Category Archives: AUC

Ben’s Pen: The Kind of Doctor I Want to Be and Why

Here’s a special post written by my husband, Ben. This is his story.

Growing up in Africa

A single set of car headlights could be seen bobbing up and down on a remote dirt road at midnight. Our jeep jolted over every bump as it raced through the night. My parents were driving me to Heri Adventist Hospital in remote Tanzania. I had appendicitis and needed immediate attention. My only hope was a surgeon named Dr. Alvin Rocero, the only person within hundreds of miles that could perform such a surgery. The journey was not a comfortable one, and each bump caused a sharp pain in my lower abdomen.

After several hours, we arrived and Dr. Rocero was there to meet us. We were so grateful that he and his team were willing to receive us so late at night. The staff performed the necessary blood tests and confirmed that I had an elevated white blood cell count. I remember being wheeled into the operating room and after the anesthetic, blackness.

After surgery in a remote hospital


   I awoke the next morning, blurry eyed and confused, but grateful to be alive. The appendectomy had been successful. A four inch incision, complete with stitches, marked the lower right side of my abdomen, since the materials for a laparoscopic appendectomy were not available in rural Tanzania. As I lay there in the hospital, I watched the medical staff come and go. I saw the incredible needs that they met with limited personnel and equipment. I saw the love with which they served people they did not even know, treating each patient with the utmost care.

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One of the nurses at Heri Adventist Hospital

Five months later, I injured my knee while playing rugby at my boarding school in Kijabe, Kenya. I underwent a successful arthroscopic surgery at Kijabe Mission Hospital. Unfortunately, thirty minutes after the operation, I began to get a severe headache. The pain escalated until it was unbearable. I do not remember what happened after that, but the hospital staff said that my fever spiked and I slipped into a coma. My condition worsened by the minute, and the doctors thought that I was going to die. They called my parents, telling them to get on the next flight from Tanzania to Kenya because they did not think that I was going to survive. However, they performed a spinal tap and discovered that my cerebral spinal fluid was a milky color. Doctor Myrick immediately suspected meningitis and started me on intravenous antibiotics. His quick decision saved my life. Thirty minutes after they administered the antibiotics, I snapped out of the coma and began to recover.

Playing rugby for Rift Valley Academy
Playing rugby for Rift Valley Academy

In the span of six months, I had endured much pain and suffering and almost died twice. It had not only affected me physically, but also mentally and emotionally. I realized how fragile life is and how quickly it can be lost. As I recovered in those mission hospitals, I had ample time to reflect on this and to observe the personnel who worked there. They had not only administered to me with loving care but also to everyone else. These people dealt with stressful situations every day. They were either paid too little or not at all. Many of them had sacrificed lucrative practices in the United States to come and voluntarily serve thousands of medically underprivileged people. Yet, they treated each patient with the dignity and respect that every human life deserves. Just because the services were free or at expense costs did not mean that they did the bare minimum. These people went above and beyond. They saw me. Not just whether I needed another antibiotic injection, or an IV bag, but they saw the trauma that I had gone through. They took compassion on me. They would talk to me to make sure that I was doing OK. They noticed when I was confused about something and clarified it until I understood. They exhibited the often-forgotten part of caring for people—to actually care about them. Many medical professionals can easily give a good first impression based on their physical appearance. However, all of that can be quickly forgotten if they are aloof, uncaring, and insensitive. People want to know that doctors care. They want to see it in tangible ways. It is a life-long journey of learning how to become a more compassionate and caring healthcare provider. I believe that is what separates the great doctors from the mediocre doctors.

Living through these experiences inspired me to become a doctor, a compassionate and caring doctor. I want to be a physician who can care for physical ailments and conditions, but also someone who can empathize with the hurt, the confusion, the pain, the stress, the unknown, the chaos, the unfair, and the loss that patients in hospitals experience every single day. There will be many tough cases that I will face daily. There will be many demands that are placed on me. People will be difficult. Patients will be ungrateful. Technology will become frustrating. Co-workers will not cooperate. Even though all of these things will happen, I will choose every single day to see the needs of people, not just their physical needs, but their emotional and spiritual needs as well. I want to comfort the person who is crying, to acknowledge the one who feels lonely, and to clarify when I see confusion in someone’s eyes. I want to be there when someone’s world is falling apart. Being a compassionate and caring doctor is a lifelong process. It is part of being a true professional; a professional who cares.

