Tuesday, 24 July 2012

Week 6

And here it is- the final blog post written and posted from Rarotonga. Week 7 will be coming to you from sunny LA!

We had a great week for our penulitmate one on the island. After getting over the disappointment of not going to Aitutaki we booked diving for today and decided to make the most of the time we had left. The weather still wasn't great but we've done plenty with it!

Amy and I went black pearl shopping on Weds and came away with a black pearl pendant each which I am very pleased with. It took us a long time and lots of walking round town but we reckon we got a pretty good deal all in all. Then we rushed home to head out to Coco Putt for the third and final time- this time it was almost completely empty but for us and we took advantage of that, getting the owners to pour us extra strong drinks and dancing around like fools. My team won the mini golf with a minimum of cheating and it is suffice to say that we all felt a bit delicate on Thursday!

Friday saw us finally tackle the cross-island walk. It had been reasonably dry for the few days before but still we were slipping and sliding quite a bit on the steep muddy path. The 6 of us included Ali, Kathryn and I and then Katia a student nurse from Switzerland, Amy the med student from Leeds and Flo a german who is travelling around the world. I really enjoyed myself (apart from being eaten alive by mossies at the waterfall at the end) but then all out childhood holidays involved climbing mountains!

I'll leave the stories from the weekend to tell you next time else I'll run out of time on my internet card!

For the last time from Raro,
Kia Orana,
Love J xxxx

Tuesday, 17 July 2012

Week 5

I sit here and can only marvel that I've only got 10 full days left on this island. I've settled into such a nice routine and I've got so used to being here I barely even notice the ubiquitous crowing of the roosters!

Week 5 turned out to be a bit of a wash out! Monday and Tuesday were quiet and nice weather, particularly quiet because the doctors were preparing for their big annual health conference at the end of the week. We went snorkelling (a bit of a let down after diving) and generally pottered about a bit. On Weds the conference started under heavy skies and Amy (the new elective student from Leeds Uni) spent the morning listening to a range of local and Kiwi presenters talk about the obesity crisis and various more and less viable ways of dealing with it. We escaped at lunch time to town where we looked at so many black pearls our heads were in a spin. The black pearls are one of the Cook Islands most prized products, they are produced in the lagoon of Manihiki which is little more than a circular sand bar or atoll in the northern islands supporting around 300 pearl farmers. The pearls are beautiful and range from $10 for a loose oddly shaped, blemished one to many thousands for a perfect large round one. I think I'll buy one before I leave as they are very much part of the islands.

After our grey day on Weds it proceeded to absolutely pour for 12 hours on Thursday (I went and sat in conference for the morning and got soaked through coming home) and pour all afternoon Friday, Saturday and be grey all day Sunday. We entertained ourselves by going to such delights as the little Whale and wildlife museum in town on Friday (1hrs worth of distraction) and watching a huge number of DVDs!

We did head out on Friday night and went for a really yummy dinner at one of the local restaurants in town- lots fo great fish and then some cocktails and dancing. We even ran into the teacher trainees we met doing our diving who were out celebrating their last night on the island.  It seems a lot of people are leaving- the body-boarders who had taken over the hostel headed off last night and the NZ uni holidays are over so the hostel is moving back to the international long term travellers again.

Unfortunately Aitutaki is off the cards- we tried this morning for deals one last time but it was simply too expensive to get there in the end. What that means is we're going to do a few things here we thought we couldn't afford instead like another dive trip with Kathryn once she finishes her open water and


Monday, 9 July 2012

Week 4

Week 4?! How on earth is it week 4 already?! I'm well over half-way now!

Week 4 went really well, though not quite to plan. The plan was to ring on Tuesday morning, get cheap flights and go to Aitutaki that afternoon. Sadly there were no cheap flights left for last week so Aitutaki is on hold untill we can find some (we'll try again today/tomorrow). Instead we had a quiet week up at the hospital- one of the Paeds consultants was over from the specialist Paeds hospital in Aukland (Starship- isn't that a great name for a children's hospital) to do a specialist clinic and give Dr Dawn a second opinion on a few kids. It ended up being quite quiet as lots of people didn't come in to see the specialist, but those who did were sorted out pretty fast. The week was enlightening as it confirmed my suspicions that despite being an excellent doctor, Dawn is limited by having worked only in Pacific Islands and mostly in the Cooks. She is confident enough with things she sees often but unusual things can throw her and it is very hard for her to keep up to date with the fast developing world of Paeds.

Instead of Aitukati Ali and I finished off our Open Water qualification on Thursday afternoon and Friday last week. Sadly one of the girls who had done the first part of the course with us couldn't complete it as she had developed a tummy bug just after the first dives and her friends took her to the hospital suspecting decompression sickness. Of course we had never been at any real risk of DCS but because she couldn't say no to all the things on the medical form any more she couldn't come diving :(. We had an exam, which both Ali and I got 100% on (apparently only the 4th and 5th people the instructor had seen do so in 800-900) and tried not to be too smug about it especially as the two teacher trainees failed to get the 75% pass mark first time. We got two more much longer Open Water dives and saw even more amazing fish, including some practically tame blue trigger fish who follow the dive boats looking to get fed. We even saw some juvenile Eagle Rays in the harbour while we did our 200m swim test. So now we can go diving anywhere in the world down to 18m with just a buddy- terrifying!

