what happens in Guatemala doesn't stay there

Note: I picked out a few pictures for this blog, but there are a bunch more on facebook in my album entitled "Guatemala". If you don't have facebook I can send you an invite to view the album....maybe eventually I'll put them on Picasa and put a link here.

I went to Guatemala. Again.

This time for a medical mission. It was a two-week trip, and it counted as one my clinical rotations for med school! Isn't that cool? Yes, it's cool. I wasn't thinking much about the trip until a few days before I left, so it came on kind of suddenly. One day I was lackadaisically living a life of luxury; the next I was speaking Spanish and cutting off warts in a third-world country. And it was incredibly awesome! Here are a few thoughts and descriptions from the experience; I've divided them into categories so you can read the parts that most interest you if this is too much to handle ;)

Doctorliness: For eight days we set up makeshift medical clinics in small towns in Gautemala; there were no pre-existing clinics in these locations, rather we just used whatever government building or school was available and made our own. We were about fifty people, comprising several specialties including family practice, podiatry, dentistry, dermatology, pharmacy, optometry, pediatrics, obgyn, and microbiology. Patients came in, the Spanish speakers amongst us took a brief history and sent them to one or more specialties, and then we did the best we could to diagnose and treat their problem. Despite our limitations we were able to provide treatment for nearly 4,000 patients in eight days, and several of the patients that need it are also receiving follow-up care through local doctors. For me personally it was an amazing medical experience because I saw so much, worked with several specialties, and had the freedom to try whatever I felt capable of doing. My activities included history-taking, podiatry, derm, general medicine, dentistry, and plenty of translating. The medical part of the trip was: awesome.



Spanish: I hadn't spoken Spanish regularly since 2003, and I was uncertain how much would come back to me. I got both a little excited and a little scared when I heard the the people around me speaking Spanish in the Houston airport, and on the flight down I primed my brain by reading out loud from my Spanish Book of Mormon, listening to Maná, and studying some Spanish medical terminology. I think it worked, because during most of the hour-long drive from the airport to Antigua I was talking to our native Guatemalan driver Julio, and I felt really comfortable doing it! That was the first test, and it really only got better from there. And what really surprised me was that while there were words I couldn't remember and my vocabulary was smaller than it had once been, I felt like I could speak Spanish better than ever before! And that includes during my mission. Overall I felt more fluent, smoother, and more able to speak like a native. And on top of all that, I learned a lot of Spanish medical terminology, how to talk about things like tingling, shooting and burning pains, menstruation, spleen problems, coughing up phlegm, and plantar fasciitis to name a few. :)

Visiting the Mission:
I took one weekend and went to visit friends from my mission. I had six different areas on my mission, but four of them were in the capital, pretty close to where we were staying. It took me a couple hours and three bus rides to get to my first destination, and when I got there and started walking around, it was the weirdest feeling. To think back to nine years earlier and all the things that have happened since....it was very, very nostalgic, and that nostalgia continued for two solid days while I was visiting.

I had only notified a handful of people that I would be visiting, and all I could tell them was "sometime Saturday night or Sunday morning...", so finding people was an adventure. In that first area some highlights were:

• Seeing Lucy and Edgar, a family we taught who was baptized after I left the area; they're thinking about going on a mission as a couple!
  
• Visiting the first house I lived in, which has been remodeled and looks completely different--the lady there let me in and gave me a tour of the house even though I was a complete stranger.
  
• Visiting my first cook and her family--the two little girls have grown up (they're now 15 and 9) , and the older one likes to sing in English, so she sang me "My heart will go on" from the titanic soundtrack, and it was awesome! I found out that even though she is an excellent student, the only novel she has ever read is the fifth Harry Potter book, simply because books aren't readily available. My description of public libraries made them jealous, and I may send her the rest of the series. That family is an amazing example of living life well amid trying circumstances.
• Driving a stick-shift car that I borrowed (so I wouldn't get mugged walking around at night) through some narrow streets with lots of speed bumps.
  

I didn't make it out of my first area that night; I quickly found that wherever I visited I had to stay at least an hour; after all I came from 2,000 miles away and hadn't been there for six years. My cook's parents who lived down the street put me up for the night--the bed was rock-hard and the shower was ice-cold, but I wasn't complaining! :)

On Sunday I managed to visit my remaining three areas, spending about three hours in each. Each one was it's own emotional trip down memory lane. Just walking along the streets brought back such a flood of memories and feelings! There were so many experiences that I didn't remember until I saw the place that they had happened, and they didn't stop coming. I visited a few more families in those areas. Unfortunately some of the people I most wanted to see had moved away or were not home.

There were plenty of sad stories and plenty of happy stories, some of which it might have been more comfortable not to know about, but others which were pleasantly surprising. And at the end of the two days I couldn't believe how emotional, hectic, and unique those two days had been. One of the weirdest/funnest things was seeing the kids who were now about 8 years older than when I knew them! So different, and so fun to see how they had changed and matured. And as an added bonus, a family in my last area even found me a ride back to antigua so I didn't have to take the busses. :)


Lifestyle Trends:
Intriguing trends from Guatemala which may or may not continue now that I'm back:

• Going to bed at 10 or 11, getting up at 6 or 7 every day.
• No tv-watching at all.
• Spending only an average of 15 minutes per day on the computer.
• Wanting to work more, not less, even when I was sick.

