CHICKEN BONE?

Tonight ends the week-long observance of Pesach (Passover). It started with the Seder. My roommate who is also studying abroad did not have a Seder to attend (read as - she did not want to go to her extended family's Seder), so we decided that we would have our own Seder. She told us the 5 things we needed for the Seder plate: Boiled egg, Maror, Parsley, Apples and Walnuts, and a Chicken bone. Each item is symbolic.

So two of us ventured to the shuk that morning to gather our supplies for dinner and the plate. Although this is a little embarrassing to admit, we didn't know exactly which herb was parsley, so we asked the man at the stand. Since we were there we asked him what Maror was, and he pointed to something that looked like the heart of a cabbage - so we got it. Neither of us wanted to carry around a chicken bone for the day, so we decided we would figure that out later. Oh, and we were told to get wine, since during the ceremony each person is supposed to drink 4 glasses of wine. So we got sweet white wine - the only kind either of us actually likes - and only one bottle, because we didn't want to pay for two.

When we brought back our supplies we got an hysterical laugh from my roommate. Apparently by Maror she meant horseradish sauce. How were we supposed to know? And the wine is supposed to be red, because it symbolizes blood. We decided that the wine could symbolize the platelets part of blood instead. While preparing the plate I realized that we never did figure out that chicken bone thing. So I grabbed a carrot, broke it in half, and decided that kind of resembled a chicken bone. We cooked the dinner and were ready to go.

We did the whole ceremony, except drinking 4 gulps of wine instead of the 4 glasses as to not run out. There was a moment during the reading of the Haggadah when everyone is supposed to look at the chicken bone - so we looked at the carrot.

After the proceedings there were songs that were put to popular tunes with lyrics specific to Passover. They were hilarious and we sang them loud and boisterously with our oh-so-beautiful voices. It was a great time, albeit it makeshift.

It should be noted that while writing this blog post I decided to look up Maror. Turns out we were right!

SEA TO SEA: SURVIVOR STYLE

This past weekend started our two week vacation for Passover. We took advantage of the free hiking trip offered by Rothberg Office of Student Activities hiking club. Four days hiking from the Mediterranean Sea to the Sea of Galilee and camping out under the stars. It was as amazing as it sounds. The experience was incredible. I had a fantastic time, despite some trying moments along the way:

The first day we came across an aquifer . Feeling adventurous a group of us decided to climb through the narrow opening into the mountain, wading through water with flashlights to see the source. Being afraid of water/drowning, this was not the best decision on my part. We got to a section where the ceiling of the cave was so low we had to crawl on our hands and knees with only our heads above water and inches between our heads and the cavernous roof. I had a little freak out and did not want to pass through this section - even though the ceiling got higher right after it. I wanted to head back...but they wouldn't let me. They wouldn't give me a flashlight. So there I was, having to decide between facing my fear or being left in a water-filled cave in the dark - alone. I don't know whether to call them encouraging, or just plain mean, but I got through and we eventually came to the source. Quiet, we could hear the water flow. As one of the Israelis exclaimed "that's the noise it makes right before it collapses." Thanks...a lot.

The third day, as my roommate calls it, was rock tobogganing. We were hiking cliffs, with a drop off on our right side, and a wall on our left, with about a 2 feet path in between. This "path" was composed of mostly boulders to climb/lunge up and down. Every once in a while we'd see a trail marker on some crazy high tower of boulders and just think "seriously?". One wrong step or slip could result in falling over a cliff. I found myself sliding down rocks on my butt to better navigate when foot holds were not evident. While I admit, I was scared at times - looking back on it now it was a lot of fun, like a puzzle.

My last personal trial was on the fourth and final day. They had a surprise in store for us: repelling! I was really excited, thought it would be so much fun. They had us stand on the edge of a cliff, lean back and back, and then start walking down the side of the cliff. I hated the whole way down. Maybe it was the lack of practice or direction. They had us jump right in. Of course I'm glad I did it, otherwise I would just wonder. I would even consider trying it again. But it was probably one of the scariest extended moments of my life - and I don't really even know why. These experiences are not what I am referring to when I say "survivor style." We were split up into 4 tribes. There was a challenge for all teams once a day, and then any team could challenge another team during the hike. Challenges included building the tallest structure using natural materials, who could pee the longest, trivia, crossing the "river", arm wrestling, wearing team hats and creating a team song. Some teams were competitive, some non-spirited, but it was a great idea, and I had a lot of fun with it. Go team Golani with red striped hats!

