Day 4 was our day at the bigger clinic space. We got a lot more room to set up our space and sections. This is how the sections work:
1) Check-in, where the patients start their form with their names, ages, and other basic information the form we have requires.
2) Vitals, the section split into two parts after Bita, Ryan, and I reworked the organization after the first clinic run on Day 3.
- Part 1: Heights, weights, and temperatures are recorded by us for the patients’ forms.
- Part 2: Blood pressure and heart rate are measured by us and we ask them about their symptoms. We then line them up for the physicians to see them.
3) We have five really awesome physicians to see the patients who are shadowed by us students at each of their stations.
4) De-Worming station, we give the patients that require it de-worming medication and something to eat with it.
5) Scabies station, where we scrub down individuals with scabies behind a carp from head to toe with treatment.
6) Pharmacy, where they get their medication and then head out.
As students on this trip, we are given the opportunity to work and help out at any of these stations and switch out every day. On the second day of clinic (Day 4), I stuck to vitals because Bita wanted to try another station and Ryan and I wanted to make sure things ran smoothly and we ran the station last time. So, it was Ryan, Tran, and I at Part 2 for vitals again. Part 1 was Kristin and Christine. You would think I would get bored of taking blood pressure and heart rates, but I didn’t. I loved it. Taking blood pressure and heart rates AND asking and writing down symptoms for the physicians really made me feel like I was doing clinic work and made me incredibly happy. Before I knew it, it was 4 p.m and we were done (the clinic started around 10 a.m and we always wake up around 7:30 a.m for breakfast at 8). Just like that, the hectic speed of the clinic was over.
After we finished packing up the clinic and had our bus ride back to the clinic, we had really good mac and cheese for dinner. I sat under the gazebo with a few people and we watched the orphanage kids play soccer. The weather was cooling down and it was a nice way to wind down. Later, Bita and I went to sit under The Mango Tree while the sun was setting and it was getting dark and we talked about our lives a bit.
I still have this fear of not really being connected with this group once we get back to the U.S but I don’t with Bita. I retain my confidence that we’ll be really good friends. She’s the one on this trip that I really feel like I bonded with the most.
After about an hour of talking, we made our way back to the others and helped out with making sandwiches for the next day and after chilling with a few people for a bit, I went to sleep around midnight because I was so drained. But, the best kind of drained I have ever felt.
Day 5 was a great day. Bienvenu, Dr. Jones’ husband that also came and helped coordinate the trip, has been taking people out in small groups in his car before the bus takes everyone to give them a chance to step outside the orphanage and see a bit of Port-au-Prince. I was picked to go yesterday morning but plans got complicated and I just ended up not going. So, he took me out this morning with Alfred, Ryan, and Bryan. I woke up at 6:30, an hour earlier than normal wake-up time, to go with them. I had my Haitian coffee to wake myself up and headed out earlier than the others with them.
Port-au-Prince is a lot like India, but I would say a little bit more poverty stricken. It wasn’t too much of a culture shock for me. We went and got some supplies and headed to the clinic before everyone and got set up and soon after, the others arrived in the bus. Ryan and I decided to stay in vitals again today because Ryan didn’t want me to abandon him and I didn’t want to leave that badly either. So I stayed and took more patients’ blood pressure and heart rates. I have perfected my skills at getting people BPs and heart rates at this point. I can find a pulse pretty quick and I can use the manual BP kits with a stethoscope when the semi-electronic ones break down. I know how to place the patient’s hand in the correct position. After about doing this for about a 100 patients, you get it down. Today was the first day I felt sort of bored at my station though. Only because, I was at vitals for a third day in a row. Ryan and I talked and we decided to shadow physicians tomorrow. I’m going to shadow Dr. Chica, Pietro’s father, who is a surgeon and am really excited.
Today at the clinic, there was a baby that was premature and highly malnourished. She was so very tiny and I got to hold her. My heart swells every time I think about it, with a few emotions being love, empathy, worry, sadness, and hope. I’ll spare all the medical details for now and we helped her as best as possible, but I just found myself wishing we could have done more. The stuff we do here is for immediate relief up to a few weeks, but nothing sustainable and it makes me sad. But, I understand that we’re doing everything that we can do with the supplies that we have.
On the way back, I fell asleep on the bus ride for about 15 minutes which I have realized is the perfect nap time. Anything over makes you drowsier and 10-20 minutes is just enough to keep me alert again. We ate my favorite dinner thus far after we got back – chicken alfredo.
I sat with both Sarahs and Bita for a bit afterwards and we talked for a bit about Sarah (Dyer)’s amazing life and it started to rain. We decided this was the perfect chance, while we are still in gross scrubs and have not showered yet, to go out and just get wet in the downpour. By the time we actually got into the rain, it had died down and then soon after, just stopped. But Carra and Kristin came and we played some really bad soccer together before I went and showered.
When I came back out, the guys had come up and a lot of people were just chilling in this common area outside the girls’ rooms. I looked at pictures with Ryan for a while before being a part of this amazing conversation with Justin leading with Dennis and a few others next to me. Eventually, a vast majority of the group was a part of this conversation.
THIS conversation was one of the biggest highlights I experienced on this trip. We talked about our deep revelations from this trip. The questions we all talked about together were:
- What did you take from Haiti while you were here?
- Something positive from Haiti that you noticed? (Because the conversation got a little dark after we discussed healthcare in Haiti and all over the world)
- What at home gives you the drive to do what you love?
Everyone went around and answered these questions and it was a real group heart-to-heart. It was absolutely epic. The christmas lights around us were the only things lighting the space, the breeze was cool, and we were all sitting in circle just listening to what each person had to say. Everyone said things that really made me think and feel warm inside. A few of the things that really touched me were:
- Pietro talking about how he sees something here that he doesn’t understand yet. These people here are so happy with their lives and just live them and he doesn’t understand what they already do understand. He doesn’t feel it himself while he sees it in everyone here. One day, he wants to understand and experience what these people understand and experience.
- Miriam said that the reason why people in America are so unhappy while they have everything and Haitians are more happier with so much less is because of the mentality that is bred in the U.S. Most people back home think inward and doesn’t look outward. That why they find themselves empty and the suicide rates are so much higher.
- Sarah (Dyer) said that when she landed in Haiti, the people on the plane started clapping because of how happy they were to back in their country. It was literally their everything.
- Manvitha said that she went about her life in such a mechanical way and seeing all of us doing what we are doing for the reasons we are doing them, it reminds her why wants what she wants, why she is doing what she is doing.
- Aum talked a little bit about India being more negative than Haiti is, and I agreed with it. While they are in similar conditions, the Haitians are much more positive about their lives.
There was just so much more and I can’t remember everything as I type this out late at night before I fall asleep. The conversation was just something else and one that I’ll never forget. I got a chocolate bar after to deal with the whole emotional ordeal.
Bita, Karina, Manvitha, and I talked a little bit about clinic drama before we all headed to bed around 1 a.m and now it’s 2:30 a.m. Cannot wait to see what tomorrow will hold.