Last week marked the halfway point of my trip. It was completely different from any other week so far, because we spent it living in different rural clinics throughout the province of Las Hermanas Mirabal, which is about an hour and a half west of Santiago.
|CIEE students (Asia, top row far left, Jessica, bottom row far left, Denise, bottom row middle and me) and El Coco clinic staff|
|Scarlet and I!|
We arrived at the clinic on Friday afternoon, but because the clinic isn't open on weekends, we didn't get to start working until Monday. We spent most of Saturday getting our bearings, trying out the kitchen in the clinic and playing with some of the local kids. On Sunday we went to a talent show in a nearby town, and then we went to Mass in the evening. The service was simple but very joyful. The towns are so small that one priest travels between many different churches--the service in El Coco was his fifth of the day, and the congregation spent about five minutes simply thanking him for coming to celebrate Mass for them.
On Monday morning, we started our clinic experience by organizing the medicine shipment that had arrived on Friday. Because it's a public health system, the medicines are all generic and arrive together--very different than the US! We recorded the arrival of each medication by hand (the clinic has one computer, but nearly all of the record-keeping is done the old fashioned way). It was worrying to see that the clinic had run out of many medications before the shipment's arrival, and even more concerning to realize that some medications hadn't been in stock for over a year. We also helped the doctor calculate her needs for the next month's shipment, even though she doesn't always get the quantities she orders. Trying to do basic arithmetic in Spanish was more challenging than I expected!
|Making home visits to fill out fichas|
We also got to observe the consultas or office visits or hang out in the waiting room whenever we weren't busy. The office visits were generally short, and most of them were for Chikungunya. Chikungunya is a viral illness transmitted by mosquitos that arrived in the DR in March or so. It spreads really quickly and is all over the news and pop culture (See the music video!) It's not fun to have, but the good news is it's not life threatening. The main symptoms are fever, headache, pain in joints, particularly wrists, knees and feet, and a rash. The main treatment is Tylenol, which is by far the most commonly prescribed medicine at the clinic. Unfortunately, a lot of people, (including some doctors!) believe that it's an airborne virus because they don't think it's possible that mosquitos are spreading it this quickly. This is particularly bad because the only prevention strategies involve avoiding mosquito bites (using repellent and mosquito nets, and eliminating standing water where mosquitos can breed), so if people don't believe the mosquitos are responsible the disease will continue to spread.
There's so much more to write and I've already written a short novel, so I'll save the rest for another post!