Clinica Nueva Esperanza May 2014 Reports. Weekly Report May 5-9, 2014

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1 Clinica Nueva Esperanza May 2014 Reports Weekly Report May 5-9, 2014 This week we saw a total of 85 patients, 35 of whom were unable to pay because of limited This week I took care of a 6 year old boy with severe diarrhea syndrome. The child had had liquid stools, vomiting and fever for three days. Unfortunately the child was in a very bad state owing to the dehydration caused by the diarrhea. The family had increased the number of evacuations because in many cases when the child has diarrhea they give them a home remedy based on a plant that in Honduras is known as Fistula Cane. This plant has a laxative effect on the body increasing the number of evacuations and worsening the health situation. The family members administer this plant because they believe that when a child has diarrhea it is because they have a dirty stomach and provoking more diarrhea helps to clean its stomach. Because of this we administered liquids and antibiotics intravenously because the evacuations were accompanied by mucus and blood. Fortunately we were able to reestablish the liquids and electrolytes and combat the infection. The child is now out of danger and in good health. This week I organized a clean-up operation and gave a talk on oral hygiene in the community of las Minitas 1 patient with seborrhea dermatitis 5 patients recalled for pap smear results and treatment 1 patient for a catheter change 1 patient with elevated uric acid 1 patient with dysentery 2 patients with gastroenteritis 1 patient with multiple traumas 2 patients with circulatory disorders 2 patients for control of anemia 3 patients for control of irritable colon problems 2 patients with infected wounds 2 Pap smears 10 patients for control of hypertension 9 patients for control of diabetes 1 patient with rheumatoid arthritis 3 patients with problems of high cholesterol and triglycerides 2 patients with post menopause syndrome 2 patients with muscle spasms 1 patient with hives 1 patient with senile cataract

2 2 patients with slight pneumonia 1 patient for alcohol intoxication 2 patients with lactose intolerance 3 patients with urinary infections 4 patients for family planning 2 patients diagnosed with Helicobacter Pylori 5 common colds 2 patients with bronchitis 2 patients for minor surgery 3 patients with allergic dermatitis 1 patient with throat infection 3 cases of control for bronchial asthma 3 patients for suture removal In Christ, Dr. Davila Dental Report This week we saw a total of 35 patients, 11 of whom were unable to pay because of limited Extractions 17 Cleanings 4 Fillings 18 Surgery 3 Weekly Report May 12-16, 2014 This week we saw a total of 102 patients, 30 of whom were unable to pay because of limited I sent a two year old boy to Tegucigalpa to the Hospital Escuela with a serious case of pneumonia. This week I also attended an emergency of a 46 year old man who had a machete wound on the back of the left hand. This wound was on the same man who was cutting a branch from a tree when the machete slipped striking him on the back of the other hand. The wound was about 6 cm. long and produced a cut of various muscles and tendons on the back of the hand and an apparent fracture. The patients came from a community that is an hour from the clinic and had bled a great deal. His condition when he entered the clinic was very poor, he was almost unconscious. In the clinic we stabilized his vital signs. We cleaned and treated the wound and did hemostasia in the veins and arteries that were bleeding and sent him by ambulance to Tegucigalpa where he was admitted to the Hospital and operated on to rejoin his muscles and torn tendons. He now has a weekly appointment for physical therapy.

3 This week I helped in a canine vaccination program in the community of Matapalo and gave a talk on Rabies. This week I also organized a clean-up operation and gave a talk on Dengue in the Polytechnic High School in the community of San Francisco (located right next door to the Clinic.) 1 patient with machete wound 2 patients with migraine type headaches 4 patients with muscle spasms 1 patient with piogenic abscess on the back of the hand 4 patients with gastritis 3 patients with irritable colon symptoms 3 patients with lactose intolerance 2 patients with signs and symptoms of rheumatic fever 4 cases of allergic dermatitis 8 common colds 2 patients with anemia as diagnosed by lab tests 1 patient with bronchial asthma 2 patients with bronchitis 2 patients with senile cataracts 2 patients with common warts 3 catheter changes 3 patients for minor surgery 2 patients with solar dermatitis 3 patients with signs and symptoms of urinary infections 2 patients with grade I sprain 3 patients for family planning 2 patients for fingernail extractions 2 patients with high levels of cholesterol and triglycerides 2 prenatal visits 3 patients with scabies 2 patients for control of post menopause syndrome 2 cases of chickenpox 3 patients for cleaning and treatment of infected wounds 1 patient with severe pneumonia 4 patients with vaginal tricomonas 1 patient with asymptomatic hernia 1 patient with herpes on the lower parts 3 patients for nebulization for asthma control 9 patients for diabetes control 11 patients for hypertension control In Christ, Dr. Davila

