Monthly Archives: Jul 2015



After finishing my official month at the hospital, I stayed on in Tuxtla for another ten days with my family, enjoying the freedom to sleep in, help out around the house, and await Josh’s arrival in Chiapas. After nearly five weeks of living on my own, I couldn’t quite wrap my head around the thought of living as a couple once again. My time alone in Tuxtla had taught me an incredible amount about myself that I simply would not have learned in the same way if I was traveling with someone else. From the seemingly mundane (but for me, actually quite revolutionary!) lesson of learning to appreciate and even enjoy technology, to the possibly life-altering opportunity of being forced to work in both the ER and Pediatrics, to the maddeningly frustrating yet impossibly proud moments of having to depend solely on my own Spanish skills for communication, to the terrifying yet indescribably rewarding moments of having to depend solely on my own social skills for friendship… Because of experiences like these, I’ve always found it incredibly valuable to spend some time apart from each other, continuing to build our individual lives, and then also adding all the new lessons and challenges learned as individuals to our shared married life.

But as amazing as travelling alone can be, and as amazing as married life can be, the truth is that the transition between the two can be tricky. However, the Tuxtlayork crew were incredible (as they tend to be) at immediately welcoming Josh into our group and planning a week full of activities to show off our beloved Chiapas. As the experienced Chiapeneca, I got to play hostess to Josh, instructing him in the art of combi-riding, introducing him to the wonders of the Cañón del Sumidero, and ensuring that he was well-versed in the flavours of Tuxtla, including my favourites of michelada and tascalate. With Tuxtlayork, we returned to Sancris for a final weekend, and from Sancris, left on a twelve-hour round trip to seek out some of Chiapas’ maravillas:

Sancris 4.0: Columbian arepas, Mercado de dulces, & Maya Vinic fairtrade coffee!
Yes, that’s a chingón of souvenirs!
Maya Vinic

Las cascadas de Agua Azul
Agua Azul

Misol-Ha (where Josh beat us back to the bus by swimming across, rather than walking):

Palenque: site of Mayan King Pakal’s legendary reign
Site of torture and subsequent decapitation of criminals (yep, the torture seems gratuitous)

With all our exchanges coming to an end around the same time, our final few days in Tuxtla were a blur of goodbye dinners and tearful hugs. We kept each other positive by talking about next summer – Sandra was going into her final year of medicine, so we decided a combination celebration/reunion was absolutely essential. The only question remaining is in which country it will be held!

Jammin’ … classic setlist of Radiohead, Romeo Santos, Fall Out Boy, and Heathen Eve originals

Despedida 1.0 😦

Marimba lessons from the experts

Beautiful farewell dinner (complete with Mexican sushi!) with our host families

Far sooner than I was ready for, it was our turn to be dropped off at the Tuxtla airport to catch our flight to Cancún and continue the next leg of our Mexican adventure. Thankfully, the airport was tiny enough that we could disregard all the PASSENGERS ONLY BEYOND THIS POINT warnings, and Valeria and Valeria escorted us with besos and a running photo-documentary all the way to the security checkpoint… at which point our final hugs were supervised by armed guards and the Valerias were then escorted back to the waiting area.

Despedida 2.0 😦 😦

No es un adiós, es solamente un ¡Hasta pronto! a mi querida Chiapas.
And for the moment, es un ¡Hola! a Quintana Roo




After a week settling into my new Mexican home, I was informed that another exchange student from Columbia would be arriving the next day, hosted by my host’s best friend (conveniently also named Valeria). As I tend to be, I was leery about introducing someone new into my comfortable Mexican life… but (as is so often the case), I should never have worried. Sandra “La Columbiana” arrived in full force the next morning, flooding Mexico with “usted” (the respectful form of address is used almost exclusively in Columbia, even between dating couples) and exclamations of “chiquitico” and “poquitico” (the Columbian diminutive form manages to be even more adorable than the standard Spanish diminutive).

