Showing posts with label rotations. Show all posts
Showing posts with label rotations. Show all posts

Monday, August 26, 2013

Things I learned In India



Reflecting on the past 8 weeks I realize how much I've grown as a person while in India. I've met a ton of wonderful people and will miss being here. I am excited to be back home, but I am very thankful for this experience and for all the people who made it great. Here are some of the things that India has taught me:
  • Honking while driving doesn't mean that you are mad at the person it just is more of a warning that you are there or there is something to look out for
  • There are no such things as driving lanes and it is perfectly acceptable and routine to stop on the side of the road and pee when you need to
  • Lizards won't hurt you even if they do come into your bed, neither will other bugs even if you would prefer they just stay outside
  • It is probably not in your best interest to just nod yes in agreement to people when you feel uncomfortable or aren't exactly sure what they are saying since you really don't know what you are agreeing to 
  • Being able to see babies on the ultrasound is an amazing experience
  • Watching surgeries is possible if you make sure to eat a good breakfast, chew gum, and look away when you are feeling not quite right
  • I am very thankful that I will not be having a baby in rural India 
  • If you make an effort to ask questions and really try and get to know people you will be amazed at how much you learn
  • Technology is a wonderful way to keep in touch with your loved ones at home and make it seem like you're not really as far away
  • Washing machines are really great and I won't complain about doing laundry for at least a week when I get back home
  • Indian food is actually pretty good once you get used to the spicyness 
  • Indians are great at multi-tasking and seeing multiple patients at the same time while also maintaining multiple conversations
  • Pravara does a wonderful job of using the resources that it has to the best of it's ability. There really is hardly any waste in any of the medical departments that we visited.
  • Going outside of your comfort zone allows you to really learn more about yourself and what kind of person you really are.
  • Indians really value family and the social structure of their families as well as marriage
  • It is refreshing to have things done at a slower pace you can usually learn a lot more about others and yourself if you slow down and really take time to talk with them and aren't just worried about rushing off to your next appointment
  • Indians are some of the sweetest people that I have ever met. They are all so very nice and welcoming and really made my experience.

Friday, August 23, 2013

Last week in India

Here is my recap of my last week in India.

Monday:
We went to Pravara Public School along with the group of interns from the west coast and did a workshop on what health is. A couple of the other interns (Nathan & Stephanie) planned the whole workshop so the rest of us just helped out. We broke into groups of 2 interns and about 6 students and had the students draw pictures about what health means to them and then present their posters to the rest of the group. It was interesting to learn about what they all thought health meant. A common theme was that laugher is the best medicine and an apple a day keeps the doctor away. I think almost all of the groups had those things on their posters. Nathan and Stephanie also gave a powerpoint presentation on health and what it means and we had some time to answer any questions that the students had before we played some games with them. It was a great break from our usual posting and was very nice to actually feel like we were doing something. Plus getting to hang out with kids always makes things better.
In the evening we then went to a salon and had mehndi done by a couple of women there. It took about 3 hours for the 5 of us to get it done on our arms and we really appreciated them staying late to do it and also chatting with us. They did a great job and each of us have a very unique design that will stay for a couple weeks and remind us of our time in India, plus it makes us feel like we got the full Indian experience.

Tuesday:
Today was a holiday for PMT. It was the founding day of the school so we didn't have any postings. It seems like the month of August is the time for holidays in India as this is the 3rd one that we have had. I spent most of the day working on projects that we have to do for our certificate of social medicine as well as for our rotation. I was actually pretty productive so that was good for me since I had been putting some of the stuff off for quite some time. We also went out to eat with Tanvi at a seafood restaurant that people had been telling us to go to. I am not a huge seafood fan, but the food was really good and we all ate way to much and also had a fun time taking some unattractive photos.

Wednesday:
We were posted in orthopedics. We observed the outpatient department and watched them interact with the patients and also got to see them put a cast on a man's leg. The professor also had us do a little drug research project about vitamin D and its use in rickets. We wrote up a short paper about vitamin D and gave it to him and he seemed really pleased with our work so that was nice.

