And My Life Continues

Hola!

Well I've been pretty busy (as is quite obvious in the extremely delayed post). The last week in Honduras went by fast. Julien and I were able to work on one of the anesthesia machines. We took it apart, repaired some leaks, and even got the ventilator to start working. That was a major success in our book (I've never seen so many little tubes, it looked like multi colored angel hair pasta). On top of that, we finished all of our translations. So on the last day, we turned those in along with my quilts that I made for the maternity ward.

The previous weekend, we went to a small beach town called Tela. It was nice just to sit around and relax with some of the group before we finally left. That was the last time I'll swim in the Caribbean, at least for a while.

So our last day finally came at the Hospital. We turned in everything we had, gave away what was left of our tools for donations and said goodbye to our fellow technicians. We took our last taxi home ride, finished packing our stuff, and after an unemotional goodbye from our homestay(they shook our hands while sitting on the couch), we left for the bus. We met our director at the station and hitched our three hour bus ride to San Pedro Sula. We left a day and a half early just to make sure that we were able to get to the city and didn't miss our flight due to all the blockades and unexpected strikes. We got this really nice hotel (more like an apartment) right by the airport. It had a swimming pool, a restaurant, air conditioning, pretty much the works. We were definitely ready to go home by that time.

At 4:30 am on Thursday morning, we woke up and caught the shuttle to the airport. After meeting everyone at the airport, we were flying our way to DC. We had no time to waste once there. After reuniting with the Nicaragua group, we were shuttled to the hotel, shown our rooms, and then the Conference started. We listened to a couple of presentations, had some interviews, and then we were finally done for the day at 9pm. Some of us decided to take the metro into downtown DC. We ran to the Washington Monument and halfway to the Lincoln Memorial. However, we didn't have much time because the metro stopped at midnight. We managed to get our way back to the hotel after a confusing metro experience and we went straight to bed.

Friday was more of the conference and before you knew it, everyone was leaving for the airport. Saying goodbye was difficult. All of us grew to so close together, it seemed just yesterday that we were all trying to figure out how to get around Costa Rica. Only on the flight to Michigan did it really hit me that the trip was over. I had experienced so much, done so many things, met so many people, adapted to my new surroundings. I grew as a student, an American, and a citizen of the world. I am extremely thankful that I was able to participate in this program. I plan to continue my international awareness both in my education and in my travels.

I highly encourage everyone to participate in an international experience, even if it is just taking some courses at a university, the mere exposure to different cultures is life changing. My travels have allowed me to view the world in a different place and I will use the knowledge and skills I have gained in my future careers.

If anyone has any questions or anything they would like to know or see, please let me know! Until my next adventure, hasta luego!


Julien and Rigo working on the Operating Table


Julien and I ready to work in the OR


Working hard on the anesthesia machine


Giving away quilts to the nurses

Edredones, Manuales, y Utila

Hola amigos!

So my time here in Honduras is coming near to an end, only one more week left till I return to the US. This past week has kept me busy. Julien and I were able to attach blood pressure cuffs to donated vital signs monitors, deliver them to the nurses, show them how to use them, and write guides for them in Spanish. We also visited our friends in Maternity who are currently expanding their facilities. They now have acquired new machines for the department, including an electrocardiograph, a fetal monitor, and a defibrillator. However, the machines were donated with only English manuals and no one knew how to use these brand new machines (as is common with most donations, the people don’t think things through and just give them away thinking that it’s going to make a difference). We spent most of last week and part of this week translating them, printing them out, and laminating them so they last for a long time.

During my free time at home, I was busy making quilts. I started sewing the patches together by hand, but this was taking a long time. Jackie, our house mom, let me use her sewing machine after she saw me struggling after a couple of days (better late than never). Once that was done, it was back to hand sewing the cotton insert and back to the patches. After countless finger pricks and over days of constant sewing, I have finished two quilts. The plan is to bring them into work on Friday and give them to two new mothers. I hope they appreciate all the time and effort I put into them because I will probably still feel the pain for days.

This week, we were shown another part of the hospital I never knew was there, the clinic. We were told that there was a machine that was broken and we were to go investigate. After waiting for an hour to talk to the nurse (as usual), we were shown to the vasectomy operating room (YIKES!!!) where the operating table would not elevate. The doctor who performed these surgeries was very tall and the table was very low and it hurt the doctor to operate. At first, we were skeptical if we could do anything other than put something underneath the legs of the table since this thing weighs a ton and we didn’t know how to take it apart without taking possibly days. After talking to Rigo, who is now warming up to us, and troubleshooting further, we were able to replace a tube that was leaking and refill it with hydraulic fluid. Now the doctor can perform his surgery pain free (I can’t say that much for the patients!).

Unfortunately, we had an unlucky incident occur to us today. When we went to grab our tools to take to the operating room, we realized that they were light. When we opened them, we realized someone had stolen almost all of our tools, the soldering irons, the wrenches, wire strippers, pliers, basically everything but some useless stuff. We had hid our tools out of sight on top of lockers where no one could see but someone managed to steal them anyway. We told Rigo about this who informed us that someone has been stealing many tools in the department. That discussion brought in some nurses and other technicians who were very passionate about the matter (they were almost yelling about the situation, not at us but how someone was stealing from the hospital). We felt kind of awkward but we only have a couple of days left and Rigo and the other technician offered there tools to us too.

