So It Has Been A While.....Forgive ME!

I would just like to ask for forgiveness for leaving all of you out there hanging on what is going on with my life.  I would just like to say that since the last time that I wrote, I have just been a busy little bee studying her life away.  Honestly, AICM just included a rotation for a minimum of two hours per week of various doctors that you essentially watch or talk about how to treat patients.  There were some doctors that were better than others but it is not my place to blast them on here.  My friends and I enjoyed each of our rotations and learned from them differently.  I would say the biggest things were the fact that everything was beginning to come together.

Honestly, while learning the material on the island, the information doesn't make any sense.  Talking with the doctors made us understand that all those little details matter.  Often, I have been told that I should be careful not to "over-study" but I beg to differ.  Is there a such thing as over-studying for the Step 1?  If anyone has an answer to that, I beg you to comment below so my friends can get some information from you.

So I am sure you are dying to find out what is going to happen next with me.  Well, right now, I plan to just study like crazy.  I honestly don't have anything coming up that is spectacular unless you mean my birthday in February and a cruise in March.  Plus, when I get back from that, I plan to take the qualifying exam to take the Step 1 with school.  I must agree that this is a really bad idea but it was something that was planned in advance and I didn't think that this would be how it worked out but unfortunately that is how my schedule is flowing right now.

Also, I am continuing to teach some BLS/HeartSaver courses here and there now that my partner in crime, James, is back around.  If you would like more information about some of the trainings we offer, just visit www.trainchicagoheart.org.  We are still working in conjunction with the Anguilla campus so you can expect some overlap.  We successfully turned the Anguilla program over to two other lovely students who are doing wonderful with the program despite also being responsible for their coursework as well.  I must say that I am extremely proud of them.  They are featured in the Newsletter featured on the SJSM website.

Also, not relevant, but I am pictured in the January 2017 newsletter on page 5 reviewing an exam with some other classmates.  I still remember that day and I must say that it was interesting to get my picture taken while discussing my exam with the professor.  To recap, the picture was during my third semester which is considered the most difficult semester for students to master.

But other than these tidbits, what else do I have to show for myself?   Umm.....would you like to see some of my Step 1 notes?  I'm just kidding but if anyone still has any questions about anything, I am still happy to answer.  I can take a 5-10 minute break every few hours to answer any burning questions that one would have about school.

Maybe before I end, I should explain what my hold up is right now so that people understand my path and where I am going.  So right now, I am studying for the USMLE Step 1 which is a test taken by foreign medical graduates and American medical students alike.  It is a test that determines your fate of what you are to become it seems like the good book does when we get to heaven.  (Give me props for that analogy if you can!)  My school has us (its students) take a qualifying exam (NBME) to determine if we are ready to sit for the Step 1.  Upon passing that, we are allowed to sign up for the Step 1 and write that exam.  The current passing score for the Step 1 is currently 192 with the average being in the 220s.  Of course me, being the overachiever that I am, strive to be a little above that.

I already mentioned before that I plan to take the qualifying exam at the end of March.  Based on the results of that exam, determines my next steps.  My ultimate goal is to successfully pass the Step 1 by August so that I am able to participate in Match by 2019.  So I asked for continuous prayers of my success in those endeavors.  I also don't want to have a never ending cycle of repeating learning the same things over and over which also explain my sense of urgency.  So if anyone is wondering why I am becoming a hermit, this should explain it all.  So peace and quiet it shall be!

I extend hope and prayers for all the students that are currently studying with me and pray they all pass with the scores that they desire.  Just know that my journey is far from over and it is continuing on.  I am just at a mountain currently but I am climbing and I have the equipment necessary to reach the top.  I will try to update you monthly throughout the journey with details of celebrating my birthday and going on the cruise plus the qualifying exam. Thank you all for your many well wishes.

Although Christmas has passed by a month, here's a family picture including my brother that was in the motorcycle accident on my iPad.  Please continue to pray for his recovery.

Let’s not get tired of doing good, because in time we’ll have a harvest if we don’t give up.

Galations 6:9, CEB

I'm in Chicago Y'all!!!!

Sorry!  Life happened.  So like, I kind of finished on the island and had white coat.  Came back to the United States.  Traveled from Atlanta to North Carolina to visit with baby brother and went back to Atlanta, GA to pack to move to Chicago three days later.  And I am still currently unpacking from this last move.  I must say that I wish things were slightly different but I like being an easy plane ride away from family and friends.  Also, I managed to make it to see a few doctors to get tests done for clinicals to come.  I'll just post some pictures so that it can be said that life has been busy yet amazing all at once.  I can only give God the glory for it all.

Let them give glory to the LORD And declare His praise in the coastlands.

Isaiah 42:12, KJV

 

 

 

The Infamous Block 4

Hello all!  I am really making a point to post very often because I know there is a lot I can answer questions for on this side of the program opposed to answering questions when I am gone.  So blocks are finished and everyone is just getting ready and planning for home.  I probably should've packed yesterday but I decided to catch up on some television shows.  Plus I went out for dinner to celebrate the fact that it is my last normal block.  I guess this is the part where I should be sad. Someone cue the tears.  Okay, I will stop laughing now.

So my block exams went fairly well I must say.  You can tell that I wasn't distracted by Walden courses and I truly studied a lot this block.  Since this block is only 7 class days, I really have to make this count!  And yes, you read correctly.  SEVEN days!  And we have 13 days until White Coat ceremony.  And I guess you can say I am a little excited.

So what have I been up to?  Nothing much.  Just studying like crazy.  Since there is no real method of standardized testing in medical school other than the Step 1, our school has implemented NBME exams everywhere.  Most classes have at two like my class has.  NBME stands for National Board of Medical Exams and they just hold onto old USMLE exams.  It's a company like the PSAT.  They hold on to old questions and sell them to people for them to simulate a real exam.  I would say it is a good business because a lot of people use it.

Lunch from a restaurant at Shoal Bay

So with 3 class days left, what do I have to do to pass and move on with my life?  Two presentations, two quizzes, 4 exams, a research paper and Carnival.  I included the last one as a joke but I think you get the point that I have a lot of stuff to do.  Monday, we actually don't have school because it is August Monday also known as the first day of Carnival.  There is a parade and a beach party to go with that.  I really should study so let's see!

