Thursday, January 21, 2010
Last two days
The next day, the last day was one of the easier days of the program. We took a walking tour of the city with Dr. Wasser and afterwords hung out with a student named Anna that goes to medical school in Vienna. She had spent time in Texas so she able to understand out version of English which was pretty cool. That night we had the farewell dinner and I ordered really good. I think I might have eaten the best meal of the entire trip that night. The next morning the trip was over as we all left to fly home. I have to say I had a great time and I would definitely go back, maybe in the summer next time
Goodbye
I can’t believe I get on a plane back to the states in less than 10 hours; these past three weeks have flown by. I’m already planning my next trip back to Germany. It has been an eventful last week abroad. Vienna, Austria is my second favorite place we have visited on this trip and is such a beautiful city.
The visit to Stephen’s Cathedral and the catacombs was very interesting. It is crazy that below where so many people worship there are sitting thousands of skeletons. It was creepy to see the mass graves of people who died from the plague. It is unbelievable that thousands of people were wiped out from one viruses.
Another very interesting place we visited was the wax models. They were so real and depicted the parts of the body, organs, and lymphatic systems so visibly. Although, something Dr.Wasser and the guide pointed out that was very interesting was that 90% of the models are male. The only time women are shown is in the OB section or the different parts of her body that are absent in males.
The Tower of Fools was kind of insightful, creepy, and sad all at the same time. The lady explained to us that what we were going to see were extreme cases, but even so these parts of skeletons were once upon time real living people. The part that captured my attention the most was the first case of skeletons she showed us. There were two small skeletal bodies not much longer than my forearm. She explained that these were two sisters who were in there 20’s when they died. They had the disease rickets, which is now easily cured by vitamins. I can’t even imagine what it would have been like to have lived like that, or how much pain they must have been in. Even though it was an incredibly sad place, it is also very uplifting that most of the cases no longer exist because medicine has evolved to help or cure most them.
Meeting Anna and visiting their medical school was really cool. It is so hard to comprehend that she is one year older than me and is in her 5th year of medical school. I really wish that the U.S. would model their educations system more like theirs.
Heart Surgery
Today has definitely been my favorite part of the trip so far. We went to the teaching hospital, where we were allowed into the operating theatre to observe a surgery. In America something like this would never be allowed for either American students of foreign students.
I was in the second group, which went to the operating theatre in the second half of the day. First we were given a lecture by a researcher. It was very interesting, although he lost me after about 5 or 10 minutes. He kept my attention though, because he was so passionate in what he was talking about. I really hope with whatever I choose to do, after 30 years I can still be that passionate that I am making a difference some how. Next we went and viewed their telemedicine department. Before this trip I have only vaguely heard of telemedicine. I didn’t really know anything about it, just merely had heard the word before. I believe that it is an amazing new technique in medicine. Their telemedicine is mostly based on cardiac patients. They receive a small circular disk with pads that attach to their chest. After they attach their pads they press the start button on the disk and it provides an ECG that is then transmitted by phone to an on-call doctor. This can provide comfort to the patient that they are okay, or the Doctor can tell them they need to come in immediately. I think it is remarkable, and can’t wait til it becomes more popular in the U.S because I think it can be a tremendous help to older patients who are often times worried about their health constantly.
After lunch we headed to the operating theatres. We wondered through the hospital and then all of sudden we were there. It was just a hallway that looked like all the others in the Hospital. If we hadn’t been escorted there I would have definitely passed it up. A lady popped her head out of the door and asked all the girls to come in the room to get ready to go into the operating room. We were given scrubs, both top and bottom; along with a cap, mask, and rubber shoes. After this we were allowed to enter the operating room. It still surprises me that we did not have to scrub down or sterilize. It just seems unsanitary to me that a person is cut open and we didn’t even have to wash our hands. Janelle and I went into operating room 1 where an older woman on dialysis was receiving a bypass. After about 15 minutes we were allowed up on the platform with the anesthesiologist to observe the surgery. The surgeon explained to us what was going on and told us that it was a special case just for the “Texans”. It was special case because she was receiving a quadruple bypass, which he said was not very common. I thought seeing the chest separated, or the heart lying there visible would make me uneasy. However, I was amazed more than anything. I was always told that heart was about as big your closed fist. This was definitely not true for this lady, her heart was bigger than three of fists and was all white (fat). It was amazing to sit there and watch an actual visible heard contract and beat. The surgeon was confident and cracking jokes while cutting on her heart; they are by far the most talented and gifted people. He explained to us how he inserted the grafts. He first put what he called “the octopus” on her heart, which looked like a big U with 6 suction cups on it. This stopped the movement of the heart where he placed that octopus which the allowed him to insert the graft. We were only able to see him do one of the four bypasses before we had to leave. But it was definitely one of the most unforgettable experiences of my life. How the body works and how medicine has evolved to fix problems is just so extraordinary.
Bonjour
So, this morning we got back to the hotel at 8:05, 25 minutes to spare. It was quite an adventure from the very beginning. There are so many trains that were able to take us from Hannover to Paris, but we finally decided on the direct overnight train that left Hannover HBF at 10:15 and arrived in Paris at 9 in the morning. We all went out dinner then headed home to pack before leaving for the weekend. I looked at the clock and realized it was 9:50, which meant our train for Paris was leaving in less than 30 minutes. We scrambled the rest of our things together and sprinted to the train station. We arrive at Hannover HBF at 10:12, barely on time. Our train wasn’t there yet, but we decided to wait up on the platform just in case. However, we soon find out that Joanna left her eurorail pass back at the hotel. So she runs back to get it and makes it back to the train station in under 15 minutes, which I might say should be a record time. We’re really confused because I stayed up on the platform and the train never came. So we decide to go talk to the DB help station and he says RUN the train is about to leave from platform 4. So we do exactly as he says, we run to platform 4 hop on the train and soon as I get the suitcase in the train takes off, we made it barely in time. So, we’re finally on the train but we have no idea where to sit because we didn’t make reservations. A train man comes walking down the hallway and we ask him where to sit and he said, “ Do you have reservations”, we say “No”. He then repeats “No reservations” and we reply, “No.” He was very confused but definitely the nicest train person we’ve met. He explained to us that to ride on the overnight train you have to make a reservations, however he told us we could just pay him and he would let us sleep in the cabin.
