Sometimes I wake up at 3 am, in part because I can't sleep most nights but also because it's one of few times I can think in silence. There's a lot that becomes more apparent in the stillness. The first is how tired I am most days. Most days are physically and mentally draining. The second is how powerless I feel at the end of the day.

When we first got here, I assumed most of the diagnoses would be easy and for the most part they have been. But still I end up thinking about the hard calls I've had to make on this trip. Don't get me wrong, we get plenty of guidance from Drs. Bina and Scheetz. But one day they won't be there. I will have to be the attending making these calls. So this has been a good experience in learning to cope with the ambiguity of it all.
At the end of the day there's a lot to learn and to teach. I have enjoyed talking to the different groups of students and the Interpretors. There's so much to look forward to and the beauty of the places we've been makes it worth the difficult cases. I've seen things I doubt I will ever see in the US. I've had adventures I probably wouldn't have done otherwise and when I look back on this trip I think that's probably what I'll remember. 

Seni Ajibade  (medical student).

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