Sunday, March 28, 2010

Weekend bliss!


Phi, Amy, me, Kyla, Ben, and Kate celebrating Amy and Jesse's wedding on Saturday

It was a very rough week at work, for reasons I will not go into here, but a wonderful, wonderful weekend.

Friday, Cesar Chavez day (which is a recognized California [and clinic] holiday but which most of you have probably never heard of), permitted us to go skiing! This has been such a fantastic year for snow and, just the night before, Tahoe had a couple more feet for us to play in! I missed all of February's great skiing due to being overseas, so I was excited to get the chance to get back onto the slopes. Phi, his brother, and I drove up to Tahoe to spend the day at Sierra. Although we were faced with minor inconveniences such as a spin-out on ice on our way in and a need for getting pulled out of the snowbank (no, I was not driving) as well as a lost camera (mine.... I don't know why I have such terrible luck with cameras!), it was a great day with great powder! My legs are still sore.

We finished off the day with potluck dinner and karaoke at Phi's house, which is always a fun time :)

Saturday was Amy and Jesse's wedding day and oh, what a day it was! It being a full-on Indian Sikh wedding, they had numerous events going on in the days preceding the actual wedding day events, but Saturday was also packed!

In the morning, it started at the Gurudwara (temple), with the bride and groom's families greeting one another (Milni), breakfast and tea (we ate pakora and curry at 10 am!), and then the Anand Karaj wedding ceremony. It was really neat, although the UC Davis crowd (largely non-Indians) could not really follow what was going on, and we are still puzzled about how to interpret "Indian time."

Jesse, the groom, in traditional dress, entering the temple


Here are Phi and me with our head coverings which were required on entry to the temple. Swati loaned me her salwar kurta to wear for the morning!


Ben, Kyla, me, Katie, and Brandon
Here is Amy walking in with her parents, with her gorgeous embroidered dress which weighed something like 40 lbs!


The morning's events concluded (for us) somewhere around 2:00, and we had a break before heading to the Sheraton downtown for the reception where something like 1000 people were attending! (I'm not sure I actually know that many people!)

Ben, Kyla, Phi, me, Barb, and Mark
Below is me in outfit number 2 (a sari) borrowed from Swati (you're the best!!!) for the occasion! Believe it or not, this is the first time I have donned a sari and, with 4 safety pins, it stayed on without a wardrobe malfunction. I certainly had enough Indian help in case I needed to adjust it during the night!!

Kyla and Eleanor

Kacey, welcoming Eleanor, the "younger baby," to the elegant reception :)
Noelle and Jeremy got Kacey these awesome headphones to protect her from the loud Indian music (and which, believe it or not, permitted her to sleep amidst the partying!)


The newlyweds: Jesse and Amy



Amy looked absolutely breathtaking! Her dress was gorgeous. Despite there being so many people there, we did get a chance to congratulate her.
Here you can see the exquisite henna on her hands.
The reception was a wonderful time, with amazing Indian food, good fellowship, and lots of fun dancing!
Bride and groom
The groom and groomsman
Kyla and me (sorry the lighting isn't the best)


Phi and Kyla


Fun times! I think weddings and skiing are two of my favorite things :) I so love Sundays, but hate Sunday nights when the next thing that faces me is a 24 hour shift at Stockton starting Monday. However, this is my last week until VACATION so I think I can stick it out :)

Tuesday, March 23, 2010

Global Health



with Shego, Patty, and Juan Carlos, July 2005, Iquitos, Peru
As most of you know, I have a passion for international travel and international or "global" health. I can definitely see myself, at some point in my life, practicing overseas.



Faith Alive, Jos, Nigeria, April 2007





Tarlac, Philippines, February 2010


I wanted to share with you a recent CNN article featuring Patty Webster, the amazing leader of Amazon Promise, the first international organization (2005- Peru) that I worked with in delivering medical care. She really is a saint, a role model, and worthy of all of your support!
If you care to contribute to her noble efforts, you can visit the Amazon Promise website and donate here.

Kathleen Toner, CNN

March 18, 2010

Nearly 21 years. ago. Patty Webster landed her dream job as an adventure tour guide in the Peruvian Amazon. But as she shared the area's beauty and culture with tourists, she realized there was a darker side to the rainforest paradise.

"I saw how poor they were and realized that people were dying because they didn't have medical care," Webster said.

She started sharing her supplies with the locals and soon began waking up to find people waiting outside her mosquito net to ask her for medicine. At one point, Webster -- who had no medical training -- gave someone stitches, following instructions from a book.