This weekend, most of us went to Utila, one of the other Bay Islands. That weekend they were having a 24 hour techno party on this private beach that some of our friends wanted to attend. We spent the weekend relaxing, kayaking around the island, attending some of the activities from Sunjam (the techno party), and of course scuba diving (my new hobby). These dives were very well organized, I was able to see a wreck, turtles, eels, sting rays, and even swim through caves! I’m very glad I was certified so I was able to do all these things. The only bad part of the weekend was the ferry ride over. Unlike the one to Roatan, the ferry was much smaller with one enclosed story. Apart from the ferry almost tipping over several times (and having people lose their breakfast), the air condition broke and they couldn’t leave the doors open since they were in the front of the boat where the Captain was. Needless to say it was a rocky and hot ride but it was well worth it.

Our main mission for this week is to figure out how to work a ventilator in recovery, tinker around with the anesthesia machines (being extremely cautious), and hopefully finishing our inventory if they aren’t too busy. We are planning to go to Tela this weekend, a beach town on the northern coast. Not too much longer before I return home and my journey ends. Adios!

Otra Semana de Trabajo

Hola!

Work has been going steady for the past week. We were able to meet with the director of the hospital as well as important heads of medicine to introduce ourselves and discuss what they would like us to do. Almost immediately, we were shown to the OR where they have four anesthesia machines that do not work correctly (most of them the anesthesiologist has to manually hand bag the patient during surgery). After taking a lot of notes and pictures about the devices, we are skeptical if we can assist the way they want us to. These machines can be very dangerous to fix, especially when the vaporizors for the drug delivery is not caliberated correctly and they want us to fix it. I would love to help them, but we are not qualified to handle certain repairs. We have not given up and are seeking the manuals for the machines to see what we can do to make their lives easier. We also completed our spanish guide for a fetal monitor and gave a manual to the nurses regarding the infusion pump we taught them how to use previously. On Friday, we met another technician from Cuba, named Fernando, that will be working at the hospital with us. Unforunately, it seems like there are too many cooks in the kitchen and now there is not a lot of work for us to do. Our head technician doesn´t seem to like if we do things on our own and he normally has us wait until he gives us instructions, so we spend a lot of time waiting on him when we could be doing something productive. They did warn us about this lifestyle here, where it is more laid back and people work at a much slower pace, but it just seems like we have such a short time period here and I could be doing so much more if he lets us venture out. Therefore, we are starting to work on our secondary projects apart from machines. Julien and I have decided to offer English lessons to anyone who wants to learn and I am going to make quilts for the infants in neonatal (yea I can sew). So hopefully I will feel more accomplished this week.

Our weekend plans were kind of a mess. After seeing the problems others had travelling across the country due to the political situation (blockades, not a lot of buses available) we didn´t want to travel very far, especially since Zelaya was suppose to try to return again on Friday. Julien and I made the decision to go back to Roatan (he had never been there before and I could finish my certification for scuba diving). Two other students, Chad and Didi, were able to join us for the weekend. We ended up having a great weekend, although walking back from West End to the hotel we were almost attacked by dogs...don´t worry we´re safe. And I can now officially say that I am a certified scuba diver with PADI (and I went to a depth of 105 ft, I´m proud of that). Other than that, spent a lot of time relaxing, getting ready for another week of work in the heat. Once we got back on Sunday, we went to the movies to see the new Harry Potter. Julien and I have been waiting forever for this to come out since it came out on the 24th here instead of the 15th everwhere else. Thankfully, the movie was in English with Spanish subtitles so I didn´t have to strain over the babies screams to understand what was being said. And not to brag, but I only spent three dollars to see that movie...what a great deal.

As an update, Zelaya still has not returned and was blocked at the Nicaraguan border. I am still unaware when his next attempt will be, but La Ceiba continues to be very safe with no outbreaks or riots.

Let´s see what this week brings me. Hasta luego.

Isla de la Bahia

Hola!

So Friday was quite an adventurous day. Unfortunately, Julien, my partner, became ill during the night so he couldn´t go to work that day. Normally, we would ride with Rigo, our homestay dad and technician, to work in his car, but because it was only me and him, we took the moped. Needless to say, I became quite close with Rigo during the 15 minute journey to work. Once there, I was by myself working on translating a fetal monitor manual and taking inventory in the lab. Our supervisor made a stop at our hospital so I was able to show her around. At lunch, we left to go back to my homestay so she could see the place and meet everyone.

