It is easy to get into the daily activity of work and not see the progression of our goals. As with anything, you fall into a routine. Wake at 630am, feed our foster dog Trigger, make some coffee (yes, even though it’s already in the upper 80’s I still make my morning coffee), get a small bite to eat and get dressed for work. I head down the hill, at 730, to the clinic. Once at the clinic, it’s check for the urgent/emergent patients and either start working on those in need or checking on the employees that work here at the Mission of Hope Clinic. People here are very much relationship oriented. You say hello to everyone you meet or it’s considered rude, something to consider in our busy, North American lives. As North Americans, we pass by so many, not saying a simple hello. The rest of the work day can be a blur of activity. I see most of the urgent/emergent care patients. I discuss the medical and spiritual care of the patients with the doctors and nurses. Intertwined with the care is teaching and learning. As much as I teach about emergency care, I think I learn more about medicine and my faith in God.
Once again, the medical clinic is entering a transition phase. After months of training, the urgent care area is almost completely running on its own. It has been a couple of weeks now that I started transitioning myself out of the direct care of the patients. The Haitian doctors and nurses are running most everything without me and that is a great compliment to Mission of Hope. I am only directly involved in the most bizarre or critical cases and spend a lot of my time writing medical protocols for the urgent care area.
This past week brought two patients in extreme asthma attacks. First, the triage nurse recognized the critical nature of how the patients presented and brought them back to the urgent care area immediately. I was in the room when the nurses started assessing the patients and stayed back a little to evaluate how they worked to treat them. They did look to my guidance, but only for confirmation about dosage on the medicine. Once they finished the assessment and started the initial treatment, they then got the doctor for a full evaluation of the patient. What a wonderful site it was! They handled the situation with professionalism along with care and compassion. Although I never doubted their ability to care for emergency patients, it’s a great moment in time to see it come to fruition. As always in these critical situations, we discussed the clinical presentation and the physiological changes happening to the patient along with what medicines will benefit them and why. Both patients had great outcomes and were sent home later in the day. The patients were given education on how to help control these attacks and the medications to do so.
The care given to these patients is part of the new protocols being written for the clinic. At this time, the protocols are focusing strictly on the urgent/emergent care patients. In the near future, they will expand to include other types of diagnosis including but not limited to: Typhoid Fever, Malaria, Acid Reflux, High Fever and Diabetics. The goals set forth so many months ago are becoming a reality. By the grace of God the Mission of Hope Clinic is changing and saving lives every day.