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Donation and Training Day at Georgetown Public Hospital

The Texas State University respiratory therapy students gave aide to patients in the hospitals in Guyana, but also donated materials and gave training to nursing assistant students.

Video by Ashley Skinner/Global News Team


Five Reasons Why You Should Study Abroad

I have always been told that studying abroad is on the list of ‘College Must-Dos’ and I am glad I took advantage of the opportunity before I prepare to graduate in May. Here is a list of my top reasons to study abroad:

Personal development

Texas State University professor, Sharon Armstead, waving to Georgetown Public Hospital doctors in the distance. Photo by Alana Zamora / Global News Team.

Visiting Guyana helped me in growing as a person and gaining a wider world perspective. Before our study abroad trip, I had a fixed image of what a developing country looked like, based off of images I had seen on television. When we arrived in Guyana, we found, as my colleague Ashley Skinner described in her recent blog post, “a community who makes use of the resources available to live the best possible life.”  During our trip, I grew as a person by being exposed to things that were out of my comfort zone and by learning life skills along the way.

Experience a new culture

Texas State University mass communication student, Ashley Skinner (left), and respiratory care student, Xiomara Ojeda (middle), talk to woman (right) at local nursing home in Georgetown, Guyana. Photo by Alana Zamora / Global News Team.

Studying abroad allows students to gain a better understanding and appreciation for other cultures. Traveling to Guyana was my first exposure to a new culture and I took in every moment. From interacting with local people to understanding the way others live, I did my best to fully immerse myself in the experience.

Take in the view

View of the Essequibo River from Baganara Island. Photo by Alana Zamora / Global News Team.

Have you heard of the saying, “Stop and smell the roses.”? Well, honestly, you should. When in another country, it is important to take time to become calm and reflect on your experience, and even find a deep appreciation for the beauty that surrounds you. During my trip to Guyana, my time of reflection filled me with a sense of gratitude for being fortunate enough to be having this new experience and for getting to see new things.

Eat new food

Delicious meal prepared by Baganara Island Resort. Photo by Alana Zamora / Global News Team.

Wow, let me tell you – the amount of flavor packed into every meal is amazing! The great thing about Caribbean food in Guyana is the various Chinese, African and Indian influences. Although we ate chicken and rice just about every day, I enjoyed it all, especially the curried chicken and pepperpot. Wherever you go, go with an open mind and empty stomach because you are bound to find some new delicious foods!

Make lifelong friends

Texas State University mass communication and respiratory care students before they embark on their trip for the day. Photo by Aubrey Odle.

As I mentioned in my last blog post, never did I think it was possible to feel this close to a group of people in such a short amount of time. Studying abroad allows you to connect with the people you are traveling with on a whole different level because you all are experiencing something for the first time together. I am happy to say that I will forever cherish the memories that were made on my trip and I will be closely connected to my group of friends.

Respiratory students tour through Guyana

By Katie Burrell

Study abroad students dedicated a day to touring in Guyana in between their time working in hospitals and schools.

The Texas State respiratory care students and Global News Team visited a museum, church and historical landmarks in and near Georgetown, Guyana on Jan. 6, the 5th day of their trip. The students traveled by van to markets for souvenir shopping and views from a clock tower.


Hayes’ helping hand

By Monica Grice

Overwhelmed. This is how Maria Hayes felt walking through the rain forest of Nicaragua.

It’s day three of the Texas State University nursing student’s trip, and they set out to complete census’ of a rural community located in the rain forest.

“Many of us went into this experience being very timid and unsure of what we have learned up to this point,” said nursing student Logan Smith. “However, once we got accustomed to conducting assessments and communicating with patients, the uncertainty melted away and confidence was built.”

Confidence is something Hayes exuberated without fault while abroad. Her adaptation to the Nicaraguan culture communicated her will to help people, and her love of nursing.

Next Stop Nicaragua

The Denison, Texas, native fell in love with healthcare when she was a student in high school.

Hayes spent 12 hours a day for a week shadowing doctors and nurses at her local hospital and experienced everything from surgeries to deliveries, which made her want to be a nurse midwife.

“The first delivery I saw, I cried; it was the most amazing thing I’ve ever seen,” said Hayes. “That’s the moment I knew I wanted to be a nurse.”

Hayes on day two in Nicaragua. Photo by Monica Grice.

