Friday, February 1, 2019

Our Very Own Hospital Escapade: Part 2, A Turn for the Worse

We waited in the hospital room with our eyes glued to the clock.  Finally, 3:30PM rolled around and I was transported down to surgery.  We were told that the appendectomy would take 30-60 minutes, but the nurse told us that oftentimes, it took as little as 15-20 minutes once they got started.  K and I prayed, he kissed me, and followed the nurse to the waiting room.  I don't remember a thing after that, just waking up in my hospital room with my husband sitting next to the bed.  I was pretty groggy, but I felt good.  My surgeon let me know that they weren't able to take out the entire appendix as it looked as though it had perforated (burst) in the past and walled itself off, attaching to my colon and causing that inflammation.  He thought that it had probably burst again recently, causing my pain. 

My awesome nurse got me up and walking around the hallways early the next morning.  I still didn't have an appetite and my diet was limited to clear liquids (think Jello and Italian Ices.)

My folks came to visit that morning and we enjoyed chatting with them for a few hours. Later that evening, I began to feel awful. My nurse was especially adept and after checking my vitals, called the internal medicine team about my condition.  She also contacted the surgery team.  My temperature was 103.4, heart rate was high in the130s, blood pressure was low (85/50), my white blood cell count (WBC) was elevated (this is a marker of infection which they assumed was from my appendix and colon)  In other words, I was septic.  Sepsis requires a number of criteria to be met:

RN.com

My surgeon came in, examined me, and told me that they needed to go back in and likely take out part of my colon and small intestines.  I was in so much pain that I honestly didn't care, I just wanted to feel better.  They scheduled my surgery for the afternoon, but I continued to decline and they bumped me up to the morning.  I remember talking with K, knowing that I was really sick.  I kissed him and we said our goodbyes, just in case. They had to place a new IV as my first one had occluded (clotted off) and then they gave me the anesthetic.  I woke up around 4:00PM and promptly fell back asleep until 9:00PM.  I felt pretty awful at that point and just wanted to sleep.

Of the next three days, I remember very little.  My abdomen hurt and I was continually nauseated.  I had two more different IVs which also clotted due to the "vesicant" medication I was receiving, (vesicant: damaging to the vessels) namely: potassium and phenergan. 
Me getting a CT scan, the fluid hanging in the IV bag on the right is potassium.

The PICC nurse was called to place a PICC line (peripherally inserted central catheter) and I was so grateful!  It meant that my blood draws could be done through the PICC line and that hopefully, it wouldn't clot off because of where the line dripped the medications into my larger vessels.
AHRQ PSnet




My surgeon came in every day to check on me and examine my belly.  At some point, I asked him about B12 supplementation (why did I do that, my med school friends? 😉) but he said that he only took out six inches of my terminal ileum and eight inches of my cecum.  So I'm no longer the proud owner of an appendix or of fourteen inches of small intestine and colon.

More to come, including my experience with an upper extremity DVT (blood clot in my arm) and how it feels to heal in a hospital.

For His Glory,
KCE

Monday, January 28, 2019

Our Very Own Hospital Escapade: Part 1

This January, we learned that you never know what's around the corner.

Over two years ago, I had some vague right lower quadrant(RLQ) pain while we were in Dominica.
Socratic.org
I visited our school's on-campus clinic and they scheduled an ultrasound for 9/18/17, the day Hurricane Maria hit.  So in the hubbub of the aftermath, I didn't get follow-up back in the states.  Later that year, I had more pain, but our insurance wasn't great and I figured if it got worse, I'd go to the Emergency Dept (ED.) Luckily, it seemed to subside and we continued on with school and life.

At the beginning of this last December, I was busy studying for the COMP exam.  I was under a lot of pressure and my pain returned.  Both K and I figured it was likely due to the increased stress from studying. 

Then, on 1/2/19, I began feeling awful.  K sent me to bed around 7:00 PM and that night, I couldn't even turn over in bed without excruciating pain in my belly.  The next day, we drove to K's folks' home and dropped E off before heading to the hospital.  We went into the ED and I told the physician's assistant (PA) about my pain.  They were worried about a couple of different things; they performed some physical exams and then decided that I probably needed a CT scan of my abdomen.  The CT scan came back and showed "a lot of inflammation" around my appendix and in my small and large intestines.  The doctor came in and told me I needed to be admitted to the hospital.  Scared, but relieved, we waited to go upstairs to my room.  The internal medicine resident came by while we were still in the ED and told us that I'd probably be seen/examined by both the gastroenterology doctor (GI) and the surgeon.  We were blessed to have a single room (I didn't share the room with another patient) and got settled in for the night.

