Monday, February 15, 2010

diabetes among Latinos

Hi all! Emily here again. I just got back from the Imlay City Migrant Clinic, where today we talked a lot about diabetes among Latinos in the United States. The director of the clinic told me that 1 in 10 Latinos in the United States has diabetes! Today I brought some bilingual literature to pass out to our migrant worker patients about this extremely serious disease.
Something I love about the Imlay clinic is that in addition to having bilingual staff and Spanish-language health literature, there are more Latino staffmembers than non-Latinos working here. Cultural understanding is so important to providing quality care to our migrant worker patients. Dr. Carter, seated in the photograph below, is the sole physician at the Imlay Clinic. She is a gringa like myself and has never lived in Latin America, but she speaks a whole lot of Spanish just having learned it from her patients. I have learned plenty of vocab from her as well!
Standing behind Dr. Carter in this photo are Esther and Kay, the office translator and one of our nurses respectively. Everybody here is so kind--I feel very lucky to work with them.

The worst part about working at a migrant clinic is not being able to afford to treat the patients as we know they should be. We had a woman tonight who needs $75 compression stockings and a sleep study and CPAP machine, and she can't afford any of those. Someone else needed physical therapy for tendinitis, but she can't afford that either. How lucky those of us are who have health insurance, and how sad and unfair for the people who do not!

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We went to a couple of volcanoes over the weekend.  Lots of fun.  Videos coming soon, including some dancing action.

Sometimes, natural beauty can be ruined by tourism.

Other times, natural beauty is left untouched.
We saw a few animals...
...and acted like animals ourselves.
Don't forget the plants and waterfalls.
Even the cows too.

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Sunday, February 14, 2010

El Salvador

 



What a great week! This week we did a first aid charla, a dental health charla, door to door vaccinations, and post-partum visits. The events were all well received and very fun to organize.




To wrap up the week, we were invited to a local festival of patron saints in the community. It was a fair with a ferris wheel and everything. We wore sashes and were the prize givers for the winners of a unique event involving fast horses, a very large chopstick, and a fishing line. It was nice to see another side of the community and to participate in the celebration.




We look forward to another exciting week here in El Salvador!




Brandee, Donna, Emily, Nisha, Shawna, and Shirley

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Judith and the crew of Peruvian medical students sift through stacks of medical charts. We are doing a retrospective study on malnutrition, looking at the age, height, and weight of children less than 5 years old.

As Dr. Schnuth commented to me, the clouds are low! Or, depending on your perspective, you could say that we´re just really high up! Many days we could see the clouds hanging in the valleys much lower than where we are now at the top!!! There´s no experience similar to walking through a cloud, as it spits rain in your face ;)

Here is another family we interviewed from La Florida. You can see the adobe house in the background. And the layers of clothing are necessary, as it´s equally cold inside as outside.... especially when in the clouds and at night! Brrrrrrr.......

On a beautifully sunny day this is a normal scene.... impresionante!

Sometimes we had to hide from the rain. Even with umbrellas the wind could easily soak you from the side, especially as you ascend the mountains up serious inclines! We would just camp out and chat until the floodgates again closed :)

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Wednesday, February 10, 2010

Greetings from Costa Rica

Hey, everybody.  Alan, Boramee, Josh, Sara, and Sukhi here.  It's been a while since our last update, so I'll share a few more things than I originally planned.  Here we go...

Saturday we arrived in San Jose, CR.  The area is much more developed than Limon, Nicaragua, where we were previously.  The city is much bigger than say, Lansing, Michigan, and it has all the amenities of a big city, like good public transit, city tours, plenty of restaurants, etc.

We are each staying with host families in nearby Santa Ana.  The hospitality of the people here is incredible and living with a family has been a great way to immerse ourselves in the culture here.

On Sunday, along with my host mom, we toured around the city, using a "train" that goes around the city.

There were lots of beautiful churches...
...and beautiful parks.
But perhaps the most exciting thing was that Sunday was also the day of the Costa Rican general elections.  The air was filled with the sounds of car horns and people everywhere were proud to display their political affiliations.
Even kids were into it.
Many people were crowded around the central part of the city, supporting their favorite candidate.
And if you didn't support their candidate, expect a little talk.
By the way, Laura won.  She is the first female president in Costa Rica's history.

Monday, we arrived at the clinic.

Tuesday, we worked in the clinic and attended Spanish class in San Jose.  Here, we receive 4 hours of Spanish class each week.

Today at clinic we prepared for our first charla, which we will give tomorrow.  It's going to be great.  More in our next update.

Also in the next update, Dr. Schnuth introduces us to the clinic.

Adios!

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La Promesa is a town close to Alajuelita (where the FIMRC clinic is) that FIMRC goes to every couple of months to offer care. We learned from Dr. Stedhem and Dajan that La Promesa is a little town in which the government had put housing developments in, and relocated people who needed housing from other parts of Costa Rica. It reminded me a bit of Habitat for Humanity from back in the States.


So we arrived at the clinic, only to find that it had been closed up. I really admire the Costa Rican FIMRC staff for being so adaptable, since they were immediately able to find a house in construction on the corner that worked pretty perfectly as a makeshift clinic. So we set up an examining table, pharmacy, psychology area, and waiting room. Now what to do? No patients! So we went door to door, and to the market, asking the residents if they had children who had not seen a doctor recently or needed medical care. Surprisingly, we only went to about a dozen houses, but here word travels fast, and by the afternoon, we already were booked for the next few days! Here are some pics of our clinic in La Promesa and of the children from the area that came for medical care, or simply to play:

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Sunday, February 7, 2010

Hola from El Salvador!





We have been in sunny El Salvador for 1 week now and it has been wonderful!


We live in beautiful San Salvador, and our clinic is in Las Delicias a rural community about a 45 minute drive away. Each morning it's similar to waking up in Costa Rica and traveling everyday to Nicaragua because the guest house in San Salvador is in a very well-to-do area while the community the clinic serves is full of homes with dirt floors and an inconsistent supply of water.

Last week we had a very full week, we gave many vaccinations, we did well-baby exams, we did a pap smear campaign for the entire community, we started taking a census going house to house, and we saw patients in the clinic. Each day we walked miles and miles up volcanoes... literally. We are really grateful to be here as the need is great. So far so good! See you next week!

*Brandee, Chanisha, Donna, Emily, Shawna, and Shirley*

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