Sunday, February 28, 2010
Monday, February 22, 2010
Haiti Trip
Ian, hello and I hope you are well. Please post the following on the blog--I know I am a little late. Also, would you mind to forward the history of the Mission Flight plane to me? Thanks in advance :)
Greetings from Linda :) Bon ju! One of the unbelievable blessings of the trip to Haiti is working in an environment where no one complains--it is truly a wonderful experience!!! The trip was energizing, sad, frustrating, exhilarating, joyful, funny; we laughed, loved, cried, worked incredibly hard (saw ~2000 patients), and acted silly. God is good; everyone stayed well, retained a good sense of humor, pitched in for less than glory work (cleaning/organizing the hospital, emptying a semi of supplies, and cooking for the team). There will be lots more pictures soon to share. Recovery in Haiti will be a long slow process and fortunately Midwest Haiti Mission was there before the quake and will be there long after the acute crisis has passed--the long haul will be an incredible challenge. Prayer requests include the rise of better economic opportunity for the people of Haiti, wisdom for those who want to help but who do not have previous experience in Haiti, and comfort for those who experienced such devastating loss. It was precious as we left Haiti to hear groups of people singing hymns on their national day of mourning coupled with three days of fasting and prayer. Out of the most difficult situations, God can create beauty and wonder.
In His grip, Linda
Greetings from Linda :) Bon ju! One of the unbelievable blessings of the trip to Haiti is working in an environment where no one complains--it is truly a wonderful experience!!! The trip was energizing, sad, frustrating, exhilarating, joyful, funny; we laughed, loved, cried, worked incredibly hard (saw ~2000 patients), and acted silly. God is good; everyone stayed well, retained a good sense of humor, pitched in for less than glory work (cleaning/organizing the hospital, emptying a semi of supplies, and cooking for the team). There will be lots more pictures soon to share. Recovery in Haiti will be a long slow process and fortunately Midwest Haiti Mission was there before the quake and will be there long after the acute crisis has passed--the long haul will be an incredible challenge. Prayer requests include the rise of better economic opportunity for the people of Haiti, wisdom for those who want to help but who do not have previous experience in Haiti, and comfort for those who experienced such devastating loss. It was precious as we left Haiti to hear groups of people singing hymns on their national day of mourning coupled with three days of fasting and prayer. Out of the most difficult situations, God can create beauty and wonder.
In His grip, Linda
Wednesday, February 17, 2010
Monday, February 15, 2010
Comments From The Mission Team
So far this blog has been an abbreviated version of what I saw, did, and felt. This is only a very small piece of the entire experience. I have asked the other members of the team to post their thoughts or observations, so once they get home and settled, I hope they will add their comments to this section so a broader picture may be presented. I will turn this section over to the rest of the team.
Sunday, February 14, 2010
The Adventure Continues
Plans are meant to change, and so it was. We were aware that Atlanta airport was closed when we got up Sat. Feb 13. Our flight from Santa Domingo was to depart about 1530 and we were told it was still a go.
After packing, Jim, Jeff and I decided to hang out by the pool for a short period of time (15-30 minutes). It was really warm and sunny, so it wasn't long before our shirts were off and we were lounging around like a trio of beach bums. Needless to say, this generated a great deal of grief (in fun) directed our way from Lee for roughing it on the mission trip. It was a nice reprieve, although short, after a busy week.
We then packed two vans with all of us and our luggage and headed for the airport. We were early so had to wait to check in. Dr. Mark Fulton, director of the mission, stayed behind to tie up loose ends and even saw patients on the morning of departure. He was flown from St. Ard to the Santa Domingo airport by a German helicopter and met us at the airport. After checking in, we were advised of our first departure delay. We finally found out that we were not leaving until 1900, ensuring that we would miss our connecting flight from Atlanta to Indianapolis. The wheels then started working to get us home. Mark's daughter Kelsi, who lives in Nashville, Tennessee, borrowed a van and headed to Atlanta to meet us. At the same time, Carolyn's husband Tom got the Chapel Hill Methodist Church van and started out for Nashville. Pierre and Dave said their goodbyes as they headed for their flight to Ft. Lauderdale.
We had a good flight to Atlanta and arrived at 2240. The Indianapolis flight was long gone, with the next flight at 0850 on Sunday morning and only two seats available. We cleared customs, gathered our bags and then through some funny system had to check them back in again to collect them once again at a second baggage claim at the other end of the airport. We didn't leave the arport until about 0030 on Feb. 14.
Kelsi drove us to Nashville where we met Tom and Carolyn's daughter Paula. We transferred all of our gear to the second van and then Tom and Paula drove us back to Indianapolis, arriving at 1015, eleven hours after our planned arrival.
Again, plans changed, but we got home safely and our drivers were much appreciated. We then said all of our goodbyes and headed home. For those of us in the Indianapolis area, this was a short trip, but Jeff and Jim headed for Elkhart, and from there Jim had to drive to Niles Michigan.
It was a very rewarding trip. I will collect my thoughts and add to the blog soon. I will also go through photos and add these. I have also asked members of the team to add some thoughts, so this should be added soon. Don't go away, more to come.
After packing, Jim, Jeff and I decided to hang out by the pool for a short period of time (15-30 minutes). It was really warm and sunny, so it wasn't long before our shirts were off and we were lounging around like a trio of beach bums. Needless to say, this generated a great deal of grief (in fun) directed our way from Lee for roughing it on the mission trip. It was a nice reprieve, although short, after a busy week.