We came across a couple interesting groups of people. One was the Druze. A religious group in Northern Israel. Not much is known about their religion, as they will not talk about it with others. A big secret. They were barbecuing skews of meat and they gave us one to share as we passed by. All I can say was that it was the best thing I have ever eaten. The other, we refer to as the tree people. However, they refer to themselves as "The Greater Spirit." We found them literally hugging and singing to trees. The worship trees and found this area to be particularly spiritual. We heard their singing into the night as we woke for our fire-watching shifts. Interesting.I make the hike sound like this intense experience, but most of it was just hiking. Yes, up and down mountains and sometimes for 10 hours a day, but it was hiking. Outside, in nature, without technology, green, trees, natural springs, passing out on uncomfortable rocks during lunch breaks. A great way to relax and get to know new people and the country and culture of Israel. There was an amazing sense of accomplishment and pride as we made it to the top of the road for our first glimpse of the Sea of Galilee. The most amazing thing: I wasn't sore at all.

MUD REJUVENATION

About two or so weeks ago we had a day off of school. Needing a little pick-me-up, two of us decided to make a day trip to the Dead Sea.

Not exactly sure how to get there or where along the Dead Sea we were going, we hopped on a bus going in that general direction. After several conversations with the bus driver we departed at the free beach. Sunscreen in hand we ventured off into the intense "insta-tan" sun.

Having been there before my friend remembered Sulfur Pools being on the beach to use. We looked for them and eventually ended up at the tourist information center. Here we were told that the Sulfur Pools are only at the Ein Gedi Spa. Well, so much for that. We followed the exit sign of the little complex to find ourselves in the "Solarium," an enclosed area on the beach with naked purple leather people. Oops.

Back out on the real beach we waded into the water. The oily salty water insisted on lifting us up. Floating was effortless. We just lay there relaxing, naturally exfoliating our skin. Until...dun dun dun. My friend got water in her eye!!!! And by water I mean salt. To the rescue, I lead her blinded self up to safety and poured fresh water in her eyes.

With regained eyesight it was time to find some Dead Sea Mud to continue our natural skin treatment (and get the full Dead Sea experience). It was a little suspicious that no one else on the beach was covered in mud, but we were determined that there had to be some. All we saw was mounds and mounds of huge salt crystals. We finally resorted to asking the lifeguards where the mud was. "People like you came 20 years ago and took it all!" Um...right. So turns out the Ein Gedi Spa is the only place that it is naturally in the water. I see a pattern here. "But you can buy it at the market." Yes. We bought packaged Dead Sea mud at the Dead Sea. In our defense it was only 7.5 shekels each.

Lathered up in mud we were like aliens on the beach. People stared at us, 13-year-old boys wanted to take their pictures with us, but it was fun...and crusty. After washing the mud off it was time to hop on the bus back. This time with glowing skin and smiles.

Going Gray

Today as a friend was giving me a neck massage since I had a headache (yes, I know, I have amazing caring friends), she found something that did not belong. A gray hair, well, silver actually. Don't worry, it is no longer attached to my head. I still try to insist that it is because I am turning blond from the intense Middle-Eastern sun.

But, honestly, I am not that surprised. This place, coupled with nursing, has been the most emotionally stressful experience I have ever had. I don't even know how to adequately explain it, examples will have to suffice.

Example 1 - this place. This past Sunday the Penn nurses were on an Arab bus on our way to Old City to experience a Purim celebration with our professor. We were pulled over by a group of Israel Police Officers. Everyone had to produce a passport or ID (which by the way, you don't need to ride a bus). He took one man off of the bus. We waited while 3 officers searched, interrogated, and just took their precious time with this man. Eventually the man came back to the bus to get his little son. The police interrogated and stood around some more. Eventually the man told the bus driver to leave, and him and his son piled into the Police Car. Such disturbing pointless intimidation tactics. Such racism. Such hate. And all we could do was watch.

Example 2 - nursing. I saw my first death. It affected me so much more than I thought it would. Especially considering that she was not even my patient. I knew nothing about this little 4 year old girl other than her medical condition, which I will not share. I watched almost an entire resuscitation attempt. It was fine as long as we were discussing technical skills applied and the physiology of the girl's condition. Somehow 45 minutes into watching the trauma put on this tiny body it hit me, and I had to leave. 15 minutes later they called it. I get shivers just writing about it. I cried. I keep thinking about it. I know it is better, that she was in no state to live, but I was there while she died. And all I could do was watch.

Honestly, if I knew this experience would be so wrenching I probably would not have decided to study abroad here. But I am glad I did not know what to expect. While it is difficult, I do not regret my decision. Instead, I am opening my eyes and taking it all in, examining myself and trying to grow from it all.