Thursday:
We were posted in the tuberculosis department. We spent the morning with the medical officer and he took us to the wards and showed us the tb patients. I was very surprised to learn that all of the tb patients are in the wards with the rest of the patients. I expected that they would be separated since it is passed very easily through droplets. Then we went back to his office and learned a little more about tb, how they treat it, and then spent time just talking about the US.

Friday:
We did a presentation about our time in India to the staff at the Center for Social Medicine as well as the other interns. Then we said our goodbyes to everyone. Saguna invited us to her house and she gave us each a sari and blessed us as well. We also had to say goodbye to Tanvi, which was hard. We decided it would be a lot easier to leave India if the people weren't so nice and hospitable. At 4 pm we'll be headed to Mumbai and then start our travels back to the Des Moines through Munich and Chicago. I still can't believe that I was here for 8 weeks it was such an amazing experience and I will never forget it.

My group working hard on their poster


My second group presenting their poster




Out to eat at the seafood place



Friday, August 16, 2013

Week #7 Recap

Well it's crazy to think that I only have 1 more week here in India. My time in India went really fast at some moments and then other times it feels like I've been here forever and this is my life. It will be strange to re-adjust to life in the US since I've been gone for 8 weeks and haven't really dealt with a fast-paced world for awhile. I am looking forward to being back home though and seeing everyone again.

Monday:
I was posted in surgery again and since Courtney wasn't feeling well in the morning I went by myself. I talked with one of the professors in the outpatient department and we discussed some similarities and differences between the US and India in regards to surgery. He also asked me about my thoughts on India and what kinds of things that I have enjoyed about the country. It was a really good discussion and I enjoyed seeing his take on the Indian healthcare and education system. He seemed to think that India would be a lot further along if they did their own research instead of relying on other countries. He also thought the rural areas would be better off if there was a way to recruit more specialized surgeons and physicians to these areas.  I think having qualified healthcare providers in rural areas is something that all countries struggle with since they may not have the population to support these specializations or they may not have the lifestyle that these providers are looking for. I then went to the OT and watched a prostate resection surgery. It was an interesting surgery to watch and really didn't have any blood and there wasn't any cutting that I could see so I liked that a lot better. In the afternoon Courntey and I went to the outpatient department and talked with a few of the residents and professors, but mainly just observed what they were doing.

Tuesday and Wednesday:
We were posted in gynecology. We started out in the outpatient department and observed the prenatal check-ups that were happening. Once the professor that we were supposed to meet up with came she told us a little bit about prenatal care in India and then asked us what we were hoping to get out of the experience. We told her that we wanted to see both a natural birth and c-section and she said that a c-section was scheduled for this morning so we were able to go and see that. We got to the OT and changed into scrubs and then went in to watch the c-section. I started getting a cold this day and I couldn't breathe very well so this along with the crowded, hot room and the cutting I didn't last too long watching the surgery. Both Courtney and I were in and out of the room quite a bit since we were both feeling a little lightheaded. We were able to watch most of the beginning and saw her get an epidural, and then we got sprayed with some amniotic fluid, and the baby came out so quick I didn't even see it. But I did see it after it was in the doctors arms. When we decided we'd had enough we headed to the labor room and got there just in time to see a natural birth. The rest of the afternoon no one gave birth while we were sitting in the labor room so we decided to call it a day a little early. Wednesday we were back in the labor room and didn't see any births until the end of the day and then we saw 2 right in a row. I have decided that I'm very glad that I am not a women giving birth in India because while they are in active labor they are in a room with at least 7 beds and then once it is time to give birth they go into the delivery room where there are 3 beds. The doctors and nurses also don't seem to be super compassionate to these women and there is a lot of yelling at them while they are giving birth. The mom is also alone and isn't able to hold her baby after she gives birth so that seems a little sad to me. I am obviously just used to seeing how things are done in the US so that is why this seems different to me. I know that the privacy of things isn't possible in this area when there are so many women who are having babies.