My group from my
Pathology poster presentation

In the past few days, I have presented a poster with some lovely classmates and I must say that we BEAST moded that presentation and it is reflected in our grade.  Also, this week we were to turn in research papers to our mentors of our research assignments that some students had the luxury of working on for the last three semesters.  My group has had to make a lot of revisions but I think we still did a great job.  And I have rewarded myself greatly this week!  Mostly because my exam grades were favorable and I am so close to getting out of this place.  Here's a few pictures to showcase how my week has been!
 I can only say that this week, I was blessed.  I was blessed enough to be around great people and have great grades.  As for a progress report on my brother, this week he has decided that he would move his leg in places to make it appear as if he would like to make a run for it.  Sorry little bro but you gotta stay put just a little while longer.  And of course there are some side jokes that come along with that as well.

Dinner with a highly regarded professor

Again, I appreciate all of the people who have helped me on my journey this far.  It has been a long road.  I have met a lot of great new friends and lost contact with a few but our relationships should surpass that.  I would think here would be a good point to ask if I have arranged anything so far for the future move to Chicago.  I signed a lease from here for an apartment in Chicago.  I know it is risky but I didn't want to risk not having a place at all because the area I am moving to is college town.  I think it was a great choice being that all utilities are included.  And I am still arranging what furniture and items that I am taking with me.

Since I only have a few weekends left, I am attempting to live.  For once in my life, I am having the opportunity to live.  I have always been a cautious person about spending and I must say that I think that I have done fairly well.  I really have not increased my debt as bad as I could have but I decided for my last few weeks, that I won't say no as much.  I just wanted to say that I experienced Anguilla versus just lived here.  I think all of my audience would like to hear that I did that as well.

Enjoying Shoal Bay

So what now?   I have almost learned all of medicine.  There is almost nothing else the teachers can teach me.  So now, it is time to put the absorbed information the teachers here have given me and study to take the Step 1!

Gracious words are like a honeycomb, sweetness to the soul and health to the body.  There is a way that seems right to a man, but its end is the way to death.

Proverbs 16:24-25, ESV

And the Countdown Continues

We have 25 days in counting until our White Coat Ceremony and what am I doing for the occasion?  Currently, I am studying.  Hahaha.  I have been trying to enjoy myself and study at the same time.  One could say that's not hard at all but it can be.  I want to say I did something while I lived here ya know.  So what have I done in the past week?

Thursday, I went to dinner with some lovely friends and we enjoyed Japanese cuisine for dinner.  I will also remind people that anywhere you go out to eat in Anguilla is usually at least $20 for one person to eat.  This time, I was happy to report it was a lot of food and I left full which is unusual.  This was called the Bento Box. I won't give any names of the restaurant but one could figure them out once they get here.  But this place had very good food.  It may have earned a spot to stop by at when my family gets here.

Friday, I was very studious and stayed at school to "study."  I was practicing questions for my upcoming pathology exam this week.  Yes,  I study that far in advance.  I have to make my audience, family and friends proud of me!

Saturday morning I decided to have breakfast out.  Why?  I don't know. Maybe to make myself feel better.  I will say this bagel with egg and cheese made me feel a lot better.  I usually get a slice of lemon cake to go with it because it is so moist and delicious as well.  And this restaurant is also easy to guess.  I think others would enjoy their prices as well because they are more affordable maybe because it's breakfast.  And of course, afterwards, I went to school to study my life away.

 Late Saturday night, I decided that I would wake up on Sunday to watch the sunrise.  Yea, I guess I rolled over when I heard my alarm go off at 4:30.  The sun rises here at about 5:45 but I wanted to be really early so I knew I would catch it. But either way, I woke up at 6 am mad at myself but I still wanted a little bit of adventure before I started my weekly chore of meal prepping for the week.  So I decided to drive over to Island Harbor which is about 20 minutes from my apartment and enjoy a croissant from my favorite bakery.  I actually have a picture of their croissants in one of my first post from the island before the ant infestation that I had.  Let's just say, I ate the croissant and then realized that I had no proof for the world to see that I had them.  I would just give you the menu and the schedule so that it is made known of the times that they are open.  While I was over that way, I decided to take a few pictures of the boats and scenery.  I would say it's beautiful.

Island Harbor, Anguilla

And then on Monday, I learned how to perform a pelvic exam for females and conduct a male exam.  Let's just say it was an interesting morning learning about catheter placement, pap smears and checking for inguinal hernias.  This day was very special being that it was our last lab session for the semester because next block is full of Carnival.  It's that time of year again in case you forgot.  Maybe this time I will go observe some things and take a few pictures as well.

My first pap smear with a manikin

And last but not least, today, Tuesday.  We now have 25 days until we receive our precious white coats.  And I will say that the feeling is becoming bitter sweet.  We finished class early so my friends and I decided to go and eat at another restaurant.  Did I mention that we were trying to experience as much as possible before we leave?  This restaurant is pretty affordable.  Most of the dishes are less than $15 and it happens to be close to school.  The only downfall is there isn't a view and they are slow.  But that is anywhere on the island honestly.  I think it is just that the sense of urgency that we have in the US isn't here which is a good thing.  Gives a more relaxed feeling.

Well that's my story of this weekend.  Next week, I will try to update you guys on my adventures of the weekend because I only have 3 weekends left before I am officially finished with the island.

I would also add that my brother is doing well.  He is still receiving treatment in the rehab facility.  He is supposed to be getting moved to long term care facility soon but a facility hasn't been chosen as of yet.  If he goes to a long term care facility, he most likely won't receive the rehab that he receives now so I set up a Go Fund Me page to raise money for that.  If you would like to donate or share the fundraiser, it would be greatly appreciated.  The link is here RC's Go Fund Me.

I also forgot to mention that James and I were kind of featured in the newspaper the Anguillian for teaching the CPR course for the community members.  You can view that article here.

The LORD is good unto them that wait for him, to the soul that seeketh him.

-Lamentations 3:25, KJV

So Close I Can Smell the USA

Hello again.  The journey is going nice and swell.  I have been studying a bunch as usual.  I am starting to get excited about returning home to my family but I am also trying to get my last bit of experience of the island as well.  Before I am released to go study for USMLE Step 1, I have these last exams to pass and receive my white coat.  It's only 32 days away but who is really counting.