Warm, generous, wildly affectionate and wickedly hilarious, Sandra was a welcome addition to my exchange experience. From our first day spent together exploring the many parks of Tuxtla, it was evident that the four of us fit comfortably together, and rarely a day or night passed without us going out for micheladas, going out dancing, or sleeping over at one of the Valeria’s houses.

La Marimba, Chiapas’ signature sound, de la Parque Chiapasonate   

Getting pulled into a sexy catwalk/dance contest hosted by a clown in the park. After some Ukrainian Baptist dance moves that I believe only thoroughly bewildered the crowd, La Canada won second place! My prize? A light-up hippo keychain and a heart balloon.    

The next week, we found out that one more exchange student would be joining Tuxtla for the summer – a chico from Venezuela who was studying medicine in España. We went to his SCOPE welcome dinner more out of curiosity than anything: he was a research student while the rest of us were clinical students, and he would be living on his own by the university campus instead of with a host family, so the expectation of seeing him regularly was low.

However, Andrés had the definition of buena onda, the Latino description for that indescribable quality possessed by truly genuine people that irresistibly attracts you to them. Impulsively, we invited him out with us the next night for more micheladas… which turned into a uninterrupted string of beautiful days and impossibly fun nights together.

In all the roads I have travelled, las cascadas de Aguacero is the most breathtakingly beautiful place I have ever seen   

Enjoying pollo asado for lunch after miraculously keeping it dry walking through the falls  

Reina de la cascada! 😛 (gracias a Valeria para encontrar mi corona jajaja)            

It wasn’t only the insane weekends spent dancing until 6AM in Sancris that made our time together unforgettable (although those certainly helped 😉 ). It was also the mornings after dancing, when we’d go out for breakfast empanadas at noon in the Mercado de los Dulces and argue about body image and health education in our respective countries. It was the long afternoons in Andrés’ apartment, watching Amityville Horror (not my choice, I assure you!!), eating Rockoleta chili suckers, and discussing our countries’ views on homosexuality, our own views on sexuality in general, and all the social/political/religious/personal elements that affect our relationships whether we want them to or not. It was sharing stories about taking night shift at the hospital, our agreements and disagreements regarding doctors’ bedside manner, our arguments about antibiotic use. It was the twelve hours round-trip to Palenque that we spent crammed in a combi together, careening through the jungle and tipping precariously over mountain cliffs, trying to sleep wrapped around each other like the canned tunafish we shared for supper on the road. It was the long afternoons spent lying on Valeria’s bed, sharing pictures from our incredible day and stupid memes on Whatsapp.

While out dancing at a club in Tuxtla, we got our photo taken for a local pop culture magazine. Apparently I’m a bigger deal in Mexico than in Winnipeg!

Sancris 2.0

Afternoon sliding fun at Rancho Nuevo with new Sancris friends

Sancris 3.0: Midnight birthday celebrations with more wonderful new friends  

“Hay figuras…” Informative and hilarious guided tours through Las Grutas by local kids    

This is the golden reward of an exchange. Unlike, say, a conference, where you have the opportunity to talk to people of different backgrounds and cultures, but only for an isolated moment in time; an exchange gives you the gift of actually living and breathing and eating together in a real snapshot of your life. Having the gift of time allows you to spend time doing absolutely nothing together, thus cultivating a level of comfort that paves the ground for even more genuine conversations. And surprisingly, it is the in-between times, the times between ridiculous adventures and intense conversations, where you learn the unexpected things about yourself and others that you can both laugh at and challenge each other on.

We were five individuals of different ages, skin colours, faith backgrounds, language backgrounds, travel histories, sexuality, and definitions of family. One of us can’t handle spicy food. One of us doesn’t drink. One overuses antibiotics. One didn’t know what cystic fibrosis was. One of us was terrible with changes of plan. One was terrible with punctuality. We were all medical students, all determined to improve the health of our world around us in some way, with different resources at our fingertips, different supports at our back, different goals in front of us. And wherever we went next, we would all be immutably changed by our time spent together in Tuxtla Gutierrez, Chiapas, Mexico.

