It is the beginning of our second week in Haiti. Time is going so fast! I can’t believe that we will be headed home in just three more days! Friday was a special day. One of the patients who I worked with last year came for a visit. Anese was 6 months pregnant with her first child when the earthquake hit last January. Although she lost her L leg below the knee, she did not lose her baby. Isaac was born last April 14th. When I met Anese she was 8 months pregnant. She had had her leg amputated and had just been fitted for her first prosthesis by a prosthetic team visiting from the US. She was very determined and was never too tired to work with me. She asked me if she would be able to climb mountains with her new leg. I assured her that she would be able to do most anything if she was willing to work hard. In no time at all she had mastered walking with two crutches on level surfaces, then the stairs. By the time I left she was able to walk on level surfaces and stairs with only one crutch. Despite her determination, there were many obstacles for Anese. It was not just that she had lost her leg. It was that she had lost her leg, was 8 months pregnant, had no shoes, and had no home. When I met her, her entire family was staying in her hospital room because they had no tent and no place else to go. I managed to find her a pair of shoes to wear so we could walk outside. When we left Haiti, we managed to find a 2-person tent to give to her. One day when we were practicing walking, I asked Anese what she was going to name her baby. I was very flattered when she told me that her baby would be named “Ann” after me. I asked her what she would name the baby if it was a boy. She assured me that, “It will be a girl”.
When it was time for me to go home last year, it was hard to say goodbye. I felt a connection with her and this baby! I last spoke with Anese last April when one of the translators I had worked with called me from Haitian Community Hospital. He had gone there to work and found that Anese had had a baby boy! She asked him to call me so that I could name the baby since he could not be named “Ann”. I told Anese through the translator that she had been through so much with this baby and that I thought she should choose his name. She insisted that I was to name him. I was not sure what to do, so I told her “Ann means grace. Choose a name that means grace”. The baby was named Isaac. When Cholera hit Haiti, another of the translators tracked Anese down and was able to give me the news that she and baby Isaac were OK and had not gotten ill.
Friday, Anese and Isaac came to the clinic to visit. Anese had a new socket for her prosthesis and was walking with one crutch. We gave her some new socks to help her prosthesis to fit better as her leg had shrunk more. I showed her an exercise to do to help her not to limp. Then we spent time visiting and took turns holding baby Isaac. Anese told me that I was his godmother and that my daughter Maria who is here in Haiti with me was his sister. She asked me when I would be able to come back for his baptism. I told her that I thought that she would need to baptize him and that I would be there in spirit. Isaac and Anese looked wonderfully healthy! He is beginning to walk when someone holds onto his hands. Anese was very happy when I gave him some shoes that I had brought and two little outfits. (What is a godmother to do but bring gifts for her godchild?).
I asked Anese where she was living. She told me that she and her husband and baby Isaac were still living in a tent city in the tent that we had given her. She told me that neither she nor her husband were working. I asked how they were managing to eat with no money. She told me that friends, family and her church helped them. She asked me for money to buy formula and diapers. I gave her the 10 dollars that I had brought to the clinic with me that day.
I don’t know if I will ever see Anese or Isaac again. They don’t have a mailing address. I have a phone # for her, but since I don’t speak Creole, talking on the phone is not a really viable way to keep in touch. Clearly, the biggest mountain that Anese and so many of the people here still need to climb is the huge mountain of poverty, lack of work, and lack of resources. It can seem so discouraging. Even though I have been here twice, supported by lots of good people at home who have donated to pay for the cost of coming, and bringing equipment with me each time I come, it does not seem to be enough. I have so many resources in this life. Coming to Haiti makes me realize that even more and gives me even greater gratitude for those gifts. It also makes me want to do more for Anese and all of the people who I have worked with here. Despite at times feeling overwhelmed by all there is to do in Haiti and being unsure of the best ways to help. I am so grateful to have had the opportunity to use my skills to benefit people here. I am also grateful for the opportunity that my daughter Maria has had to be here with me, to appreciate all of the gifts that she has been given, and to experience the joy of sharing the gifts that she brings to the world in being herself and in caring about others.