As a small update, my brother is doing well.  His recovery is very slow but progressing.  All prayers are welcomed in his recovery and we (his family) greatly appreciates it.  In case you missed it, he suffered from a traumatic brain injury after being involved in a motorcycle accident on May 19, 2016.  He had diffuse swelling throughout the brain but mostly in the area of the basal ganglia.  He is currently in rehab for his injuries.

So what has been going on with me?  I have been trying many different restaurants to decide where to take family when they get to the island.  I also have been attempting to sell my car which I have not been successful at.  I don't understand how I am a good saleswoman for bartending but not a good car saleswoman.  That story is for another time.

 I would also like to add that in addition to the Anguilla CPR project that James and I founded, taught a lovely group of women Heartsaver CPR about two weeks ago.  We taught about 20 women and had an additional instructor from another class and were very proud to have accomplished the goal of the project before we left.  It was a very rewarding feeling and experience.

It was also a pleasure to be apart of the first ever ACLS class to be held on campus.  It was nice to combine 3 of our basic science classes into a certification as well.  Seven other students besides me were certified in skills.  We actually did well being that we were never experienced to a situation as such before.  I will link a video soon after the second class completes their certification.

Also in the last few weeks, the school hosted a health fair where locals can come to school and be screened for diseases and students can practice basic skills.  It was very fun to get the opportunity to use some of the skills I learned.  Because I am involved in a research study involving glaucoma prevalance for Anguillians, I was able to use various opthamalogy equipment to briefly check eyes without dilating them.  I would say that I am very good at utilizing the panopthamalscope and would love it if someone would like to gift it for graduating but I am not going to dwell on it.

Some friends and I did go out to this restaurant that is notorious for having celebrities but of course we didn't see anyone when we went.  The following week, some people met Charlamagne Tha God, a radio personality and I noticed on social media that Tia Mowry was also here.  Seems as if they come to not be bothered huh?  Plus it helps that Anguillians don't care about fame so it would be easy to come here and have an actual vacation.

We have a calendar on the board and the amount of things we have to complete before we leave is becoming endless.  I haven't discussed the classes for this semester.  Well most of our classes consist of pathology.  Hehehe.  Just kidding.  Our classes this semester include Physical Diagnosis, Pathology II, Epidemiology, Clinical Correlations of Basic Sciences IV and Research in Health and Medicine III.  Physical Diagnosis is interesting because we now have to learn how to regurgitate all of the information we have compiled into our brain plus the stuff we also forgot about and learn how to report it to physicians and conduct an assessment to identify the problem in the first place.  I mostly like how it ties everything we've learned together.  The other subjects are self explanatory of what they teach.

I would also mention that our class had a date auction to raise money for our white coat ceremony.  I didn't participate in it but I did bake a cake that lasted about 4 hours.  I still can't believe it was consumed that fast.  I also would like to add that I baked another one for the church bonfire and that was devoured in about 20 minutes.  So I guess if med school doesn't work out, I could be a great baker especially being that I was offered a job at the grocery store here.  Today we got to try on our white coats which put everything into perspective.  It's getting really close to our time being up on the island here!!!

As for the excitement of getting off the island is a constant right now.  I am currently trying to continue experience the island so that I won't say I missed anything while I was here.  But there will always be something I missed.  I would love to ride horses and spend a day riding 4-wheelers around the island but I think I will have to skip that this time unfortunately.  I can say that I will remember my time here and think of it as an awakening to experience something I would've never experienced otherwise.

So to go along with the path ahead, I will keep you posted on the more tortuous activities the faculty decides to put us through before letting us off the island.

Shew me thy ways, O LORD; teach me thy paths. Lead me in thy truth, and teach me: for thou art the God of my salvation; on thee do I wait all the day.

-Psalm 25:4-5, KJV

The GREAT Physician

Hello followers!  I greatly apologize for my absence.  Not only is it my fourth semester here on the island, it has been a true test of my faith.  This semester is the semester of joy because you finally get the feeling that you see the light at the end of the tunnel.  It's when you can say you're moving back home even though it is really a move to Chicago, IL for the next two years of your life.  But I will say that I am grateful for all of it.  The road of life was never meant to be a straight road into the sunset because then there would no purpose for trials and tribulations that present as the curves, hills and bend in the road.

A few weeks ago, I posted that I was unable to talk about what was going on.  Before then, it was joy from passing my cumulative exams.  After passing those exams, I was involved in a parking lot accident.  I backed into another car that was coming into the parking lot.  Just a little advice: look up some of the laws or have really good friends who know the laws very well in another country.  In the US, the fault would be the individual driving forward and not the person reversing but that isn't the case here.  Too bad, I didn't learn this was the law until two weeks later after talking with many individuals including the police who never informed me of such a thing.  But that now is resolved and insurance will take care of it.

In other news, I began studying for classes after that and finished the last season of Grey's Anatomy.  I treated myself to some snacks and buckled down studying.  This semester is mostly a review semester because not much material is actually taught.  Well let me rephrase that.  We have a big class that consists of mostly review and then the other three small classes we learn bit by bit.  I would say we have a bit more free time due to the lack of busy work that is required this semester.  Overall, I like it although it seems a little harder than the others.  Maybe because we're so close to the part where we start to study for Step 1 but I don't know.

Everything was starting off well into the semester and then I received a phone call.  My youngest brother was involved in a motorcycle accident.

You can never predict how the path in life is going to go.  You can plan to go straight but who's to say that God won't have turn left to turn right later to get back on track.  It would have been nice to know that this semester would be like the others and only thoughts of passing my classes but it didn't work like that.

My brother was driving to see his great grandmother when a vehicle turned in front of him.  He only rode a motorcycle to save on gas.  My brother doesn't speed and doesn't attempt any tricks on his motorcycle.  He just left from visiting his uncle's house.  Even routine things can turn into disaster.  My brother is now recovering from a traumatic brain injury.  I think the part that hurt the most is knowing exactly what the doctor was saying because of all the classes I've taken.  Afterall, I know that physicians are not gods.  Plus I know who the great Physician is!  So I continue to pray for my brother in his recovery.  It seems thus far, it is at the pace of a turtle however.

