Sunday, May 31, 2009
Yuen-10 child family
Suzanne - OR = HEAVEN
Blog 2
Also amazingly (though not quite as), on Friday, I saw a total hip replacement!!!! As for the carotid artery surgery, I was given a stool to stand on to watch over the heads of the surgeons only a foot or so behind where they were working and I could see absolutely everything--> incredibly amazing paraezu. Marta warned me before hand that watching the surgery would like standing in a carpenter's shop...and she was NOT kidding. During the surgery (this patient was also awake but sedated...it was...interesting...he was a heavy snorer...) they cut deep down the the bone and sawed off the head of the femur (with a literal saw -- imagine bone chips and blood flying everywhere!) then stuck a large ball shaped drill into the socket and ground away until it was a perfect fit for the prosthetic new femur head. The surgery was the absolute opposite of the carotid artery surgery - delicate and painstaking vs. fast and merciless. However, both were absolutely amazing to watch and I am so happy I got the opportunity!!!!
Yuen-speak chinese?
Ana Maria - Just Dance
Thursday, May 28, 2009
DAVID JARAMILLO EURO CHAMPIONS CAMPIONATO
ADIEU
Wednesday, May 27, 2009
Ana Maria - Gallo!
Lover of Indigenous Foods - Hospital 1, Hospital 2
Today (5/27) in Radiology I saw something that only happened on tv. A lady was getting a ct scan and she was unconscious to begin with (maybe why they were scanning her head) and she was really large. So they moved her from her rolling bed on to the CT bed and wrapped her up and scanned her head and then did a CT on her. The doctor watched the scan come up and decided that he wanted contrast to be able to see better. The nurse didn’t want to do it because it was a lot of effort to do to a fat unconscious person (the people here seem to really dislike fat people by the way, almost everyone makes fun of them – which may explain why there are so few). While she was debating it with him some shit went down and all the sudden the patients heart rate flat-lined. The nurses and people from the ER were trying sort of frantically to save the lady. The doctor that was there sort of moseyed up and started to try to help. They had put the tube through her throat because it had closed so the oxygen wasn’t getting to her and they couldn’t get it in. At one point the lady trying to do it said ‘we lost her.’ The doctor started doing CPR and was doing 5 compressions and 2 breaths which is not what I know to be the latest standard but I don’t know as much as a doctor so I won’t question it. After a big push the tube got into the throat and they gave her oxygen, her heart started again and they got her on a breathing machine and took her out of Radiology to the ER. That was a bit more than I was ready for.
Tuesday, May 26, 2009
Sarah - Hitchiking
Kim- Machines are female
It was interesting how some of the machines are brand new, maybe 3 or 4 years old? While others were 20 something years old. I've never been to a clinical pathology department in the US before, but I do wonder how much is similar and how much is different. I know that this department is one of the last to lack network access, so they have to print everything out and plug it into the computer by hand, and send it to the doctor manually themselves. Claudia, one of the technicians, said that she's been working there 8 years and they still don't have it. I wonder if the hospital is actually trying, or if it's just one of those things that are going to be ignored. Potential triple bottom line project? Maybe.
Monday, May 25, 2009
Amanda: fala Inglês?
Amanda: Spaghetti!
Fitting in- Abby Furr
I am so very American. I like to think that I’m pretty adaptable, that I can always make new friends pretty easily, that, as corny as it sounds, a smile is the same in every language, and that I can always mostly fit in. While some of these ideas are not so far from the truth, others could not be more removed from the reality in which I currently live.