We then packed two vans with all of us and our luggage and headed for the airport. We were early so had to wait to check in. Dr. Mark Fulton, director of the mission, stayed behind to tie up loose ends and even saw patients on the morning of departure. He was flown from St. Ard to the Santa Domingo airport by a German helicopter and met us at the airport. After checking in, we were advised of our first departure delay. We finally found out that we were not leaving until 1900, ensuring that we would miss our connecting flight from Atlanta to Indianapolis. The wheels then started working to get us home. Mark's daughter Kelsi, who lives in Nashville, Tennessee, borrowed a van and headed to Atlanta to meet us. At the same time, Carolyn's husband Tom got the Chapel Hill Methodist Church van and started out for Nashville. Pierre and Dave said their goodbyes as they headed for their flight to Ft. Lauderdale.
We had a good flight to Atlanta and arrived at 2240. The Indianapolis flight was long gone, with the next flight at 0850 on Sunday morning and only two seats available. We cleared customs, gathered our bags and then through some funny system had to check them back in again to collect them once again at a second baggage claim at the other end of the airport. We didn't leave the arport until about 0030 on Feb. 14.
Kelsi drove us to Nashville where we met Tom and Carolyn's daughter Paula. We transferred all of our gear to the second van and then Tom and Paula drove us back to Indianapolis, arriving at 1015, eleven hours after our planned arrival.
Again, plans changed, but we got home safely and our drivers were much appreciated. We then said all of our goodbyes and headed home. For those of us in the Indianapolis area, this was a short trip, but Jeff and Jim headed for Elkhart, and from there Jim had to drive to Niles Michigan.
It was a very rewarding trip. I will collect my thoughts and add to the blog soon. I will also go through photos and add these. I have also asked members of the team to add some thoughts, so this should be added soon. Don't go away, more to come.
Saturday, February 13, 2010
Day of Departure
I was up and moving early. Our flight is to depart about 1530 DR time (Indianapolis time +1), change planes in Atlanta, then on to Indianapolis, arriving about 2330. At this time the Atlanta airport is closed because of the snowstorm that hit the east coast. We will just go to the airport and see what happens. Either way, we will get home eventually.
Further thoughts on Port au Prince. As we passed some of the demolished buildings, you could see people climbing through the rubble and searching. Whether looking for possessions, friends or relatives I don't know. At one site, a small crowd had gathered and were pointing and were very animated. Again, I don't know what they had found. The streets were very crowded. Some of the buildings were leaning so much that it makes one think of a house of cards, one little nudge and it too will come crashing down crushing the crowds in the street. We saw both Canadian and Brazilian soldiers patrolling the streets.
When I do get home, I will search through my hundreds of photos that are now on my camera and add to this site. I have also asked other members of the group to add comments, so the site will stay up with updates after we get home.
Off for now to finalize packing. Who me, packing last minute. Some of you know me.
Further thoughts on Port au Prince. As we passed some of the demolished buildings, you could see people climbing through the rubble and searching. Whether looking for possessions, friends or relatives I don't know. At one site, a small crowd had gathered and were pointing and were very animated. Again, I don't know what they had found. The streets were very crowded. Some of the buildings were leaning so much that it makes one think of a house of cards, one little nudge and it too will come crashing down crushing the crowds in the street. We saw both Canadian and Brazilian soldiers patrolling the streets.
When I do get home, I will search through my hundreds of photos that are now on my camera and add to this site. I have also asked other members of the group to add comments, so the site will stay up with updates after we get home.
Off for now to finalize packing. Who me, packing last minute. Some of you know me.
Friday, February 12, 2010
The Start of Our Journey Home
Our day started with packing. Leaving behind all of the medicines, medical supplies and any personal items and clothing that could be used certainly lightened the load for the trip back.
Because Jim and I were the "new guys" on our first trip, we got the opportunity to tour the orphanage. They have a girls building and a boys building. The beds and bunk beds are neatly arranged, with the personal possessions they do have stored or displayed in their own area. In the boys big room, there was a large shoe rack that looked like a very big bookcase. The rooms were neat, tidy and clean. The bathrooms are outside as are the showers-I'll bet they are cold too! There was a large dining area, a laundry "room" in an outbuilding and a cooking area that is no longer in use with the addition of newer facilities.
After the tour, the bus was loaded and our goodbyes were said. For most of the group, this was with old friends, but for Jim and I, it was with new friends that we will not forget. The bus ride was back to the airport, not to catch a plane, but to catch a bus for the rest of our trip to Santa Domingo, Dominican Republic. On the bus ride to the airport, we saw large crowds of people gathered at several outdoor services as Haiti started the first day of a 3 day fasting and prayer period. As we approached the City of Port au Prince we again saw the large tent cities that had sprung up. The "tents" being a crude shelter of sheets, blankets or reed mats strung up across a wooden frame with the sheets flapping in the wind. Enough to provide shade, but if it rains there won't be much shelter. We then saw the many military encampments. I saw flags from Britain, France, Canada and the US. The UN troops we saw were all Brazilian. Add to that the Jamaicans and there is quite a mix of military contingents that we saw and I'm sure there were more. Once arriving at the airport, we had to wait only a short time for our next bus to arrive.
