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Monthly Archives: April 2010

A Very Important Person

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Several weeks ago, when I was getting report to start my shift, I was told that my patient, “MR. X,” was a VIP.  I immediately started to worry. Some people (VIPs or otherwise) are so used to being treated like masters that serving them is burdensome.  They don’t know why they don’t get fresh ice every hour, no one is ever polite enough, and they can’t stand the food.  Some of them order out for dinner consistently.  They think they’re at the Four Seasons—and that my helping them order out is the most important task of my shift.

However, Mr. X was a very pleasant surprise.  He is an elderly, retired gentleman, who was affiliated with our university for decades and received many accolades throughout the years.  When I walked in he shook my hand, asked how I was, and smiled. He complimented the staff and the food and never complained.  Every time I walked in the room he found a way to call me by name, smile, and engage me on a personal level.  He made us all feel important.  At the end of my shift when I said goodbye he said, “It was really nice to meet you.  Good luck with all your endeavors.”

Nice to meet you indeed!

Haiti: People everywhere are the same.

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One thing I learned in Haiti is that things are the same everywhere.  Moms everywhere will sit for 8 hours, three days in a row, in hopes of getting life-changing surgery for their child.  People want to be loved, respected, and cared for.  A child left too long with nurses fretting over him gives a long sigh.  And finally, moms will talk you into submission until you give them antibiotics, whether or not their child really needs it, in every country in the world!  Despite the trauma and pain that Haiti is going through, little moments like these warmed my heart by reminding me that no matter how different a culture may seem, we’re all the same.

Haiti: The faith of those who came before us.

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One of the neatest things about being in Haiti two months after the earthquake was seeing the faith and work of those who came before us.  For example, there are many people in Haiti that still had external fixators holding their bones in place.  External fixators are designed to hold the bone in place so that the bone and surrounding tissue can begin to heal.  Once the healing has started with the bone in the proper place, the external fixator (made up of rods, pins, and bolts) can be removed.  Usually the bone needs to then be put in a cast or splint while it heals the rest of the way.  And then of course the cast will need to be removed.  After the quake physicians put external fixators on bones having the faith that someone will come along with the skill to re-xray the bone and continue with the plan of care. This gentlemen had a fixator in place for two months.  We had to clean around the pins everyday to make sure it did not get infected.  Thankfully, our doctors were able to remove this, and many other, external fixators.

Knowing that follow up might be an issue, they often wrote their plan of care right on the patient.  Here is an example of how medical information was passed along.  Interestingly, this note is in English, a language the patient probably cannot read. One patient had three long strips of tape down the length of her arm.  They said what surgery the patient had, when the splint was to be removed, and what type of range of motion exercises were appropriate!   Perhaps we found the solution to health information exchange and technology… just tattoo it right on the patient!

In all seriousness, it was wonderful to see hope and healing being restored to the injured and to see that even in the worst of circumstances a little ingenuity can help improve patient care and follow up.