Portuguese:

Portuguese is still a challenge to speak, though I have made progress. I´ve been able to see patients on my own in the clinic, and I am helping out with an epidemiology class at the medical school that is taught half in Portuguese. I still find it a pretty coarse and nasty sounding language, but knowing Spanish helps.

Yesterday, I met a doc from Spain. I opened my mouth to speak to him (in Spanish), and to my horror I vomited a nasty gumbo of spanish-portuguese-english gibbberish all over him. It took a while to clean up. I can still smell it on my clothes.