Category Archives: American University of the Caribbean

How to Become a Doctor: Ben’s Journey in Pictures

Ben graduated from residency! He’s now a full-fledged physician.

If you’ve been following our journey for a while, you’ve seen snippets of his path to medicine through stories of our lives at American University of the Caribbean in Sint Maarten, to Detroit, to Arizona, to California, and back to Arizona.

But I have yet to share the process from start to finish. Here’s what it takes for someone to travel from high school student to doctor.

High School in Kenya: Discovering His Calling

Surgery in Kenya

Ben’s interest in medicine started when he nearly died of spinal meningitis in Kenya during high school.

After graduating high school, Ben flew to the States with two bags and a couple hundred dollars in his pocket. He started college at Arizona Christian University.

College in Arizona: Pre-Med

Ben and his lab partner, Bizi, in pre-med classes at Arizona Christian University.

Ben worked on pre-med and began to tackle the Medical College Admissions Test. Studying for the MCAT was a lot of work.

Graduating from college was just the beginning of his path into medicine.

Gap Years: Applying for Med School

Ben taught science for two years while applying to med school (and waiting for me to graduate).

Photo credit: Eyeshot Photography

We got married in 2014.

In 2015, we traveled to Los Angeles for Ben’s interview with American University of the Caribbean.

Med School in the Caribbean: Learning How to Become a Doctor

Soon, we were on a flight to Sint Maarten for medical school.

Arrival in Sint Maarten. We were as exhausted as we look.

Ben’s white coat ceremony was the first of many reasons to celebrate during med school.

Most of students’ time in med school is spent in class or studying.

Bern studied constantly (we made that shelf out of two trash cans and a board from the dumpster).

We had fun in the Caribbean, too. Here’s Matt and Ben surfing.

We loved living on the island.

Getting into the community to volunteer and make friends was my favorite part.

Hard work paid off! Ben made the dean’s list each semester of medical school in Sint Maarten.

Lab work for a zika virus study was a great opportunity.

Med school honor and service society. Can you spot Ben?

We moved home from Sint Maarten after two years. We gained a dog.

Clinical Rotations in the States: Immersion in Hospital Work

Ben was a third-year med student in Michigan. He did one year there, nine months in Arizona, and three in California.

We spent a lot of time at home in Detroit since we were both in school and I was working from home.

The 4th year of medical school is a student’s 20th year of schooling.

For med school year four, Ben transferred to a hospital in Arizona so we could be near family.

Ben became a daddy during fourth year of medical school.

Residency interviews took Ben all over the country. I went with him to this one in Palm Springs.

Match Day during the last clinical rotation in Bakersfield, CA! Ben matched at his #1 choice of residency. We got to move home to Phoenix.

We went to Florida for med school graduation.

Quite the crowd of family members attended Ben’s med school graduation. He had a huge cheering section!

Residency in Phoenix: First Three Years as a Doctor

Here’s the official Dr. Johnson in his long white coat at work. Ben spent 3 years in his internal medicine residency.

Residency is tough, and not just because of the 28-hour shifts. Working in the ICU during a pandemic was draining.

But he made it. Finally, residency graduation! Oh, happy day!

After 11 years of this journey, we’re celebrating the end of a chapter. Can’t wait to jump into the next one!

Surfing in Saint Martin: My Favorite Spots

Today marks the first day of the Tokyo Olympics! And that means the first year of Olympic surfing has begun. Woot woot! Surfing is probably my favorite sport, both to watch and to do. So I’m pretty stoked at the idea of seeing this become an Olympic sport.

Lest you think I’m some super cool surfing fiend, let me add a quick disclaimer: I am not great at surfing. Yes, I got up on my first try. Yes, I walked from my apartment to the beach with my board under my arm like a boss on the regular. Yes, I managed to figure it out on my own without a surf lesson. But as you can see in the photos, my board was the size of a tiny whale. And, as you will never, ever see in the embarrassing Go Pro videos Ben took, my form was less the stellar.

Yeah, maybe I should have taken those surf lessons…

While we lived in Sint Maarten, Ben and I went surfing with friends. A lot. In surfing season, it was at least once a week, despite the demands of being a med student at American University of the Caribbean.

