My name is Danelle Wilson and I have a problem. I like all specialties! How am I going to decide? I always saw myself as a pediatrician, but then I was wooed by general surgery. And now I'm thinking "I totally want to be an Ob/Gyn." It's going to be very hard to choose a residency if I end up liking every specialty. I guess next month on my Peds rotation will be the moment of truth. Maybe I like Ob/Gyn so much because of the baby part.
Even though Ob/Gyn focuses on a small area, the specialty is so vast. You get to make patient connections and see women of all ages throughout their lives. You follow a pregnancy and then get to be the first hands to welcome that life into the world. You get to perform surgeries and can actually make problems better. You're not just treating symptoms which is very satisfying. I have learned so much during this rotation. It was a great combination of patient care and surgery, clinic time and hospital time. I really like the diversity.
My attending was a super cool guy! He is from Argentina and completed medical school there before moving to Chicago to complete an American Residency program. It's real interesting the difference between the two countries. In Argentina, you don't go to college. At 18 you start medical school. The first two years are in classroom and then the next three are in hospital. And then you're an attending. There is no residency. So at age 23 he was a full fledged doctor. And the best part? It's all free! You don't pay for medical school in Argentina. I'm very jealous of that fact. Anyways, he was really funny and joked around a lot. He said he could get away with it because of his accent.
Delivering the babies, when things went right, was awesome. But when things went wrong, they went really wrong really fast. Unfortunately I saw miscarriages, fetal demise, and birth defects. I had one day being on call that was just awful. I went from a miscarriage to an emergency C-section for a 29 week old fetus of a teenager who already had 3 kids not in her custody. This poor baby did not have a very good chance of survival and was immediately airlifted to Children's Hospital in Denver. After the C-section we delivered a baby who immediately went through withdrawal since mom did heroin during the pregnancy. The inconsolable cry of a baby was just heart breaking. The worst part of the call shift though was an inter-uterine demise (IUD). This means that for reasons we don't know, the baby's heart just stops beating. At 38 weeks a lady came to the ER saying she hadn't felt her baby move all day. She was declared IUD and an induction of labor was begun. It was the hardest labor I've been a part of. This woman, who had done everything right, had a healthy baby one minute and lost it the next. She then had to give birth knowing she wasn't going home with a baby. I was really proud of myself for not crying during the process but boy did I lose it later that night. It was a really bad day and extremely difficult to get through. That day was full of so much sadness. I was just hit with it back to back to back.
Luckily that day wasn't the norm. And the good definitely outweighed the bad. One of my favorite surgeries was placing a bladder sling. This woman was having a problem with incontinence for years and it was really making her miserable. Using a super long, curved needle attached to a mesh ribbon, you thread it under the pubic bone and up through the abdomen. The woman came for her follow up the next week and she cried because she was so happy with the fix. I also had some pretty interesting...finds... You'd be surprised what people stick up there. I thought about starting a diary. I would begin with Dear Diary, today I pulled a bag of cocaine out of a woman's vajayjay. Another entry would be 'today I pulled a Polly Pocket out of a little girl's "secret hole"' Her mom threatened to take it away if she didn't behave so she hid it. Another treasure found was cloves of garlic. The lady read on the internet that it would cure what ailed her. FYI - it won't. Don't Do It! Other gems were carrots and sex toys. All in all very interesting. It appears there is a need for a list titled "Things that Don't Belong in Your Vagina".
Anyway...I loved this past month and am super excited for the next!
Sunday, October 27, 2013
Sunday, October 6, 2013
The Hip Bones Connected to the...
It's hard to believe that another month has come and gone. I spent it on an Orthopedic Surgery Rotation. It was very interesting and so much fun. Bones are so cool! And joint replacements are just amazing! The precision and technology that goes into each surgery is incredible. Each cut is made after several measurements and a blade guide is set up. I saw several knee replacements, a few hips, and even a complete shoulder. It is really incredible that the next day these people are putting weight on and actually using their new joints. The biggest risk with a joint replacement is infection. Every precaution against infection is put into place. My attending would even send all his patients to the dentist before the surgery. For some reason that science doesn't know yet, bacteria in the mouth loves to travel to metal in the body. This is why people with joint replacements must take antibiotics before any dental work. Another precaution is the room set up. Everyone in the room is in a special suit and hood that has positive pressure air being blown down the front of the face towards the floor. This is like an air trap that germs can't get across. There is also air blown from the ceiling and out towards the sides of the room at floor level. These suits are nice for the patient, but a pain for the doctor. They get very hot. And its hard to hear one another speaking. Also, if your scrub pants aren't tired tight enough, the battery weight pulls them down. One assistant had to have the circulatory nurse pull up their pants and re-tire them. I was just super happy it wasn't me!