Monday, February 28, 2011
Thursday, February 24, 2011
Ann in Haiti--- Day Three
It was our third day in the clinic today. Bridgitte walked with her walker with a platform attachment 20 feet with only contact guard! She also put her brakes and footrests on and off by herself. Her daughter said that she needed minimal help to transfer. Bridget was very excited that we gave her the walker to take home! Progress!
Doing PT here can be a bit frustrating at times. Yesterday I worked with a man who had had a proximal Tib/fib fracture stabilized with an external fixate. He had -20 degrees of ankle DF, a lot of soft tissue scarring, and edema. After some edema massage, joint mobilization, passive stretching, wrapping with an ace wrap, giving him a night splint and gait training to try to keep his heel down as long as possible during stance, he went to see the orthopedic surgeon. He came back afterwards saying that the doctor said that he needed a different type of ace wrap. Since we did not have any other ace wraps, we decided to walk into the hospital and talk with the doctor, and see what he had in mind. The doctor wanted a wrap that went around the patient’s ankle to keep him from externally rotating. I explained to the Dr. that I felt he was turning his foot out due to his lack of DF Range of motion, which we are working on, and that I was not sure that wrapping the ace differently would help much. The Dr. was very pleasant, but insisted that wrapping would help. So the pt and I walked back to the clinic, and I wrapped the ankle again…. Clearly, the surgeon did not have much exposure to PT and was not used to working with another professional who might have expertise that was different from his. But, he welcomed me to come and see some patients with him on Friday. Maybe we can educate him about what a PT has to offer just by the exposure!
There is a definite need for PT here, but the patients and Dr.’s do not always realize what we have to offer because they have had little exposure. There was no history of rehab in Haiti until the earthquake when professionals from around the world came to help. Since then, however many of the patients hurt in the earthquake seem to have disappeared. The host at the guesthouse where we are staying says that many are just coping as best they cannot realizing that PT could help them more and that it is available. The more that we are here helping people to get better and helping surgeons to have better outcomes, the more the word will spread. Ultimately, there is a need to train rehab professionals in Haiti.
Tomorrow is another day! I am planning to show up and see patients with the orthopedic surgeon being very diplomatic in my suggestions!--- Ann
Doing PT here can be a bit frustrating at times. Yesterday I worked with a man who had had a proximal Tib/fib fracture stabilized with an external fixate. He had -20 degrees of ankle DF, a lot of soft tissue scarring, and edema. After some edema massage, joint mobilization, passive stretching, wrapping with an ace wrap, giving him a night splint and gait training to try to keep his heel down as long as possible during stance, he went to see the orthopedic surgeon. He came back afterwards saying that the doctor said that he needed a different type of ace wrap. Since we did not have any other ace wraps, we decided to walk into the hospital and talk with the doctor, and see what he had in mind. The doctor wanted a wrap that went around the patient’s ankle to keep him from externally rotating. I explained to the Dr. that I felt he was turning his foot out due to his lack of DF Range of motion, which we are working on, and that I was not sure that wrapping the ace differently would help much. The Dr. was very pleasant, but insisted that wrapping would help. So the pt and I walked back to the clinic, and I wrapped the ankle again…. Clearly, the surgeon did not have much exposure to PT and was not used to working with another professional who might have expertise that was different from his. But, he welcomed me to come and see some patients with him on Friday. Maybe we can educate him about what a PT has to offer just by the exposure!
There is a definite need for PT here, but the patients and Dr.’s do not always realize what we have to offer because they have had little exposure. There was no history of rehab in Haiti until the earthquake when professionals from around the world came to help. Since then, however many of the patients hurt in the earthquake seem to have disappeared. The host at the guesthouse where we are staying says that many are just coping as best they cannot realizing that PT could help them more and that it is available. The more that we are here helping people to get better and helping surgeons to have better outcomes, the more the word will spread. Ultimately, there is a need to train rehab professionals in Haiti.
