Just a quick check in from my first day at another clinic today.
Melissa and I got to work at the Maternity and Emergency clinic today. Over all, it´s a lot more fast paced than the other clinic. We worked with 2 of the doctors in the emergency room and one of the nurses. My first impression is that the clinic is so crowded. Everyone who comes into the clinic has to check in and then they are sorted to different areas. They have a general medicine doctor, a GYN, a labor and delivery area and the emergency room.
I would describe the public health system here in levels. The first level is the other clinic we were in Friday and yesterday, your basic general medicine. The second tier is like the clinic we were in today: more trauma based and they have the ability to do minor procedures (like an urgent care clinic in the States). The third tier is the hospital, which is about a 30 min drive from Duran.
The clinic from today was cleaner and they had more sanitary protocols in place. They wiped the tables and changed the cover after a bloody patient. They used alcohol to wash their hands often. They were reusing a thermometer, but they put it under the armpit and not in the mouth.
Now for specifics: we saw a man who was riding a bicycle and was run into by a car. He has a huge gash in his leg that I helped stitch (I cut the thread lol). I learned how to, and placed my very first intermuscular injection. I assisted the doctor in taking the dead skin off of a burn patient.
The burn patient was the hardest for me to deal with. He was about one year old and he was burned on his back because of a boiling pot of water that fell on him. He and the mom were both crying and you could tell he was in a lot of pain. I helped clean the wounds and Melissa held him still. I kept telling myself that I wasn´t allowed to cry until I left the room but I was able to hold it together...somehow.
Besides for that sad story, I´m impressing myself with how things aren´t bothering me. I watched a toenail be pulled off of a foot yesterday and I was fine. I think the worst part is seeing and hearing people in pain, not the blood and gore. Hopefully I can contine having a strong stomach and getting used to all of it.
Tomorrow we´re back in the level one clinic, the family med one and Thursday we´ll be back at the emergency room. Happy Indepencence Day Everyone!
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