On Saturday, I ventured to Roatan, one of the Bay Islands. The only way to get there is to take an hour and a half ferry which costs fifty dollars round trip (a little pricey). Julien was still sick so I went with my supervisor and other students who came from their cities for the trip. Once on the island, we needed to find a place to stay. We knew we wanted to go to West End, so we tried to find a ride there (we had previously spoken to our friends who work on Roatan to see how much it would cost, and they quoted about 20 Lempira a person). Of course, nobody wanted to give us that price, it was more like double that, so we walked away to see if we could find something cheaper. After a while of walking and getting followed by several taxi men and causing a traffic jam, one of the students found a man in a truck and asked if we could jump in. So we hitchhiked to West End, the entire way. It only took us an hour and three trucks later to make it, but it was all based on principle, don´t try to rip us off. The last truck driver actually owned a hotel and offered us scuba diving at a very affordable rate (if we dived with him twice, the room was free, he would take us to the ferry the next morning, and breakfast and equipment were included). We ended up staying with him and the hotel was very nice. The rooms had hot water and AC (can you really ask for more in Honduras). Since I wasn´t a certified diver, I had to run through a DSD course (it´s like half of a certification). After that, I went to dive. The experience was absolutely amazing. Just being able to breathe underwater was fascinating enough but to see all the wildlife and underwater vegetation was just spectacular. We went to a depth of around 35 ft and stayed for around an hour or so. Once back, we showered and waited for the other group to get done with their night dive so we could go for dinner. In the meantime, the hotel owner´s wife made us a Cuban dish for us to try (these people were some of the nicest people I´ve met). Once the others came back, we walked to West End. I now know that there are no streetlights and one cannot see giant mud puddles along the way. So after the half hour hike to West End and about 5 puddles later, we found a pizza place (there might have been some confusion about the location so we might have been lost for about 20 minutes but in the end we made it). After a long day and a long hike back, we all crashed.

The next morning, we woke up, had some breakfast, and went back out for some more scuba diving. This time we got down to a depth of around 45 ft, another amazing experience. We headed back into West End to go get some lunch while the other group went out for their dive. And that is where the problems started to happen. The ferry has two times of departure, 7am and 2 pm. Therefore, we had to leave the hotel by 1 pm (Caesar, the hotel owner, said). However, by the time we got to our lunch spot, got the food, and finished eating, it was 12:52. Needless to say, I ran back to the hotel and didn´t make it until 1:12. I manged to find the others, grab my stuff, pay for the trip, and then speed back to the ferry with minutes to spare (otherwise I would have been stuck on the island and would have been late for work, a big no no especially when you live with your boss). Once on the mainland, we had to find a taxi to take us back to my place and to the bus station. Like Costa Rica, the streets don´t have names, so I have written directions from my homestay to give to taxi drivers. Most of the time, they still don´t know where the place is, which is why I always ask before I get in the cab if they know the location. I found a driver who said he knew where it was and got in. Of course, he really didn´t know where the place was, so he dropped the others at the bus stop first, continued picking up random people on the way, and finally asked someone where the place was. After a forty minute ride that should have taken 10 minutes, we find the house. Taxi´s in Honduras have a set rate of 30 lempira. So I made sure it was 30, and he said it was a 100 because it took so long to get here. I was infuriated that he was trying to charge me over double because he didn´t know where I lived after I asked him before I got in the car. I gave him thirty lempira and got out of the car; he wasn´t very happy but I was definately not going to give him a hundred. People always try to rip you off, you just have to be aware and don´t be afraid to question them.

Now back, I´m getting ready for another week of work. Apparently while I was gone, Zelaya was supposed to return to Honduras. I have not heard anything about the situation yet but as soon as I can confirm what has happened in the last couple of days, I´ll post it (I know for a fact something was going on because the other students from different hospitals ran into some blockades on the way to La Ceiba!). Hopefully the weather cools down a bit, but I´m not holding my breath on it. Hasta luego!

Trabajando en Regional Atlantida

Alo

So it´s been almost a week of working in Hospital Regional Atlantida. It´s been quite an adventure. Since we´ve been here, we´ve started our inventory of the hospital equipment, repaired/cleaned/oiled 15 nebulizers, taught some nurses how to use an infusion pump, built sphignomanometers, and are now translating a manual for a fetal monitor. It´s been a lot of fun and we´ve been definately keeping busy. It really does pay off to meet as many people as you can, introduce yourself and explain while you´re there with a smile on your face. Most people are very open and want us to help, so they are accepting us quite well.

Yesterday, Julien, my partner, and I attempted to go to the movies to see the new Harry Potter. Unfortunately, the movie does not come out in Honduras until the 24th. I was deeply saddened by the event, considering Costa Rica had it on the 15th too. O well, I just have to wait a couple more days I guess.

This weekend, I think the plan is to go to Cayos Cochinos and the Bay Islands for a bit of relaxing in the sun. Our host sister works for the ferry company so we´re hoping she can get us a good deal on some tickets.

Other than that, just trying to stay cool in this heat. Everyday reaches at least 90 and I sweat all day long, unless I mange to find myself in a restaurant or a department which has AC...I tend to stay in those places a little longer. ´

I´ll keep you updated. Ciao!

Hace mucho calor en La Ceiba

Alo!