Tomorrow is another day! I am planning to show up and see patients with the orthopedic surgeon being very diplomatic in my suggestions!--- Ann
Tuesday, February 22, 2011
Return to Haiti ---Ann, PT
After eleven months, I am back in Haiti. It is so wonderful to be here. Despite all of the chaos of getting around every day, there is something about this place that calls one back. I find things much improved in some ways and much the same in others. There are noticeable improvements in the airport. It was much less chaotic getting in, getting luggage, and meeting our ride. We had one bag that did not arrive. We were pleased to find that there actually was a procedure for tracking where it was and getting it back (which hopefully will happen tomorrow!). It did take me almost an hour to stand in line and fill out the paperwork; but still, our hosts tell us that we can actually expect to get our bag! There is much less rubble everywhere than a year ago. The hospital where we are working is now almost empty of patients. There have been repairs to the roof, and there are few foreigners to be seen.
What has not changed is that there continue to be people in need of basic healthcare. This morning we worked with a patient whose blood pressure was 200/105 at rest. She had BP medication but had not taken it in three days. It is not clear if this was due to lack of money to buy the medication or lack of understanding of its importance. Another patient who had diabetes complained about feeling dizzy. I asked her when she had last taken her blood sugar. She told me that she had done it the day before and that it was 250. She had insulin in her bag, but clearly did not understand the basics of monitoring her blood sugar and adjusting her insulin based on what it was.
I spent a fair amount of time this morning working with a patient, “Bridget”, who had had a stroke. Her daughter was also there for physical therapy because of back pain caused by transferring her mother. It became clear quickly that Bridget was capable of a more active role in caring for herself than she was currently performing. By the end of the morning, she was able to put her wheelchair brakes and footrests on and off by herself and had begun to propel her wheelchair with her unaffected arm and leg. We then spent time teaching her daughter how to transfer Bridget without compromising her back, and to encourage her mother to do as much as possible for herself. Hopefully some of this teaching will “stick”. I know, from my time here a year ago, that the culture of illness/injury here is that the ill person is passive and to be cared for. Changing such attitudes in both patients and families is not an easy or quick process. Never the less I have hope for Bridget as she seemed eager to do more for herself and quite proud of her ability to begin to walk with a walker and platform attachment.
There is much to be done in Haiti and it can seem overwhelming at times. When I am working with patients like Bridget and her daughter, I take solace in knowing that for these two people there is something that I can do to help to make their lives a bit better. Tomorrow is another day! There are many “Bridgets” here in Haiti who can benefit from the work of Global Therapy Group and the skills that I have to share. ---- Ann
What has not changed is that there continue to be people in need of basic healthcare. This morning we worked with a patient whose blood pressure was 200/105 at rest. She had BP medication but had not taken it in three days. It is not clear if this was due to lack of money to buy the medication or lack of understanding of its importance. Another patient who had diabetes complained about feeling dizzy. I asked her when she had last taken her blood sugar. She told me that she had done it the day before and that it was 250. She had insulin in her bag, but clearly did not understand the basics of monitoring her blood sugar and adjusting her insulin based on what it was.
I spent a fair amount of time this morning working with a patient, “Bridget”, who had had a stroke. Her daughter was also there for physical therapy because of back pain caused by transferring her mother. It became clear quickly that Bridget was capable of a more active role in caring for herself than she was currently performing. By the end of the morning, she was able to put her wheelchair brakes and footrests on and off by herself and had begun to propel her wheelchair with her unaffected arm and leg. We then spent time teaching her daughter how to transfer Bridget without compromising her back, and to encourage her mother to do as much as possible for herself. Hopefully some of this teaching will “stick”. I know, from my time here a year ago, that the culture of illness/injury here is that the ill person is passive and to be cared for. Changing such attitudes in both patients and families is not an easy or quick process. Never the less I have hope for Bridget as she seemed eager to do more for herself and quite proud of her ability to begin to walk with a walker and platform attachment.