So after flying home unexpectedly and the cost of moving to Chicago from Atlanta, my life is looking pretty swell.  I knew this journey would come at the cost of bad credit, threatened relationships and other things.  Never would I have predicted this.  Because this is my last semester and I know I probably won't be back on the island for a very long time if I decide to come back, I am trying to experience as much as possible.  Unfortunately it may hurt my pockets but I will have some good experiences and food while I am at.

Mmmm.  Breakfast!

Seven weeks from today, I will graduate from the island and receive my white coat.  The excitement I feel is beyond my wildest dreams.  I am very anxious about what the future holds for me.  I am excited to see what the Lord will lead through in Chicago.  The price of apartments could be depressing but on the other hand, it is the chance to be a plane ride away from loved ones.  Now, it is a plane ride with layovers that add up to over 12 hours most of the time.  Just being able to hold family in your arms is always de
sired.  My maternal-grandma, grandpa and boyfriend will be present for this special day.  I will be sure to post a link on all social media about viewing the ceremony online.  It will most likely be starting around 4 pm as the other traditional programs have began.

I want to thank everyone who has crossed my path to this point.  To the people that have helped me in any way, shape or form thank you.  Even if it was as small as a like on Facebook or Instagram.  It is all appreciated.  "To those closer ones, love that is ever steadfast."  I think at this point, I can say I have made you all proud of me for the journey this far.

I apologize to all of those that I may have acted differently towards but everyone grieves differently.  I shut down and didn't want to talk.  I just miss having my friend to talk to every now and then about how life is supposed to go.  Also about the surprises he had in store for our parents.  I guess it's all on hold now.

Rejoice in our confident hope. Be patient in trouble, and keep on praying.

-Romans 12:12, NLT

Again, Another Look to See Changes in Culture

Hello readers, I am a classmate of Ariel’s and I will be telling you my perspective on our current situation.

The clear sky above me, the silky white sand gliding between my toes, the salty cool breeze that passes through me, and the sun rays that warm my skin. Those are all the elements that collectively paint a vivid image of what life in this tropical paradise may consist of. And to be honest none of the above is exaggerated. Anguilla is actually one of the most beautiful places on this planet. I’ve done my share of international travel and so far no place has compared to the serenity that is felt here in nature’s utopia.

That being said, it’s so unfortunate but living here brings upon a set of burdens otherwise not endured. This could be due to the fact that all of us medical students are from the United States or Canada and we have become conditioned to a certain lifestyle. Fast internet, reliable electricity, a home free of lizards and centipedes, drinkable tap water, and proper traffic laws are just the basics that we are accustomed too. Establishments such as shopping malls, movie theaters, or even fast food chains that once upon a time were part of our everyday lives are now luxuries we must do without. All of us students have become extremely adaptable and over time have adjusted to everything like champions. Initially, the lifestyle change was brutal but like the saying goes, out of sight out of mind.

Mentioned above are the tangible compromises one must make when living in the Caribbean. Believe it or not but that isn’t even the most challenging part about being here. The part that will break you down and keep you up at night is actually an internal struggle. Living on this island and dedicating all your time to learning the art of medicine dominates all aspects of your life. While you are spending all your time in class, at the library, in lab, at review sessions everyone else is going through human experiences typical of their age. For example, I can not tell you how many holidays, birthdays, weddings, funerals, baby showers, graduations, and seasonal changes I have missed by being here. It feels as if everyone else is truly living and we are merely existing. We wake up and go through all the same motions, our routine never changes, and we start to seek pleasure in our work such as getting an A on an exam or presentation. We become so indulged that we forget to reply to texts or return phone calls and then our loved ones become accustomed to our absence as an inevitable consequence.

So you see, being a Caribbean medical student is not for the fickle. It takes all mind, body, and soul to be successful in this lifestyle. You must be so dedicated to the Medical Sciences that you willingly sacrifice life’s precious moments that can never be earned back. No one truly knows what to expect until they themselves actually experience this chaos of holding on and letting go, accepting and adapting. On the bright side, time waits for no one; good or bad it will pass and one day it will all be worth it. So while living here brings about the essence of summertime sadness it does so with a view. And all you can do is stare out into the various shades of blue ocean and see the bigger picture, you will be a doctor and you will save a life.

Xoxo

- M

“It is not the eyes that are blind, but the hearts.” – Qur’an 22:46

Mead's Bay at Sunset

A Different Perspective

Hello guys. My name is Aqsaa, and I am one of Ariel’s classmates. She offered me the opportunity to write for her blog this week, which I thought I would take a crack at.

I would like to start with a little bit about myself. I grew up in the states, specifically in Maryland, and lived there until I graduated high school. I then moved to Philadelphia and attended Drexel University, from which I received a Bachelor’s in Biological Sciences. I continued to live in Philly after graduation, and worked as a Leasing Assistant, which had nothing to do with my degree, but it helped pay my bills. At this point my parents were quite frustrated with me, and wanted me to get to medical school as fast as possible, or move back home. After living on my own for five years, moving back in with my parents was not something I wanted to do. So I began my search for the right medical school.

I honestly never thought I would attend medical school in the Caribbean, but after about a month of researching schools, I decided to go ahead and apply. This began my journey here at St. James School of Medicine. From Ariel’s previous posts, you all probably already know the basics about SJSM, so I won’t bore you with the same information again. Other than the fact that she has mentioned that some of her classmates have moved as many times as she has. This is true. I have moved four times since coming to Anguilla last May. And it’s not due to the fact that I have bad experiences with landlords. It has given me the opportunity to experience different parts of the island which I now call home.

Everyone who attends school here has a very strong opinion about the school, which seems to be on the extreme. Either they like it, or they have an abhorrent hate for it. My personal take on it is that it is like any other university or school. There are professors that are amazing and have a passion for teaching, and there are others who probably are better off not wasting the time of the students. I will say that the first two semesters, which are technically considered the first year of medical school, were not too horrible. Anatomy was a tough class the first semester, and then Physiology was a challenge the second semester. But nothing could have prepared us for the rude awakening which is MD3. I truly believe that having spent one month in MD3, I finally feel like I am actually in medical school. I am sure many of my classmates will agree with me. Being tired and headaches are a perpetual part of my being. But there is hope that if I can make it through this semester, I can survive anything.

