Wednesday, May 6, 2009

More Tuscan Travels with the Whitehouses

20 February 2009

More Tuscan Travels with the Whitehouses

I woke up on Friday morning feeling a lot more rested. William had stayed out late that night. He had been hanging out with this Albanian girl and some other people who worked at the hotel’s restaurant. William tried his hardest to be quiet when he came in so he didn’t disturb me much. I made sure all of the troops were getting up and out of bed so we could get a decently early start on the day. Of course my dad had to get online for work and since the wireless internet was quiet shoddy, he had to devote that much more time into just getting a signal to connect. I did a little exploring around the grounds of the hotel now that I could see it in daylight. It was a really cute stone place that appeared very old. It was perched around a river and water fall in a valley that looked down to the Tuscan countryside below. It was certainly rural and remote!

My mom and I left the men back at the hotel and we walked into the town of Loro Ciuffenna to get some coffee and breakfast. It was a beautiful day without a cloud in the sky. The town was really cuter that I had expected. To enter the old part of the town, one must cross a bridge over the river and waterfall. There are some old homes set right on the side of the water and in fact the river runs through the bottom of one of the homes! My mom took me to the café that they had been visiting each morning. It was a tiny place but quiet busy. The women at the counter were friendly and fast the espresso machine. I ordered a cappuccino and a pastry with a nutty filling. Finally, my dad also showed up and the women at the café already knew what he wanted and immediately made him an espresso and some hot milk with a sprinkle of cocoa powder. Apparently on the first morning, he went and ordered a latte, which for them just means milk and so they brought him hot milk. I guess he liked it and so now they were making him this light hot chocolate. While he finished his hot beverages, my mom and I went to buy soaps from the shop across the way. They were really a general store selling everything from juicers to light bulbs, but they had a good deal on Italian soaps. We bought some with fragrances like “Forest Woods” and “Cypress Tree.” We did a quick stroll through some of the tiny little roads and alleys in this colorful little village.

Once the family was finally mobilized, we got in the car bound for the town of Siena. This is one of the larger towns in Tuscany and also very famous. On the way there, we passed through many picturesque towns and country and hopped out to take a few pictures. On one lonely stretch of road, we noticed there were black women standing on the side of the road. Italy isn’t the most diverse of countries so that sight alone stood out. They were spaced out along this one area, perhaps with a quarter to a half mile between them. The first one was in a skirt and fishnets, but the next in regular clothes. I suggested at first that perhaps they were waiting for a bus. The next girl was wearing a tiny skirt with black leather boots up past her knees. My father thought perhaps they were cleaning houses in the area and now waiting to be picked up. “No,” I said, “I am sure that women do not clean houses in outfits like that!” They definitely appeared to be prostitutes but it was quite strange to see this on a pretty quiet country road in the middle of the day! Still a bit of a mystery…

We arrived in Siena and once again found it a bit difficult to navigate to the winding and tiny roads in this medieval laid town. We found some parking near the Piazza San Francesco and slowly meandered our way up the hilly streets to the center of town. This immediately felt a lot busier than the other places we had been and there were many more foreign tourists. Most of the hustle and bustle was located on one street which as full of shops, gelaterias, food and more. They had high-end designer stores to local vendors. We found one men’s clothing store with an advertised sale. It was beautiful inside of this old building, the walls made of brick and the clothes so perfectly arranged. My parents got a great deal on a wool/cashmere coat for one of my brothers.

We ventured further into the Piazza del Campo which is the famous square in Siena. In the summer, they have horse races around this large piazza and it is apparently the highlight of the year. That day, it was filled with both locals and visitors, everyone enjoying the beautiful weather either by sitting at a café reading the newspaper, playing with children, chatting with their friends, or enjoying the sights. I got out the zoom lens for my camera and started to take candid pictures of the interesting looking Italians. There were many interesting characters and I developed a new joy in taking these candid pictures, feeling somewhat voyeuristic. After perusing through a few more shops and admiring the main cathedral, we figured we had better get moving to squeeze in a lunch before going to another town. We had a bit of difficulty finding our car again as most of the streets look the same and they are far from being laid out in a logical manner!

Since our dinner at been somewhat poor the previous night, they decided to take me to eat lunch at a restaurant they had happened upon earlier in the week. It was just in a random town they had passed through but ended up being excellent and just 20 minutes outside of Siena. The interior of the restaurant felt like a wine cellar with arches and brick walls. We were the only ones in the restaurant as it was already about 2m but we were greeted with friendly smiles from the waitress who remembered my family from earlier in the week. For €12 you could get a 3 course meal, a bottle of wine for the table, and mineral water! It was a delicious meal and we tried all different dishes. For the past course we had: spaghetti pomodoro, fettuccine carbonara, tagliatelle ragu, and tagliatelle with a mushroom cream meat sauce. The carbonara is different in Italy, it doesn’t have that heavy alfredo cream sauce but instead more of an eggy sauce and lovely pieces of pancetta. The pomodoro was simple but delicious and fresh tomatoes, not canned. For meat course we had chicken with a cheesy, creamy sage sauce, pork loin, and a breaded tender pork meat. We had sides of salad and sautéed spinach. It really was delicious and so much food for that money!

Our next stop was at the Abbazia di Monte Oliveto Maggiore, one of the many monasteries in Tuscany. This is home to the Benedictine monks and was created in 1313. The drive to it was beautiful also through the country. Eventually you see the monastery in the distance. It is set on a mountain peak and is surrounded my cypress trees. As we approached the monastery, we saw a monk dressed in white robs calmly walking down the road. The monastery was all but empty at that time of day. We parked our car and walked down a brick paved road way lined by a forest of cypress trees. It was incredibly still and quiet and the air seemed more clean and pure. The monastery was made of brick and was not terribly large but had a tall tower. Inside, we saw the colorful frescoes in the cloisters which were done in the 1400s and tell the story of St Benedict’s life. From there, we saw the church which was quite simple but had a very hallowed feeling. It was light only by the sun coming through the few stained glass windows and the prayer candles. It had the sweet smell of burning incense. It certainly seemed like a good place for reflection.