Thursday:
It was India's Independence Day today so we woke up early and went to the flag raising ceremony and then we had the rest of the day off. I spent the day relaxing for the most part I watched a movie, did some journaling, played some card games, and did random other things that I can't really remember. It was nice to have the day off, but really felt like a Saturday so the rest of the week and weekend will be kind of strange.

Friday:
We headed to Pravara's Ayurveda College and Hospital about 100 km away. Ayuveda is India's traditional system of medicine and I wasn't very familiar with it before going to the college. We saw a lot of the crude herbs and minerals that they use to make the products and also learned some about how they are made. We also learned the basics and got an overview of this holistic approach to medicine. They gave us a tour of both the school and hospital and it was a very interesting visit. Since the tradition is carried out through texts in the local language it was a little hard for them at times to translate it into English for us, but overall they did a really good job of explaining things. Once we got back we decided to go to the temple on campus to watch the sunset. It was really pretty even though the sun was partly hidden behind the clouds.

She's lost so much weight since being in India

Pumped for the flag raising ceremony



Some of the herbs at the ayruveda college


We decided the cloud looks like a ruffles potato chip


Thursday, August 8, 2013

Friday Fives

It's crazy to me that this is the end of my 6th week in India and there are only 2 more weeks to go. It has gone really slow at times and really fast at others. I'm sure the next couple weeks will go pretty fast until the journey home when I just want to be there and traveling will take so long. Well anyway here are my Friday fives:


  1. Getting my package from Chris. I had been waiting patiently for a couple of weeks for it to come and it finally did on Thursday so I was pretty excited about that. (I'm still waiting on the one my parents sent so we'll see when that gets here)
  2. Having lunch with the pharmacology guys talking with them about America and India
  3. Being posted in family medicine and actually having people talk to us and really explain what they were doing. I felt like I learned quite a bit from the doctor and interns in this department
  4. Hanging out with Tanvi on both Saturday and Sunday night. She is really awesome and I love hearing about her life and talking with her. Courtney and I also made her a collage one night so it was fun to do.
  5. Dinner on Tuesday with all of the international students. It was great just to all be together and enjoy trying out some Indian food that we hadn't had before.

Wednesday, August 7, 2013

Week 6 Update

The internet has been down the past couple of days so I haven't been able to post any updates, but it's back to working now for the moment so I can. Here is an update of the things that I have been up to the past few days:

Monday:
We were posted in the family medicine department. This was probably one of my favorite departments because the interns and doctor really took time to explain what they were looking for with each patient as well as what they thought the patient had and the treatment options for them. It was also apparent that the doctor really cared about each of the patients that he saw. He took time to really examine each of them and talk with them about what was going on, which is something that I haven't seen in all of the department. He also talked with us about different diseases, medications, and health care in general. He was very interesting to talk with and I wish that we would have been posted longer than just the 1 day and am hopeful that we may fit another visit into our schedule.

Tuesday:
Today we were posted in general medicine and so we started off the day by going on rounds. This was an ok experience, but they really didn't talk to us much about any of the patients so it felt like we were really just following a group around like lost puppies. We found out that a lot of the general medicine patients are in the hospital for things like organophosphate poisonings, snake bites, and things like this. In the afternoon we were in the outpatient department for a little bit and just observed the interactions between the residents and the patients. We also spent some time in meetings. In the middle of our day all of the international students met with staff from CSM as well as the Vice Chancellor of Pravara to give feedback on how things were going. Then in the afternoon we went to CSM for Ben's presentation on his time at Pravara since it was his last day. It was really fun to listen to him give his presentation and see his view on how things went. It seems like his time here was really short even though he was here for 4 weeks, and I wish I would have gotten to know him a little better. In the evening we were invited to the guest house with the staff from CSM as well as the vice chancellor for a meal. It was outside and had multiple courses. The food was really good and I ate way too much. It was also great to chat with the students from the other universities and get to know them all a little more.