Our next bus was a smaller tour bus and actually air conditioned. The first leg of our journey was through the downtown area of Port au Prince. The pictures that I posted earlier are but a very small picture of the magnitude of this disaster. Block after block after block of destruction that is hard to fathom. Some of the many storied buildings are pancaked one story on top of another and you know that the inhabitants are still in there. In some of the larger buildings, maybe hundreds. I could go on and on, but words cannot possibly describe it. Again, we saw many gatherings of the services that started today.
Leaving Port au Prince, we started what turned out to be an 8 hour ride through rural Haiti and into the Dominican Republic. There was beautiful scenery, but evidence of poverty everywhere. At the border there was a checkpoint but no formal immigration, we just slowed down and drove through. We did get stopped at least 5 times however, at military checkpoints past the border. No passport checks, just a visual check of who was on the bus. The villages changed. Now the houses, although still primitive, were painted in bright colors-pinks, greens, blues, yellows, etc. There also appeared to be more organization of the village layout. Although it appeared to be economically a step up from Haiti, rural Dominican Republic still appears to be a poor country. Once arriving in Santa Domingo, we saw more night life-neon lights, music, motels, casinos,traffic.
We arrived at the motel and ate dinner, then off to bed. No night life and casinos for this crowd. I'm sure I'm the last one up because I'm still typing. now its my turn to turn in, so good night until tomorrow.
Because Jim and I were the "new guys" on our first trip, we got the opportunity to tour the orphanage. They have a girls building and a boys building. The beds and bunk beds are neatly arranged, with the personal possessions they do have stored or displayed in their own area. In the boys big room, there was a large shoe rack that looked like a very big bookcase. The rooms were neat, tidy and clean. The bathrooms are outside as are the showers-I'll bet they are cold too! There was a large dining area, a laundry "room" in an outbuilding and a cooking area that is no longer in use with the addition of newer facilities.
After the tour, the bus was loaded and our goodbyes were said. For most of the group, this was with old friends, but for Jim and I, it was with new friends that we will not forget. The bus ride was back to the airport, not to catch a plane, but to catch a bus for the rest of our trip to Santa Domingo, Dominican Republic. On the bus ride to the airport, we saw large crowds of people gathered at several outdoor services as Haiti started the first day of a 3 day fasting and prayer period. As we approached the City of Port au Prince we again saw the large tent cities that had sprung up. The "tents" being a crude shelter of sheets, blankets or reed mats strung up across a wooden frame with the sheets flapping in the wind. Enough to provide shade, but if it rains there won't be much shelter. We then saw the many military encampments. I saw flags from Britain, France, Canada and the US. The UN troops we saw were all Brazilian. Add to that the Jamaicans and there is quite a mix of military contingents that we saw and I'm sure there were more. Once arriving at the airport, we had to wait only a short time for our next bus to arrive.
Our next bus was a smaller tour bus and actually air conditioned. The first leg of our journey was through the downtown area of Port au Prince. The pictures that I posted earlier are but a very small picture of the magnitude of this disaster. Block after block after block of destruction that is hard to fathom. Some of the many storied buildings are pancaked one story on top of another and you know that the inhabitants are still in there. In some of the larger buildings, maybe hundreds. I could go on and on, but words cannot possibly describe it. Again, we saw many gatherings of the services that started today.
Leaving Port au Prince, we started what turned out to be an 8 hour ride through rural Haiti and into the Dominican Republic. There was beautiful scenery, but evidence of poverty everywhere. At the border there was a checkpoint but no formal immigration, we just slowed down and drove through. We did get stopped at least 5 times however, at military checkpoints past the border. No passport checks, just a visual check of who was on the bus. The villages changed. Now the houses, although still primitive, were painted in bright colors-pinks, greens, blues, yellows, etc. There also appeared to be more organization of the village layout. Although it appeared to be economically a step up from Haiti, rural Dominican Republic still appears to be a poor country. Once arriving in Santa Domingo, we saw more night life-neon lights, music, motels, casinos,traffic.
We arrived at the motel and ate dinner, then off to bed. No night life and casinos for this crowd. I'm sure I'm the last one up because I'm still typing. now its my turn to turn in, so good night until tomorrow.
Day 6- Last Day of Clinic
Today there seemed to be an urgency on the people coming to the clinic. It was almost like the word was out that it may be a while before the next medical team arrives. After the pastor led singing and prayer (video), people started running for the line and more jostling for position was seen. All in all, it was quite peaceful for people in such need. Imagine that you have no access to such simple things as aspirin/ibuprofen for headaches, anti-acids or vitamins. Add to that the difficulty getting prescription meds for hypertension, diabetes, thyroid medicines, etc, or even minor surgery. After we leave and their medicines run out, they're on their own until the next team arrives.
Today I once again floated between gyn consults, surgeries and surgery follow-ups. My surgeries today were all lipoma excisions. I've never seen so many lipomas in a population. The surgery process is getting easier as we have the system down to prepare what we need to get started. Of course, we finally get it figured out right before we leave.
After surgery/clinic, and returning after dinner, we spent several hours reorganizing the pharmacy meds and surgical suite in preparation for the next group.
Just before dinner, a group of kids were playing in a tire, singing and drumming. This is on one of the videos I posted.
Tomorrow we leave about 9-9:30 in the clinic bus to Port au Prince airport. From there we will catch a bus to take us to Santo Domingo, Dominican Republic for our flight home Saturday.