Valeria, Valeria, Sandra, y Andrés, como podría describir la importancia de su amistad en mi vida? De nuestros conversaciones, de las historias de sus vidas, del tiempo que pasamos juntos, he aprendido un chingón de cosas de ustedes que van a cambiar mi vida por siempre! Muchísimas gracias para desafiar mis pensamientos y me daban apoyo y amor cuando lo necesitaba. Tienen siempre una casa y una amiga loca en Canadá! Los quiero muchísimos, mis bebés, y los extraño. #Cancún2016!!



Finding the Zapatistas was no easy task.  For two days in San Cristobal I felt like a pinball, bouncing between shop-owners/bus-drivers/fellow-travelers asking the same question in different ways, and this was after having exhausted Google of all possibilities weeks earlier.  Finally, after many raised eyebrows and “why would you want to go there?”s, I had found myself the name of one of the five Zapatista communities, and the one driver in town who went there on a daily basis.

I met the driver at the pre-discussed 7:00am, and by a very Mexican 8:30 we were off.  My three fellow passengers wore traditional Mayan garb and seemed genuinely happy about the foreigner in their midst, which was encouraging.  They even let me have the front seat after gawking at my height for a few minutes.

We passed the hour-long winding jungle drive in silence, my head a mess with questions:  What was I doing here?  What right did I have to go poking around a foreign country looking for one of its most marginalized people groups?  What if it wasn’t at all what I expected?  What did I hope to accomplish?

To which my head responded:  In 2007, when Mexican media moved its focus from the indigenous struggle in the south to the drug cartels in the north, the Zapatistas turned to the public in order to stay present in the world’s consciousness.  They actually invited foreigners to visit and to take word of their situation back home, thus maintaining the public support that prevents the Mexican government from quietly selling off their land to foreign companies.  I’m not sure if scruffy Canadian backpackers were who they had in mind, but that’s what I had to offer.

As for what I expected?  The Zapatistas are a shining success story of indigenous self-determination and fair trade enterprise, both things that I truly believe have the power to change the world.  I wanted to learn from them, or at the very least pay my respects to an inspiring people.

We crested a hill and were quite suddenly greeted by this:


In retrospect, I think this sign serves a double purpose.  It intimidates, certainly.  But for those inside, who have experienced horrific violence at the hands of the government, it is also a comfort.  And a reminder of hard-won battles.

Besides the sign, a locked iron gate is all that can be seen from the highway.  In a little brick kiosk at the end of the gate stands a man wearing a black balaclava.  Despite being a tad unnerving, the black balaclavas are worn in all Zapatista interactions with the outside world as a sign of solidarity with each other.

The faceless guard asks me for my passport.  I give it to him.  He looks it over and writes my name in his log book.  “¿Organización?” he asks.

Shoot.  I had heard that visitors were rarely admitted without being part of an explicitly Zapatista-supporting organization (of which there aren’t any in Canada).  He sees me bite my lip in hesitation.

“Why are you here?” he asks.

“To learn about fair trade coffee and indigenous autonomy.”  This is true, but I’m also totally going for the buzzword approach.

He looks at me suspiciously, then says in Spanish, “it’s pretty early in the day, how did you get here?”

“Uhh…that guy,” I respond, pointing down the highway where the car has long disappeared.

The guard raises his eyebrows then, assuming a person with malicious intent would have come better prepared, swings open the gate for me to enter.

I am brought down a steep hill to what seems to be the Main Street of a regular village: houses, school, general store, a mechanic, and a ‘town hall’ sort of building.  The only difference is that each building is extravagantly painted with Zapatista imagery, explaining their history and declaring their independence.  I ask if I can take pictures, and am told, “Yes, please take pictures of our story,” (motioning to the murals), “but we do not take pictures of people.”