The next day, I was seen by the internal medicine team and the GI doctor.  They were concerned about Crohn's disease and told me I needed a colonoscopy.  As a younger person, I thought the day I'd need a colonoscopy was far off in the future, but when they brought in the GoLytely drink, I laughed and started drinking.

Mooremedical.com
My nurse was sweet and offered to flavor the rather salty GoLytely with Crystal Light.  It tasted like a savory lemonade.  I made it through the first four or so glasses before I had to slow down.  My initial goal was just to drink it and get it over with as fast as possible, but that much liquid in my stomach made me nauseated and I vomited up quite a bit of it.  Still, it did what it was supposed to do.  I hadn't had much of an appetite for the last two days, so luckily I think it took less GoLytely than it might of had I had a normal diet.

I slept pretty well that night (for being in a hospital) and woke the next morning to the phlebotomist coming to draw my blood.  My procedure was scheduled for 8AM and they rolled me down to the colonoscopy suite.  The GI physician and anesthesiologist were already in the room and the nurses who did my prep were so kind. The anesthesiologist started giving me the propofol and I stared at the bar holding up the TV; I was out in less than two seconds.

I woke up after the procedure and the GI doctor explained his findings.  He told me that he was pretty sure I didn't have Crohn's just based on the gross appearance (gross meaning what he could see with his eyes, not the microscope.)  Still, they took biopsies, which they let me look at before sending them to the pathologist.  It's a strange feeling to look at pieces of your intestines.  Then, they showed me pictures of inside my small intestine and colon which were awesome!  He told me he'd consult with surgery as he wasn't worried about Crohn's and definitely thought it was my appendix causing all this trouble.  My surgeon came in a little later and told me that he'd scheduled a laparoscopic appendectomy for later that afternoon.  I was nervous for the surgery, but so grateful that I didn't have Crohn's disease.

Stay tuned for the next part of our hospital adventure!

For His Glory,
KCE

Tuesday, January 1, 2019

Your First Semester at Ross


Studying during the Basic Sciences:

Medical school is hard.  Information flies at you 10 miles/min and at the end of the day, you’re swamped by how much you learned and yet how much you still have to learn that day. I know I cried a lot of tears throughout my first five semesters due to just feeling overwhelmed.
  

First Semester:

Time management is crucial in making it through first semester especially.  You’ll have lectures in the mornings and lab times a few afternoons per week.  This means you need to get yourself a study schedule and stick to it.  I would look at my schedule and make a table of all my lectures so I could check them off one-by-one as I watched them; I’d also make a column for the second time to watch each lecture as well as each time I wanted to complete the practice questions.

Some people attend class so as not to fall behind.  If you need this accountability, go for it!  During my first semester, my baby was four months old, so this mama wasn’t sleeping through the night, at all.  Because of this, I found myself drifting off to sleep during lecture (sorry professors, I promise it wasn’t you, it was me.)  So I decided to use Panapto and it changed my life.  Panapto is the recording service RUSM uses to tape our lectures so you can watch the lecture at your own pace.  I would get up and go to school, hunker down in my cubicle and watch the lectures at 1.5x speed.  If I missed something, I’d rewind it.  If I needed to pause to think about something, I could.  If I didn’t understand something and needed to pull up a different resource, I could.  Yes, lectures took me a little longer to get through, but I felt like I understood so much more at the end of them than I would have had I sat in class. If you suffer from ADHD and get all sorts of distracted, this might not be the method for you, or you’ll be working till midnight every night to finish things.

When you finish your lectures, do not forsake the professor’s practice questions.  These give you good insight into what they think is important and how they might ask questions on the exam.  When I started doing the practice questions, I saw my exam scores go way up!  Do them right after lecture to see what you missed and then give them a week or so after you’ve reviewed the lecture and try them again (if you haven’t memorized the question) and see if you remember the material.
Using Panapto also allowed me to get ahead for lab.  Because I didn’t go to class in the morning, I’d review for anatomy so that I’d be prepared for lab.  I was blessed with two really good lab partners (we were still dissecting cadavers, which I believe will be done digitally now in Barbados) and one, who honestly slacked the entire time, rushing through things and working in a sloppy manner.  On this note, I’d like to say that medicine is a team-sport, you have to bring your A-game because you’re responsible for how your teammates perform too.  If you work hard before lab, all of a sudden, lab becomes a lot more useful to you and not the time-suck people can sometimes see it as. 