After exploring a few more alcoves of the monastery, we visited the monastery shop. To keep it running properly, the monks of Abbazia di Monte Oliveto Maggiore make their own honey, olive oil, and “cure-all” health elixir. There were so many different honeys to choose from like lavender, eucalyptus, acacia, a thousand flowers, and names which we couldn’t even translate. Their products were far from being cheap but at least the funds went to keeping the place well preserved. Before we left, we snapped some more photos of the mountainous countryside from this great hilltop location.

The sun was very low in the sky as drove to the town of Pienza. Although it was only about 10km away, one can not travel very fast on switchback mountainous roads! We made it to Pienza, another pretty little Tuscan village, just in time for the sunset. We left our car and headed towards the city walls and enjoyed the bright red and pink colors of the sunset. With the sun down, it was a cold and crisp night with the smell of wood-fire in the air. We walked a bit through the village, however most shops were closing up. William wanted to visit this cheese shop and we got to sample a variety of different pecorino cheeses. They had cheese wheels covered in ash, and ones with sage, truffle, and peppercorn to name a few. Although the town was quite deserted, there were a few bar/cafés and food stores that were brimming with the gregarious locals.

When we ran out of things to do in Pienza, my parents decided we should drive to the town of Montepulciano for dinner and also so that my dad could go back to buy more necklaces for his Chinese girlfriends. It was already dark by the time we got there so I wasn’t able to fully appreciate the town, but it seemed really nice! These villages are all very similar really, but nonetheless charming. They took me to the shop for the necklaces and it was in a really cool old building which actually had an Etruscan tomb from something like 5 B.C. There is a clock tower in Montepulciano and on top is this metal figure that moves his arm to strike the bell on the hour. My dad and I were wandering around right near it when it went off at 8pm but we were not really paying attention. My dad later exclaimed, “Damnit, I missed the special guy ringing the bell!” We found a restaurant right around the corner from this clock tower and decided that we would run out at 9pm to watch the special guy ring the bell. Of course 9pm rolled around right as the 2nd course of food came out, but we went anyway. We ended up being a bit early but we waited, the hand of the clock was approaching the 12 and my dad had his video camera all cued up but nothing happened. We decided to give it another 5 minutes or so and still nothing. Eventually, disappointed as we were, we returned to the restaurant. Apparently while we were gone, the restaurant owner told us that the clock doesn’t go off at 9pm, but at 10:15 instead which makes no sense at all!

For dinner I had one giant ravioli that was filled with ricotta and black truffles. Then I shared a chicken and rabbit dish with my dad, he was less than impressed with it. We sampled some of the Vino Nobile which is famous in that area of Italy. The restaurant served it with their special wine decanter which was this interesting bulb of glass which they popped on to the opening of the wine bottle which automatically aerates your wine as you pour it. William was quite intrigued by it and the owner assured it that we could only find it at his restaurant!! William was all psyched up to buy it until we got our dinner bill. On it, my dad noticed that we had been charged €12 service charge. They said this was the first time they had received a service charge in Italy even though my travel guide said it is quiet common. It is basically like figuring in a tip for you however waiters don’t get a major tip if any in Italy as they do in the US. William still wanted the little decanter, but my dad said nope, he refused to buy the wine decanter from this guy because he ripped him off with the servicio charge. He claimed the man was scamming us from the start!










The Whitehouses take on Tuscany: Pisa, Volterra, and San Gimignano

19 February 2009

The Whitehouses take on Tuscany: Pisa, Volterra, and San Gimignano

I booked a flight out of London Stansted airport for early Thursday morning at 08:25. Since I am in south London and the airport is north of London, this was no easy effort. I woke up at 4am to get ready and leave the house by 0430. From there I walked 15 minutes into the center of Streatham to catch a bus to London Liverpool St. which took about 45 minutes. Once I arrived there, I bought a ticket on the Stansted express train which took another 45 minutes. Let's just say I was exhausted by the time I arrived there. I checked into my budget RyanAir flight and made my way to security. There was quite a long line for that early in the morning. When I got close to the passport check area, I noticed that there was actually a little kiosk that was reminding everyone to put their "liquids" in clear zip lock bags, but in the kiosk they actually gave away tons of ziplock bags! It was great! Never seen that before!! I did not make it through security without issue, in fact I was pulled aside for extra checking of my baggage. I bald and jolly Englishman took me aside and said, "Good morning, madam! May I check your bag?" As he pulled each item out, he had a little comment to make about each such as, "Oh, I see you brought a little breakfast for the plane." and "Ah, a little light reading, I see!" Luckily, he discreetly moved past my underwear and tampons without any clever comments...

My parents tend to run on the late side, so before I left for Italy, I stressed to them the importance of showing up at the airport on time to pick me up. I wanted us to be able to make the most of what was left of the day when I landed at 11:45. I was pleasantly surprised to see my mom, dad and William standing in the airport as I walked out of customs! Pisa Galileo Galilei airport is quite tiny so as soon as you walk out, you can be in your car. I figured we would be on our way to visit some little Tuscan villages, but instead we went into Pisa because William had to see the leaning tower. They had planned to hit up this tourist site in the morning before I landed, but as is common for my family, they didn’t quite pull it off!

We maneuvered our way in their rented Fiat to the center of Pisa. I could see already how hard it is to find your way and follow directions in these old Italian cities! We eventually made our way to the Piazza dei Miracoli which is the location of the Leaning Tower as well as a beautiful cathedral. We illegally parked the car so my mom and I sat and babysat it while William and my dad went off to take pictures, insisting they would be back in 5 minutes. Well, 15 minutes came and went and they were no where to be found. My mom and I both made separate trips to look for them but they were lost somewhere in the crowd of tourists. The 2nd time I went to look, I found them further into the piazza. They were chit-chating with some Polish woman. As soon as I arrived, my dad then insisted that we had to all take a picture with this woman. I still couldn’t get them to leave as they both had to pose for the perfect picture of them standing in front of the tower and looking like they were holding it up. This is the typical thing that every tourist: Japanese, French, Brazilian, etc feels compelled to do when in Pisa. You will see dozens of people posing yards away from the tower holding their hand out in the air and trying to make it look as if they are supporting the leaning tower. Back in college, I admit that Ali and I giggled as we each posed for one of these pictures, but I think once in your life is enough! So finally, after much harassment, I got the twins, Dad and William, to come back to the car and head out. We had killed at least an hour at that point. The trouble with the winter is that it gets dark so early! But at least the sun was out and the sky was blue!

