Tag 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.

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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A One-Way Ticket

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Our last Arizona sunset

Today is the day! We were up until the wee hours last night packing our bags, and somehow spent almost the entire day today finishing our moving preparations. It’s hard to explain the emotions of moving away from home for the first time ever. Maybe that’s because it hasn’t really sunk in yet. Right now, I’m sitting at our gate with an hour to go until takeoff. I’ll have fourteen hours to process this huge change once we are in the air.

I’m excited but sad. I’m excited because I’ve been looking forward to an adventure in the great wide world for so long, but sad because of those I’m leaving behind. Someone recently asked me what God has been teaching me through this process. One of the biggest things He’s taught me is to place less value on the things I can buy and more value on the things I can’t. In other words, I’ve learned to appreciate people even more through this move. I’ve always been thankful for the people in my life, but now so more than ever. It’s been one of the most bittersweet lessons I’ve ever learned, because I’m now moving far away from those same people. There have been so many goodbyes this month. The hardest of them happened just ten minutes ago, when I said good-bye to my family at the entrance to airport security.

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     The past few weeks have been so wonderful. We have been absolutely showered by love from friends and family. We’ve had so many encouraging notes and words given to us, so many gifts, so much generosity. My parents opened their home to us when our lease expired at the end of July. Our church gave us a special send-off prayer and blessing. Even one of the little girls in our Sunday school class brought me homemade jewelry on our last day of teaching. We’ve also had so many fun things to do. I’ve loved our “Arizona Adventures,” exploring points of interest around the state. I’ve loved our babysitting jobs for kids from the school I worked at last year. I haven’t loved the heat, but I did use that to my advantage (My sister and I baked cookies on the dashboard of my car last week).

The next few weeks will be wonderful, too. We have a week and a half before Ben’s classes start, and we have a whole island to explore– Spanish ruins, beaches, surfing, new food. I have lots of plans, but hardly any idea of what to expect! You know how you plan so much for Christmas that you hardly remember that December 26 exists? That’s how I feel right now. I’ve come to the culmination, to the end of my knowledge, and now I don’t know what comes next! I suppose that’s part of the adventure. I’ll find out what comes next when our plane touches down. Until then…

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

A New Home

We’re about a month from our move to St. Maarten! We already have an apartment ready for us to move into when we land. We’ll be living in Rising Sun Apartments, a two minute walk from Ben’s medical school and a five minute walk from the beach. It is a one-bedroom and is 490 square feet, bigger than our current apartment, which is nice! It’s also almost twice as expensive, which you have to expect from a touristy island where nearly all the area’s apartments are owned by one single company. I’m planning to fix it up like a beach cottage and get crafty with shells and rocks that I find on the beach. Our place is close to the airport and also conveniently near to two or three shopping centers. We don’t plan to have a car– shipping our Kia would not be worth it, so we’re selling it to my sister. Public transport on the island is supposed to be pretty good, anyway. We don’t use public transport in Phoenix– the city is so spread out that the bus system is not as effective as it is in other big cities. Getting used to using buses will be a new adventure! We liked using buses when we were in the Bahamas last summer. I wonder if it will be similar.

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Here is a video that shows the sights of St. Maarten. You can get a feel for where we’ll be living if you watch this. We will NOT, however, be sandblasted by jets landing and taking off near Maho Beach! Not our idea of fun… we’ll be surfing.