For the past three summers, the Health Sciences Academy has taken a group of students to Grenada to the St. George’s Medical and Vet School Summer camps. Here is the journal kept by Mrs. Zirkle on the adventures of the Summer 2007 camp experience.

 

June 27, 2007 – First Day of Arrival a SGU Camp Medicine/Camp Vet Medicine

 

Hi families and friends,

The trip down yesterday was uneventful - it was the best travel day we have had coming to Grenada!! It must be attributed to the wonderful travel agent we had this year (Mr. Gawne) and the great kids! The children were wonderful - no one whined (at least not out loud), they behaved beautifully!! You should all be proud parents.

 

We got in about 9:00 PM and it took us almost 2 hours for everyone to phone home since we had one phone. The kids got their dorm assignments and met their room mates - not too much else - we were all very tired. The dorms are nice - full size frig, microwave, kitchen sink, full bath, 2 beds, small closet and shelves. There is a group of 12 from Scotland and 8 from England, about 6 from Canada, various areas of the US, even a student from Ghana. The kids are divided into small groups with different color IDs and then into two large groups: 1 and 2. There are RAs that take care of the dorms and Day Leaders in charge of the different color groups. The students in group 1 have instructional day tomorrow and Group 2 has a leisure day and then they swap. All the students get to do all of the activities but not all at the same time since there are 80 campers. Breakfast was at 7:20 this morning (scrambled eggs, bacon, french toast, cereal, fruit, and juices) and then we had a debriefing session at the dorms - we do this every day to go over the schedule for the day. Today was an orientation day - after breakfast, we toured the campus and then we all went to the Grand Anse beach (that is where the original medical school campus - back in the 1980's when the med students were taken hostage - you probably remember that incident). St. George's still owns that property and the beach is beautiful - it was a great sunny day and the water was wonderful! The kids are bonding and meeting each other - all are having fun. Lunch was at 12:30  - spaghetti, turkey burgers, veggies and salad. In the afternoon, the kids had a scavenger hunt all over campus - lots of walking in the Grenada sun - tires them out :-) and then we had a session on note taking skills and how to develop positive study habits. Dinner is at 6:30 and later the kids have an orientation session in the game room - lots of games with prizes. They have to be in their rooms at 11:00 and lights must be out by 12:00. So far - everyone has been great and they are all having a blast. Tomorrow starts the educational portion for Group 1 - Musculoskeletal system and Group 2 go on a dolphin watch and lunch at the beach. Both groups will have a dance night with a DJ.

 

More tomorrow!

Luisa

 

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June 28; Day 2:

 

Hi families and friends,

Last night the kids had an orientation evening - forced to play games to get to know each other. The best event was a dance contest. They were in their color groups and were given 30 minutes to come up with a dance routine to a specific song. The kids were amazing - of course, the girls did the choreography but the boys were very good sports. They were all hilarious. Arrykka stole the show :-)

 

Today was the second day of the camp. The kids are split into two large groups: 1 and 2. Today Group 1 had a clinical day - topic was the Musculoskeletal System. Kara was assigned as the chaperone on that group and Sam and I are with Group 2. Today Group 2 went on a dolphin watch and afternoon on the beach. I'll have to tell you more about the adventures of Group 2 - tomorrow we switch and Group 2 has a clinic day and Group 1 goes on the dolphin watch.