So, as promised to my balaclava-clad guide, the art of the Zapatistas:

Zapatista Autonomous Rebel High School
Language centre, classes in Tzotzil (local indigenous language) and Spanish

“The United States seems destined by providence to plague Latin America with misery in the name of freedom.”  
-Simon Bolivar, South American revolutionary leader

Talk about identifying with the land (also, the sheep is a key source of food and clothing) 
“This is my people, a brave race who with a stone will bring down castles” and “There is no weapon more effective than truth of thought.”  It is immediately obvious that positions of strength in Zapatista art are just as regularly depicted as feminine as well as masculine.

Head office of the coffee co-op that serves as the community’s main income

Despite many attempts to categorize them as Marxist, the Zapatistas have always maintained that their philosophy is derived from their own Mayan culture rather than any Western political camp. I think the strongest evidence of this is the gender equality that exists within this world apart. I have visited isolated agrarian communities before, and one of their hallmarks is a sharp gender divide. Not so with the Zapatistas. From the brief time I spent there, men and women interacted (with me and with each other) on level ground.  They also frequently apply the use of the @ symbol at the end of words, a combination of the ‘o’ and ‘a’ that signify gender en español.  This was not an attempt to be ‘progressive’ or ‘feminist’ (as it would be under Marxism, or any Western order for that matter), but rather an uncontested fact of life inherent to Mayan culture and preserved in this community. This is not to say that the Zapatistas have created some kind of utopia, but rather to illustrate how much would be lost if cultures did not have the autonomy to preserve themselves on their own land.

So did I get what I came for? I can attest to the fact that there are communities in southern Mexico that have schools and hospitals with no government assistance whatsoever, thanks to the Fair Trade movement that they helped instigate. So yes, in that regard I did. I had fantasized (and even prepared some questions for) a sit-down interview with some community elder, and that will obviously have to be saved for another visit. But as I sat on the porch of the town hall, watching a regular family of four wash their truck (parents jokingly reprimanding their kids for being lazy and spraying them with the hose until an all-out soap fight broke out), I felt truly honoured to have witnessed a glimpse of life behind the Zapatistas’ gates.

How Fair Trade Changed My Life


(and more importantly, the lives of thousands of indigenous Mayan people living in Chiapas)

In 2008, I took a nap in the UofM arts’ lounge, only to wake up and find myself in the middle of an Engineers Without Borders planning meeting for a fair trade coffeehouse.

(Why on Earth they didn’t stay in their own swankier, lice-freer lounge is a mystery to me, but it worked out well nonetheless).

I got involved with the planning meeting, even asking Sara to help me despite the fact that we were just friends at the time (she agreed because she was secretly deeply in love with me).  Through some kind of butterfly effect, that coffeehouse turned into many years of studying political science and economics in an effort to better understand the barriers that developing countries face in maintaining self-sustainability.  Also, Sara and I got married as a result, so bonus.

(Quick explanation of fair trade: free trade is great between ‘peer countries’, like Canada and the States.  When a developed country forces free trade on a developing country, however, it’s like Sidney Crosby insisting on playing hockey against a 10-year-old.  By charging a price that is technically higher than the international market requires, fair trade provides time and support for the developing country to build their own industries in their own way and thus beat Sidney Crosby at hockey.  For more explanation and less mixed metaphors, see Kicking Away the Ladder by Ha-Joon Chang.)

(Quick explanation of Sara being secretly deeply in love with me:  She wasn’t.  Apparently.)

What does any of this have to do with Chiapas, Mexico?  Simply put, fair trade started here. Since finding out that Sara would be spending a month here, I have researched the dramatic origins of this movement with the hopes of actually meeting the people behind the product. What follows is the super-condensed version of how the Zapatistas started fair trade:

In 1994, Canada, the U.S., and Mexico signed the North American Free Trade Agreement (NAFTA).  One of the stipulations of NAFTA was that no land could be communally owned, as this was seen as an economic inefficiency.  In direct defiance of their own pre-existing laws, the Mexican government then started selling indigenous land to the highest bidder.  Enter the Zapatistas, a well-organized indigenous movement named after the people’s revolutionary hero from almost a century earlier, who to this day have protected the Mayan (Tzotzil) land from government and corporate encroachments.

