Justin Stiller
Friday, July 23, 2010
Peru! A Marvel in itself.
Justin Stiller
Thursday, July 22, 2010
Peru-Trujillo
Wednesday, July 21, 2010
Working in a Clinic
Tuesday, July 20, 2010
The Mountains of Huaraz, Peru
Friday, July 16, 2010
HuanchacoPau'mericaHuanCHAco: Trujillo, City of Sounds
I leave the house promptly at 7:40 A.M., always chuckling at the irony of my being exactly on time for an event that has no real schedule, as work simply begins whenever the doctor wants to show up that day. I catch the micro(bus) a few minutes away from my house, climbing aboard to the incessant chanting of the person whose job it is to collect money and jabber absurdly pointless yet fascinatingly catchy phrases to hurriedly command anyone who will listen .When climbing on it's, "sube sube sube sube," (up up up up) and when getting off it's, "baja baja baja baja" (down down down down). No matter how urgent his voice, or how desperate his tone, no one ever moves any faster or pays any attention to that guy. The best part of the bus ride, aside from the fact that the roof is usually at around 5 1/2 feet and I'm 6 feet tall, is the melodious advertisement of the money-collector guy. They make the big bucks for their ability to advertise which parts of town the bus passes through, including Huanchaco, UPAO, and America Avenue, among others. No matter who you are, how close you are to the bus, or in which direction you're headed, these guys are certain that YOU are interested in THEIR bus. You just might not know it yet. So they help you by shouting and pointing to you as the vibrant yellow and red bus that clearly says "HUANCHACO" on it passes by, just so you don't miss it. Man am I going to miss that bus.
Taxis are too complex a subject to broach, so I won't even go there. Honks. Just honks everywhere. For too many different reasons. Always.
Anyways, upon arrival to the posta medica at Villa Del Mar, I meet with Jackie and we wait for the doctor to arrive. Once he gets there we jump right to work. Oftentimes he just points to us when a patient walks in and we have to take the patient history. In Spanish. Oftentimes frantic, rushed Spanish. It sounds pretty urgent, even when we have no idea what it means. The doctor usually steps in at this point and asks a few questions, then has us take vitals or probe whichever area is painful to try to figure out the problem. Our first day there was a guy who was hit in the chest by a bull's horn and wanted to know if his ribcage was broken or just bruised. Yeah, welcome to Peru. There are plenty of babies with fevers and coughs, along with a few UTI cases and the occasional bronchitis. Today, however, a guy came in with an infected toenail that needed to be removed. It looked pretty bad, but I thought it was good that he'd be referred to someone that could remove the nail for him. At least, I thought that was what was decided upon in the rapid Spanish exchange. But then the guy took off his shoe and sock and put his foot on the table a few inches from me, and the doctor got out a syringe and a pair of pliers, and then I'm pretty sure my heart didn't beat again for about 8 or 9 minutes. As it turns out, removing a toenail is a very simple process. And apparently about as uncomfortable and painful as one would expect. Honestly though, I think this guy got more anesthetic than a woman in a surgery we sat in on in which her back tumor was removed while she was awake (and in which the doctor got a phone call from his mother. And answered it). So it could've been worse.
Once all the patients are treated we are free to go. We got done a bit early today, so Jackie and I decided to hop on the Huanchaco micro (the only way to travel) to head out to the nearby beach town and walk around. We had pre-lunch lunch (it makes more sense when you're here) at a seafood place, and it was pretty good. We walked on the beach and saw the fishermen and their millenia-old boats coming in to shore, and we discovered what it is that they catch: crabs. Better yet, they sell them right when they hit the shore. We were debating buying some, but practicality beat novelty and we continued on our way. Getting back on the micro to Trujillo I was greeted by a busload of escolares (schoolchildren). One boy in the front moved over and motioned for me to sit down. People here usually move over to block the seat in order to signal that they don't want anyone sitting next to them, so this was an exciting development to me. His name was Pedro, and he is a 9-year-old whose favorite subject is math. We chatted for a while, and he is now the coolest person I've ever met on a bus (though there wasn't much competition).
45 minutes after my pre-lunch lunch, it was time for lunch. Today we had cream of squash soup with popcorn and chicken with rice and mashed potatoes (butter may or may not have been more abundant than potato in the dish). No complaints about any of the food so far. After lunch is siesta until about 4, at which point we have our medical classes. I can't really explain what we learned in class today, but I can say that it precipitated Davel's having to lie down shirtless on a couch while people poked him. So it was worthwhile in my book. Then it was time for dinner, and then a chunk of the group jumped on the bus to Huaraz, a city in the mountains, for the weekend. And such is Peruvian life.
The cacophany of high-pitched sounds produced by a bus full of school children, the unhappy grunts of patients lying awake during intensive surgeries, the delicate cough of a newborn with fever, the clear yet somehow mysterious cries of the micro money-collectors, the awkward silence when patients realize that we don't speak enough Spanish to fully appreciate their concerns, the lapping of the waves as the fishermen glide onto shore, the obnoxious ringtone slicing through the silence of the operating room, the chattering of the car horns becoming little more than background noise... it's a beautiful place where you'll never feel lost.