We finally arrive in Paris and go drop off our luggage at the “Aloha Hostel”. Then it was time to go explore the city. We started our adventure at the arc de triumph and then pretended we could go shopping down the street champs de elyss. After lunch we decided to go see the Eiffel tower, which I must admit I was most excited about. The Eiffel tower is the iconic image every person thinks of when they hear of Paris, France. We get off the train and maneuver our way towards it. There were street people everywhere following us, beginning us to buy their souvenirs. Unfortunately, it was really icy and cold so they only allowed us to go the first viewing deck of the Eiffel tower. It was still an amazing view, something I definitely will never forget. The next day we went and toured The Louvre, It is an immense gallery of art that would take someone a week to actually read and see every masterpiece. However, we only had two hours to tour so we hit the highlights, the winged victory, mona lisa, and a few others. After we were done at The Louvre we headed to the train station to catch a train back to Hannover.
Well to keep it short the train station hated us. Even though we had a eurorail pass they told us there was no way we could make it back to Hannover or Koln that day. So, we ended up buying a 74 euro ticket just to be able to leave France and go back to Koln. From Koln we took the train to Bonn. However, our train didn’t leave from Bonn til 1:30 in the morning. So we decided to make the best of our night and headed to our favorite place in Bonn, Billa-Bonn.
Tuesday, January 19, 2010
Vienna Vienna Vienna
I can’t believe I will soon be departing from Austria after spending three marvelous weeks throughout Europe. Austria is by far different compared to the German cities I’ve visited. I must say the people are exceedingly unfriendly and the town seems very “antique”…if that make any sense. Being sick for two days while visiting didn’t help adjusting to the angry environment.
I enjoyed visiting the Medical University of Vienna, however. Professor März’s presentation on medical education in Austria was quite interesting considering my recent acceptance into medical school. Our education systems are so different; it’s intriguing. Unlike Texas medical schools, Austrian medical schools do not interview applicants, review essays or ask about the applicant’s motivation. Austrian students also only have to pay about 16€ per semester. There are even more differences in the grading scale and testing system. Makes me question the comparative quality of American physicians versus international physicians. There seems to be no such comparison.
I also enjoyed the Freud Haus Museum. I find it amazing to have stood in the house in which Freud lived and carried out his practice, especially with my minor being psychology. However, the ultimate highlight of my stay in Vienna was our visit to the State Opera. What an experience! I enjoyed every minute of the 3 hour performance. “Le Nozze di Figaro”, the name of the opera play, was composed my Mozart. The music, the settings, the plot, the actors and actresses…I loved it all. The State Opera building is a true beauty: high rise seating, golden painted figurines, huge glowing chandeliers. I felt like royalty. I plan on visiting more operas within my lifetime. I find pure bliss in the elegance associated with the atmosphere.
A "Heart" Stopping Experience!!
WOW!! Today was awesome!! I just left an operating room where I saw a 65 year old man get an artificial heart transplant. All I can say is WOW!! Although I was unable to actually see the whole procedure, I was lucky enough to see the doctors attach tubes and machine to the patient’s heart and then stitch the patient’s chest back together. A million things were running thru my mind. Why did this man need the transplant? Was he married? Did he have a family and if so, where were they? How much pain would he be in when he woke up? My brain was in analysis overload. At first, I thought the sight of an open chest and blood would be mind boggling, especially the smell. But my stomach didn’t turn at all. I enjoyed every moment of the surgery. I find it amazing how long the doctors operate on the patient without breaks or time to spare. I was only in the operating room for 2 hours. The operation had to have been at least 6 hours long. I could go on and on about this experience. I wasn’t in an observation room. I was actually in the OR! A once in a lifetime experience…at least till I become a doctor myself.
It took me by surprise that the doctors joked around and laughed while performing the surgery. I thought doctors were supposed to be serious during those times. I guess when you know what you’re doing it doesn’t matter as much. I wish I spoke German. I’m still a little confuse about what all happened while observing the operation. It would have been so helpful if I knew what they were saying throughout the procedure. It sucks not being able to speak German and communicate effectively with natives. There were at least 7 people in the room at each and every moment, and surprisingly each one of them was needed for a particular task. Medicine is so amazing! Now if only I could understand the telemedicine concept. Dr. Roussel and Dr. Wasser both believe it will become increasingly important during my duration of practicing medicine. Not too sure how I feel about that. Guess I’ll cross that bridge when I stumble across it.
Doctors, Animals & Towers...Oh-My!!
What a day! Unfortunately, I had to visit a German eye doctor today. I consider it the perfect way to end the day after learning about the German healthcare system. According to the doctor who presented the healthcare lecture, the German healthcare system is just as flawed as the healthcare system in the states. However, I do believe there is one advantage to their healthcare system: everyone has healthcare insurance. But back to my visit. There’s nothing really wrong with me besides the fact I have a huge stye on my left eye. It doesn’t hurt at all; just itches really bad. A pharmacist insisted that I see a doctor when I tried to buy stye ointment.
Week 2 has come to an end. Five more days in counting. The veterinary events of this week were really interesting. Animal medicine seemed like a nice career path until my fellow classmates stuck their arms up a cow’s rear-end. Not my cup of tea so I’ll just stick with my interest in human medicine. I find it intriguing how the Germans care for their dogs as if they are human beings. It seems as if dogs have more privileges than humans: dogs can come in restaurants and malls, dogs wear clothes, and so much more. It’s too cute. Even Olaf has what I call the “German dog-fetish syndrome.”
This weekend was marvelous. A group of us drove to Paris! What an experience. The trip in itself was pretty expensive. Buying food was actually depressing. But I was able to take pictures from the top of the Eiffel Tower. Can you believe that? I would go back in a heartbeat. But I plan on waiting until I’m better financed.
