Introduction

This blog will follow me through my travels and experiences working at a clinic in Quetzaltenango (Xela), Guatemala. The clinic sees primarily indigenous (Mayan) patients in a rural mountain community. More than half of the patients are children, and the clinic is expanding its population even more to include more adults. Much of my struggles actually come from the rather universal theme of being a new healthcare provider, in my case, a new nurse practitioner. I'll also try to post plenty of travel stories to keep people entertained, and share some more cheerful stories. I apologize if there's an overkill of clinic stories. Sometimes it helps to tell the stories, even if only for my own sake.

Wednesday, October 6, 2010

Mobile Clinic at a new school

Today's mobile clinic was at a smaller school. This being my third time, I am almost starting to feel like an old pro at the clinical part. I was able to work through my patients more efficiently. I've learned the questions to ask (or not ask) in the history, and ways to try to tease out if the kids just want something to take home with them, or if they are actually sick and poor historians. Today a 12-year old boy came running in as we were cleaning up, and said that he forgot to say that his throat hurt. Well, in the end I wasn't able to tell if it was a genuine complaint, but figured I might as well give him some Tylenol. I spend much of the time doing crowd control, since I was seated my the door. Teachers in public schools here seem to have something other to do than to supervise the children, so I did a lot of "We don't scream here, if you want to scream, do that at home, here we respect." But bullies and 12-year old boys are the same all around the world. There's no cultural difference there!


This school was much further away. We had to walk about 20 minutes from the bus stop, but it felt like forever, because it was uphill, with backpacks, in crazy high altitude (which I am now mostly used to). It made me happy to see that we were left off the bus on a dirt road with a smaller dirt road going between fields of corn. This community was definitely further out than the other, but somehow the children actually seemed healthier!

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