 

Group 1: Rachel H, Shamika, Julie, Kaitlin S, Caitlin S, Aileen, Arrykka, Rachel P, Philip, Kara

Group 2: Katelyn R, Kayla, Mark, Meghan, Josh, Michael, Ashley, Nina, Hunter, Danielle, Sam, Luisa

 

The day was beautiful - we started with breakfast at 7:20 (again great breakfast - eggs, sausage, pancakes, cereal, ham, cheese, fruits, juices). Debriefing at 8:20 and off on a beautiful catamaran for the dolphin watch. We went out about 5 miles from the island. I brought Dramamine tablets for all the kids - none of ours got sick on the boat. A few did take the pill which made them a bit sleepy, of course. We ran into a pod of dolphins - that was spectacular - I have never seen it on the watches at home. The captain of the boat explained that the dolphins were feeding - they form a circle in order to capture the fish (dinner) - so they put on quite a show jumping in and out - there were probably 50 dolphins. Some of the kids hung over the boat and Josh actually petted one. Not one child fell over :-)

I had to keep reminding them to put their sunscreen on - the sun is hot - no one too badly burned but we do have pink cheeks. Josh and Mark discovered that some of the sunscreen lotions need to dry on the body before jumping in the water. Josh came up after snorkeling with Mark and he was white - seems that the sunscreen turned into a glue-like substance - what to do?? - write on his back, of course - Michael, his good buddy - wrote KICK ME on his back....I have a picture which I will later share!

 

Group 1 was engaged in a lecture in the dry lab by Dr. Curry (British professor) on the musculoskeletal system - bit on bones, joints and muscles. The lecture was about 1 1/2 hours followed by hands-on activities in the gross anatomy lab (wet lab as it is called). There are about 5 -6 stations set up with a professor at each station - the kids put their scrub shirts on and the gloves and "go for it". They are at each station about 20 minutes - small group interaction with teachings very similar to what occurs in gross anatomy in med school. The stations had "headless cadavers" (Kara was a little freaked out), various organs, legs and arms to demonstrate different muscle groups and tendons, and ligaments, etc. Kara said our kids were the best -they knew so much and answered so many questions! After lunch - yes - they all ate - they experienced some clinical scenarios - I'll give you more details tomorrow about that.

 

Tonight the kids have a dance with a DJ outside - full moon, not too many stars, clear evening and Caribbean breeze - should be fun! They are bonding well with the Brits, Scots, and Canadians :-)

 

More on the academic day tomorrow. Kara, Sam, and I are very proud of the kids. Sam will be with the VET kids so I'll get input from him also.

 

Cheers,

Luisa

 

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June 29; Day 3:

 

Hi families and friends,

Technically this is the 2nd day of camp but we have been here 3 days.  Last night the kids had a dance with a DJ - almost all attended - a few shy ones kept away. The Scots brought their music and taught the kids how to dance some of the Scottish jigs. Mainly our kids wanted to hear "their" music - makes me realize that Americans are such a combo of so many cultures. Arrykka and Rachel Huffman had a dance off - it was great :-)

 

Today Group 2 is having the academic experience while Group 1 has the Dolphin Watch - actually - it started as a rainy morning so Group 1 went into town instead and the watch will be rescheduled for them. I really hope they can experience as nice a trip as we had yesterday. The crew on the boat had pictures and info on the different varieties of dolphins and whales that are seen off the coast of Grenada and we ended up spotting 2 different kinds in the pod we ran into yesterday.

 

The academics today are great and our kids are reinforcing much anatomy they already know. They are appreciating what a great job Sam Hamilton did in anatomy! Meghan G took Sports anatomy so her knowledge is more solid - I am very proud of them all. After the 1.5 hour lecture they are experiencing the gross anatomy lab - 5 stations: histology (slides of muscles tissues), skeletal landmarks using their own bodies and skeleton models, how the skeleton is arranged and why, x-rays and interpretations of fractures, how muscles work. Each station is manned by a medical school professor - small groups of 4-6 students at a station so they are getting very good hands on instruction. They use models as well as full size cadavers - so far no one has gotten sick from the formalin odor :-). The VET kids are doing the same but lecture is on comparative anatomy not human and their models are of animals as well as animal cadavers.

 

More later.

Cheers, Luisa

 

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End email on June 29:

 

Today has been a little overcast and rainy....but we are in the rainforest. The rain has made the air very thick and muggy for a few hours but it is already improving.

