Traveling
During my last week in Nashville, Tennessee I packed away my apartment and decided on the essentials I would be taking during my 20 week internship. I spent my last few days before my flight at my mom’s house preparing for my journey to Belize, seemingly packing my life into one suitcase and a carry on. My internship in San Ignacio, Belize will be at San Ignacio Community Hospital rotating throughout all of the hospital’s departments. My first stop was Atlanta, GA in which I then took a flight to Belize City. Upon arrival immigration and customs were excited to hear that I would be spending 20 weeks in their country. As I left the airport, I was met by one of my hosts in Belize. The drive from Belize City to San Ignacio was about two hours long during which my host, Jaime Marin, spoke about cultural differences between Belize and the United States.
Belize has a diverse population with influence from all across Latin America, most speak three languages which are English, Spanish, and Creole. Jaime explained to me the social-economical hardships many face in the country, rising health issues, and limited resources. He seemed to be concerned about the culture shock interns in the past had experienced. “There isn’t any fast food like McDonald’s or grocery store like Walmart in this country” was the first of many examples he explained as being different. I explained being Mexican-American and being comfortable to adapting to new environments when traveling which eased him as we approached San Ignacio. Jaime explained to me that locals and people I would be working with may look at me differently because of my American nationality due to common stereotypes and misconceptions. However, he encouraged me to always be open and tell locals about my own journey as a first generation Mexican-American.
Settling In
My host in San Ignacio is Nancy Marin along with her husband Jaime Marin who will both guide me throughout the next 20 weeks in not only my internship, but adapting to the rhythm of life in San Ignacio. Unbeknownst to me, Nancy is the first female political leader in Belize to lead a political party. Apart from this, she also owns an Ostrich farm which also serves as a restaurant! Given this, wherever I go, the locals I meet always know who I am staying with in town which has brought a safe feeling when being so far away from home.
My first day at the hospital this week consisted of me having a meeting and tour with the chief of staff. He reminded me that the medical system in Belize is often times limited in resources such as tools/equipment and especially out of stock on medications. He described healthcare as often times making due with what you have available.
Public healthcare is paid by taxpayers in Belize, therefore, it incurs no additional cost to its citizens. Even medication fulfilled at public pharmacies like the one located inside of San Ignacio Community Hospital are free of charge. During my first week at the hospital I rotated between the emergency room, outpatient clinic and the pharmacy. A few of the things I saw this week consisted of two open wounds that needed stitching (one of which I saw part of the ulna bone visible), a diabetic foot consumed by gangrene with an open wound infection which needed emergent amputation, and a suprapubic catheter which I had never seen before. At the pharmacy, I learned that many antibiotics used in the United States as acne medication are used in Belize to treat other conditions. I also learned that most medications prescribed here are not FDA approved, but many other medications do overlap. I also noticed that patients receive antibiotics here more often than in the United States which has made me question antibiotic resistance and the pros and cons of medicating an illness right away.
Exploring
The day after I landed, I visited the Xunantunich Mayan Ruins, it was my first time seeing pyramids from thousands of years ago in person! The journey up the pyramid was nothing short of exhilarating, with steep steps and no railings- you had a view of everything. From the top of the pyramid, you could even see past Belize into Guatemala. As we walked out, I even got a video of monkeys nearby the pyramids!



Towards the end of my first week I walked into town to do my laundry at the closest laundromat, during my wait I walked to the market where I bought papaya, dragon fruit, and apples. I even had a breakfast burrito with tamarind water for a total of $3USD. While eating my burrito, I was asked a question I have become accustomed to for over the past week, “where are you from?” I answered that I was from the United States. As I paid for my food and spoke to the cook in Spanish, the man who had asked me where I was from turned back around and asked me how I was fluent in Spanish. The workers and clients eating around me all paused and asked what had brought me all the way to their country. I explained my parents speaking Spanish to me throughout my childhood as they originated from Mexico and me interning at the hospital for the next 20 weeks. Over the past week I realized that me speaking Spanish was more surprising to locals than me being American which was quite surprising, but it always made for a great conversation.



At the end of my first week in Belize, I visited the botanical gardens. The gardens included a bit of a hike and some adventuring! I was able to walk through a rainforest trail as well as a medicinal trail that explained how each tree/plant was used as medication. Along the trails we had two companion dogs walking side by side to us almost leading us through the trees. My favorite part of this self-guided tour was either going up the fire tower to find a stunning panoramic view of the rainforest or eating from the botanical garden’s fruit!










