Day 2 in Haiti

It’s far from comfortable here in Haiti. 2 hours north of Port au Prince, Pierre Payen is dry, arid and hot. The dirt roads have been pulverized to a fine dust that permeates everything. The dust is in your clothes, your hair, even your teeth when you talk. It’s also on your bandages and in your operating rooms.

Your daily routine would never work here. With running water or regular electricity, simple things like brushing your teeth or going to the bathroom require extra thought.  Surgery requires even more thought.  Because there is no infrastructure, every aspect of our advanced procedures has to be provided by our team including preparing our instruments and sterilizing our equipment to IV’s, blood tests, anesthesia, transport, and recovery.  Even giving medications, changing dressings, cleaning up diarrhea and showing a patient how to use an inhaler.  As an orthopedic surgery team, we’ve diagnosed and treated pneumonia, congestive heart failure, and probable parasitic infection.

We had been about to start an unstable leg fracture case when we were told about a child just carried to the hospital.  He was clearly sick and listless. Young children can have spontaneous infections in the hip and it appeared that was what he had.  After bumping our trauma cases and positioning him for surgery, we noticed that he was so swollen and infected that his scrotal areas had been obstructing the flow of urine for the last 3 days. In surgery, we couldn’t even place a tube to release the urine.  With nowhere to turn, an emergency circumcision was performed which allowed the placement of the tube and a release of almost a quart of urine.  We could then proceed with the operation to release almost a quart of pus from his hip muscle, which isolated a probable tuberculosis infection.

Although not comfortable here in Haiti, it is rewarding.