 

Try the website for pictures and updates of the camp - each day more pics will be loaded. At the end of the camp, the teachers are given a CD with tons of pics (last year's CD had 2,000 pics) - plus I take a lot of pics also of our kids.

 

Website is:  www.sgu.edu

 

Here's a direct link - may not work...

 

https://angel.sgu.edu/Angel/section/default.asp?format=course&id=CampMedicine&title=Camp+Medicine

 

If not - follow this:

Go to www.sgu.edu, Click on SCHOOLS - click on SCHOOL of Medicine - Click MORE - Click Summer Camp and Click MORE - Click on Visit this year's experience - a new screen will pop up - there will be some pictures there. Then click Content and then High School Daily Updates - Day 1 (power point of a few pics).

 

 

The afternoon session for academics consisted of clinical applications in musculoskeletal disorders and conditions. Activities included: how to evaluate a patient with various conditions, matching x-rays to the clinical scenarios, how to test reflexes on each other, and prosthetics in orthopedics, muscles and paralysis. Also Dr. Rooney gave a lecture and handout on the importance of Effective Communication Skills and Effective Clinical History Taking. Later in the camp, each student will have the opportunity to interview a patient and perform a complete history evaluation in an attempt to figure out the diagnosis - very challenging and sophisticated activity. The kids are a little nervous about doing this - it will be great :-)

 

Cheers, Luisa

 

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From Sam on the VET Camp:

 

Friday - the vet kids had an exciting day today. They had a lecture on bones, muscles, and joints. During lab, they worked with partners to answer questions on what they learned in lecture. Then they were surprised when the St. George's staff walked a horse up from the farm and the children were shown where the various bones and landmarks were found on a live animal. The horse paid no attention to the poking and prodding and was happy eating its feed. After lunch, they learned how to perform a physical exam which is harder than it sounds since the little animals can't talk. The children practiced their skills on a dog and cat (who were promised extra treats when it was over...the animals, not the children). Our kids practice taking a temperature, pulse, and respirations (not too much fun for the dog who was picked up and put on a table about twenty times or when they took her temperature). They finished the day tackling some ethical questions about sick and hurt animals. They will learn how to stitch and then practice tomorrow night. We have another lecture and visit the farm on Monday. The vet kids are having a much better time than the med kids.   

 

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July 2:

 

HI families and friends,

 

The kids are dragging a bit - this is half way and they are feeling very tired so they are very quiet this morning.

 

A little about Grenada and the culture:

The people are lovely, very courteous every where. They greet everyone and we are trying to get the kids to do the same. It is painfully obvious how rude Americans seem sometimes because we just don't go around greeting everyone we see on the street - they do - some of the more outgoing kids love it and have begun doing it also. We have been on several excursions - the roads are very narrow and winding, they drive on the opposite side so that freaked out the kids a bit at first.  Beautiful colors everywhere - all the houses are painted vibrant colors and the trees and foliage and gorgeous flowers - the kids keep saying how drab the US is compared to the colorful island. Be careful - they may want to come paint your house red or blue or yellow...I mean very vibrant colors. We have visited 2 small malls and a grocery store and the workers dress very professionally - beautiful uniforms. The children all wear uniforms also - girls in jumpers and boys in polo shirts and pants - red, blue, green or yellow.

 

Today Group 1 is on the Dolphin Watch and rainforest hike - gorgeous day, so hopefully they will have a successful day on both excursions.

