Thursday, August 16, 2007

finnally have time to catch up

I wrote this on Wed. and I didn't have internet at the time to send it.

It felt like this was the longest day. I got up at 4 am. My shift started at 6 and by 9 it felt like noon, by noon 4. I think my body knows what time it is back home.
It’s only 7 here, but Monica is already in bed too tired to change her clothes, and I am tying to stay up till 8. I had only one shift today. Did prenatals and observed one birth and transported one lady to the hospital.
They are very patient here. They don’t try to hurry anything when it comes to the birth. They use almost nothing disposable. So all the under pads, rags go to a laundry where they get bleached. The only disposable item they use are gloves and those are used sparingly. But everything is simple and clean. Set up very nice.

The hospital was so crowded. Lines of beds with sick people with no one attending them, no monitors, one man looked like his foot had been wrapped, but there was blood dripping to the floor. What so sad is we have to transport there because they have rules just like the states, in this case the babies heart rate was 190. She was already dilated to 9. We started an IV, gave oxygen and still was high. So we had to transport but they don’t do anything there at the hospital. They don’t treat her like it’s any big deal, because they usually only have 2 doctors for 140 bed hospital that usually has 160 patients admitted. This is the government hospital. There are private hospitals that have much better care. And even though it’s only about $60 these people cannot afford it. Most of these patients make only about $2 per day. An ultra sound costs 400 pesos, about $8. So we are asking them to spend almost a weeks wages if they need an ultra sound.
They only take patients at this clinic that make less then a $80 a month, live in a certain area, don’t have Hepatitis, don't have hepatitis, promise to make it to all prenatals. They said they have this criteria, so they don’t get more then they can handle. It gives the poor a chance to have good clean care. Something they can’t get at the government hospital. But she also told me they are not very strict with their rules. They are very missionary orientated. Pray a lot with the patients. We actually have a place on the chart for prayer.
So one of the interns took Monica to Paradise island. She took a motorcycle to the boat, crossed over to the island, where she collected shells, swam, and drank fancy drinks. She had a great day. If I wasn’t so tired all the time I think I could enjoy it more. Hopefully tomorrow will be better. I’m so hat and tired. It’s so sticky. The fans really help.
The fruit here is incredible. I had a mango for the 1st time today. They have weird fruit that I have never seen. One looks like a large grapefruit, but it tastes like a pomegranate.

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