About Me

We are the student pharmacists, pharmacists, and staff selected to participate in the yearly International Dominica Pharmacy Rotation offered. We hope you enjoy reading and sharing our adventures. If you are interested in learning more - contact us at abronsdominicarotation@gmail.com
Showing posts with label By Michael Marcoux. Show all posts
Showing posts with label By Michael Marcoux. Show all posts

Thursday, November 3, 2011

APPE International Rotation, Dominica; A Final Reflection

As we drove away from the Albany International Airport on Monday afternoon, the tires of the black Suzuki treading once more familiar paths, and the colorful autumn leaves dancing playfully in the crisp November breeze, it was with a heavy heart that I stared out of the window. Had it only been two weeks? It seemed like more. Dominica is like a peaceful home in the early morning, before the din of alarms and the creeping warmth of dawn conjures the rush of a new day; beautiful in its quiet, humble simplicity. I can see why some travelers never leave. In Dominica, time seems absent. This is written upon the eternally young faces of its people, and their amusingly vacant concept of punctuality. The vicissitudes of your life at home slowly fade out of thought, like the last drops of rain chasing a midday storm. Just as our airplane had, moments before, hurtled out of the bright blue sky and landed forcefully along the slick black runway of Albany International, I too had just crashed back down to reality. It had only been a day and already I missed the lush green jungle, the precipitous, rolling peaks, the warm, moist air, thick with exotic scents and the smiling eyes of the Dominican friends I had left behind. Fortunately, as much as my tempestuous memory will allow, I will hold my experiences in Dominica close to my heart where they will stand boldly against the slow pursuit of time; one gift of many from the island.

I could regale you with an encyclopedic recounting of my experiences on the island, but my peers have just done so, admirably at that, in recent posts, and I would be remiss to bore our readers with redundancy. Instead, I’ll choose several little moments from the trip that still linger freshly in my mind as a snapshot of my experiences on the island. I still keenly remember our first morning. The previous day had been a trying one, complete with international connecting flights that boasted an impressively tight schedule and a seemingly endless stream of security checkpoints. The night had concluded, in a marvelous Dominican welcome, with a harrowing ninety minute drive from the airport to Jungle Bay. We soon realized that our cottages were no mere stone’s throw from the resort proper, and the hike to our beds was both exciting and foreboding. I presume we all slept well that night. But soon the morning dawn spread silently across the horizon, pouring across the Atlantic Ocean and beaming through our wide open windows in a beautiful wash of gold and orange. Untangling myself awkwardly from my mosquito net and stumbling over hastily removed sandals, I found myself standing on the balcony, staring awe struck into a morning view that I cannot do justice to with words. The cool morning breeze wafted a slight scent of ocean air mingled with the damp jungle floor to my nose. I wasn’t alone. A small gecko, several inches by my untrained eye, perched gently upon the balcony rail, staring intently at the dawn. “I agree”, I said to my new friend. And we sat for awhile, taking in the morning together.

Another moment I keenly recall was during one of our visits to a school in Petite Savanne. This was the second school we visited as a group, but there were numerous differences between this school and the one at Delices. Our plan was the same; break into small groups to effectively tackle all of the classrooms, engage the students in discussions, activities and games regarding pharmacy and medication safety, and then dive headlong into physical fitness activities to exhaust the sugar-rush we were soon to induce. The morning went reasonably well. Our resources were stretched thinner than predicted from our time in Delices, but we all worked with what we had and the demonstrations went off without a hitch. As a whole, the school seemed somewhat better organized than Delices, and the children better contained. But the classroom that Nicole and I had chosen proved to be a memorable exception to this trend. The Smarties candies we had finely crushed, in exorbitant amounts no less, for the purposes of a pharmacy demonstration, were rapidly consumed - sometimes trapped within our arro root base, and sometimes just as the straight powder itself. It didn’t take long for the sugar-rush to take hold.

The multistory concrete structure trembled under the pounding feet of a dozen sugar-crazed children as they exploded out of their chairs, through the classroom, and gushed like soda from a shaken can, through the doorway. They jumped, skipped, hopped, bounced, slid and ran through the second story balcony like little blue blurs; screaming, laughing and playing. We never did regain control. Fortunately, lunch time arrived, followed by our physical fitness activities and the pent-up energy had a suitable method of release. Exhausted after a rousing game of futball in the blazing Dominican sun, I collapsed onto the ground floor walkway, taking advantage of the shade. As I rummaged through my pockets, trying in vain to identify and organize the artifacts accumulated throughout the day, I withdrew several long, white sleeves covered, on one side, by a myriad of Hannah Montana stickers. It took only a fraction of a second for my mind to register the immense treasure in my hands, and it was a fraction of a second too long. Suddenly, as if she had teleported instantaneously at the sound of Hannah Montana stickers being removed from a damp cargo-short pocket, a cute little girl, her hair awash in blue ribbons, bows and beads, planted herself firmly on the walkway besides me, her eyes locked hungrily onto my stickers. “Could I have one?” she asked, her eyes boring into the sleeve. I knew the danger, but couldn’t resist. I twisted the sleeve awkwardly, contorting my entire arm around the scene to protect from any wayward eyes and slowly showed the stickers to the girl. “Which do you want?”, I asked. “That one!” she said, pointing to a large, full body depiction of Hannah. I began slowly peeling the sticker from the back. I didn’t even get to Hannah’s shoulders before the air grew quiet and the prickling of a hundred tiny eyes raised the hair on my neck. 

The sun disappeared.