One of my favorite surgeries was piecing together a shattered clavicle or collar bone. It was just like doing a jig saw puzzle! We had to be very careful placing the screws because the subclavian artery and vein lie right below the bone. Knick one of those and the patient can bleed out in seconds. Another favorite was pinning a broken femur. Through the smallest incision at the hip, you drill a pin down the center of the bone. That pin is used as a guide wire for all the drilling. Xrays are taken throughout to check placement. This means that everyone in the room wears lead throughout the entire surgery. Again, really hot and heavy! A reamer is then used to drill a big hole through the middle of the bone. A metal bar is threaded down the pin, the pin is removed and the bar is held in place with two more screws. There is something very satisfying about drilling into bone. What is amazing is that the patient is weight bearing the next day! There is no cast or anything like that. Pretty cool if you ask me.
My attending is a younger doctor who is trained in some of the newer procedures and is very up to date on all the latest and greatest. He was a lot of fun to work with. Ortho is most definitely a boys world with 91% of all orthopedic surgeons being male. Luckily my dad and brother trained me well and I can carry my weight with the boys. After a few jokes and showing some knowledge of golf and firearms, I was in the club. I was even invited to participate in a golf tournament. Now I haven't golfed since I was 13 and my grandpa taught me one summer. But I did well enough I guess since I was invited back. I was shown that business is still conducted on the golf course. I was introduced to many business people and doctors from the area. I also realized that I enjoy golfing. There is nothing quite like hitting a little ball as hard as you can and watching it soar down the drive. All in all, Ortho was fun but not for me for the long term. If I had to choose between General Surgery and Ortho, General would definitely win. But now it's time to move onto OB/GYN. Hello babies!
One of my favorite surgeries was piecing together a shattered clavicle or collar bone. It was just like doing a jig saw puzzle! We had to be very careful placing the screws because the subclavian artery and vein lie right below the bone. Knick one of those and the patient can bleed out in seconds. Another favorite was pinning a broken femur. Through the smallest incision at the hip, you drill a pin down the center of the bone. That pin is used as a guide wire for all the drilling. Xrays are taken throughout to check placement. This means that everyone in the room wears lead throughout the entire surgery. Again, really hot and heavy! A reamer is then used to drill a big hole through the middle of the bone. A metal bar is threaded down the pin, the pin is removed and the bar is held in place with two more screws. There is something very satisfying about drilling into bone. What is amazing is that the patient is weight bearing the next day! There is no cast or anything like that. Pretty cool if you ask me.
My attending is a younger doctor who is trained in some of the newer procedures and is very up to date on all the latest and greatest. He was a lot of fun to work with. Ortho is most definitely a boys world with 91% of all orthopedic surgeons being male. Luckily my dad and brother trained me well and I can carry my weight with the boys. After a few jokes and showing some knowledge of golf and firearms, I was in the club. I was even invited to participate in a golf tournament. Now I haven't golfed since I was 13 and my grandpa taught me one summer. But I did well enough I guess since I was invited back. I was shown that business is still conducted on the golf course. I was introduced to many business people and doctors from the area. I also realized that I enjoy golfing. There is nothing quite like hitting a little ball as hard as you can and watching it soar down the drive. All in all, Ortho was fun but not for me for the long term. If I had to choose between General Surgery and Ortho, General would definitely win. But now it's time to move onto OB/GYN. Hello babies!
Saturday, August 31, 2013
Eat When You Can, Sleep When You Can, And Don't Poke The Pancreas
After a month of General Surgery my rotation is done. I had so much fun! The human body is amazing and I loved being able to observe it up close and hands on everyday. It's incredible watching a heart beat inside the chest, feeling the aorta pound with blood right under your fingers, poking the ureters and watching them shrink in response, feeling the small intestines telescope in and out of each other. Everyday I was just in wonder and awe at God's ultimate design.