Random thoughts again- Personal Space: in the US we have a circle around us that is our personal space. Not so in Haiti. The people stand in line pressing up against the person in front of them so there is VERY close personal contact. They stand squashed up against each other like that for hours. Just an observation of something that wouldn't fly at home.
Time to go to bed for another long day tomorrow.
Today I once again floated between gyn consults, surgeries and surgery follow-ups. My surgeries today were all lipoma excisions. I've never seen so many lipomas in a population. The surgery process is getting easier as we have the system down to prepare what we need to get started. Of course, we finally get it figured out right before we leave.
After surgery/clinic, and returning after dinner, we spent several hours reorganizing the pharmacy meds and surgical suite in preparation for the next group.
Just before dinner, a group of kids were playing in a tire, singing and drumming. This is on one of the videos I posted.
Tomorrow we leave about 9-9:30 in the clinic bus to Port au Prince airport. From there we will catch a bus to take us to Santo Domingo, Dominican Republic for our flight home Saturday.
Random thoughts again- Personal Space: in the US we have a circle around us that is our personal space. Not so in Haiti. The people stand in line pressing up against the person in front of them so there is VERY close personal contact. They stand squashed up against each other like that for hours. Just an observation of something that wouldn't fly at home.
Time to go to bed for another long day tomorrow.
Thursday, February 11, 2010
Wahoo Bay and Beach Club Resort
After cleanup, we boarded the hospital bus for the trip to Wahoo. The resort is only about 5-10 miles from the compound and is a sharp contrast to what we have seen so far. There was an open air restaurant and bar, motel, swimming pool and beach area. What was noticeable is that we were the only ones there. Other than the staff, there was not a another soul in sight. We had a great dinner and fellowship with the people we have worked so hard with this week. They are a great group. Not a complaint from anyone and always ready to jump in to do more before anyone asks.
When we returned, the Jamaicans had left, on their way to the next assignment. They also were a great group to work with, both medical staff and soldiers. The soldiers often shared rations and sang and played with the children in the orphanage. They wake up singing and go to sleep singing.
After devotions, we share our thoughts of our day and it was noted that we are seeing about 450 patients per day. This number does not reflect the number of patients seen by the Haitian Drs.
The 'machete man' returned to the clinic today for wound evaluation and dressing changes. His family is with him and we now know that he was attacked during a gambling argument about half a days walk from here. He walked for 2 days to get here. I'm just amazed that he's still alive.
Time to sleep again in the open air with the fresh night breeze that makes for such good sleeping. I know there would be none of that open air stuff in Indiana right now!
Good night to all!
When we returned, the Jamaicans had left, on their way to the next assignment. They also were a great group to work with, both medical staff and soldiers. The soldiers often shared rations and sang and played with the children in the orphanage. They wake up singing and go to sleep singing.
After devotions, we share our thoughts of our day and it was noted that we are seeing about 450 patients per day. This number does not reflect the number of patients seen by the Haitian Drs.
The 'machete man' returned to the clinic today for wound evaluation and dressing changes. His family is with him and we now know that he was attacked during a gambling argument about half a days walk from here. He walked for 2 days to get here. I'm just amazed that he's still alive.
Time to sleep again in the open air with the fresh night breeze that makes for such good sleeping. I know there would be none of that open air stuff in Indiana right now!
Good night to all!
Random Stuff- Hygiene
Showers are cold, as I stated, and 'Navy style'. Get wet, turn the water off, soap and shampoo up, turn the water on, rinse, turn the water off. The water supply is limited. The generators are not on all the time, but when they are, the storage tanks are filled again. Now the gross bits- the toilet rules: "If it's yellow, let it mellow. If it's brown, flush it down." Because of the septic system, whatever it is, the toilet paper is not to be flushed. It goes in a wastebasket located next to the toilet. Thank goodness it gets emptied regularly.
With those pleasant thoughts, I will close for now. I hope to give excursion updates later.
(Sorry these are posted late. I didn't get to enter them for Ian before I left for work tonight.-Lori)
With those pleasant thoughts, I will close for now. I hope to give excursion updates later.
(Sorry these are posted late. I didn't get to enter them for Ian before I left for work tonight.-Lori)
Day 5 Surgery Day
Today started as the others. Rise early, breakfast and off to clinic. As usual, a long line was waiting for us. The Drs that have been here before note that there is more order with the Jamaican army presence. Most of the unit leaves every morning to go to more remote areas to distribute food and medical care. They also refer patients back to us. We joke about the fact that as rudimentary(comparatively to what we have at home) as our facilities are, we have become a 'level 1 trauma and referral center'. The rear guard or security team that stays behind are present in the compound and at the clinic doors. They each are carrying an M-16 rifle and unlike the US military, they have a 30 round magazine in the weapon. They told me they don't have one in the chamber. It certainly helps maintain order.
Although there were enough surgeries to do, we unfortunately have to defer on some. "First, do no harm". If the surgery could wait on an anemic patient with poor nutrition (a given), and we are concerned about potential blood loss with no backup blood supply, we defer. I also saw a lady with inflammatory breast cancer with half of her breast just necrotic tissue. We deferred. She has an extremely poor prognosis.
Surgeries to date include wound/abcess debridement, D&C, many lipoma excisions, breast fibroma excision, circumcision on an 11 yr old with phimosis and adhesions covering his urethra. The orthopedic team has been extremely busy with wound debridement, fracture follow-up, trauma and anything else. We ended up our day with plans for Jim and I planning a large lipoma excision from a lady's side.