Apparently William had been acting as the chauffeur for the week. Driving the manual Fiat all through the mountainous roads of Tuscany, at times, scaring all of us. My mom navigated the way to Volterra, one of the many medieval walled villages in Tuscany. Our ultimate destination would be San Gimignano but Volterra was on the way. The drive through the countryside was beautiful, just like what you see in the movies. Lots of farmland, rolling hills, cypress trees, red tile roofed homes, and rows of olive trees. If it were up to my dad, we would have stopped on every turn of the road to take pictures, and although I enjoy doing this too, I knew that we couldn’t spend too much time stopping as the daylight was dwindling. We arrived in Volterra after 2pm and explored the narrow streets. The town was very quiet and almost no other tourists were there. Volterra is perched right on the top of a mountain so the view is spectacular. From up top, you could see for miles: beautiful mountains and Tuscan hills, the smoke from burning olive branches, smaller villages in the distance, farmhouses. We wandered around a bit more as we looked for a place to eat lunch. We found a really cute restaurant with an affordable set-menu but they were closed!! We ended up eating at an enoteca (wine bar) where we had some lighter dishes like zuppa di faro, insalate, a mix of Italian meats, and a cheese platter. They served the cheese with warm honey and a jelly made of Vin Santo wine. I never would have thought to eat honey with cheese but it was delicious. I never even knew that wine jelly existed but it went so well with the cheese.

After we finished our lunch, we figured we should make a beeline for San Gimignano since the sun was quite low in the sky already. San Gimignano is one of the most famous villages in Tuscany is it is one of the best preserved and a UNESCO Heritage site. It is a pristine medieval walled village that, although tiny, has many nooks and crannies to explore. Although I referred to it as medieval, the town as thought to be settled in that site back in the time of the Etruscans (the people before the Romans) and the town was named San Gimignano in 450 A.D. You can really appreciate how old this town is! It has at least 3 piazzas, a few churches, and is known for its many towers. At one time it had 72 towers but today only 15 remain. They are quiet visible even from a distance. It is really amazing to see a village that literally has not changed in hundreds of years!

William and I took to exploring and taking pictures while my parents shopped and also looked around. When we met back up, my dad was sporting a large red leather handbag he had just purchased. He carried that bag around like it was his baby! My mom commented on how it must be so heavy with all that leather and all of his souvenirs inside. He said that he planned to carry his new red bag around for exercise! So now my dad has a man purse, a “murse.” We climbed our way to the top of one area of the city wall to watch the sunset and enjoy the views of the Tuscan countryside. The sky was quiet vibrant red and pink as the sun set. After it became dark, we stopped back at a meat and cheese shop William wanted to visit. It was run by a very friendly woman who spoke a little English. We learned that she and her family have a farm not far outside San Gimignano where they raise wild boar and other animals and produce salame, cheese, and a few other local delicacies. They even rent out a few rooms in their farmhouse, agritursimo, as it’s called here. She let us sample some of her cheeses and meats and William picked out a few that he liked. It wasn’t long before my dad had the camera out and wanted to get a picture of her. She was happy to pose but wanted her elderly father to also be in the picture. A few minutes later, her mother came through the door and so a family picture was taken. The storeowner were quite excited about this and asked us to email her the photo later on. As a thanks for doing that, she gave us a free bottle of her home-made wine!

When we left the shop, San Gimignano was dark and very quiet, almost all of the shops were closed. We did find an open café we were enjoyed some sparkling water (acqua frizzante) and hot chocolate. The hot chocolate in Italy is delicious and topped with whipped cream. It is much more viscous than what we get at home, a touch thinner than a pudding, very rich and creamy. I felt like I wouldn’t need dinner after ingesting that! The town was very serene when we left and certainly devoid of other tourists (which is a great thing about traveling off-season). The air was crisp and cool and you could smell wood-fires burning in the distance.

From San Gimignano, we drove back towards our hotel which was in a remote, tiny town in the mountains. It was small enough that there were only perhaps 2 restaurants to choose from, so they decided we would stop and eat at the bigger town of Terranuova right next door. Many of the restaurants were also closed and we finally picked the one place that seemed to have the biggest crowd. I had ravioli filled with ricotta and pears and a cheese sauce. It was pretty good, but everyone else agreed that it was the worst meal they had had in Italy so far! I nodded off on the ride back from dinner to the hotel, and when I awoke and stepped out of the car, the air was quite chilly and damp. I could hear a waterfall and a river nearby. The stars were really bright! My parents’ room was a 2-story loft. William and I had to share the futon downstairs which wasn’t actually as bad as I had expected. I put my earplugs in, slapped on an eye patch, and was off to bed while my dad sat across the room catching up on work with his laptop.












An afternoon at Windsor & Eton

15 February 2009

An afternoon at Windsor & Eton

After a busy couple of days I made sure to sleep in a little late on Sunday morning. I got out the travel book and looked at some different options for a day trip and decided on Windsor & Eton. I too the tube to Waterloo station and bought my ticket however after doing so, I couldn’t seem to find the destination listed on the monitors. I asked the information desk and found out that the trains were not running to Windsor at the time. Bugger! So instead of a lovely 1 hour direct ride to Windsor, I had to take a train the slowest train known to man, I think I could have jogged faster! I went to Hounslow first, on the outskirts of London, and from there I had to board a bus that was bound for Datchet & Windsor. I have really come to take the trains for granted and forget what it can be like to sit on the roads…there was quite a lot of Sunday afternoon traffic on the way there…the whole trip took at least 2 hours. By the time I got to Windsor, around 2pm, I made a beeline for the castle as I know it only stayed open until 4pm.

Windsor Castle is still in use by the royal family. In fact the Queen of England spends most of her weekends here. This is also where she will receive international guests and host banquets and celebrations. You know that she is present because they fly her crested flag on the tower of the castle. She was there this weekend! I hadn’t eaten lunch yet, so I stopped at a shop which sells Cornish Pasties. These are quite good for an on-the-go meal. It is a piece of dough in a semi-circular shape with different fillings rolled up inside of it. I had cheese, potato and mushroom in mine, but there were all kinds of options. This treat originates from Cornwall and from what I read, it was eaten by the coal miners. Their wives would actually bake the man’s initials into his pasty. He would eat the one half for lunch and leave the side with the initials for later. It was marked so that none of his co-workers could steal it.

