Sunday, November 21, 2010
Friday, November 19, 2010
Friday Night in Haiti
Well it is the end of my first week here in Haiti at ESPWA.
Fairly routine work week, so far. we didn't get hit with as much diarrhea as I originally thought we would.So far it seems as tho the Southern district where I am has been somewhat spared from this scourge. lots of a viral syndrome illness going through getting more adults than children.
I really think there are more older adults down here that seem more depressed than in past visits. Could be a culmination of earthquakes , tornadoes and general bad crap happening that is resulting in some PTSD symptoms. also could be due to the fact that I am seeing more adults than I usually do.
Several visitors through here lately that are big donors to this project as far as food goes. We are NICE to them!!!!!!!!!!!!!!
Tomorrow is Saturday and International Day of the child, so they are going to have a little party for the kids after some speeches and the treat is corn-based ice cream (Ben & Jerry's- I think not).
Anyway as usual we are running out of some important medicines that are used regularly. I write a prescrition for the patient to buy it in town but who knows if they ever fill the prescription ( no cash)
Will check in later and give you feedback on the ice cream....jery
Fairly routine work week, so far. we didn't get hit with as much diarrhea as I originally thought we would.So far it seems as tho the Southern district where I am has been somewhat spared from this scourge. lots of a viral syndrome illness going through getting more adults than children.
I really think there are more older adults down here that seem more depressed than in past visits. Could be a culmination of earthquakes , tornadoes and general bad crap happening that is resulting in some PTSD symptoms. also could be due to the fact that I am seeing more adults than I usually do.
Several visitors through here lately that are big donors to this project as far as food goes. We are NICE to them!!!!!!!!!!!!!!
Tomorrow is Saturday and International Day of the child, so they are going to have a little party for the kids after some speeches and the treat is corn-based ice cream (Ben & Jerry's- I think not).
Anyway as usual we are running out of some important medicines that are used regularly. I write a prescrition for the patient to buy it in town but who knows if they ever fill the prescription ( no cash)
Will check in later and give you feedback on the ice cream....jery
Wednesday, November 17, 2010
No pictures for now
I have tried sending pics about 3 times now and they take too long to upload & publish. will have to figure something else later or do a shutterfly deal when i return home.
Today I did clinic by myself i.e. no internist around to see adults and you all know how much I enjoy seeing adults???
Seems like the entire adult southern department of Haiti had epigastric pain, headaches, muscle aches etc today. Why I do pediatrics all comes flooding back to me on these days.Apparently the internist is off every Wednesday.
Diarrhea( ? cholera ) has slowed down for today but still going strong in other parts of Haiti!!!!
You know , I just have to say this. I think the female population of Haiti are some off the strongest women I have ever seen. This year alone an earthquake, hurricanes and now cholera ( lots of BAD stuff) and they just keep on doing what they have to do to get along. Not much drama and not much depression that I have seen. Heck some days this place depresses the heck out of me and I just got here 3 days ago.
our clinic is seeing a lot more folks from the surrounding communities these days rather than just the "orphans" from Espwa and I get to know the people "a little better". Good for me, not sure about good for them or not
I am seing more about what big NGOs (non governmental organizations) do and how little aid really reaches the people who are supposed to get it (lots of skimming before your $20.00 donation reaches the folks here)
Anyway time to make the donuts...Later...jerry
Today I did clinic by myself i.e. no internist around to see adults and you all know how much I enjoy seeing adults???
Seems like the entire adult southern department of Haiti had epigastric pain, headaches, muscle aches etc today. Why I do pediatrics all comes flooding back to me on these days.Apparently the internist is off every Wednesday.
Diarrhea( ? cholera ) has slowed down for today but still going strong in other parts of Haiti!!!!