Kathryn arrived on Friday evening and has settled in and is enjoying the sunshine after Aukland's winter. We all went to church yesterday which everyone had told us is an experience we had to have, so we put on our Sunday best and headed to the local church to sit in the tourist section at the back. It was packed, and most of the service was in Cook Islands Maori but the singing was incredible- it was as powerful and emotional as I imagine Gospel worship to be and mostly done in Maori. Then they invited us all to lunch in the church hall where we discovered that many of the Ariki ( Tribal Chiefs) were there and being honoured. It was a lot of fun, if a bit bewildering. Friday had been a public holiday for the Ariki and the whole weekend  there were events to celebrate- they kept on pressing us to take left overs so we have lots of left over chicken now!!

My desire to do some good is still there, but I'm just not sure how to channel it- I need to discuss with Dawn about some child health leaflets- I get the impression they would be best if they were also in Maori so I'd need someone to translate.

Love, Jess xxx

Tuesday, 3 July 2012

Week 3

I can't believe I'm almost halfway through my time here. I feel like there is so much more I want to do here and like I have hardly been away. The tan feels like the main thing to prove I've been away at so long. That and my new SCUBA knowledge.

We went diving this weekend with a few girls from Australia who are here as part of their teacher training course and ended up sharing the same frustrations about how the laid backness of the islanders is working against them and their kids. But more about diving, we did the first two days towards the PADI openwater course which allows you to dive anywhere in the world with a qualified buddy down to 12m. We spent the Saturday morning in the classroom watching DVDs and doing quizzes before getting in the pool to do some skills. It is incredible even just being in the little pool breathing underwater but Sunday was the best. On Sunday under leaden skys and drizzle we headed out on the dive boat and did 2 short dives out on the reef. It was incredible, down in a deep blue world seeing more fish than I could ever name and feeling like you were flying weightless. As a kid I always wanted to be a mermaid and diving feels as close as I can ever get. We're all ready to do our next two days to get the full qualification at the end of the week as this Friday is a bank holiday so normal clinics are off.

Up at the hopsital things continue much the same, but for a couple of days some doctors came up from NZ to teach the Advanced Paeds Life Support course to some of the local Drs and nurses which seemed to go down very well, they brought a young new Reg with them who is part Cook Islander so he could help out with Dr Dawn's clinics while she went to the course, though she had mostly blocked them out. I split my time between helping him out and having him teach me and sitting at the back of the course and dismaying at the local proffessionals lack of confidence in their answers. It was quite eye-opening to realise that most of the doctors here are scarcely more confident than UK juniors or med students despite (I assume) more training and they have no immediate back up.

Meeting the trainee Teachers has made me wonder about trying to sort out doing a little health education on the island, as the number of things that come up to the hospital needlessly and the ones that present too late can make you despair. Not sure what or how to go about it but I'll speak to Dr Dawn about maybe some parent info leaflets about things like coughs/colds/ tummy bugs etc and what is serious and what not. Or maybe some nutrition stuff to try and help some kids with healthier eating, as there is a lot of obesity on the island.

Over at the hostel we have had a farily quiet week- we went out on Weds to the mini golf again but it was much busier this time and there was even a limbo competition (surprisingly I didn't win). Other than that we did do any drinking as you're not to drink the night before or after diving.We did have to move to another part of the hostel as the main site was being taken over by a Kiwi school band for the weekend, no we don't know why either. So Ali and I were packed off to a little A frame down the road by the beach and the rest went up to the hillside site. The A frame was fine but sleeping up in the eves was so cold I had a hoody and my sweat pants on!

This week coming we are not off to Aitutaki as the flights were too expensive but we'll finish off our Open water and Kathryn arrives from NZ on Friday for the final 3 weeks.

The first batch of postcards went today but if you want one don't forget to message me!

Love J xxx

Monday, 25 June 2012

Week 2

I'm much more on time with Week 2's update :)

This past week has been great fun- we've done loads and it was my birthday! (Though I did get a bit homesick this week too). Up at the hospital I have been properly with the Paeds Dr, Dr Dawn who is lovely and is letting me help out as much as I can which is great. Mostly it has been little kids with chest infections/ bronchiolitis but we also look after the neonates and do all the post natal checks so there are plenty of cute little Cook Island babies for me to coo at! We even had a couple of C sections last week.

At the backpackers we've had a few new additions- some Kiwi surfers who have been a number of times before and have taught us how to pick the best coconuts and get into them! We all headed out to town on Thursday for an Island Night at one of the restaurants and it was amazing, drum music and trbal dancing from little kids right up to the adults. They even got Ali and Alex up on stage so I have some pretty good photos of them making a fool of themselves. We then headed out for a drink and a dance and were quickly over run with guys off the Kiwi Navy boat which was stationed here on tour. One of them tried the chat up line "Do you watch League?" meaning rugby league and got very offended when I told him I prefered rugby union. Another asked Ali and one of the other guys if they could please dace with their girlfriends which got them laughed at too.