Though the initial uprising was armed, the EZLN (Spanish for Zapatista National Liberation Army) has been a peaceful occupation of their own land for 21 years.  They have withstood bribery, false treaties, and horrific government-backed violence.  Furthermore, the Zapatistas have gained international support and recognition for their transparency and the gender-equality that exists within their communities.

The Zapatistas have one goal: la autonomía.  To protect this autonomy, visitors are carefully screened and rarely admitted.  To support this autonomy, they have developed a sustainable coffee industry and have reached out to businesses in the developed world, asking them to buy their product for a few pennies more than the Nestles and the Folgers of the world are offering, thereby funding their schools and hospitals without any assistance from the government.  This idea has spread worldwide, and is commonly known as the Fair Trade movement.

Employees at Maya Vinic coffee shop here in town show off their siphon skills with some local fairly-sourced brew.  
And so, with a belly full of coffee, I set out in search of this incredible success story.

Solo, like Han without Chewbacca


I arrived at my hostel in Cancun mid-afternoon.  The trip from the airport to el centro was wildly complicated, yet I felt more confident than ever as my Spanish appeared shiny and well-lubricated (being the opposite of rusty), i was not the only one leaving a veritable monsoon of sweat everywhere I went, and I didn’t get lost even once!

Yet when I finally collapsed in my dorm-bunk at El Mundo Joven, I felt something I have never really felt before: homesickness. 

Chalking it up to an immense lack of sleep, I took a three hour nap, but did not succeed in shaking the feeling.  The truth is, I have never travelled completely alone.  Even when I’ve gone places on my own, it’s always been with an organization that has essentially provided friends (er, classmates/coworkers) for me.  I’ve always admired my dear wife’s independence, but haven’t really bothered developing much of that myself.  This was going to take a little more effort on my part.

I get an F for EFFort for that first evening, as I basically wandered the sketchy neighbourhood humming Boulevard of Broken Dreams forlornly to myself (okay, that’s a melodramatization, but you get the point).  Over the next few days, however, I’ve employed four different strategies for travelling solo.  For anyone who’s interested: here they are.

Strategy 1: Screw friends, just go it alone!

Despite reading that Chichen Itza was a total tourist trap, I resolved to sign up for the next day’s tour, which left at 7am.  Thus I was guaranteed to get out of bed and at least see some history.  Which I did.  And it was awesome.

You know that game where teams try to get a rubber ball into stone hoops without using their hands or feet (á la Road to El Dorado)? Well there’s the hoop.  The only detail that pop-culture has mistaken is the fact that it was not the losers who were sacrificed, but rather the MVP, as determined by a panel of judges.  This was, we were told, a great honour.  

Look closely:  The ceremonially-dressed priest is posing with the game’s MVP (or part of him, at least!)  

The legendary Chichen Itzá: NOT a tourist trap by any means, its architecture is filled with insanely meticulous details that tell the date, time, and phases of the moon with incredible accuracy. (Also, saying yes to every “can you take a picture of us” request is a great way to make friends!) 

Nerd-alert: our informative and hilarious tour guide showed us this nifty Mayan multiplication trick inspired by the diamond-back patterns of rattlesnakes.  Math Week 2016, Margaret Parkers?

Final stop: a giant cenote (ie: sinkhole), terrifying to look at, lovely to swim in.  

Strategy 2: Shamelessly ask people to be your friend

Following a coworker’s recommendation, I researched nearby Isla Mujeres, Cancun’s quieter neighbour, named for the mysterious clay statues of women found by Spanish settlers.  The friendly flight attendants/pilots I’d watched crazy magic tricks with the previous night were all gone or staying in, so I was opting for a repeat of Strategy #1, when a friendly-looking British gal walked into the hostel kitchen.  “Wanna go to Isla Mujeres with me and rent some bikes?” I said.  “Yep,” she replied, and that was that.  It was wonderful to have a travel-friend to chat with who was equally okay with driving a goofy golf cart (bike rentals were nowhere to be found) down barely-wide-enough paths that were probably not intended for golf carts.

