Friday, October 10, 2014

Mirebalais Madness...........

     Mirebalais.....here we come. Our good ole ambulance chugs up Goat mountain and then thru the countless switchbacks. Some of the patients are starting to feel nauseous and we hear the lids being ripped of the marmites. Soon we are rolling down the windows and Whit and I are fighting for a breathe of fresh air. One lady starts laughing and then soon we all join in. Haitians are great to accept the situations they find themselves in!!
   After 1 hour we pull in thru the gates of Mirebalais . Everyone jumps out and we try to make ourselves look half decent.
 "Alright everybody... here we are, follow us." Whit and I lead 5 of them off towards the archives. Julian stays with Jean Louis and our little hernia  in the surgery waiting room.  Lines of people waiting, nurses flying around, security milling through the crowd,  important looking doctors, surgeons, lab techs walking with a sure purposeful step... Whit and I look at each other. Where do we begin?? This place is huge. We get to archives and get things sorted out. Whit heads off towards the place where they get CT scans with some of the people. I head off towards to get an x ray done. Beginning of a looooonnngg crazy day. Running from one place to the next.  
  " Sorry, we cant help you today, our x-ray machine isn't working. Go get a signature from a doctor. This is the wrong place sorry,ect..."
       My phone is ringing in my purse, "Alo." "Mis Mali, I need you, I don't know what to do anymore, I am lost, where are you." " I will come, stay right where you are." I meet Whit in the one of the long halls. She is marching off with 3 other patients. We grin and exchange stories.
        At about 2 in the afternoon one lady whisks the little girl off (that was patiently waiting since 9 for a CT scan,) and bathes her. Whit suddenly realizes the girl  is gone when she hears the doctor finally calling out her name. Here goes our chance. We now need to wait till tomorrow morning to get her in again.
    All day we run and then we sit waiting for tests, scans, results, doctors.... By 6 both our patients that had operations pending  are in pre-op . As much as could be accomplished  has been done. Tired and hungry we jump in the ambulance and head back to P.A.P for the night. Thanks to Blue Ridge we had a relaxing evening.
  Next morning we find ourselves once again in Mirebalais.  It doesn't seem as huge and strange anymore. We quickly find our patients. Its touching to see how happy they are to see us. One lady threw her arms around us and cried. "Oh Mis, you didn't leave us alone,you came back."We laugh and try to make them forget the operations that are ahead of them. 
    The old man grabs my hands and tells me with a very  decided air. "Mis, I will be going home with you because I have 7 marmites of peanuts to plant and I need to get it done." I laugh...."Well,if the doctor says you are doing well enough to leave, but if not you are going to have to wait." I hear him mutter as I leave. "I will go back, those peanuts need to be planted." I smile at Whit... I love every one of them. They colour our lives up so much!!!
    At 12:30 pm the little Hernia girl is wheeled off into the operating room. Her mom hugs me and cries. She is worried she will wont come back out. After 3 hours of waiting they wheel her back into post-op. She is doing fine and still sleeping.

  A half hour later the old man is wheeled in. At 6:30 pm  he is wheeled into post op. We walk in to see him and he is already sitting up,asking for his normal clothes.  I am sure he wanted to prove that he COULD plant those peanuts!! Even the other nurses smile and laugh as they see his very decided look.

     We had some minor complications so we ended having to go back to P.A.P for the night instead of heading homeward. Wednesday morning.....doctor signs their discharge papers and we all pile back in the ambulance....
    SO ready to head home, home to our Aylegue family and hospital. We are so thankful for our 2 first successful operations and the joy its brings to our patients.
    The verse in Mathew that takes about "when I was sick and you visited me" kept running through my mind and giving me courage to keep going. If I can see Jesus in my patients sad ,hopeful eyes....that's enough to keep my going!!!
-Mis Mali

   
      

Tuesday, October 7, 2014

Don't Untie That Knot!