One of the operating room suites has no air conditioning (not complaining, just stating), so by the end of the case I could take off my scrubs and wring them out. That's why that cold shower at the end of the day feels so good.
Tonight we are going to treat ourselves. We are going out of the compound to Wahoos, a restaurant about 20 minutes from here. I will write later with an update.
Although there were enough surgeries to do, we unfortunately have to defer on some. "First, do no harm". If the surgery could wait on an anemic patient with poor nutrition (a given), and we are concerned about potential blood loss with no backup blood supply, we defer. I also saw a lady with inflammatory breast cancer with half of her breast just necrotic tissue. We deferred. She has an extremely poor prognosis.
Surgeries to date include wound/abcess debridement, D&C, many lipoma excisions, breast fibroma excision, circumcision on an 11 yr old with phimosis and adhesions covering his urethra. The orthopedic team has been extremely busy with wound debridement, fracture follow-up, trauma and anything else. We ended up our day with plans for Jim and I planning a large lipoma excision from a lady's side.
One of the operating room suites has no air conditioning (not complaining, just stating), so by the end of the case I could take off my scrubs and wring them out. That's why that cold shower at the end of the day feels so good.
Tonight we are going to treat ourselves. We are going out of the compound to Wahoos, a restaurant about 20 minutes from here. I will write later with an update.
Wednesday, February 10, 2010
Tuesday, February 9, 2010
Day 4 Clinic and Surgery
After breakfast, we again marched up to the clinic where long lines were waiting. The pastor led singing and prayer and then it started. My day alternated between gyn consults in the clinic and surgery.
Surgery is interesting because it is all yours. First figure out the instruments you need and find them in the pile of instruments available. Then figure out how the sterilizer works and get them sterilized. Then figure out what else you need- prep, drapes, local anesthesia, gown, gloves, sponges, etc. Gather it, set it up, try not to contaminate it. Do the surgery, which to me was the easy part after all the rigamerole. No matter what the surgery, the patient goes home that day. Usually with ibuprofen for pain, not narcotics.
Interesting cases: the day started with a little boy who fell out of a tree and had a compound fracture of the ulna and radius. The wrist hanging loose and both bones protruding. Jim did a wonderful job of fixing this. We also had a man who had been attacked with a machete. Most of his 11 lacerations were on his scalp and face with some defensive wounds on his right hand. This occured 3 days ago so his wounds were debrided, 2 fingers amputated and antibiotics. He actually walked out at the end of the day. There were many other wound debridement surgeries. I wasn't involved in any of these. The Jamaican team was a great help.
Our work day is over. I am actually looking forward to a cold shower and then dinner prepared by the Jamaican army again.
Rooster/donkey symphony tonight ready for another day tomorrow.
Surgery is interesting because it is all yours. First figure out the instruments you need and find them in the pile of instruments available. Then figure out how the sterilizer works and get them sterilized. Then figure out what else you need- prep, drapes, local anesthesia, gown, gloves, sponges, etc. Gather it, set it up, try not to contaminate it. Do the surgery, which to me was the easy part after all the rigamerole. No matter what the surgery, the patient goes home that day. Usually with ibuprofen for pain, not narcotics.
Interesting cases: the day started with a little boy who fell out of a tree and had a compound fracture of the ulna and radius. The wrist hanging loose and both bones protruding. Jim did a wonderful job of fixing this. We also had a man who had been attacked with a machete. Most of his 11 lacerations were on his scalp and face with some defensive wounds on his right hand. This occured 3 days ago so his wounds were debrided, 2 fingers amputated and antibiotics. He actually walked out at the end of the day. There were many other wound debridement surgeries. I wasn't involved in any of these. The Jamaican team was a great help.
Our work day is over. I am actually looking forward to a cold shower and then dinner prepared by the Jamaican army again.
Rooster/donkey symphony tonight ready for another day tomorrow.
Monday, February 8, 2010
First Day of Clinic
At 0700 the gates to the compound were opened. There was an initial rush of people running to the clinic which is located at the far end of the compound. This was followed by a steady stream of patients that collected in front of the clinic. There was somewhat of an organized line. Pastor Jean Marie then arrived and led the crowd in song and prayer. Again, all in Creole, but I recognized The Lord's Prayer and "What a Friend We Have in Jesus". The crowd then started to line up in the appropriate lines- two different general medicines, dentistry, pharmacy and surgical.
Clinic started at 0800 and was immediately busy. I spent time between gyn consults and surgical. The gyn was fairly routine, but the surgical patients were much more intensive. Most were wound follow-ups involving debridement of ulcerated wounds, fracture follow-ups with many involving external fixation. The orthopedic surgeon and prosthetist (Jim and Dave) did most of this with others helping out.
My big case was on an 'older' lady who was a paraplegic from quake injuries received when her house collapsed. She had a deep area of necrotic tissue about 5-6 inches across in the area of her sacrum Cleaned it, packed it antibiotics and back home tonight. I wonder what her future will bring.
Around noon, a UN convoy arrived bringing a unit of Jamaican soldiers and a medical team. The medical team started to work at our side while the soldiers set up camp on the undeveloped second story of the clinic. They will use this as a base camp as they pass out food in this area.
