Tuesday, March 26, 2013

First Day in the Clinic!!


Tuesday, March 16th

Today was the first day at the clinic, so we all loaded into the bus and had a cozy two and a half hour ride to the small community.  It was amazing to see all the people that showed up to get healthcare.  The lines were so long and everyone was patient as they waited outside in the 90 degree weather and the burning hot sun.  Even though many of them had to wait all day, they were willing to do that in order to see the doctor.  It was nice to see that they all did this without complaining.  In America, if people have to wait more than a few minutes for their prescription, they get angry and threaten to transfer pharmacies.  This just reminds me of how lucky we are here and that we should not complain, but rather we should remember that it could always be worse.

 

In the morning, I helped out in the pharmacy.  There were many things similar to pharmacies in the states, but there were also many differences.  Since the pharmacy travels, all of the medications were packed into suitcases and organized according to classes.  When a prescription came in we would grab a basket for each family and gather the medications.  Then we wrote the name of each person on a plastic garbage bag and Eda, the Honduran pharmacist would check the prescriptions and bag them up.  After the medications were ready we would take them over to the charla area where we would attempt to counsel the patients using our best Spanish.  It was frustrating because there was many things I would want to tell them about the medications, but didn’t know how to say it. 

Working in the pharmacy was challenging because we had a limited number of drugs.  Also most of the labels were hand written and not very specific.  For example, most of the medications were labeled take one tablet by mouth once a day.  If the patient was supposed to take two tablets we would have to cross off one and write in two.  Because of the limited number of meditations in the pharmacy, the physicians were limited to only a few choices.  When a doctor wrote for a medication that we didn’t have, we could automatically change it to a medication that was equivalent without contacting the doctor.  It was nice not having to worry about taking the time to contact the doctor. 




In the afternoon, I shadowed Dr. Bzdega, a pediatrician.  It was interesting to see the patient population that came to the clinic.  Moms with lots of children came to Dr. Bzdega.  Many of the symptoms that we treated were cough, cold, headache, and sore throat.  It was interesting because a lot of the symptoms were not serious and were self-limiting.  I think that everyone just wanted to see a doctor when there was one in town since this might be the only chance for them to have access to healthcare for the rest of the year. 

After dinner we worked on data entry to get all of the patients into an electronic system.  Before I went to bed, I found a huge spider (not even kidding, it was the size of my fist!) crawling near my bed.  We didn’t catch the little shit, so I am terrified to sleep.  Wish me luck!!  

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