 

Group 2 has an academic day - Cardiopulmonary System. Began with a 2 hour lecture (with a break) on the anatomy and phys of the heart and lungs. Dr. Curry reviewed the chambers and valves concentrating on the differences between atrial and ventricular functions, diff between arterial and venous blood and circulation, cardiac and pulmonary circulation, cardiac cycle, coronaries, ECG, pulmonary anatomy, diff between ventilation and respiration. After lecture - the kids are spending several hours in the wet lab with cadavers, hearts, diseased hearts, and models. By viewing a real cadaver they can see the organs "in situ" - meaning in their true location - much more effective than just pictures. Dr. Loukas explains the hypertrophic heart - cardiomegaly - a patient with a myocardial infarction to show how much bigger this heart is than normal. In histology, they are viewing the different tissues of arteries and veins and capillaries. There are models to help learn the respiratory system and its interaction with the heart. They can see several ECGs and compare a normal rhythm with tachycardia and fibrillation, etc. This afternoon will be more clinical applications - ex. how to assess, diagnose, and treat an MI, or coronary disease; what are risk factors and preventative measures, etc. I always enjoy this part the most. More tomorrow on the afternoon session.

 

Yesterday all the kids were together - sailboat ride, snorkeling and afternoon on the beach with a yummy barbeque on the beach. They really enjoyed snorkeling - some swallowed some water :-) but they saw a lot of sea life. They also had fun riding the banana boat.

 

Tonight is dinner at one the nicest restaurants on the island - The Aquarium. More tomorrow. Also - Sam will give an update on the VET kids.

 

Make sure you visit the website - some pics out there but we have many more :-)

Cheers, Luisa


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July 3:

 

More on the cardiopulmonary activities:

In the lab, the kids were able to handle different lungs - normal, fibrotic, cancer, emphysema and COPD.

 

Afternoon session: the students had their first patient interview - they interviewed the patient as a group and each student had the opportunity to ask the patient questions in an attempt to discover the diagnosis. The patient had angina and the kids did a nice job - the group I saw forgot to introduce themselves so I think next time they will remember that.

 

Other activities: took blood pressure and auscultated with stethoscopes, examined jugular distension and I am always the example for pitting edema since my ankles stay swollen the whole time I am here. One of the docs discussed peripheral signs of cardiovascular diseases; another discussed and showed slides of pathology of the Cardiac system. It's great to have real medical school professors and MDs be able to teach the kids.

 

The kids will get a chance to rest up before their evening out. More tomorrow.

Luisa

 

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July 3 -2nd email:

 

Hi All,

Today Group 1 had an academic day - Nervous System. 2 hour lecture in the morning followed by 2.5 hours in the wet lab - normal and diseased brains, spinal cords, how to recognize and assess a variety of neuropathies, etc. The afternoon was spent with the docs studying a variety of neurological disorders and conditions. I will give more details tomorrow when I have the neuro day.

 

Group 2 had a very active day - morning bus ride to one of the many waterfalls in Grenada. This was not the one that we have gone to in the past but I was rather glad because it was safer for the kids who jump....and they all want to do that. There were professional jumpers and divers who performed - 60 ft jumps!!! Yikes - our kids jumped from about 12 feet - high enough to have fun but not to make me too nervous. Josh wanted to do a back flip so badly but the mean old mom (that's me) did not let him - he pouted a little but he got over it. Sam got some good pictures of the kids jumping into the waterfall. They all had fun! Then we went to a beach and had lunch there - swam for a while and then off to a Cocoa Plantation. That was really neat - this was a new adventure. They showed us how the cocoa bean is processed and fermented and made into chocolate - very cool. They also taught us about the many fruits and spices that are found in Grenada - Grenada is known as the Spice Island. The bus rides are rather grueling - very narrow streets and very winding roads. The drivers beep the horns continuously and wave to everyone.

 

Tonight they have crab races! I have to do some laundry. More details about the neuro lab tomorrow.

 

Cheers, Luisa

 

I forgot - last night was a very nice evening out - dinner and dancing at a restaurant called the Aquarium. Dinner - grilled chicken, lamb, shrimp and veggie skewers, scalloped potatoes, rice pilaf, veggies, salad, rolls (the kids loved the those rolls), sorbet and fruit for dessert. Then the kids danced until 11:00 right on the beach - the dance floor was on the beach - the kids could run on the sand and then return and boogey some more.