You know , I just have to say this. I think the female population of Haiti are some off the strongest women I have ever seen. This year alone an earthquake, hurricanes and now cholera ( lots of BAD stuff) and they just keep on doing what they have to do to get along. Not much drama and not much depression that I have seen. Heck some days this place depresses the heck out of me and I just got here 3 days ago.
our clinic is seeing a lot more folks from the surrounding communities these days rather than just the "orphans" from Espwa and I get to know the people "a little better". Good for me, not sure about good for them or not
I am seing more about what big NGOs (non governmental organizations) do and how little aid really reaches the people who are supposed to get it (lots of skimming before your $20.00 donation reaches the folks here)
Anyway time to make the donuts...Later...jerry
Hppy Wednesday AM
The internet here ,I believe , has cholera....very, very sick!!!!
Anyway Monday am clinic was busy. My 2nd patient was a lttle boy from the orphanage with probable mumps. He came in with a sock wrapped around his cheeks just like the old pictures. his photo wil not upload so I'l try later
Also Monday was SPA DAY here. A group of ladies from Minnesota who visited had the housemoms over from the orphanage. They did massage, manicures and pedicures for the Haitian women who loved every minute of it. They had chocolates and all that stuff that the ladies like. NO, I dd not have my toenails done. I don't imagine that many of these ladies pamper themselves very often on 1-2 dollars a day. LOts of smiles from both groups.
I am having problems uploading photos currently(internet?)- so will try that later
Be well..jerry
Anyway Monday am clinic was busy. My 2nd patient was a lttle boy from the orphanage with probable mumps. He came in with a sock wrapped around his cheeks just like the old pictures. his photo wil not upload so I'l try later
Also Monday was SPA DAY here. A group of ladies from Minnesota who visited had the housemoms over from the orphanage. They did massage, manicures and pedicures for the Haitian women who loved every minute of it. They had chocolates and all that stuff that the ladies like. NO, I dd not have my toenails done. I don't imagine that many of these ladies pamper themselves very often on 1-2 dollars a day. LOts of smiles from both groups.
I am having problems uploading photos currently(internet?)- so will try that later
Be well..jerry
Monday, November 15, 2010
A question for my doc friends-if any read this
Back in haiti and as most of you know they are going thru a cholera epidemic in parts of Haiti. Just learned that there have been 4 documented cases in Cayes , Haiti (A FAMILY)Where I am working
SO 1/2 OF THE KIDS i SAW THIS am had vomiting and diarrhea with no significant dehydration. Will treat all with ORS. My question ( no lab help here) is would you put them all on 3 days of Septra as treatment for cholera or not. I have a leaning towards treating them all since most homes and the orphanage are pretty crowded and once it takes hold it could go crazy. Really anyone who has any thoughts on this please call in and let me know them ( just kidding about the call in)
Things haven't changed much here since Feb/ Mar except many more blue roofed tents in Port au Prince than before. Clean-up sucks !!!!!.
The kids are just as beautiful as b4( pictures to follow)
The staff here is holding together so far but I think we will all be up to our elbows in feces in the next 10 days or so. have some good thoughts for these folks and I promise I will wash my hands...be well..dr. j
The program is growing like crazy- new clinic,dining hal going up andsome houses for young girls almost finished, see u later
SO 1/2 OF THE KIDS i SAW THIS am had vomiting and diarrhea with no significant dehydration. Will treat all with ORS. My question ( no lab help here) is would you put them all on 3 days of Septra as treatment for cholera or not. I have a leaning towards treating them all since most homes and the orphanage are pretty crowded and once it takes hold it could go crazy. Really anyone who has any thoughts on this please call in and let me know them ( just kidding about the call in)
Things haven't changed much here since Feb/ Mar except many more blue roofed tents in Port au Prince than before. Clean-up sucks !!!!!.
The kids are just as beautiful as b4( pictures to follow)
The staff here is holding together so far but I think we will all be up to our elbows in feces in the next 10 days or so. have some good thoughts for these folks and I promise I will wash my hands...be well..dr. j
The program is growing like crazy- new clinic,dining hal going up andsome houses for young girls almost finished, see u later
Made it to Haiti
Hi eveyone. quick notet lot you all know I made it to haiti lat PM after about the typical 20 hour flight from Alaska.
A translater just arrived so I will go to clinic and type later toda,,,bye...jerry
A translater just arrived so I will go to clinic and type later toda,,,bye...jerry
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