Loading up Matt’s island jeep with our boards

Although Sint Maarten isn’t famous for its surfing, it does have some good surf spots, and we managed to find all the good ones (and a few very dangerous places, which I will not share. We are probably lucky to be alive). Here are some of our favorites!

Mullet Bay

Mullet Bay Beach was a five-minute walk from home. Yes, I know– we were living the dream. For real. Especially since I still haven’t found a beach I like better than Mullet, with its surfing, snorkeling, cliff-jumping, sunbathing, swimming, sailing, kayaking, skim boarding, and fishing opportunities. I definitely miss it, now that we live in the desert!

Surfing Mullet Bay is only good in the winter months, when the surf is choppy. Other times of the year, it’s smooth as glass– perfect for scoping out the parrotfish, cuttlefish, and blue tangs that live in the reef.

Surfing here makes me a little bit nervous because it’s close to the beach and tons of people way better than me pack together and compete for the same waves. If it was busy, I’d usually just look on and take photos. It’s a great place to watch, since you can see surfers close-up from the beach or the rocks.

Plum Bay Beach

Our favorite beach to surf is Plum Bay Beach in the lowlands on the French side. It’s popular but not too busy, meaning I had a chance at catching some waves most of the time, even if there were a couple of other people there. You do have to swim out a bit, and getting past the smaller breaks to the surfing-sized waves was tough with my bigger board. But the rides were pretty long, and the waves are just the right size for me!

Our friend Jake lived in the neighborhood next Plum Bay. Jake’s from Hawaii, and he’s incredible to watch. He helped us improve a lot. And may have kept me from crashing into rocks and dying a few times.

Le Galion

Le Galion in French Saint-Martin is by far the most popular surf spot in Saint Martin. Even though Hurricane Irma demolished the beach in 2017, the surf shop, SXM Surf Club, is still there. Actually, when we went back in 2019, it was the only business still there. Gone were the colorful umbrellas, burger shop, and paddleboard rentals. I don’t know if anything else has been rebuilt (comment if you know!), but just the surfing is worth a visit.

SXM Surf Club rents boards, offers affordable rides out to the break, and gives lessons. We never took a lesson, but the instructors were so nice and sometimes volunteered tips for free when we were out at the same time as them. I think if we go back, I might take a lesson for the fun of it! We did pay to ride the ferry out a few times, but usually we just gritted our teeth and made the 20-minute swim out on our own.

This spot is usually pretty busy, but it’s also huge, and people tend to be nicer about taking turns and letting slow newbies have a shot at the waves. Which is a really good for me. I only ever slammed into one person on a packed afternoon (oops). If you bring your own board when SXM surf club is not taking people out and opt to take the long swim, you’ll have more waves to yourself.

Guana Bay

Ben only surfed Guana Bay once with Matt and Jake, and I just watched. The waves break right on the beach, and it didn’t seem like a good day to break my neck. If you’re really good and have a smaller board, it looks like a fun place to go. I prefer the Guana Bay Hike on the other side of the hill– takes you right to gorgeous tide pools!

Petit Cayes

I’m not sure I’d necessarily recommend Petit Cayes for surfing, but Ben and Matt did go a couple of times. The concept is cool. You have to drive all the way up to the northern part of French Saint Martin, past Pinel Island, and park at Grandes Cayes. Then you hike around the mountain, with its stunning views of Tintamarre Island and beautiful geological features; crunch over thousands of washed-up coral skeletons; and find yourself on the most stunning, pristine white-sand beach you have ever laid eyes on.

Since few people make the long trek to Petit Cayes, it’s free of trash and crowds and feels like you just discovered a desert island. On the horizon, the thin line of Anguilla peers up from the waves. It’s a wonderful place just to sit and think.

The waves here were too big for swimming every time we went, so Ben and Matt decided to try to surf there. The reason I say I don’t recommend it is that the current is pretty strong and Ben felt like it might not be a great idea to make it a regular surf spot.

Cupecoy

Cupecoy is another beach that we could walk to. A few times, we walked there and I stayed up on the cliffs while Ben went down to surf. We also paddled there from Mullet once when the beach was busy– for fun, and to avoid having to walk through the nude beachgoers.

