A few journal entries: Jean Peteet Two week volunteer in July

7/8 A 22 young man came for bilat knee pain. Plays basketball- had a PA Strikers jersey on- had gotten hit in both knees. Looked at least like bilat medial strain to his knees. His passion was playing ball. Able to find an elbow elastic support that we turned into a knee support! He was so pleased. He told us how much Haiti needed volunteers from around the world and how grateful he was that we had come. Made me tearful. I told him how beautiful and courageous I thought Haitians were. He seemed surprised to hear that. That’s all I needed to make my day.

7/9 Seeing lots of generalized pain as well as job specific pain. 22 yo taxi driver came with acute low back spasms. Drives a manual transmission all day, old cars, poor support in the car seats. Another young girl, about 18 came in with neck/shoulder, knee, foot pain. Had bilateral flat feet. Has been unable to work. Her job was carrying heavy goods on her head- footwear in Haiti is so inadequate for the work they do. She really needs orthotics or at the least shoes with some arch support. I had brought a pair of crocs; we asked our Haitian speech therapist if crocs were considered fashionable in Haiti and she said no. Not surprisingly, the girl did not like them. No solution for her. A 60 yo woman can in with an old symes’ amputation. She had beat up high top shoes filled with rags to fill the space of her foot. Put her on the orthotics list but it will be a long time before they get to her. Diana Cherry from Mission of Hope came by to pick up some supplies left by Keith, the CPO who volunteered the previous week. She said MH is only able to make 3 prostheses a week. Given that there seem to be only 3 places in the area that are geared up to make prostheses, it’s going to take a long time to get everyone fitted. Many of the amputees are kids, too, and will need ongoing revisions to their limbs.

7/10 Glad that we had the clinic open on Saturday morning; no other clinics in the hospital are open on Saturdays. Two families came in and one woman who cannot come during the week. Henri, the host at the guest house invited us to go up to a high point where there is a wonderful view of the city and we spent the rest of the day into the evening with him and Vincent, his son. His cousin has a beautiful art shop in Petionville where we shopped. From there we went up the mountain and the view was striking. We could see many of the tents, and the density and lack of trees or anything green around port-au- prince was striking. He then took us through the worst of the earthquake. It was hard to look at it. It was like a bombed out city; block after block of collapsed or partially collapsed buildings. It looked like pictures of Germany and London in WWII. Street life has returned and people have set up stands outside the rubble selling bed frames, mattresses, used clothing, candy, used shoes, new shoes, new suits in plastic bags, as well as prescription drugs that Henri said have expired dates. We saw the partially collapsed palace and immediately in front of it is a huge tent city that stank of urine, so much so that we raised the windows. The tents are packed in with no room between and only a narrow path going down the rows of tents. People able to buy charcoal and have a means of cooking apparently cook just inside their tents. In the midst of this chaos, we passed by two wedding parties with people immaculately dressed and it was incredible to see with most of the people, how clean and neat their clothing was, despite the awful conditions in which they live. Henri says that the government wants to tear down the inner city that has been damaged and start over, creating an area for businesses and markets. He is pessimistic that this will happen; often the government starts such projects but never finishes them. Stopped in a grocery store; food and non food items are much more expensive than in the U.S. because the Haitian government has no way of collecting income tax, thus they tax things people buy in the stores. Also, everyone has to buy water and a ½ liter costs $1. There have got to be a lot of people who are chronically dehydrated.