1/27/10
We had another quake today after one in the night and two yesterday. It is amazing how fast people will leave the buildings. We had a lady with a broken pelvis RUN out of the clinic building yesterday. Earthquakes take a building that makes you feel safe from the weather and outside and makes you feel afraid to be inside – almost everyone else sleeps out on the porch. I’m not sure if that is because I am brave or stupid. Most of my patients are displaced and sleeping outside on the ground – everyone from new babies to octogenarians. I’m seeing a lot of respiratory disease with people sleeping in the dust.
I believe we served 400-500 people today, though I don’t have the official count. More and more people are coming. We see a lot of earthquake related injuries, but people have many secondary issues coming to light now, such as the above mentioned pulmonary issues and also infections. Hygiene is terrible, as many people are living without plumbing and proper food areas.
We have some very sick patients. It is interesting that since there were so many amputations (at other facilities, none here at HCM), patients resist going to those other facilities. We had to transfer a patient since we do not have orthopedic surgeons here. She was very anxious that she would be an amputee.
There is very difficult time to achieve adequate follow up. Now that the immediate crisis is winding down, the demand is probably higher for rehabilitative services. We don’t have crutches, physical therapy or many local nurses trained in wound care.
We are making a difference and it is a lot of work. There are several local temporary hospitals and they are working hard to address surgical issues. Our location is acting mostly as a clinic and taking care of OB care, though no deliveries since last night.
The people here are so kind and very appreciative and patient. They start showing up at 4:30 in the morning and wait all day to see us for a brief visit. The clinicians are all tired, hot and busy, but I believe we would all agree that there is certainly a joy in practicing pure medicine.
It is truly a blessing that the community circling us was able to send our team to care for our Haitian neighbors. All those who helped to send us here should be aware of the incredible difference their money makes – every dollar. People should also remember that the recovery for these people is only beginning. We will be leaving in five days, but the work will not yet be finished.
- Dr. Paul Neumann (on the team with Clark Yoder)
I want to help John and Eric!