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White Coat Ceremony at AUC

For a medical student, college graduation is just one ceremony in a series of celebrations. One of the most memorable events for a doctor-hopeful is the white coat ceremony. At this ceremony, the brand-new, straight-from-the box medical school student takes the Hippocratic Oath and his or her white coat.

Me and Ben at the cermony
Me and Ben at the ceremony

The Hippocratic Oath is as follows:

I swear to fulfill, to the best of my ability and judgment, this covenant:

I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow. I will apply, for the benefit of the sick, all measures which are required, avoiding those twin traps of overtreatment and therapeutic nihilism. I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug. I will not be ashamed to say “I know not,” nor will I fail to call in my colleagues when the skills of another are needed for a patient’s recovery. I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God. I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick. I will prevent disease whenever I can, for prevention is preferable to cure. I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm. If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

Written in 1964 by Louis Lasagna, Academic Dean of the School of Medicine at Tufts University, and used in many medical schools today.

Third Century fragment of the Hippocratic Oath
Third Century fragment of the Hippocratic Oath Photo Source

The Oath has been used for many centuries and in many places around the world. It originated in ancient Greece and was named after Hippocrates. You can read the original version of the Oath here if you are interested.

Byzantine manuscript of the Hippocratic Oath

Byzantine manuscript of the Hippocratic Oath Photo Credit Here

Every incoming student at American University of the Caribbean participates in the white coat ceremony. New classes enter the school each trimester. Ben’s class has about 250 students. After a welcome address from the president of the student government association, the introduction of faculty and staff, a few award presentations, the introduction of the honor society, and keynote address, the students stood to take their pledge.

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After the pledge, each student was called up to the stage, one by one, to receive his or her white coat and shake hands with the M.D. Chair and Assistant M.D. Chair.

Ben receives his white coat
Ben receives his white coat

You may notice from the photo that Ben’s coat is much shorter than Dr. McCarty’s coat. The student coat is, in fact, called the “short white coat.” Traditionally, medical students wear a short coat until they earn the title of Doctor. During medical school, Ben will wear his coat daily during lab period, when learning how to interact in a clinical setting, and when doing medical service in the community with the school.

American University of the Caribbean students at the white coat ceremony
American University of the Caribbean students at the white coat ceremony

After the ceremony, we were all shuttled to a classy catered dinner at Puerto Cupecoy, a shopping/dining area at the edge of Simpson Bay Lagoon.

Ben and his friend Matt at the celebration dinner after the ceremony
Ben and his friend Matt at the celebration dinner after the ceremony. Please appreciate Matt’s tie.

I’m so proud of Ben! This is a big step. The next milestone is far down the road, and it’s time to work hard and study.

Dear American Tourists

Dear American Tourists, please stop being so rude.

It is no secret that American tourists do not have the best international reputation. I am an American. I live on a Dutch island in the Caribbean, where my husband goes to medical school. We were asked during orientation to be courteous and not perpetuate the poor reputation American tourists have. I do not think of myself as a rude person. I think most Americans do not. I have noticed, however, that in every country I have ever visited, “the locals are so friendly.” Maybe I have only traveled to friendly places. Maybe not. Maybe, everywhere else seems so friendly because America is generally not very friendly at all.

So what is our problem? Why don’t people like us, and what can we do to change that?

I would say that many things are cultural. People have different ideas of how to greet one another (one friend here said that he was sternly corrected for saying “hello” rather than “good morning,” which is proper here). People have different standards of eye contact. People have different rules for tipping, eating, asking for directions, etc etc.

There are some things that you can control when it comes to cultural courtesy. You can Google whether tips are expected or insulting in a certain area of the world. You can ask what a proper greeting entails. You can watch to see whether greeting strangers as you pass is considered kind or creepy.

There are also some things that you cannot control. You will not pick up on the majority of cultural nuances. You will trespass because you are used to signs designating private property. You will shake hands “wrong.” It happens. People probably won’t care too much; they will hear your accent and realize you are foreign. They will probably ignore it or laugh a little. They might become annoyed, but, hey, you’re learning.

Finally, there are things that are very rude no matter where you are. Dear American tourists, please do not do these things.

