thanks.

what i was thankful for yesterday, celebrating thanksgiving in honduras, for the 4th (?) time...

Thanks...for the beautifully chilly night, making for a comfortable walk down to the front gate, en route for Tegucigalpa.

Thanks...to the bus driver that nearly threw me on my face (repeatedly) as i was getting on (there was a woman sitting right in the middle of the aisle on a huge bucket, not concerned about the fact that it made it nearly impossible for anybody to get by her)

Thanks...to the ayudante on the bus that forgot to take my money.  I would not have had enough cash to get me into the city center otherwise. I took that as payment for the driver nearly breaking my nose. If you don't ask for money, I'm not going to offer it.  I guess that makes up for having to pay double the other day on the rapidito going back to the Ranch.

Thanks...for the longest line of cars I have ever seen in my life (that might be a slight exaggeration), going down from Cerro Grande into Tegucigalpa. It took at least 45 minutes to get to the center, making me late getting to Hospital Escuela. I found out the backup was caused by road construction. Construction sign read something like "working to save you time". Thanks.

Thanks...for the precious little men that sit in front of the post office in the center that were so excited to see that I had come back to exchange more money with them.  Thanks...for not charging me a huge commission fee, and for being so kind.

Thanks...to the colectivo driver that kicked me out of his car when he found out a friend that had just run up to his car wanted to go down a different street than I did (I was already squished between 2 people in the backseat, and his buddy was still standing outside of the car).

Thanks...to the other colectivo drivers that got angry with him because he kicked "la gringita" out of his car.

Thanks...to the next colectivo driver that then forgot to drop me off at the hospital, having to take a rather long detour, including a stop to gas up (by the time I got into his car I was already 20 minutes late for my appointment with the doctor to discuss my research project).

Thanks...to that colectivo driver for dropping me off right outside of Espresso Americano across from the hospital. I took advantage and bought lattes for myself and the doctor.

Thanks...for the women at Espresso Americano that were much more interested in discussing their jewelry than in taking my order and serving me my java.

Thanks...for the viligante at the gate inside the hospital, leading up to the infectious disease department. He remembered me after not having visited them for 2 years. Sweet man.

Thanks...for the doctor finishing late with consults, making me not late at all in the end.

Thanks...for el tiempo latino. Embrace it.

Thanks...for the woman I met while waiting for the doctor. She's in a Master of Social Work program, also doing research in the hospital, looking at factors that influence pediatric anti-retroviral medication adherence.  Really interesting lady, and a great research topic.

Thanks...for the clowns (yes - actual clowns) that were on the bus i grabbed in Cerro Grande, heading back to the Ranch.  For some reason, Honduran clowns always creep me out way more than clowns at home.  My favorite part of their act was when they finished by saying "Para los que nos dieron una ayudita, que Dios les bendiga.  Para los que no nos dieron nada, que se cuidan solos."..."For those that gave us money, may God bless you (take care of you).  For those who didn't give us anything, may you take care of yourselves."

Thanks...for the evangelist that stood up immediately after the clowns stepped off the bus, and kindly asked the driver to shut off the Reggaeton they had blaring. I wonder if he gave the clowns an "ayudita".  He preached until he was blue in the face. Told us about when he was a child and had pancreatic cancer, and he made a pact with Dios that if he would give him 10 more days of life, he would be a better person.  ATTENTION ALL ONCOLOGISTS & ONCOLOGY NURSES: he stopped receiving chemotherapy, decided not to have the surgery that he supposedly needed...he was cured and has lived to be 50 to tell his story. Start telling your patients to just make 10-day agreements with Senor Jesus, and poof. No more cancer.

Thanks...also to the evangelist, that sold coloring books and foot-shaped bottle openers when he was done preaching. I wish I would have bought a bottle opener.

but most of all...

THANKS...to the NPH volunteers that made an amazing Thanksgiving dinner last night, and held quite the party. It was so nice to spend some time with old friends, and to meet new ones (since I couldn't be with family and friends back  home).

This just about sums up my trip.

We didn't see any animals.

A fabulous idea. Making a cafe out of a container. 

I wish I would have eaten lunch here one day.

YES they can.

Lake Malawi for the weekend

I loved the sand here. It is easy to brush off when it gets stuck all
over you, and it doesn't creep into everything you have
 brought to the beach (meaning you don't go home with half
of the beach in your bag)

I could have laid there all day. Wait. I did.

I couldn't figure out their toilets. After? Or during?

