Friday, March 21, 2014

A farewell.

Time to go home.

For hilarity, go back to the first group picture and compare skin tones.  Bless that Haitian sun!

Lazing about the Jacmel airport - note that there are no solid walls.  An open-air-airport!

This plane was WAY bigger than the one we took here.  WAY.

Goodbye, Jacmel!

Someone in Jacmel has $$$.

Stunning scenery.


The ride was a tiny bit bumpy.  See if you can spot the people who are feeling airsick.

Port-au-Prince is tiny houses, as far as the eye can see.

While we were in the P-au-P airport, the power went out, just for a second.  Fun!

A parting shot of Haiti.

We were treated to some spectacular clouds on the way to Miami.  Eased the pain of leaving, somewhat.

AMERICA!

Another, sleepier flight to DC, and we were happy to see Gopi's mom welcoming us back home.


I'm writing this blog post at 3:40PM on 3/24/2014, and I can hear Haiti calling.  There are $180 tickets from here to Port-au-Prince that leave in 3 hours.  I'm not the only one tempted.

Wednesday, March 19, 2014

Doing the time warp

Sorry for the delay, folks - turns out, the internet in Haiti is not all that reliable!  Of course, the P-Au-P airport had a brownout while we were waiting for our flight, so I suppose internet that never goes down is pretty far down on the priority list.  Without further ado, here's the first of the last of the blog posts from yours truly, and hopefully I can have this wrapped up by the end of the week.

8-19-2014
This morning, Ashley/Dr. Henegar pointed out that I haven't taken a lot of pictures in the last couple days while we drive.  She's right - I've been relaxing a little bit, but I have a feeling today might be the day to pick it back up.

As it turns out, today is the birthday of the public school system in Haiti, and there's a parade of school children! It held us up a little bit.

My disappointment that "The best barbecue" was never open is great and unending.

I thought I had captured a rare photo of a Haitian riding a motorcycle with a helmet on, but this dude is probably a transplant.

Catching a glimpse of the parade.

On and on and on and on


Sometimes, the clinic is a little slow.  Today, we had just enough time for Claudy and Baker to sing to us.  Baker serenaded us with the words of Enrique Iglesias.  Have you ever tried to find a good place to rest your eyes while a sultry Haitian man croons a spicy Latin ballad 2 feet from your face?  Do you sing along?  And don't go asking your CI - they're not prepared for these tough questions.

After one last stint at the men's club, it was time to say goodbye to Claudy and Baker.  We'll definitely miss those guys.

Not the only guy I saw in a suit in Haiti, but maybe the coolest-lookin' guy.

It's chronic, and I don't know what the treatment is.

This is definitely the way I'd get around.

Sometimes it's difficult to get gasoline in Haiti - so when it's available, the stations are slammed.

Pick your fun fact: 1) almost all the schools have uniforms.  2) the balancing-unwieldy-object thing is big here.


To help us remember Haiti in a more...relaxed manner, we stopped by a grocery store for some of the Rhum Barbancourt, and tried to find a barber shop decorated by Usher.

We didn't find him.  This will have to do.

One final debrief on the roof to talk about feelings, Haiti, experiences, personal development, and to start to think about how we're supposed to move on from this experience.  I have a feeling that last question will take a while to answer.   Once the debrief is over, it's pretty late - but for the first time on the trip, we don't have an early morning the next day, so we stay up to a reasonable hour and chat.  Once "reasonable hour" passes us by, the sane people go to bed, and it's just 2 of us Americans and a couple of the house staff on the roof.  We learned a lot of Creole phrases it would be best to not print here.  We also learned a fair bit about the culture, the safety of Jacmel, and some other sundries.

  • A prostitute in Haiti would cost you as little as $5.
  • Gays are "accepted", in that they don't attempt to brainwash them into straightness, but they are considered aberrant.
    • It's also common among the voodoo followers to consider a gay person to have been possessed or tainted by evil spirits.
  • Haitian relationships are a lot about money.  People are looking for someone to provide for them.
  • Politicians in Haiti are crazy corrupt and (if you could even imagine this happening in a developed nation like the U.S.!) sometimes they get caught giving gifts to members of their own sex in exchange for services.
  • I learned the Creole phrase equivalent of "makeout spot", but I can't figure out how to spell it.  In any case, the second beach we went to is apparently one of those, and after 7pm, there are no rules.
  • Jacmel is considered a party town.
  • I would potentially be "safe" walking alone at night in Jacmel, but I would probably get mugged.  Under no circumstances would any of my female companions be safe.

At 3AM, we called it quits.  Gotta get a little sleep, I suppose.

