THE CLINIC....
We trail thru the banana trees, downnnnnn the steep steps single file, and then upppp the steep steps on the other side to the clinic for our first day of seeing patients. We came over to the clinic late Sunday night to look around, introduce the new folks to the clinic and the operation we have created. Over the years we have perfected a pretty good working model of how patients are registered, how they wait, how they flow thru the exam rooms, the oculista area and the pharmacy. We are always tweaking the process with each group that travels The new kids on the block, Karen, NP, and Doreen, Helper Extraordinaire were nervous and excited! Dr. Bill, Penny, and I reacquainted, naturally. We have at least 36 trips between us! We unloaded those HEAVY bags that were loaded with meds (thank you everyone!), pregnancy tests, toothbrushes (thanks Dr. Salzer and Dr Damko), soap (thanks Dr. Vashi), T shirts, towels, eyeglasses (thanks Eric and Amcon) and more! We organized and took stock of what we had and what we needed to buy: worm medicine, antibiotics, etc.
We were unsure what to expect, as this is very small medical group, and sometimes Pablo forgets the realities of our limitations! Predictably though, the first day is light, and we only saw about 50 patients. It was ok, as we adjusted our process, and assigned dual roles to each of us. The day went beautifully, and we finished early enough to debrief, walk, rest,and prepare for tomorrow.
My day began with a patient, that just could have been the man of my dreams... He was 69 (same age, mas o menos... ) He was a widower, his wife died 4 years ago from cancer.... Ok so far... He got my jokes, was a very sharp caballero with a typical cowboy hat, and was from a nice village up the mountain... (I could live there..maybe..). His only drawback was the amoebas....
There was the girl with Down Syndrome, dashing up and down the hallway, eluding her mom. She escaped into an exam room, and absconded with some stethoscopes! All in a day's work. Another "Village" boy (family of 5), was a little hyper. Then he was out of sight for a few minutes, when the mom began to laugh. He was small enough to get into the cabinet under the sink...see photo! Shades of Tommy! There was a little boy with Hydrocephalus, who had already had a shunt, and now a feeding tube. They had gotten good care, and the boy had out lived all expectations. There was nothing new we could do but encourage the parents, and tell him that we, and God loved him. We prayed together, and they were tearful and deeply grateful.
People want injections, that is common here. Children ask if there is a medicine to learn better, and medicine so as not to forget homework already studied. If only!
My day ended with the "village".....a term we have coined for family groups of more than 4... There were 6 in this group, a mom and 5 children, the smallest one hanging at her breast. They were a delight, despite the fact that they were Very poor, Very dirty, infested with scabies and parasites. They had huge smiles, were Very polite, and believed in The Lord, despite their desparate condition. It took Forever to exam all of them one by one, write medications, give mom detailed instructions, etc. My head was pounding by the time I finished, but as I came out front to get a breath of fresh air they came running to me with their arms full of our gifts of love...Tshirts from the Dollar Store, toothbrushes for all, loads of soap and medicine. Beaming and grateful, they posed for a picture. I think this is what it is all about... see photo
Manana....