Wednesday:
Today we went to a rural area nearby called Bhandardara where we visited 2 rural health centers in the area and a mobile clinic. We talked with the staff at each of these locations about the types of patients that they typically see and got tours of the facilities. The staff were all great and really seemed to care about the patients that they saw. The patients that are mainly served by these locations are tribal people and people that are very poor and don't have a lot of access to health care. I was really impressed with all of the things that they are able to do at these sites with limited resources. They really make the most of what they are given and really don't waste much. At one of the clinics we made friends with a dog that Courtney named Bill. He followed us around the village and even followed our car for a bit when we left. I also made friends with a little boy and got him to smile at me as well as play with my watch and look at me without crying so I'm making some progress with the small children. The area that we went to was also really scenic and was surrounded by mountains so it was really pretty as we drove around. On our way back we were also able to stop at the dam that is nearby and take pictures around it after doing a little hike in my sandals.

Tomorrow I'm posted in surgery and then on Friday we are headed to New Delhi to go see the area as well as the taj mahal so I'm pretty excited about that.

Dinner on Tuesday night


It was a red top black leggings day




With Bill (the dog)


My new bff







Monday, August 5, 2013

Making Friends

We have actually started to make some friends from the departments that we have been in so far and this weekend we had the chance to hang out with some of them and had a lot of fun.

On Saturday we went over to one of the professors from the pharmacology departments house and had mutton biryani. It is a traditional Indian dish made of spices, rice, and lamb. It takes about a day to make and they special order it from a person in Loni. When Courtney and I were in the pharmacology department the guys were appalled that we hadn't eaten it yet or even heard of it before so they said that we all had to eat it sometime. It was really good, probably one of my favorite things that we've eaten so far in India. It was quite spicy so it was best when we mixed it with some curd (a sour cream/yogurt type thing) and it actually ended up tasting very similar to a chipotle burrito bowl (which I have been craving recently) so that was really good.

We ended up just sitting at his house and talking for quite some time about a lot of random topics. One of the Indian guys knows quite a bit about America so we talked about America for quite a while. I think he knows more about America then we do, which is fine. We all also just joked around for awhile and they made fun of us for a variety of things. It was a great afternoon and I am so glad that they invited us over and made sure that we had this traditional Indian dish.

Saturday evening Courtney, Jill, and I went over to one of the ophthalmology resident's (Tanvi) room and talked with her for quite some time. It was really nice of her to invite us over and just chat about life with her. We learned more about India and the marriage customs as she is engaged to be married in January as well as her plans for after she is done with her residencies. She is a really awesome person to talk with so we had a great time just having some girl time.

Sunday night all of us went back to Tanvi's room and we brought pizza from the London Twist and she made us pasta. The pasta was so good especially since we haven't had any while we've been here. We spent a few hours in her room just chatting again and talking about all sorts of random things. It was a really great evening and so I hope that we continue to hang out with her during our remaining time because she is so sweet and just an amazing person to talk with.

What the biryani looked like 

Pasta and pizza



Sunday, August 4, 2013

Rural Health Center and Mobile Clinic

Thursday and Friday we spent our time learning more about the outreach that the Center for Social Medicine at Pravara does. We spent Thursday at the mobile clinic. We rode in the clinic bus to one of the villages and parked there for the morning. Patients would come on the bus and talk to the doctor and then be given medicines at a low cost to treat whatever they had. There weren't a ton of patients since it was raining and the villages didn't know that we were coming. We took a lunch break and then a nap break while we were parked on the side of the road. The nap break lasted an hour and everyone (2 nurses, driver, doctor, Courtney, and I) all slept for at least a little bit of it. Then we drove to the next village and parked there and saw a few more patients before we called it a day and drove back to Pravara. It was nice to learn a little bit about the mobile clinic and to see how it functions. We found out that most of the month they go to places where there are migrant workers and they do HIV/AIDS screening tests because this population has a high risk of HIV/AIDS and then the other days are when they go to the villages. In the villages the diseases that they mainly see is a common cold and things like that. If the patient needs more investigations done then they are referred to the hospital in Loni for those tests to be done. We also learned a little more about the doctor and her family and she shared pictures of her son with us so that was fun.