The sounds will guide you home. Just don't miss your micro.
Blake Thomson
Wednesday, July 14, 2010
A trip of Firsts
The first day working in the clinic I was completely taken by surprise when the doctor, after examinating the patient, looked at me and asked me why I wasn't doing the same thing. I immediately grabbed a stethescope and rather nervously started to check the patient's heart and lungs. I had no idea what I was doing though and after the patient left, I asked the doctor what I was supposed to have heard because to me, everything sounded normal. He smiled at me and said that I was exactly correct. Later, while we were meeting with other patients, he showed me different sounds that different ailments can cause in a patient's breathing and heart sounds.
My first surgery experience was really cool! I got to dress in scrubs and everything! One of the surgeon's spoke english and explained exactly what was happening as he did it. They encouraged us to take pictures so that we could remember what was happening later.
Going out into the Peruvian country side was a great experience because I got to see inside the lives of those less fortunate than I am. I helped vaccinate a few families against Hepatitis, swine flue, and tetanus. Later in the week, I walked to homes and helped examine water for signs of mosquitos and/or dengue. It's interesting to think that countries need to do that and it reminds me of how fortunate I am to be living in the United States.
I'm so excited for the weeks to come!
Jacqueline Fitton
Monday, July 12, 2010
Surfing Trip
Thursday, July 8, 2010
Cusco, The Sacred Valley, and Machu Pichu in Two Pages or Less
Chris Duff's Volunteer Perspective
This first week had just been orienting ourselves with the country and visiting tourist attractions, but we started work this past Monday! We spent the first day in Lima, their largest city with almost 10 million people. One of the most striking aspects of Peru is their way of driving. Even though Honduras was pretty nuts because of the highly treacherous mountain roads, the larger Peruvian population makes driving a relatively crazy experience for foreigners. There aren't any speed limits, and street lights or stop signs are few and far between. Driving in the lane is also pretty much up to the driver. So at intersections, cars will basically just nudge forward through the turn lane, even if there is incoming traffic. The same goes for switching lanes. They just honk at each other to let people know they are budging through and they aren't going to stop. Pedestrians don't have the right of way either. Cars do not slow down (just honk, haha) even if you are in the middle of the street. Completely unregulated, Americans would have a tough time adapting to the Peruvian driving style I think.
As far as politeness, I'd say Peruvians are not as 'bullrushed' to get through the day like many Americans. When 5-6 of us were buying some waters at a grocery store, a woman in front of us with multiple items invited us to go ahead of her since we had fewer products. I can't recall a time I've ever seen that in the States. Also, when we were touring an old mansion in Trujillo, a local woman offered to give us a tour (and she did) even though she didn't work there nor was she looking to be paid. When I’ve been working at one of the hospitals, doctors will sometimes just leave a room where they are treating a patient to go converse with someone else, even if it’s likely not a pressing matter. The medical patients do not seem to mind; I think it could be generalized that Peruvians are a more patient people than Americans.
In Honduras, a lot of the prices were adjusted for American dollars, so it wasn't much cheaper for things, if at all. In Peru, almost everything is considerably cheaper. Maybe 50 cents for a big bottle of water, 8 dollars per night at a hostel (in the nice part of Lima), etc.
When we went to Trujillo, we split up into groups of 2 or so to live at our home stays with host families. 10 of us total, 4 from Illinois, and the others from Arizona. All of the families are pretty well-off and have nice houses in the middle of the city. In mine, there is an older husband, his wife, and their three kids (2 daughters ages 24 and 22, and a son that's 19). The parents and daughters work in the medical field. All but two of the host families are related to each other in some way. The oldest daughter in my home stay speaks decent English, otherwise my roommate and I are forced to work on Español fluency. My family has a servant as well that cooks and cleans for them. They are very engaging in conversation, and we often sit around the dining table talking about whatever comes to mind. Many Peruvians, including my host family, are well-versed in world affairs and [American] pop culture, such as knowing aspects of American politics and listening to Lady Gaga, haha. In Honduras, many people basically only knew things that concerned their immediate community.
Eating is a significant, and often elongated, affair in Peru. They prepare everyone's dish the same down to almost every detail and use natural ingredients for most everything. Breakfast is the smallest meal (generally bread with a couple of other side dishes), lunch is *massive,* starting out with a large bowl of soup many times, followed by a big entree generally consisting of rice, potatoes, and some kind of meat as a base (sometimes a dessert as well). Just today, there was an initial plate served with many pieces of fish, a husk of corn, and a small potato. While eating it, I thought it would be the entirety of lunch. Then I remembered, ‘I am in Peru’. After eating that portion, a larger plate was served to each of us with heaps of rice, yuka, and a large serving of even more fish! Dinner is smaller than lunch, but still a decently sized meal. I find the Peruvian meals to be tastier in general compared to Honduras, perhaps because there is so much effort put into preparing the richest (my host father always says, ‘Es rico, no?’), most savory and delectable dishes around. There are also siestas here, and most shops are closed from 1-4 due to it.