Please do not act as if you are better than other people. Your taxi driver and your waiter are not there for you to unload your grouchy jet-lagged crabfest upon. And just because people do things differently than you would does not mean it is “wrong.” It’s just, well, different.

Please do not act as though America is superior to all other nations. We Americans all love the stars and stripes, and that’s a good thing! However, people don’t want to hear a string of comparisons that belittle their own beloved nation. America is a culture where things are dichotomistic, time-oriented, and efficient. Most places aren’t like that. So don’t freak out when things are relaxed, confusing to you, or just plain irritating. If you wanted things to be American, you would have stayed in America. So enjoy the culture, embrace it while you’re there, and look for the good aspects.

Please do not be ethnocentric. No matter where you come from, it’s easy to place anyone different from yourself in the category of “Other.” You know what I mean, those Other people. The ones who look or dress or work or speak differently. I think that if we aren’t careful, we often look at people who are different from ourselves as less intelligent, less skilled, less important. You see a woman in a third-world county who is illiterate and does not work outside the home, and has never touched a computer. You may have more education and technical skills, but can you keep eight kids clothed, fed, and healthy in a two-room mudbrick home with no electricity, no water, and no stove? Can you sort rice so that not one tiny stone ends up in the pot? Can you carry 50 pounds of stuff on your head with no hands? Do you speak three languages? Can you keep a garden that supplies most if not all vegetable needs for your family, plus provides a little income? That, my friends, takes some serious skill. Some things are easy to miss. Learn to appreciate them. And just simply LEARN! Don’t go somewhere expecting to be a guru of all knowledge. (Shout out to short-term missions trip people here.) If you want to teach, you must first be a student. You will get more respect if you are willing to ask to be taught. Plus, it’s fun. It’s an icebreaker. It brings much laughter.

Please do not devalue other nations’ autonomy. I cringed when I heard an American tourist say, “The Bahamas should just be another state. It’s basically just part of the U.S. anyway.” How uninformed. Please, Mr. Florida Guy. You visit Touristville where half the people are white and everyone speaks English, and suddenly you think you know everything about the nation! My advice is, forget the tourist traps and take a local taxi or bus to the places that the locals hang out. Then you can get a feel for how people live. Learn about their government and read about the very intelligent people who run the state. There’s so much more to a place than just its American-catering tourist industry.

Please do not offend the locals by the way you dress. There are places where a bikini is pretty standard. There are places where you really ought to cover up, even arms and legs. Know the difference. There is no reason to exercise your liberty to dress revealingly if it gives you, your organization, and your country a bad name.

Please be mindful when you take photos. In some places, you can get your camera confiscated if you take a photo of the wrong thing (military or police in some countries). In others, people simply don’t want to be in your scrapbook. In general, don’t objectify locals as if they were some interesting foreign specimen.

Please do not be pushy. Yes, you come from a place where you can get pretty much whatever you want almost as fast as you want it. When traveling abroad, be mindful that this is rarely the case. Do not intimidate, complain, or demand. Rather, be smart and be respectful.

Please just be kind and courteous. In the end, people know you’re a visitor. They expect you to be, well, a weirdo. However, it is possible to be a courteous weirdo. Say please and thank you, smile, treat people the way you would like to be treated. Kindness counts, and it can go a long way in improving our international reputation.

Welcome to American University of the Caribbean!

Today is the day! We’ve been dreaming of this day, planning for it, and praying for it for many months. No, it’s not our wedding. We already did that. Today is Ben’s first day of medical school!

Like the dorky picture-snapping wife I am, I took a “first day of school” photo and posted it on Facebook.

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This is technically the first day of classes, but Ben has actually been on campus all week. We first stepped onto campus for our campus tour last weekend. Our first impression of the school was that it is spacious, clean, secure, tastefully decorated, and has a great view. We also thought that the campus is pretty big, but anything looks big compared to our undergrad university. Our campus tour showed us the “welcome center,” or guard shack, as it is commonly known, where security checks in and out every single person who enters campus. The next stop was the rotunda, a large, circular room in the center of the main building. Here, there are stairs that go to a second floor, which contains a few lecture halls, the library, and other rooms. On the same level as the rotunda is a nice recreational building with a ping-pong room, a room with couches for chilling and studying, a yoga room, and the gym. I was most excited about the gym. I’ll be spending a lot of time there. It has several treadmills and ellipticals in addition to other workout machines that looked like they are in great condition.

