Tag Archives: American University of the Caribbean

Reasons I Like Living Overseas

Those of us in the expat/foreign student category can name a lot of reasons why we chose to live overseas. I’m sure the most common answer is “I wanted to experience a different culture.” We talk about the people we interact with, the things we see, the food we eat. But reasons why one benefits from life overseas goes so far beyond just the obvious, beyond the great Instagram moments and the postcards home. Here is a list of some of the reasons why I think living overseas is great.

  1. Power outages
  2. Less choice in the grocery store
  3. The water goes out now and then
  4. Language barrier
  5. Transportation issues
  6. Frustrating cultural nuances
  7. Fewer people you can relate to
  8. That whole confusing English-metric conversion problem
  9. It’s not as safe

Pause. You’re wondering, why are these positive things? Aren’t these some of the reasons why most people never move internationally? Probably. But I would argue that they are also some of the best things that you will experience while living overseas.

  1. Power outages

Power outages are arguably the most annoying part of my daily life. We have weeks where the power stays on for days at a time and other weeks where I spend three hours every afternoon with no power– thus no internet, no AC, no cooking. The whole island is on the same power grid, so if something goes out, the whole island suffers. This is with the exception of the medical school, which has its own reliable generator. Our apartment, however, is at the mercy of the power grid. While it bugs me, this has made my life better in a few ways. First, it teaches me to be more flexible. If I have plans that require power, they have to change. That’s all there is to it. My attitude doesn’t change the fact that we have to eat cereal for dinner. But I can choose to have an enjoyable bowl of cereal by iPhone light or to have a miserable cereal dinner by iPhone light. I’m learning to go with the flow. Secondly, lack of technology forces me to look around and remember all the other thing I can do! Reading, games, art… sometimes it’s good to take away the digital options! Also, the power outages bring us together. We all open our doors to let cooler air in, drop in to a neighbor’s apartment to see if we blew a fuse or if the power is out everywhere, and stop to have conversations.

Steel Drums in the Caribbean
Steel Drums in the Caribbean

2. Fewer options in the grocery store.

Personally, I like this because it make shopping quicker. With fewer brands and options, I can pick choose what I need and move on. It also makes my cooking more basic and my cupboards less crowded. I know what my staples are, I know what they ought to cost, and I know what I can make from them. Easy.

Click here to learn how to make this
Click here to learn how to make this

3. The water goes out now and then

Honestly, I really don’t like this. It’s gross to have dirty dishes pile up in the sink. It has, however, taught me to prepare and have a few jugs of water in case of emergency. Also, it makes me grateful for having running water at all. It makes me respect people who don’t have running water and work hard to make life work without it.

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Tanzanian school (Click to learn about our nonprofit Bariki Africa)

4. Language barrier

I interact daily with people who speak English, French, Dutch, Spanish, and/or Mandarin. Most people here speak enough English that I can communicate with them. My biggest struggle, honestly, is the heavily-accented Caribbean English that many people use. It’s terrible, but I struggle to understand foreign accents. It’s embarrassing. I have so many uncomfortable moments in buses and at stores! I’m grateful for this, though. It teaches me to go out of my comfort zone and learn to communicate. It forces me to assimilate my ears to local speech. Someday, when I move to a country without much English, I’ll be forced to learn to communicate on a whole new level. The result of this will be learning a new language. And that, of course, is a wonderful thing!

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Cream of Wheat… I think?

5. Transportation issues

We have decided to live here without a car. I am so grateful for my friends who have cars and take me to the store and everywhere else I go! Besides those who let me grab a ride, my only other option is a bus. We live in Cupecoy, an area with mostly resorts and dining and few locals. Therefore, the taxis come often but the buses are unpredictable. If I want to go somewhere by myself, my options are to wait as long as it takes for a bus to come or walk a mile through a golf course along the road to Maho, where buses come more often. I usually choose the golf course. Once on the bus, getting somewhere is not too bad. I did have a bus driver make me get out in the middle of traffic and then holler at me for not standing in the middle of the road to close the door. Other than that, it’s been alright. Certainly less convenient than having my own car. But in many ways, it’s better. First of all, I get to spend time with my friends when we carpool. I love that. Secondly, when I bus it, I get to be a part of normal life on the island. I meet people I’d otherwise never meet. I get to talk to the bus driver and hear his or her story. I get to learn island etiquette better. Want to be a local and not a long-term tourist? Take the bus.