I think Cupecoy is really scary because the wave break right into a rocky outcropping. I didn’t feel confident in my ability to steer my orca-sized surfboard well enough to stay alive, so even when I went out, I preferred to sit behind the break and watch the sunset. After all, what’s better than watching the sun dip below the Caribbean Sea?

It’s hard to believe it’s been four years since I’ve been surfing! Ben went with SXM Surf Club when we visited the island in 2019, but not me. Next time we’re in Sint Maarten, I’ll definitely go! For now, I’ll be happy getting to watch the best of the best compete for gold in Tokyo. Go USA!

And now, for your entertainment, a sneaky photo of Ben walking into American University of the Caribbean with a surfboard so he could run straight to the beach after class:

Home Sweet Home

There’s no place like home. Especially when you know you’ll get to call it home for a while.

Kayaking the Salt River for our anniversary

Ben and I celebrated our fifth anniversary a week ago! We realized that we’ve experienced a lot in our half-decade of marriage. Most notably, we survived Ben’s med school journey. I also survived my master’s program. We moved twelve times, living in two countries and three states. We had a baby. I can’t even remember how many jobs we’ve had.

But the transition is over!

You know, it’s fun to list all the different things we’ve done, but it sure does feel flighty at the same time. We’ve both been reading Grit by Angela Duckworth (Ben had it first and I snag it to read when he’s busy), which talks about how most people who excel in their field stick with things and pursue goals over a long period of time. It doesn’t seem like our lives have really characterized that over the past few years, but in the end, it was all to pursue this thing called an M.D. And now we’re on to the next stage.

Flying home after Ben’s graduation! We were on TV at the San Antonio airport.

When it’s all said and done, it was fun to try a bunch of different things, but I’m glad we’ll be sticking with a routine for a while. We were gritty enough to get through med school, and I think we can be gritty enough to be OK with the daily grind, too.

Little Man will appreciate that, too, I think. We were finally able to get him a crib. At eight and half months old, he’s finally out of the pack-and-play and can depend on sleeping in the same place for more than a few weeks at a time.

Relaxing at home

We also bought a couch. That doesn’t sound too exciting, but to me, it was an indication that we’re staying here for a while and not getting furniture with moving in mind. We’ve never bought a couch before. My parents gave us our first one, and we’ve just had futons and things that came with furnished apartments since then. It was fun to pick one out- and the people who sold it to us at their garage sale invited us over for dinner, too! A couch and new friends in the neighborhood. Doesn’t get better than that.

Living room

We’re actually planting things, too. To be honest, the best I’ve done so far is put some pots in the backyard and grow some chives in the kitchen, but it’s a start. Quite literally, we are “putting down roots.”

It’s good to be home.

Fort Willem

Breathlessly, we broke through the trees and cactus patches. Below us, the island spread like a lazy sea otter, floating peacefully on the blue ocean. Above us, we could see the antiquated stones peeking out from among the brambles. We had found it: the lost fortress.

Sound like the beginning to an adventure novel? Well, sometimes living on Sint Maarten felt like being a character in an adventure novel. I didn’t stick to the beaten path much when I lived there, so I often found myself on some old goat trail leading to a lonely summit (fun!), the dump (not fun), or a tangle of poison apple trees (even less fun). Today’s hike, though, led me and my husband, Ben, to the ruins of the island’s original fort.

Fort Willem was the first of three forts built on the island. It was constructed by the British in 1801 to protect the new territory from invading colonists and pirates. Apparently, it wasn’t particularly effective, because not long after, the fort was captured by the Dutch. The Dutch named it Fort Willem, after their king, but didn’t use it for more than a few decades. The fort offered awesome views of the bay, but unfortunately was too high and too far inland to effectively cannonball the enemy. Fort Amsterdam, built near Fort Willem but much closer to the water, was constructed to replace it.

