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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Finally In Mendoza… Daniel begins his elective

Friday, February 17th, 2012

After a 13.5 hour flight I finally landed in Buenos Aires. Ezeiza airport was a bit of a free-for-all, with a massive customs queue to exit that seemed to cause several disagreements between those waiting.

031011011603 305698 696456041575 222406985 6718057 329539386 n 150x150 Finally In Mendoza… Daniel begins his elective

Welcome to Argentina

I stayed in a lovely hotel, which was probably a slightly too posh, but I’d got a good deal on the price, so the luxury was quite nice. After exploring a while I came across Florida street, which was full of tourists and had a market running along it’s entire length.

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That’s different

Thursday, February 16th, 2012

So far, when anyone from home asks me to describe what it’s like here, I tend to say, ‘it’s just so different from anything else I’ve ever experienced before’. I still haven’t come up with a better description. Things aren’t better or worse here, they are just……different. I wish I could walk around with a video camera to give you a real sense of it but you’ll have to be satisfied with a few snapshots instead. These were just some moments where I thought…’you know what, that’s different’.

For example….

P1000958 150x150 Thats different

Construction techniques.... they're different!

IMG 0881 150x150 Thats different

The fluorescent lemonade... that's different!

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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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Something for the physios

Monday, February 13th, 2012

Neil, my fiance, was keen to see what the Physiotherapy department looked like at Mt Meru Hospital so I went off and did a little investigating for him. I came across the lovely Flora, who is head of the ‘department’ and who is possibly the nicest person I have met at the hospital.

P1010079 150x150 Something for the physios

The infrared

The day I went there was an inpatient day where she goes around the wards so there were no patients in the department. Tuesdays and Thursdays are outpatients and I think she sees about 20 a day. They are mostly rehab cases following burns or fractures but there is the odd case of Guillain-Barre or paralysis.

They have fairly basic equipment but Flora was quite proud to show me the TENS machine and an infra-red light that they use for back pain.

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Climbing Mt Meru

Thursday, February 9th, 2012
IMG 4042 150x150 Climbing Mt Meru

Mt Meru looming!

Well tomorrow I am going to climb a mountain. No, not Kilimanjaro. That would just be so obvious! Instead I am going to try and conquer Mt Meru. It is a lot less touristy than Kili and a bit shorter (I think its peak is 1km lower than Kili) but at 4550m it is still a pretty big hill. Apparently there is lots of wildlife on Mt Meru like buffalo and giraffes so we will be walking with a ranger rather than a guide so that he can keep us out of danger (presumably by shooting anything that comes too close!).

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From Burns to Casualty

Monday, February 6th, 2012

I changed departments at the hospital this week. I had to say goodbye to the wards and theatre and all the little burns kids who had surprised me so much with their strength, and take myself off to casualty.

P1010170 150x150 From Burns to Casualty

Ester

The picture is of little Ester – the girl I saw previously who hugged me. I still can’t believe she’d come up and hug me after what we’d put her through in theatre. Any child at home would have run the other way at at the sight of me! She is also a good lesson (as are most of the other kids on the wards) about why your mum always used to tell you not to play with matches. Ester was alone while she was playing with them and so no one was around to help her when her clothes caught alight.

So now I am in casualty and seeing pain on a whole other level all together. As I left to come write this, a man was carried in with a broken L femur, R hip, R humerus AND L clavicle. He already looked like a bag of bones (he was painfully thin) but now sadly, it was a bag of broken bones. The road accidents here are brutal.

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