There is much to be done in Haiti and it can seem overwhelming at times. When I am working with patients like Bridget and her daughter, I take solace in knowing that for these two people there is something that I can do to help to make their lives a bit better. Tomorrow is another day! There are many “Bridgets” here in Haiti who can benefit from the work of Global Therapy Group and the skills that I have to share. ---- Ann
Thursday, November 25, 2010
Visiting the Cholera Tent - Lizandra
It is Thanksgiving. And I am most thankful for the privileges I have that allow me to be here in Haiti in a time like this. I am thankful for the support of my friends and family behind me as I am here, and also for the wonderful people I have met in Haiti over the past two days.
Today started off a lot like yesterday. Awoke at sunrise to do sun salutations on the patio, then shower, breakfast, internet and off to the hospital. On our ride into we did all talk a bit about the fact that it is Thanksgiving and shared what our friends and families were probably doing. There were again 8-10 patients waiting for us, I started off with Pierre just as we had yesterday. I saw two of the same people I had worked with yesterday, and got to work with a couple of new ones. All with either hip or low back pain, so again very standard stretches and basic postures. They are so happy and thankful for the poses, and I hope it helps to ease their pain and discomfort some.
At noon when the patients had dwindled I decided to join the German doctor on a visit to the Cholera tent. Before we could enter we had to wash our hands in a diluted bleach solution and have the soles of our shoes sprayed. They do this on entrance and exit and also when moving between sections of the ‘tent;. The idea is to keep new germs/bacteria from being introduced either direction.
The group who set up and run the 'tent' are from France, and they are running a tip top program. I am calling it a tent -but it is really a tent community, with constructed temporary walls, hallways, and several separate tent rooms. They have a triage space, and then a tiered room system depending on the severity of the case. We saw about 25 patients in the different rooms, ranging in age from 1 to 50 years of age. The sicker patients of any age were very hard to see, the pain and discomfort very clear in every aspect of their being. The worst was some of they eyes. In some cases blank, and in some pain filled. There was one small boy who was very alert, but with the saddest eyes I have seen in a long time. It was heart-breaking. But at least they are being treated, and the German doctor said overall it was a much better environment than he has seen in other places. Most of the people we saw today will live, because they are receiving topnotch treatment.
The French are clearly following a well thought out and planned system and are working hard to get Haitian nurses and orderlies to work with them within their plan and structure. Each room has a nurse’s station where they take careful notes, and also dispense the basic medication, food and liquids. There are 2 doctors and 8 nurses and at least 15-20 orderly types who are disinfecting and keeping things in order. Everything is labeled and every room has treatment instructions and plans posted on the walls.
The tents are constructed quite well with some scaffolding and then also clever use of branches, small trees and ropes to help construct the walls. The German doctor was very impressed with both the operations as well as the care being provided. They are well staffed and well equipped. The only issue will be patient load. As long as the Cholera stays this contained level in the area they will be fine.
The Haitians are an amazing and resilient people, I really hope the resources will come together to help create treatment centers like this all over the country.
Today started off a lot like yesterday. Awoke at sunrise to do sun salutations on the patio, then shower, breakfast, internet and off to the hospital. On our ride into we did all talk a bit about the fact that it is Thanksgiving and shared what our friends and families were probably doing. There were again 8-10 patients waiting for us, I started off with Pierre just as we had yesterday. I saw two of the same people I had worked with yesterday, and got to work with a couple of new ones. All with either hip or low back pain, so again very standard stretches and basic postures. They are so happy and thankful for the poses, and I hope it helps to ease their pain and discomfort some.
At noon when the patients had dwindled I decided to join the German doctor on a visit to the Cholera tent. Before we could enter we had to wash our hands in a diluted bleach solution and have the soles of our shoes sprayed. They do this on entrance and exit and also when moving between sections of the ‘tent;. The idea is to keep new germs/bacteria from being introduced either direction.