While fun was had, I have also never worked so hard in my life. But it actually felt like my work made a difference. It was great meeting with the patients a few days after their surgery and hearing how much better they felt, how their pain was gone, and how thankful they were. Surgery was very satisfying, it has instant results. Sick gallbladder? I take it out. Hernia? I fix it. Collapsed lung? I put in a chest tube. Necrotizing fasciitis? I cut it out. There were solutions to all these problems. I understand that not everything always goes according to plan and the outcome is not always so wonderful. I was very lucky to never lose a patient during the month which I'm sure helps to glorify my outlook. But even so I was never sitting back and waiting...surgery is all about doing something which made me feel better, like I was taking action.
My attending is an incredible teacher. He spent a lot of time with me and showed so much patience. He treats me like a colleague and has all the staff treat me like a full fledged doctor already. (It's very exciting to have people address me as 'Doctor' and ask me what I would like done with the patient.) I consider myself the bottom of the totem pole at the hospital but he says no. He expects me to play the part of doctor rather than student. When I offer to gown myself or remove a Foley or change a dressing he tells me to stop. He reminds me that my job is surgery and I need to stick to my job. I don't have time to perform these other tasks when there is someone else qualified to do them. I understand now how surgeons get a bad rep for being stuck up and non-caring about patients. But that's really not the case at all. They just don't have the time to do all the things that are required of them. This is why we have specialists in healthcare. No one can do it all. And also, it's the doctor's license and reputation on the line. No one sues hospital staff these days...when something goes wrong everyone blames the doctor. So it makes sense that a surgeon gets frustrated when their orders are not followed out to a tee or when time is wasted or when a mistake is made in the OR by support staff. I will no longer be mad when my own doctor is late for my appointment. I understand all the things that need to get done behind the scene and how emergencies can just pop up. Just imagine if you were the emergency. You wouldn't want your doctor to tell you to wait so they could stay on time with their office visits. But I'm stepping down from my soap box now...
Back to my experience in the OR... One time my attending just walked out of the room towards the end of the surgery and left me to close. I just stared at his back walking out the door while screaming in my head "NO! Don't leave me! I have fooled you all. I really have no idea what I'm doing." My panic died down when the scrub nurse looked at me and asked "Doctor, what do you want to close with?" And I knew. I knew what sutures to use and what knots to tie. After finishing my last suture, I looked up to find my attending watching through the observation window. So he didn't really leave me alone, which was comforting to realize. I will really miss him. Not only was he a great attending, he went out of his way to include me in his family outings and take care of me outside of the hospital. He took me wake boarding on the reservoir, had me over to his house for dinner, and treated me to may lunches and dinners out. He even drove me home at 4:30 in the morning after an emergency surgery where I almost passed out in the OR. After a long 16 hour day at the hospital, I got home at 10 pm, finished my assigned reading and went to bed at midnight. I was awoken by my phone at 1:10 am. Turns out our patient had turned septic and we had to operate now. I walked into the OR at 2:00 am not even realizing I hadn't had anything to eat or drink
since 5 pm the evening before. We were closing the patient up a few hours later when I started to feel really hot and my vision tunneled a little. According to my attending I turned sheet white. He had me step back from the table and sit down right there on the floor where I stayed while he finished up. He then personally got me breakfast and drove me home promising to pick me up later that morning so he could control when I went back to the hospital. During the ride home he shared with me the golden rule of surgery: eat when you can, sleep when you can, and don't poke the pancreas. Well, lesson learned.
On Friday, my last day with my attending, he told me he had a surprise for me as a reward for all my hard work. He led me into the last OR room down the hall, one I hadn't been in yet. Inside was the Da Vinci Robot. This robot can do the work of several doctors at once. The trocars (little portals used for laparoscopic surgery to get the instruments in the body) are placed in the pt and the robot arms are threaded through them. The doctor then controls the robot from a station with a viewing window that reflects the camera inside away from the patient. Everything the doctor does with their hands and wrists the robot does inside the patient. Foot pedals are also used. The robot arms can rotate 360 degrees in the patient. This is the only one in all of Pueblo and only a few doctors are certified to use it. My attending is in the last bit of his training and will perform his first surgery with it next month. Well, I was in awe looking at this robot. He demonstrated all it can do and set up a manikin and then told me it was my turn. He let me run the 1.7 million dollar robot! It is really amazing how sensitive it is to my touch and all the things it can do. I had so much fun. Anyway, I'm sure you're all tired of me droning on. Last thing I want to share is a list of the most important things I learned this past month. Next week, on to orthopedic surgery!