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6. Frustrating cultural nuances

I took a few intercultural courses in undergrad. I remember that we once played a game representing a foreigner in a new culture. We were told some of the rules, but not all of them. We had to figure out the rest based on the behavior and reactions of the players who knew all the rules. That really is what it’s like when you live in a foreign culture. People tell you the obvious differences, but not the more subtle ones. You can let this drive you nuts or you can treat it like a puzzle to be solved. In the process, you’ll get some weird looks, maybe even some dirty looks, but you’ll also build relationships. Come in as a learner, with smiles and shrugs and apologies, and people will often be willing to laugh with you and help you learn. Expand your comfort zone! Step out into new boundaries, and enjoy making those mistakes and earning those little cultural victories. In Sint Maarten, locals greet each other formally with “good morning” or “good afternoon” as soon as they enter a new place. It has (finally) become a habit for me, and I’ve had great conversations with the local employees at AUC and people around town because I’m more capable of communicating respect the way they do.

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More on this in my post Dear American Tourists 

7. Fewer people you can relate to

Just because you seem to have absolutely nothing in common with another person doesn’t mean you can’t learn to relate to them. Widening your definition of what it means to connect with another person allows more people into your life. Diversity is a good thing! Expand your horizons. One thing I love about living here is that most of my acquaintances are from vastly different backgrounds than my own. I can learn so much.

Coat of arms sign in Berne, Indiana
Coat of arms sign celebrating history and culture in Berne, Indiana

8. That whole confusing English-metric conversion problem

Thanks, America, for having a complicated measurement system that is entirely different from the rest of the world! I’m still not sure this is actually a benefit. And I do love my dual-system measuring cup. However, I think I will be forced into learning how to operate in either system– and maybe even be able to do rough conversions in my head.

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9. It’s not as safe

During my rather limited international travel experiences, people in the U.S. have often fretted to me, “But it’s not safe!” “Africa is not safe!” “What if you get malaria?” “Why would you move out of the country? Isn’t that unsafe?” Even, “Be careful of those Islams over there.” I know they mean well but… really? This American obsession with safety is why schools have to have a specific number of inches between the wood chips and the seat of a swing or risk being written up by a safety inspector. To be honest, I’m not too worried about foreign diseases, all my Muslim friends and acquaintances are pretty cool people, and sometimes “safe” is boring. Why else do people jump out of airplanes for fun? I think the biggest thing here is redefining “safe.” In the U.S., we work so hard to stay safe and secure– we probably tend to go overboard, actually. Even so, the U.S. isn’t really safe. I grew up in the city with the highest national percentage of kidnappings per capita. We have all heard the tragic news about recent school shootings across the country. And some freak on the I-10 spent the better part of September lodging bullets in other peoples’ cars. Now, I live in a the region of the world with second-highest AIDS rate. There is a bar down the street where someone got stabbed last year. Muggings sometimes happen on the golf course at night. Also, all weapons are illegal on the Dutch side of the island, so I can’t even carry mace or a pocket knife to defend myself. That makes me feel uncomfortable. Is it safe? No, but neither is Phoenix.

I realize that many places in the world are extremely dangerous. There are places with rampant disease, war, religious radicals on extremist jihad, and many other dangers. There are places you would not bring your children to live. There are places it is not wise for many of us to go. I think that there are times, however, that we just have to place our lives in God’s hands and follow Him wherever He asks us to go. For some of us, part of the process of trusting Him is putting ourselves in a place that frightens us. What would the world look like had the Pilgrims, David Livingstone, Florence Nightingale, or St. Patrick been afraid to go where it was unsafe? Where would we be without the men and women in the armed forces who are willing to leave their homes to keep our nation secure? Stepping out a place of security helps us to redefine our priorities in life and to destroy unnecessary fear.

Whether you’re in Sint Maarten battling with a bad attitude about the electricity, in North Africa risking it all to help others, or in the United States stepping out of your comfort zone to engage your neighbor from a different culture, we all have something to learn from our circumstances. Whether you’re living at home or abroad, don’t take the little things for granted. Everything that comes our way can shape who we are.

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Ancient American Pueblos

A Day in the Life of an AUC Spouse

After my last post, A Typical Day at American University of the Caribbean, I was encouraged to tell about my own typical day. This is a little harder than sharing a typical day for Ben, mostly because my days are never the same!

Here’s what my day looked like yesterday:

We woke up at 6:30, a little later than usual, because we had a late-night Skype call the night before. I made stove-top toast for breakfast, and Ben left for class at 7:20.

Making food has extra challenges here! I don't read Dutch...
Making food has extra challenges here! I don’t read Dutch…

I organized my laundry and took it to AUC’s dormitory laundry room. Our apartment’s washer and dryer don’t work well, so I always do laundry at school. One of the washers had leaked, so an AUC employee was mopping the floor. I stopped to chat with her for a while. While waiting for my laundry, I studied Swahili from a textbook I got a couple years ago in Kenya.