The group who set up and run the 'tent' are from France, and they are running a tip top program. I am calling it a tent -but it is really a tent community, with constructed temporary walls, hallways, and several separate tent rooms. They have a triage space, and then a tiered room system depending on the severity of the case. We saw about 25 patients in the different rooms, ranging in age from 1 to 50 years of age. The sicker patients of any age were very hard to see, the pain and discomfort very clear in every aspect of their being. The worst was some of they eyes. In some cases blank, and in some pain filled. There was one small boy who was very alert, but with the saddest eyes I have seen in a long time. It was heart-breaking. But at least they are being treated, and the German doctor said overall it was a much better environment than he has seen in other places. Most of the people we saw today will live, because they are receiving topnotch treatment.
The French are clearly following a well thought out and planned system and are working hard to get Haitian nurses and orderlies to work with them within their plan and structure. Each room has a nurse’s station where they take careful notes, and also dispense the basic medication, food and liquids. There are 2 doctors and 8 nurses and at least 15-20 orderly types who are disinfecting and keeping things in order. Everything is labeled and every room has treatment instructions and plans posted on the walls.
The tents are constructed quite well with some scaffolding and then also clever use of branches, small trees and ropes to help construct the walls. The German doctor was very impressed with both the operations as well as the care being provided. They are well staffed and well equipped. The only issue will be patient load. As long as the Cholera stays this contained level in the area they will be fine.
The Haitians are an amazing and resilient people, I really hope the resources will come together to help create treatment centers like this all over the country.
Wednesday, November 24, 2010
Au L'Hopital by Lizandra. Lizandra is a certified Yoga instructor who volunteered to assist our therapy team at the clinic this week.
Just back from the hospital. Wow, what an experience it was.
Most of the day was spent in the Outpatient Physical Therapy clinic. When we first got there I was unsure about my role. My thought was that I would just be like a PT assistant, and help how I could and keep my eyes open for yoga opportunities. As it turned out, I got to work with the very first patient we saw. Leslyn was working with him doing some basic leg stretches, so I joined her and started working with the patients breathing as he did the exercises. Then Leslyn was needed with another patient and so I finished up with Pierre.
From there I started seeing patients on my own. Of course, none of them were acute, they were all people with older injuries or basic back or shoulder pain. I worked closely with 4 other patients and it was amazing. We did a lot of a cat; and cow stretches, and child’s pose, and some forward folding seated poses and neck and shoulder rolls. It was a great experience and the patients were all so thankful. It was a day well spent for sure.
There were two highlights to the day. One was when I asked one of the men I had been working with how he felt afterward, and he did a little whole body shake, and said, “Much looser”. That was perfect, it was just what he needed with some chronic back and hip pain, he needed to loosen. The other highlight was when one of the PT’s, Madge, came over and asked me to work with a guy who needed to “find” his scapula muscle. He was recovering from a stroke and had not yet strengthened his scapula muscle. I worked with him very carefully, and it was amazing to find postures that would really engage that muscle and work with him to ‘find’ it and work on strengthening it. He was a tailor who really wants to get back to work and so motivated to do what he needs to heal.
While I was in the tent doing these basic stretching exercises – the other PT’s experienced some drama. A patient vomited while one of the PT’s was wrking with her, that patient ended up in the emergency room. Then that same PT was summoned to help with an acute repertory problem in the ER, and finally someone from a motorcycle accident was rushed into the area right by us, so all the PT’s jumped in to help out. Meanwhile, I was doing Sun Salutations with a young woman who has a bit of a palsy and some balance issues. What a day!
By 1pm the patient load had reduced to a only a few people, and so Pascale took me on a tour of the hospital. It is a community hospital that was built in 1984, by Haitian standards it is well constructed and also well equipped. By US standards it is not exactly a sterile environment. The PT’s who have spent more time in US hospitals than I, were a bit non-plussed by the conditions. But while not perfect, it is much better than not having a hospital at all.