Friday we rode the shuttle bus with some interns and residents to one of the rural health centers. It was also a rainy day so there wasn't a lot of patients to be seen, but we did talk quite a bit with the doctor and the intern. We learned how the rural health center works and that there is one for every 50,000 people in the area that Pravara is located. The patients then are able to go to the center and have all of their primary health care needs and some basic lab tests done here and if they need more specialized care then they are referred to the hospital in Loni. They do a lot of prenatal care visits and prescribe all the prenatal medications for the mothers in the area. They don't deliver babies at the rural health centers though, so moms are to go to the hospital around their due date to give birth. In the afternoon the lab technician showed us how to perform the HIV screening test and we were each able to do one of those tests with the blood samples of patients. He then also showed us how to do the hemoglobin test by hand and so we each tested each others hemoglobin. The highlight of the day for me though was when one small child actually looked at us and made faces back at us. I can't remember if I've posted this before but most of the kids here are scared of us. When we smile at them they look away or run to their parents pretty much as fast as they can. This adorable little boy though came right up to us and played with my watch, copied my facial expressions, and hide behind a curtain and then would pop out to look at me.

Villages covered by the Rural Health Center we were at

Testing Courtney's hemoglobin

Getting my finger pricked

Courtney testing my hemoglobin


Wednesday, July 31, 2013

The world is shades of grey


   
            Life would be so much easier if the world was black and white and all issues had a simple solution. Instead the world is a broken place and the past two days I have been exposed to some of this brokenness. I’m still processing how I feel after being exposed to prostitution in India so this post will be my feelings at this point and will hopefully make sense.

            We started off our day by learning about the Mukta project that Pravara Medical Trust started to promote awareness of HIV/AIDS to female sex workers (FSW) in the community. They have really done some amazing things in building relationships with the FSW, brothel owners, police, and community to make their job safer. They promote the women getting screenings for HIV and other STIs as well as getting medical check-ups regularly. They also helped them form a community-based organization, which is comprised of the FSW and they are attempting to be their own advocates to police, etc. to make sure they are treated fairly in the community. The aim of the Mukta project is to make being a FSW safer by having women tested and treated for STIs. The goal is not to stop the prostitution, brothels, etc.. Instead the stance is that prostitution is a profession like any other profession and it should be allowed to happen because it is the woman’s choice to be in this profession.

            This is where I struggle and have a problem. In my mind prostitution will never be ok. No woman who feels good about themselves and their body, who values herself would sell her body. She may say while she is a prostitute that she is choosing to do this because this gives her a sense of feeling in control, but it really isn’t a chose. After talking with some of the staff we learned that most of the women are in prostitution because they have no other way of making money. They feel like this is the only skill that they have and way that they can provide money for themselves or their families. Boyfriends, brothers, parents, etc. also may have sold them and that is why they are currently a FSW.

            As I sat in across from women in a brothel I just didn’t know what I should be feeling. We were talking to them and asking them questions like it was any other profession and like this was a totally normal conversation to be having between women in their mid 20s. We drank our pop as women came into the room and left the room, as men walked by peering into the room. We asked them if they ever saw their families and they responded that they sometimes got to go home or else they just sent the money home, but that their families didn’t know that they were FSW. They told them that there are in some other type of business in the city. We sat with the brothel owner (a woman) and she laughed and joked around with us. As we talked about STIs they insisted that they always used condoms even if they were offered more money to not use one, that kissing wasn’t allowed, only the actually act of sex. We finally had to leave because there was a long line of customers waiting so as we left the room we were met by the stares of men waiting to be with these girls.

I just stood and walked out numb and thought how can this be ok? What about this situation and these women’s lives are normal? How can I go about my day with the knowledge that these women have sex with up to 15 clients per day? What can I actually do to change these women’s lives and make them feel valued and worth anything? These are the types of questions that I have been asking myself since spending time with them. We briefly learned their names and ages, but never really heard much of their story. I already have forgotten some of their faces, which is really hard. I want to remember them; I want to remember this experience, because this was in my face brokenness of the world. I just left with a feeling of helplessness, what could I do to improve this situation? All that I can really do is to pray for these women and while prayer is an amazing and powerful thing-in this situation it just doesn’t seem like enough.