For my birthday I finally opened the cards I had brought with me from David and Pam and found some great photos of DH and I inside to keep with me for my trip. After an afternoon getting a tan we went to one of the beachside bars and had cocktails at sunset before heading back for some (very) cheap fizz, dinner and crispy cake. All in all a pretty good birthday for being so far from home.

This weekend we have been adventurous and hired snorkels and gone snorkelling over at one of the posh hotels and we saw lots and lots of fish there. Sunday we decided to take a hike up one of the hills here and headed up the one behind the backpackers. Its only 300 odd m high but coming from sea level that is plenty to give you some incredible views. The track was pretty overgrown and steep in places but it comes out on a high plateau with just bracken on it and you can see all around.

We've booked to do our PADI Scuba cert for next weekend (at a big discount on the advertised price) for much less than it would cost in the UK and have the option to go on to do the PADI openwater if we enjoy it by just paying the difference. We're also planning a trip to Aitutaki one of the outer islands as we've been told about so $100 flights and told we can stay at the hospital accomodation for free so hopefully we can arrange that.

Love J xxxx
p.s. my postcard offer still stands!

Thursday, 21 June 2012

Week 1

Sunday 10th Ali and I boarded the plane in Heathrow and 26hrs later stumbled out into dawn in Rarotonga. We had a stop in the worlds most confusing and underwhelming airport LAX on the way but had otherwise been looked after by the lovely people of AirNZ. The flights were as good as such long flghts ever could be.

Monday saw us confusedly get our bearings on Rarotonga, hiring bikes, buying food and tackling the incredbly steep hill up to the hospital for the first time. Only to come straight back down again to spend the afternoon on the beach- Dr Voi our contact at the hospital told us we could have the afternoon off.

The hostel- Rarotonga backpackers is nice and clean enough though you can't keep the bugs and geckos out and the place cool so we share it with a lot of mozzies come evening. Luckily none in our room- I have been bitten plenty sat out on the deck in the evenings.One of the doctors told me to put toothpaste on itchy bites and though I look pretty mad it seems to work! We're on the southwestern corner of the island and right on the beach so the sunsets are beautiful and right outside our door. The people staying have been great, we met two med students Alex and Cat who are here on elective. Cat has headed home now but Alex will be here the whole time we are and is great fun. There are plenty of other travellers here too, mostly people in their late 20s taking time to travel the world and our evenings are spent telling tales on the deck.

The hospital itself sits high up the side of a hill on the Northwestern corner, about 20 mins of cycling and walking uphill from the hostel. It consists of a number of long low buildings and the wards have been newly refurbished and are modern despite the old outpatients clinc areas. They have most of the basics, but still rely on sending patients to New Zealand for anything complex. There are very few doctors here, one surgeon, one paedatrician, one O&G specialist, and they are on call 24/7 as they are the only ones on the island. Outpatients is staffed by a number of doctors so there is one there 24/7 and people come up to be seen on a first come first served basis, mostly with complaints we'd go to the GP for. Ali is working with the surgeon and I have split my time between the Outpatients and Paeds departments. I think I'll spend a couple of weeks with Paeds before trying to move on to Medicine. Everything is quiet here though so we have had most afternoons off to sun ourselves!

We've had one taste of the night life here- on our first Weds we went to Coco-putt a mini golf and bar place. The guy came to pick us up from the hostel and gave us a drink for the road. We had a burger and then went on to play mini golf in our random teams, my team came 4th but Ali and Cat came 2nd and they gave us all a drink as a prize. After dancing at the bar we got a lift round to town and spent an hour or two in the club with the locals before being brought back. It was a great night- and really cheap as the host at the mini golf seemed to take a liking to our group and bought us a couple of rounds and got us into the club for free.

If anyone would like a postcard, drop me an email with your address!

Jess xx

Friday, 15 June 2012

Minty Green Medic goes on Elective

Hello Folks!

An awful lot has happened since I unceremoniously stopped blogging 6 weeks before my boat race last year. For one I stroked the Lwts to victory and now count my boat as some of my closest friends- we still enjoy meeting up to eat. A whole year of clinical school has been and gone and I write to you now as a final year medical student!

I'm resurrecting the blog because on the 10th of June I left David, Cambridge and the UK far behind and got on a flight to the Cook Islands for my medical elective. We are given 10 weeks and told we must do 7 weeks of work, and that we can go anywhere in the world to do it. The idea is we experience medicine being practised in its many varied forms across the world, and can bring new experience back to our final year.

It's now coming to the end of Week 1 here on Rarotonga (the largest and main Cook Island) and I am writing in a spare moment before the Paeds clinic really gets going. I hope to write once a week, but sadly I'll have to save my pictures for when I return- the internet is still dial up here and can't really cope with pictures being uploaded!

With sunny thoughts for you all,
Jess x