View of Great Bay from Fort Willem

Fort Willem is on every map of the island, and it’s advertised as a fun outing by several websites and tour companies who have apparently never been to Sint Maarten. Just because a location is labeled on a map and it looks close to the tourism district does not mean it’s a great little experience for every tourist. Especially when you’re on an island made of really tall HILLS. Fort Willem is ridiculously hard to find. And you’re guaranteed to end up bleeding in at least one place by the time you reach the fortress.

Giant shoe-penetrating thorns

That being said, there’s no reason why you shouldn’t go anyway! If you like hiking and don’t mind a little adventure, you’ll have a blast hunting for the fort.

How Not to Get There:

I spent weeks asking around about the location of Fort Willem. The map I had wasn’t quite clear about which labeled hill corresponded to the undulating mounds of earth near Philipsburg. But nobody, local or expat, had been there or could tell me where it was. A lot of people didn’t even know what what I was talking about. But I was determined to visit every accessible location labeled on my SXM map (which I eventually did!), so I didn’t give up.

Fort Willem is located on- surprise!- Willem Hill, next to Cay Hill. There are two ways to get to the top. The first way includes near-death experiences and trespassing on a TV tower. This was the way we got up. We parked across from Sonesta Great Bay Resort and followed a winding road- deceptively named Fort Willem Road- up the hill. It was incredibly steep. When we got to the end of the paved road, we followed what started out as a well-worn dirt path. As the path went on, it became narrower and less beaten down. I guess there had been a lot of relic-hunters like us who gave up and went back at this point. They were smarter than us.

The path started to lead us along treacherously steep drop-offs and through tiny gaps in the thorn trees. I don’t even know how we squeezed through while fending off the wasps, but we did.

“I think this is a goat path,” I told Ben, who agreed with me and wondered aloud if we should go back. We decided we might not survive that trip a second time, and continued on. The best part thus far was the STUNNING views of Philipsburg and Pond Island.

If you find yourself here, you’re in the wrong place

Once we’d scrambled up some slippery dirt inclines, followed an ancient boundary wall built by people enslaved by the Dutch, circumnavigated a cactus forest, and bushwhacked through the thick undergrowth, we finally came to what looked like a really old building wall. Finally! We climbed up, and to our dismay, found ourselves on the foundation of a TV tower. Yikes!

At this point, I started worrying that we’d trespassed AGAIN and might get in trouble this time. Vowing to only follow human trails from then on, we got out of the TV tower area as fast as possible.

What did we find on the other side of the tower? Why, a road, of course. A nice, beautiful paved road leading up the side of the hill from the street below.

Armed with this new discovery, and now feeling much better about the trip down, we began to search for the fort.

WE FOUND IT!

To be honest, there’s not much left of Fort Willem. I heard a rumor that some of the stones were used to build Fort Amsterdam once Willem was abandoned. We could now see Amsterdam below us…. hundreds of feet down, it stood like a LEGO structure on the end of its peninsula. Maybe they just rolled the stones down the hill?

Fort Amsterdam

After a few minutes of searching, we finally found the ruins of the wall and battlements of Fort Willem. Overgrown by bushes and invisible from the road below, the wall offers a breathtaking view of the island and the sea. Wow! It did require a climb, but the end result was worth it. We sat on the wall and tried to imagine what it must have been like to man the guns from all the way up here, long before the buildings and cruise ships appeared below.

How to Get to Fort Willem

Now that I’ve described the first way to get up, I should probably tip you off on the second, and far better, way up the hill. The road we found was a much better route. We followed it down and back to our car without incident.

Walking back to our car…. down and around the hill

If you’re going toward Philipsburg from the Simpson Bay area, you’ll go right past the road leading up to Fort Willem. When you get to the part of the road between the hospital and Little Bay, look for Otter Road. Otter joins up with Camel Road, which is the road you need to take.

You’ll find the turnoff on this road

You can drive most of the way up, or park in the neighborhood below and hike up.

Old Battlements

This is definitely one of the most painful and more random excursions available on Sint Maarten. If you’re looking for a cool hike and you only have a few days on the island, go to Pic Paradis or Belvue. If you want to see a fort, go to Fort Amsterdam or Fort Louis. But if you want to go off the beaten path and do some Indiana Jones type exploring, Fort Willem is always waiting for you!