Other Fun Stuff from the trip:

1. We stayed in a convent the first four clinical days, where the nuns cooked for us. The nuns were awesome and really fun, and the food there was incredible!
   
2. Speaking of food I really got back into the cultural food there and loved eating black beans, eggs, and fried plantains at every opportunity.
3. The nuns taught me how to speak a little Kaqchikel (a Mayan dialect), and I used it to banter with them and to greet people on the streets.
4. We hiked a volcano and get pretty close to the lava, and we didn't start hiking down until it was already dark!
5. There was an "open mic night" at a restaurant in Antigua, and I performed three songs with the band there and played the hand drums on a couple others; two other guys in our group also performed. I'm an international star! haha...
   
6. Took a tour of a coffee plantation with a few friends, which was very interesting and exceeded my expectations.
7. Bought some avacados on the street my first day for about ten cents each and ate them with a tiny plastic spoon.
   
8. I only got sick twice, for about a day each time, and didn't take any antiobiotics.
9. I was introduced to a lot of new spanish music, thanks to a couple special friends; since returning home I've started listening to it a lot, and I love it! So many good groups I didn't know about...

Some statistics from the trip:

• Number of cold showers I took: about 7
• Times I went out for pupusas: 4
  
• Steroid injections I gave: about 12
• Teeth I pulled: 4
• Matrixectomies I performed: 1
  
• Patients we saw and treated: over 3,800
• Number of pills I took for my unexpected allergy symptoms: about 17
• Tubes of chapstick I purchased and inexplicably lost: 2
• Times I asked Dave to borrow his chapstick: approximately 25
  
• Times I got diahrea: 1
• Hot-pads that look like chickens purchased by me and friends: 2
• cameras I broke: 1
• Sentences I heard beginning with "Fíjese que...": over 500
• Number of times I sang the phrase: "Ay mujer, como haces daño...": At least 75
• Times an older Mayan lady asked us about having friends-with-benefits: 1
  
• Number of times I want to do this again: As many as possible
  

The Guatemala experience was an incredible one. There's so much more I could tell you, and each section in this entry could be an entry to itself. I wished I could stay longer, and it felt weird to come back. Here's some of the important stuff I learned: If you're in medicine and have a chance to go on a medical mission, do it. If you're a returned missionary and have a chance to go back and visit, Do it. And if you have an opportunity to purchase a hot pad that looks like a
chicken, Do it. :)

Let's talk about sandwiches, baby

The Sandwich.

For some mundane. For others exhilarating. What images does "sandwich" conjure up for you? What emotions does it spur?

Over the years sandwiches have rarely excited me. I can think of a couple exceptions, but most often it was PB&J here, plain ham there. I do remember eras when I downed grilled cheese sandwiches by the bakers dozen due to their sheer greasy palatability, but generally for me sandwiches were boring.

Not anymore!

It may surprise you, but I didn't wake up one morning with a glorious vision of how my sandwich experience would be revolutionized. It was only after months, even years of gradual and sometimes imperceptible changes in the constitution of my sandwiches that I suddenly realized, "I used to be bored by sandwiches, now they thrill me!"

So how did it happen? After many hours of pondering, the only way I can think to explain it is by describing the six sandwich phases that I've passed through. All of this has occurred in the past 2.5 years since moving to Arizona. These phases, in ways that at times boggle the mind, have brought me to my present state of sandwich bliss.

The Phases
1. The BBQ sauce phase.
2. The bell pepper phase.
3. The Subway phase.
4. The mustard phase.
5. The onion phase.
6. The pineapple phase.

Confused? Let me explain:

Phase 1. the BBQ sauce phase
I used to think all a sandwich needed was BBQ sauce. When I started bringing sandwiches for lunch here at med school, I brought them with just ham and BBQ sauce. I liked them at first like I always had, but they just didn't have enough ingredients and I got tired of it. I was bored.

Phase 2. The bell pepper phase
Shortly after the BBQ sauce phase I started making a lot of ham and cheese sandwiches with red bell pepper slices in the sandwich-maker my first landlady owned. Learning how good those bell peppers tasted on the sandwiches began to soften my heart and prepare a fertile ground for learning about other sandwich condiments. Nonetheless, it was not long before these sandwiches too were, you guessed it...boring.

Phase 3. The Subway Phase
For the first 24 or so years of my life I was cheapskate enough that Subway was out of my price range. This changed in the past few years both because I stopped being so fanatically frugal and because I started being more health conscious. And with the advent of the five-dollar foot-long, my Subway consumption peaked last Summer at an average of about four sandwiches per week. Not only did I become a master of the nuances of ordering Subway sandwiches, this is when my eyes were opened to the wonders of vegetables as sandwich condiments. That's why this phase could also be called the vegetable phase.