The landmarks in Trujillo are pretty old compared to American standards with some buildings from around the 1500's or so. We also went to an ancient Moche temple (civilization from around 100 AD!) and it felt so eerie to be walking on the same ground where there were human sacrifices and priests drinking blood, from not so long ago in the grand scheme of things. After that, we went to a Chimor palace, from around 1000 AD. To me, seeing that palace made the trip worth it already. I took some pictures, but they really don't do it justice. Imagine a house 30 acres large! No roofs necessary, just massive adobe walls forming gigantic plazas and incredibly long hallways where armed guards would watch over the royalty in the past. Oh, and a big lake...inside of the palace, hahaha. I might not have enough money yet, but when I do, I'm going to buy one of the palaces (the biggest one is twice as large as the one open to tourists), refurbish it, and use it as one of the most amazing getaways of all time…or at least I can dream!
We also learned how to cook some Peruvian dishes at a culinary school, including the 'pisco sour' drink. It's basically Peru's national alcoholic beverage. It uses pisco (similar to tequila), lime/lemon juice, syrup, and egg whites. Made well, it's one of the best drinks I've ever had, almost like a margarita.
Last weekend we went to one of the home stay houses with all of the other families for a soirée basically. They all brought special (read: terrific drinks) dishes and we danced quite a bit. Definitely not the standard ‘bump-n-grind’ of America down here (for us younger folks I mean). I just salsa'ed and waltzed around with all the old matrons of each household, much to their delight to dance with such a gallant young stud...at least, I think, hahaha. One guy even brought his accordion and some of us (**Erica Lopata**) sang songs as well. Much different from the average American party...it was a lot of fun though. After that, bars...in which a number of them have live entertainment and home-brewed drinks as well.
Earlier this week, we went sandboarding, which is basically just snowboarding on sand dunes. It was a lot of fun, except there were no lifts to get up the dunes...such a tough leg and cardio workout...
We are all split up on which hospitals/clinics we are working/shadowing at. 4 of us (including me) work alone! Tons of first-hand clinical experience to be had. So far, I’ve worked in pediatrics, internal medicine, obstetrics, and emergency medicine. The doctors here are very willing to allow us volunteers to jump right into the clinical aspect of medicine and often give us many examining responsibilities. The workdays are only 4 hours and in most afternoons we take medical school level classes, learn Spanish, and work on setting up a one or two day event at the end of the month almost exactly like one of the brigades I worked on in Honduras.
Monday, July 5, 2010
Session 2 Orientation
Today our second group of volunteers finished their orientation to Trujillo and will begin their work at various medical clinics and schools in and around Trujillo. Orientation is a time for our volunteers to get acquainted with the history and layout of Trujillo. As well as have some fun with each other and their host families.
Our orientation began with a city tour of downtown Trujillo viewing the Plaza de Armas, the colonial and present center of the city and the cathedral nearby. We took a tour of Casa Urquiaga and Casa de la Emancipación, beautiful examples of the colonial and republican (19th century) architecture of Perú. These houses hold special significance because they belonged to the aristocrats of the time and one of them was where Perú’s Declaration of Independence was signed. We also visited Iglesia la Merced, the first colonial church in Trujillo used by the Spanish. The church has survived many earthquakes and remains very well intact despite being 500 years old. Our tour concluded with a visit to a local market where everything from fruits and meat to clothes could be purchased. Truly a unique experience as to how most of the world buys their food everyday. That evening we had a welcome dinner at Canana where we watched a showcase of Peruvian music and the marinera dance style, Trujillo is often referred to as “the capital city of marinera”.
The next day we took a tour of Huaca del Luna, a temple of the Moche culture currently being excavated since 1991, and Chan Chan, a pre-Columbian mud city abandon by the Chimú culture. Our day ended with a trip to Huanchaco beach, a city about 20 minutes from Trujillo.
Our third day began with a cooking class where we learned to make Papa a la Huancaina and Lomo Saltado as well as Pisco sour, a favorite drink of Perú. Later that evening the volunteers host families threw a party with music and dancing for the volunteers to welcome them to Trujillo. One of the host dads even played the accordion, with several people showcasing their singing abilities.
Our orientation concluded with a morning of sandboarding just outside Trujillo. For most it was their first time ever riding a board down a mountain but within minuets of the first run everyone wanted to go again from further up the hill. Despite sand getting everywhere, the volunteers seemed to have a good time and were sad that we had to leave so soon.
With our orientation complete, our volunteers are ready to begin the exciting work at their clinics as well as prepare for the medical campaign at the end of their program.