So far, I’ve had a tour guide and a saleswoman laugh at our group for visiting Germany in the month of January. If only they knew I’m enjoying every moment of it. Yes, it is mighty cold but to be submerged in what I consider a “winter wonderland” is worth every shake and shiver. Dr. Wasser says this much snow is unusual. So I’m going to enjoy every moment of it before I depart Sunday.
vienna
Monday, January 18, 2010
Vienna...The last couple days
Saturday, January 16, 2010
Last Days in Vienna
Bad Oeynhausen
Surgery
What the surgery encompassed was taking a collateral vein from the patient's leg and then replacing part of the coronary artery with it and then attempting to fix the dilated part of the aorta. The great thing about the surgery was that we were finally getting exposed to a real life situation without holding anything back. We got to experience the adrenaline rush of a life or death situation and the pressures and responsibilities that come with becoming a doctor. I won't forget anything about that day and how I would feel about medicine after that. I can't wait to get into the more detailed stuff concerning medicine and start studying this kind of stuff. This surgery has reaffirmed my love for medicine and becoming a doctor.
Austria is a Different Country!
Thursday, January 14: This morning was mostly full of wax. We saw wax models of everything from naked blonds with their internal organs showing to the foot and mouth disease found in animals, which everyone should know is different from hand, foot, and mouth disease. The tower of fools, the first building world wide for the accommodation of mental patients, was an interesting visit. I enjoyed the architects’ theory that when the patients do leave their cells and wonder around, because the building is circular, they will eventually wind up back to their own cell. In the afternoon, we visited the “Spanische Hofreitschule,” the famous horse riding school in Vienna. Amazingly, the school exists in the center of the city, where performances are given as well. The school takes three new students each year and trains them longer than medical students. After the school tour, we had the most delicious sweets and coffee in the world at the famous Café Demel.
Friday, January 15: Today, the group experienced the Vienna Medical School and got some hands on experience with some dummies. Dominique drew blood. Samy installed a urinary catheter, and I got my heart examined. I could not stop laughing when everyone was touching my chest. In the afternoon, we visited the Sigmund Freud Haus, the museum of where Sigmund Freud lived and practiced medicine in Vienna. Without this man, psychology probably would not exist today. Finally, Friday night, we went to the opera and watched Figaro at the State Opera. Being a music fan, I had already learned the overture by heart, so it was interesting watching the opera that went to the music I had loved for so long. My phone was turned off in my pocket, but the way my hands were resting in my lap turned it on. I was very embarrassed when the entire floor hissed at me. After the opera, we all ate with our classy clothes on at McDonalds, the only restaurant in Europe that stays open past 11:00pm.
Friday, January 15, 2010
Opera
Thursday, January 14, 2010
Hannover and Vienna
The next morning we left very early to our last stop in Vienna. During the day we visited the St. Stephens Cathedral and the catacombs. The catacombs had an eerie feel to them. Today we visited several museums in Vienna at the medical school. Afterwords we wen and visisted the famous Spanish riding school and went to the famous Cafe Demel. There I had one of the best pieces of cake and cup of hot chocolate that I have ever had.
HDZ
Wednesday, January 13, 2010
Paris
Our hostel in Paris was much nicer than the one in Prague. We ended up having three roommates from Brazil. At first I ws a little uneasy about the situation but they endd up being very nice girls. One major problem with the hostel was that the showers had only cold water and I enjoy steaming hot showers so I ended up not showering for three days! Needless to say I wasn't very happy.
Heading home from Paris was an entirely different story from arriving. We ended up paying 75 extra Euros because they said our Eurail pass would not work. This really made all of us mad because we paid over 350 dollars for the pass. We arrived at the Paris train station around 1:00 p.m. but didn't arrive in Hannover until 8:05 a.m. that next morning. As one could imagine 19 hours of traveling by train durring the night making 5 different change overs was NOT pleasant. I was very thankful to be back in Germany after the Paris experience.
Tomorrow we leave for Vienna. I've been told great things. I can only hope tha tI am not disappointed once again!
Hannover
On Tuesday we went to the Heart and Diabetes Center, which was about an hour outside of Hannover. Once we got there I got to see an open heart surgery, which was amazing. It was so cool that I was pretty much right next to the surgeons as they worked and at the the head of the patient with a perfect view of everything that was going on. It was a really great experience and it lived up to all of the pre-trip hype. We had a quick lunch and listened to a short lecture on artificial hearts and some of the history behind them. Then we had the chance to visit patients and actually see the artificial hearts we just talked about in the patient. The MRI lecture, although we had heard a similar lecture before, was pretty interesting.
I am not looking forward to waking up at 4 in the morning tomorrow to make it to the airport for our flight. However, I am excited that we are going to Vienna and wrapping up the program.
That's how you get the air out
Russian Romance
Sunday, January 10: Today, I woke up at 8:00am to shower, eat breakfast at a reasonable hour, and to catch an 11:31 train back to Berlin. I arrive an hour early just to be safe at the train station to see that the train will be 20 minutes late (ca 20 minuten spa"ter). Deciding to sit out in the cold ant wait, I realized that the train ended up being fifty minutes late. Sitting in the warmth of the train now, I am excited to be going on a date with a foreigner!
Monday, January 11: My date with Anastasia lasted until Monday morning. We ate at a fancy café house and then went to the ballet. The performance was very modern, but still had a few ties to classical style of ballet. After leaving the opera house, she invited me to her apartment for some tea. It was the best tea I’ve ever had. Arriving back in Hannover at 3:40 am, Ryan and Phillip were sitting outside the room smoking cigars discussing religion. After sleeping for 2 hours, I went to a hospital and learned about dialysis. It’s interesting how the risk for a heart attack increases by 500 times if one is placed on dialysis. The machines throw clots and place extra load on the heart.
Tuesday, January 12: Today was the best day of the trip. We had to wake up really early and catch a train to the Heart & Diabetes Center North-Rhine Westphalia. The teaching hospital specializes in cardiovascular surgeries. I witnessed the implantation of a Heartware LVAD! I watched as the anesthesiologist prepared the patient. I witnessed the sawing open of the man’s chest, how they burned away tissue to make room for the LVAD, and even the redirecting of the vessels to the cardio-pulmonary bypass. The doctors prepared the LVAD (made sure it worked), and implanted it. After these quick 4 hours, Olaf came and said that we had missed lunch and it was time to go. The afternoon was awesome as well. I got to see other kinds of VAD’s and even a new experimental total heart replacement!