The Carribean Sea, sans tourists!  
Louise, my very British travel buddy, successfully driving down the right side of the road.  

The spirit of Isla Mujeres: a childhood spent harpoon fishing!

Strategy 3: Put yourself in a desperate situation and let providence find friends for you

This one is probably the least recommended, but highly effective nonetheless.  This morning I set out in search of  Las Zapatistas (more to come on that soon).  Upon arrival, it was clear that the combi-driver’s promise that “hay muchos taxis para regresar” was not entirely well-founded.  This wasn’t all that concerning until the guard, indicative of the welcoming-yet-intensely-protective nature of the Zapatistas, made it clear that visitors were not permitted to wander around for hours while waiting for a ride, and there was nothing but mountainous jungle in every direction.

Very fortunately, a kind Valencian couple who arrived shortly after me on a private tour of rural Chiapas saw my rather disconcerted expression and offered me a ride.  That ride turned into a very informative trek through more of the nearby indigenous communities.  Muchisimas gracias Daniel, Sara, y Victor for letting me tag along!

Great folks to spend a day with (Sara, it felt VERY similar to our parapente afternoon 🙂 )  

A friend of Victor’s, who cooked us a delicious lunch!

The four local varieties of corn.  Colour-arrangement look familiar to anyone?  

Strategy 4: Appreciate solitude

This has always been one of my greatest strengths, aside from long-distance running and knowing anything about football.  Obviously this statement is a blatant lie.  But as I sit at this table-for-one in San Cristobal, (with a lightning-footed Mexican couple dancing to ridiculously catchy Latino jazz in a tiny patio clearly not intended for dancing or movement in general), I am learning to appreciate just soaking in the atmosphere of a place on my own (besides the 5 million internet users that have access to this blog, but hey, baby steps, amiright?)

 I’m pretty sure they’ve inserted a subtle request for more whisky in ever song so far. 

In sum, solo travelling has been a very fun, very valuable experience.  I’ve learned to truly value new friends, as well as my wonderful Facebook/Snapchat/Skype buddies (geez, whatever happened to email, eh?).  Looking back on this blog, however, I’m so excited for saratreetravels to be reunited again in a few short days.  There’s nothing like sharing amazing experiences with the person you’ll be reminiscing about them with forever!

“UPED” is also a 4-letter word…


I have a confession to make: I have no desire whatsoever to blog.

I feel so at home here in Tuxtla that it’s easy to forget I’m supposed to be a traveller. The truth is, I’m not travelling anymore – I have my home here, a job to go to every day, friends I can make plans with, public transit I’m comfortable taking, new cellphone chargers to buy when mine dies. It’s only when I consider blogging that I remember my time here is temporary, and as a result, I have been avoiding this blog like the plague.

However, with the month drawing to a close, it is becoming difficult to ignore the fact that I have another life in Canada, and when I return to that life, I know I’ll want these blog posts to remind me of my home in Mexico!

Centro medico

Let’s backtrack a minute to A Day in the Life of el Estudiante Sarita, and to that fateful comment posted by a faithful reader: “Your new position doesn’t make for as harrowing a blog post but it sounds much better for you – way to go on suggesting a switch.”

Now, let’s fast-forward to a week after I had comfortably settled into my routine in Pediatria. On Friday afternoon, after my regular debriefing with la Doctora, I kissed her good-bye and told her I’d see her on Monday, to which she responded, “Oh, I won’t be here on Monday – I’m leaving for holidays for the next 2 weeks!”

… say what?

I bemusedly contacted Lizeth, my exchange coordinator, informing her that my placement would need to change yet again, and somehow she worked rapid magic and found me a placement for the next week.

Remember my comment from my first week, about how I had little interest in Emergency and even less in Pediatrics? Well, the fates decided that I was giving up on both too soon, and I was to report the next work day to …
*drumroll please*

Las Urgencias Pediatricas Emergency Department (UPED).