"It was kind of scary," she recalled. "If they're depending on me for their health care ... we're all going to die."

That's when she decided to stay and do something more.


Since 1993, Webster has been bringing medical relief to some of Peru's poorest and most remote areas through her nonprofit, now known as Amazon Promise.

Webster -- described by a visiting doctor as "sort of a cross between Indiana Jones and Mother Teresa and Susan Sarandon" -- and her volunteers have provided free health care and education to more than 55,000 people.

It's hardly the life one could have predicted for this Detroit, Michigan, native, but she's never followed an "ordinary" path.

The daughter of postal workers, Webster headed to New York after high school graduation and worked as a model, a Radio City usherette and an ASPCA adoption counselor before going to Peru for a wildlife internship.

When she was offered a job as an adventure tour guide, she jumped at the chance and has never looked back.

Today, she runs Amazon Promise from Iquitos, considered the most populous city in the world that can't be reached by road. It's in the northeastern corner of the country, in the middle of the rainforest, and is the capital of Peru's largest and most remote region.

Nearly half of the area's population lives in poverty, and one-third of residents lack access to basic medical care, according to Peru's National Institute for Statistics and Information Technology. Some might go their entire lives without seeing a doctor.

That's what Webster is working to change. She organizes several expeditions to these underserved areas every year. Each trip is staffed by adventure-seeking medical volunteers from the West -- often from U.S. medical schools -- and Peruvian health professionals. A traditional shaman, or healer, frequently accompanies them.

Dr. John Glick met Webster while on a trip to the slums of Belen, near Iquitos, for the Gesundheit! Institute, Dr. Patch Adams' health organization.

"She's an amazing person. She is sort of a cross between Indiana Jones and Mother Teresa and Susan Sarandon," Glick said. "She is a unique and focused individual who is serving the health needs of some of the (poorest) people in the world."


Financed largely by the volunteers' trip fees, Webster's teams travel around the region for up to four weeks at a time, holding free clinics for the local people.

Getting to these remote areas is Webster's biggest challenge. Many of the villages take days to reach, often requiring travel by bus, helicopter and boat. Large portions of these trips are made on the area's winding rivers -- no easy feat when traveling with 30 to 40 containers of medical supplies.

"Sometimes we're in dugout canoes ... and we'll encounter major rapids," Webster explained. "When that happens, you just need to get in and close your eyes."

In the villages, the volunteers provide preventive services such as prenatal checkups and general exams, but most of their time is spent treating a wide range of ailments like malaria, TB, pneumonia, diarrhea, animal or snake bites, and parasites. Teams usually see several hundred patients during each expedition.
Webster also strives to empower the local population by training village health workers and educating villagers about HIV prevention, hygiene and sanitation.

The group also works in some of the region's most destitute urban areas.

"We often see people that are even sicker right in the city than in the jungle," she said.


Webster hopes to build a permanent clinic in Belen, a slum on the outskirts of Iquitos. She envisions providing services to the city's poor, training for health workers and housing for villagers who come to the city for treatment.

The government has donated land for the project, and Webster is working to raise the funds for construction. In the meantime, the group has built a simple structure where it will hold clinics twice a month.

After 17 years, Webster still has yet to collect a salary for her work, and she lives in the group's offices in Iquitos. But while life on a shoestring budget isn't always easy, knowing that she's having an impact keeps her motivated.

"Regardless of whether it's getting to one person or 30 people or 300 people, you make a big difference," she said. "Anything I can offer them that is going to help them ... it's just a real gift.

It's a gift she plans to keep giving for as long as she can.

"I've found my purpose," she said. "It certainly wasn't what I had planned for my life, but you can't go against these forces of nature.""

Please support Patty and Amazon Promise!
I wonder when my next overseas adventure will be!

Sunday, March 21, 2010

Wining and dining

It's been a while since I have spent back-to-back Saturdays wine-tasting, but this has been the story of my March so far.


Last weekend, a bunch of us went wine-tasting for Amy's bachelorette party in Amador County, east of Sacramento. We visited four wineries: Villa Toscana, Bray, Wilderotter, and Bella Piazza. All were great. Villa Toscana offered us 18 (yes, eighteen!) tastings (for free; plus tasty mustard!). As one who is generally a one- or two-glass wonder, I had to pace myself and refrain from most of those choices, but did walk away with a bottle of tasty orange muscat (I am a fan of the dessert wines!). Obviously, I was not an appointed driver.


Most of the group: Beth, Katherine, Anna, Gabrielle, Amy, me, and Kate


Gabrielle, admiring Amy's engagement ring



Beautiful photography, courtesy of Katherine





The bachelorette (not for long... wedding in less than 1 week!)