Phase 4. The mustard phase
As I was eating Subway sandwiches and continuing to largely flounder in my own efforts at creating a viable sandwich, I made an alarming discovery: mustard. That's right, much as Ben Franklin discovered electricity and Columbus discovered America, I discovered mustard. And in a similarly monumental manner to the effect of their discoveries, discovering mustard changed my sandwiches forever. You see, I'm not talking about your average every-day mustard. I'm talking about Great Value Southwest Spicy Mustard, and I'm talking about Great Value Honey Mustard. You can find them at Wal-Mart. When used in concert, these two mustards are all the sauce a sandwich needs. And ever since I started using these mustards, my sandwiches have not been boring.

Phase 5. Onion Phase: It's really quite silly that the onion phase should even exist. I should have known about the impact of onions ever since the Subway phase, if not before. I think my hangup was, even though I knew onions were good, I didn't realize how striking an impact they could have on my sandwiches, nor did I comprehend their ease of use. When I finally did start using onions consistently on my sandwiches, the immediate positive impact was astounding.

Phase 6. The pineapple phase: The pineapple phase is really another name for the tomato phase. I have always loved tomatoes on sandwiches, but in years past didn't get around to buying them, often beccause of the aforementioned cheapskatishness from which I for so long suffered. Well, over the past year I've started buying tomatoes a lot more often, and I've been kicking myself the whole time for not doing so sooner. After falling in love all over again with tomatoes on my sandwiches, one day I found my kitchen devoid of tomatoes and I had to scramble. So I thought, what makes tomatoes good on sandwiches? Mostly it's because they're sweet, thick, and juicy. So it logically follows that other things that are also sweet, thick, and juicy could also be really good on a sandwich. The first time this happened I used orange slices as my replacement(surprisingly good, by the way), and more recently I tried pineapple. Now I sometimes use both tomatoes and pineapple on the same sandwich! There's almost too much sweetness, thickness, and juiciness to go around!



It's been a long hard road, and I'm sure more discoveries await, but I can now say that I am fully entrenched in a love affair with sandwiches. The sandwiches I now make incorporate all of the crystallized principles that can be derived from the phasic progression described above. And they are truly glorious!


How to build the sandwich, from bottom to top:

1. Good-quality whole-wheat bread, toasted
2. Thin layer of low-fat mayonnaise on bottom slice only (optional)
3. Three or four slices of Premium Oven-Roasted Chicken Breast (or turkey)
4. Plentiful Onion slices
5. Great Value Honey Mustard and Southwest Spicy Mustard, in perpendicular criss-cross patterns
6. Tomato slices, providing full coverage
7. Pineapple (optional, or in place of tomatoes)

Also try: olives, mushrooms, bell peppers

I might not believe it if I hadn't experienced it personally, but it's actually quite difficult to overstate how good these sandwiches are. Let me try: They're the best sandwiches ever made in the whole world! Ok, that may be going a little bit overboard. What I will say, with no reservations, is that the sandwiches I make and eat today are not boring. I'm excited!

Excuse me while I go make a sandwich.

A blog about blogs...

Ok, I have officially started a blog. This first post isn't a real post...it's a fake one. It's where I'll mention part of why I'm doing this and the vision I have for it.

I have several friends and family members who have blogs, and I've noticed there are a few general types.

1. One type is the "journal" blog, usually started by people with families to show off their kids. I like these blogs, but only because they're about people in my family that I care about. If they were about someone else's family I wouldn't bother to read them.
   
2. Another type of blog is the "Cool Stuff" blog, which tells us about stuff the author thinks is cool. This could be epitomized by one of my brothers who blogs sporadically when he finds something cool enough to share.
   
3. Another type is the opinion/essay blog, where the author takes on potentially controversial subjects and writes a persuasive essay to show what they think about it and try to back it up. I have one friend who does a good job of this and tries to stimulate debate.
   
4. Another important type of blog which I am completely ignoring because I don't read any of these is the "theme" blog. A blog which consistently discusses the same topic, like a blog about basketball, trucking, scrapbooking, or politics.

As I thought about starting my own blog, I was inspired at times by one type of blog, at times by another. In think in writing the blog I will sometimes be more like one and sometimes like another. I mostly hope to stay away from the journal type, occasionally touch on something controversial, sometimes be persuasive, and most often just write about something cool. Or, I may completely abandon all these ideas and do nothing of the sort! But right at this moment that's my vision. Sort of. And maybe as a byproduct of all this I'll improve my writing ability.

Will you take the time to read this potentially-silly blog? I have no idea. But if you do I would love for you to occasionally provide feedback, of whatever type strikes your fancy.

By the way, if you want to know when there are new posts, the easiest way might be the box the right side of this page that says, "Subscribe".

Personally, I use Google Reader to gather all the blogs that I follow into one place, and I check it every few days to see if any of those ten or so blogs have new entries. If you don't know how to do this I'd be happy to help.

Are you excited? Should you be excited? Is excitement on your part even conceivable?

By the way my first real post will come very soon, before I leave the country this Friday, February 20th around noon.