Only 2 weeks to our travels!
As I think ahead to our upcoming trip to Haiti, I think of all that I have seen and witnessed there so far.
In January, just 11 days after the earthquake, we set out to a site unknown. I had made contact with someone in downtown Port-au-Prince, and the 6 of us felt comfortable that this sounded like as safe a location as any. At MR (Mision Rescate), we saw anywhere from 450-600 patients a day, nearly half of those were children. Wound care, amputation revisions, tendon repairs, fracture management, colds, congestion, diarrhea, dehydration, pneumonia, asthma attacks, and scabies were the common conditions. Throw in a few cases of respiratory failure, a young girl with tetanus, and fresh gun-shot wounds to keep you on your toes.
No xrays, CT scans, lab tests, or resources. Not even an otoscope. We were left to use our physical exam

skills, our history taking (with the aid of interpreters who sometimes spoke very good english), and our gut instincts to decide how to treat and manage patients. Fortunately, we had an abundant supply of bandages and gauze, as well as a fairly large choice of medications. With no refridgeration or electricity though, kids were taught to either swallow pills or their parents were given capsules to open into their food. Albuterol spacers were created using plastic dixie cups and spinal needles could be used for IO's in an emergency. Creativity was key. Thinking on the go was a priority, not an option.
I've heard about MR since I left. Just recently they saw 650 patients in one day. Babies are being delivered frequently...even if that means waking up a doctor at 2am to help. Supplies are still readily available; enough so, that they loaded a truck and brought a delivery of supplies to a local hospital that was sparce. MR has been blessed. Tents and water filtration systems are being given to families regularly. Food and water are distributed regularly. Lives are being helped for the good every day.
There will be 5 of us travelling to Haiti in just 2 weeks. Aimee and myself will be there for 2 weeks. The other 3 will return after one week and another pediatrician will join us for the 2nd week there. We know that the first week we will be working at MR. The second week is still up in the air. The environment continues to be fluid and ever changing, making planning to far ahead a challenge. With how well our spontaneity worked for us in January, I'm not too worried about the small details. Besides, our contacts that we have built so far in Haiti have proven to be trustworthy and extremely helpful. It will all work out, we just have to be patient!
On an exciting note, we are having more discussions about our future mission in Haiti. Jeri and I have a vision to create an ongoing project of a primary care pediatric clinic in Haiti. We hope to create an environment of a medical home, for children who have no access to medical care. We are working on finding contacts in several cities a few hours from Port-au-Prince that may have connections to schools where this might be a reasonable project to pursue. When this project is organized, we hope to take pediatric residents down twice a year to take care of the kids and run the clinic. It's a forever project, but one we are very passionate about!
2 weeks and counting!