3/22/09

Great friends, Devastating news.

This weekend, Britton and I went to Atlanta to see the International Car Show and, more importantly, to visit my Atlanta friends. At Audrey and Joe's house we made pizza on Friday night. Saturday night we hung out with Audrey, Joe, Shelley and Andy; and Sunday we visited Janna and her son, Oliver, for breakfast.

Saturday afternoon I got the most heartbreaking news of my life: my dear friends, Sarah and Jeff, lost their little baby girl. Born on 2/16/09 at 33 weeks, she passed away after over a month of intensive medical treatments and even more intensive love from two of the kindest people to walk the earth and from their extended family. Marion Isabella Sumner is dearly missed by all those that knew her and by so many others that never got a chance to meet her. They are in our thoughts and prayers every day.

Some of my friends and family know Sarah and Jeff or met them at the wedding. (Who could forget the Princess Bride matron of honor speech?) If anyone would like to send them a card, I'll post their address here:

Jeff and Sarah Sumner
4508 Avenue G
Austin, Tx 78751

3/19/09

Match day! - March 19th

Match day is a national event when every 4th year medical student in the U.S. finds out where they matched for residency. University of South Carolina has a ceremony at The Zone (a ballroom overlooking the stadium) where each student is called to the front one by one and handed an envelope. After shaking the dean's hand, the student then walks to the microphone, opens the envelope, and announces where he or she will be doing residency. Drum roll please... Britton will be spending the next 4 years at Tampa General Hospital at University of South Florida's residency program. We are thrilled and so excited that Britton matched with his first choice! Britton's mom and grandmother came to share the event with us and help us celebrate. [view from the zone, picture of me and Ann and grandmama in the mirror]

When asked, Samantha said that she was not impressed with Britton's match success. She feels that we can pet her belly no matter where we live. Hmmmph!

"Black Tie White Coat"

On Friday, we went to the medical school's annual fundraiser for the Free Medical Clinic in Columbia. These are some of our best friends in Columbia: Tabitha and Nima in a picture with us, and Kelley and Greg. I even got to wear my wedding reception dress again!

3/9/09

1st Anniversay

This weekend was absolutely gorgeous! On Saturday we went to the Congaree National Park (just about 15 miles southeast of Columbia) to get out and enjoy the beautiful day. Unfortunately, parts of it were flooded but we were still able to walk a couple of miles on the boardwalk. In the evening I pulled out our new highly festive tablecloth from Ecuador and made a typical Ecuadorian dish: soup, empanadas, and fried plantains. We also had homemade wine from my friend Alicia, yum!

On Sunday (our anniversary), Britton surprised me with a trip to Charleston to the Magnolia Plantation. With a history deeply rooted in slavery and cotton, rice, and iron mining, the plantation is currently open for tours of the gardens, the home, and the grounds. We had a picnic there with a gift basket that was conveniently sent by my parents the day before. Later, we went to Hank's Seafood Restaurant where 2 dozen roses were waiting on the table for us (apparently my husband was scheming with his mother to plan a romantic evening) and the waiter delivered a bottle of wine, compliments of my mother- and sister-in-law, neat! It was a really special day and most of all I have a really special husband! We are looking forward to many more fantastic years.

3/7/09

Reflexions on Ecuador - things I want to remember

Living in Chile in 2001 changed my perspective on just about every aspect of life. It was so wonderful to return to South America to live for a month with my husband and to see that his perspective was similarly changed.

There are several things that we take for granted in the U.S.:

Quality health care: Okay, I'm faced with the fact that not everyone can afford quality health care in the U.S. on a daily basis at my job and I think that we need to make major changes to our system. However, our standards for health care are still far above and beyond what is available to even the most wealthy Ecuadorians. We take for granted that hospitals and clinics will be clean and that our privacy will at least be overtly protected.
  • Long tangent: That being said, many clinicians in the U.S. have replaced their clinical skills with expensive diagnostic tests compared to Ecuadorean clinicians (perhaps out of fear of litigation). This drives up our health care spending so significantly compared to every other nation in the world including Ecuador. MRI's, CT scans, X-rays are available in all hospitals in Ecuador but are used very sparingly. I think the right answer to public health care is somewhere in the middle and not at either extreme. Just something to ponder.

Food: There is a strong focus on sustainable foods and grains, plantains, potatoes, and corn in Ecuador. In the U.S. this is part of a trendy "sustainable foods movement," but in Ecuador this is just the way of life. People grow a lot of their own fruits and vegetables, even in the city. Much less meat and cheese is eaten in Ecuador because they can't afford it and as a result they have a much lower incidence of heart disease and obesity than we do. So now that we are back, we are trying to keep in mind that we got along just as well the Ecuadorean way and it would be better for the environment and our wallets to keep it up. Not to mention I love fruits, veggies and gardening anyway and the food was delicious!