Tuesday, March 18, 2014

"When in Haiti"

It's a phrase we find ourselves using over and over again.  Sometimes in jest, sometimes to remind ourselves of the context of our work, sometimes in anger.

Over the course of my time here, I've started to become comfortable with being in Haiti, and I've started to figure out the important traits I need to have to be successful here.

Patience.  Miscommunications happen even when everyone has cell phones and speaks the same language.  Here, you can expect a touch of "hurry up and wait" every day.  Learn to be comfortable with waiting.

Adaptability.  That one piece of equipment you want isn't here.  Or it is here, and it doesn't work.  The patient with knee pain doesn't just have patellar tendonitis, he's got a scarred-down mass from a botched surgery.

Resilience.  It's easy to plan on rolling with the punches, not letting things get to you, keeping a stiff upper lip; the reality is there's no avoiding frustration.  The best thing - the only thing - I've found that works is to be quick to rebound.  Allow yourself to feel the frustration, and then return to balance.  There's a debrief every night, there are new viewpoints to be had, and there is so much good going on that sometimes if you let the bad sit on the back burner for a while, it just evaporates.

When in Haiti.


An excerpt from yesterday's journal entry.

The next patient we saw was a boy around 10 years old.  He had no pain, but had an obvious wrist deformity - the hand was deviated very radially, to the point the ulna was sticking out visibly from the side of the wrist.  The father said he had had 2 surgeries that didn't go well.  I did a quick exam, noticed some strange alignment at the proximal end as well, and did range of motion testing.  Actively, he had at least some movement in all directions, and passively he had full motion.  It was so deformed that I wanted a second set of eyes to take a look, so I turned around to look for Dr. Henegar or Dr. Levit.
        While I was turned around, Claudy (an OT/PT tech student) said, "Jeff? In the arm, there are two bones.  He only has one."  I looked over, Claudy is palpating down the arm, and there's a surprising lack of bone where the radius should be.  I got my hands on it, and...nothing.  Just an ulna.  At the PRUJ, I found the radial head, but then the bone just ended. I called over the clinicians, and Dr. Levit got her hands on it.  She distracted and relocated the wrist, and then was able to palpate the distal radius.  A few more questions to the father, and we figured out there was some sort of sickness in his bone (infection?) before the surgeries.
       Whatever happened, apparently the doctors decided to remove the shaft of the radius, but leave most of the muscle attachment sites.  He had a mostly functional wrist.  We will see him in clinic tomorrow afternoon, and Dr. Levit is going to attempt to fabricate a splint to hopefully help align the bones in a more permanent manner.
New item on my exam checklist: make sure the bones you assume are there, are actually there.

Sunday, March 16, 2014

Jeff is not the only one who can blog (he just takes the best pictures)

Here is finally my first post to the blog! I have been relying on Jeff for taking most pictures with his awesome camera…. but it is time I post some of my own. Here is a little mix of the trip, and finally some payback to JEFF!

The ladies… cause Jeff would ruin the picture

So here is the clinic! 
Whoop.. found him.
  
Translators are wonderful
Can you wash your hair??



What?
Israel in his feeding chair we made!
Carli & Princess Melindi







A few of the  million dollar views we see everyday



Sneaky love affair 

There is always time for wine & whiskey


WORLDWIDE
& PT even on our downtime (thanks Jeff)
OH and dreadlocks



R&R

Sunday! Time for a break.  We spent an unreasonable amount of time outside today, and now I am a much darker person than I was yesterday.

We went to the art district, and then to the beach, a different one than last time.



These paper mache animals are a staple of Haitian art shops.

Choosing just the right paper mache chicken is a serious responsibility, and requires your full concentration.

Ugh. Real mature, Gopi.

Dr. Henegar felt a compulsion to wear the Carnivale mask.

There are not a lot of white people in Haiti.  When this one ignored my greetings and walked past without even looking my way, I was confused.

How did this get blogged?  I must be losing my edge.

A street artist's studio.

That's better!

These guys were playing some sort of dice game.  But did you notice the cardboard crown?

Inside a gallery and art school.

Carly getting cozy with the Carnivale marionette thing.

Katie is better at taking pictures than she is avoiding getting hers taken while sneezing.

I suppose this is Baron's chair. I was jealous - I like this chair.

Taking in some fine art.
Also...I guess...fine art. (Photo credit: Carly)


Wistful. Pensive. Introspective. Thoughtful. Meditative. Nope - texting.

(Photo credit: Carly)


The beach! We were thankful for the clouds to take the sting out of the bright sun.