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APRIL 10, 2012
The heat and rain and bugs were getting to me yesterday and I had a rather nasty headache for quite a while. I slept horribly, too, and am glad today (Tuesday) is so far a lighter day. I will go with the Rotary group to deliver coloring books to a local school in a little while, and I walked through town for a bit with Laura, Alisa, and Kayla earlier.
My head has been swirling with ideas—confusion and awe at the role the Rotarians have here, discomfort with certain vendors lobbying funds from me, not knowing how it’s best to help here, fearing I’m not doing enough here or at home…and the overwhelming experience yesterday of holding a sweet little girl at Children of the Promise who didn’t let me put her down. An employee had to yank her off of me. I didn’t expect to be so emotionally affected in such a short time.
We delivered soccer balls and cleats on behalf of the medical team (part of the Headers for Haiti program) as well as books and crayons that the Rotarians brought, to Madame Appelis’ school yesterday. It was fun to see school finally in session after the Easter holidays. The children everywhere light up with smiles and giggles, songs and clapping when we’re around, and their energy is infectious. But as Libbie, Mike and I wandered back to CRUDEM with empty suitcases (we had packed the soccer equipment in suitcases for transport and to avoid a mob scene—soccer is immensely popular here) it was hard to pass by the poorer children in the neighborhoods who were not attending school (all schools are privately run and families must pay to send kids to school) and realize that they wouldn’t receive such goodies as easily. Libbie impressed us with her sophisticated thoughts on the subject. She feels the students at the school are already receiving a lot and she wants to find a way to address the needs of kids who are not in school. We are working on a plan for that with Sister Ann’s help.
Sister Ann is incredible. This tough Dublin-raised nun shared some of her amazing life adventures with us last night. Since she was 7 or 8 she has always known she wanted to “help the sick people in Africa.” She has been committed to that goal ever since, even when her mother discouraged her at first and wouldn’t let her leave home when Sr. Ann said she was ready at age 15. Her mother made her wait until she was 21. Since becoming a nun, Sister Ann has spent her life helping people in several countries of Africa (including a stint working as a midwife in the forest for seven years); in Eastern Europe; and, since 2009, in Haiti.
Here in Haiti Sister Ann still seeks out those who are most in need and helps them. Whether it’s teaching dental hygiene habits to stubborn kids, serving as a midwife, working in the nutrition center or putting shoes on children’s feet, she makes it a point to give hope and skills to people in a most authentic way. When asked how she spends a typical day, Sister Ann told Laura Monda that she wanders the outskirts of town just looking for kids who are the neediest and finding ways to help them.
In the afternoon, Libbie and Mike Poirer and I visited the prosthetics lab, of which I’m thoroughly impressed. The lab was created by one of the other US doctors who routinely visits CRUDEM, Dr. John Lovejoy. He saw a need for prosthetics just after the earthquake and quickly realized that the need would be ongoing. He helped get funding together for the lab, tools, staff, a training program, and they will soon break ground on an adjoining physical therapy center.
The lab is managed by Oscar, a bright young El Salvadoran native who first came to Haiti to work in Port-au-Prince just after the 2010 earthquake. Oscar is charged with many duties in the lab. Besides creating and fitting patients with prosthetics and orthotics, he is training two local students in prosthetics. The students are taking part in the first certification program of its kind here in Haiti. Once they finish their combination distance learning and practical instruction they will have international certification, as well. The idea is for them to eventually take over the lab themselves and to continue teaching the skill to new students thereafter.
I will be spending more time in the hospital next week shadowing our team and observing cases when fewer visitors are around, but already I’m really enjoying the opportunity to have a closer look at the medical system. It’s quite a dance process they have going on, with local Haitian doctors and nurses mingling with the visiting specialist team. The general surgeon here is an engaging young physician, Dr. Sisi, from Guinea Bissau in western Africa. Like most medical personnel practicing in Haiti, Dr. Sisi trained in Cuba. When a visiting medical crew is here, his surgeries are set aside unless an emergency occurs. As a medical professional, I imagine that stop and go routine would become tedious, but Dr. Sisi insisted he likes the change of pace.
Yesterday a new angle on medical tourism and ethics popped up. Curiously, a patient had been obviously treated for his problem in the US. When questioned about it, the patient explained that he is Haitian-American and lives in Fort Lauderdale, Florida. Since he does not currently have medical insurance, it was apparently cheaper for him to fly to Haiti, stay with family members, and pay for services at CRUDEM than to deal with the situation in Florida. I couldn’t help but think of what a sad comment that is on the state of health care in our country. I also couldn’t help but think of what a clever abuse of the system had just taken place.