Well I am finally now in Honduras. We had a heck of a time getting here. On Friday night, a bunch of us spent the night in the school because our bus to the airport left at 3:30 am. Needless to say I didn´t go to bed until around 2 or 2;30 and was definately tired the following morning. To our wonderful surprise, they upgraded six of us to business class so we spent our time flying in style, they even served us a lovely breakfast. We had an hour layover in San Salvador, El Salvador and then flew into San Pedro Sula, Honduras. Once there, we met up with our on sight director, Jody, who gave us the news that our bus wasn´t leaving for 4 hours (I don´t know why we didn´t catch a later flight then). So we sat around in the airport (I managed to get a couple more hours of sleep). Then we took a really nice bus to La Ceiba, where our homestay met us at a local hotel.

Julien and I are living with the only technician at Hospital Regional Atlantida. His name is Rigoberto. He lives with his wife, Jackie, and two of his three kids, named Rigoberto and France. They have a second hand clothing store in the front of their house with everyone living behind it. Our room is quite nice, we have a king size bed and another queen bed (the bed is absolutely massive and I get lost at night in it). Plus, our room also has our own pèrsoanl air conditioning unit which they said we could use at no additional cost as well as interent (unfortunately no wifi so I have to use their computer). I am very pleased with the place thus far. Definately better than what I was picturing.

Needless to say, we spent the first night sleeping. Once we woke up at noon, we had some lunch and just spent the afternoon hanging out. Then, Jackie invited us to go swimming in river. So we got our swimming suits on and headed out. We were able to see more of the residential area of the city and met more of her family. We ended up swimming in the Caribbean instead because the river "smelled funny." It was a lot of fun to spend the day with them and just relax.

Today was our first day of work. I had no idea what to expect, what should I wear, was I prepared enough, etc. We woke up at 6 am (always early), had breakfast at 6:30, then off to work with Rigo at 7. It takes around 15 minutes to get there by car (but we had to take a taxi back because Rigo switches his car in the middle of the day with his son who has a moped so he can go to the university). Today´s work was mostly inventory. Rigo showed us a department and we introduced ourselves to the staff and began taking inventory. The Hospital isn´t as big as what I thought, around 150 beds. So far we have done Children´s observation and Pediatrics and we´ve inventoried around 50 machines. At 11, he told us we could go to lunch and come back at 1 (we were shocked to be given 2 hours but when we asked if he wanted us back earlier, he told us at 1). So Julien and I went to Pizza Hut (we wanted to check it out since we heard they had free wifi). The place was really nice, just like in America. It was air conditioned, had wifi, and the prices weren´t bad (I only spent 6 dollars on the entire meal, not bad for an american restaurant here). We came back at 1 and started repairing some nebulizers. Unforutnatley, we were never trained on such devices so we were learning as we were going along, eventually Rigo had to show us a thing or two on what he actually wanted (mind you this is all in spanish so realize how hard it is to talk technical in spanish and understand what´s really going on). At 3 pm, it was time to go home. It wasn´t a bad first day, but I can definately tell there is going to be a lot to learn still. I hope by the time this is over, we can leave the hospital better than when we first got here. Wish me luck!

Arenal y Bungee Jumping

Hola!

Another eventful week in Costa Rica...where to begin.

In school, we have been doing presentations on medical equipment; explaining how it works, common problems, how to troubleshoot, etc. (of course all in spanish). I just did mine on Monday on autoclaves, it was a fun time. In lab, we have been taking the equipment that we brought down with us to donate (defibrillators, ESU's, ECG's. pulse ox's, blood pressure machines, centrifuges, etc.), making guides on proper usage, taking them apart and learning how they work, and doing regular maintenance. It has been great to get hands on experience on machines that we are going to be seeing in less then a week! Always a lot of information. I just hope I retain it all.

As an update to the situation in Honduras, EWH has decided to continue with the trip in Honduras. They have been in contact with numerous sources, including our own site coordinators, the US State department, the hospitals in Honduras, and an American security consultant in Honduras and all have stated that the situation is safe for us to continue. However, there are extra precautions that we are abiding to, including a mandatory curfew instated by the government. If a problem arises while we are there, we will be safely evacuated from the area.

In addition to that decision, President Zelaya attempted to return to Honduras on Sunday. His attempt failed when citizens blocked the runway of the airport and refused to move. He therefore returned to DC to decide how to proceed. Currently, he has not attempted to return again but I can imagine he will do so soon. Therefore, President Michelletti is still in office.