In case you're not sure what it's for, just read the name.

My bottle of wine on the flight from Johannesburg to DC
(only 17 hours)
The South African version of "do not drink and drive"?

aaahhh africa...

winding down...

The summer is coming to an end, and the friends are rolling out of town. The internship has been an eye-opening experience, and beneficial on many levels. I have learned a lot over the past two months, and the experience has brought me to many new places (not necessarily physically). But on that note, in just a few hours I will board a plane to embark on my first journey to Africa (I'm not counting my day trip to Morocco in '99 as having "been" to Africa). I will spend about a week and a half in Malawi assisting in prevention of mother to child HIV transmission (PMTCT) programs, and looking a bit into integration of PMTCT services and orphan & vulnerable children services. Exciting times.

I will continue my internship through September, and then will head back to Iowa just in time to catch a performance by the dance group from NPH's home in Mexico (Nuestros Pequenos Hermanos - the group of orphanages I worked with in Latin America). Who ever thought they would visit Ankeny?? It's the first time I've been around to catch one of their shows, and I'm really looking forward to it. If anybody is interested in joining (it's FREE), they will be performing at St. Mary's Catholic Church in Elkhart, IA on September 29th from 7-8pm. Let me know if you're around and interested in going.

until next time...

Taking time.

It feels as though it's been an eternity since I've been 'round these parts, and as usual I'm being pestered to update. So here we go...

As per the previous post, you may know my sister visited me in Berlin for my last week in Germany. Instead of re-posting everything, I will just direct you to her blog for stories and photos. She captured everything much better than I could even attempt to.

Just days after moving back to the US from Europe, saying goodbye to many dear friends I met over the last year (photo above was taken at a little "going away" dinner we had the night before my sister and I flew home) I embarked on a long-awaited journey to Honduras for the annual HOMBRE medical brigade I've been participating in since 2005. This year we spent eight days providing medical consults to adults and children in some of the poorest areas of the country. The first four days were split between two villages in remote villages in the mountain, La Hicaca and Las Lomitas. We set up consult rooms for the first couple of days in la Hicaca, and also cleaned and distributed 25 new water filters to replace those that were left two years ago.

The third day we made the journey to Lomitas, about an hour drive from La Hicaca. On a good day the roads are bad. This year the road was nearly impassable. The worst part is always the narrow, steep, winding road heading up the mountainside. My heart nearly stopped as I was trying to get one of our pickups to the top, and we got stuck in the enormous crevices. The only thing I could think about at that point was the story the priests told us about last year about a woman that died driving on the roads up in that area last year. She lost momentum, the car died, and as she tried to go up again she lost traction and fell off the cliff. You can probably imagine the terror surging throughout my body at that moment. I was about to make everybody get out of my truck so I could give it another go, but at that moment the priest came running to my rescue, and safely took us up the mountain. Padre Enrique is my hero.

In Lomitas we brought another 25 water filters for families that had never received one before. Their source of drinking water is the river that runs not too far from the villages. They previously had not been treating the water before drinking it, thus GI infections were common, and death in young children from dehydration along with diarrhea was just a reality. After cleaning and installing all of the filters, we gathered at least one person from each household to run through the fairly simple instructions on how to use and maintain the filter so it lasts at least two years. The entire system (bucket and filter) is purchased locally (in Tegucigalpa, the capital of Honduras), and costs approximately $25, and provides clean drinking water to an entire household for two years. It is such a simple and cheap solution to preventing illness and death in young children due to diarrheal infections. If you are interested in supporting the work done on these trips, including the purchase of these water filters and medications, please visit the Golden Phoenix Foundation website.


The trip ended with four more days of clinic in Coyoles (following a day of rest at the beach in Trujillo - photo above), a town surrounded by Dole plantations. This year we noticed more so than in past years the effects of poverty, low-level education, gender discrimination and broken families. As always, it was a pleasure to work with the local people who make these trips possible. The group of youth this year in Coyoles was more energetic than ever, which made working in the heat and humidity so much more pleasant. The photo below is of several of the doctors and students with the wonderful people we had the opportunity to work with again this year.

Immediately following the brigade (unfortunately I didn't even have time to make it to Tegucigalpa to visit all of my little loves and friends at NPH), I embarked on a journey to another part of the world that is unfamiliar to me...Washington, D.C. Days later I began a summer internship through the Global Health Fellows Program of the Public Health Institute. I am working in the Office of HIV of the Global Health Bureau at the Unites States Agency for International Development (USAID). I am working with the Orphans and Vulnerable Children technical working group, as well as with the team addressing the prevention of mother-to-child transmission of HIV. My role is still a bit in the developmental stage, but it sounds as though things might become a bit more solidified this week. Great opportunities are popping up, and I'm meeting many wonderful people, and working in an environment that is new to me, and one which is providing an opportunity to learn another side of international health work.