At present the hospital is not at capacity. I saw a lot of empty beds and unused equipment. I guess that it is a good thing in a way, not too many sick people in the area. But of course one wonders about access and are enough people connected, and also cost. There is also a transportation issue, so many sick people in places that they can’t get to this hospital. I guess in the aftermath of the earthquake, the place was overflowing with people and also plenty of foreign help; it was a major center of relief work.
The Cholera has only just gotten to this area. The main hospital does not treat cholera, there is a separate Cholera tent run by a French group. Today there were 14 new cases, yesterday there were 25, we’ll see how many more there are tomorrow. I haven’t gone there at all, it is a bit intimidating to go “sight-see’ in such a critical environment.
We met a lovely German doctor who is here on a three-month rotation. He is working out in the remote villages and comes to stay at the Port Au Prince hospital for a bit of a ‘break’, while he is here he helps where he can. He is here with the German Red Cross, but he says that he really manages his own work load, going where he thinks he is needed and doing what needs to be done. So amazing and inspiring to meet him. So great to see people like him doing this kind of work.
OK, I am being summoned to the ping-pong table. The house we are staying in is nothing short of amazing. Today with the patients I stepped out of my comfortable bubble and felt like I was able to share directly with an important aspect of humanity I don’t always get to engage. All day long I interacted with Haitians where they were, in a fun and connected way. I am very thankful for that, In the evenings, I am back in a privileged and comfortable world, and I am also thankful for that.
Most of the day was spent in the Outpatient Physical Therapy clinic. When we first got there I was unsure about my role. My thought was that I would just be like a PT assistant, and help how I could and keep my eyes open for yoga opportunities. As it turned out, I got to work with the very first patient we saw. Leslyn was working with him doing some basic leg stretches, so I joined her and started working with the patients breathing as he did the exercises. Then Leslyn was needed with another patient and so I finished up with Pierre.
From there I started seeing patients on my own. Of course, none of them were acute, they were all people with older injuries or basic back or shoulder pain. I worked closely with 4 other patients and it was amazing. We did a lot of a cat; and cow stretches, and child’s pose, and some forward folding seated poses and neck and shoulder rolls. It was a great experience and the patients were all so thankful. It was a day well spent for sure.
There were two highlights to the day. One was when I asked one of the men I had been working with how he felt afterward, and he did a little whole body shake, and said, “Much looser”. That was perfect, it was just what he needed with some chronic back and hip pain, he needed to loosen. The other highlight was when one of the PT’s, Madge, came over and asked me to work with a guy who needed to “find” his scapula muscle. He was recovering from a stroke and had not yet strengthened his scapula muscle. I worked with him very carefully, and it was amazing to find postures that would really engage that muscle and work with him to ‘find’ it and work on strengthening it. He was a tailor who really wants to get back to work and so motivated to do what he needs to heal.
While I was in the tent doing these basic stretching exercises – the other PT’s experienced some drama. A patient vomited while one of the PT’s was wrking with her, that patient ended up in the emergency room. Then that same PT was summoned to help with an acute repertory problem in the ER, and finally someone from a motorcycle accident was rushed into the area right by us, so all the PT’s jumped in to help out. Meanwhile, I was doing Sun Salutations with a young woman who has a bit of a palsy and some balance issues. What a day!
By 1pm the patient load had reduced to a only a few people, and so Pascale took me on a tour of the hospital. It is a community hospital that was built in 1984, by Haitian standards it is well constructed and also well equipped. By US standards it is not exactly a sterile environment. The PT’s who have spent more time in US hospitals than I, were a bit non-plussed by the conditions. But while not perfect, it is much better than not having a hospital at all.
At present the hospital is not at capacity. I saw a lot of empty beds and unused equipment. I guess that it is a good thing in a way, not too many sick people in the area. But of course one wonders about access and are enough people connected, and also cost. There is also a transportation issue, so many sick people in places that they can’t get to this hospital. I guess in the aftermath of the earthquake, the place was overflowing with people and also plenty of foreign help; it was a major center of relief work.