This past weekend, we went to Volcon Arenal, an active volcano. We left on Saturday morning at 6 am, got stuck in traffic due to an accident, and arrived in La Fortuna at around noon. While there, we were not sure what we wanted to do, so we ended up splitting into different groups and doing different things. Jared, Julien, Calvin, and I rented bicycles to ride around the town (the town itself is kind of far from the actual volcano and our hotel but it is where a lot of things are). They only cost us a dollar an hour, not bad. We asked them if there was anything near that we should see and he mentioned a waterfall that was 4km away. We decided to go. Only after we started on this trip did we realize that it was 4km UPHILL! It took us over an hour to bike up the hill and we broke out into a sweat like no other (it looked like we rode through a rain storm). We stopped halfway up, found some lady's home and asked her if she would sell us water. She said she wouldn't, but she let us drink out of her hose (we were desperate and way too dehydrated). Finally at the top, we went into the park and walked down over 400 dangerous steps to the bottom to the waterfalls. The place was absolutely stunning, truley a natural wonder. We didn't bring our bathing suits, but we swam in our skivies in the waterfall (we couldn't pass up the opportunity to swim and we were hot). After our wonderful hike back up the steps, we coasted down 4km worth of road (not to mention it was all gravel/giant stones and we picked up serious speed, it was kind of scary but a lot of fun). Once back, we hitched a ride to Baldi, a natural springs resort area with over 20 pools, water slides, a buffet, etc. It was very relaxing after a long day of bike riding. At around 9, we headed back to our hotel, which was supposed to have a perfect view of the side of the volcano where the lava flows, but unfortunately, it was way to cloudy to see anything (we ended up not seeing even the top of the volcano!). It was still cool to be near it and know that it was there in the distance.

The next morning, we had made plans to go bungee jumping. We had talked about it for a while now but we never knew when we were going to have time to do it because we had school during the weekday and we take weekend trips. While in Arenal, we talked to the tour company who said we would be able to do it on Sunday. So 6 of us brave souls set out to jump. We left La Fortuna by bus to a small town near San Ramon called Naranjo. We didn't really know where we were going, and we had to ask people on the bus if they knew which stop it was, etc. Luckily we found someone who knew what bungee jumping was and knew where Naranjo was and he showed us the stop. Of course, as soon as we got off, it started to pour. We ran to the gas station and were contemplating what to do. The man had said that it was only a 10 minute walk from there. We ended up asking the workers in the gas station who said it was over a half our walk at least. Luckily, one of the men was nice enough to offer us a ride to the place (it was kind of awkward, but the man was nice and we had more than enough people to feel comfortable). The man took us right to the bungee jumping place (we would have never found it on our own). Then it was time to jump. First, our onsite director, Michelle, jumped, then John, then Hannah, then Me, then Jared, and then Jodie. It was an experience of a lifetime, plummiting 80 meters in freefall, seeing the ground come closer and closer, it was awesome! We were able to wrap a camera around our wrist, so I also have a first person view of me jumping. I highly recommend it to everyone. Unfortunately, my camera started to malfunction and is still out of commision. I do not know if it appears to be the memory card or the actual camera, but because I have a Sony camera, I can't find a place to test a Pro Duo card (and another card costs over 100 dollars here!). Luckily, other people had cameras and were able to take some photos. Hopefully I'll be able to fix it soon though.

So we only have a couple of days left. On Thursday, we are going to my spanish professor's house for a goodbye barbeque. It should be a lot of fun. Since we are leaving on Saturday morning at 6am, we are planning to spend the night at the school (since that is where the bus picks us up). Soon enough, I'l be in a different country with only my partner. It will definately be a change of pace, but I believe I am ready for what lies ahead. I do not know if I will have the luxury of having internet at my homestay, so updates might not be as put together as they are now. I will continueing updating regularly, so everyone can know that I am safe and how I am doing. I'll try to catch everyone up before I leave, but if not, I'll write from Honduras. Adios!





















Calvin, Julien, and I taking an ESU apart















Biking uphill towards the volcano on an unpaved road, good decision





















I swear it's only rain...















Definately worth what we went through, absolutly gorgeous




















Walking through the waterfall















Swimming in the waterfall




















Yea, it was a long way down




















Just jump!


Look at that beautiful form, I'm a natural bungee jumper

Cahuita y la proxima semana

Hola!

Once again, it has been another busy week. Unfortunately, we've had a minor epidemic in our group. A few of us have been coming down with cold like symptons (normally lasting for 48 hours) and of course, I was one of the lucky few. I didn't have to miss any classes, but it was definately not easy sitting for 8 hours through class. I came home right after school and slept for 13 hours. By the time the weekend came, I was feeling better so ten or so of us went to a little beach town called Cahuita. It's on the Caribbean coast near Panama. The town was quite remote, not a lot of cars, a few stores, and of course the beach. We took a three hour bus ride there and then went looking for a place to stay. We ended up finding this nice place right on the beach (only $10 per person per night!). It had several hammocks right on the beach front situated between palm trees of course. We spent the day just relaxing, hanging out on the beach, body surfing the waves, and of course getting sunburned. It was a nice relaxing day and then at night, we played cards right on the beach front listening to the ocean waves. Once 8 am hit, we went snorkeling. We saw corel, a lot of fish, and even a sting ray. We stopped for breakfast at around 11, consisting of watermelon and pineapple. The afternoon was spented sitting in the hammocks until the bus ride home. When we bought the bus tickets, we realized that we did not have assigned seats and we would have to get there early to make sure we got a seat. When the bus came, it was fairly crowded and not all of us were able to get a sit. We traded off the bus ride home so everyone was able to sit for most of it. Not to mention, I started getting motion sickness so it was definately a long bus ride home. Once back, we learned that two other people in our group had gotten their bags stolen while on the bus (not our bus, they went to another city in Costa Rica). They were stollen from the bus while they were stowed above the seats. It just goes to show that you need to be extremely careful and be alert with your belongings.