However, even though this semester has been off to a rocky start, I still try to take some time to go out and have fun, or spend time doing something I enjoy. I recently went home for winter break, and brought my camera back with me. I have not made too much use of it, but hopefully I will be able to take a break every so often and take some pictures. It is really important to take some time off from studying as well.

And say: "My Lord, increase me in knowledge." (Quran 20:114)

Viceroy Beach

Busy Bee in MD3

I must say that I know why all the upperclassmen were running around like their heads were cut off.  This semester has things constantly due and quizzes to always study for.  And then, when you think you studied enough, you haven't at all.  Then you go back to the slides to review the same material you may have reviewed 15 times before.  And sometimes even after that, you must reread them again.

I can honestly say that this semester will be more of an isolation type deal.  I think I have communicated with my family less than I have in previous semesters.  Mainly communication is about the upcoming big day or White Coat.  Although it isn't until next semester, it is still something to look forward to and be excited for.  Plus it is a mechanism for keeping my eye on the prize.  So far, it looks as if it will be August 13th which is the week after Carnival.  Talk about a bit of excitement.

I will mention that this semester has challenging classes but it may only be considered challenging because class is everyday until 5 pm.  Yes, we have class from 8 am to 5 pm.  Monday through Friday.  Three of my five classes are five days a week as well.  It sounds worse than what it actually is.  At the end of the day, you want a doctor knowledgeable in diagnosing infections, knowing the drugs to treat the condition and if there should be any other conditions to consider.

This is also going on while my friend and I are trying to accomplish a project of educating community members on CPR (this is the undisclosed project I mentioned in my previous post).  We have had everything come together at this point and it is really looking like we will be great at what we are doing.  We have our school's support and students leaving this island will have one item on their AICM checklist completed.  In case you are unaware of what AICM is, it is the fifth semester in which students have review for the USMLE Step 1 and preliminary rotations at the hospital in Chicago, Jackson Park.  From what I hear, they are trying to move the fifth semester to the island but rumors aren't true until it becomes reality.

By training the students for a reduced fee, we are saving the money to train community members.  This project is a very large commitment and more than what I expected but it is really making me rethink a lot of decisions.  The fact that I have the ability to educate others in something they need makes me want to make a life long goal of educating people of this gift that I have.  So that may be an introduction for a program I may want to execute in the future.  Or maybe one day call Anguilla home.  Who knows what the path of life will bring?

Not to mention that I am also involved in a research project of glaucoma prevelance on the island.  A professor had an idea to potentially pinpoint the amount of people that would be living on the island with Glaucoma.  There is no research about it thus far but we should have information regarding this eventually.  Although it may appear to be a lot, it is still what I think I am called to do.  I am greatful for the opportunity to participate in all of these lovely activities.  After attending church yesterday, I can only end with this:

If you think you are standing strong, be careful not to fall. The temptations in your life are no different from what others experience. And God is faithful. He will not allow the temptation to be more than you can stand. When you are tempted, he will show you a way out so that you can endure.

1 Corinthians 10:12-13, NLT

Later this week, I have an assignment to visit a senior citizen's home.  If I am allowed, I will try to take a few pictures and get a few good stories to give readers some entertainment.  If you would like to help me with my project for educating Anguilla on CPR, please do not hesitate to email me.  To all, stay blessed and I appreciate your prayers for greatness!  Have a blessed week!

The Last Days of MD2 and Residence Rules

Well, it has been a long, long journey but I must say that this semester was fun.  I think I am well rested for what is to come because the next semester surely isn't easy as well as the more intense studying that is needed.  It may be because of the additional assignments and presentations but I don't know.  I will tell you when I get there!

So, it is only a week and a half before I go home.  Today I had my last quiz of MD 2 in physiology.  I must say that I am very proud of myself because I did a lot better on this quiz than I did for all of my other quizzes.  Yay for me.  Just another victory before I start more journey home.  It also sounds like I am going to have a very eventful winter break as well.

So in the past week, nothing eventful has taken place.  I have been receiving a lot of emails however in regards to what to expect when you get to the island.  I can't really say because everyone's experience is different.  It honestly depends on how much spending you plan to do as well as your comfort level.  I would like to label myself as a very frugal person (or just plain cheap).  I don't like to spend more than I need to if I can help it because I don't see the point if there are little children around the world starving for food and I have the luxury of better things.  That's just my opinion.  However, some people expect rainbows and unicorns.

So by now, I am on my third landlord of which I am comfortable being with.  Next semester, I am a little indecisive as to whether I would want to move or not but I will surely keep you updated.  I really like the opportunity to try different areas that can help future students on what areas to live in and what areas to stay away from.  Also, pricing of apartments is a common question.  The answer will always be it depends.  If you live alone, you could pay from $550 on up.  The usual rate I keep hearing from people is around $650 but if you find something cheaper, you've definitely gotten a good deal.  Just make sure that the landlord is nice and they won't try to keep your security deposit.  I actually have one landlord now that owes me about $500.  The problem with trying to sue her is that the courts move very slow here and they usually favor in the Anguillians side.  So if I see her, I will try to convince her to give me something.  Because that money would have been very useful.  Two bedrooms can help cheapen the expenses because the electric bill will be shared.

Some things to think about when getting a place include getting a lease.  Some landlords insist that they will just take your word for it and not give you a lease.  Get some type of documentation in case you have to sue them.  It happens and sometimes you have to do what you have to do.  Also, try to get the utilities covered in the rent.  Unfortunately, if you have air conditioning, this is very difficult.  Most landlords don't want to pay for electricity because students in the past have had bad habits of leaving the air conditioning on.  The electricity is not like it is in the United States.  The electric bills here tend to be very high and the utilities are not very efficient.  I suggest that when you leave your residence that you unplug everything and turn off fans.  This could reduce your electric bill and possibly make your landlord happy that they have a tenant that isn't a hassle.

Another major point to talk about is the water.  Water is not a renewable resource as it is in the United States where we have water treatment facilities.  The water that runs from the facet is not palatable.  If you do decide to attempt to drink it, you will notice a very salty taste.  Water sometimes becomes scarce especially during the seasons when it doesn't rain as often.  It seems now that we are in the rain season but this summer when I came, it was very dry.  Below the houses are well-like structures called cisterns.  Water is pumped into them when they are empty from the water companies on the islands and also when it rains.  Be aware of where the opening is located so you can check your water usage as needed.  So just be aware of when you're washing your hair, brushing your teeth, washing that extra load of laundry and doing dishes of how much water you are using because it can be expensive.  So now that you know it isn't a good idea to waste water, I know you are wondering, what do I drink?  I actually drink a lot of water.  Many students tend to buy bottled water when they get here and save the bottles.  The school has a water fountain.  That's all I am going to say so you can't say I told you to do anything.  *Whistling as I walk away.