                Outside Resources for Firsties:
  1. I’d like to say first that Boards & Beyond Review Series is beyond amazing.  I wish I would have known about it in first because I *suffered* through biochemistry.  Honestly, biochem and immunology were so difficult for me.  They throw a lot of immunology at you in first and it isn’t a discipline (one of the things you absolutely need to pass to get through 1st, the disciples in first are gross anatomy, microanatomy, and biochem) so immunology gets pushed to the side.  BUT IMMUNOLOGY IS SO IMPORTANT.  (I know you read that as “immunology is so important,” but I mean IMMUNOLOGY IS SO IMPORTANT.)  So much of my remaining semesters would have gone more smoothly had I not had to look up simple things week after week because I didn’t understand it in the first semester.  Here’s where Dr. Ryan (Boards & Beyond) works his magic.  After I watched the immunology videos and biochem videos, I felt like I understood it.  Medical school has a lot of information you can memorize your way through, but not really understand.  When I watch B&B, I get it.  I want you to “get it” too.  It’s $19 for a week trial (I’m not paid, I just love it) and if you are struggling with biochem, try it.  Some of the stuff might be a little advanced for first semester, but honestly, those videos are worth their weight in gold.
  2. Second, anatomy challenges you, even if you feel prepared.  You have to learn nerves and muscles, and veins, and the brachial plexus.  I loved kenhub.com for their anatomy quizzes and videos.  https://act.downstate.edu/courseware/haonline/quiz.htm has cadaveric pictures you can use to quiz yourself, which proved immensely helpful for the anatomy practicals.  Other people like Netter’s flashcards.
  3. Finally, I’d like to say, in first semester, learn what RUSM professors are trying to teach you.  I’ve seen a lot of great students who just couldn’t make it through first because they tried to do too much.  You have plenty of time to get involved, so give yourself the first semester to settle in and grind it out.

You just have to survive first semester.  You’ll find a rhythm that works for you.  It might be different than what everyone else is doing, but if it works for you, do it.

I wish you the best of luck!

Saturday, December 29, 2018

Family Update 12/29


Hello everyone!  It’s been a marathon around our house for the last few months.  

Fall 2018 marked the last semester of my basic sciences curriculum.  With my university moving to Barbados in January 2019, it was extra motivation to study hard and get through the material!  All the glory be to God, I took our final on 11/30 and found out I passed the week afterwards.
 
The two weeks between our final and the COMP were intense.  K’s folks were kind enough to come down to our home to watch E while K and I went to a gala celebrating the completion of our basic sciences curriculum.  It was wonderful to celebrate with my friends and just enjoy ourselves for a bit.

That Monday, it was back to the grind. For two weeks, I studied from 6 AM to 5 PM.  I would come home for a few hours for dinner and to see my family, then head back to school around 8 PM to study until midnight or 1 AM.  I reviewed cardiology, renal, hematology, GI, reproductive, and pharmacology.  Things that I had recently seen: neuro/respiratory/endocrine I didn’t specifically study.  I watched a review series called Boards and Beyond and did a bunch of practice questions.
Then, came the CBSE or COMP exam.  COMP is a 4-hour, 200 question comprehensive exam covering anything and everything from the first two years of medical school. I was scheduled to take it on 12/14 and showed up with about 45 other students (most of whom are part of the accelerated program, whereas I am curriculum.)  It was nice to see a few faces whom I knew as we settled into the exam. 

Boy, I didn’t feel great after that test.  As on all our exams, there is an option to “mark” questions and come back to them.  I use the marking system as a way to track which questions I’m not sure about.  So if I know I know the answer, I answer it and move on.  If I’m unsure, I mark it and come back to it at the end of the block of questions.  If I knew I didn’t know it, I’d make a mark on my scratch paper and wouldn’t mark it (no use wasting time on something I knew I wouldn’t be able to figure out.)  When it was over, I had marked 48 questions and knew I didn’t know 12 others.  If I got every other question correct, that would give me the score I needed to pass: 70% (140/200.)  Praise God, I not only passed but exceeded the necessary score!

Now, I’m on an approved absence from school (as are all my classmates) as we study for our first real board exam, the USMLE Step 1, which I’m planning on taking this spring.


K is crushing it, as usual.  I cannot describe how supportive he has been while I’ve been in “go” mode.  Not once did he complain about doing essentially *everything* for two weeks.  Over Christmas break, I actually got to spend time with my husband (we even went on a date! Thanks Mom and Dad!)  I miss him and E so much when I study all day, but I recognize that we are in a wonderful stage right now because I’m home and can see them at lunch and at dinner and for bedtime and I know it won’t always been this way, so I’m trying to treasure the moment and just enjoy it. 