Hayes went to Nicaragua with her nursing school colleagues in January hoping to see what it was like to practice global health as a travel nurse, and to brush up on her Spanish.

Hayes originally enrolled at Texas State University in San Marcos as an engineering major.

“I wasn’t really connected to that; I knew I would get a job and went with it for that reason,” said Hayes.

After talking with her father, she ended her engineering major and pursued a nursing career.

Clinic Days

While in Nicaragua, the College of Health Professions students split into three groups and spent four days in three communities.

On the first day in the community, the teams were guided through the villages to interview community members and take a health census. The census would give them a better understanding of what illnesses were in the community, and how to prepare for them when clinic days arrived.

Hayes saw patients at a clinic located deep in the rainforest of Ticuantepe, Nicaragua.

“She just jumped right into whatever challenge was set before her,” said fellow nursing student Jessica Yehl. “She communicated well, assessed her patients with all the skill of an actual nurse, and was so prepared to help the team in whatever way she could.”

Hayes during day two of clinics. Photo by Monica Grice.

Hayes remembered meeting a young woman in her 20’s on the day they collected census. The woman was emotional because she had a lump in her breast that she believed to be cancerous. Since the team didn’t have any medical supplies on them that day, Hayes urged the woman to come to the clinic. She came on the first day, but became nervous and left, leaving Hayes worried for her health.

Day five was frustrating for Hayes. The woman still hadn’t shown, and another patient’s blood pressure was dangerously high. Hayes and other healthcare students urged the woman to go to the hospital, but never found out if she did. It left Hayes feeling like she wanted to do more, but she couldn’t.

“I think her ability to be realistic sets her apart,” said Yehl. “A lot of nurses can be tempted to sugar coat hard situations, but she just gives it straight.”

On the third, and last day of clinics, Hayes felt rewarded.

“I feel really proud of the team and how much work we accomplished,” said Hayes.

The Woman From The Rainforest

After the last day of clinics, the Texas State group returned to one of the clinics for a day of giving back. Games, balloons, and a piñata were brought for the children and triage stations were set up outside of the church for any remaining community members who hadn’t been assessed.

Hayes’ clinic was chosen.

The woman from the rainforest was there. Hayes helped assess her and found out the lump was mastitis.

“I’ve been worried all week,” said Hayes.

Mastitis is an inflammation of the breast most common during the first six months of breastfeeding. Although painful, it’s not serious and can be remedied easily.

The emotion Hayes expressed was pure joy. She got the reassurance she had been waiting days for. Her worries were alleviated.

“That was really good, it was so relieving,” said Hayes. “I told her ‘I was ready to climb back up the mountain and find you,’ she thought that was really funny.”

She made a warm compress for the woman and explained how to continue treating the inflammation.

Hayes recalls this day as being the best part of the trip.

Returning Home

“I feel like I don’t need to be home,” said Hayes.

After the clinics, the team had a few recreational days and went to the nursing home in Masaya.

The nursing home was a unique experience for Hayes. As a career, she loves working with children. She seemed a bit hesitant, the whole team did. However, she molded quickly to the environment and left happy.

“She was able to adapt to the different culture and conditions of Nicaragua and perform confident and competent assessments on patients,” said Smith.

The day before the team’s departure, Hayes didn’t want to leave.

“It’s a bitter feeling to leave,” she said. “I wish we could have a few extra days.”

The soon-to-be midwife gained a deeper knowledge of the people and the country during the trip. Fellow nursing students, Smith and Yehl, admired how Hayes was able to jump into any situation and tackle it.

In the 11 days the Texas State team was in Nicaragua, Hayes explored what it’s like to be a travel nurse and practice global health: she thinks she can do it.

“I definitely loved it and I definitely think I could see myself doing it long term,” she said.

Hayes with a village girl. Photo by Monica Grice.

Women of Nicaragua: the unique burden

By Darcy Sprague

On Jan. 4th, a group of 29 health science and mass communication students journeyed into small communities in the Nicaraguan jungle where they met some of the locals and received some of the warmest welcomes of their lives.

The people who gave these welcomes were mostly women who were home with their children. Smoke billowed as they cooked or burned trash, and soapy water from washing dishes and clothes ran in the streets.

A 2015 report from the United States Agency for International Development states, “we know that women are vulnerable to extreme poverty because they face greater burdens of unpaid work… and are more likely to be forced into early marriage —all factors that reduce their ability to participate fully in the economy and to reap the benefits of growth.”