Tailgate-ing (with carrots and hummus!) outside in the sunshine



This Short Bus was hilarious


On the Bray Pickup

Funny because Jesse, Amy's fiance, is a lawyer!


At Taste Restaurant in Plymouth (Katherine, Beth, me, Anna, Katie, Amy, Gabrielle, Kate, and Shannon)



This past Saturday, a bunch of us went to the Livermore Barrel Tasting event (about an hour South of Sac), where we visited wineries of John Evans, Wente, El Sol, and Murietta's Well.


Thanks to Darina for photo-documenting the event, as I was really lousy at taking pics. Pretty much all of these are stolen!

The group at Wente

(Darina, Tocher, Brad, Serena, Mike, Roxanna, Kelvin, me, Caesar, and Kristin)



The girls (Serena, Roxanna, Darina, Kristin, me)



Kelvin, me, Darina, and Tocher at John Evans
Murietta's Well

We then had a lovely grilled dinner at Kristin's parents' house in Livermore while watching some NCAA hoops.





Mr. Satow, Grill-meister


It was back to work at Stockton Labor and Delivery today.
Ah, why do we have to have real jobs??

Saturday, March 13, 2010

Adjustment week (i.e. sleep deprivation and fire alarms)

My last week went something like this:

Saturday, 10 am: left Ho Chi Minh City to return to the U.S.
1:45 p.m: arrived in Manila for an 8 hour layover (we left the airport and spent the afternoon at Mall of Asia, where we got to catch "Alice in Wonderland" in 3D and do more shopping)
10 p.m.: departed Manila and Asia (:() to fly back to the U.S.
6:15 p.m. (still Saturday): Twelve hours later, we arrived in LAX at a time EARLIER in the day than when we left East Asia, given the 16 hour time difference. I still have a hard time wrapping my head around how weird this was.
Despite sleeping most of the way on the plane, I slept really well that night at Kelvin's parents' home in Orange County.

Sunday: church, lunch, drive back to Sac and Oscars Party at Wai Kiu and Hanh's (this was the first time I watched the Oscars!)
Here is some quality baby-time with Mason, almost 4 months, who I got to deliver in November :)
Sunday night: mad organizing after being gone for 1 month, followed by extreme jet lag and inability to fall asleep, which NEVER happens to me. I never have insomnia and, when things like this night happen, really make me feel sympathy for those who do struggle with this. I don't know why I didn't just get up and try to get more stuff done, as my "to do" list after being gone really is about a mile long; however, I just lay there tossing and turning. Ugh.

Monday 6 a.m.: left home to commute (! it's so weird to drive to work as I usually bike!) to San Joaquin Hospital in Stockton to start my OB rotation there and a 24 hour call. Ouch. The call actually went well, with 3 scheduled repeat c-sections, even a vacuum delivery, and a few others, but it was busy! No sleep to be had.

Tuesday 8:30 a.m.: finished the 24h call with board signout. Drove the 50 minutes or so back to Sacramento, terrified that I would fall asleep at the wheel (thankfully, made it home safely).
Tuesday 5:15 PM: Frisbee for first time of the spring! Fun, but boy, am I sore! I need to get back into shape. Frisbee was followed by Zen Sushi for resident dinner.

Wednesday: since there was no colposcopy clinic this Wednesday, I did lots of cleaning and mail-opening as well as unpacking in the morning, followed by all afternoon FP clinic. Ended the day with American Idol night at Jeremy and Noelle's.

Thursday: more organizing
1-2 p.m.: got a nap in
3 p.m.: left for another 24hour shift at Stockton, which I was a bit nervous about. I am soooo not a night person and overnight calls are difficult for me; somehow starting the call with the overnight part, knowing that I would be there for the better part of the next day, was quite daunting. However, it went much better than I thought. It was not too busy and I got to sleep for about 2 hours overnight and 1 hour in the morning (nice to be the "senior"!).

As far as Stockton: why did I work a 24 hour shift Thursday afternoon to Friday afternoon, you might ask? Well-- we are able to sort of set our own schedules, where we aim to minimize overlap with other students and residents (there are FP and transitional interns there) to maximize everyone's learning. I could do 4 days of 10-12 hour shifts, but this means commuting daily for about 2 hours, depending on traffic, which I really hate. I was told that while Thursdays were not a great day to be there due to the other personnel, Fridays were usually good. However, with wanting to avoid working weekends, with events coming up like Amy's bachelorette party (today) and wedding in 2 weeks which I'd committed to, I didn't want to work Friday-Saturday; hence the odd Thursday- Friday afternoon shift which will probably become the weekly norm this month. So it doesn't look like I'll be getting on any regular sleep schedule soon! I hope, in some ways, that I will be so chronically sleep-deprived that I won't ever have to worry about insomnia again!