It is Friday. Ninety or more people are thinking that they should be seen sooner rather than later. The beds are full. One lady is in labor. And then, this boy shows up.
    He looks not too bad from the start. But he has these rags around his stomach. And they are oozing intestinal stuff. And we need a hospital bed.
    By afternoon we had a bed for the white-faced boy. We started to unwrap him, and then the doctor said, "Just leave it go. Don't untie that knot. He needs a surgery."
    The big problem is that they are having demonstrations on the Streets by the hospital, and we don't know if it is possible to arrive safely in the hospital.
    And then, to heighten the dilemma, the dad leaves, and walks off with the mule he came on. Now what? This man could be dying! Should we put in an IV or not? One doctor says do, the other one says don't....What if he dies on our hands?
     Donovan and Mali jumped on the one machine and tried to go find the father of the 20 year old boy so that we could get help for him.
     Finally, the dad was found walking down the road. We were so glad he was showing up. But not for long, soon he walked out the gate again, just as we were loading the ambulance to go to town! A helpful neighbor went and made him return.
      Finally, at about seven o'clock in the night, we had a ride ready to go to Port-au-Prince, to see if we could find someone who would receive a man with intestinal fluids running out of his umbilicus. The ride was as crazy as usual. Bounce. Bump. IV pulls loose. Machine stops. IV is repaired. Bounce. Bump.
    Nearing midnight, we arrive at our first prospective hospital. The doctor says they don't have the machines to operate on the man, and that we need to go to the general hospital. We go.
   We find one helpful man who gets in to see the doctor. The doctor says we can stay. But then a crime scene is brought into the hospital, and among all the yelling and noise, the doctors are all obligated to leave for security reasons.  The young doctor apologizes, tells us that he can't help us, and the patients who are sprawled here and there in the emergency room get ready to leave, without having been helped. We find someone to show us out the back door, to avoid walking by the yelling, blood, and danger zone.
    We sit in our machine with our angry, hungry patient, who is hungry, full of IV fluids, and in pain. A rat walks by.
     We sigh, pray, and wonder how we got here. Hours away from home, turned out of the second hospital.
    God gives us one hopeful thought at this moment, as the stench of our patient washes over us. How about Bernard Bevves hospital? It is expensive, but what are we going to do to save this man's life?
     We go out on the road, drive through the dangerous streets, and honk our horn as we arrive at the third hospital for the night.
    "We can't help you," they say. I got out of the machine, and walked by a man with a gun.
    "Where can I give some information?" I asked.
     They showed me to an office, and opened the gate for Donovan to pull in the machine. By a miracle from God, there was a team from Canada on campus, and they seemed very helpful.
     We were able to get a CAT scan, a surgery lined up, and leave that spot by about 2:30 am. But the story was not over that easy. The next day, after the Canadian team was gone, and we were on our way, trying to get home, the phone rang.
    "We don't have a place for your patient," the voice rambled.
    I couldn't believe it. He was supposed to be in surgery! Will I ever understand this country????
    By the mercy of the Lord, our patient was able to stay the week-end. We made a lot of phone calls, prayed a lot, and waited. This is Tuesday, and our patient was finally able to see a doctor today, I believe.
    We are hoping to bring our patient home sometime this week to continue recovery.
     Just for fun, I am throwing a picture of our present team in here. We ran away from the compound Saturday evening about sunset, tired of emergencies, bandages, IV's and blood. Those who were here at home had quite a time as well, and we couldn't wait to feel fresh air in our hair.
     Today, being Tuesday, Mali, Whitney, and Julian are in Mirebalais again, helping two other patients realize some long awaited surgeries. Their trip is turning into a three day experience. Hopefully when they get back, you will get an update from one of them!
    Good-night! Rhoda for the team
   

Saturday, October 4, 2014

      Hello! My name is Janette. I am an RN from Pennsylvania and I came down to help out in the clinic for a month. It is my turn to blog so I will tell you a little about what I am doing while here.  First thing in the morning  I do several dressing changes on wound patients. The main thing I'm doing though is the prenatal program. We call all the pregnant ladies that have arrived by that point (some keep coming throughout the morning) and have them sit in a room all together. We do vital signs and then have a little  teaching session. We use a book on fetal development that shows pictures of the different months and we talk to them about drinking enough water, eating healthy foods, etc. Then Whitney and I each take patients and do consultations. A consultation starts by measuring fundal height and finding a fetal heart beat. Then we do a focused assessment and write up a list of medications for them based on that. Each lady is given an 'appointment' to come back to the clinic. Healthy patients usually come every month; others come more often.
           Here's a little taste of the medical system down here:  Last night Donavon took a patient out whose life depended on an operation. The first hospital wouldn't take him, the second was going to but then the doctors all had to leave for an emergency, finally the third hospital did accept him and was going to do the operation this morning. However, they called this morning and said they didn't have a bed so who knows if he got the surgery or not. This is Haiti! The mission will follow up with him and do what they can to make sure he gets the care he needs.     
 
Whitney and I
The clinic staff