Things I've learned during my surgery rotation:
1. Tie your scrub pants tight - it's tragic when they come loose while running to a trauma
2. Always have a granola bar in your pocket. Or two...two is better
3. Hand lotion is your best friend - my hands have aged years with the 100+ times I wash them everyday
4. Fruit chapstick under your nose or inside your mask takes care of most smells
5. Have multiple pens in multiple pockets
6. There is a fine balance between staying hydrated and having to pee in the middle of a 5 hour surgery
7. Scrub caps are a great way to hide that you didn't have time to wash your hair
8. It's amazing how little laundry you have when wearing scrubs everyday
9. A good pair of shoes makes standing 12+ hours a day possible
10. Sleep and eat when you can, where you can...you never know when you'll be called in for a 2 am surgery
While fun was had, I have also never worked so hard in my life. But it actually felt like my work made a difference. It was great meeting with the patients a few days after their surgery and hearing how much better they felt, how their pain was gone, and how thankful they were. Surgery was very satisfying, it has instant results. Sick gallbladder? I take it out. Hernia? I fix it. Collapsed lung? I put in a chest tube. Necrotizing fasciitis? I cut it out. There were solutions to all these problems. I understand that not everything always goes according to plan and the outcome is not always so wonderful. I was very lucky to never lose a patient during the month which I'm sure helps to glorify my outlook. But even so I was never sitting back and waiting...surgery is all about doing something which made me feel better, like I was taking action.
My attending is an incredible teacher. He spent a lot of time with me and showed so much patience. He treats me like a colleague and has all the staff treat me like a full fledged doctor already. (It's very exciting to have people address me as 'Doctor' and ask me what I would like done with the patient.) I consider myself the bottom of the totem pole at the hospital but he says no. He expects me to play the part of doctor rather than student. When I offer to gown myself or remove a Foley or change a dressing he tells me to stop. He reminds me that my job is surgery and I need to stick to my job. I don't have time to perform these other tasks when there is someone else qualified to do them. I understand now how surgeons get a bad rep for being stuck up and non-caring about patients. But that's really not the case at all. They just don't have the time to do all the things that are required of them. This is why we have specialists in healthcare. No one can do it all. And also, it's the doctor's license and reputation on the line. No one sues hospital staff these days...when something goes wrong everyone blames the doctor. So it makes sense that a surgeon gets frustrated when their orders are not followed out to a tee or when time is wasted or when a mistake is made in the OR by support staff. I will no longer be mad when my own doctor is late for my appointment. I understand all the things that need to get done behind the scene and how emergencies can just pop up. Just imagine if you were the emergency. You wouldn't want your doctor to tell you to wait so they could stay on time with their office visits. But I'm stepping down from my soap box now...
Back to my experience in the OR... One time my attending just walked out of the room towards the end of the surgery and left me to close. I just stared at his back walking out the door while screaming in my head "NO! Don't leave me! I have fooled you all. I really have no idea what I'm doing." My panic died down when the scrub nurse looked at me and asked "Doctor, what do you want to close with?" And I knew. I knew what sutures to use and what knots to tie. After finishing my last suture, I looked up to find my attending watching through the observation window. So he didn't really leave me alone, which was comforting to realize. I will really miss him. Not only was he a great attending, he went out of his way to include me in his family outings and take care of me outside of the hospital. He took me wake boarding on the reservoir, had me over to his house for dinner, and treated me to may lunches and dinners out. He even drove me home at 4:30 in the morning after an emergency surgery where I almost passed out in the OR. After a long 16 hour day at the hospital, I got home at 10 pm, finished my assigned reading and went to bed at midnight. I was awoken by my phone at 1:10 am. Turns out our patient had turned septic and we had to operate now. I walked into the OR at 2:00 am not even realizing I hadn't had anything to eat or drink
since 5 pm the evening before. We were closing the patient up a few hours later when I started to feel really hot and my vision tunneled a little. According to my attending I turned sheet white. He had me step back from the table and sit down right there on the floor where I stayed while he finished up. He then personally got me breakfast and drove me home promising to pick me up later that morning so he could control when I went back to the hospital. During the ride home he shared with me the golden rule of surgery: eat when you can, sleep when you can, and don't poke the pancreas. Well, lesson learned.