Tuesday, January 12, 2010
Hannover/Paris
Hannover, however, has proven to be really different from the other cities we've visited. There seems to be no important history in any of the buildings or monuments, but maybe that's because we really haven't taken a tour of the city. The veterinary clinic, however, has been anything but dull. Although the clinic had a few instances where I did a thing or two that I otherwise would never have done (e.g. stick an arm up a cow's ass), I found everything to be interesting. I especially like how nearly everything there was a hands-on learning experience instead of lectures. Though I probably won't end up becoming a vet, I can definitely see the applicability in learning about animals and how they're anatomy and physiology can relate to a human's.
Taking a break this weekend from the lectures and tours, however, wasn't quite as relaxing as I had hoped. The trip to Paris was a long one and we continually felt obligated to try to get as many experiences into 24 hours as possible, but I regret none of it. The city was beautiful and its history proved to be one that lived up to the expectations. The amount of art that could be found in the city, from the Louvre to the Eiffel Tower, continually amazing me. Everything seemed to tell a different story of the city and the country, none of which were dull in any way. I'm really glad I got to spend time in the city, though it may not have been as long as I would have wanted.
Blah to Yay
It’s 1:30 in the morning and I should really be asleep now. Today was one of those days. It started off horrible…like really really bad, BUT ended on a very pleasant note. This week went by so fast. It’s already Thursday of the 2nd week. This program will be over before I know it. Kind of anticipating going back to the States though. Miss my family and friends, and American food. Keeping up with these blogs are not fun. I am having so much fun I forget to transfer my journal entries to the blog. So please bare with me Dr. Wasser.
Hmmm…so what should I blog about? I guess I’ll start with my weekend in Prague. I am proud to say I walked the city of Prague in one day…or at least that’s what it felt like. I’ll bet 100€ I walked at least 20 miles on Saturday. I took so many pictures. We visited the Prague Castle, the Astronomical Clock, various churches, the Charles Bridge, and so much more…not to mention the Jewish Cemetery. Another notable experience was staying in a hostel…Chili Hostel to be exact. There were people from everywhere there: Brazil and Italy just to mention a few a places. I must admit, the hostel was pretty rowdy and a little dirty (luckily I brought my Lysol), but what an experience. Maggie, Ryan, Jen, and Phillip made the experience one to remember…what awesome travel buddies. A word of advice we can all give…STAY AWAY FROM CZECH RUM!!!
The class went on a city tour of Berlin the Monday after our free weekend. It was so cold outside. I think the temperature was like -2°C…burrrrrr!!! I learned a lot of interesting facts. For instance, I’ve visited 2 of the 3 most famous German buildings/attractions: the Brandenburg Gate and the Cologne Cathedral. I just need to see the “Disney Castle” now.
There was another city tour scheduled Tuesday. The class took a train to Dresden. What a beautiful city with lots of history. The Hygiene Museum was interesting. I had to do a presentation with Samy on the Sexuality Room, one of the seven rooms within the museum. I found it to be a pretty easy topic to discuss since I took Human Sexuality last semester. The night ended with a phone call from a friend and my mommy. In a nutshell…no better way to end a night.
Then there was today, or yesterday technically. Blah…yeah…that about describes it. I didn’t really enjoy the events planned. They tailored more to the biomedical engineering students. Telemedicine and prosthetics are way over my head and involves too much physics…I HATE PHYSICS!!! The funniest thing today was washing clothes in a German laundry mat. An adventure in itself! Had to use my German-English dictionary to translate how to work the machines.
But…I did have something very important and exciting happen today!!! I got my medical school match!! I will officially be a medical school student at UTMB Galveston starting Fall 2010…CLASS OF 2014!!! Yayyy. Can’t wait to celebrate with family and friends!!
I LOVE EUROPE!!
I came to Germany not exactly knowing what to expect. But now that I’m here, I can truly say I am overwhelmed. The cities, people, language, public transportation, history…there is so much to learn, yet so little time. A week has passed now and I’ve visited 3 German cities (Bonn, Cologne, and Berlin) and another European country (Prague, Czech Republic). If I had to describe it all in one word, I would say such a word doesn’t exist.
Wednesday, the day before New Years Eve, started pretty early. We caught a train to Cologne from Bonn to visit the Cologne Medical School. Not a long train ride at all…literally took only about 30 to 45 minutes. Olaf, our German program director, taught us what he calls the most important German word…“SCHNELL”…which literally means “fast”. It’s so funny because in Germany you literally have to walk fast or be left behind or get ran over by large crowds of people. So when Olaf yells “SCHNELL SCHNELL”, the group literally runs to catch the train or tram.
We took a tour of the anatomical collection at the medical school. The collections were very interesting. My favorite was a preserved pregnant woman cut in half so that you could see the baby inside of her. Sad story behind her death. She comitted suicide during the 7th or 8th month of her pregnancy for unknown reasons. Next was the city tour. Don’t remember too much of what was said except that the city of Cologne was highly damaged during WWII. Biggest eye catcher of the tour was the Cologne Cathedral. What a magnificent piece of art…mystical. I believe our tour guide said it took about 600 years to build it; and if you saw it you would understand why.
New Years Eve started with an interesting lecture by Dr. Wasser addressing the Nuremburg Code. What an awesome professor. I’ve never been so interested in learning more about history and WWII in particular. I find it astonishing how much influence Nazi Germany had on the current health care policies in Germany now and all the events during that time that shaped the lives of many Germans till this day. Being in Germany has definitely made me appreciate history more than ever before. I want to learn so much more.
The day ended with us flying to Berlin. There were pillows of white snow everywhere. I thought to myself, “Finally, a real white winter!” The snow was so beautiful. It’s a pain chugging luggage in it…but I don’t mind. I consider it an even trade. We brought in New Years on the Brandenburg Gate. What an experience. Lots of people, food, and festives. Even ran into some Aggies!! Only disadvantage…I couldn’t feel my toes, fingers or face…it was that cold!!