After I paid my entrance fee, I picked up my free audio-guide. It led you through different parents of the outer castle and inner rooms. I started by walking around the perimeter of the castle inside the castle walls. The tower, which flies the flag, is surrounded by an empty moat which now has a lovely flower garden and water fall! The castle was first built in the 1000’s as a wooden castle and has been modified over the years. It is on a hilltop looking out over the River Thames. The central tower is recessed underground and has a basin to catch rain water. This was in place so that if the castle were under siege, they would have enough drinking water to last at least a month. The castle walls were up to 4 meters thick with the slits in the walls out of which arrows could be fired. There is also as cathedral inside the castle walls which is supposed to be beautiful with many famous people interred there, however it was closed for worship on Sunday.

My first stop inside the castle was to see the Queen’s Dollhouse. This is an intricate and elaborate dollhouse that was actually not made for a child but for a Queen who loved miniatures and is supposed to model Windsor. It even has electricity and running water! It was pretty cool. I would have gone nuts for it as a kid. They also had some French dolls that belonged to some princesses and these dolls had elaborate outfits including fur coats. There was a British family looking at them while I was. The little girls were so cute, exclaiming, “Look mummy, these are sooo lovely! But why did the princesses only have two dolls?!”

The next room held art and photos. There were a bunch of sketchings by Da Vinci and some others and also a lot of memorabilia about the royal family which really drew the most attention. They really do love their royal family here, they are quite the celebrities. From there, I entered the China room which displayed her many different patterns and styles of fine dining china. This one set is so elaborate that it put the company who made it out of business due to the exorbitant cost. It was pretty outstanding, really wished I could take a photo but it was not allowed.

I then entered the residence area of Windsor castle. I won’t bore you with the details of each room but it was pretty impressive. Very ornate, lots of color, lavish furniture, beautiful paints and portraits by artists like Rembrandt. Sadly, there was a terrible fire at Windsor castle in 1992. Apparently they had just had some new interior designing done and the decorators had put in halogen lamps which were too close to the curtains and this started a huge fire that damaged a hundred some rooms on 5 floors. You would not know it now as it looks in great condition however they did lose a lot of old and beautiful pieces of furniture and art. They have replicated things the way they once were at this point and one would never know the difference! In fact when the rebuilt the ceilings of the great hall where they do huge banquets, they built it in the fashion that the medieval builders would have used by constructing it out of freshly felled green wood.

I got rushed through the tour at the end because it was closing, but all in all it was a very impressive castle. It is hard to imagine that people actually live there. The tour guide said that yesterday afternoon they saw the dogs running outside the castle and it was Prince William with his girlfriend, Katie, here for lunch with the Queen Mum. Many of the rooms he also mentioned were used to host visiting dignitaries and presidents and pointed to the areas where the quintessential hand-shaking pictures are taken. There is a room called the Waterloo Room which is quite grand, but when the French come, they have to call it the Music Room so as not to offend them by gloating over winning the battle!

After leaving the castle, I strolled around the town of Windsor a bit. It is also quite quaint and beautiful. I perused a few shops but things were starting to close up since it was Sunday. I stopped in the grocery store, Waitrose, which is where I used to shop in Brighton. It is more of a high-end grocery store and I picked up a few delicious items to take home with me including Spinach, crème-fraiche and nutmeg soup, and honey & yoghurt whole wheat soda bread.

I walked through the Windsor train station which is really nice! It has a glass ceiling and inside are lots of really nice shops and cute restaurants and eateries! Since the sun was starting to go down, I headed quickly to the Thames and crossed over in to the town of Eton. This is famous for Eton College which is where the posh British people go like princes and future prime ministers. The town was also very cute and quite deserted at this time of day but very peaceful. I walked by and around some of the college’s buildings and they are all very old and beautiful. I tried to peak into the courtyard of one, but the guard wouldn’t let me in. He said for starters, I am a female and this is a boy’s school and second, it’s too late! So I just walked around and peered into the light up houses and dormitories. Hard to imagine that being your home and school!!
When I got back to the train station in Windsor, I was please to discover that the trains were running again and I could be on my way in 10 minutes!! All ended well!!





The Whitehouses take on London

13-14 February 2009

The Whitehouses take on London

I had a very busy but extremely enjoyable long weekend in London. My parents and brother, William, flew in Friday morning to visit for just a few days on their way to a week in Tuscany. As is Whitehouse tradition, their arrival was not on schedule. Apparently there were 50+mph winds at Newark Airport so they were delayed 1 hour from the start. Their hotel was practically on Heathrow’s grounds, but it took them quite some time to meet me downtown, between my dad having to stop to get a British SIM card, you know he can’t go long without a phone back to his work and slow running underground. I had taken the day off of work, assuming we would meet in the morning and spend the whole day in London or even perhaps Brighton…it actually wasn’t until 2pm when they finally showed up at our meeting spot in the London Victoria train station. So in retrospect, I could have worked a half day…oh well!

As soon as we met in the station, my dad made a beeline for the closest café to get his caffeine fix with a nice latte. From there, we were quite close to Buckingham Palace and did a quick walk-by. We ate lunch at a little eatery right in St James’ Park, some typical British foods like “bangers and mash” and I had a delicious elderflower beverage. I really love that flavour and you don’t find it at home! After we were refueled with a late lunch, we continued onto Parliament and Westminster Abbey to get our touristy photo ops. The sunlight was great so it really was opportune photography time.