 |
| With the Da Vinci - you can see my vagina repair on the screen in the background |
 |
| At the control station of the Da Vinci |
1. Tie your scrub pants tight - it's tragic when they come loose while running to a trauma
2. Always have a granola bar in your pocket. Or two...two is better
3. Hand lotion is your best friend - my hands have aged years with the 100+ times I wash them everyday
4. Fruit chapstick under your nose or inside your mask takes care of most smells
5. Have multiple pens in multiple pockets
6. There is a fine balance between staying hydrated and having to pee in the middle of a 5 hour surgery
7. Scrub caps are a great way to hide that you didn't have time to wash your hair
8. It's amazing how little laundry you have when wearing scrubs everyday
9. A good pair of shoes makes standing 12+ hours a day possible
10. Sleep and eat when you can, where you can...you never know when you'll be called in for a 2 am surgery
Sunday, August 18, 2013
Adventures in Surgery
Who knows? Maybe I want to be a surgeon! I am having so much fun on my surgery rotation! Pardon me if somethings appear vague from here on out but I am trying to be very aware of HIPAA laws. My first week with surgery was very intense. My attending certainly kept me busy. The very first day he had me as first assist in surgery with him. Gallbladders, hernia repairs, and small bowel resections filled my day. My first day was actually the easiest. My attending never left my side, which was a drastic change the rest of the week went he sent me to accomplish tasks by myself. I left the hospital at 8pm with two chapters of reading to complete and three surgeries to prepare for in the morning.
The rest of the that first week was crazy! I logged 95 hours at the hospital. My days became routine: I would get up around 5 am and get to the hospital by 5:30 to round on 8-12 patients by myself. Rounding involves looking up all patient info for the past 24 hours. You check the labs that were run that morning, any imaging or pathology reports that are in. You check the vitals and the intake and output. You talk to the nurses to see what kind of night the patient had. Then you actually see the patient and do your exam. The exam always includes looking at the incision for signs of infection. I had one patient accuse me of just admiring my handy work (which I was while checking for infection). You answer their questions and tell them you will pass on everything they tell you on to your attending. Then you get on the computer to right your note about your encounter with the patient. All this is done with each patient before 8am. At 8, I would meet up with my attending for our first surgery. I absolutely love surgery! Guts are just so cool! And my attending lets me suture and cut and cauterize and staple.
In between surgeries you talk to family members and write orders and chart the procedure. You also run up to the floors to round for a second time with your attending. He then reviews the notes I hopefully got done that morning and signs off on them. Then back to the OR for the next surgery. There are no breaks; I've learned to eat when I can as quick as I can. My attending is also a machine who doesn't need sleep. I think he personally enjoys going into a surgery at 9pm. Then after stumbling out of the hospital at midnight, I go home to fall into bed only to get up 4-5 hours later to do it all over again.
It's busy, but I wouldn't change it all! My attending was actually out of town this past week so I worked with other surgeons. I got to join ortho for a day. They let me drill into the bone. It was awesome! And I spent a day with anesthesiology where I got to intubate patients! Last night I was on call and got an appendectomy at 9pm. Well the attending let me start and finish the procedure since we weren't on any time limit. It was so amazing! Anyway, I am having a lot of fun and working hard. I'll try to update you all again soon :)
Saturday, May 11, 2013
Last day in Guatemala
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| three neighboring volcanoes |
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| Our final destination |
The closer to the top we got, the more the trees thinned out and the ground became more sand like. I felt so accomplished once I reached the top. We got to walk about and explore all the nooks and crannies. There were hidden hot spots with little green plants trying to grow around them. Other than that it was just black lava rock everywhere. Our guide showed us how to roast marshmallows over one of the hot spots. That was really cool! 
We started to head down a different way than we came up but halfway on this other path a sign stopped us saying it was too dangerous. After some backtracking and walking around the dangerous part, we finally found the right trail to lead us down. It was a very tiring and sweaty morning, but definitely worth it!
After the hike we got to go to a local coffee plantation. The farmer himself met us and walked us around the land. We learned about the different kinds of coffee beans and how they have to be planted with trees since they like shade. Next we were taken to the farmer's home where we met his wife and learned about how the beans are processed. First the husk is removed using a bicycle powered machine. Then they are left to dry out for days and are surprisingly a pretty yellow color. Once they are dry they are sorted. Beans with imperfections are removed to be used for energy drinks while those that pass inspection become coffee.