As most of you have probably heard, Honduras has recently been under political unrest. The Presidnet, Manuel Zelaya, was ousted from the country in what is deamed a "military coup" due to the fact that Zelaya was attempting to pass a reforandum which the country had already deamed illegal. On Sunday, he was taken to San Jose, Costa Rica, and Roberto Micheletti was sworn in as President. As of today, most of the world is not recognizing Micheletti as the president and is enforcing severe reparations until Honduras allows Zelaya to be reinstated as president. As of now, he has not returned but is suspected to return sometime this weekend. Due to this political unrest, we are uncertain if we will be allowed to go to our respective hospitals in Honduras. EWH, of course, has our best interests in mind and will make a decision early next week on whether to proceed with Honduras or take another course of action. I will keep you updated with the status of the program.

On a lighter note, we have been doing more spanish and medical instrumentation. Last Friday, we were able to return to San Ramon Hospital and work with their devices, specifically infant incubators and an aspirator. Although the equipment was already working, it was still nice to be able to work with real equipment, take it apart and see how it works. This week, we've been writing guides (in spanish of course) as to how to use the devices that we brought with us for donation. We have also been taking them apart and seeing how they work as well. In addition to that, I will be giving a presentation about autoclaves to my spanish class, showing them how they work, common problems, troubleshooting techniques, etc.

On Monday, we attended out second dance class with Sylvia! We learned some more Salsa and Merengue and got our workout for the day. Luckily this time, we had almost the same number of girls with guys so no one had to sit out or dance by themselves. I'm pretty sure that we could go to a salsa club and show everyone just how good gringos can dance.

Tomorrow, we are going to another hospital in Turrialba to work on their devices. Then this weekend, we are going to visit Arenal, an active volcano. Hopefully everything will work out for the best once I return and we won't have to make other arrangments for next month. Until then, hasta luego!














Our hotel in Cahuita















Hammocks on the sea...anything better















Our hang out spot where we played cards















The beach...these waves were ridiculous














A nice plate of fish...

Tortuguero y Mas Escuela

Hola!

I've been one busy student here in Costa Rica. Last week was more schooling. In spanish, we spend 2 hours going through details of the language then we take another 2 hours talking about whatever we like. It's kind of nice just to talk to familiarize ourselves with the language through normal conversation. In medical instrumentation, we've learned about pulse oximeters, electrogardiographs, anesthesia machines, fluid pumps, and many more. On Friday, we travelled to a hospital here in Costa Rica (San Ramone) to get an idea of a hospital in Central America. Granted, these hospitals were far better off then the ones we were going to in Honduras and Nicaragua, but it's nice to get a hands on experience as well. We spent the day touring the hospital, seeing how things are setup, looking at different rooms, etc. We are returning again this Friday to begin repairing a few of there devices as well, which should be fun.

On Saturday, 20 of us went to Tortuguero. It's on the Caribbean coast and it is a national park dedicated to conservation. It is home to many animal and plants, especially turtles who migrate from all over the Caribbean to lay their eggs here each year. Unfortunately, two of our group members were mugged while waiting for the bus to get to the pickup point. Luckily, nothing valuable was taken, they only managed to take one of their bags (the other one grabbed hers back during the altercation) but the other bag only contained clothes and books while her Ipod and money and valuables were in the jacket she was wearing. Close call but everything turned out as best as it could have been. It took around 3 hours to get there from San Jose and on the way we stopped at a banana plantation as well. It was quite fascinating to see how they grow the bananas (the fields are huge!) and how they process them for exportation. While we were driving, our tour guide was giving us information about Costa Rica as well. As we listened, we began to doubt that his facts were accurate and by the end, we had a consensus he was completely wrong on most of his facts. After that, we had to take a water taxi into Tortuguerro (no cars are found in the area). We had a mini tour of the wildlife (we saw a camine, a few birds, and a monkey). We arrived our hotel which appeared to be like an exotic resort. We had our rooms which looked like mini huts with porches with rocking chairs, two pools, and this was all located in the middle of the jungle. It was gorgeous. Once settled in, we headed out to the village to learn about the turtles, the conservation efforts, and see the actual town. Once back, we hung out by the pool and sat on the porch, very relaxing, while some of the others went to do a night tour of the beach to see if they could spot turtles (unfortunately, they didn't see any). The following day, we had our canal tour, seeing even more wildlife, and then we went for a hike through the jungle (it was hot and humid but we were in the rain forest after all). After that, we headed back to San Jose. Once we were dropped off, a man began to yell at us at the bus stop for no apparent reason. He kept screaming "Gringos! Get out of this country!" along with other profain language. The man did not appear to be in his right mind so we thought nothing of it, but it's one of those things you don't want to happen to you.