We crossed over the Thames and walked under the London Eye (aka Millennium wheel). The sky was a dark grey in some areas, with bright sunlight in others. The pictures came out really well. We followed the Jubilee footpath along the south bank of the Thames. Although the sun was coming out, it was still a damp cold. My dad and I were stopping to take a lot of pictures of the London skyline and my mom and William wanted to keep moving. We eventually told my dad, or at least we thought we did, that because he was being so slow with his photos and we were cold, that we may continue walking and if we got very far ahead, we would meet at the Millennium Bridge. Well, we had walked a ways down and finally were in front of the Tate Modern & Millennium Bridge when we decided to wait and let him catch up. Minutes and minutes passed and he was no where in sight! His mobile phones had both been dying so we were without communication too! At this point the sun was starting to go down so there wasn’t much time. We wandered across the Millennium Bridge thinking perhaps he had walked across to St. Paul’s cathedral since we had decided that was our ultimate goal earlier. He was not there either. Finally I got a text message from him that he was about a mile back, waiting on a bridge where we had last seem him at least 30 minutes ago! Well to make a long story short, we finally found him, but in the process lost William for about 20 minutes also! The trials & tribulations of traveling with family…and with a father who lives in his own world!

After that experience it was about time to find a pub and unwind with a local brew. Not far from St Paul’s cathedral, which is located in the “City of London” (just the name of the neighborhood), we found a quaint little traditional English pub called the Cockpit. It was everything that you would want in a pub: comfortable seating, living-room-type cozy atmosphere, stained glass windows, no loud music, lively crowd and good selection of local ales. We sampled a few different ones, recommended by the bartender who was quite excited that the one ale was made in the British Midlands where beer was invented in England. The other bartender looked like he could have stepped out of a medieval painting with his tiny spectacles and moustache, red cheeks and round belly.

We squeezed into a table by the door and soon I came to notice that there was a man sitting at the table with a very long beard and in front of him was a folder which said “British Beard Club.” I pointed this out and we all thought it was funny. Well, slowly more men with beards started to come into the pub and it turns out that this was the very inaugural meeting of the British Beard Club. We ended up chatting with much of the group: the leader was an older man with a long white beard, there was a middle-aged man with his new Australian wife just 2 weeks as newlyweds, an American ex-pat, and much more! One of the men had sort of a double beard where the middle of his chin was shaved but on the corners he had a long beard, he had a scarf on his head like a pirate and it looked as if he was wearing ski overalls (my mom thought she perhaps had the same pair). He overheard me mention that I was working at St George’s hospital and so he struck up a conversation. It turned out that he was actually a physician, and in fact he had worked as an Intensivist/Anesthesiologist in the UK. A few years ago, he felt burned out in his career, and now he works as a clown, going into pediatric hospital wards to cheer up the patients and becomes involved in more of the social and mental aspects of patients now. As time went on, there were a good bunch of bearded men in the pub, it was interesting to see such a range of ages and walks of life all with a common love for their beards! No where else would you see a 20-something punk rocker type with a 60yr old Santa Claus look-a-like! We got one of their cards by the end of the evening and my mom was already working on recruiting more members. They have a website (http://thebritishbeardclub.org/) if you feel inspired…their slogan is, “Supporting Beard Growers of the British Isles and their admirers.”

When we finally left the pub, we were starving for dinner. My dad wanted to eat some classic British cuisine. Our new bearded American ex-pat friend tried to help us find a place but all the good spots were booked. My mom suggested we head over to Sloane Square area which is near Chelsea and quite a posh neighborhood. My parents wanted to find this quaint old pub they had dined at about 10 years ago on a previous visit. We ended up on a bit of a wild goose chase to look for it and never did find it…still not sure if it went out of business or what. They seemed to remember that had been in business since the 1600’s so you would hope that it had not gone out of business with that much history, but with today’s economy, you never know!! We ended up finally at a more modern British pub and my dad got his lamb shank with mash so he was happy!

Thankfully on Saturday we got a much earlier start! I stayed with them out at their Heathrow hotel and we moved things along that morning. We took a bus to Richmond, a southwest very posh and beautiful London neighborhood. It is described as being one of the only areas in London that feels like a village. We ate breakfast in a Moroccan café and enjoyed the full English breakfast (eggs, bacon, sausage, mushrooms, beans, tomato) and also tried Welsh rarebit which is basically toast with melted cheese on top and some savory sauce. From there, we explored around Richmond which was quite crowded as it was a nice Saturday morning. We stumbled upon the Richmond Saturday market in a cute little square. They had all kinds of local British products and treats. I tried some North African sweets which were made of mostly ground almonds, really good! My dad found some soft cheese from the Isle of Wight. The woman selling it had taken the 4am ferry to get to London to be at the market. She was quite keen on my dad and gave him another cheese wheel for free! She was also selling some home made honeys that William bought. There were organic breads, fresh produce, beautiful baked goods, fresh game like partridge, pigeon, mallard duck and venison, and a hog roast! We bought these delicious home-made tarts: a lemon custard, rhubarb, and pear. I also got Rhubarb Ginger preserves sold by a cute old man with a salmon colored bow-tie. It was his granny’s recipe!

From the market, we walked up the hill in Richmond which offers a great view of the River Thames and the Richmond park. It is a pretty posh area, one man told us that Mick Jagger lives on the hill. We followed trail that cut through the park and into the town of Petersham which was also adorable. Quaint little British home,s as well as some large ones which would be quite expensive. We visited an old Norman church there that had the most peaceful cemetery. The sun was out and the birds were chirping and it felt like spring. It is also the birth place of George Vancouver.

From the roadside in Petersham, we took a bush to Kew Gardens which are the Royal British botanical gardens. It is a huge area with loads of outdoor gardens as well as indoor ones. Since it was winter, the indoor ones were the best option. There are quite a few huge glass conservatories at Kew which were all built in Victorian times and themselves are quite impressive. They house huge palm trees and exotic plants from all over the world. There was also a special orchid exhibit that was beautiful too.

We stayed at Kew until it closed around 5pm and rode the train back to central London to the Piccadilly Circus/Soho area. It was very, very crowded there as it was Valentine’s Saturday night. We had a beer at a pub there and waited to meet my British friend, Ed, who I met when studying abroad in Brighton. He walked us to a quieter less touristy area on Goodge St and we ended up eating at a Filipino restaurant. I had never tried this cuisine before but it was quite good…even though they brought the wrong entrée out to me! When our dinner ended, we all went our separate ways. I said goodbye to my parents who had an early flight to Italy by way of Paris. But it won’t belong before I see them again as I have booked a trip to Italy myself and will fly to Pisa on Thursday morning to visit Tuscany!!










