Monday, January 28, 2013

Clinic Days

Clinic Days: Santa Familia

My first day at the clinic we road up to a small village and it was a little white cement building with a red cross symbol on it. We had to find the lady in the village with the key and then she let us in. The place was never cleaned so she was quite embarrassed but we didn’t mind. We set up the pharmacy and assessment tables and there were already people waiting while we set up. Santa Familia was nice because many spoke English. I was at the assessment table and i took blood pressures and blood glucose. Since it was my first time really doing this I wasn’t sure what worked best and how patients would respond to our suggestions. It got easier as the time went on. What stood out the most was that people wanted minor pain medications and vitamins. We had a ton so we were happy to give them out. Fungal infections were popular also. Oh and dehydration was like the biggest problem. These people are working in the hot sun all day and only drinking a glass or two of water a day. I think the most important thing we counseled the patients on was drinking water. It was simple and solved a lot of problems.

            Billy White

Billy white was a much different experience. So many people spoke Spanish and I couldn’t understand any of it. Thankfully I had a wonderful nurse with me to translate. She was the mother of our ProWorld leader and a very brilliant lady. She even delivered two of my host mom’s kids. I was at the assessment table again for this clinic. It was a building right in the middle of the schoolyard. Some kids even walked around to different classrooms and taught kids on different health subjects. I remember using the bathroom and they are like out houses and it was just a cement circle in the ground thankfully I just had to pee. A couple of the children had chocolate covered bananas and so we saw where they got them from and went over and bought some. They were only 25 Belizean cents (12.5 cents in American money). Some of the kids had nervous looks on their faces so I blew up a glove and drew a happy face on it then handed it to this little boy he was so happy.

            Duck Run 1

The third day was similar to the second in the fact that most only spoke Spanish. It was at another small Red Cross building but it was so wet that a lady from Duck Run 1 let us use her house. She had a large tent we borrowed and let people sit under it. I was doing what they call triaging the patients. When the patents came in I greeted them and then took down their basic info like their name, age, gender, and locations. Then I brought them to get their height measured and weight measured and asked them what their main complaints were and if they had any allergies or were on any medications. There was a ton of us so Catherine our ProWorld leader took me and a couple others into the Mennonite town and we got pizza. The Mennonite town seemed so advanced for Belize almost like a rural New York town almost. When she parked the truck initially it was parked in a wet area so again we had to get out and push it out of this poor ladies yard that lent us the space for our clinic. The people down there are just so hospitable. They are so happy we are here and helping the people. After the clinic we went back to the Mennonite town to get ice cream it was actually really good. They also gave out free coffee. 

            Duck Run 2

So this place was just a little further than Duck Run 1 and we actually had two buildings to use. We set up the pharmacy in one and the assessment in the other. I was going to do assessment again but Catherine asked if I wanted to go to the pharmacy to get more medications with her. So we drove to this Mennonite pharmacy and it was real nice. We got vitamins and Tylenol and prescription strength ibuprofen. The cashier showed us all the meds and you can get like anything over the counter. They have Cialis and Levitra and clonazepam and diazepam and vicodin all over the counter. You’re supposed to have a prescription but the police don’t enforce the law. When he was showing us all the meds I asked if we were able to buy just anything and the owner was there standing behind the cashier. So when I asked, the cashier said we needed a prescription for stuff like clonazepam but the owner was nodding her head yes. It just shows that with money you can get anything. Later on at the clinic we thought a women was pregnant so we had to go back and get a pregnancy test. So I went on another trip to the Farmers Trading Post in the Mennonite village and our ProWorld leader Catherine asked the Mennonite girl if they had pregnancy tests and she looked at us like we were psycho. I guess contraceptives and pregnancy tests are against their beliefs so we went to another pharmacy and got 2 for $5. The lady needed a cup to pee in also so we walked down to a little corner store and bought cups and there was a parrot so we tried to get it to sit on our fingers but it ended up just trying to bite us. She ended up not being pregnant though. Another lady had terribly high blood pressure so we brought her to the Mennonite clinic and it was like we stepped in a time machine and went back 60 years. The nurses wore big white dresses with bonnets and the exam rooms were scary like something from American Horror Story. The nurse said she needed to see a specialist in Belmopan and gave her Nifedipine in the mean time to help lower her blood pressure. She wouldn’t go to Belmopan until she had permission from her husband first so we drove back to Duck Run 2 and let her discuss it with her husband. Fridays are lazier days in Belize so we closed the clinic early and headed back. 


         Home Visit Clinics

Today was our last clinic day. We took a bus to this small village called 7 Mile. It was really nice there. There were many fruit trees and flowers but no electricity. It was very rural. We split up into two groups each having a pharmacist and then headed door to door asking people if they had anything wrong with them or if they needed any vitamins or medication and also if they would like their blood pressure and blood glucose taken. A woman that knew the village brought us to the people who she knew needed help and wouldn’t be troublesome. We saw baby chickens and many dogs so that was fun. Then we stopped at Hodas Place Restaurant to discuss what we thought went well with the trip and what we thought needed improvements. Lastly, we divided out the medications so we could give some to our host mother and family. Soon my host family will get home and we can enjoy our last home cooked meal with her then David is going to come with us to learn garifuna drumming at proworld since he has a project due soon on that. 












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