Sunday, October 20, 2013

Altruism... by whose definition?

Disclaimer:  You do not want to read this post if you do not like opinions, sensitive subjects, mild foul language, or the thought that I'm not always nice.

If you have not done so already, please read the Introduction: My Outlook.

We have to read the Millennium Development Goals (MDGs) Progress Report 2013 for the Theory and Practice class.  The MDGs are 8 goals that were created in 2000 by the UN under Ban Ki-Moon.  They're target completion date is 2015, some have been met but others need more conscious efforts.  The goals pretty much centre around decreasing inequalities in the world: health, education, poverty.

As I'm reading this I came across one excerpt that really irked me, "There is less aid money overall, with the poorest countries most adversely affected... In 2012, bilateral official development assistance to these countries fell by 13%, to about $26 billion."

Ok... HOLD THE PHONE.  SHUT THE FRONT DOOR.  Every emphatic phrase you can think to PAUSE.

Decreased to TWENTY-SIX BILLION US DOLLARS.  We are arguably still in a global recession, and the UN is complaining about $26 billion dollars - and that is just for bilateral development assistance.  I can't even fathom how much money that is actually.  And goals are obviously created with the intention of meeting them, so giving up would be failure, but in 2000 there was no expectation of a recession half way through the process. Now, recall my second life principle about altruism; I feed the homeless, I donate to charities.  I'm not sure at what point I sound like a total asshole, but is there not a point where I get to keep what I earn and not feel guilty about it?

This is what I've been talking about that some of the topics in my classes are incredibly hard for me.  There are many advantages to global development: longer lives, more productive societies, political stability, etcetera.  And I've always thought of myself as being considerate of others and conscious of needs, but then I'm faced with topics like this and it really makes me question my sense of self.  I haven't yet determined a good balance.




Opinionated Post Introduction: My Outlook

I set to live my life by a few basic principles... the first two are the most important, the last three are really more for giggles.

1. Live and let live.  Ie. religion, political party, sexual preference... doesn't much affect me.
2. Those who give to others are richer than those who do not.  This can basically be summed up into one word: altruism.

- - - - -

3. Money can buy happiness.  The joy I get from shopping is pretty much unmatched by any other activity in life.  Call me superficial, wouldn't be the first time.
4. With that money, purchasing proper food should be almost every one's top priority... And I mean quality, nutritious, colourful, flavourful, balanced food.  Not rubbish potato chips, though I do love a good sour cream and onion Lay!
5. Sarcasm is an artfully crafted skill that hinges on taking something absolutely absurd somewhat seriously.

Understanding my general outlook will be necessary for the next post.

Friday, October 11, 2013

Being a student in the UK

Being a student in the UK has really thrown me for a loop! And for those of you who read the previous post, no, it's not just the size of the paper. There are so many subtle differences to the environment and the culture of a classroom, and also the structure of the program. Granted, I have never done a masters program at any other university, but from my undergraduate experience to now there are some changes that I'm finding challenging.

Let's start with the basics of the grading scale...
70-100 is Distinction/Excellent
60-69 is Very Good
50-59 is Satisfactory
Anything below that is failing

Anything 70 or over is amazing! And from what I hear, somewhat rare. This has the potential to hurt my ego a bit once we start turning in assignments.

Which brings me to turning in assignments...
Each of us is assigned a number and that is what we use in replacement of names on any assessments turned in. We have to upload it online through a program called Turn-It-In that evaluates levels of plagiarism as well as submit two hard copies at the main office to be graded (marked) by two separate people... anonymously. And once graded work is ready to be handed back it is put into our specifically assigned cubby hole.

Class Schedules
Classes start at random times in the semester... Some start this week and carry through until next year, some start this week and end in 5 weeks, some start in November and only last a few weeks. It's quite a lot to keep up with!

Instructors
I have no idea who my professors actually are. Well, that's somewhat a lie. I have no idea who is running the course until pretty much the day of the course and then that person will introduce the class, go over the assessment (usually one presentation or one test or one essay). After our initial meeting we may not see that professor for weeks as the subsequent meetings will be led by a "guest speaker" on their field of expertise as it relates to the course objectives. 

Professionalism
Students call every one by their first name... Not Dr. Jones or Professor Smith. That is a norm that I am not accustomed to, and I'm not sure I can become accustomed to it either. Instructors in the US, especially with PhDs are very attached to that title. They earned their doctorate and expect to be addressed as Dr. So-and-so.

Resources 
We have no textbooks (so far) which is flipping AWESOME! But we do have endless lists of "suggested" readings on top of required articles, excerpts, and sound bytes such as radio interviews.

Wednesday, October 9, 2013

Field Trip

Our last day of induction week we took a field trip to Thackray's Medical Museum in Leeds. This was my first field trip since I was a kid!


The museum used to be a workhouse back in the day. It has several different sections in the museum. Part of it is directed specifically for children... With things like the photo below that identifies what part of you mouth tastes what, like sour or sweet.


Then it had a very large section on the transformation of modern medicine. Specifically infant mortality and the advancements in medicine that have decreased the rate.

The pregnancy "simulator"... That joker was heavy! 