Temporary Californians

We are Californians for the next ten weeks! Ben has 67 days of med school left- but who’s counting- and he’s doing it in Kern County.

Not Kern County

Every time I tell someone we’re living in Cali for a while, they get excited about the beach and tell me how awesome it will be to live by the ocean. I guess when you live in Arizona, any proximity to water is exciting. A sad but true bit of Arizona trivia is that real estate with a canal view is expensive.

Actually, though, it’s winter in NorCal. Or is this central Cal? So there’s that. Also, Kern County is sadly nowhere near the beach, and even if it were, I wouldn’t be that excited. After two years of living a five-minute stroll from a Caribbean beach, the cold, sharky waters on the nearest coast aren’t worth the drive more than once or twice. I think I might be ruined forever, as far as beaches go.

My cool dudes in Cali

Beaches aside, it’s kind of fun to live under the bear flag for a while! So far, we’ve been two places. The first is Wal-Mart. We discovered that you have to pay 10 cents per plastic shopping sack here. As inconvenient as that sounds, I was actually kind of glad that we’ll be forced to use our own shopping bags here. In Detroit, where we lived last year, most people apparently hate the environment because there is trash literally everywhere. Not kidding… People on our complex used to chuck their trash bags off the balcony into the trees when they didn’t feel like taking it to the dumpster. We got so sick of it, we started taking reusable bags to the store as a silent protest against littering. Unless we went to Aldi, it was easy to cheat on our resolution… But you better believe that won’t happen here. No way I’m paying for bags.

The second place we went was the Civic Musical Road, which plays “William Tell” when you drive it! It’s so cool! Ben and I were both grinning like little kids on Christmas when we drove over it, turned around, and drove it again.

I didn’t take photos of Wal-Mart, because that would be weird. I also didn’t take pictires of the musical road, since I was driving. But here’s a picture of Kito in our Cali home to hold you over til the next California update!

First Day of 20th Grade

It’s that time of year…. you know, when all the moms are posting cute photos of their kids holding Pinteresty signs announcing what grade they are about to begin. Not to be outdone, I was sure to take a photo of my (very cooperative) husband on his first day of med school year four:

 

 

Folks, this is the last first day of school for him. Ever. Twenty-plus years of school is enough. Next year, I’ll have him post for a “first day of work as a doctor” photo. But I probably won’t ask him to hold a sign.

I decided to find his other “first day of school” photos. I took them every year, usually chasing him out the door at the last minute because I just remembered I wanted a picture. His first year of medical school, we actually got a pretty nice photo for the first day of school, which was his white coat ceremony:

 

 

I’m not positive which photo is the “first day” photo from med school year 2, but here’s a photo from that year:

 

 

You can see Kito is enjoying her favorite perch, which is always behind Ben in whatever chair he happens to be sitting in.

Here’s last year, the third year of medical school, with his white coat freshly ironed on his way to his first family medicine rotation at the clinic:

 

 

And, of course, I can’t forget to do a throwback to his first day of college. This picture is provided by his Aunt Barb, who dropped him off at school not long after he arrived in Arizona from Tanzania.

 

 

Hard to believe that was almost ten years ago, in 2009!

So, what does 20th grade look like for Ben? Well, for the first four weeks, he has a subinternship rotation in internal medicine. He works 60-some hours a week over six days. I’m not going to lie, I was pretty sad to lose that Saturday with him. BUT- they aren’t requiring any overnight on-call shifts, so that is a major benefit. He doesn’t get “paternity leave,” since he’s a student, but fortunately he can take a couple of days when the baby is born. I’m hoping the baby decides to make his grand debut on one of Ben’s days off. Baby is due September 26, during his last week on this rotation, We’ll see if he comes on time or early. Or late– who knows?

 

 

After that, we’re not sure what Ben’s schedule will be. I figure that all of the rotations will probably be pretty intense, but at this point it’s just about getting through everything until April, when he’ll finish his last rotation. He just took the 9-hour USMLE Step 2 exam two weeks ago, which means no massive exams to study for this year! Phew!

 

 

After so much school, it’s hard to believe Ben’s almost done. It will be pretty weird to have neither of us in school for the first time ever! But it will also be pretty awesome.