Parque General San Martín and Mendoza Zoo – Daniel enjoys the local amenities

Wednesday, March 7th, 2012

As I may have mentioned previously, the house I’m staying at is opposite a massive park, called Parque General San Martín. San Martín was an important figure in Latin American independence, who formed an army in Mendoza in 1814, which crossed the Andes and helped liberate Chile. Although I’d been in the park before, I hadn’t really explored it properly, so yesterday I decided to venture deeper inside.

011111061011 308113 701593690685 222406985 6774440 606730963 n 150x150 Parque General San Martín and Mendoza Zoo   Daniel enjoys the local amenities

The zoo

In the morning I went into the centre of Mendoza to catch a bus that does a tour of the park. It takes you to the top a hill called Cerro de la Gloria on the far side of the park, giving you a commentary as you go around. On the summit of the hill is an impressive monument to San Martín and his army. There were also excellent views of the surrounding area and of the city. On the way down, we passed the Frank Romero Day Amphitheatre, where the climax of the annual Fiesta Nacional de la Vendimia, or National Grape Harvest Festival is held in March. It’s a big celebration of wine making, and includes a grape blessing ceremony, a big parade, and the election of a festival Queen, chosen from women nominated from the local departments of the province.

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A new hospital Mendoza, Argentina

Monday, March 5th, 2012

On Monday I started at a new hospital. I spent this week on the labour ward, which was very busy – they average around 15 births a day. Being a public hospital, for people without insurance, the patients tended to be quite poor, with little education. I was surprised by how young they seemed to be, with a typical patient being around my age, giving birth to her third or fourth child.

Natalia July 2010 6 150x150 A new hospital Mendoza, Argentina

Medical Spanish helps you with the hospital staff

Compared to the last hospital, this one is bigger, but the building is definitely more neglected. On the labour ward there were separate areas for women in labour, and those actually ready to deliver. The area for those labouring consisted of 2 rooms, with 5 beds in each. There were no curtains between the beds, and all procedures, including vaginal examinations and urinary catheter insertions, were done in full view of the other patients. The cases of each woman were also openly discussed in the room, including that of one woman with HIV who had come for an elective c-section. Privacy was certainly low on the agenda, and it was a world away from the individual rooms of Hillingdon Hospital!

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A drop of vino Luján De Cuyo – Daniel finally tries wine tasting

Friday, March 2nd, 2012

Having somehow managed to spend 3 weeks in Mendoza and not visit a single winery, I finally rectified the situation today with a wine tasting trip in Luján de Cuyo.

The tour consisted of 4 wineries, the first called Achavel Ferrer. It isn’t a typical winery for the area – it has a special fermentation process, using special concrete vats rather than stainless steel ones. This allows them to ferment at higher temperatures for shorter periods of time, as the concrete is less prone to changes in temperature – a temperature rise of only 1°C would kill the yeast. They only produce small amounts of wine, around 200,000 bottles a year (a medium sized winery producing a million).

Halfway through the tour we were joined by another group, of some Americans and French people. They were slightly intimidating as they obviously thought of themselves somewhat as wine connoisseurs and seemed to know all the technical questions to ask the guide. Having said that, they were quite useful later for learning the etiquette involved in the wine tasting itself! We got to try 5 different wines – a basic Malbec, a blended wine, and a top range Malbec of 3 varieties, produced from identical grapes, harvested at the same time, but grown in different soil types at different altitudes. I was surprised at how much this affected the taste!

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Cañon del Atuel San Rafael – David tries rafting

Wednesday, February 29th, 2012

This Sunday I took a trip South of Mendoza, to Cañon del Atuel. Being some 240km to the south of Mendoza, we started the day quite early at 7.30 am, and it wasn’t until 11 o’clock that we made it to the nearest city to the canyon, San Rafael. I was a bit disappointed to discover that we weren’t going to be stopping in the city, rather just driving around the main streets for around 15 minutes. The main square, Plaza San Martín, was very beautiful, and I managed to snap a photo of the statue and fountains through the window, before we left for the canyon.

011111062535 312522 703984015455 222406985 6802680 493301954 n 150x150 Cañon del Atuel San Rafael   David tries rafting

Gorgeous views

Before reaching the canyon, we drove along a river leading up to it. The lush green trees made a stark contrast to the barren rocks in the surrounding landscape. In the afternoon we had a choice of activities to do, and 6 of us chose to go rafting on the river. Although not technically challenging (we were all beginners), it was very fun and I got soaking wet! I don’t have any photos from it so far, as I had left my camera in the minibus, but one of the guys who did bring his camera out has promised to email me his pics of us dressed up in our rafting gear!

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Realistic expectations – “making a difference” on an overseas elective

Tuesday, February 14th, 2012

Many students who plan to undertake a healthcare elective in a developing country are driven by the idea they can make a real difference to the hospital or clinic they are going to be working in.   They see it as a chance to move from the role of  spectating or doing basic work under supervision, instead using their skills to help those less fortunate. But is that a realistic expectation?