Anyway, back to K.  He starts the last semester of his master’s program in about 2 weeks.  He will graduate with a master’s degree in Theology come May and we are so excited to watch him walk across that stage!  I’ve joked that he’s earned this degree with E on his knee, but I’m only half joking.  He’s written countless papers and read I don’t know how many books while holding E.  In fact, when I proofread his papers, I can always tell where he’s gotten up to help E because they’ll be the same train of thought written into the subsequent paragraph, almost like his brain just kept going. 
We are so proud of him and all his hard.  It’s no easy feat to stay home with a baby or toddler and to earn a master’s degree on top of that just blows me away. 

E is happy as a clam.  He seems to grow inches overnight!  He enjoyed seeing his grandparents over Christmas and got spoiled rotten.  He’s really into the Octonauts series on Netflix right now (for a kid’s show, it’s definitely watchable for adults.)  He got some Octonauts themed toys and has enjoyed playing with them. 

We wish you the best in the New Year.

For His Glory,
KCE

Sunday, September 30, 2018

Under Pressure


Psalms 94:19 “When anxiety was great within me, your consolation brought me joy.”

I’m pretty sure David was facing a more intense pressure than we are. I really appreciate how God comforts us in times of anxiety.  I’m there now, for sure.

We have entered what is my last semester of the basic science curriculum.  I have three “mini” exams, a practical skills exam, and a final this semester.  When I’ve run that gauntlet, I’ll have two weeks to study for the Comprehensive Basic Sciences Exam, or more informally “COMP,” exam.  COMP tests on everything we’ve learned in the first two years of medical school.  It’s the gateway exam I have to take (and pass) in order to sit for my first actual board exam: USMLE Step 1.  (USMLE= United States Medical Licensing Examination) 



I’m feeling a lot of internal pressure for some of the following reasons:

-I want to finish this semester strong because grades matter more since I’m considered an “international” medical student. 
-I want to pass because I don’t want my family to have to move, again, internationally. 
-I need to pass COMP so I can sit for Step and pass it before March.  I can’t start my clinical training until I pass Step and I want to be able to start my clinical years next July so I can graduate on time (otherwise, I’ll actually “match” into a residency a year later than I had planned and that equals a year of lost income for us.) 
-In order to increase my chances of obtaining a residency, I have to not only pass Step, but crush it.



I know that God has brought us this far.  He has never left us, even in the middle of a hurricane we are safe in our Father’s arms.  I believe that his hand is on us and He has a plan for our family.  As we face this period of intensity, would you please pray for us?  That God’s presence and plan would be abundantly clear, that we would press on in our desire to serve Him, and that He would comfort us in times of anxiety. 

We love you all and are so thankful for you.

For His Glory,
KCE

Thursday, September 13, 2018

My Love


My husband, y’all. 

I’m sitting here, trying to review cardiac pathology, but I keep getting distracted because my amazing husband is playing outside with our son.  So instead, I’m going to take a moment and brag on him because he’d never do it himself. 

When we first started dating, K knew that I was planning on attending medical school.  I’m sure he didn’t know all that would entail, but he was happy that I was happy going into medicine.  When it turned out that we would end up moving internationally for medical school, he was supportive and excited for a new adventure.  Sure, it was difficult to leave his family, church, and jobs.  He left the only place he’d ever called home to start a master’s program and full-time daddy duty.  It was quite an adjustment for all three of us.  Dominica is beautiful, but it comes with a unique set of challenges for many single students, challenges compounded for those with families, especially a baby.  But my husband is a trooper.  I can’t tell you how many pages he has read or typed holding E in his arms.  He’d get E to lay down on his lap, then pull out his books and highlighters until the little fella woke up and required all of daddy’s attention.  He was responsible for feeding him throughout the day (keeping up with washing bottles and their accessories is not fun.)  He’d bring him up to school every day (a long walk in sweltering heat,) so we could eat lunch together, then walk him back up home to nap. 

The night of the hurricane, he was steadfast.  We made a plan and pulled our mattress into the living room so we could lay next to the only concrete wall not surrounded by windows.  We packed up our most important items and laid down to wait out the storm.  I remember looking at him as E slept between us, blissfully unaware.  He reassured me that we would be okay.  The next day, we left our little home, deciding to shelter at the student center on campus.  He made three trips back to our house that day to collect different items that we needed (not knowing how long we would be there,) and then to pack up our remaining baby items to give to our neighbor, who had recently given birth. 
That week is a whirlwind in my mind.  Initially, we didn’t know how long we would have to stay prior to being evacuated.  We were told to ration our food and water.  Luckily, we had filled a few gallon jugs before the storm and had those with us, but we knew that we’d need some of the water for E’s formula and that I’d need to drink because I was still nursing him.  K made sure that I was drinking and eating and that we’d have enough before taking any for himself. He helped rearrange the furniture in the little room we were staying in to make it more hospitable for us and for the family with whom we shared the space.

