One of my greatest challenges here is words. I have never had much of a problem with words, and enjoyed a large vocabulary with the choice of many ways to convey a point. In fact, sometimes I am sure that words come pouring out of my mouth far too often and too fast. It is different here though. Last week I encountered a time when all words deserted me. I had no idea what to say. My patient was laying on the bed moaning and crying out with every contraction when my supervisor told me to get her up and have her go to the CR (bathroom). To me it felt like an impossible task, like I had come to a big brick wall and could go no further. How on earth was I going to convince this girl, who I am sure was in the worst pain she had ever experienced, to sit up, get on her feet and walk the 30 feet to the CR. I was completely helpless. I expressed my frustration out loud and one of my second year classmates came to my rescue “do you need some help?” I trotted behind her as she marched into the cubicle. “Okay Jacky” she announced “when this one is finished you are going to SIT UP” of course she managed what I could not – she said it all in Visayan. Firmly she continued her monologue, she cajoled, encouraged, and demanded that the patient listen until the girl was up on her feet and headed towards the CR. Somehow, not only did Eva convince my patient that she could do it, she convinced me that I could do this too. When my patient returned I sat with her, and somehow we did it. Every time I begged her “just one more breath, come on don’t push yet” I mentally flogged myself as well “come on Larissa, just another sentence, find something else to say”. In the end the reward was a tiny beautiful baby boy…and a patient who has returned for all of her check ups so far.