Pumpin' iron
Pumpin’ iron

There is also a cafeteria near this area, and the prices aren’t bad. Ben got a chicken wrap, an apple, and a bag of chips yesterday as a free new student gift, and he liked it. I think it would usually cost $5, which isn’t bad at all, considering the price of food on this island.

If you walk straight from the front door into the rotunda and then out the back door, you will arrive at note services, more lecture halls, and study rooms for rent. There is also a basketball court and the smoking area. I have no idea why anyone would be going into medicine and also be a smoker, but to each his own.

Basketball Court
Basketball Court. Too bad I took this at night– the lagoon is in the background.

Through a patio garden area, down the steps, and across the street is The New Building and the dormitories. The New Building has many lecture rooms, offices, a smaller cafeteria area, a study zone, anatomy lab, the auditorium, etc. Ben will be spending most of his time here. His class is the biggest at the school so far (about 280, I think), so they will be living in the auditorium for most of their classes. During anatomy lab, they will be upstairs working in small groups. Thankfully, each person gets their own anatomy lab locker, so nothing that smells like cadavers and formaldehyde will come into our apartment!

The auditorium
The auditorium

Behind The New Building is a stunning view of Simpson Bay and the mountains that make up this island. Beautiful.

Mural outside Ben's classroom. It represents giving a bright future to the island's children.
Mural outside Ben’s classroom. It represents giving a bright future to the island’s children.

Besides a tour, the school has hosted many other fun and/or required pre-class events. There were several shuttle runs to the grocery store over the weekend. Saturday was a beach volleyball game and Ben got his ID badge that same morning. Sunday was registration in the morning and a welcome meeting in the evening. Happily for us, the evening event was catered with a delicious meal! Nothing says “happy students” like free food. After the welcome meeting, everyone was invited to compete in a scavenger hunt (this provided the lovely photos for this post) and an ice cream mixer.

Boats in Simpson Bay Lagoon
Boats in Simpson Bay Lagoon

Monday included seminars on wellness and professionalism. If I had named them, I would have called the sessions How Not to Die and How Not to Lose Your License. Most of it seemed like common sense to me as I flipped through the booklet, but it’s always good to hear good advice, especially during times of transition and stress. Besides, there are a lot of ways to be stupid and get in trouble on this island. Hopefully people will take the warnings seriously, because coming to class with a massive hangover is not a good way to pass one’s Step Ones.  There was also an assessment and a reading quiz on Monday over the book Short White Coat. 

Island Bus Tour
Island Bus Tour

Yesterday (Tuesday) contained more and longer workshops, as well as an island tour. We stopped in Marigot and visited a French Patisserie. It was actually a pretty good price– four delicious pastries for about six bucks. We also stopped in Orient Bay to see Saint-Martin’s best beach. I have to say that I like Mullet Bay much better. Orient is pretty seaweedy this year, and the beach was pretty busy. It does have a good view of Anguilla and some small islands, though. We didn’t stop anywhere else, but it was nice to drive the perimeter of the island and see the less touristy areas where local people live. I was delighted to finally see some fresh fruit stands! After the island tour, the students went back to school for complementary subs and a meeting with their orientation advisers.

French Pastries
French Pastries

The week is not over yet! After today’s classes, there is a student mixer. Tomorrow is the Spouse Organization’s first get-together. Friday is the white coat ceremony. And from there, it’s all about studying, studying, studying.