LAUGHTER IS THE BEST MEDICINE

Clowns. Some fear them, some love them, but few think to go to school to become one. Not to mention to become a specialized clown. But in countries outside of the United States, apparently that idea is not so far fetched. Medical clowns are a staple in the Pediatric Hospital of Hadassah (and I've been told most other countries). They go through a Medical Clown College of some sort to become certified, legit Medical Clowns. The work they do is truly amazing. A child's laughter is the most beautiful thing, and I've never seen a clown fail.


See the clowns at work on the road: http://www.hadassah.org.il/general/film/ethioclowns2.mpg

Nursing in Israel

We have now completed 2 weeks of nursing classes. And I still have no idea what is going on. Our schedule is different day by day, week by week. Often I look at the schedule the night before so I know when and where I need to be the next day. It is too varied to keep track of, and too overwhelming to really look at. Taking Pediatrics and Obstetric courses simultaneously is enough to make anyone crazy, squeezing them into 2.5 months is something else. Not to mention an additional night class at Rothberg International School. One thing that seems to be consistent is a 6am wake up time. Our nursing classes and clinicals are an hour bus commute away from our dorms. I’m not quite sure who engineered that one.

My clinical this past week was at Alyn Pediatric Rehabilitation Hospital . This is truly an amazing facility. Each child has such individualized care. They design each kid a specific chair to mold to their body and provide the support they need, as well as corsets, braces, casts, and anything else. There is multidisciplinary care including occupational therapy, school, hydrotherapy, nutrition, and of course nursing care. Even the kids that have no hope in regaining function, they make sure to exercise the abilities they do have as not to lose them. Every faculty member knew every child. It truly appeared to be a cross-cultural family operation. Political and cultural views were put aside to work together for these children.

Next week my clinical will me at the PICU at Hadassah Hospital Ein Kerem. We split into groups of 1 or 2 and do two days at each location. This has its benefits: we have very personalized attention and are able to gather a taste of different floors and facilities. However, the negative seems to outweigh the positive for this setup. We are not allowed to do anything. We are not with a specific clinical instructor, and therefore can't work under someone else's license. It is frustrating. We were thrown into our Medical-Surgical and Geriatric rotations last semester and gained so many skills, but are not able to practice or improve them.

The lectures on the other hand, are much better than at Penn. With a class of 5 students it is much more relaxed, personalized, and gives leeway for more interesting stories and information applicable to Israel. You also get to know your professors very well. Oh, and best of all, class pauses when you need a bathroom break.

THE BEST LAID PLANS...

…are no plans at all. We decided to make the most of our last free weekend before intense nursing classes began. What better way than to go to a warm sunny beach on the Red Sea. We found a hotel for cheap in Eilat the night before, made our reservations, got on the bus after our Hebrew Finals and were on our way. Five hours later, at 11pm we arrived at our hotel, only to find that we “misunderstood” the price, and in fact they were going to charge us double the amount they quoted to us on the phone. Through a little struggle and a phone call to the manager they finally agreed to cancel the reservation without charging the credit card the full amount.

So, here we were, 8 girls, 1 boy, wandering Eilat at 11pm without a place to sleep. Pretty comical really, but it gets better. We decided to go back to the bus station, because we saw a couple hostels around. While walking through the station we ran into a group of boys from Spain who also needed a place to stay. The group of us was wandering up toward the hostels when we were approached by a woman saying “place to stay, very cheap.” We bargained with her for a little bit just for fun, but after she became pushy we realized it was just a bit too sketchy. The Spanish boys went with another man in a Jeep. We continued on our way...

While we split up to inquire about different hostels about open beds and pricing, the woman drove by and honked, then she stopped up by the other group and started bargaining again. She was going to give us 10 shekels less per person for two nights. We had to convince our friend that $2.50 was not worth risking our lives.

We ended up finding a beautiful hostel. The man who owned it has traveled all over the world, is an architect/designer, and designed his hostel. He even has the “nicest house in Israel” to rent out, and he was not exaggerating. Nestled into our room we had an intense 1.5 hour conversation and called it a night.

The first day was very relaxed. We wondered around the beach shopping at different stands. It was gorgeous. A sea with the bluest water I have ever seen, surrounded by looming mountains. We meandered up the jetty to see if there were any boat rides on the Red Sea that seemed appealing. We were invited onto a man’s boat to explore. To our surprise to was a beautiful pirate ship (okay, some might call it a sailing ship)! The cruise left the next morning, so we signed right up! For 125 Shekels (about $35) we got a 4 hour cruise to the border of Israel/Egypt and Jordan/Sinai, delicious Israeli BBQ lunch, time to jump off the ship into the Sea with a rope swing, and relax or dance while music played. It was truly a vacation and an adventure. And of course it turned out so much better than if it was planned.