted with smiles, the people were happy and suddenly I found myself enjoying a small piece of paradise. We rented some sandboards for $3 dollars and spent the afternoon carving up these enormous slopes until the sun had well set and the dessert cold was blowing in. It wasn´t hard to imagine while walking up these dunes that I was in the Nimibian dessert in Africa or well, the Peruvian dessert in Peru.




We boarded another bus at 8pm to head down to Arequipa where we arrived at 8am. Just enough time to take a taxi to church for a little Sunday worship. Here is where we pulled out another ´carta.´ We spent a couple hrs one afternoon in Lima passing out surveys in a hospital as part of a project ofsome local investigators in Lima. We completed the same amount of surveys as other researches did in twice the time it took us. We chalked it up to the international card. I also credit it to my aptitude to just walk into anywhere when I am in a foreign country. That´s how I ended up in the office of the director of health services for Andhra Pradesh when I was in India. OK, other cards played, the gringo card-no understand spanish-Rochester card, people oddly know more about the school here than I did before I came. Now in Arequipa, it was time to play the ´mormon´card. A friend inLima has a boyfriend, who´s family lives in Arequipa. The mom was baptized four years ago and hethought she would love to meet us. So we went to her house for lunch and after being in the home for five minutes, they refused to let us find a hotel or hostel. The family is so, so nice. And the house is great. I took a hot shower with pressure and all for the first time today since I left DC. We will be here in Arequipa until our work is done. Probably three or four days.

Saturday, June 13, 2009

Lima

We´ve been working from 8am to 8pm six days a week since the day I arrived in Lima. The
pictures I posted in the last entry suggest otherwise, sorry. Today, we finished our work at 6pm. Just enough time to pick up our washed clothes, grab dinner, pick up a gift for our host family, and pack for our travels tomorrow--oh, and Zach and Ronin went out for the night with some of our limeno friends. I thought I´d get to bed at a decent hour but it takes so long to plan things! I am just now getting to the blog.

I ate cow hearts (anticuchos) last night because our lima peeps wanted us to enjoy some of their favorite cuisine. Just wanted to make a note of that. What else do you want me to say, pues. Thanks!






Our last focus group in Lima!

The waiting areas are always full hasta the hallways in this hospital


Outside of the Hospital, I wish this guy replaced the hotdog vendors outside of the school´s hospital in Rochester.

He was actually very happy that I asked to take his picture. Seriously!



Debbie thought the food was...hilarious




It was so good, Leslie called everyone about it
We met up with Rochesterians Tuesday night for a late dinner at the famous, Astrid y Gaston ( unfortunately, they were just stopping in for a day, we think?)




















Monday, June 8, 2009

Una foto, una foto

Hola desde Peru. Why am I here? I planned on writing a post before I left to explain what I plan on doing here. The long and short: we are a mobile species. The more educated, the more mobile. This is great for the educated but the uneducated, surprise, surprise, lose. So doctors are leaving Peru to practice in better places, like Rochester. I am here with two colleagues to find out why medical students choose to stay and practice in Peru or why others choose to leave their homeland for ¨better¨land. Oh no, my Spanish is already ruining my English, ¡que horror! Seriously, that makes me sad, pero bueno, asi es.

The other part of the study is that almost a third of all doctors currently practicing in the US come from other countries. I attended a meeting a couple months back where the New York congress presented a new bill to excuse visa regulations for any foreign doctor as long as they practiced in under-represented rural or urban areas. Really? There is a lot of ethics to pull out of this but I don´t have the time, ahorrita.

So here I am in Peru, surveying and meeting with students in focus groups to understand their perspective, and to understand if they understand what they are bargaining for when they sign up for a residency in the Johnny (USA). Understand?

A few pictures outside of the University, Enjoy!

This is a poster in the University of San Marcos of Medicine. Those lines are SO latino. Gotta love how romantic the culture is.


Eating a local treat, Picarrones. Yes, they were delicious.

Pigeons never go hungry, 1st or 3rd world.



Plaza de Armas, Lima´s central plaza, behind is the, Hotel Bolivar



Yes, a little discotequing, of course. The best part was when the power went out around 12am throughout the entire district. I love Sur America!





Wouldn´t be Sur America without cathedrals



Sunday, May 31, 2009

Are You?


Actually, the question is, WERE you prepared for your final exam? Friday marked my last exam of year 2 of 5 (Final is relative). And the answer....I don't know. I'm not sure if the results of the final exam are posted yet. If they aren't posted before I leave DC, there is a good chance I won't know until I return to school in August. That is just how it goes in the world of graduate education. BYU (undergrad) posted exam results on a big screen, literally seconds after you walked out of the testing center. Right there in your face, no way of avoiding that stressful instant when you find the last four of your social security # on the screen and look one column to the right for the score. Now, I fumble my way to the front of the room to turn in my exam and days go by before the email appears in my Inbox reporting the class avg, etc and prompting me to login and check my score.

That is how most exams go in med school, but when it comes to the end of the year, I just don't take the time to log on and figure out what I scored--I'm onto bigger fish. I have no idea what I scored last yearon my final exams for my summer MBA courses. I have never even looked to see what my overall grade was for each class. What difference does it make? Is any doctor going to ask me what I got in Corporate Finance? I took the exam and what is done is done. Is my knowledge of Organizational Behavior dependent on me knowing my grade in econ 403? No. It is a liberating feeling to ignore the score. Empowering. It helps me believe that I am actually in school to earn an education instead of a transcript.

My fellow Americans, don't do it! Avoid those stressful moments of finding out your grade by never finding out. Be positive and believe that you did well. This is the freedom our founding fathers and people like Bob Marley were trying to help us achieve. Do it and you will feel this new sense of power, I promise...barring no emails show up from the dean reporting that you are on academic probation.

If you aren't taking tests at this point in your life, find some kind of reporting process at work that you can avoid. If you aren't taking tests and you aren't working, identify some form of feedback you receive and ignore it!

Yeah, a policy like this probably doesn't reflect kindly on my comprehension of organizational behavior. Hmmm.

Sunday, May 24, 2009

Spring Happens Outside of the Hospital

Lilac Festival, Rochester '09






The Remains of a Saturday Trip to the Market









The spinach in my bag was off the chain