Where has the time gone? Lots has been accomplished, yet there seems a never-ending list of things to do! But that's the way life is...we've always got a reason to get up each and every beautiful morning.
It is very hot here now, hard to sleep as our invertor doesn't last very long as they don't run the generator very long due to the cost of fuel. I try to go to sleep while the fans on but wake up when it's off. Last night the mosquitoes finally won and I moved inside to sleep! This morning as I sit her and type, I'm in ANOTHER pool of wetness! I'm being polite so you don't think of me as stinking to high heaven! : )
Today they are finishing painting and hopefully starting on the tiling of the walls and the OR workroom, new 2nd OR (small) and new delivery room. All the supplies were moved out and the help I had were great. They dusted off what needed to be dusted and hauled it all down to another big room.....into a pile! Miss Gretta and I have been going through things....making a stack for the YES items, the NO items and WHAT SHOULD WE DO WITH THIS??? items. The NO items will go to the incinerator and the WHAT items maybe to another hospital or ?
Yesterday morning we (Miss Gretta and Dr. Ronald and I) met at 7am and took a little 2 year old boy to the OR. Gretta gave him Ketamine....anesthetic drug of choice around here....and we proceeded to debride him, clean his burn wounds and redress him with flamazine, petroleum gauze and kling. He came in Friday after being burned by a pot of hot beans on Monday...1st and 2nd degree burns over 70-80%. He looks at me with those big brown eyes and I cry inside. His wounds were remarkably clean for being 5 days old. He lives on Lagonave, the big island, and it took them that time to decide to come for help and then get here! Like Carmel, the fellow last year who came on a sailboat from Lagonave with a ruptured appendix. We thought he would die and he walked out about 10 days later!
We are limited by supplies as to how often we will take him for dressing changes and because his wounds are so clean, it was decide every 2 days. So he'll go again tomorrow and I will hopefully find some more supplies in the "pile". Quite a different way to practice medicine. I'm getting a taste of what it's like in the States as here they have to sign to agree to pay before treatment and come up with the money. There's the cheaper "community" hospital across the road and the "nicer" facility, being the big hospital itself. The difference is the size of rooms and the # of beds per room and the cost charged for supplies. (just like home, we pay more for a semi or private!) The nursing staff are still at the "community" facility side, the medications still have to be paid for, the same doctors look after both sides but the cost is different. And the conditions are remarkably different.....a flush toilet vrs a latrine, etc.
It is hoped that the elite side will eventually make up the cost of operating the community side. Right now, there are far more patients on the community side.
When the teams come, people will still be charged and that will help bring $$ into the facility. It used to go against my idea of why we come....as we bring the supplies and do the work for free.....but we need to also help this facility become sustainable and to do that, it needs incoming $ to pay the bills.
I'm learning....slow but sure.
Today I'm heading to Mission of Hope rehab again with Brijory. His one leg splint (AFO) has caused some bad abrasions on his skin and needs adjusting. He is still doing so very well. I keep complimenting him on his new beautiful feet that God and Dr. Nelson have given hiim! He is so shy, I love him dearly!
Kim Coleman (radiologist from Nebraska) is here now and has been teaching the docs how to do ultrasounds. Today she's running an obstetrical clinic which is just as well that I'm missing as I would be teary eyed all the time thinking of Sean and Em's little munchkin growing in Emily's tummy! Yes, I'm going to be a Grandma for those who haven't heard. What a blessing from God! Due Dec 30!
Kim has been here many times before with Dr. Joe Miller's team and is such a blessing to them here as U/S is an easy diagnostic tool to have....and they have the machines sitting here.
Well my coffee is finished....I love the botum and want to bring many of them back! Time for a shower (not sure why???) and then off down the highway about an hour away to the rehab. Kwam and Lisa have a funeral to go to this afternoon so will be back by then with the truck. It is a blessing to have Annie's truck to use. Tap-taps are fine, motos are sometimes scary!
There are so many stories....but all for now. Please pray for this little boy. He is drinking and eating and peeing. His lungs are still clear, his wounds are clean.