Finally, transportation can be another issue for people.  I think many of you experienced the journey of how I obtained a car on this island with me.  Transportation is dependent on you.  I honestly think I could have not had it but I just can't study outside of the library for some reason so coming to school on the weekends helps me remember the information better.  So, again, it depends.  Where is your study space?  It could be at your residence, school or someone else's place.  It doesn't matter.  If you live within walking distance of some places and you feel comfortable walking, go for it.  And occasionally a classmate may see you and pick you up on the way as well.  Renting is pretty easy to do and the rates are about $300 per month.  Buying a car seems like more of a hassle however you may get the cost of the car back in the end.  So the return on investment is better.  Overall, it is your choice.

Well this post went in a direction that I didn't plan on but I again hope this was very helpful.  This weekend is the White Coat Ceremony for this semester's MD4s. I have a few friends that will be transitioning to Chicago and I will include pictures at their discretion.  We have exams next week and I think I have a beach trip planned before I return home on the 19th.  I will be sure to update you after I can call myself a MD3 but before the new year.  Before I go:

Who are you to judge another’s servant? To his own master he stands or falls. Indeed, he will be made to stand, for God is able to make him stand.

-Romans 14:4, NKJV

MD2 Details and Tribute for a Friend

Hello All!  You don’t have to remind me that I am a little late in posting because I have been trying to get myself to do so for a while now.  It has been a really awful week honestly.  My dad was hospitalized for stomach pain but unfortunately the doctors wanted to treat his high blood pressure.  That is a conversation all in its own but other than that, he went home on Sunday.  Thank God for that.

So continue on with the car situation, I only had to pay $265 EC or $100 US to transfer the car to my name.  So the rumors of it will be $500 US were false.  I must thank my step father #1 for that because I didn’t know how I was going to get that paid for.  And I promise I will get that oil change you told me to get.  But now, no more stranded at the library when it closes and I don’t have to stay until midnight.

On to new things, I need to describe the classes that I have this semester.  Well, there are some students in my class that rely solely on watching videos of this professor but that is not my style.  I don’t even like sitting through lectures of our teachers sometimes so why would I want to sit through another?  Whatever works for you is how you should proceed through your classes.

Biochemistry seems a lot easier than it should be but I am not complaining.  It also may have to do with the fact that we don’t have to know as much information as we had to learn in undergrad.  The course seems more of a review from undergrad.  The method I am using to get through this class is reading the slides repeatedly as well as redrawing the pathways and identifying rate-limiting enzymes because those are the steps that heavily influence your reactions and where most pathology come from.

Physiology is the hardest course that I have this semester.  It uses the anatomy on steroids we took in the first semester and begins to tell us how the body functions.  Today we will start the kidney and from what I’ve heard, it is NOT your friend.  This class is all concepts.  The formulas that you are given in class are not usually for solving but more of explaining how structures work within the body.

Genetics is very difficult to describe.  It seems way too easy but I will not discount it because it has some challenging things to remember as well.  It is also review from undergrad if you took this course.

Neuroanatomy is probably the most interesting class we have this semester.  The teacher uses a teaching style that is different from every other teacher and I think it is the most effective.  He rarely uses powerpoint and draws on the board.  It is useful because you can draw everything and not have to study as hard.  This method of learning should be used in other courses but I am not the teacher for these courses.  Also, the professor commented that Caribbean medical schools should have better teachers due to US schools employing teachers based on how much research money they can contribute.  When the teachers do teach, it may be a teacher’s assistant or they may do so while focusing on their research.  It is a valid point but who knows the truth?

CCBS is similar to what I had in the first semester except this time it is primarily presentations this semester.  It is mostly review from last semester in combination with new information we are learning this semester.  Still, it is mostly a review course for repeat exposure to material.

Finally we have RHM or research in health and medicine.  While we are on the island, they ask that we perform research to ensure that we understand the importance of research.  The research must be feasible for the budget that they provide which is not a lot from what I hear.  A lot of students usually continue research that other students have done previously.

So those are the classes.  Since last week we finished our Block 1 exams, we had our usual Scilly Cay party sponsored by White Coat which is a committee for the final semester students to raise money for their white coat ceremony.  This semester, I decided to partake even though I would rather sleep.  They also had a beauty bar where you could nails, hair and make-up. I decided to let my friends give me a makeover and I’ll let you decide on how I looked and you can scroll through other pages if you want to see a difference.  It was really nice to be dolled up and prance around for a few.  I didn’t get a chance to take pictures a Scilly Cay because it was so dark.  I should mention that it is another island that just so happens to be used for partying.

My Attire for Scilly Cay

Tribute for a Friend

One last thing to add before I close is that I have a friend that would like some prayers and donations for her cousin.  Her cousin who is in India is experiencing some health issues where she will need a heart and lung transplant.  She has a Go Fund Me page and I will provide the link below.  Any support would make them happy and I am sure there are plenty of prayer warriors out there.  Her name is Deepika and she is only 23 years old.  There is more information about her condition on the link below.

Deepika's Go Fund Me

Finally, I leave you all with:

“Cast your burden on the Lord, And He shall sustain you; He shall never permit the righteous to be moved.”

-NKJV Psalms 55:22

Time Management and Transportation?!

Hello All.  I would just like to say that I appreciate all the views of this blog.  I believe this blog is serving its purpose of helping others, and that was my primary mission.  This week is the week of blocks already, but I thought since I have a little bit of time to kill that I would take a break from studying and share something today.

I have been getting a lot of feedback this past week pertaining to time management.  A lot of my classmates explain that they wouldn’t be able to juggle Walden University with Saint James School of Medicine.  I honestly have to say, some days I wonder the same thing myself, but it is all about time management and what you do with your free time.  I don’t have a regular schedule that I follow, but I have figured out that every time I have a free moment that I should use that free moment to do something constructive.  I will admit that some days are more productive than others such as Sunday when only studied for about two hours total and I was in the library for six hours.  It’s all based on how you utilize your extra time.