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Worst Shopping Trip Ever

It’s funny now, but it wasn’t funny when I was in the middle of it. Our first full day in Sint Maarten did not include the beach, fresh seafood, or any of the things you probably thought I’d do as soon as possible. Instead, we spent pretty much the whole day on biggest shopping fail I’ve ever experienced.
One of the blessings of living in or complex is a little Chinese general store just a quick stroll down the hill. It has most of the things we needed to buy, including cups, canned food, and even plates (they say “love apple” on them, whatever that means, but hey, they’re plates). It also has a lot of things we don’t need, but were very entertained by– plastic cups with anime bears, and a set of tiny drawers with the same badly-translated Chinese poem on every drawer.
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We bought some of the things we needed, but we had heard that a discount store in Philipsburg, the capitol city, was having a killer closing sale. We didn’t know how to get there, so we asked our complex’s maintenance man where the bus station is. He offered to give us a ride to Maho, where buses leave more frequently. We gladly accepted his kind offer, and he actually drove us all the way to Philipsburg, so our bus ride to the end was short. Our first stop was Cost U Less, where things might cost you less on the island but definitely cost more than in the States. Let’s just say we won’t be buying cereal here. We bought a few things and moved on to the store with the sale, Save A Lot, and found decent prices for many of the things on our shopping list– sheets, comforters, couch cover, curtains, knives and block, pillows, doormat, etc. The selection wasn’t so great, but at least we got things we needed and liked.
Or so we thought.
We took a taxi home, because no bus would be able to take us and our bulky bags. We finally made it home, and began to unpack.
Our first problem was that the curtains I chose did not fit on the rod in our bedroom. The second problem was that they looked ridiculous in the living room. We despaired of our curtains and moved on to the bedding. We slept on my wrap-around skirts last night and used clothing-stuffed bags for our pillows, so you can imaging how happy we were to have sheets. One problem: they did not fit. The sheets said that they were for a full bed, but they were about a foot too short! We bought three sets, sadly. This also meant that the blanket we bought did not fit. The door mat didn’t work either– every time the door opens, it sweeps the mat to the side.
At this point I was feeling pretty discouraged. I flopped down on our half-sheeted bed and stared dejectedly at the ceiling. Ben walked in, carrying the box that held our new knife set. “Are you OK?” He asked. I said that I was frustrated because everything we made the trip for we couldn’t use. “It’s going to be OK,” he said, as he opened the box. He slid out the knife block  and, lo and behold, no knives. Just an empty block and the cutting board that came with it. We stared at it and I wasn’t sure whether to laugh or cry. Ben shook his head and burst out laughing. I laughed, too. Sometimes, you just have to have a sense of humor.
We ended up using the bedspread as curtains, the top sheets as fitted sheets, and the doormat as a rug in the kitchen. We went shopping again today and found sheets that actually fit. I don’t really know what to do with an empty knife block or those silly curtains, but sometimes you just have to take things with a shrug and laugh a little. As Ben says, stuff like this comes with being a foreigner. You just have to make mistakes and learn. You just have to let those annoying things that are different from “home” roll off your back. It won’t always be easy to laugh at the things life throws at me, but at least I’m learning.
View from our apartment
View from our apartment

Moving to American University of the Carribbean To-Do List

BEN

Preparing for American University of the Caribbean has been a long process. Here’s  look into our to-do list since applying to AUC:

  1. Fill out application paperwork and write essays
  2. Pay application fee
  3. Receive interview invitation
  4. Celebrate!
  5. Plan interview date
  6. Be thankful you spent months studying and preparing for interviews
  7. Drive to Los Angeles. Go to Disneyland.
  8. Dress sharp and be sharp during interview
  9. Receive acceptance call
  10. Celebrate again!
  11. Send various completed forms to the school
  12. Research St. Maarten
  13. Get vaccinations
  14. Apply for scholarships
  15. Find housing
  16. Book flight
  17. Turn in notice of vacancy to apartment complex
  18. Find baggage
  19. Get rid of anything we don’t need
  20. Pack up the rest
  21. Get international insurance
  22. Dentist and doctor appointments
  23. Arrange for student loans
  24. Receive scholarship offer
  25. Accept scholarship offer
  26. Celebrate!
  27. Clean apartment
  28. Move out
  29. Move in with my parents
  30. Get rid of more stuff
  31. Make trips to donation centers
  32. Sell stuff
  33. Finish projects and tie up loose ends
  34. Explore as much of Arizona as possible
  35. Babysit, house sit, and freelance when opportunities arise
  36. Find online work for me
  37. Go shopping for anything we need
  38. Buy medical equipment
  39. Buy used things from AUC students on the online classifieds so we can set up house on the island
  40. Set up bank account we can use internationally
  41. Download digital textbooks
  42. Say goodbye to friends
  43. Have goodbye parties
  44. Decide finally what we are actually taking
  45. Pack bags
  46. Sell car
  47. Say goodbye to family
  48. Drive to the airport
  49. Fly away