As we were evacuating, he made sure that we were safe and comfortable.  He grabbed a chair for me to sit in with E, but in order to let more ladies sit, he sat on the floor of the boat, for twelve hours, with his back against the wall.  We had been told that the ride would be about 4 hours, so I inquired at hour five how much longer it would be?  I was told about six to seven hours longer and I broke down in tears.  Because we had been told only 4 hours, many people hadn’t brought food.  We had brought snacks for ourselves and for E, but K generous offer to share what we had was taken up by many of the ladies around us. 

Even now, as we are so grateful to be back in the United States, K does the majority of work around our home.  As I am in my last semester of basic sciences (please, Lord!) I’ve been studying with friends more frequently, which means that K has morning duty until I can get home.  He makes most of our meals and does 90% of the housework.  He makes sure that E is fed, dressed, and clean.
They play outside every morning, drawing the alphabet (in both Hebrew and English) and chasing each other all over the yard.  As I write this, I can see him racing E down the driveway, and now he’s using E’s overalls to lift him up and I can hear our little boy laughing with delight.

The other night, I sat on the couch and cried because I felt so overwhelmed.  K sat down with me and held me until I felt better, then gave me a twenty minute pep talk about how I can do it.  He gave me another inspiring speech the other day as we played outside with E.

I am incredibly blessed to be his wife.  Our son has a father who loves him and delights in spending time with him.  Thank you, Lord, for this wonderful chapter in our lives. 

Sunday, September 2, 2018

Life in the USA!

Hello Everyone,

We haven’t forgotten you, we promise.  The last few months have been hectic, but we’ve had an enjoyable break where we visited our families and spent time at the children’s museum, zoo, and libraries. It really is a treat to be able to take E places like this, as we were pretty limited in Dominica as far as age-appropriate trips were concerned. We feel renewed for the upcoming semester.  K is taking two classes this fall, one in Biblical Hebrew and the other in Biblical History.  (I looked through his Biblical Hebrew textbook…..I know he’s up for the challenge.) I can’t imagine how many book pages and papers he has typed with E on his lap or playing with toys at his feet.  He’ll graduate with his master’s degree next April and we can’t wait to celebrate!  (I kind of feel like he should be able to walk during commencement with E in his arms since he’s essentially earned his degree that way.)

Glory to God!  I’ve made it through my fourth semester out of the five which comprise the basic sciences portion of our curriculum.  After this fifth and final semester, I’ll study for and then sit for my first national board exam, otherwise known as STEP 1.  After that, we’ll spend some time at another campus while I learn to do a few more types of exams and get familiar with the hospital setting, then we’ll be off to my clinical rotations for two years.  (After clinical rotations, I’ll take the second set of licensing exams which test clinical knowledge and clinical skills.  After that, I’ll graduate with my M.D.)  I am so grateful for the support of K and E and our families as I’ve studied.  They’ve sacrificed time with me so I can keep on working and I am forever grateful for the notes of encouragement and pep talks I’ve received. 

We appreciate your prayers and love.

For His Glory,
KCE

Saturday, January 13, 2018

Getting out of Dodge (errr....Dominica)

Slightly-organized chaos best describes the week which followed Hurricane Maria.

We set up shop on the third floor of the campus center and took time to explore the campus.  Later that afternoon, we had a mandatory check-in at St. James Center (a building which is part of our campus, but not behind the security gates.)  While on our way, I held Ethan in his carrier and K walked beside me.  We stepped gingerly across downed power lines and branches, while keeping on eye on the groups of people making their way down the street.  The check-in was "organized" in the best possible way, considering that we had no one from official leadership present.  We signed in on pieces of 8x11 paper, including our name and the names of our family members present with us. 

The biggest thing that stands out to me from this meeting is when one of the professors stood up and told us that the school couldn't have planned for an occasion like this because, "this is unprecedented."  This statement made my blood boil then and still irritates me now as I hear her saying these words in my head.  While it's true that Dominica hasn't experienced a major hurricane since David in 1979, Dominica is a hurricane-prone location.  There is no excuse for the lack of preparation/planning which we, as paying students, expected our school to have in place. 