For myself to continue to go on with my life I have to find the light in this situation. These women are getting tested and trying to improve their health. Over 89% of the FSW in the city were seen at the Mukta project last year. If the free government condoms are gone, women are coming to buy their own. The women have started to advocate for their own rights and to make sure that the laws in place are being followed. In India prostitution is legal, but solicitation is illegal. So legally the women who are in prostitution shouldn’t be punished, it is the brothel owners that are doing illegal things. If the law is followed then the women are treated as victim, not criminals, which is much better than the US. There are positive things happening even in the midst of all of this brokenness.

            Tuesday we learned more about the community-based organization for the FSW and as I sat their listening to them talk about it I was still angry about the situation. They were discussing how a few brothels in the area had recently been shut down by a raid and how the organization had been working to try and get those brothels up and running again so the women who have a place to work. This doesn’t make sense to me. Why not give these women the opportunity to learn a different trade so they can feel more empowered and value themselves? I know that it’s not as easy or simple as this, but I really wish it were. I do understand that this is a very complicated issue with lots of different players so that is why I sometimes wish it were a black and white issue, but instead it is just a lot of grey.

            We then talked to members of the MSM (men having sex with men) community-based organization. We discussed the issues that they are dealing with and trying to advocate for. The main thing that they are trying to do is raise awareness about HIV/AIDS and get the members of their community tested. It is a misconception here that only FSW can get AIDS/HIV so they are working to increase the awareness that everyone is at risk. They also are working to change the laws in India that make it illegal for men to have sex with men. They also asked us about what the gay community was like in the United States and we just talked with them. They also showed us some traditional Indian dancing and had us attempt to dance with them. We weren’t very good at this.

            On the car ride home we were discussing the day and discussing if MSM is the term for the gay community in India or if it is only the term used for the male sex workers. There was some disagreement amongst the group on the meaning because we each had a different interpretation of what was translated to us. My thinking was that MSM was the term for the gay community as a whole, but then I got to thinking about what if it was only the term for the sex workers. Why doesn’t male sex workers anger me as much as female? I think firstly it’s because I identify with the women and I see them more as a victim where I see the men as equals. This may be my ignorance and so I will freely admit that. I also don’t know that much about male prostitution or how they get into the trade. I feel like women are usually tricked into it where the men chose this profession. Again I could be very wrong in my thinking, but I’m just being honest. In talking with the men they said most of them were in the community for the fun and the lifestyle. I never got the impression that they did anything for the money or felt trapped.

            After two days of learning a lot about FSW and MSM these are my feelings. I hope that I never forget the experience of being in a brothel. It scares me because I know how easy it is to continue on with my day and my life and forget that feeling as I left. The feeling of sitting next to women who are selling their bodies and trying to pretend like it was ok and having to leave because there were customers waiting. I will continue to pray for these women and the project that the women will come to understand how precious and valuable they really are. I wish they could just see how much they are needed in the world for things other than their bodies.

Friday, July 26, 2013

Friday Fives

Since I forgot to post my Friday Fives yesterday I am posted them today.


  1. Learning more about India and having better conversations with students, professors, and doctors in each of the departments we visited this week. 
  2. Eating pizza and french fries for Courtney's birthday
  3. Getting to talk to people from home on skype and facebook and gmail
  4. Looking through pictures with Courtney from our friendship and having some solid laughter over how ridiculous we are (mainly I am in photos)
  5. Getting to level 95 on candy crush
Sorry that some of these are repeats of last week (and very similar to Courtney's), but since we do similar things each week I had to get creative. This really was a good week in India and I'm really starting to like it here and feel like I'm seeing a lot of stuff that I wouldn't be seeing in the US. What are your Friday Fives?

Thursday, July 25, 2013

ART and CCL

The past 3 days we split our time between ART (antiretroviral therapy not making things as I would not be very successful at that, just check out my drawings Courtney posted on facebook) and CCL (central clinical laboratory).  Both of these departments gave us the chance to really talk with the people who work in them and have some good conversations about India.