Well…guess that’s my week in a glance. Probably left out a lot of other crazy adventures but there’s so many I’m having a hard time keeping up with the program. But I wouldn’t have it any other way. I’m falling in love with Europe.
Tscüß!
A day at the hospital
i got really lucky cuz usualy its just a bypass, but today i got to see the implantation of a left ventricular assist device. The pump was an intracorpeal Heartware pump. The inflow conduit attaches to the left ventricle and the pump helps the weakened ventricle circulate the blood by propelling it through to the aorta. I was already familiar with this pump because it is one of the ones we do post explantation pathological analysis on in the lab I work in back at A&M. It was cool to see the implantation and installation of the device instead of just the post explantation analysis. Throughout the procedure I stood next to the anasthesiologist, until the patient was on pulmonary bypass and hsi job was essentaially done. I was able to ask the assisting surgeon good questions throughout the procedure, as my knowledge of medicine allowed to to generate at least a slightly intuitive understanding of what they were doing throughout the procedure. I was also able to throw around key words that implied at least a basic understanding of the physiology behind the procedure and they seemed to appreciate that. The surgeon performing the procedure was very skilled, and uppon hearing my comment abou this the assistin surgeon told me that this surgeon has performed more heart assit devices than anyone in the world...about 800. Obviously an irreplacable experience. At one point the heart stopped beating and they had to get these mini defibrillators and shock it back to its regular rhythm. After the surgeries we got a guided tour of the heart pump wards and got to see some extracorpeal heart pumps at work in live patients. We also got to see the clinical MRI machine used in the hospital along with a brief summary of the theory behind it. I was really surprised at the friendliness and willingness of the doctors to take the time to entertain and teach these foreign americans. There are not many hospitals in the US that would allow students to experience what we did.
Monday, January 11, 2010
Paris
We picked up the rental car Friday night (i rented my first car) then we all took a nap and headed out that night. We drove through some snow but we were careful and arrived in Paris the next morning around 8. We parked at the long term parking at the air port and rode the RER into the city. The air port was VERY english friendly.
We did as much sightseeing as we could in one day. We went to the eiffel Tower, but there was so much snow that it was closed. THERE WAS SNOW IN PARIS. We were told that never happens, but I guess the Texans brought it. It made everything so pretty that I can't complain. We visisted Notre Dame and the Lourve. I got to see the Mona Lisa, but the Lourve is way to big to see in a few days, let alone a few hours. We also went to the arc de Triumph. We went up to the first deck of the eiffel tower at night to see everything lit up. it was gorgeous of course.
The next day we went to the eiffel tower during the day and were able to go to the second deck (the top floor is closed until february) we also visited the musee d'orsay. It was really awesome because it had impressionist art that I really liked.
We drove back sunday night and returned the car and I am excited for my last week of program!
Paris
We made it to a white Paris around 8 in the morning on Saturday and went right to work! First we went to the Eiffel Tower, but because the third deck was closed we decided to go back to Notre Dame first. From there we went to the Louvre, which was the biggest building I have ever seen. It would take over a week to go through that entire place and actually be able to see the art and not feel rushed. A few hours later we made our way up the Champs de Elysees to the Arc de Triomphe. Then we made our way back to the Eiffel and actually went up to the first deck this time. We wanted to go to the third, but apparently it is closed until February and the second deck was closed due to the snow. The next day we made one more visit to the Eiffel to go up to the second deck and to get day light pictures. From there we made our way to the Museum d'Orsay, which was cool because it was a lot of the more modern artist and it was cool to actually know stuff about the paintings and their artists. I think the best thing about Paris was not only how beautiful it was, but also the fact that I knew what I was looking at and I knew some of the historical background which always makes it more interesting.
Hannover
There is a lot of snow in Hannover! The wind can be pretty chilly, but I'm still loving my jacket and leggings. We've done a lot of tours in Hannover. The vet school was really interesting, because I've never been inside a large animal hospital before. A surprising amount of engineering goes into caring for horses and cows. Our visit to the cow reproduction facility was especially interesting. I now know more about a cow's backside than I ever wanted to know...
The Hannover Zoo was great! We got to see some animals adapting to the cold, and a lot of the other ones were in inside facilities. Whenever we walked from outside to inside, my camera lens fogged up, but they had nifty heating fans to dry them. The zoo also had ride down the snowy hill. We got to ride in innertubes through a track down the hill. It was really fun and a first for me. I've never seen this much snow before. Everything still looks gorgeous and I can't stop taking picutres...
The spell check is in German, so it is ineffective at editing this post, so I apologize for any misspellings. Also, the z and the y keys are switched, because i'm on a german computer. just fyi.
Bon Jour?
Berlin and Dresden
Traveling to the Max Delbruck Center for Molecular Medicine was really cool and all of the projects that they had going on were really cool. It was also interesting that they used the same building as Nazi euthanasia programs. I found all of it very interesting coming from a biomedical engineering background and I was interested in the international program that they offer and I may look into that when deciding what I want to do after obtaining a bachelors degree. The Otto Bock center was really cool and it was also a very interactive experience and it was cool how it kind of put you in the shoes of somebody with a prosthetic. Overall I thought that Berlin was a good place to go with a lot of history, but it felt more modern and a lot like America with more expression. I think because of this it gave off a different vibe, which is not a bad thing at all.
Berlin/Dresden
The next day in Dresden was completely different from Berlin. I could see how different Berlin was from any other city we had visited yet. The history of Berlin was so much more recent and still fresh in every other one had a history that focused on a past much longer ago. Dresden was a city built on a completely different type of culture, full of beautiful buildings, especially the Protestant Church that we got to see. That church was one of the most amazing things I have ever seen, something I don't think I can ever forget. Though the time we spent there was short, the city of Dresden left a pretty big impression on me that won't soon be lost.
Sunday, January 10, 2010
Weekend in Hannover
Saturday, January 09, 2010
The Zoo and Switzerland
Due to the winter weather and some construction not all of the animals were available to see. But we did get to see all kinds of primates, penguins, seals and hippos. There were no lions but we were still able to see leopards and tigers. The tigers were surprisingly large, I had never seen any that I could remember.