It’s great to be a student in the UK

11 February 2009

It’s great to be a student in the UK

Even though yesterday was my first day on the wards, today it felt more official. I sort of felt as if I knew what was going on. The schedule was much the same as before with rounding and such. We got another OB/GYN patient in the ICU so that was interesting for me, they think that this one has severe PID (pelvic inflammatory disease, ie. A really bad infection of gonorrhea or chlamydia). After walking rounds ended around 9am, I went off on my merry way to take care of some errands. I finally got my ID badge made so now I am legit!! While waiting for the badges, I met another visiting American med student named, Anne. She was visiting from Michigan and doing Infectious Disease. She brought her husband along and they rented a flat in Brixton which is a Caribbean neighborhood of south London which has a reputation for being the only bad neighborhood. She likes it though!

After getting my ID, I walked back to Occupational Health to get my TB skin test read. I already knew it was negative, of course, but I had to show them. I saw the same nurse again, when she saw my arm she said, “Nothing happened!” I said, “Yes, that’s good!” She said, “Well that means you are not immune though!” I explained well no of course not, because it is not standard practice to vaccinate Americans for TB with the BCG vaccine. She told me that I should probably get another skin test when I return home since there is such a high rate of TB there. It made me a little bit annoyed at my country for not vaccinating me against this terrible disease. When I got home, I did a quick internet medical journal search and it seems that the TB vaccine has only a 50% efficacy rate. I guess when you combine that with our very, very low TB rate in the US, it isn’t really worth vaccinating everyone. But why not the doctors…

Right next to the OH building, I saw there was a Student Sports Centre so I went into inquire about my options. For just £7.50 I bought a 1 month membership!!! I mean where else can you get a membership anywhere for just $10 a month?? The place is decent, with a weight room, cardio room, squash courts, etc. Not bad at all!
Finally I went and got registered to use the library and the computers so I have truly become part of the institution!

Before the sitting ward rounds at 10:30, I stopped in to meet the consultant to whom I was assigned, Dr. Grounds. He was very friendly and chipper. He was dressed up in scrubs as he was on the way to “theatre” (aka. OR). It turn out that Anesthesiologists run ICUs in England so many of them split their time between the wards and the OR/theatres. He gave me the run down on the elective but went on to tell me that “above all else, you are in London! We would be very disappointed if you did not enjoy your time while you were here so make sure you do some sightseeing. If the weather is shitty, come spend the day with us, otherwise, have fun! We don’t take things too seriously here!” What a nice mentality!

Back at the rounds, I very much enjoyed my tea with HobKnob digestive biscuits and Cadbury chocolates. The Brits sure do like their sweets. After the sitting rounds were over, the consultant (attending) told us to break for lunch. I ate with the Italian doctor again. This time we tried out the canteen (aka. cafeteria) which was not bad at all. There was a good selection of hot food items and you could find potatoes prepared virtually anyway you wanted them: mashed, french fried, baked, or the one I chose was prepared in a butter sauce! They definitely like to serve desserts with hot custard on the side here as well, I remembered that from study abroad. I think it is delicious…the best is their rhubarb crumble with warm custard. I thought it was great that there was a “staff price” listed on the foods, and also a “student price” which was even cheaper. I think the US could stand to be a lot more kind to students. At home, there is very little benefit to being a student as opposed to in Europe. In the states, we pay up to $60,000 a year for university, and in Europe they pay maybe $3000! And on top of that, they get discounts on public transportation (at least 30%), shows, tickets, food, the list goes on…I know that our system of schooling and high costs will not change, but I think our government could at least offer more discounts on say food or public transportation!

In the afternoon, we received a new patient transferred in from a smaller hospital in Surrey. He was a 37 year old chap who was in a car accident around 1am. He had gone out with some friends to celebrate some positive advances at work. Our patient was in the backseat of the car without his seatbelt on when they struck a tree. He flew out the windscreen (aka. windshield) and now had a slew of problems. He had brain injuries (bilateral subarachnoid hemorrhages), fractures of his jaw (mandible), neck (T1 & hyoid bone), sternum, and hip (acetabulum), huge open wound on his forearm, and last but certainly not least, a tear (dissection) of his aorta and was developing severe regurgitation of blood flow in the heart. We got him sorted in his new room for awhile. Later on, I went with the registrar (senior resident) to talk to the family. He has a 2 year old child at home and his wife is 24 weeks pregnant with the next one, as if the story could get any worse…Bottom line, everyone, wear your seatbelts any time you are in the car! And no, you are not safe in the backseat. I helped the Greek orthopedic surgery resident clean out the huge laceration on his arm and hung around while dozens of people swarmed around him. Prognosis is definitely not great for him…very sad.

After work, I stopped at Boots on the way home. Anyone that has been to England knows this store, but for anyone else, it is a great drugstore, like a CVS but so much better! They have a lot of their own products that are reasonably priced and very nice! I ended up killing a lot of time there smelling lotions and picking out some things I needed. When I emerged, it was pouring rain and I was without an umbrella. Charlotte, my roommate, is gone for the rest of the week now as she has things to take care of due to her father’s death.

First Day at Hospital

10 February 2009

First Day at Hospital

Woke up for my first day at work and soon found out there was virtually no hot water to be had in the shower. I got some lukewarm water at first, as I attempted to warm it up whilst brushing my teeth, but sadly it never got any warmer and only took a turn for the worse. So I washed up a little but no proper shower…gross!! I suppose I might have to take my showers in the evenings now. At least the heat is on in the flat at that time!!!