4 Dental Clinic Report This week we saw 29 patients, 10 of whom were unable to pay because of limited financial resources. Extractions 14 Cleanings 2 Fillings 14 Surgery 1 Clinic Report May 19-23, 2014 This week we saw total of 87 patients, 33 of whom were unable to pay because of limited This we attended two childfree, 7 and 9 years old, who were stung by wasps. The majority of the stings were on the face and throat. One of them had a major reaction to the stings and presented difficulty breathing for which it was necessary to administer steroids. Fortunately the fright did not lead to anything greater and the children returned to good health, This week I organized a clean-up operation in the community of Santa Cruz and gave a talk on First Aid. 3 patients with elevated cholesterol and triglycerides 1 patient with athlete s foot 2 patients with hemorrhoids 2 patients with moderated malnutrition 2 patients because of a fall from a horse 2 patients with migraine type headaches 4 Pap smears 2 patients with allergic rhinitis 9 patients for hypertension control 9 patients for diabetes control 2 patients for lumbago 2 patients with urinary infections 2 patients with muscle spasms 1 patient with a sty in the left eye 1 patient with nasal polyps 1 patient with hydrocele 2 patients with common warts 2 patients with intestinal parasites as shown by lab tests 1 patient with acute diarrhea syndrome 2 patients with dental cavity accesses 2 patients for pregnancy tests 3 patients for family planning

5 2 patients with solar dermatitis 2 patients with halitosis 1 patient with hyperhydrosis problem in the armpit 2 patients with Gingivitis 2 patients with allergic conjunctivitis 6 common colds 1 patient with cranial trauma 2 patients with bronchitis 1 patient for minor surgery 2 patients with allergic dermatitis 2 patients with athlete s foot 1 patient with diaper rash 3 patients recalled for Pap smear results and treatment In Christ, Dr. Davila Dental Clinic Report This week we saw a total of 42 patients, 12 of whom were unable to pay because of limited Extractions 20 Cleanings 5 Fillings 19 Surgery 2 Weekly Report May 26-30, 2014 This week we saw a total of 100 patients, 31 of whom were unable to pay because of limited This week I attended an emergency birth for a 33 year old woman who had a premature membrane rupture. The patient had a history of three previous births, all attended by midwives. The child presented with premature characteristics for which we referred her to the Hospital Escuela in Tegucigalpa. The child was admitted to the pediatric ward and stayed there three weeks. The child continues to gain weight and her condition is stable. This week we visited the school in Tabloncito where I organized a clean-up operation and we talked about dental hygiene. 1 patient for bacterial conjunctivitis 2 patients for asthma control

6 3 patients with sinusitis 1 patient with seborrhea dermatitis 3 patients with bronchial asthma 1 patient with menstrual pains 2 patients with contact dermatitis 2 patients for ear wax irrigation 1 patient with inner ear suppuration 1 patient with light pneumonia 2 patients for catheter changes 3 patients with probably viral throat infections 3 patients with candida albicans 4 cases of gastritis 2 patients for wound treatment 4 patients with irritable colon problems 1 patient with lumbago 1 patient with sciatic nerve neuralgia 3 patients with gastroenteritis 2 patients with back muscle pain 2 patients with grade I sprain 1 patient with acute diarrhea syndrome 2 patients for athlete s foot 2 patients with halitosis because of poor dental hygiene 1 patient for replacement of IUD 1 patient for anxiety syndrome 1 patient for menstruation delay 9 patients for hypertension control 7 patients for diabetes control 2 patients for family planning 1 patient with high cholesterol 2 patients with intestinal parasites 1 patient with chronic alcoholism 1 patient with multiple traumas 1 patient with signs and symptoms of multiple pregnancy 1 patient with probable kidney stones 1 patient with a foreign object in the left eye 1 patient with ovarian cyst as shown by ultrasound 1 patient with dental abscess 2 patients for hemorrhoid control 8 patients recalled for Pap smear results and treatment 3 patients with apparent viral type throat infections 3 patients with gardnerella 2 patients with bronchitis 2 patients who fell from a horse

7 In Christ, Dr. Davila Dental Clinic Report This week we saw a total of 45 patients, 15 of whom were unable to pay because of limited Extractions 23 Cleanings 6 Fillings 19 Root Canal 2 Surgery 2

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