Tuesday, May 11, 2010

Sarx

The Greek root sarx refers to "flesh as it has been cut from the body" and is the underlying sentiment of sarcasm. Admittedly, I have been chastised for indulging in this kind of cheap humor at the expense of another, though I still tend to view sarcasm unequivocally acceptable when directed at oneself. Self deprecation my friends, is the lesson of the day.

So as not to alarm anyone, (and by anyone, I mean my Mom or Dad who are the only ones still feverishly checking this blog even after six months of my writers block) let me preface the following by making clear the purpose of this entry as comedic relief. I possess neither intent to carve additional slits into my body nor be launched from any tall balconies; and besides, prescription drugs suffice to numb the pain at least for the time being.

Now, where was I? Oh, yes yes. I have been thinking, and it's become my belief that were there a formal committee dedicated to inducting worthy candidates into its privileged caste, I'd by now be maintaining a prominent leadership position in the Loser Hall of Fame. I'm not quite sure when I transitioned from bad-ass, to bad, to ass, but insidious (dis)evolution aside, this is me now: nearly 26 years old and fallen from grace.

I scribble these pages from the same bedroom once flanked with Backstreet Boys pinups, glow in the dark stars, and high school dance photos; in the same pink stucco suburban cookie-cutter home I grew old; and so, with the same mother who has never ceased to lose sleep over the frequency with which I remember(forget) to take my vitamins. We have had at least three sets of next-door neighbors come and go, but alas, I remain the same-nearly 26 and still living at home. That said, I had recently felt a kernel of hope in anticipation of the (morally debasing shroud that cloaks my happiness letting-up) springtime finale of my 2.5 year stint at the local community college, though this was soon thereafter negated by the realization that in spite of my 6.5 years as an undergraduate, I am still one semester deficient of English Composition by most academic institutions' standards. Anyway, I too have been putting my other skills to test outside of the classroom by working as the Manager of a local rowing club; this is my self-affirming way of saying that people rely on me for things like maintaining a sufficient supply of Simple Green and MRSA-grade disinfecting wipes. And don't you be fooled by those advocates of mine who chalk all this up to being a "temporary means to an end". While my return to university (ahem, uhhh, community college) WAS only meant to be two years, it will be at minimum three and a half years given my having been rejected from every single graduate program to which I applied (except of course the two whose committees were too appalled by my application to formulate any response). In either case, neither 2 nor 3.5 years is temporary by any standard, and especially not when it comprises 1/5th of life as you know/remember it. Ok, ok, things aren't really THAT bad. On the bright side, at least I've only gained 10 pounds since high school and have been able to strike some relative success in the dating scene. In fact, about eight months ago I went out on a single date with a handsome fella who I met on the internet; though I reckon I may have been too jaded to make for good company because in spite of our four hour rendezvous, I failed to notice that his left limb had been missing from the elbow onward (and yes, it had been MIA for the entirety of our date). Suffice it to say he never called again, nor did I.

Thank the heavens above for Mom, Dad, my therapist, and of course, Kate Bush & Peter Gabriel, for affording me the zest to keep truckin'... and with that my friends, I leave you with this little gem courtesy of the 1980's. Now off to wash down my Cymbalta with a tall glass of pre-bedtime self-affirmations.


Wednesday, November 25, 2009

Success in Suchitoto




Traditional Ensemble


What remains of the original OR, bombed during the civil war
My roommate Grace, a local medical student, and I
My exam room
Lessons in Identifying Pre-Cancerous Lesions
Pink

We had some time for leisure on Monday

With the mayor of Suchitoto

After several meetings with the mayor, our delegation was made able to open on Tuesday, only one day after originally planned. Unfortunately many roads were still blocked and we were inaccessible for many. Still, over the course of those four days, we examined nearly 500 women for pre cancerous lesions, and treated those who presented with suspect cell differentiation.

I spent Tuesday and Wednesday in the modestly sized clinic room as a translator for an Italian doctor (who currently resides in New York City) and an El Salvadoran practitioner. Dr. D was nothing short of brilliant- his knowledge and patience showed no bounds as he obligingly indulged my intellectual curiosity. On Thursday however, he returned to New York, leaving me alone with the local health provider who surprisingly relied heavily on my insight when making diagnostic and treatment decisions. I had had a brief lecture-style training in identifying lesions, but it was my experience with Dr. D that best prepared me to take on this responsibility. I was humbled by everything I witnessed this week.

Monday, November 9, 2009

Devastation in El Salvador



I am writing from Suchitoto, a small town in the north east region of El Salvador. I am here as part of Basic Health International's clinical delegation; our mission is to screen and treat El Salvdoran women for pre-cancerous lesions and educate local health care professionals about identifying these lesions using VIA (visual inspection with acetic acid). Previous delegations have screened and treated up to 900 women in five days.

Unfortunately, our mission has been put to an indefinite halt as the country has just been declared to be in a national state of emergency. Residual effects of Hurricane Ida have devastated many regions of El Salvador causing massive flooding, mudslides, and deaths. Although Suchitoto has not been affected, the devastation was evident as we drove from San Salvador to our present location yesterday afternoon.

Last night we had dinner with the mayor who shed further light on the current situation. Currently, our delegation leaders are meeting with the minister of health and hospital officials to determine if we will be able to continue our mission, and if so, to what capacity. The two primary concerns are first, that women will not be able to reach our clinic as many roads have been blocked by debris, and second, that health care professionals across the country have been summoned to area hospitals and thus can not receive the training in VIA and cryotherapy. Although education is a major component of this mission, screening and treating women is of utmost priority which means we will still carry out our commitment to these women, providing we are not requested to help out with the current situation. Our group has offered to government officials that we suspend our mission in effort to help with the effects of the flood in any way that we can- this will be decided within the next few hours.

I have been moved by the little time I have spent here. The clinicians I have interacted with are incredible. El Salvadorans are lovely, and the children here are remarkably confident with their cheek to cheek grins when acknowledging our presence.

As I learn more about Basic Health, I am increasingly humbled to be affiliated with such an accomplished non profit organization. Basic Health is the first and only to successfully enter a country and 1. implement its lobbied suggestions for methods of standard practice (as it pertains to women's health) , 2. see that said changes become standards of medical school education, and 3. provide follow-up healthcare to our patients of which includes research to determine the effectiveness of these methods.

I recognize the safety concerns that comprise many central american countries. El Salvador is meant to be particularly marked by crimes which reflect that stark contrast between the wealthy and the poor- kidnappings are particularly prevalent. Extra precautions to protect the group have been made and we have two armed body guards with us at all times.