Friday, April 2, 2010

Friday, March 26th....

A long, hard day....

I don't want to go home. I think I say that at the end of every trip, but sometimes it's harder than others. This would be one of those times. I loved spending my days doing ER & peds with Dr. Ashley, hanging out with the clinic crew in the slower afternoons, and playing games/swapping stories with other teams and any newcomers in the evenings. I loved the meals the Haitian cooks prepared. Hugging on babies, and playing with balloons with the older ones. The day started off decent - nothing rushed straight back. One fairly simple adult case and a couple of easy peds, then insanity. At one point, we had 3 pts in the ER and 5 in chairs or on hall beds that Dr. Ashley and I were all taking care of at once. This included 3 peds with IVs and 2 more running high fevers. Oh, and a lady that was hemorrhaging that needed to be transferred. Finally got her transferred out along with one of the kids who was so dehydrated that none of us (me, the paramedics, or the NICU nurse), could get a line on him, and we would have put an NG tube down if we'd had one. Then things slowly settled down. We did a conscious sedation on a kid with an abscess that went fairly easily. Then, a lady came in with a child who had drunk poison. Quickly started a line, pushed fluids, administered meds, and rushed him to another hospital.....on the truck that was supposed to take us to the beach. Oh well, enough excitement for one day. Things are winding down @ the guest house tonight. They're playing "Because of Winn-Dixie" @ Hope House (the orphanage). I forgot to write about our stroke pt the other day. She came in c/o a fall after getting up in the morning when her helper wasn't there. We then realized it was her whole R side she couldn't move. But there was nothing to do for her. No other hospitals would take her, because they couldn't do anything for her either. She sat in chairs in the hall for a while, crying, so we could observe her(not that there was anything to do if her status changed), but at some point in the afternoon while we were busy, her family took her home.

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