I've arrived!!!(is it too early to start planning my trip back??)

To say it is beautiful here is a gross understatement.  The land, the water and the people have eased my transition into life on this amazing island. I know my predecessors have mentioned the amazing scenic views on the way to work, but I was still awestruck.  There is something fantastic about living and working within walking distance to the Atlantic.

I started out my adventure at the Annoto Bay Hospital on the inpatient ward. I was intrigued and impressed to see the team caring for a former 24wk infant( rocking out on bubble CPAP alone!!!) who was continuing to beat odds on a daily basis.  It was good opportunity to use my prior NICU experience to add additional insight, but I was reminded how spoiled I am back home with what seems like limitless resources. Here they've two incubators, and no ventilators at this facility with only limited numbers at other hospitals.  The care they provide here relies on clinical expertise.  I feel I both have much to give and so much to learn at the same time.

From the inpatient wards I wandered down to the A&E with Dr(s). Mitchell and Espinosa who also welcomed me with open arms, which translates to happily tolerated my frequent questions and requests for translations.  There I was able to see the variety of sick children who came in whose illnesses ranged from viral gastroenteritis to seizures.  The pharmaceutical trade names here are totally different, also your repertoire is limited to what is easily available to these patients.  Ever heard of Lucozade? Me either but between the patients and the other physicians they helped me figure it out, overall I had a great first day.  I can’t wait for day two!!!