I guess that about sums it up for now.
Happy 4th of July weekend!

happy.

check out these rainbow throwing chimneys i captured out my kitchen window yesterday.

these last few weeks top the list of my best weeks yet in berlin/europe. i was able to spend lots of time relaxing, finishing a book, hanging out with friends, and enjoying the city. trying to savor it all before heading home in just over a week.

...a cook-out on the terrace of classmate's flat, a house-warming party, brunch at a friend's place, baleadas at my place, a cook-out in the park in friedrichshain and out for a drink afterwards, the best homemade mexican dinner night yet, sangria at treptower park, strolls along the river, old man jazz at zosch, taking in the body worlds exhibit, hitting up street markets, and more.

BUT this next week is bound to be even better! my sister arrives tomorrow morning, and we will do out best to live up this last week in germany before heading back to the US on the 25th. my european adventure has been just that...and i am sad to see it come to an end, but am excited about the things to come.

until next time...

what says spring better than a juicy fruit?

i seem to be on a kick of blogging about sphere-shaped fruits. well this time it's not so much about the fruit itself, but the life-altering tool i have used for years to access the sweetness that awaits inside this fruit. my mother is a Pampered Chef consultant, and loves supplying her children with her favorite kitchen gadgets. including this one

i have always loved to eat oranges, but before this "Citrus Peeler" came into my life, i admit that i rarely ate them because i couldn't stand to peel them. i know that's a lame excuse, right?

mom has given me several of these peelers, and i take one with me whenever i travel. people watch in awe when i whip this gadget out and access the sweet goodness of my orange in record time (and i don't even have to pick the orange peels out from my fingernails afterwards!) really, this thing is amazing, and only costs $1. so worth it.

do i sound like i'm on a commercial? i guarantee you that i get absolutely none of the proceeds from their sales. i'm simply just trying to spread the love. so having said that, i would really recommend it if you have children that are orange-lovers. when i worked in honduras with something like 60 children from the ages of 2 through 9, i always feared the day when we got oranges as snacks. those days meant that the staff and volunteers spent hours peeling oranges for the kids (this was before i had my very own citrus peeler). if there was a knife nearby, the kids would use those to peel their oranges. i would be on stand-by to take them to the clinic for stitches when they cut themselves (luckily that happened infrequently...). but there was still always that fear someone would lose a finger.

i'm contemplating buying loads of these peelers for the orphanage. 1 - so the caregivers and volunteers don't have to destroy their fingers peeling 60 oranges, and 2 - so the children can just do it themselves without the running the risk of cutting their pretty little fingers off.

i know you want one. or more. you can order them here.

"Shoot for the moon...

even if you miss you’ll land among the stars."

After googling to find the origin of this quote, I found two options. One site said it was a quote from Brian Littrell, who I discovered is a former member of Backstreet Boys. I knew I couldn't possibly be quoting a Backstreet Boy on my blog, so I continued searching. And it looks as though the quote actually comes from Les Brown, a motivational speaker. Yes, that sounds much more appropriate. We'll stick with that.

Anyways - to the point. Difficult decisions have come upon me over these past couple of days, and we all know how amazing I am at making decisions. Well, I finally just came up with a solution to this little dilemma, set the wheels in motion, then strolled into the kitchen to make lunch. As I threw together the fixings for a salad, I noticed the end of the tomato I had pulled from the fridge. See photo above. I choose to take this as a sign. So maybe my decision wasn't perfect, or maybe something went awry along the way that got me into this situation, but look. I still landed among the stars :) I'm certain things will work themselves out. Thank you tomato for making my day.

cheerio.

They say Americans love Heidelberg...

I was told that three times in one day shortly after arriving in Heidelberg. And after spending two weeks there, I can see why they say it. Not specifically about Americans, but for all people. It's a quaint little town, and of course a place with lots of history (maybe that's why Americans like it? our history just isn't quite that old).