The first day I arrived on Terciera, I was equipped with a few Portuguese phrases, the most treasured of which was fala ingles? (Do you speak English) to which I generally thought the answer would be yes. Strike one. Um poco was the most common response, starting with a man in the airport whom I asked how to call a taxi. Fortunately, the word for taxi is the same in every language, and through some smiling and gesturing, he called one for three people: Amanda, Andy, and me. Moving right along with my adventures in language barriers, I thought my six years of Spanish might do me some good. It has, a little, many words are similar if pronounced pretty differently (gustar=gosto- that last o sounds like a u), but as it turns out, it’s a little offensive to reply no, but that you speak some Spanish when asked fala Portuguese? My internship leader explained to me that they gained independence from Spain some 900 years ago, and it’s still a little to soon to say they’re similar. Since we quickly formed a good relationship, I spent the majority of my day pointing out words like de nada, which sound exactly the same in each language. He eventually conceded laughingly that they may have some words in common, but Portuguese is still the more elegant and beautiful language; despite the gags and shhhh’s, I might have to agree.
This strange expectation of convenience and a timetable that I was brought up with has also become abundantly apparent. The internet goes on and off here frequently, much to the annoyance of those in our group from UNC. Everyone here seems so unaffected by it. I ask one of the students whose school work depends on accessing the internet when it will probably come back and the reply is always, “I don’t know, some time soon” as they switch to textbook reading to study for exams. Soon is a relative term meaning, some time this week, I think. Even my internship operates on a convenience basis. I don’t have a very strict time to come and go, and I get about a three hour lunch break. I’ve come to realize that not being on time here is not so much a sign of disrespect, as people at home tend to see it, but just more how things work. I’m pretty sure I like it.
I met the group which already included some Portuguese men who attend university here after I checked in to my beautiful dorm room. Upon nearly every introduction to a guy, I was kissed squarely on the cheek; whereas girls tended to air kiss each side of my face. I do my best to remember to return the gesture, but my firmly ingrained American need for personal space, which I only just realized existed, always makes me feel very awkward. Even meeting one or two ladies at the office required um besito. Once I figure out exactly who to air kiss, I’ll try and make sure to get it right, and stop confusing people by extending a hand for them to shake.
Even though I may find it impossible to fully integrate myself into this culture where flip flops are not always the accessory of choice with a skirt and wearing sweat pants is simply not done, I will try. Every time I look out my window at the very green mount Brazil and the hills with charming little houses neatly stacked along the sides, I feel so lucky to live here for just a little while. The people are so friendly, and willing to try and work with my abundantly obvious American-ness. Though my worse than broken Portuguese, southern accent, light features, and lack of fashion sense will always make me stand out just a little bit; the locals and college students will likely always continue to be as nice and welcoming as they have been thus far. I’ve already made lots of new friends in the residencia in the first week, and I genuinely like them…even if they do try to kiss me.
Courtney: The Group
Sunday, May 24, 2009
Suzanne - KONA PIZZA!
eric - soccer
Dear blog,
Hey blog, it’s Kevin. So on Friday I needed to catch a bus back to Angra after some classes at the school. Yuen and Courtney were teaching different classes so I was supposed to meet up with them, but things didn’t pan out so I had to get on the bus alone. I was pretty confident I was on the right one, but without Courtney I couldn’t be sure. Luckily one of the few students I know by name came up to say hello and he was able to help me out. I realized two things then – firstly that I’m really at the mercy of everyone on the island when it comes to my inability to speak Portuguese. I can’t really expect to get by with the assumption that someone will know English to give me a hand when I need it. It’s ironic that a student of mine - who I am supposed to be teaching – could use his English to help me out. So the other thing I realized is that I need to make moves on my Portuguese lessons.
Kevin – Bull fight
At yesterday’s Torador Corda we ran into a teacher from Escola Tomas de Borba. After the bulls she invited us into her sister’s house for food and drink. I’m starting to appreciate the generosity people have here – even to strangers. At the bull fight last week it was the same way – strangers had us into their house and were incredibly generous and eager to talk to us. I’d like to say things would be the same way at home but I really doubt it. I ate some cow bacon – can’t remember what it’s called – but it’s dope. Also those spicy garlic potato things are pretty tight.