In ART we learned more about AIDS/HIV in India. The treatment is free from government funding for patients who come to the center and this center serves almost 3000 patients. They told us that the state we are in has one of the highest rates of HIV in India. We learned about the regimens that they use here and how they decide the treatment that the patients will get based on labs and side effects. They also sometimes have to adjust the treatments based on what medications the government has given them. The days we were there it wasn't super busy because it wasn't days where patients come to get there CD4 counts so instead only a few patients came. The interns that we talked to were really nice and we discussed things about India-such as religion, food, education, history, etc. We covered a wide range of topics and I learned quite a bit about India from them.

In the CCL we spent most of our time with the head of the lab. He really wanted us to ask him questions about India, the lab, and really anything else that we could think of. We ended up talking to him for quite some time and he told us what he felt were the major public health problems in India. He said that he thought the lack of health awareness was a major issue. People don't use primary health care (and there isn't enough primary care centers around) so when they finally go to the doctor it is too late and their disease has gotten to bad to actually treat. He also said that alcoholism, anemia, and infant mortality are also problems in India.

He was also just a really wise guy and fine to talk with. He gave us 3 keys to living a good life and they are:

  1. Anger is a wasted emotion
  2. Always be humble
  3. Practice patience
I thought these were all some pretty solid things to live by. He told us that the earlier we start trying to live by these things the better our life will be because he didn't start trying to do these things until much later in life.

We also spent quite a bit of time talking about marriage. He told us about how in the cities and more urban areas people marry more for love now and that often these marriages don't last very long because the couples aren't willing to make it work. He told us that the majority of marriages here are some-what arranged where the couple has some say, but not always a lot. He said that he thought that these often worked out better because both people go into the relationship knowing that they will have to make some compromises. He also told us about the marriage practices of some of the tribal people that he had encountered that were pretty interesting. Really the whole conversation was really good and I enjoyed hearing his take on love, marriage, and families.

He also told us more about his time in the army and the places that he has lived and worked. Some of them were really remote. He told us the stories about waiting for helicopters to come get injured people and having to wait for the fog on the mountains to clear so it could land and take the patients away. He was just full of tons of information and I feel like I learned quite a bit about India through talking with him. I know he told us tons more that I can't remember right now, but it was a great time of learning.

We also learned some about how the lab works and how they do the tests. I made a slide with a blood sample and was not super successful at it. The technician told me I needed a little more practice. We also used some of the hematology machines and put samples in to be read. It was interesting to see how the lab works and what kinds of stuff that they do even if I didn't really understand it all.

I don't have any pictures from the lab or ART because I've been slacking at taking pictures when we are at our posts, but I do have a few pictures of Courtney's birthday celebration that I will share so enjoy.



Bangals at the market


Waiting for pizza and fries at the london twist


Friday, July 19, 2013

Friday Fives

Friday Fives are something that Courtney and Shelley do every Friday. It is where you think about the past week and come up with 5 things that you enjoyed and were positive things to your week. When we got to India and were wondering how we would survive the next 8 weeks we decided that we would start doing them here.

I've still been struggling lately to really enjoy India. I tend to really dwell on the things that aren't going well and how my expectations of this experience aren't being met instead of thinking about all of the things that I'm enjoying. Thinking about the 5 things that I've really enjoyed is somewhat helping me see the good in this experience when I sometimes think it was a waste of a rotation to be in India.

I would encourage you to also come up with your Friday Fives (feel free to leave them in the comment section if you'd like):

Here are my Friday Fives:

1. Being in the radiology department and getting to see ultrasound after ultrasound. Being able to actually identify the parts of the growing baby was amazing.

2. In the pharmacology department today a PhD candidate showed us her wedding pictures and explained somewhat about weddings in Indian culture.

3. Being able to purchase food that is somewhat familiar to me when I need something from home. (oreos, kit kats, and chips plus appy fizz)

4. Traveling last weekend and being able to see sites around the area as well as shopping

5. Being able to skype and chat with my parents (plus Isaac for a bit), Chris, and Carina

Here are a few random photos from India so far that I don't think I've yet posted on the blog:





We never thought we'd be excited to eat sodexo, but the KFC had this sign when we walked in