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.

Monday, October 4, 2010

Mobile Clinic, Day 2


Today's mobile clinic went well. I was able to speed up my process and see more kids. We also saw children from ages 5-14, so there was a little more variety. Fortunately we seemed to have a healthier group of kids, which meant less need for Flagyl and Bactrim, among other things. We were with a new group of medical students, so I did my best to share my little knowledge from last week. Once again, things are different here. I asked the doctor how he wanted to handle a child with a sort of funky murmur. Imagine trying to do a cardiac exam sitting or standing in a room with 25 shouting children... We referred him to the clinic, because the doctor said we needed to rule out anemia and malnutrition. It would be so easy to listen carefully to the murmur at home, ensure that there was nothing concerning, and watch. But here you have to consider many more things.

Today was the second non-rainy day in the entire 2 weeks that I have been here. I decided to take a few more pictures of the area around the school. The first picture up top is most of our group trekking down with the equipment and what was left of medicines in backpacks and bags. Believe it or not, this is actually not the most rural area. The bus line ends just 5 minutes away. There are other schools that are at least a 45 minute hike from where cars and busses go. Today I waited at the bus stop surrounded by corn, a little store, a couple houses, a couple wandering dogs, and a pig.
This is the area around the school (the white building is actually part of the school).

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