Kim- Hospital OR
Kim- Conversacion y Estrellas
Yuen-Teacher call outs
Yuen-Hitchhiking
Saturday, May 23, 2009
Courtney: Luis de Sao Miguel
Sarah- Patients in Cardiology
Suzanne - A Day in the ER
Monte Brasil & Dr. Victor - Ana Maria
2. This week I was rotating in the Pediatric ward of the hospital. I love kids, and I think pediatrics is what I want to do with my life, so I was pretty stoked that I got to rotate there first. Initially, I think the director of the ward was a little less than enthusiastic by our presence (since apparently they were afraid we had brought Swine Flu with us), but he assigned me to the most awesome intern ever. Dr. Victor was the nicest and most helpful doctor I’ve ever met. Not only did he take the time to explain procedures and protocols to me, but he also clearly conveyed such a genuine passion for what he does. On Thursday, a kid came in with appendicitis, and Dr. Victor talked to the surgeons and the nurses, and they let me watch the appendectomy! It was one of the coolest things I’ve ever seen. These surgeons were sticking their hands through a small hole in this kid to dig out his appendix; it was like watching a group of artists at work. Afterwords, I went back to tell Dr. Victor all about it, and he listened to me gush about a surgery that I’m sure he’s seen plenty of times. I really appreciated all of the time he spent with me, and I feel incredibly lucky to have learned so much from him this week. :)
Thursday, May 21, 2009
Secret Swimming Spot
southpark
Blog 1
I tried all weekend to cash the travelers check’s that I brought but since the banks only open M-F from like 9 to 3 (no lunch break though, go big banks). So Monday comes and we get this sweet tour of the hospital and sort of told to go home at like 10 am leaving us with nothing to do for the rest of the day – nothing planned at least. So I’m lacking money but needing to pay the lady for the housing and such. Trying to tell her that I need to go to the bank to get the money to do so but with her lack of English and my lack of Portuguese it failed until this guy came along and translated. Then he drove me to the bank and walked me inside to get a ticket so I could be in line without being asked and risking a parking ticket in the process. If that doesn’t demonstrate awesomeness I can’t imagine what would.
Ps – my English is pretty bad at this point because I spend more time trying to learn Portuguese than speaking English – its going well though.
Blog 2
I got to go to a bull fight – torero corda – on Monday night and it was maybe the coolest thing I’ve been a part of in 2009. They have the bull on a rope and there is a huge party at every house or every other house. David and Eric work with this guy, Antonio Ponche who we called ‘Ponche,’ who showed us to this huge party with an outrageous amount of food and beer and fun. Ponche used to be a bull fighter so he knew everyone and he is hysterical. Anyways, so we get there and chill for a while and eat and drink and try to listen to Portuguese even though david is the only one who really knows any of it, eric knows some but not tons and then Kevin and I know almost none. The bull fights start and they shoot off a rocket (held in hand I found out) to warn that the bull is getting released soon, then another to say that the bull is out. There are interesting liablitiy things, the owner of the bull is responsible for damage that happens because of the bull beyond a certain point but not at all within so there are guys in groups of 4 at 30, 60, and 90 meters from the bull whose job is to pull the bull back if it starts to go to far. There are hordes of people in the streets (maybe not hordes but plenty) who want to tease the bull and there are people whose job is to get the bull riled up who used umbrella’s and blankets and whatnot to tease it into attacking. We run from the bull when it comes near and plan our escape route in the mean time while watching and enjoying the other people run and get scared by the bull. After about 20 or so minutes of this happening and the bull getting tired the reel it in and put it away and 2 rockets are shot to signal the end. This happens 4 times total with 4 different bulls. We drank beer during and in between every bull. We talked to this really interesting guy who was deported from America an incident and he now lives in Terceira and works at the golf club. We ate cool, indigenous foods – sausages, rice pudding, soup, cow stomach (which tasted so good – it was the little bit of stuff in between the ribs of cows and they cook it sort of like bacon and the seasoning and it’s so amazing, there was this pig intestine that was cleaned out and filled with rice and blood and something else and that was pretty good. All in all it was really freaking cool and I hope we get to go again.