The afternoon clinic was more of the same with many infected wounds. Although I wasn't with the other teams that much, I know they all worked hard at their given tasks.
After clinic, another cold but refreshing shower. Dinner is being cooked by a very large (that's not fat) Jamaican corporal. I saw rice, corned beef and an assortment of local vegetables. It smells good and I am looking forward to it.
Also looking forward to tomorrow and whatever it brings.
(Posted by Lori for Ian.)
Clinic started at 0800 and was immediately busy. I spent time between gyn consults and surgical. The gyn was fairly routine, but the surgical patients were much more intensive. Most were wound follow-ups involving debridement of ulcerated wounds, fracture follow-ups with many involving external fixation. The orthopedic surgeon and prosthetist (Jim and Dave) did most of this with others helping out.
My big case was on an 'older' lady who was a paraplegic from quake injuries received when her house collapsed. She had a deep area of necrotic tissue about 5-6 inches across in the area of her sacrum Cleaned it, packed it antibiotics and back home tonight. I wonder what her future will bring.
Around noon, a UN convoy arrived bringing a unit of Jamaican soldiers and a medical team. The medical team started to work at our side while the soldiers set up camp on the undeveloped second story of the clinic. They will use this as a base camp as they pass out food in this area.
The afternoon clinic was more of the same with many infected wounds. Although I wasn't with the other teams that much, I know they all worked hard at their given tasks.
After clinic, another cold but refreshing shower. Dinner is being cooked by a very large (that's not fat) Jamaican corporal. I saw rice, corned beef and an assortment of local vegetables. It smells good and I am looking forward to it.
Also looking forward to tomorrow and whatever it brings.
(Posted by Lori for Ian.)
Sunday, February 7, 2010
Church and More Preparation
I got a good night's sleep last night despite the rooster. This rooster didn't read the book. Roosters are supposed to crow in the morning, not all night long. Add to that the donkey braying in harmony now and then and it made an interesting night. I still got plenty of rest.
After breakfast we walked the half mile to church. Church is held outside rather than in the sanctuary for fear of the damage to the building during the quake. Because of the heat, church started at 0800 instead of 0900. There was lots of singing and praise, but it was in Creole so I didn't understand it, but I got the gist. The service lasted 2 1/2 hours and at the end they passed out rice the church had purchased for families.
After church, Bill and I were asked to make a house call. A lady who delivered at home less than 24 hours before was concerned about milk production. Pierre, who is a native Haitian now practicing in Florida, went along as interpreter. Bill then made another house call before we walked a different way home through the village. The sights, sounds and smells remind me so much of patrolling through villages in Vietnam. No pack, rifle, sense of awareness as you take each step. Totally different mission this time, but it brought back memories.
Lunch and then back to the clinic. We had to get the operating rooms ready for surgery. Initially, they smelled damp and moldy. Pierre, Jim and I spent several hours washing all the walls with bleach then mopped the floors with antiseptic solution. Pierre got all of his anesthesia gear together while Jim and I sorted through piles of instruments trying to sort out what we need. Jim and I will probably scrub together with me assisting in ortho and him assisting in gyn. This will be interesting to say the least.
While this was going on, the others were preparing their areas. Dentistry, general clinic, pharmaceuticals and supplies are ready and we are ready for our first patients tomorrow.
Another tidbit- the windows have eyes and voices. The windows in the dining area consist of multiple 'slits'. When you are in this area, you hear "You! You!" When you turn around, all you can see are eyes in the slits. These are the children begging as we eat. No pun intended, but food for thought.....we are so lucky.
(posted by Lori for Ian.)
After breakfast we walked the half mile to church. Church is held outside rather than in the sanctuary for fear of the damage to the building during the quake. Because of the heat, church started at 0800 instead of 0900. There was lots of singing and praise, but it was in Creole so I didn't understand it, but I got the gist. The service lasted 2 1/2 hours and at the end they passed out rice the church had purchased for families.
After church, Bill and I were asked to make a house call. A lady who delivered at home less than 24 hours before was concerned about milk production. Pierre, who is a native Haitian now practicing in Florida, went along as interpreter. Bill then made another house call before we walked a different way home through the village. The sights, sounds and smells remind me so much of patrolling through villages in Vietnam. No pack, rifle, sense of awareness as you take each step. Totally different mission this time, but it brought back memories.
Lunch and then back to the clinic. We had to get the operating rooms ready for surgery. Initially, they smelled damp and moldy. Pierre, Jim and I spent several hours washing all the walls with bleach then mopped the floors with antiseptic solution. Pierre got all of his anesthesia gear together while Jim and I sorted through piles of instruments trying to sort out what we need. Jim and I will probably scrub together with me assisting in ortho and him assisting in gyn. This will be interesting to say the least.
While this was going on, the others were preparing their areas. Dentistry, general clinic, pharmaceuticals and supplies are ready and we are ready for our first patients tomorrow.
Another tidbit- the windows have eyes and voices. The windows in the dining area consist of multiple 'slits'. When you are in this area, you hear "You! You!" When you turn around, all you can see are eyes in the slits. These are the children begging as we eat. No pun intended, but food for thought.....we are so lucky.
(posted by Lori for Ian.)
