Today’s date is June 26, 2022. We have been here for a little over 20 days. This week our rotation at SFCMC was in the ICU. Within the ICU I got to observe and practice so many nursing skills as the patients within the unit were in more critical states than what I have experienced on any gen-med floor here in the Philippines and back home in my clinical rotations. I got some exposure to ventilators where I learned what some of the values indicated while also learning about the two different types of ventilation. On top of this, we got more observational experience and hands-on experience with nursing skills such as inserting an NG tube, feeding patients through an NGT, inserting a foley catheter, and setting up ECGs. Outside of nursing skills I also learned a lot about medications, especially medications used in more critical status patients such as dopamine. Outside of the hospital, we were able to go and do the 1500 steps of Mt. Maculot with our preceptor Sir Jeff and his father-in- law which was followed by visiting some of their families’ property and making fresh buko (coconut) juice. This weekend Mia, Aileen, and I also traveled to Manila to explore the city (and the ginormous malls) thanks to a lot of assistance from Melissa Simoy. It is crazy to think that we are already approaching the halfway point in this experience but I am excited to see what the next 34 days will bring inside and outside the hospital!