I was suddenly plunged into a sea of bodies. Arms, too many to count, thrust themselves plaintively before my face. “Please sir!”, “I want one!”, “No me!”. It was a tornado of hands. The only thing between me and suffocation at the hands of immense American popstar adoration was several dozen stickers. Innumerable index fingers pointed desperately, and I peeled stickers off as fast as I was able. One sticker off the page, placed delicately onto an outstretched finger which instantly disappeared. The small hole where the previous arm had been was rapidly filled with another arm, another hand, and another frenzied “That one sir! That one!”. As piranha can strip a carcass in moments, my sleeve of stickers was gone in a flash. Dozens of children whirled around the area, stickers on faces, arms, hands and notebooks. Giant smiles spread from ear to ear. I inhaled a deep breath of fresh air, my first in over a minute. I looked over at Kristen Felthousen, who sat several feet away. “You brought that upon yourself”, she smiled. And I’m glad I did.

I have dozens, if not more, of these moments from the two weeks I spent on Dominica. In the interest of brevity, if brevity hasn’t already been grossly surpassed, I will leave it to those two. The intention was demonstrated, nonetheless – that the powerful experiences during this rotation were both internal and external. In my two weeks on the island I did as much inward learning as outward learning. The implications of this experience will resound through my near and likely distance future. It was truly an unforgettable experience.

Tuesday, October 25, 2011

Delices School

At the beginning of last week we traveled a short distance up the road from Jungle Bay to a small town called Delices, where we planned to spend the day with school children. There were six different classrooms that hosted a breadth of age groups ranging from kindergarten to 6th grade. The school itself was made up of four different buildings closely grouped together, placed against a breathtaking backdrop. The class rooms were small, without artificial lighting, with walls marked by a honeycomb like pattern of holes for natural air conditioning. Roughly hewn wooden desks and chairs held uniformed children bubbling with the excitement of our visit. Tattered work books, composition notebooks, well worn pencils and erasers and water bottles were strewn across the desk tops. Large chalkboards framed the front of the rooms with varying lessons from the previous day still painted across their faces.

We split up into groups of two or three and each tackled a classroom. Hassan, Joshua and I took the first classroom, made up of approximately twenty 5th and 6th grade students. As their normal teacher had not come that day (an occurrence apparently commonplace here) we accepted the challenge of teaching the day's lessons; mathematics and social studies. The children were at widely varying levels of ability. Some were struggling with pattern recognition and additions while others were flying through long division and exponential functions. Regardless, they all shared an enthusiasm for learning and a strict behavioral code not often seen in United States children of the same age.

After lunch we rearranged our groups and laid out a pharmacy practice activity for the children to enjoy. We had bottles of oil, syrup and water to demonstrate partition coefficients, emulsions, viscosity, density and even glitter to demonstrate suspensions. We had acquired "arro root" fresh from Jungle Bay to serve as an edible ointment base. We had children crush up Smarties (trituration) and then mix it into the gelatinous root base (levigation). Many of the children enjoyed the activity. Personally, I was paired with Krissy in the kindergarten classroom and the children had a difficult time grasping the mechanics and concepts of the activity. But they really enjoyed the sweets! Afterwards we had the children draw, color and complete word searches while we regaled them with lessons borrowed from Katie's Kids (medicine is not candy!). The day was closed with physical fitness activities which included soccer (futball), bowling, obstacle courses and wall ball.



The children really enjoyed having us there. They learned most of our names very quickly and followed us with keen curiosity. They especially enjoyed using our cameras, playing games with us and touching Krissy's hair. It was a memorable day for everyone and I believe we had a positive impact at the school. I've uploaded several images at the beginning of this post; Hassan teaching mathematics, a shot of the school against the mountain and a group photo taken by a young boy at the end of the day.

Thursday, October 20, 2011

Moses the Herbalist



Yesterday afternoon the group visited an herbalist named Moses at his home in a rather secluded valley of Dominica. Moses sent us out into the farms and trails surrounding his home and asked us to identify various flowers, fruits, herbs and plants. The group scattered around the area, grabbing this fruit and that herb and this weed, all trying to differentiate the various species (which, to our American eyes, tend to look a lot alike!). A few of us meandered a good distance from Moses' home, finding a beautiful series of streams that intertwined like so many lengths of thread into a single cascade down the mountain-side. Our group slowly found its way back to Moses and supplicated approval of our choices. Vervain, Ginger, Cinnamin, Cocoa and Aloe Vera were amongst the samples collected. Moses described, in intricate detail allowed only by an unusual expertise, what each sample was used for. Stomach upset, headaches, colds, cough, menstrual cramps, asthma, blood pressure, chest pain and even nightmares were counted amongst the conditions treatable by our herbs. Beyond the somatic, Moses carefully stressed the spiritual importance of these products. Purging of negative energy and potent protection from evil are often times sought from these herbs.

At the end of the afternoon, Moses stressed the importance of herbal and other holistic treatments to the people of Dominica, historically bereft of physicians of any specialty. These natural remedies were, to a large extent, both the first and only line of therapy. As Dominica changes, and Western influences (both positive and negative) alter the fragile fabric of tradition, the dependence on such remedies is not so obligatory. Yet their importance, heritage and use does not appear to have significantly declined. Moses would tenaciously contend that these herbs and remedies are the primary reason for the unique and impressive longevity of Dominican citizens - and there may be some substance to his claim. Yet overall, Moses agrees that the general healthy lifestyle practices, both from diet and exercise, found in Dominica contribute greatly to their longevity. This was a point powerfully supported by the hike to Pomme's Paradise the next day.