With Walden, I usually have a discussion and an assignment due each week.  With it being block week, this time management is a little bit tougher.  Honestly this week, I will attempt to get my assignment finished between now and tomorrow so on my study day, I can focus primarily on my coursework.  Little perks such as that are always very helpful in the long run.  When I am not proactive, I usually end up forcing myself to race against the clock to finish my assignment in about a few hours and turn it in before the deadline.  I still can write a 5-page paper pretty fast, and I thank my undergrad for that.  My opinion on time management of the two schools boils down to how you prioritize yourself and time management.  A lot of studying is involved in medical school, and the discussion posts are based a lot on personal experience to justify your reasoning of the concepts with the masters degree.  I use the books from Walden, which are shipped to the school each semester as a guide.  I hope this helps anyone who has questions about this matter.

My Temporary License for Anguilla

My Car while I'm In Anguilla
2000 Mitsubishi Libero

Okay so now a follow-up from the previous post, I have officially bought a car in Anguilla.  It looks……nice, I guess.  I honestly just wanted something that got me from point A to B.  It seems thus far that it will do that so I am not complaining plus it has air conditioning so I can’t complain.  A picture of my car is below along with my license.  And yes, my license is a piece of paper.  You receive the temporary license from Inland Revenue, and it is only $20 US.  I would like to include that with buying a car, you purchase car insurance for a year or six months.  Purchasing it for six months doesn’t make much sense because you pay 70% of the full years’ cost.  Luckily, insurance is not the same cost it is in America and is only $500 for a whole year.  And pick your jaw up from the floor because that is $500 EC which is about $200 US.  Not bad, huh?  If at any time you need details about that, don’t hesitate to comment or send an email because I am not endorsing this company.  Also, they would like for you to include your previous license to vouch that you have been driving for over two years.  My previous license I broke into three pieces and had to receive a duplicate.  And it didn’t help that I received it just before I got here.  So for anyone that plans to buy a car versus rent a car here’s your heads up.  I also must mention that while I was driving back to school after buying the car, there was a herd of goats in the middle of the street walking slow as can be and I just thought it was oh so lovely!  I'll add a picture of that for humor.

Next, I have to get the car licensed because the previous owner wants to keep her license plate.  So that’s apparently around another $250 US.  I forgot about how much stuff like this cost.  But I will keep you guys updated on that.  I must say that my independence that I now have been completely worth it.  I was able to attend the health fair that we had at the grocery store on Saturday that was sponsored by the Anguilla Red Cross.  We had a great time and below is a picture of a few friends and me.  I must say that we look very diverse!

My Friends and I at the Anguilla Red Cross Health Fair

Alright so I must end this and get back to studying for the beast this Friday, and I appreciate all prayers made by my audience.  I hope you all have a great week and last but not least a verse that I received from someone who has been reading this blog:

Iron sharpeneth iron; so a man sharpeneth the countenance of his friend.

-Proverbs 27:17, KJV

What I wish I brought to Anguilla....

Hey so today is a holiday so therefore we don't have class.  Again.  I should really be studying but hey I need a break.  So what if it's a 5-hour break?  Well, maybe that does matter and I will definitely regret it later but it's a beautiful day.

So this weekend has been very eventful and unproductive (meaning a lack of studying).  Friday night, I went to a Bonfire with the church members I met an that was really fun.  They fattened me up with chicken wings, very sweet watermelon and some sandwiches.  It was really good.  They also had some games including musical chairs and such but I was just watching.  It was still a lot of fun I would say.  Going on that night was also a White Coat party that I didn't have the energy to attend.

Saturday, some students picked me up to go eat brunch at a restaurant called Gerardo's.  The food was tasty but not cheap in my opinion.  Maybe I am just too cheap.  Probably so.  But I think of breakfast as less than $5 and $9.77 made me break a $20.  I'm just saying.  It was fun to hang out with my classmates.  The food was pretty good although the service was sub-par.  I'll explain later.  After eating, we went looking for a store to buy our classmate a backpack since hers broke.  Well, first stop was Zazaas outlet that was more of a boutique.  Then we were informed of an Indian store across from the El Dorado mall.  After going there, we all purchased something because it was a pretty cheap store for toiletries.  Needless to say, when I got home, I attempted to study at 10:00 at night but I only got an hour in.  And I will also say the the third season of Orange is the New Black attracted my attention for the remainder of the night.

Sunday, I got up and got ready for church.  The minister picked me up and I came back home after service to cook some lunch and watch some more Orange is the New Black. To be really honest, I went to sleep around sunset after talking to my boyfriend for an hour.  So, no production there either.

Monday, since it is the Queen's Birthday, we have no class.  Not a problem with me but why did I wake up at 7 am this morning?  This is torture to myself I would say.  Either way, I got up and studied anatomy and histology for two hours like a good little medical student but after lunch, I did not study hence why I am writing this now.  I tell all of the future students reading this, you probably should study every waking moment.  Who am I kidding?  At least live a little while you're here but that does not constitute partying a lot either.

Okay, so back to the title of this post.  So the general consensus is that people wished they brought more food.  I will say the same.  I do wish that I brought more food although I don't where I would have put it!  It also seems that a lot of people brought a lot of items on the suggested list from admissions which it doesn't even appear we need.  This is all information based on the Anguilla campus which cost an additional $2000 compared to the other campuses.  The items such as the dissection kit, shoe covers, gloves, and face masks are all provided by the school.  I'm so glad I didn't buy that stuff.  It is useful to have more than one pair of scrubs and I brought 2 pair.  The stethoscope, blood pressure cuff and other instruments used for patient assessment are not used until MD 4 so it is no point in having them now.  The stethoscope and blood pressure cuff are useful if you plan to join Red Cross.