We stayed a total of three nights in our little campus-center shelter.  Thankfully, families were given priority to leave the island and we were told on Thursday that we needed to be ready at 6:00 AM to leave the next morning.  Initially, we were told that we would be unable to bring our stroller (a BOB, which we love!)  This broke my heart, especially as I knew we had a few more days en route.  Friday morning, things miraculously changed and we were able to bring it along.  It turned out to be a fantastic blessing as we navigated through airports and hotels. 


Friday morning, we lined up along with the other families and waited for our names to be called.  After about 1.5 hours, it was our turn and we piled in school vans to be transported to a pier in Portsmouth.  We were a little worried about our security, as people were still in the immediate throes of desperation, but there was security waiting for us at the pier.  God bless Dr. Parker, who walked up and down the line encouraging us to take Draminine, which she had on hand.  I took one and encouraged K to do the same.  As we walked towards the boats, we saw a catamaran on the right side of the pier and what can only be described a 1800s pirate ship on the left side.  I pushed K towards the right side, but while we were preparing to be helped onto the catamaran, we were told to head towards the pirate ship.  Incredulous, K and I stared at each other and the other families who had been herded towards the pirate ship.  We were told to board and then once everyone was on board, we would pass out chairs.  Turns out, people grabbed chairs upon boarding (we couldn't fault them, everything was very chaotic.)  Luckily, K procured one for E and I and we settled in under one of the shaded areas. 

The Black Magic, the actually boat on which we evacuated from Dominica.

We had been told the night before that this journey would take four to four and a half hours.  Around hour five, I asked when we might arrive.  The crew member/pirate told us it was a twelve hour journey.  Twelve hours.  My heart sank and I cried onto K's shoulder.  E had been doing so well.  He was just getting to where he liked to get down, but we couldn't let him because the boat was rocking and because the floor was painted with sand into it to prevent slippage.  He was a real trooper.  The crew provided us with water, but didn't have any food available.  About seven or eight hours in, they did bring by some bread with tuna and other fish on it.  (I'm told that this was the crew's own food, which they graciously shared with us, but I'm unable to verify this.)  We had packed plenty of snacks for E and a few for ourselves, so we were able to share with those who were hungry around us.  It was at this point that I saw the gentleman who had directed us away from the catamaran and onto the Black Magic, saying, "You'll be more comfortable here."  I was certain he was wrong, but after arriving at the hotel, we learned that the families on the catamaran, which had left Dominica first, had still not arrived.  We later heard that water had splashed over the sides of their boat, causing them to lift their suitcases overhead for much of the journey.  If I ever meet that man again, I will thank him profusely. 

A few hours in, people began getting seasick.  One girl was vomiting over the side when we hit a wave and she would have gone over had it not been for a few students reaching up and grasping her legs and shirt.  She laid under the shaded areas, still sick, for the remainder of the trip.  

Around hour eleven, E had had it.  He began wailing and could not be consoled.  I think he was verbally expressing what everyone felt, but couldn't say.  We docked in St. Lucia around 10 or 11 PM and were ferried to a hotel after going through customs.  We arrived hungry and tired; after I checked into our room, K took E to the room to get settled and I went to the buffet to bring up food for the both of us.  We ate and crashed into a deep slumber.  The next morning, we had a wonderfully relaxing breakfast with our dear friends S & L, and their little girl, as well as P & S, and their little boy, C.  We were told to be ready to head to the airport at noon, so we got everything together and waited in the lobby until the shuttle arrived.  One hour, and some nauseating turns later, we arrived at Hewanorra International Airport.  

Three gates, don't get lost!

We checked in with the individuals facilitating the charter flight and bought food with our remaining $20 EC.  We were later told that they had overestimated the number of people that the aircraft would hold, so that only the first so many in line would be on the first flight.  By the grace of God, we were in line for the first flight.  While our flight was scheduled to depart at 5:00 PM, it didn't end up leaving until 8:00 PM.  The students/faculty/families were all restless and upset.  Dr. Kraybill, one of our behavioral health faculty, addressed the students and did a fantastic job calming the crowds and providing insight into the situation.  

We boarded a Virgin Airlines flight and settled into aisle 30.  The flight attendants passed our sandwich boxes and I can't describe how quiet the plane was as 80 hungry people ravenously chowed down those meals.  I was still starving and went to the back to ask if they had any extra.  The flight attendant smiled at me and handed me three extra boxes. I kept two for K and myself and handed out the other after telling people that more were available in the back. (I'm pretty certain there wasn't a crumb left to be eaten after we deplaned.)