Note the makeshifts tent set up along the gates, where people sleep while waiting for news about their family members

Upon arrival, I was introduced to Miguel, an incredibly kind if incredibly fast-talking interno (Year 5 of 6 in Mexican medical education). Our introductions were suddenly interrupted by shouting behind us, as the doctor doing rounds engaged in a heated debate with a nurse and a resident regarding a discrepancy in patient care. I have never heard so many creative variations of groserías as I heard coming from that doctor’s mouth. As his tirade was winding down, Miguel nudged me. “Go introduce yourself to that loco,” he whispered. “That’s your supervising doctor.”

Hesitantly, I approached the doctor, who was, self-admittedly, completely loco and not one to mince words when he felt his staff was slacking off. But he was also an amazing doctor, devoted to his patients and passionate about improving their level of care and his staff’s skill level. He warmly greeted me, and instructed Miguel to provide me with every possible opportunity to learn during my time in UPED.


Miguel took this to heart and took me under his wing, immediately walking me through the process of how to take a patient history for new entries, how to fill out a lab req, and where to drop off blood samples (Quick reminder: This is all in Spanish. Oy vey, my ears were bleeding from trying so hard to listen and absorb everything!) However, as Miguel and I were taking down the patient history of a 6-year old with a ruptured appendix, there was another flurry of activity as the surgeon came striding into the ER – there was a 3-year old with a perforated intestine requiring even more emergent surgery, and I was informed that I was to accompany them into surgery.

I do not know how much more clearly I could have stated, “I HAVE NO CLINICAL EXPERIENCE IN SURGERY. I HAVE NEVER SEEN A SURGERY BEFORE.” Before I knew it, I was on the surgical ward, changing into Miguel’s borrowed surgical scrubs and frantically trying to listen to how I was to scrub my hands and what to do with the surgical booties and where to stand so I wouldn’t contaminate everything. The surgical resident was extremely personable if extremely brusque, and as he was unpacking the sterile trays, he showed me each instrument and told me its name. I tried to absorb as much as possible, but since he was only showing me everything once and since I was very clear that it was the first time in my life I had ever seen these things – in English OR Spanish – I was assuming this experience was more of a bonus teaching session.

Assume nothing. Behind us was the operating table with the tiny patient already anesthethized, and within minutes, the surgeon was on one side of the table, the resident on the other, and I, the first-year exchange student, was beside the resident as the instrumentist for the surgery.

Pardon my Spanish, but ¡¿QC?!

Long story short: They quickly realised I meant it when I said I had no surgical experience, and another resident was called in to act as instrumentist. Once the resident took over as instrumentist and I was able to simply observe the surgery (which was all I wanted to do in the first place!), I was in awe. This was (as I have mentioned many times!), the first surgery I have ever seen, and it was beautiful. Watching the surgeon delicately slice through each layer of tissue, cauterizing the edges of the cut to control the bleeding, that distinctive smell in the air, the metres of intestines that literally came ballooning out of the body once they were freed from their confined space… The human body is incredible, amazing, miraculous, and powerful, and to see it exposed so carefully was a true gift.

(Speaking of gifts, the surgery occurred on my sister’s birthday, and I kept wondering what her reaction would be if she were in the room :P)

Once the perforation was corrected by resectioning 20 cm of intestine (which were handed to me with the instructions, “Guardalo.”) and a stoma made in the side of the patient, the pinch-hitter resident and the surgeon left me and the original resident alone to sew up the incisions. And I kid you not – completely scrubbed up with only our eyes visible, standing on opposite sides of a draped patient with a gaping open abdomen, with my finger acting as an anchor for the stitches holding the abdominal wall together – the resident casually started to flirt with me. Oh, los Mexicanos!!

Once the incision was closed and cleaned, the resident left to chart and the nurse handed me a plastic bottle containing the 20 cm of intestine, and asked me to go prepare it in formaldehyde. I wandered into the hall, clutching my intestine bottle, and eventually found some very nice healthcare aides who took me to a jug of formaldehye sitting in the hallway and helped me syringe in enough to cover the sample. At this point, the resident had me fill out a Pathology report, then instructed me to go change. In the change room, juggling my borrowed scrubs, the Path report, the intestine, and a can of Coke the resident insisted on buying for me, I had a brief out-of-body experience and wanted to break into uncontrollable laughter.