Today I awoke really early in order to catch flight to Switzerland. I just took it easy today, but I did go sledding. It was the first chance I have really had since I had been over here to play in the snow. It sure beat walking around in it all day. Tomorrow I am going up to Lake Lucerne and into the Alps.
Hannover
Experiencing the prosthetics in Berlin was very fun. I especially enjoyed the learning how far androids have come. I remember a few years ago, robots balancing and walking was unheard of. Seeing a robot walk so smoothly was so exciting, almost frightening.
Tomorrow, I take a trip back to Berlin to see "Tschaikowsky", a ballet by Boris Eifman with a student I met in Berlin. I am nervous about travelling alone, but if I drink some Coke Zero, I think I’ll be just fine.
I am actually getting used to the cold. Everyone else is bundled up very tightly, and I now rarely zip up my jacket. One week to go. I am really going to miss this country.
-Daniel Grunden
Never in my life!
Today was definately one of the craziest days of my life. Never in my life did I think I would preform a cow rectal exam, but I did. It was actually really cool to be able to get so hands on at the clinic. It is definately not somethings I would want to do as my job, taking care of cares but it was definately a really cool experience. Later we got to visit the Winter Zoo!!! I love Zoo's, however it was kinda sad that so many animals were not able to come out because it was SO cold. I did get to see two of my favorite animals which were the tigers and penguins. I know strange combination! Also, going tubing down the ice was a BLAST!
Well off to Paris later tonight, can't wait! It has always been a dream of mine to visit paris and the eiffel tower. In less than 24 hours my dream will come true :)
Hannover
Hannover is a beautiful city! I really enjoyed the vet school, especially the large animal clinic. I must say that in my life I have seen a few cow rectals but I never imagined doing one myself. It was a unique experience, one I am very glad I had, but I doubt I ever do it again! Being a vet would be quite a fun job but I just do not think it is the one for me.
The zoo was fun as well. While I have been to several zoos in my earlier years, I have never visited one in the winter nor have I ever been able to snow tube! The first time I went down I raced Olaf to the bottom, and contrary to what he might say, I won!
I have been thinking lately that it would be very beneficial for me to learn a second language. While I would love to learn German, I think I will start with Spanish since I already have some background in it. It amazes me that so many people in Europe are bilingual or even trilingual and I only know English! I had the opportunity in highschool to learn a second language but did not take it seriously because I really did not think it would ever be beneficial. I was wrong. When I get some free time, whenever that may be, I am definitely going to try to learn Spanish!
Berlin and Dresden
On Tuesday when visting Dresden, I was blown away by the Church of Our Lady. The fact that people took so much time and donated so much money to reconstruct it is amazing to me. It just shows that with a lot of support and help, people can come together and do really good things in this world instead of all the bad that goes around. I enjoyed seeing the recovered cross and the new underground where people can go to pray. This church is truly beautiful and it's crazy to think that it was ever blown up and was still ruble nearly 5 years ago.
Another part of this week I enjoyed was on Wednesday visiting the MDC Center for Research. Hearing the researchers explain their projects and seeing their enthusiasm and how much they cared about it made me very exciting about getting involved in the research field. I feel that if I can find something to be excited about like the one researcher we met was about crystallography of proteins, my future would be great. I'm so ready to find that subject, but I know it will come in time. Seeing all the other cool gadgets and projects being worked on was truly amazing. There are so many smart people! I can't wait to see what the rest of this week brings and am excited about Paris this weekend!
On Monday we recieved a "walking tour" of Berlin, and of course it was by far the coldest day ever. However, it was an incredible tour. The best part is when we saw the monument of stones in the city center for the jews that were exterminated during the holocaust. It is definately a site that will bring tears to your eyes, it is such a moving place. Later on Monday we got to visit the hospital where the "reformed" medical student track classes take places. It was very interesting to understand their process. I definately like their system a lot better. I think having to recieve a four bach. degree and then goes to four years of medical school on top of residency after that is just too much of school. I also liked that as soon as they began medical school they also started clinical rounds. The Doctor that gave us the tour pointed out that students are more able to retain what they are learning in the books if they also see it in practice. I thought this statement was very true. Another very surprising thing I found out that I definately wish the U.S. did is that medical students do not have to pay tutition. Can I live in Germany please??
Tuesday started off with a very early morning train ride to Dresden, although it was nice to get an extra few hours of sleep. I loved that the sun was shining when we got to Dresden. (Definately can't wait to be back in Texas where it sunny at least some part of the day.) The city tour of Dresden was very informative. It is a beautfiul city and I especially like the Prostant Church alond with the film of how they rebuilt it. The rebuilding of that church had to bring that town so close together and bond over such an amazing event. After the city tour we visited the Hygiene Musuem. The hygiene musuem has defintely been my favorite musuem so far, I could have spent hours in there. I liked that they had interactive activities to help you better understand the concept they were talking about.
Today we went to the MD center for Research. I thouroughly enjoed the speaker on stem cell research. It such a fascinating topic that brings so many new ideas to the table. Although the second speaker spoke about protein crystals, which I must say does not sound that exciting to me. I love his passion and enthusiasim for what he did. I hope one day with whatever I choose to do I can love my job and get as excitied about it as he did for protein crystals. We also got to visit where they made devices to help surgeons in the operating roomk see things 3D and devices to enable telemedicine better. The devices were unbelievable, and so cool to see and play with. Lastly today we got to visit the Otoo Braun Center for Prosthetics. I really enojyed visiting this musuem because it has special meaning to me because my mom has polio, therefore she has barely any muscles in the right side of her body therefore making it very difficult to walk or pick up her right foot. So seeing these innovative devices to help people with problems like hers is amazing, because I know she definately had a hard time growing up with people making fun of her. So there is definately hope for the future as these devices become more widely known.
Well that is all for now can't wait for tomorrow we leave for hannover!!
Did I Really Just Do That?