After arriving to Miami, K and I wept tears of joy.  There were "Welcome Home RUSM students!" signs everywhere.  One of our friends took this photo of us and other families in the baggage claim area.  



 We took a bus to the hotel where we ate and filled out forms for our flights home the next morning.  We were told that they would book our travel, then call our rooms with our flight info.  "If you don't answer, we'll come pound on your door."  At 6:18 AM, I woke up and asked K if we had gotten a phone call which I hadn't heard.  He hadn't heard the phone, nor had he spoken to anyone at our door.  I asked him to run downstairs to double check and he got dressed and headed down.   A few minutes later, he came bursting in the door, "OUR FLIGHT IS AT 7:15!"  We rushed to pack and ran downstairs.  There were other students waiting for Ubers and taxis.  We quickly explained our predicament, and they kindly allowed us to take the next Uber.  K was packing our suitcases and stroller in the trunk, while I got into the back seat with E in the carrier.  The driver turned around and asked where his carseat was.  I responded that we didn't have one and hadn't had one in Dominica for the last nine months.  He told me that he wouldn't take us without one, and after pleading for a few minutes, we got out of the Uber and into the personal car of a Ross employee who drove us to the airport.

We checked K's bag outside, but couldn't check the stroller under my name, so the airline employee told us to go inside. Long story short, it turns out that tickets had been booked and purchase for K & E, but not for me.  We could only laugh, because if we hadn't, we would have wept.  We paid for a last-minute ticket from Miami home and ran through security, making onto our plane as they were in the final stages of boarding.  Praise God, we were going home!


Wednesday, October 11, 2017

The Aftermath



Utter desolation.


Campus is at the center towards the bottom.

Vertical matchsticks dotted the landscape, which I recognized as trees completely devoid of green.  Our view of the ocean which had been obscured by flora was clear, though the water which rolled into the shore appeared brown and turbid. Palm fronds and roofing material covered our front porch.  Telephone poles with their tangled balls of wires had been felled across the streets, with one resting on our usual egress. K cautiously wandered onto our balcony, peering around the corner into the stairwell, where he noticed a dog, with his tattered rope collar, cold and shivering in the corner.  After determining that it was safe, he called for E and I.  The first thing I noticed upon exiting were the missing roofs.  More than one building had their eaves exposed, a result of the beating we had taken the night before.



I turned towards the west and saw that our neighbor’s house was missing the second floor where they had lived.  A lonely dresser stood amidst the wooden shambles of their home.  The concrete bottom floor remained intact.


Further down the hill, two entire walls were missing from an apartment building.  It was almost as if someone had created a model to show the interior of the building. The kitchens were exposed, with the cabinet doors hanging on by their hinges.



For months, we had heard construction noises close to our home and for the first time, we saw the site and heavy equipment as the rainforest had disappeared overnight.

We put E into the carrier and I put on his diaper bag backpack.  K slung our laptop bags onto his back and we started down the hill.  We had to stop every few minutes to try to remember how things had looked before the storm. Not 100 yards from our home, we ran into our neighbor whose home had been destroyed.  We asked him if he and his family were safe.  He replied that they were; they had made it through the night huddled together in their bathroom, praying for relief.  They were staying with some friends, he said, as he pointed to a building nearby.  With tears in his eyes and a slight tremble in his voice, he told us that they would rebuild. We wished him well and continued down the hill.

We ran into some friends at the base of the hill.  People had packed their remaining goods into suitcases and were headed up the big hill towards the school.  We also saw students and families coming down the hill from the school to survey the damage.  K decided to run back to the apartment at this point with our neighbor from our apartment building to grab our suitcase, in case we would not be able to return.  I had E in the carrier and we helped carry bottles of water up towards the school. 
 
On our way, we saw our friends at Jack’s Chinese restaurant.  We ate there frequently and had become close to the family, who had two little boys, a 4-year old and an 8-month old.  The family had moved a mattress into the first floor of the restaurant, where I found the little boys sitting with their grandmother.  They had lost a window upstairs in rooms where they lived, but otherwise were safe. After inquiring about our family and home, they told us they’d be opened soon and we continued on to campus.

