The thoughts of a woman trying to live simply yet abundantly, contentedly yet expectantly, wisely yet adventurously... all for His glory.

5.13.2012

welcome to Ayiti!

I arrived in Haiti (Ayiti in Creole) last Tuesday along with Sandy,the other volunteer nurse here at the moment. She's lovely and energetic and reminds me of a very grandmotherly Beth Moore.

Each weekday morning we get up around 5:30 as the sun is just coming up over the mountains. We leave for the clinic by 6:45. Along the way we stop to pick up some of the clinic staff including several doctors and some of the pharmacy personnel. We also pick up our motorcycle escort just before we head into Cite Soleil which one of the largest, poorest, and therefore most dangerous slums in the Northern Hemisphere.

Driving towards Cite Soleil.

The clinic has been operating since the earthquake in 2010, offering primary care for adults and children and some women's health services. SP employs two pediatricians, one OB/GYN, and one adult doctor that I know of for the clinic. Usually 2-3 different doctors work there depending on the day of the week, seeing anywhere from 150-200 patients a day. The patients line up in the courtyard, and Jasmine (the clinic coordinator) and Leo go through the line to try to sort out the sickest patients and the children to see the doctor. Leo fills out a health paper for each patient if they didn't bring their paper from a previous visit, and they are then admitted to the triage area.
Sandy and I work in the triage area alongside three Haitian translators named Eddy, Eddy, and Luko. This is where we ask each patient why they have come to the clinic and check their vital signs. The translators know what they're doing, but Sandy and I are here to help them think critically and help teach them so that they can in turn teach the patients. I love that aspect of this clinic; there's lots of time and opportunity to teach. There's even a health educator who talks to the patients waiting to be seen in triage, telling them about handwashing, diarrhea, and worms, among other things. In the triage area we often teach about foods to avoid if you have hypertension or acid reflux, how to keep a wound clean, etc. I am in the process of teaching Eddy how to calculate paracetamol (acetaminophen) doses for kids with fevers; the dose is based off their weight. It's a little complicated until you've done it a few times, but he's picking it up really quickly. I want to teach the other translators on Monday. I guess until now they've been going back to ask one of the doctors or Haitian nurses for the dose!

After the patient goes through triage they wait to see the doctor who writes prescriptions which are then filled at the SP pharmacy. It's a really organized process! Some patients also end up going to the treatment room which is run by Toussaint, a sweet Haitian nurse. In the treatment room they do breathing treatments, IV fluids, some dressings, and Toussaint is also training several Haitian nursing students.

We finish in triage about 2:30, which gives the doctors and pharmacy enough time to wrap everything up by 3:30 or 4:00. We finish early because some of the Haitian staff have 2-3 hour commutes, and they need to get out of Cite Soleil before it gets dark. By the time Sandy and I get back to the SP base it's usually around 4:30, and we have the rest of the evening free to read, nap, check email, and chat.

I really love seeing the work that's happening at the Cite Soleil clinic. I've had patients come through with health papers from 2010, meaning that they have been receiving some health care for the last two years! That's really exciting, especially considering that in West Africa I always felt that once the ship sailed away the people had no health care. Although there are hospitals in West Africa, most people cannot afford the price. So I really love that the SP clinic has been taking care of the people living in the Cite Soleil slum for years now.

During my evenings I've been reading a great book called "When Helping Hurts: How to Alleviate Poverty Without Hurting the Poor...And Yourself" by Steve Corbett and Brian Fikkert. I was really struck by one idea which I will quote for you:

"We are not bringing Christ to poor communities. He has been active in these communities since the creation of the world, sustaining them 'by his powerful word' (Heb. 1:3). Hence, a significant part of working in poor communities involves discovering and appreciating what God has been doing there for a long time!"

Oh this is so true. I am not bringing Jesus to the poor people of Cite Soleil. He is already here and has been working in a million ways both seen and unseen. During his time on earth Jesus loved children, tax collectors, lepers, prostitutes, and the least of these... at Cite Soleil we try to follow His example.

I can picture Jesus here, walking the dirt streets of Cite Soleil. I feel His pleasure each time I walk through the clinic doors to start a new day. I feel His presence when the clinic staff gathers to sing and pray before we start seeing patients. We pray for the clinic, Cite Soleil, the Haitian government, and the people of Haiti. We pray that God would bring not only physical healing, but that He would change people's hearts. And I feel His peace gently, quietly, patiently at work here in Haiti... and also in my heart.

1 comment:

Laurie Nelson said...

What a privilege & delight to use your skills to be part of healing in Jesus' name. So glad you had the opportunity to do this- and that you took it!