To get back to how I started this blog, visiting the clinic for cattle was by far one of the most interesting and exciting experiences of my life. As I said before, I've been around horses a lot and gone to many large animal vets, but I have never been able to give a rectal exam to a cow! To think that I performed a task that a 5th year vet med student does just blows my mind away. I was so nervous about doing it but I'm so glad I did. Lena the cow (I think that's how you spell her name!) was very nice and I was so surprised it barely phased her that 8 other students gave the exam as well. It was so cool learning about the reproductive system of cattle and then getting in there and actually being able to feel it. I was able to feel the uterus of a cow!! I truly appreciate this opportunity and will never forget it!
Friday, January 08, 2010
Hanover!
Thursday, January 07, 2010
Berlin
On Tuesday we got up early in order to travel to Dresden. Some of you may know this town from the Kurt Vonnegut book "The Slaughter House-five". During the was this city was firebombed and much of it was brought to the ground. In the time since then the old part of town as been reconstructed in its old fashion. After the city tour, we went to the German Hygiene Museum. The museum was very interactive. I wish I was able to understand everything in it because I feel that I miss out on a lot of the exhibits because of the language barrier.
Wednesday we were back in Berlin and had a tour of the Max Delbruck Center for Research and the Otto Braun Center for prosthetic's. The work that goes on at both of those places is amazing and it is incredible what they are able to accomplish.
Today we left Berlin to make our way to Hanover. After battling through a train cancellation and overcrowded train, we made it to Hanover. Once we made it we toured the new facility of the Large Animal Veterinary hospital and then had a tour of the small animal teaching hospital.
I'm off for the night, next time I post it will be from Switzerland.
I love Germany.
Dresden is a beautiful city! The old buildings were breathtaking. One of the things that caught my attention was when the tour guide told us about the King's mistress. I realize back then that they simply married for political reasons and not for love, but I still can't believe that the king was publically allowed a mistress and that it was considered normal! This concept is so strange to me. I guess it is a good thing that I was never a Queen in that time period!
Well we arrived in Hannover today. It is yet another beautiful city in Germany that I can't wait to explore, but before I am able to do that I get to go to Paris! Traveling to Paris is something that I have wanted to do my entire life. It's the city of romance! By Saturday morning I will be strolling through the streets of Paris and just might be the happiest girl alive!
Wednesday, January 06, 2010
Adventures?
On Saturday we explored the city. Prauge is full of beautiful buildings, towers, cathedrals, and castles. My favorite building was the "dancing building". It was built after Fred Astaire and it looked like two people actually dancing. I danced all throughout highschool and have always heard about Fred Astaire so it was really cool seeing a building after him.
Lunch was probably my favorite part of prauge. We ate U Flecku, local cz food which tasted wonderful. The atmosphere was wonderful they people who came around table to table singing and playing instruments. As soon as we walked in the waiter sat beers in front of us and then two seconds later another waiter came around with a tray full of shots. This seemed so crazy to me, since it was only noon. In my home town, Rowlett people would look at you like you were crazy if you took a shot at resraunt in the middle of the afternoon.
Since it was so cold in our hostel we decided to go out saturday night and then catch the 3:30 am train back to berlin. We went to an Irish pub, where we met an England Band called the paperboys who were on a tour in Europe. It was alot of fun. The pub closed at 1 but they let us stay til about 2:30 then we headed to catch our train. We get to the train station and they don't open their doors til 3 am so we had to hang out outside in the cold, then finally at 3 we head inside only to find out our 3:30 a.m. train is delyed for 70 minutes. We finally get on the train and there were absolutley no seats on the train so we had to sit in the hallway. It was an adventure. I am glad I got to see Prauge but I was definately happy to be back in Berlin.
Tuesday, January 05, 2010
Living the Dream!
Sunday, we had a bit more site seeing. I did not tour the Jewish Cemetery. I am not Jewish and cemeteries freak me out. I did meet a couple from Rome though in Starbucks. They recommended visiting Berlin more so than Prague. They thought Prague was too small comparably to Rome.
Monday was a cold day in Berlin. Snow was everywhere during the morning tour. The most interesting fact I learned is that the Disney castle is a replica of the Neuschwanstein Castle from Germany. The afternoon was more interesting, because we practiced CPR. It brought back memories from when I had to learn CPR in Boy Scouts. After dinner, we stopped by a truly Bohemian building where squatters sell their fantastic art.
Free Weekend in Prague
We've done so much in Europe so far, but its hard to believe the program is almost halfway over. I'm excited for Paris next weekend.
ps. Happy Birthday Nick!
HERE!!!
Oh man!! I'm exhausted, but in a good way...I assume. My head is full of information...so much so that I doubt I can regurgitate one fact that I learned today, but I'll try my best.
I'' start with yesterday, Monday, December 28th. I arrived in Frankfurt, Germany and had to catch the train to Bonn. The train ride was calming yet adventurous. Ryan and I accidentally sat in first class and luckily weren’t kicked out. There was a German lady in the booth with us. She was so friendly (at least when compared to the mean Germans I had to sit by on the plane for nearly 9 hours). Although she didn't speak much English, she tried her best to tell us stories about the towns we rode through. Unfortunately, I only remember one story semi-well. It was about a woman named Lorily (forgive my spelling) who played music from the strands of hair on her head. The music drew men to her which led to tragedy...their ships wrecked. Interesting, right? Along with these interesting German stories was the beautiful German scenery. Sadly, there was only a small amount of snow left from the night before. However, the mountains, the Rhine River, and the historic little cities were amazing. Definitely eye-catching. There were even castles...real castles. Had to have passed at least four of them.
It was gloomy and rainy when we arrived in Bonn. Not too chilly. All the staff at AIB seemed nice. The dorm is comfty and my roomie, Maggie, is sweet. Having internet in the room makes everything much better. I was able to e-mail and chat with my family and friends, which is awesome. Dinner at a traditional German restaurant was different. The menu was in all German of course, making it all the more "interesting" to order. I was happy with my choice however. I had some kind of spinach chicken and a fruit sauce with ice cream for dessert. Wish I could remember the German name of my meal...but I doubt I would even be able to spell it. The serving sizes here are huge!! I was definitely stuffed by the end of dinner.
Today has been hard for me. For some reason I'm truly tired yet I slept well last night. maybe it's the time change. Got a lot of good pictures though, especially during the tour of the city center. Most exciting part of the day...eating a döner. Different yet kind of tasty...although not my favorite.