 

Sam and Kara have been great - we are also feeling a bit fatigued. More tomorrow.

Luisa

 

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July 5:

 

Good morning families and friends,

The day is beautiful - sun shining and the temp is very warm but there is a nice breeze blowing, the sea is so blue and clear......oh yeah....we're in the Caribbean!!! :-)

 

Group 1 is visiting the waterfall and the Cocoa plantation today - here is a link if you want to visit it on line - it's a 300 year old plantation and they still use some of the original methodology in processing the cocoa beans. The fermentation odor made it smell like a winery so the kids didn't really like the smell....that's a good thing, yes?

 

http://belmontestate.net/   (the fermentary link describes the process that we saw)

 

Group 2 - More on Neuro lecture (Vets have a similar day but using animals, of course):

The Nervous System is covered in depth in 12th grade so our kids are very rusty since they have not had any work with neuro since anatomy in 10th grade.

 

Lecture began with a description of the organization of the Central NS and the Peripheral NS - the kids know the parts of the brain already but are not too familiar with the details.

 

Topics covered by Dr. Curry (and Dr. Gupta - vet):

1) the parts of the brain and cranial and spinal nerves

2) the functional components - somatic (body wall) and visceral (internal) pathways; sensory (pain, temperature) and motor pathways

3) types of neurons or nerves - shape and function

4) description of how a reflex works

5) topographic organization (homunculus) of the cortex (what parts of the brain are responsible for somatic innervations)

 

During the lab and clinical portions the students will be able to see how this knowledge is applied clinically to diagnose CNS and PNS conditions and diseases. More later.

 

I hope all families are doing well - I am sure you are missing your children - they are doing well and really enjoying themselves.

Cheers, Luisa

 

 Vet information from Sam:

 

Our vet children had their final lecture this morning over the nervous, urinary, and reproductive system. In the lab Dr. Gupta showed the children the brain of a dog and cross-sections of the skull and spinal column. Our little ones then worked for about thirty minutes answering lab questions on the ear, brain, and nervous system. They also looked at x-rays of a dolphin and slides of cells of the nervous system. Destinee then talked to the children about stranded whales and dolphins and showed them how a stranding team would examine an animal. Emma gave a brief PowerPoint on common animal behaviors and then broke the children into small groups to discuss and then present behavior studies. This afternoon the children will tour the small animal hospital and then meet at the farm to continue looking at large animals. Tomorrow is their last clinical day and then Vet Olympics.

 

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July 6:

 

Hi all,

A bit more info on yesterday's afternoon in the medical clinical applications lab:

 

The docs had four stations regarding the assessment of neurological conditions and pathology:

1) assessment of hearing and ear infections, hearing loss, etc. The kids learned how to use otoscopes, tuning forks (Weber test), and a speculum for looking into the nose. They learned about the difference between otitis externa and otitis media (ear infections), and what the lining of the nose looks like when there is an upper respiratory infection.

2) Pathology - photos and discussion of venous and arterial system of the brain, coverings (meninges), hemorrhaging in the brain - interventricular, subdural vs. epidural hematomas, hypertensive emergency, neoplasms of the brain and brain stem, surgical procedures for removing neoplasms, spinal neoplasms. In addition, they also saw some congenital deformities_ spina bifida, hydrocephalus, and anencephaly.

3) Dr. Loukas (very handsome young Greek doctor who is into body building ...mmmmm) - very humorously described the 12 cranial nerves and how they are all involved and stimulated during a passionate kiss - this  was hilarious watching the kids’ faces. Since Nina admitted to having a boyfriend - she was picked on in her group - they had a blast with Dr. Loukas - he definitely knows how to get the teens to pay attention!

4) Practice patient interview and clinical history taking: learned about disk herniation in the spine, sciatica and how to assess that condition. Practiced 2 point discrimination - ask them to show you what that is when they return home.