Arrived to the hospital a bit on the late side as I am still figuring it all out…went into the ICU and it wasn’t hard to figure out who I should follow around. There was a large group of people in scrubs huddled around a patient’s bed so I joined the crowd.
I listened as they made their rounds to each of the 19 ICU beds. The patients don’t get a whole lot of privacy there. There is only a blue paper curtain separating each bed in the wards and most of the time that curtain is left open. Their charts are a bit different too…they are more like books than ring-bound binders. There is a desk at the end of each bed and on top of it is a huge paper, like the size of one of those desk calendars and there is where they chart labs, medication dosages and changes. Quite different…

There seem to be some interesting patients on the service right now. There is a young woman who had been having seizures (status epilepticus) due to her TB in her brain (cerebral tuberculoma). She actually had TB meningitis in the past too. For those at home, TB is not something commonly seen in the US these days unless you are in a major city with lots of recent immigrants like NYC, Los Angeles, etc. I found it a bit odd that they didn’t have her in a pressurized room to prevent her from spreading TB to others. I mean it is not as if we all walked around in the special masks. I wondered if it was because most everyone in Europe receives the BCG vaccine (TB vaccine)…but I thought the reason we didn’t get it in the US was because it was not that effective. Seriously hope I don’t get TB…

Some of the other patients include a woman who just gave birth, then suffered a hemorrhage and now has a degree of heart failure. They are thinking perhaps peripartum cardiomyopathy. Another patient is an older woman who had a parotid mass removed (this is like a salivary gland on the face). She kinda looks like half of her face is missing and actually one of her eyes is gone from before, all that is left is scar tissue over the socket. There is another man who has neurofibromatosis which is a disease of skin and the neurological system. He has these wart type bumps all over his body. Never seen it before! Then there are the run of the mill things like the alcoholics with gastrointestinal bleeds, the renal failure patient, and so on…

After we rounded, this one guy, called, Ed, introduced himself to me. He had sort of been running the rounds. He referred to himself as the registrar, which I later learned means that he is like a resident. Anyway, he gave me the low down for the rotation. Every morning walking rounds at 8am. Then the patients are divided up amongst the residents/interns (although that is not British terminology) and everyone works on writing their notes and looking up lab reports, etc. Then at 10:30 everyone meets in the conference room for talk rounds where each patient is discussed at length with the consultant (aka. Attending physician) who gives his input on the plans and does some teaching. All the while, everyone sips on tea or coffee and eats biscuits (aka. cookies). There is actually a sign up saying that the tea and biscuits are to be prepared by the “interns” each morning and they must also do the washing up later as the nurses and domestics are not expected to clean up after us! Anyway, I quite like this institution and I am not sure why we don’t round with tea and biscuits at home…I think it would really serve to lift everyone’s spirits!!

So the rounds went on for about 2 hours. Overall they were much the same as their US counterparts…they mentioned a few drugs I had never heard of and that were not in my Palm Pilot program. When they presented a patient they might say, “This is a 39 year old chap who had an upper GI bleed…” When it was finally done, we went back for another short walking round in the wards. This ended about 1pm and at that time people took lunch breaks or worked on anything that needed to be done. I got a chance to chat more with Ed about the system there. He explained more to me about how medical training works in the UK. Right out of high school, a student can enter into a medical school program. This lasts for 5-6 years. Then they work for about 12-18 months in something called Foundation Year which is like internship but they get some degree of control over what sorts of fields they spend time in. Then they work as a House Officer…which is still a training time. Eventually they apply to be a registrar which is the more specialized training time. He is doing Respiratory Medicine (aka. Pulmonary) but instead of splitting it into residency and then fellowship they do it all at once…I still don’t know if I have it right... He is in his final year of training and when he is done, it will have been 11 years since he graduated from med school!! That is a long time. Their work hours are much less. He said when he first started he had some weeks he put in 100 hours but now it is like 50-some hours/week and soon will be dropped to 46 hrs/week! That is a hard concept for any American resident to understand!!!

I ate lunch with a woman named something like, “Janpaoula” who is an ICU consultant (attending) from Milan, Italy. She is hoping to spend 6 months here working and observing the British ICU as a kind of research to bring back home. She was very friendly and also a bit lost like me as she just started last week. She got a flat in downtown London and I felt a little jealous however she is paying twice as much as me!! We shared a table with a woman who lived in Birmingham (she was probably Indian) and works as a general practitioner. She had driven her son down here for his medical school interview at St. Georges. It is apparently very competitive. Her daughter is doing her training now in the UK and she was given a scholarship for a program with Harvard in Infectious Disease this summer.

When we finished eating, we returned to the ICU. I told Ed that I would head out and sort some things out since I had just arrived. He said that he thought that sounded “quite sensible.” He said in general the schedule will be what I make of it. Officially, they finish at 5pm each day but he said I am welcome to work nights if I want (no, thanks!). Also said I can try to do as much as I want-as far as procedures go, there are no limitations to me as a student.

After I left, I went to the Sainsbury’s down the street, this is one of their main grocery stores in England. I had a jolly good time perusing through their goods!! I got some interesting yogurt flavors like rhubarb with jersey cow milk and Madagascar vanilla. They had a lovely selection of English cheeses with names like Cheshire and Wilshire. I picked up some dark chocolate biscuits to go with my Fair Trade tea. They had a big selection of crumpets and scones!! They also have “English muffins” but of course they don’t call them that. They had the most varied selection of honeys too with one from Australia costing almost $20!! Many of the European brands of jams we get at home are much much cheaper here! It was hard not to buy a ton of food but I tried to limit it because I knew for one, that I had to carry it on the bus home! They really try to promote the use of re-useable shopping bags here so for 9p (9 pence=14 cents) I bought a re-useable Sainsbury bag! When I got home, I had to try a crumpet!! 

Since the weather had improved a bit (no more rain, touch of sun), I decided to take a stroll around the neighborhood. Not much to see really. There is a park at one end of my street called Tooting Bec Common. It was quite drab really. I guess it is known for having one of the biggest public swimming pools in all of Europe…too bad it’s winter now. I walked a bit more through Streatham and saw some nicer homes and charming row houses. Most everything is brick or stone. I walked down one of the main streets in town which has some random stores: general stores, kebab houses, hair dressers, mobile phone stores, etc. Tried to find the nearby train station but I guess I missed a turn. It is really close to my place though. That is it for my day…tomorrow, a real work day for me!




Getting Sorted in London

9 Feb 2009

Cheerio!