Between Jack’s and campus was a relatively flat piece of land.  It had always been a welcome relief after pushing E and his stroller up the hill or after carrying a backpack, my breast pump, and books up the hill.  From this vantage point, we saw large poles crossing the street with their wires strewn on the ground, entire restaurants obliterated, and people walking about as if in a daze. 
Tulips Restaurant



We carefully made our way around the wires and to the shelter of campus.  We sat down in the campus center café and listened to the stories of other students who had survived the night at home.  After awhile, E tired of the carrier and whined to get down.  Gratefully, K arrived with our suitcase and a friend told us that some families had gathered on the third floor of the campus center.  We walked up the stairs laden with baby and bags to find a group of four families in one of the small conference rooms.  I was relieved because E could finally get down and crawl around with other babies.  The dads decided to go back to the homes and gather the rest of the food and water each of the families had stored.  So the other moms and I sat with the babies and let them play and crawl around.  At this point, the air conditioning was not turned on and the room had become stuffy.  After arriving back from our house, I asked K to go back and get the little fans which my mom and dad had brought for us back in May.  (They turned out to be a fantastic blessing!)  

I will pause here to tell you what an incredible man my husband is.  All week long, he didn’t complain once that he was tired or hungry or in pain.  Whenever E or I needed something, he made sure it was taken care of.  That first day, he walked home and back to campus five times. That’s five miles carrying heavy suitcases.  He made sure we had food to eat, he would walk with E outside at night to calm him down. He helped whenever he was needed, by whomever asked him, but he made sure that we were safe first.  He was my rock when I wanted to fall apart.  He was my protector when others had reached the end of their patience.  He was my leader when I didn’t know what to do.  He prayed over us and thanked God for our safety at every turn.  He has a hat which looks like something Indiana Jones would wear and after our Dominican adventure, he has earned the right to wear that wherever he pleases. He is extraordinary man and I am blessed to be his wife.

Back to our story….

Due to the heat, and with more family goods being brought into the room, I took E and decided to see if any of the other study rooms on the third floor were open.  The third room I ducked my head into had a group of women eating lunch.  They asked if I was looking for someone, and I said no, just a place to stay.  They smiled at E and responded that they were going to stay at one of their apartments, that we could have the room if we wanted.  Relieved, I thanked them and stood outside the door while they cleaned up their lunch.  They had moved some of the furniture from the common area into the room and had moved the large table to one side.  We moved our belongings to one corner and told our friends that they were welcome to join us.  They took us up on the offer and moved into CTL #3 with their little boy who is only 2 weeks younger than E!

Our two little fellas, courtesy of C.


What a blessing these friends were throughout the week.  They offered us whatever they had: baby food, toys, flashlights, fans, towels, and snacks.  We reciprocated and I believe our week went so smoothly because of the mutual kindness and understanding.  We had heard reports of things going missing from rooms, so we ensured that one adult remained in the room at all times.  They graciously watched E so K and I could walk about the campus and survey the damage. 

From the student center, there was some visible damage to the old library and one of the classrooms.  Metal sheeting was strewn about on the walkways.  As we walked towards the NW corner of campus, we saw that the IT building’s roof was gone.  The health center was missing its roof, as well as the glass doors to the ambulance bay.  At the very NW tip of campus was a building which contained a branch of the National Bank of Dominica, as well as a small convenience shop, a Subway restaurant, and Indian restaurant, and tiny phone store.  Off the back of the building was an area known as the Subway deck.  It was a covered place with a lovely view of the beach and it usually had a nice breeze.  Many students studied here and even more ate lunch here.  We walked back on the deck and came to an open area before turning and noticing that the glass doors separating the indoor eating area from the outdoor area were missing.  They had been blown away.  Equipment from the Indian restaurant laid sideways, toppled by the winds and pushed outside.  We walked back out and past the Early Learning Center (essentially a daycare and elementary school.)  Its windows were gone, as well as some of the walls.  Toys, furniture, and school supplies were littered across the floor. As we headed back to the student center, the family lounge came into view.  The family lounge had been a modular trailer situated close to Classroom 1.  Two entire walls were gone.  The only reason the kitchen remained was due to the cabinetry. Amazingly, the A/C continued to run, despite one of its supporting walls having had disappeared. 


A view from the Subway deck into the indoor eating area.


Overwhelmed, I wondered what our Dominican friends’ homes must look like if our well-constructed campus looked like this.  We had been friendly with many of the workers on campus, many of whom commuted two hours daily from the capital of Roseau to work at RUSM.  There is still great need in Dominica.  The country had generously put together aid for other Caribbean states after Hurricane Irma, aid that it desperately needs now to rebuild within its own borders.  If God puts it on your heart, please donate to hurricane relief in Dominica.  The following is a donation put together by a friend and fellow student: 


For His Glory,
KCE 

*Also, the majority of the photo credits go to Ali Pitco, a friend and fellow student at RUSM. Thanks Ali for your terrific work in documenting this time.