Saturday, November 3, 2012
What is new?
The next 2 posts will be a collection of images and thoughts—What is new? What is the same? I will start with what is new? On the wards, there are 2 large new metal sinks with foot pedals to control the water! There has also been liquid soap in the dispenser on most days. This is a huge step forward for hand hygiene. There are no paper towels, or towels period on the wards for staff. So previously after turning on the faucet with your dirty hands, you had to touch it again with your clean hands to turn it off. Now the water turns on and off with a foot pedal! I carry a washcloth in my pocket to dry; the Haitians swing their hands to air dry. The Internal Medicine doctors now stand outside the closed door to the TB isolation area to discuss those patients on rounds, rather than in the rooms. There is no mechanism for airborne isolation in an open air hospital and the only difference in the TB rooms is a fan that weakly pulls air out into the courtyard. Usually it is turned off. Standing outside is a small precaution that may make a difference for people with frequent exposure to TB patients. The Haitian Physical Therapist here pulled up images from a scan done elsewhere on a patient on her iPhone to show to the MD treating the patient. With no information from the original hospital that treated him, this was a wealth of information. When I gave one of the Rehabilitation Technicians working with me on the ward several suggestions about what to do with a patient, he chose family training first! Exactly as I would hope that any American student or young clinician would do in the same situation. The Haitian Physical Therapist and Technicians are freely giving away the squeeze balls and small squeezable airplanes that I brought here to use for hand exercises. In the past, these items tended to be hoarded in a place where so many have so little. Multiple out-patients are being seen in the PT department at one time. They have 4 treatment tables in an area set up for them that also now includes parallel bars. We started with one portable treatment table on the back porch of the wards. One of the Rehabilitation Technicians asked a question of the visiting blan MD in morning conference, displaying a tremendous increase in confidence. There is a small hotel now in Deschapelles! We had a grand tour this morning and it is quite comfortable. It is providing much needed jobs and may decrease the burden on campus of visitors who only want to visit briefly and are not providing services to the hospital. The Rehabilitation staff and administration displayed excellent flexibility in rescheduling the planned time for the seminar that I presented when the situation called for a change. The old deserted Club Med on the beach has been remodeled and reopened as Club Indigo that I enjoyed last weekend. It provides rest and recreation for the mind and body of those working here and much needed JOBS. I could almost become a Republican here when it comes to pushing the importance of economic growth—but not quite. Remember to VOTE on Tuesday. I voted early before leaving with thanks to my friends from DAI who provided the info on how to do so. Hanger Prosthetics which opened shop at Hospital Albert Schweitzer after the earthquake providing limbs for amputees post quake is now also making orthotic (brace) devices of all kinds and sending their staff to teach the Haitians how to do so. By setting up shop, I do not mean that Hanger is making money here. They have made a HUGE humanitarian gift of materials and personnel to HAS Haiti. The hospital has a new CEO whose energy seems boundless, matched only by the Swiss Medical Director, Dr. Sylvia Ernst. She has an extremely kind, but firm realistic grasp of the situation here.
Posted by Haiti Update at 10:32 AM