I didn't get out to take in the sites until my last weekend there. A shame. A friend came to town on Saturday, so we hit up the old town and grabbed some lunch at a Mexican place. Yeah, I know. German Mexican food - just not the same, but was still good nonetheless. Sunday I took a hike on the "Philosophenweg", a trail overlooking the old town. That's where the photos were taken. I proceeded to lose myself in the forest once I deviated off the main trail a bit. Was a beautiful escape after finishing my courses.

Feels like home....

Monday I said "tschuss" to Heidelberg, where I lived just "down the road" from the US military base, and enjoyed being in the land of the soft pretzel (which I have learned used to be hidden on Easter just like eggs are these days. I must say, I would prefer finding pretzels) and journeyed back to Berlin. Stepping off the train station just blocks from the place I'm staying (same place as before I left for my great European study adventure), I felt like i was coming home somehow. As strange as it may be, this is the place I've lived for the longest amount of time in the past 3+ years. Who thought I'd ever call Berlin "home". But, I guess for another month it is.

Berlin is a whole new place when there are leaves on the trees, the snow has disappeared, and the sun is out full-force. Ahhh spring. I'm really going to enjoy relaxing a bit and getting to see the city over this next month now that there are no classes to worry about - only planning my thesis.

And having said that, it's time to hit the patio for some vitamin D, vino and a book on qualitative research. What a combination.

Wrapping up...

I guess it's about that time again...

I arrived to Heidelberg, Germany about a week and a half ago to finish up with my Advanced Modules for my program. This final course is on consultancy skills in international health for the evaluation of health projects and programs. The professor is a pretty fantastic woman (a fellow nurse), with many years of experience as a consultant, and has done an amazing job at convincing me that short-term international health consultancy is not the career for me =) Maybe someday, but definitely not any time in the near future...too tough of a game for me to manage right now.

I am happy to announce that although we have two days of lecture left, our assignments for the course are finished as of today. I'm looking forward to seeing a bit more of Heidelberg now that the rush of the first week is over. All I've really seen so far is the castle (see photos), but Heidelberg is a pretty small place, so I guess there's not much left to see! Saturday a dear friend I met six years ago in Honduras will come to visit, so I'm really looking forward to seeing her again and to finally meet her family.

Next Monday it's back to Berlin, to prepare for my sister's first ever European vacation! Only one month away, and I can hardly wait. In the mean time, I'll be working on preparing the research for my thesis, and on May 25 it's back to Iowa for a few days, then off to Honduras for the annual medical brigade to Olanchito. I've been dying to head back that way, and am really excited to spend some weeks on the Ranch. Missing the kids like crazy.

Well, here are a few pictures from the castle, and probably more to come after this weekend.
hugs all around...

i. love. english. update from london.

following a great send-off in bergen (bottom two photos above. i admit the one on the left isn't the best photo of all of us. however the chaoticness of it is quite representative of who we are together! top photo is our Tuberculosis Epidemiology class. great group of people...), i arrived in london about a week and a half ago.

*I LOVE IT* i understand the announcements on the tube. i know what the road signs say. i can tell what exactly i'm buying at the grocery store. i can just walk up to somebody and speak to them, without asking first if they speak english. *I LOVE IT*

my first course in london (at University College London - Center for Global Health and Development) is "children in difficult circumstances" and is by far the heaviest one i've had. it's a great course...learning a lot, and getting exposed to many things. it is however awful having to hear day after day about the struggles children in this world face. children on the street. children trafficked into sex work. conflict minerals and the awful forms of sexual violence in the Congo. the arms trade and child soldiers. well, you get the point. tough stuff. my next module here is nutrition and public health, so hopefully that will be a bit lighter.

am really enjoying london so far. haven't done the "tourist" thing yet - but have been able to walk around quite a bit and see the sights. met with some friends to run through the British Museum (had less than an hour until closing), and strolled along the river a bit a couple of different days. see pics. i'm living in a really great location - only a 30 minute walk to class, which is pretty close to the thames. great for saving money on transportation!

captions.

1. Tower Bridge
2. flying greek goddesses in the British Museum
   
3. excuse this stupid photo (in the british museum as well). but i must prove a point. see those 3 little stairs behind this lift? i'm wondering if it wouldn't have been MUCH cheaper just to build a ramp instead of install this lift to climb no higher than possibly a foot and a half?
4. my favorite thing so far. they paint on the pavement which way you need to look when crossing the street (for us stupid foreigners that drive on the "right" side of the road). well, just take note of this arrow.
5. nothing special 'bout this one. just a sign outside the co-op i go to. change. i like it.
6. met with some friends from our course in berlin one rainy afternoon at westminster for a coffee.