During the 2017 College of Health Sciences study abroad trip to Nicaragua, the team met many different women. Some were living in extreme poverty and some spoke candidly about their or their parent’s struggle for a better life.

The group that conducted house visits in Los Rio or Butter as it was referred to by the students, saw few men that first day. Many of the men were out working. Most of the men who were home were ill, leaving their wives to both earn money and do the house chores.

In Nicaragua, low income women are 12 percent less likely to work than men. Middle class women are 30 percent less likely, according to the World Bank Gender Portal.

Petronila Melendez, a 90-year-old woman who visited the Butter clinic, had 14 children and outlived nine of them. She still cooks, cleans and occasionally works in the fields to earn money.

She had three husbands in her lifetime. Two of them died and one left her. She lives with her son who does not currently work and does not help support her.

“I had a lot of children so I worked all the time,” Melendez said through a translator. “I wasn’t a very lucky lady.”

Melendez carried heavy baskets of fruit on her head from her village to the local market for 40 years.

She had her first child at the age of 14 after being raped. She married at 22.

“Your son will probably die before you do,” the doctor who saw her joked.  “Is your house older than you or are you older than the house?”

Melendez admitted she had little education. She lived her entire life in the same area.

In contrast, Massiel Acetune Vilchez, the 33-year-old International Learning Service team coordinator who assisted the group on the ground, lives in a four-bedroom house. She does not work in a labor intensive position. She has no children and is not yet married.

She said this is because she wanted to get her education and career in order before she settled down.

Vilchez’s mother grew up in a village similar to Melendez, but she had an “I deserve better” attitude, Vilchez said.

Her mother moved to the city and graduated from one of the free public universities. She met and married her husband, but continued to work. Her father lost his job so her mother moved to Miami to get a job. She sent money back so that Vilchez and her siblings could have a good life and education.

Vilchez said her parents always expected her to be in the top of her class. She received a scholarship and was able to attend a private university.

“My mom and dad raised me to be independent,” Vilchez said.

Vilchez said she has a different view of gender roles than many of the women who came through the clinic.

“I believe in 50/50,” she said. “I can cook, but so can a man.”

She added that her older brother cooks and cleans for himself.


Vilchez (left) poses with Eddie, Alyssa Gonzales, Roland and Darcy Sprague


“It’s not about gender,” she said. “It’s about how you can be independent in every way. I want (my daughter) to be a powerful woman. I want them to fight for their dreams and for them to want to accomplish more.”

Olga Fonseca, 69, was another of the local women who came into the clinic and who had a life similar to Melendez’s.

Fonseca had 13 pregnancies and raised eight children. Now a widower, Fonseca lives with her 41-year-old son and supports herself by baking desserts in a wood hole in her house similar to a pizza oven.

Every morning she wakes up at 3 a.m. to make coffee and sweep the house. She prepares the desserts and cooks bean and rice for her and her son. She cooks until lunch, then begins cleaning again. She does not rest until after dinner when she reads her Bible. She goes to sleep at 11, resting for four hours before starting again.

Fonseca was never able to have an education. She has struggled for as long as she could remember just to make ends meet.

Fonseca lives off of 60 cordova a day, which is about $2 USD. Her son does not work or help with expenses.

Olga Fonseca, 69, and Vilchez talk about the puppy Lucio

Struggling is not unique to the women of the village.

According to the World Bank, in 2008—the latest complete data available—roughly 42 percent of Nicaraguans live in poverty. Sixty-three percent of people living in rural areas are poor while only 27 percent of those living in urban areas fell below the poverty line.

Raquel Ramirez worked as a translator for the group, but most days she is a doctor. Currently pregnant, she is having a hard time finding work.

In her profession she was working from 8 a.m. to 10 p.m. six to seven days a week.

“We make due,” she said. “I like what I do, but sometimes I need family time.”

Ramirez earned $450-$500 a month as a doctor. The poverty line in 2005 was $413.53, according to the World Bank. Ramirez, a doctor, one of the highest paid professions in the United States, barely earns enough money to be above the poverty line.

Women are making some headway in the country, however. Women are eight percent more likely to attend secondary school than men, and female children are four percent more literate than males.

“It’s not about opportunity, it’s about education,” Vilchez said. “Some f these families don’t know about thing else besides their village, they do not try to move on.”