A little one in need of oxygen

Finally! A break from the nasty, yucky and bloody cases that almost always come in!

Yesterday a father brought his little 11 month-old baby to the clinic. It was wheezing, coughing and had a fever of 103 degrees. They checked out its o2 sat... it was in the low 70's! They immediately put it on oxygen and gave it some glucose and milk. It hadn't eaten or drank anything since the day before. Even before that, we could tell it was badly malnourished.

Baby and father, waiting for recovery...

The poor little baby was in such bad shape at first. The nurses were worried it might not pull out of it.

But within a few hours they could see a marked difference! 

The recovery went so well they actually were able to release the little one the next morning!

Pig-bit...

I've heard of "hen-pecked" but what do you do with someone that's been "pig-bit"? :)

Apparently this guy was in market, hanging around the pig pens when one of the swine must've taken offense to his presence. It lashed out, lacerating this calf-muscle and making a mess of it. He came limping into the clinic in the late morning, needing stitches...

By the time I came into the clinic with the camera they had already propped him up and were beginning to clean the wound.

 Here he is...

 And there is the gash... It was about 3 1/2 inches long- not very deep though, thankfully!

 Anita, numbing the area before stitching.

He doesn't look too impressed, does he?

He was actually a very good patient!

 Anita began by closing the wound with 3-4 stitches, widely separated.

The observers/audience.

 More local anesthesia was needed at one point...

After Anita stitched the first few sutures Breanna finished it up.

It was her first "official" stitch job! 

Great work!

The man has been come back at least once for a checkup. 

Everything seems to be progressing well and healing up!

A bump on the head...

Another day, another bump!

Some youngsters came around the other day, one of them needing a bandage on his head. What they did, we're not entirely sure, but they were working ("ap travay") in their family garden when it happened. The result was a small puncture wound on the top of one little guy's head.

They were both very cooperative and somewhat excited for being in the clinic, so it was kinda fun to work with them :)

Breanna was on call, so she did the treatment...

 We had to shave around the wound; that was the band aide would stick!

 Here they are...

The injured's buddy was fascinated by everything that went on :)

Putting the finishing touches on...

They both had a grand time- I'm sure, not only for being in the clinic, but also for having a break from their evening work! :)

Update on a patient...

Remember that young man that jumped down a tree, landing squarely on his machete? 

Well, he came back the other day for a checkup and things are looking great!

Seems like it is healing up very well!

Michael and Anita examining the cut:

They decided to keep some stitches in, since it was still wanting to separate in a few places.

We expect him to make a full recovery!

More picking being done...

There have been so many incidents with picks you would almost wonder if there was a serial-picker going around, causing mayhem and panic amongst the inhabitants of Aleg.

Well, it turns out, there is no one person inflicting all these injuries: with everyone working their gardens, it's just Murphy's law in full motion! :)

As you might have gathered already, this person came to the gate with a pick-inflicted injury. This time it was on one of his fingers...

Breanna was on call that day. When she was called out to the clinic she found it to be a little much for just a band-aide. They decided it needed to be stitched!

Anita cleaned the wound further and got ready to stitch. 

Wow. Laid open, clean to the bone!

Further cleaning, getting dirt (and such) out of the wound and sterilizing it.

Team work!

Anita and Breanna work together to get lidocaine into the syringe...

Stitching...

Unfortunately the man was slightly drunken and kept moving his arm around.

So Breanna held his arm still!

Finally they finished!

Good job, team!

After bandaging it up, the man was able to go home!

He has a checkup scheduled soon for his stitches to be taken out.

Personnel Perspective...

Once in a while I like to get inside people's days and see what goes on; hear how they feel about it and what makes their job, well... their job!


This time I asked Breanna (one of our nurses down here) to write about her everyday life in the clinic and give us some perspective on what goes on between all those spectacular injuries and stitch jobs! For those of us that look at the blog from Stateside, it's easy to forget that for every unique and extreme situation we encounter down here there are, perhaps, 75-100 normal, everyday cases that come into the clinic- some colds, the flu, an ear ache, a pulled muscle, parasites, a few headaches... simple and routine things that bring an otherwise exciting job down life's lower echelons of monotony.