The organizations that are present include the Red Cross, AMSA, Cover 2 Cover and Student Government.  Red Cross is just like the Red Cross organization we have in the United States but for the school, they are involved in having health checks for the community.  It is also an easy way to start learning basic patient care.  It costs about $25 the first semester and you are expected to have 25 hours worth of activities completed by White Coat which is held in MD 4.  They also have initiated a pin that you can earn to put onto your white coat.  AMSA or American Medical Student Association is club that has a one time fee of $75 for membership of an organization that offers discounts for USMLE preparation.  I am not too sure how useful it is but that seems to be the only benefit in my opinion.  I will try to learn more about it.  Cover 2 Cover is a club that takes books donated by previous students and rents them to students for a charge of $10 of which you receive back in MD 4 after returning all books.  Student government is just like any other student government at any other school.  I would say that ours is really effective because we have many other amenities that other campuses currently don't have that I've heard of.  These are all my perspectives and in no way can be used as complete knowledge of these organizations. (Just covering my butt!)

All in all, I would like to leave with scripture about doing good even when no one is looking:
For we are taking pains to do what is right, not only in the eyes of the Lord but also in the eyes of men.

-2 Corinthians 8:21, NIV

Finally, I went to church

Okay, so the main reason I think I did not feel at home the most was because I couldn't go to church so today, I was kind of on a quest to try and go.

Just know that it worked in my favor that after warming my breakfast, a roommate came downstairs and said they could take me.

He dropped me off at the Church of Christ in Blowing Point, not far from the ferry.  At first, I was concerned because the driveway looked sketchy but I am usually a trooper for things.  After going up the hill, I saw a car next to a building.  This building looked very big from the outside and it wasn't as I expected.  The church was not air conditioned although with the windows open and the fans going, you could not tell the difference in my opinion.  I knew as soon as I was brought here that there was no need to ask my roommate to come back and get me because most Church of Christ members go over and beyond for one another.

Everyone there was very welcoming and I could feel the warmth.  The sermon today was about God still having more for us.  I agree wholeheartedly because He wouldn't bring me this far to leave me.  I will admit that I needed that after my Block 1 scores.  I must admit that the sermon gave me a sense of hope for the rest of my time here and that school will be fine.  If I continue to study hard and stay focused, everything will come together.

After service, I was informed that there will be a bonfire on Friday night that I will definitely rather go to than the party that happened this past Friday.  My roommates went by the way and they didn't sound like they had a lot of "fun."  Maybe another semester but not this one.  But back the bonfire, I am definitely interested in doing that plus it is a chance to actually hang out with the locals here.

Unfortunately, I did not take any pictures this time but I will the next time that I go.  And for the scripture reference:
You will again obey the Lord and follow all his commands I am giving you today. Then the Lord your God will make you most prosperous in all the work of your hands and in the fruit of your womb, the young of your livestock and the crops of your land. The Lord will again delight in you and make you prosperous, just as he delighted in your ancestors, if you obey the Lord your God and keep his commands and decrees that are written in this Book of the Law and turn to the Lord your God with all your heart and with all your soul.

Deuteronomy 30:8-10, NIV

New Block, New Day

So I know it has been a while but I got into the groove of school and when I had to time to mess around, I kind of forgot to write on here.  But I promise to do better I promise. I must say that I am handling two schools very well.  Or so I think.

If you recall, I am attending Walden University at the same time attending Saint James School of Medicine.  Yes, I know.  You don't have to tell me.  I know.  It is difficult but a lot easier than you think.  I only work on Walden University work twice a week.  And I am pursuing a Master's in Higher Education so that makes it a lot easier.  I have two other classmates pursuing Master's in Business and another Master's in Healthcare Administration.  Overall, I think my program is the easiest.  Plus it's helpful in paying for my education for St. James.  I will add that the refund that I received from Walden is not enough to cover the cost of tuition which does not even include living expenses.  So still, I will have to apply for the Delta loan so that I can eat and sleep somewhere safe.

Now onto what you really want to know about.  I survived Block 1.  Block is how the school divides the semester and it is the exam period for all of your courses.  I will also add that everyone has them at the same time which is good and bad.  The upperclassmen are the available tutors but being conscious that they are studying for their exams as well as helping you study yours can make you feel more considerate when asking them questions.  I won't share how I did but I will say that I am pleased with my first quarter grades and I think I could of performed better.  It wasn't the greatest start but I know I have a chance of surviving MD 1 if I perform consistently.

I also will share that starting in the summer is an advantage because of the many holidays that we observe.  Already we have had three days off from school because of holidays.  I'm not complaining because the extra study day wasn't a bad thing.

So far, I think that my favorite course is embryology.  It may be a little biased because I do like the human life a lot but it's a great course overall to see how our organs came to be.  I can only say that everything has its specific place and our body was made in its way for a reason.  I can honestly say that I am amazed in all my courses at least once per class.  So generally about 4-5 times daily.

But I think someone would rather know about my study habits.  It makes a lot of sense since I wake up to this everyday.

View of St. Martin from my Porch

Not to brag but it's there.  Every morning.  Beautiful as ever.  I did say when I moved here that I was going to enjoy it as much as I can.  I very much appreciate my view each and every morning.  I will mention that my budget has been blown since I've been here.  For future reference, I'm going to have to do better.  Back to my study habits.  I will also mention that my study habits are going to start changing for this Block because cramming for a week before the exam was just not the right thing to do.  I am actually starting strong by reading through the material before class and it is really helpful.  I also suggest asking for help when you need it because before our review lab the week of blocks, I had no idea what the names of the coronary vessels were until I asked the professor and he showed me one by one on the cadaver.

I also will admit I did call home crying (home sick) last weekend because I had no clue as to why I came down here but this blog is a reminder of what this journey is about.  I will say that when I moved here, I did not rent a car at all.  A lot of students do to get around and maintain their sanity.  I suggest it if you can afford.  Me, however, I don't come from money that allows me to do such a thing.

I also have to mention that for some humor that the bus driver really would like to take me on a date.  Well, that is a great idea and all especially being that I mentioned having a boyfriend before.  But getting on the bus every morning hearing "Good Morning Gorgeous" isn't bad either.

 So far, this journey has been full of happy moments and tears at the same time.  I am praying for better days and study habits.  Tomorrow night, there is a block party at this island called Scilly Cay.  I'm not going simply because a professor said it is pretty expensive to drink there and drinking with people I don't know just doesn't sound very safe as well.  I'm sure that I would rather study and go to a beach on Saturday anyway.  I know I sound like a party pooper but there are plenty of opportunities to do things.

Blessed is the one who perseveres under trial because, having stood the test, that person will receive the crown of life that the Lord has promised to those who love him.

James 1:12, NIV