It's only my second day here and overall...Germany is amazing. This trip is off to a great start. Funniest thing I've learned so far...stare your neighbor in the eye when making a toast or you'll have 7 years of bad sex...YIKES...lol.
Oh my Lanta!
Sunday, January 03, 2010
Praha
One of the things I will probably never forget about this excursion is the hostel we stayed in. It probably wasn't the worst one we could have gotten, but it was so cold that we had to sleep in all our clothes at night- our coat, jeans, and many many layers.
The next day was extremely better. We ate at the most amazing restaurant called U Fleku, founded in 1499. It was great Czech food-I had roasted pork with the most AMAZING bread and potato dumplings. We were also served some great Czech beer and some cinnamon-y shots (yes, at lunchtime!) as well as being able to listen to three guzs playing the accordian and trumpet. This was probably my favorite restaurant yet and would go back in a heartbeat.
We spent the rest of the day enjoying the scenery by going to see Charles Bridge, Powder Tower, Prague Castle, The Dancing Hall, and a ton of other beautiful buildings. Everywhere you looked in Prague was pure beauty especially with the snow! After our day, we decided to not stay in our hostel again and took the 3:30 train back to Berlin so we could have the day to rest. We spent our time waiting for the train by hanging out at an Irish pub and met and English band named The Paperboys (maybe someday they'll be famous!!) and some other people from Luxemborg. I would love to go back to Prague, but only if I got to stay in a hotel and it was a bit warmer. Also, the people weren't as nice and we all missed the people of Germany.
Prague
After a rough nights sleep we up still tired, sore, and hungry. We wanted to eat original Czech cuisine so we asked around for a suggestion. U Fleku was the restaurant we decided to try. The food and beer were amaying! Right when we sat down they handed each of us a one of their famous beers. It tasted even better than German beer to me, which is something I didn't think was possible. I had beef tende and bread dumplings to eat. Unfortunately the food was so good I cleaned my entire plate. This meal was by far the best I've had on the trip. They also had a band playing that would walk around and serenade different tables. The music they played was a little odd but I stil enjoyed it. I loved everything about this restaurant, the food, the waiters, the beer, the entertainment, and the atomosphere. It just might be my favorite restaurant in the world!
Satuday night we decided to go to an Irish pub. It had great music and good beer. We met several people from different places around the world. Including a band from England called The Paper Boys. I hope they become famous one day so that I can tell the story of how I met them!
We left the pub around 2:00 and boarded a 3:30 a.m. train back to Berlin. We thought it was a prettz good idea at the time but the train was packed and we hadn't made reservations because the lady at the train station told us it wasn't necessary. We had to sit on the floor by the bathroom for nearly 8 hours. It should have only been a 5 hour train ride but it was 8 hours due to a 3 hour delay in Dresden. Needless to say we weren't very happy. We arrived in Berlin around 11:00, ate some lunch at the hotel, and passed out in our clean warm beds.
I've had so many wonderful experiences on this trip and cannot wait for more to come. We have the city tour of Berlin tomorrow. Everyone better bundle up because I'm sure it is going to be a cold one!
I have tried a lot of new food and drinks and I would say I have mixed feelings about them. The food is really good, but I miss American food and I miss knowing what everything on the menu actually is. The thing I miss the most though, is ice. None of the drinks over here ever have ice and it didn’t bother me at first, but after a week I just want my drinks to be cold and stay cold through the entire meal. Also, I miss American soft drinks because they actually taste good and the soft drinks here taste funny.
Overall, I am having a great time though and I am very glad I decided to go on this trip. I have met so many cool people and had plenty of unforgettable experiences and its only been one week. I can’t wait to see what happens the rest of the trip.
Prague
Berlin and Prague
Moving on to our trip to Prague for the free weekend, the city is gorgeous. I really wasnt expecting the types of churches and buildings that we saw here. We took our own little tour of the city, visiting the castle, watching the guards change post at the wall, checking out every church we saw, seeing the astronomical clock change hour and even going up to the top of the tower for a breathtaking view of the city. The food here isn´t quite as good as Germany, but everything else lived up to and surpassed expectations. If I had to choose one city as my favorite so far, it would be Praha.
Saturday, January 02, 2010
New Years Eve and Berlin
After the long night I looked forward to sleeping in on Friday which was accomplished. I kept it simple for the day and just went to the Alexanderplatz to eat and take some pictures. I did meet some Australians while I was eating lunch. They were a fun group to talk to. Other than that nothing really eventful happened just took it easy and took pictures.
Trip to Prauge!
I am excited to visit prauge, I have heard it is a beutiful city with lots of things to see and do. Til' next time.
and more thoughts...
After being in Germany for a few days I definitely miss the practice of chivalry. Everyone around here seems to truly believe in equality. Which I guess isn't entirely bad. I'm sure women are paid the same as men here and hold just as many high postion jobs; however, I'd prefer a little of both worlds. I'd love to be considered an equal in all situations and also have my doors opened for me!
The trip to the Body Worlds exhibit was interesting to say the least. I've never experienced anything quite like it before. I've always said that when I die I want to donate my body to science, but after seeing the exhibit it frightens me. I know it is a great learning tool but when I saw the bodies all I could concentrate on were who the people were. What was their name? How did they die? How would they feel about their body being displayed this way. I thought the exhibit was a wonderful contribution to science but I'm uncertain where I stand of the morality of the exhibit.
Well my stomach is growling so it is time to grab some original Czech cuisine! I'll let y'all know what I think!
Being here with two of my Best Friends has also helped being comfortable and not becoming to overwhelmed. When leaving the states I knew I was going to a country where they didn't speak english (although many do) , however I was still overwhelmed riding the subways not understanding a word that came overhead or any of the signs. Surprisingly we came with familiar with the subway system quite quickly, however we used the color systems for stops than the actual name for them. However, I know really want to learn German. Everyone we met knew at least 2 or 3 languages, I felt so ignorant only knowing English. In bonn we had a blast experiencing the night life, which is a lot different then in the States. All the food and drinks were amazing. The people we met were also wonderful, in Germany chilvalry isn't dead.