But my favorite part of the whole museum was the recreation of a Victorian Era street in Leeds. You chose a character to follow and see what happened to them. I chose a woman named Mary Holmes, she was a dressmaker, a widow and mother of two. The replica was so detailed... Down to the stench from poor sewage. 

The butcher

The outhouses


This is the replica of my character's living quarters. It turns out she had TB. She worked lots of long hours to try to provide for her children. She suffered with TB for 2 years before it killed her.

Anyway, then it went through the public Heath initiatives that were taken to clean up Leeds and make the population healthy and functioning again. It was quite interesting! The first week we had talked a lot about the transition to industrialized society and how it damaged public health, and then the initiatives taken to change it all.

All in all a very enjoyable outing!

Sunday, October 6, 2013

I'm officially a student again

So we had introductions and lectures from 9-5 every day this week. There are about 30 students starting this fall across the three concentrations: Masters of Public Health (general), Applied Epidemiology, and International Health. Six are part time students, and then there are apparently 13 part time students who are starting their second year that will join us in some classes starting next week.

I am the only student from the US. Otherwise we have students from 12 different countries: Ghana, Uganda, Oman, Pakistan, Indonesia, Cameroon, Lebanon, Nigeria, the UK, Kuwait, and one other I'm missing. I have made friends with a couple people, in particular a girl named Sacha who is half French Canadian and half Pakistani. She most recently came from Pakistan, but she did her bachelors at the University of Georgia, so we were instant friends!

Most people already work in public health sectors such as running clinics for palliative care for children with HIV and cancer in Jakarta, or clinics in an urban slum in Pakistan, and several are doctors who have decided to change career paths. One man from Cameroon said he got frustrated as a doctor because he wanted to treat more than one patient at a time.

A lot of students have asked me why, as an American, I chose to come to the UK when we have such great universities, in particular 3 of my colleagues have asked me why I did not choose John Hopkins. Of cours, I have my reasons and I condense them into about three key points: 1. I'm studying international health, why would I do that in my own country?, 2. I've always wanted to live abroad, and John Hopkins is pretty near where I grew up, 3. Since the program is only a year, it's actually cheaper.

Challenge of the week: 
Well there have been several...
1. Being from a developed and western country I sometimes feel hypocritical. Maybe this is a burden I am placing on myself, but we sit in class and talk about health issues and I go home and eat a candy bar. I am aware that every thing is in moderation, but I do feel a pang of guilt. We also discuss prominent health issues in our home countries... And while others are discussing basic vaccinations and recording of these things, or the prominence of malaria, or the availability of food, I am discussing the health effects of people with too much food and sedentary lifestyles. The dynamic of our classroom is vastly diverse and sincerely challenging for me.

2. Being foreign. I may be of European descent, and I may be a native English speaker, but I am not native to the UK and its obvious. You can see it in the way I dress and the way I speak - and not just my accent, it's my vocabulary, my body language, etc. And to some truth but also somewhat naively I think I'm pretty widely accepted. Most people I meet love America and think I'm fascinating. But on a few occasions I've gotten snide remarks. Two examples in particular are one of our postgraduate welcome events was at a bar where the music was so loud you could barely hear any one speaking. This guy was coming around introducing himself to people and he got to me. I told him my name and what course I was studying. I had to say it three times for him to hear me and I still don't think he actually understood me. He stopped me and said, "Are you Scottish?" I replied, "No, I'm American." His response was, "Oh that's even worse" and he walked away from me. That instance I chalked up to some drunk bloke. But last week I was in a small store buying school supplies. The paper in the UK is longer than paper in the US, and they only have 2 hole binders instead of 3. I'm not discriminating, it's just a fact it's different. I wanted to make sure that I was purchasing the right things so I went to the cashier and asked him if that was the normal length for every thing. He replied in a very snarky tone, "In this country." And at that point I realized that I'm not always equal here. My appearance (other than my clothes) may blend in, but I'm not native and many people will never accept me as such. But on that note I would like to say 98% of Brits are exceptionally nice, polite and welcoming.

3. I had a bit of a hiccup with my cell phone earlier this week. I got a text message from my provider about going over my plan and to call, and if I didn't call they would cut off my service. Well I was in presentations all day and by the time I was able to call they had blocked my service. Of course I was still able to call them in particular. I spent almost an hour trying to figure out the problem (most of it on hold). I figured it was that I had gone over my data allowance. I only get 500mb of data per month right now, which is 25% of what I had in the US. And wouldn't be such a huge deal if I had Internet in my apartment, and hadn't been away from the social media world for over 2 weeks prior to getting my phone. So anyway, turns out I did go over my data but more importantly I had been calling 08 phone numbers which are premium numbers here that cost anywhere from 30-80 pence per minute. No one had told me this and all I had been doing was calling my water, electric and Internet companies trying to get my bills sorted. Yeah... Well £12 later my cell provider cut off my service to ensure I wouldn't rack up my more charges. Luckily the man I spoke with was very nice and patient with me as I cursed on the phone about how no one had told me this and I'm clearly new to the UK and I wasn't blaming him but someone could have warned me when I got my phone service about these things because how else would I know? 

Anyway, that's been my week in a nutshell. I have more to post about specific things but I also have things I need to get done and its a Sunday so every thing closes super early here so I'll have to get to the rest tomorrow.