Friday, 4:00 p.m.: my OB shift ends with the fire alarms all going off. I had no idea what it was all about, but, not familiar with the hospital layout, exhausted from the shift, and wanting to get home as fast as possible, I could not quickly locate the stairs and instead took the elevators down to the main floor anyway. I know this was a no-no "in case of fire," but I took my chances!
Then, since the orientation to this rotation was virtually nonexistent and I don't have a keycard access, etc., I had to go back to the security desk and return my visitor badge in exchange for my driver's license, which I had deposited the previous day as (the fire alarms are still blaring). The security guy was livid that I was still inside the potentially burning building inquiring about such things as my ID and and not outside "observing" the fire alarm warning but, as I mentioned above, I was so tired and sick of being there and wanting to get home that I was willing to risk staying a few more moments and being trapped in a burning building than delaying getting home after my 24 hour call. Don't worry- I safely exited the building and, to my knowledge, San Joaquin is still standing.

5:30 p.m.: arrived back in Sac, where I slept for about an hour and a half, did some eating and Office- watching before crashing again so I could attempt to get back on a days schedule.
Today: spent the day celebrating Amy's impending end to single-ness (her wedding is in 2 weeks!) with a bunch of girls who know her different walks of life (HS, college, med school, Sac and residency). We spent the afternoon wine-tasting in Amador County (at Villa Toscana, Bray, Wilderotter, and Bella Piazza) and then had a wonderful fancy dinner at Taste Restaurant in Plymouth.



Stolen pictures to follow once they are posted so I can steal them!

For now, I'm going to try to get a good night's sleep, with one fewer hour, due to darned Daylight Savings Time.

Thursday, March 4, 2010

Hi from Ho Chi Minh City



Kelvin and I are headed home tomorrow, after a spectacular month in Asia!
Last stop of the Asia Adventure was Vietnam.

We safely (!) crossed the Cambodia/Vietnam border by boat, which was interesting. We saw a bit of the Mekong Delta region, including the specatcular floating markets (boats selling things, floating on the river!) around Chau Doc and Can Tho.

We have been able to stay with Kelvin's aunt in Ho Chi Minh City (= Saigon) as the last stop, and they have totally taken care of us! It has been fabulous.

I love everything about Vietnam, except the mosquitoes :)
The water
(crossing to Chau Doc)




Mekong Sunrise



Relaxing with our boat captain (tons of Vietnamese women wear this hat, made of bamboo leaves)
She made me this out of palm leaves!

Part of a floating market (you can see what is being sold by what is displayed on the stick!)
Check out all of these fruits!



The way you get around Vietnam: motorbike.

Although riding one of these (try riding with a duffel bag for luggage, too!, which drivers would let us do) makes one quite scared for your life at times, the helmets help you feel marginally safer. By now (riding around Saigon, where motorbikes outnumber cars at east 30:1), I am used to it!







Food:
We mainly have eaten at street stands, where a meal would cost us less than $3 for the two of us, and our GI systems survived!
I love the different noodles (more than just pho).



The tons of fruits. I will have to do a separate post just on the fruits of Vietnam, but here is a selection. My favorites: mang cau (or "custard apple"), star apple, and rambutan.



Nuoc mia (sugar cane juice): Kelvin's favorite. I had to ration him to about 2/day otherwise he would probably come back to the US with diabetes



Cheap stuff:
No, this is not what you think.
This is my newest $1 ring, and my recent $1 manicure (my first!)


Fun gadgets:
This is an insect zapper-- an electronic device to swat at bugs! Love it!




Family time
Kelvin has about seventeen (17!) aunts and uncles, most of whom still live here in Saigon, and we spent a lot of time visiting with them and their families! Although few spoke English, and I can say about 3 things in Vietnamese, it was great to meet them.
Even kids ride motorbikes!

Kelvin with his great grandma, who is age 92 and in perfect health!


Paternal side (we had dinner for about 40 people last night!)



With cousin Tin





Outings: we did a couple of historical things, such as visit the War Remnams museum, and shoot AK 47s at the Cu Chi Tunnel Site outside the city, which housed secret attacks on American troops during the Vietnam war.







Fun times!
It is off tomorrow AM to get through Manila and back to LA to start a new rotation (OB at Stockton) on Monday.

Tam biet, Vietnam!