I am slowly getting settled in, or as the Brits would say, I am getting sorted...I got to know Charlotte, the woman I am living with, a bit better. She is about 50 years old and grew up in Cornwall, England (western most point in England). She spent a lot of her youth traveling about as a nanny...spent time in Canada, Australia and a few other spots...she says she is not much of an academic hence she never went to college, but she feels one can learn a lot by traveling and meeting new people. She has been renting out her spare room for a year and a half now to visiting medical students. She said I am actually the second female she has had, all others were male....I found that interesting since in the US, at least, females have now started to outnumber males in med school!! She has had visitors from Belgium, Syria, Australia, Japan (to name a few) and most recently from Malaysia. She says she has gotten on quite well with all of them except for a few that were "arrogant" as she put it...she had a few men that seemed to expect her to mother them and even do their washing (aka. laundry). I think she likes me though!! She made me tea and gave me biscuits (aka. cookies) when I arrived and also said to help myself to whatever I wanted til I had a chance to do some food shopping. Charlotte works basically as a home health aide so some will have to sleepover with her clients on some nights...it is nice to have her around or else I would be lonely. There is no television here to fill the silence...she says she didn't get a TV because she is really hooked on listening to radio programs on the BBC4. Now I am kinda jealous that I don't have a radio too!! Charlotte is not married but she has been with the same man, called Roger, for 13 years. He lives about 30 minutes away more out in the country and she maintains her flat here in Streatham (south London) which she has owned for 20 years now. Roger is a musician, playing bass guitar, and goes around doing gigs and used to work with some famous person on British TV.

I can not say that I got the best sleep last night...I will blame part of that on jet lag, part of that on too many cuppa teas...and mainly on the thin walls and noisy neighbors. First I heard a child throw a temper tantrum, then I heard it's mum (yes, I am using British terms now so deal) having a row (aka. fight) with someone on the phone...she literally bitched that person out for an hour!! Finally that stopped and just as I was drifting off, her baby started to cry. That dreaded baby cried and woke me up throughout the night...I mean it doesn't sound like a tiny infant but it must be young to be crying so often! I might as well be breastfeeding him myself because I woke up every couple hours...

Anyway...I got up and tried to use the shower...it was a bit confusing to me...not sure if I used it properly either...it is like a bathtub/shower that is elevated quite high. The shower head is one of the hand held types but there is no where to mount it on the wall as I am used to seeing...so I had to hold it whilst (aka while :)) showering which proved to be quite a juggling act when I attempted to pour out my shampoo and conditioner into my hands. Perhaps I will do like the Brits and only wash my hair every other day...It was also so chilly this morning...I swear the heaters over here only work for a select few hours in the evening and all other times it is frigid!!

Charlotte was nice enough to not only give me an umbrella to use whilst I am here, but also to help me to get to the hospital on my first day!!! She walked me down the block to the bus stop and helped me to get an Oyster card...this is like a metro card thing that is used on buses and tubes...you just put money on it and then hold it up to the sensor and it deducts from your stash...then you can top it up as needed...it also gives you a pretty sweet discount...what was a £4 tube ride, is now just £1.50! She even rode the bus with me too…so nice. She told me on the way how she has a special travel card that is basically free and provided by the government since she is legally blind in her right eye due to a tumor as a child… Anyway, it was about a 10 min ride to St George’s hospital which is in Tooting. It is a busier area there than Streatham where I live now. She walked me the 2 blocks to the hospital campus and left me to find my way.

St. George’s is a large hospital campus much like large tertiary care centers in the US. There are buildings devoted to different things like Renal Transplant, Occupational Health (OH), Oral Maxillofacial surgery, etc. I had to first visit OH to get approved for work…the nurse wanted to take some more blood samples from me…I inquired as to whether that would really be necessary as I already sent my health forms in and hate getting blood draws…She asked if I would be working with children? No. Delivering babies? No. Going to the operating theatres? No. But when I told her I would be in the ICU, she said “Well perhaps they will have to open someone up there to massage the heart…so you might as well.” She didn’t like that my Hepatitis B immunity titers were at a level of 32, considered immune at home, but she says they want them over 90…she also wanted me to get tested for Hep C and HIV as that is required here…so I gave in especially when I heard it was no charge to me, gotta love the NHS (National Healthcare System). I also had to get yet another TB skin test….it never ends.

From there I wandered around until I found the medical school. It is attached to the hospital and actually quite nice. I went to the Student Centre first and filled out some forms including signing up to be notified of any international student social events!! The man helping me had an American accent but it was funny to hear him using British words like “pop back in later.” From there I went to try to find the ICU dept which turned into a bit of a wild goose chase…when I finally located it, I was told that everyone was having rounds in the theatre…not sure what that even means….but I had to wait about 2.5 hours to find someone in the dept who could sign my papers for ID cards. Finally did and met some of the doctors, one called Dr Newman, my contact person is Dr Grounds who wasn’t in. Dr Newman popped me into the ICU real quick to meet some of the other people, I think they were like residents, 2 guys. The ICU was one big open place without even curtains in between the patients…somewhat reminiscent of Cambodian wards! They told me to come back tomorrow at 8am to start my day and that I could speak with them about what I would like to experience. So far, St Georges seemed pretty much just like any hospital at home!

I ate lunch in a coffee shop there, I had a smoked salmon, cream cheese, and chive sammy (aka sandwich). After I was done, I decided to head into downtown London to take in a museum. It took me just about 20 minutes to get to the Waterloo stop which is close to the Tate Modern art museum. I walked from the tube stop to the museum along the Thames…the weather was just awful though…cold with steady rain. As soon as I got to the Tate, I got a nice hot Earl Grey tea…it is starting to make sense why the Brits drink so much tea….anyway, I spent about 2.5 hours at the Tate modern. Can’t say I was blown away by their exhibits but at least it was free!! There were a few interesting pieces…but overall I found my recent visit to the Guggenheim in Manhattan to be much more stimulating. When I left I was starved and sore from so much walking so I rewarded myself with a dinner at Giraffe (thanks, Christina!) which as on the way back to the tube. I had some hummus with naan bread, and butternut squash risotto with grilled courgettes (aka zucchini). It was good. I have to say that it is getting a bit lonely to eat every meal alone though…I hope it won’t go on forever like this. Charlotte said she would eat dinner with me.

I was exhausted after that and dreading the trek home in the rain. I got off the wrong bus stop, too early, and had to do extra walking…UGH. When I returned home, I met Charlotte’s partner, Roger. He had come up today because Charlotte just found out her dad died today…he was sick and in hospital already but she was sad. She still managed to offer to hang my coat up to dry and invite me to eat with her and Roger. Very nice lady! Well it’s nearly bed time now…so far no loud noises next door…