Utilities: In Ecuador, a five minute shower is a long shower. Leaving a light on even for a brief period while you are out of a room is appalling. And offices, hospitals, nice homes and even the poorest homes all have skylights! - everyone uses natural light. There is little we can do about the fact that there are no windows in our dining room/study but we are trying to make a few changes in our energy consumption habits.

Consumer goods: In Ecuador, Britton bought two belts at a market in Cotapachi that were cut to fit him better. A couple of children were thrilled with the left-over scraps of leather that became their prized toys. When we visited Marta's house at Mitad del Mundo, we didn't realize that it was her son's birthday. So we gave him the only gift we had with us: a pack of gum. I've never seen a nine year old kid so happy to get a pack of gum. And the same observations can be seen in adults, they are very happy and proud of the possessions that they have. Marta was so pleased with her two couches even though the rest of her house was nothing but a concrete slab. The observation that can easily be made in the U.S. exists in Ecuador on a grander scale: people who have lots of possessions don't appreciate their possessions nearly as much as those who have less. If you are unsatisfied with what you have, you probably have too much. I think Britton may have a better understanding now about my mixed feelings about material possessions.

Transportation: Even outside of the big cities, owning a car is a luxury. Most people travel by bus or trolley and walk the distances that public transportation does not cover and again, they are in better shape because of it. And wheelchair accessibility?... Ecuador has never heard of it. We would like to change our transportation habits. Public transportation is not a realistic option in our area. I used to ride my bike to school/work, but now my work is about 8 not-so-nice miles away...I will try the bike some day soon.

Convenience: Anyone who has spent time outside the U.S. and not in a tour group knows that the U.S. is famous for it's conveniences. We call ahead and make a reservation; things are delivered on time; stores are consistently open at specified times; merchandise is consistently stocked; we stand in line and wait our turn; everything is air conditioned. None of this is true in Ecuador! So you learn to be more flexible and patient and you really learn not to sweat the small stuff (no book needed), we hope to keep up this attitude more.

Mixed thoughts---(compiled by Britton and Lauren)
Back in the U.S., Britton and I immediately found ourselves thinking:

-Gosh, it's clean here and the roads are huge!
-The air is cleaner here.
-It's great to be able to drink the tap water.
-And I love hot water! Oh, it feels so good!
-Where are the buses?
-The portion sizes here are HUGE!
-It's nice to worry less about your wallet.
-Now we have to worry more about violence.
-Big business and corporate chains have taken over.
-Fast food is everywhere here.
-Everyone is in a hurry.
-There are no children here begging in the streets.
-The closest place to buy bread is over 1/2 mile away, man!
-People complain a lot more here, and they have no idea how good they have it! No idea!

3/4/09

While we were out...

While in Ecuador, a few major changes took place in our life and the lives of our friends and family:

- Britton's childhood cat, Kitty, who was currently living with his mom finally died at 22+ years old. She was a sweet kitty and will be missed.

- My mom's faithful and kind dog, Lily, died and will be dearly missed.

- Britton's younger sister, Julieann, had a healthy baby boy: Elijah William Murphy.

- My friend and maid of honor, Sarah, had a very premature little girl: Marion Isabella Sumner. Marion came into this world early to point out a few complications (Langerhans cell histiocytosis) to Mom and Dad and is a very sweet little fighter.

- The physical therapist that I am replacing during her maternity leave was supposed to start the women's health program at Lexington and then leave it in my hands when I got back. However, she developed preeclampsia and gestational hypertension and was put on part-time desk duty only. Which means that she and I are getting the paperwork together this week and I should be able to start the program myself next week.

"Life is what happens when you are busy making other plans."

3/1/09

Sunday 3-1-09

Today we went to Blowing Rocks Preserve on Jupiter Island to show Britton the spray of waves that crash on the porous coral rocks. It turned out that there weren't really any waves today but it was a beautiful day.

As a bonus, I also realized today that I am definitely not adopted. I looked down in the sand and saw feet identical to mine. One of these is mine and one is my mom's, can you guess which is which? They look the same!

Saturday 2-28-09: Leaving Quito, Ecuador

On Saturday, Yolanda made us one last breakfast and then we took a cab to the airport. She was in her pajamas and she refused a picture as she had done a few times before. It seems we always try to catch a picture when her hair is not done. I do regret not getting a picture of her on our trip, but I can say we certainly tried.