Saturday, February 6, 2010
Arrival and Getting Started
Our day started early at 0515 as we gathered to load our bags on the van to the airport- it took two trips to get it all there. The MFI hanger had 1 DC-3 in the hanger and 2 outside. Our group, an Italian group and some of our luggage boarded a 1943 airplane. The rest of our bags followed in a smaller cargo airplane. (Cessna Caravan). We stopped at Georgetown, Exuma Islands, Bahamas for a 15 minute refuel and the back in the air for the rest of the flight to Port au Prince. It was an uneventful flight with beautiful views of the smaller islands and that blue water that I love about the Caribbean.
On arrival, we went through customs and waited until the rest of our baggage arrived. Pierre, Bill, Lee and I walked over to the University of Miami hospital tent to try and get supplies without success. So we hit the army up, also without success.
We then drove to the compound at Saint Ard. We saw the damaged structures, many tent cities and then passed the area of the mass burials. A very sobering reality.
Once arriving, we quickly ate lunch and then set to the task of unpacking, sorting and storing the medicines and supplies. This took several hours. We worked up a good sweat. The anesthesiologist, orthopedic sugeon and I checked out the operating room facilities. We can do it!
After dinner, devotions and a cold shower, it is time to hit the sack before what will undoubtedly be a busy day tomorrow.
(posted via Lori Johnston....in Ian's words per text message as there is no computer on site.)
On arrival, we went through customs and waited until the rest of our baggage arrived. Pierre, Bill, Lee and I walked over to the University of Miami hospital tent to try and get supplies without success. So we hit the army up, also without success.
We then drove to the compound at Saint Ard. We saw the damaged structures, many tent cities and then passed the area of the mass burials. A very sobering reality.
Once arriving, we quickly ate lunch and then set to the task of unpacking, sorting and storing the medicines and supplies. This took several hours. We worked up a good sweat. The anesthesiologist, orthopedic sugeon and I checked out the operating room facilities. We can do it!
After dinner, devotions and a cold shower, it is time to hit the sack before what will undoubtedly be a busy day tomorrow.
(posted via Lori Johnston....in Ian's words per text message as there is no computer on site.)
Friday, February 5, 2010
En Route
My labor patient delivered late last night, so I got home and packed before midnight. I couldn't find a copy of my medical license, so back to the office where I left it. Finally got to bed around 0100.
We are finally on our way. I arrived at the church at 0600 (also known as zero dark thirty) to meet the rest of the crew minus the two that we were to meet in Ft. Lauderdale. Twenty-one bags, each weighing the maximum 50#, containing our personal gear, medicines and medical supplies were loaded into the church van and bus. In addition to this, we also each had two carry on bags.Off to the airport, hoping to get out before the big predicted snowfall.
As we boarded, a light snow was falling, but before we pushed out a heavy snow was falling requiring an extensive de-ice. We then had an uneventful flight to Ft. Lauderdale via Atlanta, but I wouldn't know since I slept most of the way. We met the last two of our party in Florida and then it took two more vehicles to cart us and all of our gear to Ft. Pierce where tomorrow morning we will depart for Haiti. As a pilot, I'm interested in seeing the type of aircraft we will use. The MFI website showed a DC-3, a WWII vintage transport, and if this is the case, I look forward to flying in that.
The members of the team are:
Dr. Pierre Augustin-Anesthesiologist
Dr. Bill Engle-Neonatologist
Dr. Jim Grannell-Orthopedic Surgeon
Mr. David Huse-Prosthetist (he makes prosthetic limbs)
Dr. Ian Johnston-OB/GYN
Dr. Lee Mitchell-Dentist
Mrs. Carolyn Olivier, R.N.
Dr. Jeff Steele-Dentist
Mrs. Linda Strickland, R.N., Nurse Practitioner
Again, I hope there is service in Haiti so this can continue. I'm looking forward to tomorrow
We are finally on our way. I arrived at the church at 0600 (also known as zero dark thirty) to meet the rest of the crew minus the two that we were to meet in Ft. Lauderdale. Twenty-one bags, each weighing the maximum 50#, containing our personal gear, medicines and medical supplies were loaded into the church van and bus. In addition to this, we also each had two carry on bags.Off to the airport, hoping to get out before the big predicted snowfall.
As we boarded, a light snow was falling, but before we pushed out a heavy snow was falling requiring an extensive de-ice. We then had an uneventful flight to Ft. Lauderdale via Atlanta, but I wouldn't know since I slept most of the way. We met the last two of our party in Florida and then it took two more vehicles to cart us and all of our gear to Ft. Pierce where tomorrow morning we will depart for Haiti. As a pilot, I'm interested in seeing the type of aircraft we will use. The MFI website showed a DC-3, a WWII vintage transport, and if this is the case, I look forward to flying in that.
The members of the team are:
Dr. Pierre Augustin-Anesthesiologist
Dr. Bill Engle-Neonatologist
Dr. Jim Grannell-Orthopedic Surgeon
Mr. David Huse-Prosthetist (he makes prosthetic limbs)
Dr. Ian Johnston-OB/GYN
Dr. Lee Mitchell-Dentist
Mrs. Carolyn Olivier, R.N.
Dr. Jeff Steele-Dentist
Mrs. Linda Strickland, R.N., Nurse Practitioner
Again, I hope there is service in Haiti so this can continue. I'm looking forward to tomorrow
Thursday, February 4, 2010
Still Getting Ready
At the conclusion of my last post, I noted that I was going to pack. Well, that didn't completely happen. I do have the things to take ready but not in my backpack or suitcase yet.