 

Last night: Rhum Runner cruise and dinner - great food (pork tenderloin, marinated chicken, fish, several potato dishes, veggies, mac and cheese, saffron rice, salad and rolls) and DJ - lots of dancing on the bottom deck or they could sit on the top deck (2 decker pontoon) and look at the sky and stars and water and all the lights on the shore.

 

Today the Vet kids have medical cases in the morning and Vet Olympics in the afternoon - more from Sam later.

 

This morning, the med kids, in groups, are interviewing 5 patients. They are all dressed very nicely and are doing a great job. The patients are "actors" that the school uses - they are great and claim the HS kids are better than the medical students - not sure why - but the HS kids are less intimidated and are much more at ease asking questions. 2 students interview a patient by themselves in each group - they can then discuss their patients within their groups and try to come up with a differential diagnosis. This afternoon each group will present one case - they have to research the differential diagnoses, explain their findings and their reasons for the selected diagnosis, and explain treatment and prognosis. The patient cases range from angina, schizophrenia (this lady is wonderful - really throws the kids for a loop - they are not expecting a psych patient), a case of impotence due to diabetes complications, concussion, stroke, rheumatoid arthritis to name a few.

 

More later.

Cheers, Luisa

 

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Vet update,

 

Hi again,

Here is the update on the VET adventures:

 

Wednesday afternoon - During the afternoon session the vet students toured the small animal hospital and listened to the local resident present the current cases (all dogs) that were in the hospital receiving care. After that, we continued with large animal care on the farm. First, the students got to stick their hands into the stomach of a live cow through a ruminal fistula. They were directed by the vet students to find and touch the various compartments inside the stomach. Danielle found out what happens when you tickle a compartment causing the cow to cough (it made a great picture - hint....nasty stuff all over her :-). Then they went to examine the other end of the cow and palpated the lower GI tract and reproductive tract by reaching through the cow's rectum (another great picture). The cows were very patient. Then they practiced their knots, tool identification, and donkey riding for the vet Olympics that will be Thursday afternoon.

 

Thursday morning - We had a very busy morning session. The children presented their case studies to the group. Then we had a PowerPoint presentation explaining the path to becoming a vet. Emma brought in her turtles (as an example of exotic pets - she breeds and raises endangered turtles). Another second year vet student presented a PowerPoint presentation on aquatic animal medicine (whales, dolphins, fish, seals, etc). Lastly a local turtle organization called Ocean Spirits talked to the children for an hour on the various sea turtles that lived around Grenada, how they lay their eggs, their habits, and what is being done to document their life and protect them from poaching, the fisheries, and conserve their habitats.

 

We have about an hour and a half off and then it's back to the farm for the VET Olympics.

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July 7:

 

Hi folks,

This will be the last email you receive from us - the library closes at lunch. A few campers left this morning but many are still here. The Scots are here until Tuesday. Last night we had a very nice barbeque (ribs, chicken, fish, macaroni salad, veggie burgers, baked potatoes, corn on the cob, salad) followed by a slide show outside projected against one of the large buildings. It was a beautiful evening - lovely sundown, bright stars, and slightly breezy. The slide show was great - several Nutmeg Awards. Hunter received the "Leadership" Award - Bayside is very proud! Danielle received the "Deep Plunger" Award - when she slipped her arm in the fistula of the cow, she did that so well that it made the cow cough and well.....lots of stuff came right out all over Danielle and several others standing near her. She was a great sport! Rachel Huffman received the "Congeniality" Award - she says Hi to everyone all day long and really made an effort to get to know as many students as possible. Mark and Arrykka got awards for winning some games at the beginning of the camp. Josh was the "King of the Jungle" - very cute!. All our kids did a wonderful job - I am very proud of them.

 

We are all ready to come home - very tired and ready for flat land. See you all Sunday night hopefully at 11:00 PM.

Cheers, Luisa