The Cholera has only just gotten to this area. The main hospital does not treat cholera, there is a separate Cholera tent run by a French group. Today there were 14 new cases, yesterday there were 25, we’ll see how many more there are tomorrow. I haven’t gone there at all, it is a bit intimidating to go “sight-see’ in such a critical environment.
We met a lovely German doctor who is here on a three-month rotation. He is working out in the remote villages and comes to stay at the Port Au Prince hospital for a bit of a ‘break’, while he is here he helps where he can. He is here with the German Red Cross, but he says that he really manages his own work load, going where he thinks he is needed and doing what needs to be done. So amazing and inspiring to meet him. So great to see people like him doing this kind of work.
OK, I am being summoned to the ping-pong table. The house we are staying in is nothing short of amazing. Today with the patients I stepped out of my comfortable bubble and felt like I was able to share directly with an important aspect of humanity I don’t always get to engage. All day long I interacted with Haitians where they were, in a fun and connected way. I am very thankful for that, In the evenings, I am back in a privileged and comfortable world, and I am also thankful for that.
Sunday, October 31, 2010
Karen -Week Two
10/21/10
We continue to be busy at the clinic. We saw 16 patients yesterday, which is not a lot for 2 of us for a full day, but they all come at the same time! I asked about making appointments, but that seemed a foreign concept – always first- come first- served. Tom and I are finally getting used to having our patients wait. Some hang around after they are finished anyway, so they don’t seem to mind. Even the toddlers are waiting patiently. Most of the patients arrive by 8:30 or 9:00. We rarely get patients in the afternoon, so we are usually finished by about 2:30.
We are enjoying our patients. We had 5 new patients yesterday, so we continue to grow. I am so glad that I am here for 2 weeks, because I have the same patients coming back this week and I can really see progress. I have one woman who is only 2 weeks after her stroke, so this week she is coming every day. She is very motivated and her family is very supportive. She arrives smiling, works hard, and leaves smiling and is making progress daily. It is gratifying to know that this would not happen if we(Global Therapy Group)were not here providing this service.
I have also had a chance to visit with our host family and our translators. On Tuesday I sat down to talk to the translators about my expectations, etc. and I specifically chose to sit in a low child’s chair. One of the interpreters commented to the others in Creole and they all started laughing. The only words that I understood were “voodoo doctor”. When I asked him about it later he said that I looked like a voodoo doctor because a doctor would always sit in a low chair. Of course I had to ask the question “Is that a compliment or an insult?" He laughed and said “Neither, just an observation”.
We continue to be busy at the clinic. We saw 16 patients yesterday, which is not a lot for 2 of us for a full day, but they all come at the same time! I asked about making appointments, but that seemed a foreign concept – always first- come first- served. Tom and I are finally getting used to having our patients wait. Some hang around after they are finished anyway, so they don’t seem to mind. Even the toddlers are waiting patiently. Most of the patients arrive by 8:30 or 9:00. We rarely get patients in the afternoon, so we are usually finished by about 2:30.
We are enjoying our patients. We had 5 new patients yesterday, so we continue to grow. I am so glad that I am here for 2 weeks, because I have the same patients coming back this week and I can really see progress. I have one woman who is only 2 weeks after her stroke, so this week she is coming every day. She is very motivated and her family is very supportive. She arrives smiling, works hard, and leaves smiling and is making progress daily. It is gratifying to know that this would not happen if we(Global Therapy Group)were not here providing this service.
I have also had a chance to visit with our host family and our translators. On Tuesday I sat down to talk to the translators about my expectations, etc. and I specifically chose to sit in a low child’s chair. One of the interpreters commented to the others in Creole and they all started laughing. The only words that I understood were “voodoo doctor”. When I asked him about it later he said that I looked like a voodoo doctor because a doctor would always sit in a low chair. Of course I had to ask the question “Is that a compliment or an insult?" He laughed and said “Neither, just an observation”.