But isn't almost everything in life that way? People go around looking for their "dream" job, only to find that it, too, becomes commonplace and almost boring! Hence the reason we can't rely on earthly situations and circumstances for our joy in life- the only real source of joy can ONLY be found in our relationship with the Lord Jesus. Walking with Him throughout the day, talking with Him, reading and loving His Word and telling the great news of what He's done for us to others.


Well, enough of my little preface! Without further delay, here is Breanna's account of her daily life in the Aleg medical clinic...

***

~July 13th, 2012~
When Nathan asked me to come up with a blog post – the subject being, “What Breanna does in the clinic” – I felt like, oh no, this is sort of a difficult task, because I don’t feel like what I do would make anything close to an intriguing blog post! Especially speaking of my job on a conventional level. However, I have to give it my best shot.  

I believe I will just write about my day today…that’s about as average as I can get…


I arrived at 8:30am.  As is typical, I began my morning by first of all greeting the Haitian workers one by one with a handshake and exchanging greetings.  Then I collected all of my usual cleaning and bandaging supplies for my “leg man” before bringing him inside.  You have probably seen pictures on this site of the man with the large leg infection.   After assembling my supplies, I went outside and hailed him in.  I went through my daily routine of cleaning and re-bandaging his leg.  
It’s healing up great! It’s fun to see the progress its making. Something that is very obvious if I look at a picture first and then compare it to its current state!  The day he first came in, I was shocked at the smell (!!!!), its decomposing and how utterly gross it was. But we are all so impressed now – it’s a miracle how the body can heal itself.  

After completing that, I noticed that I have some time before clinic officially begins and regular patients enter the clinic.  I decided to bring in my next project – a little boy that had come in last evening when I was on call – he had bent the toenail on his big toe completely backwards.  OUCH!! Yesterday I had cleaned and bandaged it – it was obviously quite sensitive then. 

Today, I trimmed the toenail back to as far as I could, and cleaned it again – as I was cleaning it, of course it hurt some – but he was so cute, he wouldn’t move his foot away from me at all, he would simply slowly bend his toe away from me if I pressed too hard, and he’d wrinkle up his nose a little. I’d smile at him every once in awhile and tell him “preske fini” (almost finished) and he’d grin right back with such trusting, adorable little eyes…I tried to go at it very gently. Soon we were done, I bandaged him again, and he gave me a big smile and hopped off his chair. I told him to come back again tomorrow.

Clinic officially was beginning.  The nurses were ready to give consultations, so I then went to my main job – taking blood pressures, temperatures, and keeping general order in the waiting room.  After I did that for a time, the “foot lady” arrived. Our names for people are sort of…”original”, ha! You can read about her on this blog as well.  
Her calluses around the wound periodically need removed with a scalpel, and today it was getting to the place where it needed to get done. So I did that, which took awhile, it was sort of a fun little project. Shortly after finishing her foot, I stuffed an abscess on “the neck guy” – he had an infected lymph node that turned into an abscess that mainly Michael has been packing every day for awhile.  Today I got the job though.

After that, I returned to taking vitals…popping in to see what interesting cases Michael and Anita have…being an extra set of hands here and there…Both of them have been wonderful teachers to me since my arrival here 4 months ago (to the day!). Medicine in Haiti is unique in and of itself.  I have learned much and attribute that largely to their patience and willingness to explain things and answer questions. 

At about 12:00pm, all the patients were seen, cared for, medications handed about by the pharmacy, and we were ready to close for the day!! Virginia was on call – which means that any after hour emergencies are for her to oversee.  Everything went very smoothly and for that we are so thankful!
~Breanna  

Some everyday scenes from the clinic...

Anita doing consultations in her room.

Mis Joceline also doing consultations in her room. 

Zita (Madam Jon Marc) helps out in the pharmacy.

The waiting room :)