When we got to the airport, we found out that Avianca, our airline for the Quito, Ecuador to Bogota, Columbia part does not have an agreement with American Airlines (AA) that would allow them to connect our luggage through for the AA Bogota to Miami part. So they told us that in the 1:40 lay-over that we had in Bogota, Columbia we would have to go through immigration, claim our luggage, go through customs, and check-in at the American Airlines desk at least 45 minutes before the flight. We were SO stressed and I was pretty sure that we would miss our flight and be staying the night in Bogota since AA only had the one flight out of Bogota on Saturdays. The flight staff even told us that we would probably miss our flight!

When we actually made it through everything and checked in on-time, we bought a little bottle of Columbian rum to celebrate!

My parents picked us up in Miami, we had dinner in Ft. Lauderdale and then headed home to Jupiter for some kitty loving (Yay! Samantha!) and some much needed R&R.

Foot note: Avianca is a great airline with lots of comfy amenities and free tech/entertainment and free good food. We would definitely recommend them for South American travel as long as you are not trying to connect with American Airlines.

Friday 2-27-09

On Friday, Britton and I walked all over Quito, picking up a few last minute souvenirs and buying thank you cards for Marta and Yolanda and Rene. One last peek at the Virgin. We had lunch downtown and eventually made our way back home. A night-time picture from our front yard looking at the front of our house (on the right) and Yolanda's sister's house (on the left) which are mirror images inside.

One final (merienda) dinner with Yolanda and Rene. Unfortunately Rene was sick and went to bed early. Britton and I packed, deciding which things we would leave behind: some medications that are cheaper in the U.S. than Ecuador, clothes, hospital scrubs, towels, lotions, sunscreen, tissues - all things that were more appreciated in Quito than we would appreciate at home.

Thursday 2-26-09

Thursday, we had our first stomach upset of the trip, probably from eating salad from the Pizza Hut that Jacqui ordered last night. Figures we'd enjoy the Ecuadorean food just fine and then get sick from eating Pizza Hut! Our host mom made us tea from oregano, which is supposed to calm the G.I. tract. Herbal remedies are very popular here. It was actually tasty and I might try making it in the U.S. just for something different.

I spent most of the morning blogging at the Pharmacy next to our house to stay close to home since I wasn't feeling great. For lunch, we went to our favorite cafe down the hill and then rested in the afternoon with some Pedialyte (no Gatorade to hydrate sick people here).

Pictured: Megan, Ben, me, Cara, KT, the other Lauren, Carlina, ? not in the med program.
Brittany, Britton, Emily, Kristen.

Our stomachs were feeling better just in time to go to a cultural meeting with the other students that evening. Since this was our last night together as a group, we celebrated in traditional Ecuadorean fashion: on a chiva bus. Basically, it's a bus with a band on top that takes passengers all over the city to enjoy the views while drinking a traditional hot alcoholic beverage and blowing whistles or using noise makers. Some of the band members were children who might have been as young as 10 years old playing an instrument on a party bus on a Thursday night. This made me think of the old commercials "it's ten o'clock, do you know where your child is?" The band is by no means very talented but they certainly get one in the spirit.

Britton took this picture when we all stopped to get out and dance in the San Francisco Square. It's a pretty crazy picture but probably a good representation of that night. ;-)

Wednesday 2-25-09: PM

Wednesday afternoon, Britton and I got expensive salon style Ecuadorean haircuts and styling. $18 for both of us together, a lot considering a "Supercuts" type of haircut in Quito cost $1.50 for men and $2-3 for women.

Wednesday night, we went to Jacqui's house because she wanted to thank me for giving the lecture. We met at 6pm and didn't eat dinner until 10:45! Cultural differences were apparent but intentions were good. :-)

Wednesday 2-25-09: Military Hospital PT


On my last day at the Military Hospital, I took some pictures in the hydrotherapy area that are probably only interesting to people in the PT/med professions. Are those reciprocal arm pulleys in the pool? Yep. Interesting.

They have several private rooms with whirlpools (a blast from the past in today's U.S. medical world, Lexington Hospital just had theirs taken out to make private spaces for the women's health program. They haven't used the whirlpools in years). I was surprised to see this Hubbard tank too.

Jacqui (the therapist I've been working with, on the left) treats a patient with a spinal cord injury with the help of a PT student. And other than not being raised and lowered automatically, these parallel bars are similar to those used in the U.S. This patient lost his leg in a military conflict with Columbia.

These stairs are similar to what you'd find at a U.S. rehab clinic but are only large enough for ambulation training, not large enough for wheel chair training. This circle moves around and around with the handle pictured at the bottom, shoulder rehab anyone?

What you don't see at this hospital: computers. Or anything electronic (other than electrotherapy). Beds are not changed between patients or even at the end of the day as far as I can tell, but this isn't so bad in PT, just really different from the U.S.