Back to school on Monday of course, still not fully rested from all the travelling on the weekend. Later that night, we attended a dance class where we learned some Salsa and Merengue. It was seriously a lot of fun and it was a lot of work (within five minutes of starting we were all breaking out into a sweat). These dances are no slow pace easing going dances, they are upbeat and you have to move your feet constantly (don't forget that it's all in the hips).

We are in the process of planning another trip this weekend, possibly to the beach or to a volcano. Other than that, keeping up with school takes up a lot of time and it is definately keeping me busy. Only a couple weeks left in Costa Rica before we head out to work!















The living room to our house (the place isn't so bad, its quite nice)















The roommates and I celebrating Alex's birthday (the other Alex) with Mamacita(Angela, our host mom)















Trying to give you an idea of the landscape around me. A lot of forests, mountians, and rain.















At the banana plantation, it went on forever.















How they grow the bananas. They keep the bag around them to protect them from bruising.















On the water taxi around Tortuguerro (look at all that dense rain forest).




















The porch with rocking chairs at the hotel.















Un cocodrilo!

Rafting, Escuela, y Cervezas

Hola!

So this weekend, I was able to go white water rafting. It was an amazing time. The rapids began at class 2, but went up to class 4 for most of the trip (which lasted for about 4 hours). It was indescribable. Rafting through the jungle, with cliffs going up hundreds of feet, the rain pouring down, seeing mountains poke through the clouds above, absolutely incredible. At one point, we were even able to swim in the river while it rained, it was very serene, an incredible experience.

Besides the gorgeous scenery, rafting was a lot of fun. The trip was on a river somewhere near the city of Turrialba, (I can't remember the actual name of the river). We had these commands from our guide to let us know what to do while on the river. My favorite one was the "oh s***!" command, which meant sit in the boat so no one falls out. These guides were absolutely amazing, they knew exactly where the best rapids were, positioned the boat perfect, and made the trip amazing. We bought an album of pictures of the trip so I hope you get a sense of how great this trip was.

After the trip was over, we were able to drive through one of the national parks of Costa Rica, which so happened to be the rain forest where they are filming "I'm a celebrity, get me out of here." Once back, some of us decided to try out the nightlife (of course we asked where the safest place was for a bunch of gringos to hang out). We went to La Calle Almarguro, it had a couple of spots for us to get some cervezas and relax.

Sunday was a day to catch up on schoolwork. I finished my homework and kept studying spanish (my spanish instructor told us that even though we were in the advanced class, the liklihood of us becoming fluent was slim to none). I've been improving on the language, mostly with being able to understand with what others are saying and I hope to increase my engineering vocabulary mostly.

Overall, class has been going well but it tends to be a very long day. We've learned about ECG, pulse oximeters, defibrilators, and batteries. It's definately a lot of information, but it will definatelly be useful once were on our own in the hospital. On Friday, we are going to a local hospital in San Jose to get an idea of what we will encounter. It will be nice to get out of the classroom and be able to apply what we know in a real life setting.

This weekend, most of us are going to La Tortugero. It's a big nature spot in the east coast of Costa Rica. There are a lot of animals; birds, monkeys, reptiles, and of course turtles. We are leaving on Saturday morning at 6am, going on a bunch of hikes and seeing the sea turtles at night. This should be a lot of fun. I should be uploading more pictures shortly so check back often!

Hasta luego!

Estoy en Costa Rica finalmente!

Hola!

What a whirlwind it has been. Where to start. I was able to find the EWH group at the airport quite easily due to the fact that we were all wearing bright pink shirts. I got to know a lot of them and I found out that 3 other Michigan students were actually going on this trip. We managed to get to San Jose by 9, however, it was completely dark (a little unnerving for the first time to a foreign country). However, we manged to find the director at the airport who shuttled us into a bus to head to our school where we would drop off the medical equipment that we had brought up and to meet our homestay family.

The ride to our homestay was different, especially in the dark. There was a lot of turning down small streets, houses are everywhere, but luckily it was not raining. We managed to converse with both our house mom and her son (Angela and Alex) even though they both speak only spanish. We found our way to our rooms, took showers, and went to bed since we had to get up in the morning. Unfortunately, I have not uploaded picture yet but I will soon so everyone can see the house. It's quite nice, we have our own beds, running water, food, and even wireless internet (internet is hard to come by at the house so to have wireless is absolutely amazing).

The past two days has shown me what to expect from the training; 4 hours of spanish in the morning, hour break, 4 hours of medical intrumentation training and lab. I was able to be placed in the advanced spanish course, only spanish is spoken and so far we have reviewed in incredibly detail half of the verb tenses. Now I feel a bit overwhelmed with all the knowledge I have to know, but I think I can manage. This is definately not a vacation. In order to get to our school, we must take a bus, but it is very difficult to figure out where they stop or where we are since I can see no sign for stops and most streets don't have names (really, no number or anything, they go based on location to landmarks, try navigating through that).