The group was to meet at the church tonight to finish final preparations, but I'm not there. I'm at the hospital. I delivered two babies earlier today and I have one more in labor now. Not to put any pressure on her, but I told her I just have to leave and let someone else take over if she doesn't deliver by 4 am. Then I'll go home and finish my packing so I can meet the group at the church at 6 am. Everybody is delivering before I leave. One on Sun., one on Tues., one on Wed., two today with one to go. This is busier than usual, it's not my usual week. It must be preparation for the coming week.
I hope I have enough computer or i phone access in Haiti to continue this blog, but I won't know until I get there. If the blog stops, don't worry, just wait for access.
Back to work, and I'll conclude once again saying I need to go home and pack.
The group was to meet at the church tonight to finish final preparations, but I'm not there. I'm at the hospital. I delivered two babies earlier today and I have one more in labor now. Not to put any pressure on her, but I told her I just have to leave and let someone else take over if she doesn't deliver by 4 am. Then I'll go home and finish my packing so I can meet the group at the church at 6 am. Everybody is delivering before I leave. One on Sun., one on Tues., one on Wed., two today with one to go. This is busier than usual, it's not my usual week. It must be preparation for the coming week.
I hope I have enough computer or i phone access in Haiti to continue this blog, but I won't know until I get there. If the blog stops, don't worry, just wait for access.
Back to work, and I'll conclude once again saying I need to go home and pack.
Wednesday, February 3, 2010
Getting ready to go
I am a practicing OB/GYN in Avon, Indiana. I have been trying to go to Haiti as part of a medical team since the earthquake occurred January 12,2010. My initial efforts were very frustrating. I contacted multiple medical relief organizations without success. I was told that the quotas were full, but I would be put on a waiting list. At the same time, I was watching the evening news channels crying for more doctors to come and help. I kept making calls without success. I finally had a chance encounter with Pastor Jim Ramsey, an associate pastor at Avon United Methodist Church, as he was making his rounds at the hospital. He directed me to Mission Haiti Midwest directed by Dr. Mark Fulton. I contacted Dr, Fulton as he was on his way to Haiti. After several redirects, I finally made contact and was added to the team.
I first visitited Dr. Jim Richardson, an infectious disease specialist and a veteran of many medical mission trips around the world. There I received my Hep A vaccine, typhoid vaccine, anti-malarial meds, and preventive antibiotics. Then off to the stores to pick up the necessary supplies. Hopefully that is done.
Last Sunday, we met at Chapel Hill United Methodist Church to organize the supplies to be taken. A small mountain of medical supplies, medicines, food and sundries was organized, triaged and weighed. What needs to go for sure, what needs to go if we have room and what can wait.
Travel plans have been back and forth with several preliminary plans and .changes. At this time we are departing Friday morning Feb. 5 (note:4-8" of snow predicted at that time). Indianapolis to Ft. Lauderdale, Fl via Atlanta. Ground transportation to Ft. Pierce, Fl to spend Friday night. Saturday morning flying to Port au Prince via MFI (Missionary Flights International), a missionary flight organization. From Port au Prince to Saint Ard, site of the clinic about 30 miles north of the capital city. At the end of the week, we are to make our way to Santa Domingo, Dominican republic for our flight back to Indianapolis on Feb 13.
At this point I don't know what my duties will be. Of course, as an obstetrician I would like to perform deliveries and, if necessary, cesarian sections. I am, however, also a surgeon and who knows how my hands may be needed. My general medical skills are in there, I just have to fine tune them again. Whatever presents itself, that's what I'll have to do. I'll have to resurect the old Marine Corps "accomplish the mission" attitude.
Of course, I haven't packed yet. That will now be my next step.
I'll continue to post if at all possible and if I ever figure this thing out, even post some pictures.
I first visitited Dr. Jim Richardson, an infectious disease specialist and a veteran of many medical mission trips around the world. There I received my Hep A vaccine, typhoid vaccine, anti-malarial meds, and preventive antibiotics. Then off to the stores to pick up the necessary supplies. Hopefully that is done.
Last Sunday, we met at Chapel Hill United Methodist Church to organize the supplies to be taken. A small mountain of medical supplies, medicines, food and sundries was organized, triaged and weighed. What needs to go for sure, what needs to go if we have room and what can wait.
Travel plans have been back and forth with several preliminary plans and .changes. At this time we are departing Friday morning Feb. 5 (note:4-8" of snow predicted at that time). Indianapolis to Ft. Lauderdale, Fl via Atlanta. Ground transportation to Ft. Pierce, Fl to spend Friday night. Saturday morning flying to Port au Prince via MFI (Missionary Flights International), a missionary flight organization. From Port au Prince to Saint Ard, site of the clinic about 30 miles north of the capital city. At the end of the week, we are to make our way to Santa Domingo, Dominican republic for our flight back to Indianapolis on Feb 13.
At this point I don't know what my duties will be. Of course, as an obstetrician I would like to perform deliveries and, if necessary, cesarian sections. I am, however, also a surgeon and who knows how my hands may be needed. My general medical skills are in there, I just have to fine tune them again. Whatever presents itself, that's what I'll have to do. I'll have to resurect the old Marine Corps "accomplish the mission" attitude.
Of course, I haven't packed yet. That will now be my next step.
I'll continue to post if at all possible and if I ever figure this thing out, even post some pictures.
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