An elective in an developing country can offer lots of opportunities, but as Mitchell Blake in the Medical Student Journal of Australia found out, things can be very different to how you imagined…..

Prior to my first day, I talked to some international students who had been working (there) for some weeks.  I had expressed my enthusiasm to practice as much medicine as possible and maybe make some management decisions, I was laughed at. I also expressed my interest in developing my procedural skills…“You won’t get to do that much,” replied one of the international students quashing my hopes, “you’ll be lucky to take blood.”  Indeed, venepuncture was the only procedural skill I practiced on my elective.”

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£700 towards an elective in Ghana!!!

Thursday, February 2nd, 2012

The Royal Society of Medicine are offering 2 students £700 towards their elective!

Central Regional Hospital Cape Coast 43 150x150 £700 towards an elective in Ghana!!!

HIV leaves many Ghanaian children orphaned

The Global Health Award is focussed on HIV in communities with severely limited resources, so our placement opportunities in Ghana would be an ideal fit.

The Ghana Aids Commission is working hard to reduce the numbers of infected people, putting aside a budget and encouraging ministries to do the same, but there is an obvious funding gap. Stigma and discrimination are still rife and many people stll hide their HIV status, reducing their chances of obtaining proper treatment. The Government also struggles with the 140,000 + children orphaned by AIDS. Services have been scaled up, but it is estimated that only 7.4% of orphans and vulnerable children have been reached.

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Christmas in Tanzania

Friday, January 27th, 2012

This must be one of the first Christmases where I haven’t woken up super early to see what was under the tree.

IMG 3534 1 150x150 Christmas in Tanzania

party hats!

What we have had today though is lots of laughs, fun, food and generally a lot of lazing about in the heat with drinks in hand. All in all it’s been a fantastic day. We made a big breakfast spread this morning, moved the Christmas tree out into the yard and basically set up camp in the cabana for the rest of the day. The girls then moved to the kitchen to make a cake for Emmanuel’s birthday which is also today. After ruining the package cake mix with a rotten egg we had to start from scratch with no recipe and only basic ingredients. It wasn’t the worst cake in the world but that’s about all the praise I can give it. It did look good though. Pimms and lemonade and a BBQ finished of the afternoon and now it’s beers and scrabble as the afternoon cools off and the sun starts to set on Xmas 2011.

I asked everyone what was the best Xmas gift they had ever received. Funnily enough no one could really come up with one. I think what really makes a great Xmas is the people you spend it with and the experiences you share. While I am certainly sad that I am not with family today this had certainly been a unique Christmas and one I am not likely to forget in a hurry.

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Arriving in Tanzania

Thursday, January 26th, 2012

I have made it to Tanzania safe and sound!

P1000970 150x150 Arriving in Tanzania

Emmanuele and my new home!

I had my first taste of the Arusha town centre yesterday and today was my first day in the hospital.I have so much to say but I’m not sure where to start. I’m still so overwhelmed and struggling to adjust.

By African standards, I will be living in absolute luxury for the next 8 weeks. The house is in a relatively posh area of town with giant houses surrounded by large fences.

The hospital where I will be spending most of my time is a referral hospital for the region but is still quite basic.  The entrance is always quite crowded – it’s a gauntlet of ‘Mambos’, ‘Jambos’ and ‘Taxi?’…. everyone wants to talk to the mzungus! Our Swahili is definitely getting better but I’m sure no-one is fooled. We are still tourists to them.

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Top 10 … reasons why our Intensive Spanish Course is the best!

Monday, January 23rd, 2012
1. From basic to proficient in one week – our course starts with the basics and progresses to include medical terminology. This will really help you in a hospital environment.

DSC05324 150x150 Top 10 ... reasons why our Intensive Spanish Course is the best!

Learning Spanish helps you translate menus

2. Focus on your discipline – We make sure our teachers in Mendoza and Arequipa know each student’s clinical interests before you even fly out to your destination. By the time you start, they will have developed specific material that will help you learn the terminology needed for your placement.

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The top ten…. diseases in Nepal

Thursday, December 29th, 2011

Top 10 (Inpatients)

  1. COPD  (Chronic obstructive pulmonary disease)
  2. CVA  (Cerebral vascular accident)
  3. Birth asphyxia
  4. PLWHA (People Living With HIV/AIDS)
  5. Septicemia
  6. NIDDM  (Non-Insulin-Dependent Diabetes Mellitus)
  7. Pneumonia
  8. MI  (Myocardial infarction)
  9. ADS (Acute Death Syndrome)
  10. IHD (Ischaemic heart disease)

Top 10 (outpatients)

  1. Pneumonia
  2. GE
  3. EF
  4. Appendicitis
  5. COPD (Chronic obstructive pulmonary disease)
  6. RTI (Respitory tract infections)
  7. Injury / Dislocation
  8. Hepatitis
  9. Pyrexia
  10. Sepsis