So far, the weather isn't as hot as I thought. It's been about 70 in the morning and getting to about 85 during the day, still humid of course. However, they are in the rainy season so at around 1 o clock in the afternoon, it downpours. Since the place is mountainous, the roads seem to become raging rapids, which is why they have deep trenches next to the streets (around 2 feet deep or more). And, I have not seen any large bugs or anything to that nature yet, but I'm waiting to find a tarantula in the shower.

Tomorrow, we are going white water rafting! I here this is one of the best locations in the world to do it so this should be really exciting. Please post comments or any questions you may have! I promise to upload pictures soon.

Hasta luego!

T Minus 16 Hours Before Take Off

Hey all.

I made it to DC and I have been touring the city for the past couple of days with my family. I was able to see the Lincoln Memorial, the Jefferson Memorial, the White House, the Washington Monument, Arlington National Cemetery, basically all the landmarks of DC. The weather here has been hot and humid, about 90 degrees. I just view this as a way to prepare myself for the weather near the equator!

So I have less than 24 hours in America and thoughts have been whirling in my head the past several days; did I pack everything, is there anything I forgot, should I bring this, what if I don't like it, what if they people don't like me, what if they can't understand my spanish, etc. I've been making myself nervous and having to calm myself down a couple times of day. The more I think about it, it's the actually first day I'm dreading. The fact that I don't know anyone going or who I'm staying with has me most concerned, followed shortly by the fear of intense scorching weather and giant bugs.

I've been able to print off my boarding pass and I've found out the name of the family I will be living with in Costa Rica. I've had my bag packed since Saturday, however, just today did I realize that it was quite heavy. I decided to weigh it here in the hotel (luckily they had a scale) and it came out overweight, by 5 lbs. Thank goodness I checked now. So for the past hour I've been repacking my two bags (the one bag is full of the equipment I'm supposed to bring down, I'm allowed to put some personal items in there but they don't recommend it since that bag is going to be seperated from me for the first night in Costa Rica). Luckily, I managed to get both bags less than 50 lbs, I'm fairly impressed with myself.

By 3:30 pm tomorrow, I'll be on my way. I have a layover in Miami and then on to San Jose, landing at 8:50 local time. Even though I'm nervous, I'm way more excited than anything else. I definitely think this will be an experience of a lifetime and I can't wait for it to start. The next time I write, I'll be there, hopefully having a great time!

And because the Wings lost, I don't know how I will be able to watch the final game. Way to go Wings, had to make the series suspenseful!

Two Weeks Before Take Off!

Hey guys!

Just thought I should update you with everything that has been going on. I have finally received all the detailed information regarding the program. It looks like I will be working in Regional Atlantida Hospital in La Ceiba, Honduras after my first month of training in Costa Rica. The city is quickly becoming one of the biggest tourist sites for Honduras and there are islands (Bay Islands) right near the city which are popular for scuba diving and snorkeling. There are around 26 participants and my partner in Honduras is from Imperial College in the UK (his name is Julien). Today, I also received a large box of medical equipment and tools. I am now the proud owner of a multimeter, a 20 lb centrifuge, 2 soldering irons, and a toolbox full of goodies. I'm looking forward to packing all of it and making it through customs without being questioned (and hopefully it won't be overweight!).The box came with our shirts that we are supposed to wear on the program and our textbooks. It turns out that the shirts are pink so I will definately be stylish while I'm there. I went to Border's too and picked up a giant book of spanish verbs and a spanish medical terminology book just in case I'm a little rusty on my spanish.

The entire group is meeting in Washington DC and flying out together. My parents and I have decided to take this opportunity to visit the capital since I have never gotten the chance to before. I also booked my return flight from Washington DC to Detroit so I know I have a way home.

It still has not hit me that I'm leaving in two weeks! I'm guessing it won't really sink in until I start packing or I'm on the plane there. Until then, I'll be refreshing my spanish and enjoying the summer for a bit! Please feel free to post comments with questions or anything you want to know about :-)

Hello!

Hey all!

My name is Alex Kiturkes and I am a senior in Biomedical Engineering at UofM. I will be going on a study/work/volunteer abroad program this summer in Costa Rica called Engineering World Health. The program begins on June 10th where I will be headed to Costa Rica for a month where I will receive intensive training in medical instrumentation and spanish. The following month, I will be headed to either Honduras or Nicaragua where I will be working/volunteering in a third world hospital repairing their medical devices. These hospitals have a lot of equipment that unfortunately are in desperate need of repair and they either do not have the funds or the technicians to perform the necessary tasks. This is where our program comes in and students work in the hospitals in pairs in these two countries. The conclusion of the program ends with a presentation with other students in the program in Washington DC on August 14th. For more information, visit the program's website at: Engineering World Health Summer Institute

The program was founded by a professor at Duke University named Dr. Robert Malkin. He was apart of the Dean's Seminar Series in the College of Engineering where he came to U of M and discussed his work, including Engineering World Health. I was fortunate enough to have dinner with him during his visit here and learned how he begin this endevour.

Currently, I am still filling out all the paperwork, getting the rounds of vaccinations, and waiting for more detailed information about the program. I will keep you posted once I know more so check back often!