Instead, I changed and met the resident in the ICU, where he proceeded to hand the intestine bottle to the patient’s mother, informed her that here was what had caused the problem, and pointed her to her daughter’s bed. He then turned to me and said, “Well, quieres una otra Coka?”

El tor de Chiapas

That was my first day in las Urgencias Pediatrias. And though I frantically reviewed and quizzed myself on all surgical instruments that night, I did not go back into the OR. Instead, the rest of my time in the hospital was spent finally being useful. I was comfortable enough with the layout of the hospital and in my lanugage skills to actually be able to type up patient charts, collect lab results, fill out reqs, and drop off samples at the lab, even understanding when there was an issue with one of the reqs and being able to correct it myself without having to bother an intern. The UPED staff were incredible to work with – so patient with my language skills and constantly finding things they could teach me how to do so I could do them myself. Los internos invited me to stay on for la guardia (night shift) one night, and it was very satisfying to be further included as a part of their team.

Friday was my last day in the hospital, and when one of the doctors found out, he started giving the interns a hard time, “Where’s her cake? It’s la canadiense’s last day, of course we need a cake!” I laughed it off as a joke, but sure enough, later in the day, Miguel came running in with a bakery box, and soon the entire UPED staff was gathered in the break room, toasting me as I cut the cake.

Gracias por el pastel, Dr. Keeven!

Los estimados doctores del UPED
UPED doctores

La buena gente del UPED 🙂
Internos de UPED

To make it a truly authentic Urgencias fiesta, after about 10 minutes of relaxing together, another doctor came running in, shouting, “There’s a head injury outside, the patient is seizuring!” With this, everyone shoved the last bite of cake in their mouth and bolted outside.

My time in Mexico has taught me too many things to count. But possibly the most surprising, and the most potentially life-changing, is that as much as I cannot believe I am about to admit this…

I love Peds. and I love Emerg.

And I have no idea where I will end up next!

Outside the hospital

One Night in DC


We really don’t need any more proof that airline ticket prices are truly the most arbitrary thing in existence.  But if we did, my night in Washington DC could certainly be it.

After a truly wonderful week spent in Ottawa visiting friends and family, I am now making the long and incremental journey to meet up with my estranged wife in Tuxtla, Chiapas, Mexico.  The cheapest flights into Mexico are through Cancun, and the cheapest way from Ottawa to Cancun, according to the airline gods’ whimsy-du-jour, was to spend a night on the set of House of Cards (er, I mean, the capitol city of the most powerful nation on earth).

So with eleven hours, a camera, and the assumption that I’d be able to sleep on the next day’s plane ride (an assumption that did not take into account having the middle seat between two very rotund gentlemen), I set out to see the monuments to the visionaries that, with varying degrees of success and opposition, worked to build a better world.

First up: the Washington monument  

Chez Obama


I can only imagine the kind of farmers’ market the U.S. Department of Agriculture puts on..  

Now, I confess, I thought the Lincoln memorial was just him in a chair, and didn’t realize that the chair sits in a marble re-creation of the Acropolis.  I spent a while staring at the map wondering how I’d missed a mind-bogglingly large statue of the greatest president, only to realize I had to actually venture IN the giant Grecian temple.  


A tiny, foul-smelling elevator takes you down into an underground museum of sorts, depicting Lincoln’s struggles to maintain the Union, and his personal conviction that all humans are created equal, and that slavery has no place in said creation.  A truly inspiring leader, orator, and man of faith. 

Finally, having acquired a bike, I made my way much more efficiently to the beautiful and powerful monument of one Rev. Martin Luther King Jr.



May we all have the audacity to believe.

(…like this guy, who despite five hurricanes has ensured that someone (often himself) has always been at the White House gates to remind the public/media/powers-that-be of some simple truths, 24/7/365 since 1981!)