We next got to roast our own beans. The strength of the coffee all depends on how long you roast them. Strong coffee is roasted for a longer time. The beans are put over an open flame in a hot and smokey room. They have to be kept moving so that they roast evenly. Then we got to grind them by hand. It was hard work and I did not do very well at all. In the end we made wonderful cups of coffee! It was a fun afternoon. 
After all that hard work our group wanted nothing more than a shower and clean clothes. I also had one last trip to the market to make. I am my mother's daughter and therefore get a high striking a bargin. It's all about bartering at the market and I loved it! The secret is to walk away. Pretty soon my friends were having me barter for them.
Back at the hotel one of our hikers had gotten a little too dehydrated. Luckily we are a group of med students all eager to help with a bunch of medical supplies. So it was decided that we would use an IV of saline solution to help our buddy feel better soon. And I was the lucky winner allowed to put in the IV! I was more nervous than the patient. Good news though is that it went great! He was feeling better in no time. With the doctoring done, it was dinner time. 
Overall I had an amazing experience in Guatemala. I got to see and do and learn so many things. I strengthened relationships with my classmates and met many new amazing people who became my teachers. My passion for medicine and mission work is bigger than ever. I can't wait for me next adventure. Unfortunately it is now time to crack down and study for boards. But in a few months I'll be in the hospital daily learning and working with patients. That is what is keeping me motivated.
From Ziplines to Chocolate
Friday was a day for fun and travel. We started the day off with a Tuk Tuk ride, the local taxi, to a neighboring bay to go zip lining. It felt like a clown car when we all got it. The zip line was a series of 7 different lines with 3 of them taking over a minute to complete. Once we were all geared up and had been taught how to break, we had a 30 minute hike up the mountain to the starting point. Along the way we saw monkeys and some other animals I can't name. We passed waterfalls, crossed swinging bridges, and saw beautiful views looking out over the lake. It was a very tiring, but rewarding hike. 
After our adventure we had a little less than two hours before we had to be on the bus for Antigua. Well of course I used that time to finally do some shopping in Panajachel. On the way back to Antigua, we stopped on the side of the road in order to get a picture of the cemetery. So the cemeteries here are really colorful little structures. They sit above the ground like in Louisiana but are painted bright colors.
Once back in Antigua we had more time to explore. A few of us went to the chocolate museum and learned all about the history of chocolate. The we did some taste testing and made our own concoction of hot chocolate. It was really good. We also stopped by McDonalds. The McDonalds here are fancy. They have a separate section called McCafe that looks more like a Starbucks. It was really weird. There was even a fountain in an outdoor garden eating area. The night was causal for all with dinner and relaxing games. I went to bed early since the next day began with a 6am bus ride to hike a volcano.
Last Day of Clinic
Thursday brought us back to the town of Solola, but this time in a firehouse. It was my favorite day, for we just saw children only. I was in pediatric heaven. We saw a lot of kids complaining of stomach pain. Turns out the majority of them had parasites or worms. Also a lot of cavities again. We handed out multivitamins, toothbrushes, soap, lotion, shampoo, and lots and lots of stickers.
It was our fourth day of surprise lunch. The generosity in this country is amazing. In the middle of the afternoon we were visited by the office of the First Lady of Guatemala. We were all given a certificate of appreciation to thank us for our service. Dr. Bentley has been taking groups to Guatemala for 13 years and she says that this is the first time anything like that has happened. It's also the first time that lunch has been provided.
After an amazing four days it was nice ending with the kids. I learned so much, not only in medicine but in mission work in general. I definitely want to do another one in the future. I would go back in a heart beat. There is so much work that can still needs to be done.
That night we had a group dinner with everyone. It was really nice and a delicious meal. Afterwards we went out for some drinks, games, and dancing. It was so much fun! I always am up for dancing.
It was our fourth day of surprise lunch. The generosity in this country is amazing. In the middle of the afternoon we were visited by the office of the First Lady of Guatemala. We were all given a certificate of appreciation to thank us for our service. Dr. Bentley has been taking groups to Guatemala for 13 years and she says that this is the first time anything like that has happened. It's also the first time that lunch has been provided.
After an amazing four days it was nice ending with the kids. I learned so much, not only in medicine but in mission work in general. I definitely want to do another one in the future. I would go back in a heart beat. There is so much work that can still needs to be done.
That night we had a group dinner with everyone. It was really nice and a delicious meal. Afterwards we went out for some drinks, games, and dancing. It was so much fun! I always am up for dancing.
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