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At 8:15, I met a couple friends– other spouses– near AUC and went on a 3-mile run with them. The air is humid and warm, so two of us decided to walk to the beach after our run to cool off. My friend brought her dog with us, and it was hilarious to watch her play in the surf!

Sasha plays on the beach
Sasha plays on the beach

Around eleven, I went home and made lunch. I try to have it ready for Ben when he walks in the door. Today we had leftovers from a school-catered lunch we had on Monday.

After eating, the two of us spent a little time together. Then Ben studied his vital signs checklist while I cleaned up after lunch, blogged, and read my Bible.

At two, a friend picked me up and we drove halfway across the island to the little league field. We parked behind the field next to three containers. These containers look rather unassuming from the outside, but inside, they are filled with all the wonderful things we loved in our childhoods– a labeled shell collection, a train track running along the ceiling, a remote-control robot, science projects, books, a rock tumbler, and so much more! The little league coach has set up a player development and tutoring program for some of the island kids. Some of the AUC spouses come to tutor the kids and play ball with them. While we were there yesterday, I got to work on reading with a three or four kids, play catch with two little girls, and do warm-up exercises with the boys.

tutoring

We left around 4:30 and headed back to our homes in Cupecoy. I went shopping at the Asian market next to our complex and started a dinner of beans and rice. While everything cooked, I answered emails for my freelance art job. Want to see what I do for work? Check this out!

One of the T-shirts I designed for a client (copyright 2015)
One of the T-shirts I designed for a client
(copyright 2015)

At 6:30, Ben and his friend Matt arrived for dinner.

Dinner at the Johnson's
Dinner at the Johnsons’

At 7:05, I ran out the door, a little late for my Zumba class. I go to a free Zumba session twice at week at AUC’s gym. The class ended at 8:00, and I had a little time to talk with friends before going to band practice.

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At 9:00, I arrived at worship band practice. I’m singing and playing in our church’s worship band on Sundays– next week, I’ll be singing back-up and playing the drum. Some weeks, I’ll be helping out by playing guitar or piano as needed.

Practice went late, so it was almost 10:30 before I got home. Ben and I were both exhausted! We talked for a bit, set the alarm, and fell fast asleep.

A Typical Day at American University of the Caribbean

Every day, Ben wakes up at 6:00 AM to study before classes. I prepare breakfast while he studies the Bible and then sets up his laptop to read about anatomy.

Bible reading in the morning
Bible reading in the morning

A little after 7:00, Ben kisses me goodbye and heads to the auditorium at school to get a good seat and study more. The auditorium is a silent zone when not in use for classes.

At 8:00, classes begin. First is Molecular and Cellular Biology with Dr. van Oost.  At 9:30 is Anatomy and at 10:30 Histology begins with Dr. Beveridge.

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Class with Dr. Nwosu

At 11:20, Ben comes home for lunch. After lunch, Ben studies at home for a while and returns to school by 1:00 for lab.

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The Auditorium

Lab alternates every day between wet lab and dry lab. Wet lab is cadaver lab. Ben is part of a group of nine students who work together on the same body all semester. There are a couple dozen different groups of students. Dry lab is in another room, where students study bones and other things that do not include body juices and formaldehyde.

Ben in his lab coat
Ben in his lab coat

After lab, Ben usually stays at school to study with friends.

Ben comes home around 6:00 for dinner. After dinner is–you guessed it!– more studying. Usually, Ben goes back to the auditorium for quiet study.



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Late in the evening, after a loud and exciting game of ping-pong, Ben comes home again. We have a little time to talk and then we do devotions together–worship songs, prayer, and reading a Christian marriage book.

Ping Pong
Ping Pong

Ben does the last of his studying and then turns of the light around 10:30 or 11:00.

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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.

Sint Maarten, The Netherlands, and Holland (Explained)

As many of you know, I am currently living in a Dutch island in the Caribbean called Sint Maarten. Some of you may be geographically befuddled about what exactly “Dutch” means and what country my island belongs to. Never fear, you’re not alone. Actually, until I watched this video about a year ago, I had no idea that Holland is not actually a country. If you don’t know the relationship between Sint Maarten, Saint Marten, Saint-Marten, the Netherlands, and Holland, this entertaining video will clear things up! Have fun.

Holland, the Netherlands, and the Dutch Caribbean

Liked that one? Here are a few more to widen your understanding of the world.

The United Kingdom (And a Whole Lot More) Explained

The American Empire

Where is Scandinavia?

How Many Countries are There?