October Adventures - Karen
10/9/10:
The patients have been great. They are very motivated and interested in patient education. We have seen many young, male stroke patients (40s and 50s), lots of upper extremity injuries, a couple of kids with cerebral palsy and a mix of other diagnoses – some related to the earthquake, but not all. One of our patients comes every day. He is an older man who has had a stroke. He comes with his daughter. They are at the hospital all day, every day in the heat, because once they are dropped off, they have to wait until the end of the day for a ride home. Talk about dedication. That is why it is such a pleasure to work with these people. Many of our upper extremity patients have frozen shoulders and extreme weakness due to prolonged immobilization and no follow-up or activity guidelines/patient education. I realized that one of the most important things that I had to do was to tell them that it was OK to use it- simple but critical. Most of our patients are pretty poor – they come with dirty socks and worn shoes, with casts and bandages that are falling apart - but some are working professionals. We have a couple of teachers who are not back to work because their schools are not yet rebuilt. I am glad for the diversity, as I think that will help spread the word about PT to different sectors.
It is a good feeling to know that I am providing care that would otherwise not be available if I were not here. Another great thing is the container of donated supplies arrived from the states about 2 weeks ago, after many months of waiting. There are lots of therapy supplies and equipment, so we are able to give patients theraband, hand splints, walkers, wheelchairs, etc. I had a patient who was elderly with very painful arthritis in her knees. She hobbled along with a cane, but I was able to give her a walker (a rollator so she could maneuver on tough roads)and it made a big difference. We are also able to refer patients for prosthetics or orthotics to a local group. I have also been able to distribute toiletries that were collected and sent via Barbara-Jo Achuff. The patients are so appreciative – we have an instant friendship.
Today we were able to go to an arts festival that was held on a former mill that processed sugar cane. I bought a couple of souvenirs. It was fun to see all the local art – paintings, sculptors, tin work, macramé, etc. What was most interesting, though, was the fact that the attendees were primarily the elite – a switch from who we see at the hospital. Everyone was clean, well dressed and with nice cars – a strange contrast.
The patients have been great. They are very motivated and interested in patient education. We have seen many young, male stroke patients (40s and 50s), lots of upper extremity injuries, a couple of kids with cerebral palsy and a mix of other diagnoses – some related to the earthquake, but not all. One of our patients comes every day. He is an older man who has had a stroke. He comes with his daughter. They are at the hospital all day, every day in the heat, because once they are dropped off, they have to wait until the end of the day for a ride home. Talk about dedication. That is why it is such a pleasure to work with these people. Many of our upper extremity patients have frozen shoulders and extreme weakness due to prolonged immobilization and no follow-up or activity guidelines/patient education. I realized that one of the most important things that I had to do was to tell them that it was OK to use it- simple but critical. Most of our patients are pretty poor – they come with dirty socks and worn shoes, with casts and bandages that are falling apart - but some are working professionals. We have a couple of teachers who are not back to work because their schools are not yet rebuilt. I am glad for the diversity, as I think that will help spread the word about PT to different sectors.
It is a good feeling to know that I am providing care that would otherwise not be available if I were not here. Another great thing is the container of donated supplies arrived from the states about 2 weeks ago, after many months of waiting. There are lots of therapy supplies and equipment, so we are able to give patients theraband, hand splints, walkers, wheelchairs, etc. I had a patient who was elderly with very painful arthritis in her knees. She hobbled along with a cane, but I was able to give her a walker (a rollator so she could maneuver on tough roads)and it made a big difference. We are also able to refer patients for prosthetics or orthotics to a local group. I have also been able to distribute toiletries that were collected and sent via Barbara-Jo Achuff. The patients are so appreciative – we have an instant friendship.
Today we were able to go to an arts festival that was held on a former mill that processed sugar cane. I bought a couple of souvenirs. It was fun to see all the local art – paintings, sculptors, tin work, macramé, etc. What was most interesting, though, was the fact that the attendees were primarily the elite – a switch from who we see at the hospital. Everyone was clean, well dressed and with nice cars – a strange contrast.
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